Assessment
Your physiotherapist discusses your symptoms, goals, medical history and lifestyle, then completes a thorough assessment. Initial appointments are typically 45 to 60 minutes, so there is time to do it properly.
Musculoskeletal & Sports Therapy
Physiotherapy in London
An in-depth assessment of your injury to formulate the optimum recovery, combining hands-on treatment with an individualised programme, using our knowledge, expertise, state of the art gym facilities and the latest research to get you injury free as quick as possible.
What happens at your first physio appointment?
Initial appointments are typically 45 to 60 minutes. You leave with a clear explanation of your condition, treatment recommendations, a report explaining it in simple language, and a personalised rehabilitation plan.
Follow-ups run 30 to 45 minutes, and we reassess at every visit rather than selling you a block of sessions up front.
Physiotherapy can help to:
Settle pain and stop a flare-up returning
We find what is actually driving the pain, ease it with hands-on treatment, and give you a clear plan so it settles for good rather than flaring again in a month.
Recover from a sports or overuse injury
From a rolled ankle to a stubborn Achilles, we test it properly and load it in stages so the tissue rebuilds the capacity your sport genuinely demands.
Rebuild strength and confidence after injury or surgery
Graded rehab through Track Rehab restores the strength, range and control you lost, with every exercise filmed in clinic so your technique stays right between visits.
Treat the cause, not just the symptom
We look at how you move, train and work, so we fix what is actually driving the problem instead of chasing the pain around your body.
Get back to sport on measurable, objective terms
For sport returners we test limb symmetry and sport-specific drills before we clear you, so you know you are ready rather than just hoping.
I first started using Tom last year to help relieve back pain, he has been extremely helpful and now he's supporting me with sprint and fitness training, whilst helping with any minor injuries. Can't recommend him and his team more highly.
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I went to Tom with a shoulder injury that had not improved for several months. Tom is very knowledgeable and quickly identified the issue and put me on a course of exercises that, in conjunction with a couple more sessions, steadily resolved the problem. I would highly recommend him.
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Parinita was brilliant! Identified my knee problem immediately, used a range of equipment and exercises not only to strengthen my knee, but to maintain it and improve my running long-term.
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Excellent service! Sanchez is a true professional who helped me heal a previous injury. Highly recommend!
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Physiotherapy fees and insurance
Book directly online through Splose. Self-funded patients need no GP referral; if you are claiming through insurance, obtain prior authorisation before booking.
- Physiotherapy with Tom Astley: £85 initial consultation, £77 follow-up
- Sports and dance therapy with Laura Fornoni: £75 initial consultation, £70 follow-up
- Shockwave therapy: £230 for the initial consultation plus 3 sessions, then £80 per further treatment
- Running gait and performance reviews: £80 Base, £135 Intermediate, £185 Expert
- Recognised by Bupa, Cigna, Vitality, WPA and Simply Health
How physiotherapy works
from assessment to return to sport
Book today to get an assessment, advice, a report and a rehabilitation plan. We combine hands-on treatment with gym-based rehab to get you well, today, and we reassess at every visit.
Advice and report
A clear explanation of your condition and a report explaining it in simple language, alongside hands-on treatment: manual therapy, soft tissue techniques and joint mobilisation where they help.
Rehabilitation plan
Exercise rehabilitation tailored to your goals and condition, delivered through Track Rehab. Our clinics sit inside gym facilities, so the plan has the equipment and technology it actually needs.
Return
Structured programmes and return-to-sport testing before you go back, so you return safely and confidently. The goal is a level of activity beyond your pre-injury status, not just less pain.
A thorough, honest, and understandable explanation. Then the best treatment to get you back to a level of activity beyond your pre-injury status. If we can't get you better, we will recommend the world's leading healthcare professionals in London that can.
- Founded in 2015 by Tom Astley: 7 clinicians working across 3 clinics in Crouch End, Marylebone and Henley-on-Thames.
- Our team has successfully worked with local, national and international athletes at 6 major multi-sport events, from London 2012 to Gold Coast 2018, and we bring that expertise to everyone who enters our service.
- Rated 4.9 from 88 Google reviews; recognised by 5 major UK insurers, and self-funded patients book online with no GP referral.
What our physiotherapists treat
- Manual therapy and joint mobilisation
- Exercise rehabilitation through Track Rehab
- Dry needling for stubborn trigger points
- Shockwave therapy for chronic tendinopathy
- Sensor-based running gait analysis
- Sports massage, scar work and soft tissue therapy
- Women's health, Mummy MOT and postnatal rehabilitation
- Post-operative and ACL rehabilitation
- Return-to-sport testing
3 Locations
Physiotherapy across our 3 London and Henley clinics
- Crouch End Park Road Pools & Fitness, London N8 8JN View location →
- Henley-on-Thames Badgemore Park Golf Club, Henley-on-Thames RG9 4NR View location →
- Marylebone 1 Orchard Street, London W1H 6HJ View location →
Written and medically reviewed byTom Astley, Sports Physiotherapist & Clinical Director · BSc Physiotherapy (Coventry, 2008) · BSc Health, Exercise & Sport (UWIC, 2005) · Health and Care Professions Council (HCPC) and Chartered Society of Physiotherapy (CSP).
FAQ
FAQs
Do I need a GP referral to see a physiotherapist?
No. UK physiotherapists are first-contact practitioners: you can book a private appointment directly via the Splose page linked from this site or by calling 0333 121 6 121. If you are using private health insurance, your provider may require a GP referral; check your policy. Self-funded patients never need a referral to see us.
How many sessions will I need?
Most acute injuries resolve within 3 to 6 sessions over 4 to 8 weeks. Chronic conditions like long-standing low back pain, recurring tendinopathy, or post-surgical rehab typically need 6 to 12 sessions. We discuss a realistic course of treatment at your first appointment and reassess at every visit. We are not interested in selling sessions you do not need.
What should I wear and bring to my appointment?
Loose, comfortable clothing that allows movement and lets us assess the area being treated: shorts for lower-limb problems, a vest top for shoulder or neck issues. We have private treatment rooms at every clinic and gowns where needed. Bring any relevant scan or test results, your insurer details if applicable, and any medications you are currently taking.
Which insurers do you accept?
We are recognised by most major UK health insurers including Bupa, Cigna, Vitality, WPA, and Simply Health. Your appointment can be paid through your insurer with prior authorisation: please obtain this before booking. We can also issue receipts for self-funded claims, and our reception team will help you submit them where useful.
How do you support me between sessions?
Every patient leaves with a written summary of the visit and a tailored home-exercise programme delivered through Track Rehab: a video-led app that lets you log compliance and message us with questions. Most progress between sessions; the in-clinic visit checks technique, escalates load, and adapts the plan to how you are responding.
Related Treatments
Get Started
Book a physiotherapy appointment
in Crouch End, Marylebone or Henley.
Tom Astley Physiotherapy • Park Road Pools & Fitness, Crouch End, London N8 8JN
BookAppointments typically available within 1–2 weeks