What to expect

A woman having soft tissue massage as part of osteopathy treatment

Registered

Full registration with the General Osteopathic Council. Your assurance of recognised training, comprehensive insurance and ongoing professional standards.

Established

Looking after Leytonstone's necks, backs and shoulders for over a decade. From sudden flare-ups to long-standing aches, few problems walk through the door that haven't been seen and treated before.

Local

The Leytonstone clinic is right in the heart of E11 and just two minutes from Leytonstone Underground, with step-free access. Early, daytime and evening slots available.

If you have never seen an osteopath before, the first visit can feel like a bit of an unknown. Here is exactly how it works, along with details of what follow up appointments are like.

What to expect at your appointment

About first appointments

Up to 45 minutes

Your first session is the longest, because it allows time to properly understand you before any treatment begins. There are roughly four parts to it.

Talking through what has brought you in is always the first step, questions such as: 

  • When the pain started
  • What makes it better or worse
  • How it is affecting your day-to-day life

You will also be asked about other aspects of your medical status, including your: 

  • General health
  • Any past injuries
  • Medications
  • Any other relevant medical history

This helps build a complete picture and make sure osteopathic treatment is appropriate for you.

To help you feel prepared, here’s what a typical physical assessment involves:

  • You’ll be asked to do some simple movements to see how your body moves as a whole.
  • Then an examination of the affected area more closely by hand, assessing the tissues and joints.
  • You may be asked to undress to your underwear or change into shorts and a vest top — wear whatever feels comfortable.
  • You’re welcome to bring a chaperone.
  • If standard medical tests (e.g. blood pressure or reflexes) are appropriate, explanation will be made and your permission will be sought first.

Before any treatment starts, you’ll be told:

  • What has been found
  • What’s thought to be going on
  • What’s being recommended to address it

The different treatment options will be explained, including what each involves, and any questions you have will be answered. Nothing happens without your informed consent, and you’re free to decline any aspect of treatment at any point.

Provided you’re happy to go ahead, treatment usually takes place on the same day. It may include:

  • Soft tissue work
  • Joint articulation
  • Gentle manipulation
  • Stretching and movement guidance, tailored to you.

Each session finishes with simple advice and, where appropriate, a few home exercises so you can keep things moving between visits. You’ll also be given an honest indication of how many appointments are likely to be needed.

About follow-up appointments

Up to 30 minutes

Follow-up sessions are shorter and more focused, but follow a similar pattern to your first visit: a check-in on how things have changed, reassessment, treatment, and progression of your home exercises (if any).

More often than not, osteopathy works best over a course of a few sessions rather than a single visit, so one or more follow-ups will usually be recommended. That said, any recommendation is exactly that — a recommendation. There’s never any pressure to re-book, and the decision is always entirely yours. Most patients notice meaningful change within the first two or three sessions, though this varies depending on the condition and how long it has been going on.

Frequently asked questions

About osteopathy

Osteopathy is a hands-on form of healthcare that focuses on the muscles, joints and connective tissue, and how they affect the way the whole body moves and feels. Rather than looking only at the spot where it hurts, an osteopath considers how the body works as a whole, since pain in one area often has its roots somewhere else entirely.

Treatment is physical and tailored to you, using techniques such as soft tissue massage, stretching, joint articulation and careful manipulation to ease pain, improve mobility and support the body’s natural ability to heal. It can help with a wide range of everyday problems, from back and neck pain to joint, muscle and postural complaints.

In the UK, osteopathy is a regulated healthcare profession. The title “osteopath” is protected by law, which means every osteopath must be registered with the General Osteopathic Council and meet strict standards of training, safety and professional conduct.

The two overlap a great deal. Both are hands-on, regulated professions that treat problems with the muscles, joints and skeleton, and both can help with similar complaints such as back and neck pain. The main difference is one of emphasis: osteopathy tends to take a whole-body view and draws on a broad mix of techniques, including soft tissue massage, stretching, gentle joint movement and manipulation, whereas chiropractic care traditionally focuses more on the spine and is particularly associated with quick spinal adjustments. In practice there’s a lot of crossover, and much depends on the individual practitioner.

