Movement Is my life’s work

Pilates and osteopathy - joined hand in hand

Here is why I treat the way I do

By Luke Askew B.Ost

Pilates and osteopathy - joined hand in hand

People sometimes ask why an osteopath spends so much of his time thinking about Pilates, or why I talk about movement as much as I talk about pain. The honest answer is that for me they have never been separate things. Movement has been the thread running through my whole life, and the way I work today is simply where all of it has led.

It started with dance

Long before I trained as an osteopath, I was a professional dancer. I spent years performing, and I hold two teaching qualifications with Distinction from the I.S.T.D, the world’s leading dance examination society. Dance taught me to understand the body from the inside, not as a diagram in a textbook but as a living thing that moves, balances, compensates and adapts. It taught me how much control and strength lie behind movements that are meant to look effortless, and how the whole body works together to produce even the smallest action.

That way of seeing the body never left me. It is the foundation everything else is built on.

Why I became an osteopath

In time I wanted to do more than perform and teach movement. I wanted to help people whose bodies had stopped doing what they wanted them to do. So I trained at the British School of Osteopathy, four years of full-time study including over a thousand hours of supervised clinical practice, and my postgraduate training since has been guided by what my patients actually need.

What drew me to osteopathy was that it looks at the whole person. It is not about chasing the spot that hurts and hoping it settles. It is about asking why that area is under strain in the first place, and how the rest of the body is contributing. After a life in dance, that whole-body thinking felt completely natural. I do not just treat the painful area, I look at how you move and where you compensate, because that is usually where the real story is.

Where Pilates comes in

Here is the thing I learned quickly in clinic. Hands-on treatment is powerful, and it can bring real relief, but it is only half the picture. The body has a memory, and old habits have a way of pulling problems back. Lasting results come from what happens between appointments, from building the strength, control and mobility that hold the good work in place.

That is exactly what Pilates does, and it is why I qualified as a Pilates teacher and now weave it through everything I do. I trained across clinically modified, contemporary and classical Pilates, and I use it not as a bolt-on but as the natural partner to treatment. Osteopathy can resolve what is wrong. Intelligent movement can help stop it coming back. Together they do what neither can quite manage alone.

My dance and teaching background is what makes this side of the work come alive. Prescribing an exercise is easy. Pitching it to exactly the right level, cueing it clearly, and progressing it as someone grows stronger is a craft, and it is one I have been practising in one form or another my whole life.

Care, and prevention, for every stage of life

What I love most about working this way is that it fits people at every age and stage. I see patients of all ages and activity levels, and the same principles serve all of them. For someone in pain, treatment and movement work together to get them out of it. For someone recovering from injury or surgery, they rebuild strength safely and steadily. For someone simply wanting to stay strong, mobile and independent as the years go on, they are one of the best investments a body can make.

That last point matters to me more and more. So much of what I see could be eased, or avoided altogether, by moving well and keeping the body strong. Prevention is not a glamorous word, but it is where the real difference is made. The best outcome is not needing much treatment at all.

In the end, it is all one thing

So when people notice that I move between hands-on osteopathy, clinically modified Pilates and a genuine fascination with how the body works, I understand why it can look like several different jobs. To me it has always been one. Dance taught me how the body moves. Osteopathy taught me how to help when it stops moving well. Pilates is how I help people keep it that way.

It is a real privilege to bring all of that to the people I treat, and to help them not just recover, but move and feel better for years to come.

A photo of Luke Askew
Luke Askew

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If you would like to find out more about this way of working, you can book with me to explore more.

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Clinic hours

  • Mondays 08:00 - 19:00
  • Tuesdays 08:00 - 19:00
  • Wednesdays 08:00 - 19:00
  • Thursdays 08:00 - 19:00
  • Fridays 08:00 - 19:00
  • Weekends Closed
A photo of Luke Askew
Luke Askew

Clinic hours

  • Mondays 08:00 - 19:00
  • Tuesdays 08:00 - 19:00
  • Wednesdays 08:00 - 19:00
  • Thursdays 08:00 - 19:00
  • Fridays 08:00 - 19:00
  • Weekends Closed
A photo of Luke Askew

Book with Luke

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