Same-week physio appointments across LondonBook online
Manual Therapy

Osteopathy

Osteopathy in Crouch End and across our four London and Henley clinics: case-history-led assessment and hands-on treatment for musculoskeletal pain, combining detailed diagnosis with manual techniques and rehabilitation exercise to address the cause, not just the symptom.

Book Consultation
Osteopathic treatment at Tom Astley Physiotherapy

The short answer

What this treatment is

Our main aim is always to eliminate your pain in the shortest time possible, and then keep it that way. To do that we take a detailed case history, building a picture from your past and present illnesses, current medication, injuries, and lifestyle. Together with palpation and clinical examinations, this lets us understand the source of the problem and choose an appropriate treatment method — rather than simply treating the symptom. Treatment is delivered alongside the wider TA Physio multidisciplinary team so cases that need shockwave, soft tissue, or sport-specific rehab are integrated, not siloed.

Areas treated

What's included

  • Detailed case-history-led diagnosis — we look for the cause, not just the symptom
  • GOsC-registered osteopath delivering all clinical care under UK regulation
  • Integrated with our wider physiotherapy and sports-therapy team for multi-modal cases
  • Manual therapy combined with rehabilitation exercise — not stand-alone manipulation
  • Insurer-recognised across the major UK panels (Bupa, Cigna, Vitality, WPA, Simply Health)
  • Same care delivered across our four sites — Crouch End, Hampstead, UNTIL Marylebone, Henley

Patient journey

What to expect

Consultation & preparation

Wear loose, comfortable clothing that allows the affected area to be examined. Bring any prior scan reports, GP letters, or insurer authorisation, and a list of current medications and past surgeries.

During treatment

Aftercare

You leave with a written summary of the visit, a working diagnosis, and a Track Rehab rehabilitation programme. Light soreness for 24 to 48 hours after manipulation is common; stay hydrated, stay moving, and avoid heavy training for the rest of the day.

Transparent, all-in pricing

Initial Consultation
Price on enquiry
Follow-up Consultation
Price on enquiry

Written and medically reviewed by Tom Astley , Sports Physiotherapist & Clinical Director · BSc Physiotherapy (Coventry, 2008) · BSc Health, Exercise & Sport (UWIC, 2005) · General Osteopathic Council (GOsC) and the Institute of Osteopathy (iO).

Common
questions

What is the difference between osteopathy and physiotherapy?

Both are regulated UK manual-therapy professions treating musculoskeletal pain, with extensive overlap in everyday clinical practice. Osteopaths typically emphasise whole-body biomechanics and joint manipulation more heavily; physiotherapists more often lead with progressive exercise rehabilitation. At TA Physio we combine both — many cases benefit from osteopathic hands-on work alongside a physiotherapy-style loading plan.

Do I need a GP referral for osteopathy?

No. UK osteopaths are first-contact practitioners regulated by the General Osteopathic Council (GOsC). You can book a private appointment directly via Splose or by calling 0333 121 6 121. Self-funded patients never need a GP referral, and most private medical insurers also reimburse osteopathy without one — but check your policy first.

What conditions do you treat?

The most common presentations are lower back pain, neck pain, headaches, sciatica, postural pain, and joint stiffness — but we also see post-surgical recovery, sports injuries, repetitive strain at the workplace, and antenatal back pain. If your case is outside the scope of safe osteopathic care we will tell you and refer onward to a relevant specialist.

Will treatment hurt?

Most osteopathic techniques are comfortable. Some hands-on work — particularly on tight or guarded muscles — can be temporarily uncomfortable during treatment, and you may feel a bit sore for 24 to 48 hours afterwards in the same way as after exercise. We adjust the approach if anything is genuinely painful, and we will talk you through what to expect from each technique before using it.

How does osteopathy work alongside the physiotherapy team here?

Cases needing more than one approach are routinely co-managed. A typical example: a patient with chronic Achilles tendinopathy might see the osteopath for hands-on work and rehab oversight, with the physio team adding shockwave therapy from the same clinical record. It is genuine multidisciplinary care, not a 'pick-one-discipline' menu.

Ready to begin?
Book today.

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

Book

Appointments typically available within 1–2 weeks