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Delivering high calibre Osteopathy and Sports Massage in Central London, SE1.

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Evolution Osteopathy provides Osteopathic assessment and treatment, sports taping, sports massage and dry needling. We are experts in dealing with muscular or physical pain and conditions. We pride ourselves on offering a bespoke treatment and exercises specific to each patient as an individual.
Address aches and pains icon

Address aches and pains

Are you tired of being in pain or suffering from muscular aches? Take control and start doing something about it today by calling us here at Evolution and see one of our skilled Osteopaths.

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Everyone is unique

We treat a wide variety of patients with many different complaints and goals; our aim is to help you with whatever your goals are, from something as straightforward as pain resolution from poor posture through to starting or improving your level of exercise or physical skills.

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Convenient location

Based a few minutes walk from London Waterloo and Southwark stations in SE1, Evolution Osteopathy is a long established, experienced and friendly clinic providing Osteopathic assessment and treatment, Sports and Remedial Massage and Dry Needling.

  • I have been an occasional patient at Evolution Osteopathy for several years and its especially nice to visit in its airy new site. Recently I went to Jen for massage initially but being an osteopath and acupuncturist as well she has brought about some surprisingly positive results with my early Parkinson's diagnosis. Highly recommended
  • Lovely and highly professional staff, operating from a beautiful clinic. Steffan is an incredibly talented practitioner with a focused but friendly approach to identifying core issues and working to resolve them. Definitely a repeat customer!
  • Great location and lovely space. Steffan is a fantastic osteopath - definitely recommend!
  • Have visited Evolution for shoulder and back pain for about 4 months. I received a fresh diagnosis on a problem I've experienced on and off for years, which has helped relieve the pain and underlying issues more effectively than any physio or osteopath I've visited in the past. Properly impressed and recommend to others. Thanks!
  • Top Osteopathy! Thank you Mr. Wood! Super knowledgeable guy , opening my hips and back
  • positive
    Sophie has been amazing at helping to address my back pain and posture issues. Not only has the treatment been brilliant, Sophie's understanding of anatomy and her explanations of how the body works has been so helpful. Importantly we haven't just treated my back issues but also worked hard on prevention. Everyone I've interacted with at the clinic have been a delight.
  • positive
    Highly recommend. I’ve been a regular patient at Evolution over the past few months for a long standing issue, however since seeing Matthew my symptoms have eased and I’ve felt supported with detailed advice on exercises I can do in between visits. Very knowledgable and I feel I’m very safe hands. A really friendly service and an appointment I look forward to going to.
  • positive
    Would highly recommend Matthew . I’ve have seen a lot of different practitioners over the years but Matthew is the only one who takes the time to follow up appointments , to properly prepare your body with massage or acupuncture before manipulating. He’s really helped me in a short time with my neck and back pain . Would highly recommend.
  • positive
    Sophie always provides an outstanding service and is genuinely friendly and approachable. The results for me have been brilliant. Sophie manages to get rid of any niggles and has been vital in helping with general back maintenance following surgery. She is professional and thorough and takes time to understand your issue. She is very knowledgeable and uses a holistic yet tailored approach, which is a rare find! I wouldn’t hesitate to recommend Sophie.
  • positive
    Amazing service. I have been treated by Sophie Milne several times for different injuries and she literally fixed me on the spot. It’s also super easy to book. Highly recommended.

Osteopathy Icon


Osteopathy is a system of diagnosis and treatment for a wide range of medical conditions. Osteopaths work with the structure and function of the body, and work is based on the principle that the well-being of an individual depends on the skeleton, muscles, ligaments and connective tissues functioning smoothly together.

To an osteopath, for your body to work well, its structure must also work well. So osteopaths work to restore your body to a state of balance, where possible without the use of drugs or surgery. Osteopaths use touch, physical manipulation, stretching and massage to increase the mobility of joints, to relieve muscle tension, to enhance the blood and nerve supply to tissues, as well as helping your body’s own healing mechanisms. They may provide advice on posture and exercise to aid recovery, promote health and to prevent symptoms recurring. When surgery has been required, osteopathy is highly useful in returning the joint or muscles into health and in restoring movement.