In the UK, both “osteopath” and “chiropractor” are titles protected by law, with practitioners completing a four- to five-year degree and registering with their respective regulator — the General Osteopathic Council for osteopaths, and the General Chiropractic Council for chiropractors.

Osteopathy is best known for treating back and neck pain, but it can help with a much wider range of conditions. People commonly seek treatment for joint pain, muscle strains, sciatica, shoulder problems (including frozen shoulder), arthritisrelated discomfort, postural issues, sports injuries, and tension-related headaches.

Because osteopathy looks at how the whole body moves and functions rather than just the site of pain, treatment can also support recovery from everyday aches, work-related strain, and pregnancy-related discomfort.

If you’re unsure whether osteopathy is right for your particular problem, feel free to get in touch. There’s always someone happy to talk it through before you book.

Osteopathic treatment shouldn’t be painful, and most people find it relaxing. Many of the techniques we use, such as gentle stretching, soft tissue massage, and careful joint movement are comfortable and often soothing.

That said, if an area is already inflamed or tender, some techniques may cause mild, temporary discomfort, and it’s not unusual to feel a little sore for a day or two afterwards, much like you might after exercise. This is a normal part of the body’s response and usually settles quickly. It will always be explained what is being done, check in with you throughout, and adjust our approach to keep you comfortable. Nothing happens without your consent.

Appointments & treatment

This varies from person to person, as it depends on your condition, how long you’ve had it, your general health, and how your body responds to treatment. Some people feel a meaningful improvement after just one or two sessions, while longer-standing or more complex problems may need a longer course of care.

As a general guide, many patients notice a positive change within the first two or three sessions. After your initial appointment, the picture becomes much clearer, allowing a realistic plan tailored to you. Any recommendation is just that, though — there’s never any pressure to re-book, and the choice is always yours.

Life happens and appointments sometimes need to move. If you need to reschedule or cancel, please call 020 8281 0031 or email info@leytonstoneosteopathy.co.uk with as much notice as possible.

A minimum of 24 hours’ notice is kindly requested. This allows the slot to be offered to another patient who is waiting to be seen. Appointments cancelled with less than 24 hours’ notice, or missed without notice, will be charged the full appointment fee.

That said, if 24 hours’ notice isn’t possible, please still get in touch as early as you can. There’s often a waiting list of patients hoping for an earlier appointment, and if the slot can be filled, the cancellation charge will happily be waived.

Feedback matters at Leytonstone Osteopathy, including when something hasn’t gone as expected. Every comment, concern or complaint is taken seriously and treated as an opportunity to put things right and to improve care for everyone. Read more in our Complaint Handling Procedure policy

Cost & payment

  • First appointment £77

    Initial, up to 45 minutes appointments, if you haven't seen us before

  • Follow up appointments £62

    For subsequent, up to 30 minute appointments

Recognised insurers include WPA, Aviva, Vitality and Cigna. Please note that treatment is no longer available through BUPA or AXA PPP.

Before booking, it’s strongly recommended that you check the details of your policy. Many insurers require a GP referral before they’ll cover osteopathic treatment, and the number of sessions covered varies between policies. All patients are asked to settle their fees at the time of the appointment, and a PDF receipt is provided afterwards so you can claim the cost back from your insurer.

All the main card types are accepted and can also accept digital wallet payments such as Apple Pay and Google Pay. Cash is also accepted. Please note that American Express is no longer accepted.

Image depicting the logos of Visa, Mastercard, Apple Pay, Google Pay
Visa, Master Card, Apple Pay and Google Pay

Visiting the clinic

For full details on how to find us, please visit the contact and clinic location page.

Leytonstone Osteopathy is directly opposite the carpark for Marks & Spencers / ALDI, where you can park your car, subject to the policies of the car park.

CECOS House has various features to ease access for those with mobility challenges. 

  • Entrance from the street
    • Step-free, accessible ramp to the door
    • Wheelchair height and reachable entry system
  • Inside foyer
    • Spacious, multi-person space for easy lift accessibility
    • Lift to all floors
  • Clinic floor (2nd)
    • Wide hallways for easy access
    • Waiting area
    • Accessible toilet facilities
  • Clinic room
    • Spacious area for mobility challenged persons
    • Privacy glass

The CECOS House clinic has been set up with comfort, privacy and easy access in mind, so every visit feels relaxed and straightforward from the moment you arrive.

