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Concerns Tom treats

Common concerns Tom treats — pick yours to see what's involved and what to expect.

Low Back Pain

Lumbar spine

Low Back Pain

Most low back pain is non-specific and responds well to physiotherapy, exercise, and education — but a previous episode is the single strongest predictor of the next one, so the rehab you skip now is the flare you feel in six months. We deliver NICE-aligned low back pain treatment in London and Henley across our four clinics, without unnecessary imaging, opioids, or specialist referral.

Physiotherapy & Sports Therapy · From £77

Arthritis & Osteoarthritis

Synovial joints

Arthritis & Osteoarthritis

NICE names therapeutic exercise as first-line care for osteoarthritis at every stage — including while you wait for a joint replacement — yet most people are told only to rest and take painkillers, and the muscle they lose to that advice is exactly what the joint needs. We deliver NICE-aligned arthritis treatment in London and Henley for hip, knee, hand, and spine osteoarthritis: exercise, weight management, and manual therapy combined to improve pain, function, and confidence across our four clinics.

Physiotherapy & Sports Therapy · From £77

Sports Injuries

Hamstring

Sports Injuries

The fastest way back onto the pitch is rarely the safest one: returning before strength and symmetry are rebuilt is the strongest predictor of re-injury, which is why we test against measurable benchmarks rather than discharging on "feels OK". Sports injury treatment in London and Henley for hamstring strains, ankle sprains, knee ligament injuries, runner-specific complaints, and racket-sport tendinopathies — by a team with Olympic, Commonwealth, and elite-club experience.

Physiotherapy & Sports Therapy · From £77

Post-Operative Rehabilitation

Surgical site and the broader kinetic chain

Post-Operative Rehabilitation

A good operation is only half the result — the range of motion and strength you recover depend on rehab that starts at the right time, because what you lose in the first weeks takes far longer to win back. Structured post-operative rehabilitation in London and Henley after hip and knee replacement, ACL reconstruction, shoulder repair, and ankle reconstruction, co-ordinated with your surgeon and measured against your baseline at every visit.

Physiotherapy & Sports Therapy · From £77

Muscular Injuries

Hamstring

Muscular Injuries

A half-rehabbed muscle is a muscle that tears again — most hamstring re-injuries happen in the first month back because strength was never rebuilt and never tested. Muscle injury treatment in London and Henley for hamstring strains, calf tears, quadriceps and adductor injuries, with graded loading and structured return-to-sport testing so the next sprint is not the one that sends you back to square one.

Physiotherapy & Sports Therapy · From £77

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Tom Astley Physiotherapy • Park Road Pools & Fitness, Crouch End, London N8 8JN

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Appointments typically available within 1–2 weeks