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Dry Needling

We provide Western Medical Acupuncture, otherwise known as Dry Needling. Dry Needling involves the application of acupuncture needles into tight, painful areas in your muscles known as “Trigger Points”, or sometimes referred to as “knots” in the muscles.

Dry Needling is performed to elicit a healing response in these tissues, but is different to traditional acupuncture as it is not necessarily aimed at specific “acupuncture” points. Dry needling has been proven to be a very effective way of relaxing muscles in spasm, reducing inflammation and relieving pain.

Acupuncture has been used in China and other Asian countries for thousands of years. In the last decade western medicine has shown a growing interest in acupuncture and dry needling (needling into trigger points in the muscles). As a result the quality and quantity of research into the benefits of needling injuries has increased. Although more research needs to be done, it is becoming clearer why needling has stood the test of time in Chinese medicine.

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Sports and Remedial Massage

Sports and Remedial Massage are great tools to help treat and soothe low level injuries and tired muscles related to activity and exercise. Our team of highly trained practitioners can offer a variety of techniques designed to help prevent injuries occurring or to assist in the treatment of injury.

Sports or remedial massage is a form of manual therapy which is geared toward participants in sports and athletics primarily but can also be helpful to all. It is used to help prevent injuries, to prepare the body for athletic activity and maintain it in optimal condition, and to help people recover from workouts and injuries. Pure Sports massage has three basic forms: pre-event massage, post-event massage, and maintenance massage.

Deep tissue massage focuses on the soft tissues that surround the skeletal structure. By that definition it goes beyond the standard ‘holistic’ massage (which is relaxing and normally non-specific) and will focus on specific pain and injury.

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Our Prices


£90 / Initial

  • 45 minutes

£65 / Follow-up

  • 30 minutes

£90 / Follow-up

  • 45 minutes

Dry Needling

£90 / Initial

  • 45 minutes

£65 / Follow-up

  • 30 minutes

£90 / Follow-up

  • 45 minutes


£45 / 30min

£65 / 45min

£80 / 55min

NHS and Emergency Services Discounts Available - please contact us for further information.

Frequently Asked Questions

Booking is required, however last minute and emergency patients can be accepted whenever possible.

These days we all live busy, hectic lives. If for any reason you cannot make your appointment, please give 24 hrs notice or a 100% cancellation fee may be payable for the missed appointment.

Public Sector/Voluntary Sector - £50 (£65 First Treatment). ID required. Please state discount applicable on booking.

We are registered with AXA PPP Healthcare, BUPA, Vitality, Cigna, Aviva, Simply Health, WPA and most other health insurers. Please contact us if you would like further information.

We accept cash and Visa/Mastercard/American Express payments by card using iZettle.

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What We Treat

We have experience working with a wide variety of patients with many different complaints and goals. Our aim is to help you with whatever your goals are, from something as straightforward as pain resolution resulting from poor posture through to starting or improving your level of the exercise or skills.

Our bodies are generally very good at healing themselves – we fall down, we bruise, the skin heals after a week or so – but sometimes though the pain does not go away, or it keeps on returning, and this is when Osteopathy can be very useful.

Common conditions

Some of the most common conditions that Osteopaths treat and help with are:
  • aches and pains
  • arthritic pain
  • backache and back pain
  • neck pain
  • wrist, elbow, knee and ankle pain
  • local or minor circulatory problems
  • cramp
  • digestion problems
  • fibromyalgia
  • frozen shoulder
  • joint pains and strains
  • lumbago
  • muscle spasms
  • muscle tension
  • neuralgia
  • rheumatic pain
  • rheumatism
  • sciatica
  • spasms
  • sports injuries
  • tension
  • headaches
  • jaw pain or tightness
  • pregnancy related muscle or joint pain
Patients have also found osteopathy to be helpful for many other conditions. If you want to find out more, we will be happy to talk to you and discuss any questions you may have.

Frequently Asked Questions

Our patients include the young, older people, manual workers, office professionals, pregnant women, children and sports people.