Getting in and around is simple. There’s step-free access into the building through a wide, easy entrance, and a lift serves all floors, so there are no stairs to worry about. The comfortable waiting area sits right beside both an accessible toilet and the treatment room.

The treatment room itself is climate controlled, with air conditioning that keeps it at a comfortable temperature whatever the weather outside. Privacy is carefully looked after too, with privacy glass on the treatment room and a secure video entry system managing access to the building, so every session stays calm, private and undisturbed.

Altogether, the space feels welcoming, professional and easy to use, whatever your needs.

Book your appointment with Luke

Book your appointment online below, or tap to call the appointment booking line.

Appointment prices

  • First appointment £77

    Initial, up to 45 minutes appointments, if you haven't seen us before

  • Follow up appointments £62

    For subsequent, up to 30 minute appointments

Book with Luke

Quick online booking, evening appointments available

A photo of 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
  • Saturdays Closed
  • Sundays 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
  • Saturdays Closed
  • Sundays Closed
A photo of Luke Askew

Book with Luke

Or book online below.

A photo of Luke Askew
Luke Askew

Studio Pilates

Studio sessions are currently full, but spaces do open up. Leave your details and you’ll be the first to know when one does.

Daily Pilates classes

Interested in joining the daily online Pilates classes? Leave your details and you’ll receive everything you need to take the first step, including the commitment.

Register interest in Pilates

Whether you’re committed to either Studio Pilates, or the daily 20 minute classes or both, please fill out the form below and Luke will get back to you. Usually, a reply can take up to a few days.

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Supporting small props

Small, supporting Pilates studio equipment

About the props

The smaller props are the studio’s fine-tuning tools. Where the larger apparatus does the heavy lifting, pieces like the Magic Circle (also known as the Pilates ring), resistance bands, stability balls, hand weights and foot correctors add precision, variety and an extra layer of challenge to every session. They’re light, portable and endlessly adaptable, which makes them ideal for honing in on a particular muscle group, refining alignment, or adding just enough resistance to make a familiar movement work that bit harder.

Their real value is in the detail. The Magic Circle offers gentle, springy resistance that wakes up the deep stabilising muscles of the core, inner thighs and arms. Resistance bands add controlled load through a movement’s full range, perfect for building strength safely and steadily. Stability balls challenge balance and core control, while hand weights and foot correctors sharpen coordination and the small but important alignment of the shoulders and feet. Worked one-to-one, these props let each exercise be tailored to the finest degree — dialling the effort up or down so the work always lands at exactly the right level, whatever the age or stage.

Ladder Barrel

An image of a Ladder Barrel image

About the Ladder Barrel

The Ladder Barrel is the studio’s specialist in length and openness. Its curved, padded barrel and adjustable ladder of rungs are shaped to support the spine as it extends and lengthens, making it the natural antidote to a life spent hunched over desks, steering wheels and devices. Where so much of the day rounds the body forward, the Barrel gently coaxes it the other way.

Draped over the barrel, the spine is supported through movements that would be difficult to perform safely unaided, opening the chest, mobilising a stiff upper back, and stretching out the hip flexors and the whole front line of the body that sitting keeps short and tight. Alongside that mobility work, it builds strength through the back and core and trains side-bending and rotation, so the spine becomes not just looser but stronger and more controlled in every direction.

The result is a body that stands taller, moves more freely and simply feels more comfortable, whether the aim is undoing a desk-bound day, restoring posture in later years, or keeping an active body supple and resilient.

Wunda Chair

About the Wunda Chair

Compact but deceptively demanding, the Wunda Chair is one of the most challenging — and rewarding — pieces in the studio. Little more than a padded box with a spring-loaded pedal, its small surface gives the body far less to lean on, so almost every exercise becomes a genuine test of stability and control. There’s nowhere to hide on the Chair, and that’s precisely what makes it so effective.

