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.
What We Treat
Hyrox Injury Treatment in London
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.
Overview
Hyrox and hybrid fitness injuries
Hybrid racing has pulled a lot of people into a training pattern nobody had five years ago: endurance running volume plus heavy loaded carries, sleds and lunges, often in the same session.
What we see most:
- Low back pain: from sled work, wall balls and burpee broad jumps under fatigue.
- Knee pain: from the sandbag lunges and wall balls, which is where most people struggle.
- Achilles and calf problems: from combined run volume and sled pushing.
- Shoulder pain: from farmer's carries, wall balls and ski erg volume.
- Hip and groin pain: from the lunge and sled load.
- Bone stress: in athletes who added run volume quickly on top of heavy gym work.
The pattern worth understanding is that your form at station six is not your form in a fresh gym session. Most Hyrox injuries happen at the point where technique degrades under a heart rate that has nowhere to go, which means the fix is usually capacity rather than cueing.
Physiotherapy leads the plan, running gait reviews address the run half, and shockwave therapy is available for stubborn tendon pain. See also low back pain, knee pain and tendinopathy.
Excellent
From 4 five-star Google reviews
Source: Google
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.
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.
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.
Excellent service! Sanchez is a true professional who helped me heal a previous injury. Highly recommend!
Hyrox physiotherapy can help to:
Assess you where the equipment is
Our clinics in Crouch End, Marylebone and Henley are based inside gym facilities. For a gym sport that is the whole point: we can watch you move under real load on the actual equipment rather than talking about it on a plinth.
Build technique that survives fatigue
Your form at station six is not your form when fresh, and that gap is where the injuries happen. The fix is usually capacity rather than cueing, which means training the position under load rather than being told to brace harder.
Balance the run against the strength work
Adding run volume on top of an existing heavy programme is the most common way people get hurt here. We look at the whole block, not just the session that hurt, and adjust the balance rather than removing half of it.
Sort out sled-related back pain
Sled push and pull loads the back hard once the legs tire and the trunk starts taking over. It usually reflects capacity rather than damage, and building tolerance alongside adjusting sled volume normally settles it.
Keep training through it
Hybrid training has enough variety that we can nearly always load one element down and keep the rest. We agree what to cut and what to keep, then reassess at every visit as things improve.
Prepare rather than repair
The most useful appointment is the one before the race, not after it. Bring your training block and your race date, and we will look at where the load is going and what is likely to complain first.
Why it happens
What causes Hyrox injuries?
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Combining endurance run volume with heavy loaded gym work in the same block
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Technique degrading under fatigue, which is where most station injuries happen
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Sled push and pull load through the calves, Achilles and lower back
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High-volume sandbag lunges and wall balls loading the knees
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Adding run mileage quickly on top of an existing strength programme
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Racing at an intensity well above anything trained for
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.
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.
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.
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
Treatment approach
How do we treat Hyrox athletes?
Physiotherapy & Sports Therapy
From £75Diagnosis, then building the capacity to hold technique under fatigue, which is the actual problem in hybrid racing rather than a movement-pattern fault in a fresh state.
See treatment detail →Running Gait & Performance Reviews
From £80The run half is 8 km of the race. DorsaVi gait analysis shows what your legs do under load, which matters more here because you are running between heavy stations.
See treatment detail →Shockwave Therapy
£230 for 3 sessionsFor stubborn Achilles or patellar tendon pain that has not settled with loading alone. About 80 % of patients report a marked reduction in pain after 3 to 4 sessions.
See treatment detail →FAQ
Frequently asked
questions
Why do I only get pain late in a session?
Because your technique at station six is not your technique when fresh. Most hybrid-racing injuries happen where form degrades under a heart rate that will not come down. That usually means the answer is building capacity rather than being cued differently.
Should I stop training while this settles?
Rarely entirely. Hybrid training has enough variety that we can usually load one thing down while keeping the rest. We agree what to cut, what to keep, and reassess each visit rather than putting you on the sofa for a month.
My back hurts after sled sessions. What is going on?
Sled pushing and pulling loads the back heavily, particularly once the legs tire and the trunk takes over. It usually reflects capacity rather than damage. Building tolerance and adjusting sled volume in the block normally sorts it.
Can you help me prepare for a race rather than fix an injury?
Yes, and it is a better use of an appointment. Our clinics are inside gym facilities, so we can look at how you actually move under load on the equipment rather than discussing it. Initial appointments run 45 to 60 minutes.
Related What We Treat
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