Assessment
A detailed history, then a thorough examination of movement, strength and the affected area. You leave with a working diagnosis you understand and a plan agreed with you, not handed to you.
Physiotherapy-led Reformer Pilates that builds the deep core strength and control to carry your recovery forward and keep injuries from coming back, with our Pilates lead Gus grading every spring to your assessment so you rebuild real capacity for work and sport.
Targeted work on the Reformer develops the deep core, spinal and pelvic stability that support your back and carry over into everyday movement.
It bridges hands-on treatment and long-term conditioning, so the gains you made in physiotherapy are maintained and built on rather than lost.
Precise, graded exercise teaches better alignment and movement patterns, so you move more efficiently at your desk, in the gym and in sport.
Staying active and building strength is what the evidence supports for low back pain, and the Reformer lets us grade that safely to your level.
Adjustable spring resistance supports a movement when you need help and challenges it as you get stronger, so beginners and returning clients both progress safely.
Your initial visit runs 45–60 minutes: a detailed history, then a thorough examination of movement, strength and the affected area. We explain what we find in plain English and agree a working diagnosis together.
Treatment starts the same day, and you leave with the first exercises of a plan built around your goal.
David helped me when I started to have a strong tibia pain only 5 weeks before the marathon. I genuinely thought at some point that I wasn’t going to be able to do it and I did my PB!
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After suffering with terrible back pain, Gus has helped me make huge improvements. Very professional and happy to explain the processes and treatments. Many thanks
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Couldn’t recommend this physio team enough! They helped me recover from a knee injury 3 weeks before the London Marathon which I thought was going to prevent me from running it! Everyone was really friendly, supportive and genuinely cared about helping me reach my goal. Special thanks to Charlie, Gus, Brad and Stef!
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I came to Dave with an ongoing injury that I’ve been struggling with for months! He helped sort it out straight away, also giving me some exercises to help target the area to get back to full strength. I’m now back to running pain-free already and training properly — I’ll definitely be recommending Kaizen Physiotherapy to my clients!
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Gus worked miracles to get me running a marathon after being injured 6 weeks out. He worked out the issue really quickly and provided a clear and actionable plan to deal with it. The sports massages were the best I’ve ever had too — thanks Peggy! Can’t recommend Gus and Peggy enough.
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I had such a positive experience working with Brad at Kaizen. He supported me through a meniscus tear and got me all the way back to running a half marathon and HYROX training. Everything was structured, progressive, and easy to follow, and I always felt like I was in safe hands.
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Book online through Jane and self-refer, with no GP letter needed. If you are using private health insurance, check your policy first: some insurers ask for a GP referral before your first session.
Everything starts with a proper assessment. We find what is driving the problem, treat it, and build the strength that keeps it fixed, so you finish performing, not just pain-free.
A detailed history, then a thorough examination of movement, strength and the affected area. You leave with a working diagnosis you understand and a plan agreed with you, not handed to you.
Hands-on care to settle symptoms and restore movement: manual therapy, with acupuncture, shockwave or soft-tissue work where they genuinely help. The first home exercises go with you the same day.
Progressive exercise that returns strength, control and load tolerance, from Reformer Pilates to strength and conditioning. Each follow-up reassesses against your baseline, so progress is measured rather than guessed.
Criteria-based milestones return you to work, sport and training. Discharge happens by mutual agreement once you can manage independently, with a Performance MOT available to catch the next weak link early.
Better than yesterday. Kaizen means continuous improvement: small, repeatable gains, built session by session, until you are back to what you love and no longer need us.
Written and medically reviewed byDavid Thomas, Founder & Chartered Physiotherapist · HCPC-registered · MSc · Chartered Society of Physiotherapy · Chartered Society of Physiotherapy (CSP): Reformer Pilates as physiotherapy-led exercise rehabilitation, led by a HCPC-registered, CSP-chartered physiotherapist.
FAQ
Reformer Pilates at Kaizen is physiotherapy-led and individualised. We work from your clinical assessment and tailor every exercise to your diagnosis, movement patterns, and goals. A general studio class follows a set routine for a mixed group. For people recovering from injury, surgery, or long-standing pain, the clinical approach is safer and more targeted.
Yes. NICE recommends exercise and staying active for low back pain, rather than rest. Physiotherapy-led Reformer Pilates rebuilds core control and spinal stability while grading load safely. It is usually best started once acute symptoms have settled, and we can advise on the right timing for you.
Not always. If you are progressing from physiotherapy at Kaizen, we work directly from your physiotherapist's findings. New clients begin with a movement screen so the programme suits your body. If you have a recent injury, surgery, or undiagnosed pain, we may recommend a physiotherapy assessment first to confirm Reformer Pilates is appropriate.
The Reformer is a sprung carriage you move against adjustable resistance, lying, sitting, or standing. It is well suited to beginners because the springs can support a movement as easily as challenge it, letting us grade exercise to your exact level. No previous Pilates experience is needed to start safely.
Reformer Pilates is available across our London clinics, including our Soho flagship at 111 Charing Cross Road, WC2H 0DT, near Tottenham Court Road station. Sessions are booked online through Jane at kaizenphysio.janeapp.co.uk: self-referral, with no GP referral needed. Tell us about any current injury or condition when you book.
Get Started
Kaizen Physiotherapy & Performance • 111 Charing Cross Road, Soho, London WC2H 0DT
BookAppointments typically available within 1–2 weeks