That constant demand for control is what builds real, functional strength — the kind that transfers directly into everyday life, from climbing stairs and rising from a seat to simply staying steady on your feet. Worked through standing, seated and lying positions, it trains the legs, arms and core while continually sharpening balance and coordination. And because the spring resistance can be adjusted, the very same piece of equipment can gently build confidence and stability for one person, or push a strong, experienced body hard for another.

Whether the aim is steadier balance in later life, a stronger foundation for sport, or just moving through the day with more ease, the Wunda Chair delivers a great deal from a remarkably small footprint.

Cadillac (Trapeze Table)

About the Cadillac

The Cadillac is the studio’s most striking and adaptable piece of apparatus — a tall, sturdy frame built over a padded table, fitted with a push-through bar, roll-down bar, leg and arm springs, hanging straps and a trapeze. That array of attachments is what gives it such extraordinary range: it can hold and support almost the entire body weight for someone easing gently into movement, or become a genuinely demanding piece of equipment for dynamic, suspended work at the other end of the scale.

This versatility is exactly why it’s so valuable across every stage of life. The springs can take the strain out of a movement — guiding and assisting the body so that tight, stiff or deconditioned areas can be worked safely and without fear — which makes it especially well suited to restoring mobility, easing long-held tension and rebuilding confidence after a quiet or painful spell. The same frame is equally adept at spinal articulation and decompression, gently lengthening the spine and relieving the pressure that builds from years of sitting and standing.

Worked one-to-one, the Cadillac becomes a precise tool for opening the body up, restoring range of movement and building controlled strength through it — meeting each person exactly where they are, then progressing steadily from there.

Reformer

About the Reformer: The heart of the studio

The Reformer is where most sessions begin and end, and for good reason. Its sliding carriage and adjustable spring resistance let movement be made gentler or more challenging in an instant, supporting the joints while still building genuine, functional strength. That adaptability is exactly what makes it so powerful across every stage of life: the same machine can ease someone gently back into movement after a quiet spell, refine an athlete’s control, or rebuild strength and stability in later years.

It works the whole body through smooth, controlled, low-impact movement, training strength, flexibility, balance and coordination together rather than in isolation.

Few pieces of equipment can be tailored so precisely to the individual, which is why it earns its place at the centre of the studio.

A photo of Luke Askew
Luke Askew (Principal)

Luke's usual class

  • Thursdays 08:00

About Luke

Registered osteopath and founder of the classes, Luke has helped patients across East London recover from back pain, postural problems and sports injuries since 2010, blending hands-on osteopathy with clinically modified Pilates. A qualified Pilates teacher and former professional dancer, his movement background shapes a precise, efficient approach built around how the body actually works.

Read Luke’s Osteopathy profile

Note: Class days are shared across the team and may occasionally change to cover holidays, leave or other commitments.

Carrie Paechter headshot
Carrie Paechter

Carrie's usual classes

  • Fridays 08:00

About Carrie

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Note: Class days are shared across the team and may occasionally change to cover holidays, leave or other commitments.

A photo of Liz Higginbottom
Liz Higginbottom

Liz's usual classes

  • Tuesdays 08:00
  • Wednesdays 08:00

About Liz

Liz encourages honesty on the mat; honest with where you are in your physical, mental & emotional self every time you practice. Expect morning classes with Liz that allow the human aspect of practice, as well as a continual deepening of the Pilates mat work.

A teacher for over 23 years, Liz leads lessons in Hatha, Vinyasa, relaxation & meditation, Yin, Restorative, Ante & post natal yogas, as well as Pilates mat work, Barre, Strength & Conditioning & injury recovery/prevention.

Note: Class days are shared across the team and may occasionally change to cover holidays, leave or other commitments.

A photo of Kate Burdett
Kate Burdett

Kate's usual classes

  • Mondays 08:00

About Kate

Kate is a Romanas Pilates Certified Teacher with over 15 years of experience.

Kates unique approach goes beyond just fitness – she helps you forge a mind-body connection that delivers real lasting results whatever stage of life you are in. Her passion for wellness and helping others drives her to continually learn and educate, bringing the best out of you and your session.

Note: Class days are shared across the team and may occasionally change to cover holidays, leave or other commitments.