Conditions and sports injuries we treat
From low back pain and ACL injuries to tendinopathy, post-op rehab and sport-specific problems. Pick yours below to see what is involved and how Tom Astley Physiotherapy treats it at our Crouch End, Marylebone and Henley clinics.
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 three clinics, without unnecessary imaging, opioids, or specialist referral.
Physiotherapy & Sports Therapy · From £75
Cervical spine: intervertebral discs
Neck Pain & Whiplash
Neck pain is unnerving in a way a sore knee never is, partly because it comes with headaches, pins and needles or a head you cannot turn to reverse the car. Most of it settles well with the right plan, and the sooner you move it the better it tends to go.
Physiotherapy & Sports Therapy · From £75
Knee joint: anterior and posterior cruciate ligaments
Knee Pain & ACL Injuries
Knee pain stops you doing the thing you actually care about, whether that is a Saturday league match, a marathon block or getting down the stairs without thinking about it. We work out what the knee is actually doing, then build the strength back in a gym rather than on a plinth.
Physiotherapy & Sports Therapy · From £75
Shoulder complex: glenohumeral joint
Shoulder Pain & Rotator Cuff
Shoulder pain is patient about nothing. It wakes you at night, it stops you serving, lifting or reaching into the back seat, and it rarely settles on its own. We work out which structure is complaining and load it back to strength.
Physiotherapy & Sports Therapy · From £75
Hip and pelvis: hip joint and acetabular labrum
Hip & Groin Pain
Hip and groin pain is slippery. It refers into places it did not start, it takes people out of sport for whole seasons, and it is one of the areas where a careful assessment saves the most time. Getting the source right is most of the treatment.
Physiotherapy & Sports Therapy · From £75
Foot and ankle complex: Achilles tendon
Foot & Ankle Pain
Your foot takes your whole body weight several thousand times a day, so a problem down there rarely stays quiet. Whether it is a rolled ankle that never quite recovered, morning heel pain or an Achilles that has been grumbling for months, it is treatable and it responds well to being loaded properly.
Physiotherapy & Sports Therapy · From £75
Tendons and their entheses throughout the limbs: Achilles
Tendinopathy
Tendon pain is the most misunderstood problem in the clinic. Rest makes it feel better and get worse, pushing through makes it angry, and the thing that actually works is load applied in the right dose at the right time. Get that right and tendons are among the most reliable things we treat.
Physiotherapy & Sports Therapy · From £75
Lower limb running chain: Achilles and calf complex
Running & Marathon Injuries
Most running injuries are not accidents. They are load problems with a date stamp, and they usually appear three to four weeks after something changed in your training. Find the change and the injury becomes solvable rather than mysterious.
Running Gait & Performance Reviews · From £80
Racket-sport chain: common extensor origin at the lateral elbow
Tennis & Padel Injuries
Racket sport asks your shoulder, elbow, hip and calf to do explosive things at short notice, often after a week at a desk. Padel has brought a lot of people back to a court who had not sprinted in years, and the injuries have followed accordingly.
Physiotherapy & Sports Therapy · From £75
Golf swing chain: lumbar spine and thoracic spine
Golf Injuries
The golf swing asks your spine to rotate fast under load, repeatedly, off an uneven lie, and then asks you to do it again 70 more times. Most golf injuries are that demand meeting a body that has not been prepared for it.
Physiotherapy & Sports Therapy · From £75
Football injury chain: hamstring group and its proximal origin
Football Injuries
Football injuries are predictable enough that you can plan for them. Hamstrings, groins, ankles and knees account for most of what walks through the door, and the biggest single risk factor for any of them is the last one you had.
Physiotherapy & Sports Therapy · From £75
Landing and pivoting chain: anterior cruciate ligament and menisci
Lacrosse & Netball Injuries
Netball and lacrosse share the two things that make a sport hard on knees and ankles: landing from height on one leg, and stopping dead to change direction. Both are trainable. Neither is trainable by playing more matches.
Physiotherapy & Sports Therapy · From £75
Snowsports injury chain: anterior and medial cruciate and collateral ligaments of the knee
Skiing & Snowsports Injuries
Skiing is the sport people do hardest, for the longest hours, with the least preparation. Six days of it, once a year, on legs that spend the other 51 weeks at a desk. Most ski injuries start there rather than on the piste.
Physiotherapy & Sports Therapy · From £75
Multi-discipline endurance chain: Achilles and calf complex
Triathlon Injuries
Three sports, three loading patterns, and one body absorbing all of it. Triathletes rarely get injured because of one session. They get injured because the total keeps climbing while the recovery does not.
Running Gait & Performance Reviews · From £80
Hybrid-racing chain: lumbar spine and trunk
Hyrox & Hybrid Fitness Injuries
Hyrox asks you to run eight kilometres and do eight heavy stations while your heart rate never really comes down. The injuries come from the combination, not from either half, because technique under that much fatigue is where things break.
Physiotherapy & Sports Therapy · From £75
Synovial joints: most commonly hip
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 three clinics.
Physiotherapy & Sports Therapy · From £75
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 £75
Surgical site and the broader kinetic chain: most often hip
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 £75
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 £75
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Tom Astley Physiotherapy • Park Road Pools & Fitness, Crouch End, London N8 8JN
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