Patients seek treatment for a wide variety of conditions, including back pain, repetitive strain injury, changes to posture in pregnancy, postural problems caused by driving or work strain, the pain of arthritis and minor sports injuries.

Osteopathy is a gentle manual therapy particularly suitable for mothers, during and after pregnancy.

We offer a safe and non-invasive specialist treatment for many pregnancy related conditions. Most common pregnancy pains are backache & 'sciatica', pelvic pain and SPD (pubic/groin pain).

Osteopaths are well trained to recognise contra-indications & treatment should be suitable for any healthy & stable pregnancy.

Pre-conception- Osteopathy can help with posture, spinal & pelvic mobility and is useful if you have pre-existing injuries/spinal problems & are concerned.

During pregnancy- Osteopathy can treat a range of musculoskeletal conditions. It can also help your body prepare by correcting pelvic position & flexibility & promoting pelvic floor integrity.

Post natal- After birth you may be prone to strains & sprains. Breast feeding & carrying a baby also add strain on the body. If you have any questions about how osteopathy and pregnancy, or how we can help you, then please get in touch and call us to arrange an appointment or free telephone consultation today.

Specifically experienced at working with sports injuries and strains and in optimising the body to achieve maximum performance, we can help to relieve or resolve muscle aches and pains whilst complementing performance and maintaining physical integrity.

Treatment can help you keep supple and improve muscle tone so reducing the risk of injury to soft tissues for both casual sports goers as well as seasoned amateur and professional athletes.

Osteopathy offers a combination of manual muscle therapy alongside joint mobilisation techniques and fascial stretching which combined can work to improve and develop muscles and therefore performance, as well as effectively treat strains and injuries. Dry needling can help with muscle recovery and Sports Massage can keep you moving and healthy as a regular part of your training regime.

The most traditional port of call for a sports injury is to see a Physiotherapist, however many people do not realize that Osteopaths are equally qualified to treat and rehabilitate sports injuries.

Indeed here at Evolution we work with many sports people of all levels to relieve pain and discomfort as well as prescribe rehabilitation exercises and aim to eventually facilitate a full return to sport or improved performance. At Evolution our Osteopaths will also look to complement your training and recovery with exercises, specifically designed for you.

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What To Expect On Your First Visit

On your first visit to the clinic, we will take a full case history and medical background, not only to assist in diagnosis of your complaint, but to ensure that you are screened effectively in order to be suitable for Osteopathic treatment.

After the case history, you will be examined whilst you are standing in order to see how your body is moving as a whole: sometimes the area that hurts is caused by tissues elsewhere in the body and so it is important in order review the whole body to gain the full picture when first beginning treatment. In order to do this, we will ask you to dress down to your underwear, so if you would like to bring shorts or a vest top with you to make you more comfortable then please do.

Once we have gained a working diagnosis and ascertained you are suitable for intervention, treatment will commence. Note that treatment on the first session may be limited due to the time spent screening, but any further sessions will focus more on treatment, as the case history and diagnosis has already been completed.

If you have any questions at all, please do not hesitate to ask when booking or at any time during your treatment session.

How much treatment is necessary?

One of the questions asked the most by new patients is “how many sessions do you think I will need?” Our response is that every patient is an individual and as such predicting how fast an individual will get better is not an exact science and can rely on many factors, and normally by session number two, a fairly accurate plan of treatment can be provided.

One of our main ethos here at Evolution is that we only ever see a patient for the number of times it take them to get better. We don’t believe in bulk bookings, or asking patients back when we don’t feel that it would benefit them. We really aren’t all about the numbers and to be honest, if we see a patient twice and that’s all it take for them to heal and get better, then we’re happy that our job is done.

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The Practice

Evolution Osteopathy is a short walk from both London Waterloo station and Southwark underground station, and is situated in the heart of the Roupell Street Conservation area, in a listed heritage building that has been providing healthcare to the local community and beyond for over 35 years. Refurbished in 2020, the practice offers modern and comfortable treatment facilities, with four purpose-designed clinic rooms.
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Contact Us

As our Osteopathy and Sports Massage clinic is conveniently located in Waterloo, SE1, we are easily accessible from all of Central London.
The clinic is on the ground floor and has accessible access.

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