Assess
Physical screening and performance testing to find what is limiting you. Carly takes a full history, examines how you move and load, and measures where it matters, so the plan starts from numbers rather than guesswork.
Physiotherapy for plantar fasciitis, Achilles pain and ankle sprains, using progressive loading and objective testing to get you walking, running and jumping without the pain.
Overview
Plantar fasciitis causes pain under the heel, typically sharpest with the first steps in the morning or after resting. Achilles tendinopathy causes pain and stiffness in the tendon at the back of the ankle, often worse at the start of a run and the morning after. Ankle sprains happen when the foot rolls and the ligaments on the outside of the ankle are stretched or torn.
All three are usually load problems: the tissue has been asked to do more than it can currently handle. Both plantar fasciitis and Achilles tendinopathy respond well to a progressive strengthening programme, and ankle sprains recover best when balance and strength are rebuilt before a full return to sport.
Carly treats these through physiotherapy and sports injury rehab, with performance testing to measure calf strength and hopping before you go back to running, court sport or skating.
A daily strengthening and stretching routine for the calf and foot, alongside practical advice on footwear and activity, aimed at easing that sharp morning pain under the heel.
Running volume is adjusted rather than stopped, while a progressive tendon loading programme builds the capacity your Achilles needs for the distances you want to run.
Balance, strength and landing work rebuild the control that a sprain takes away, which is what reduces the chance of the same ankle going again.
Hopping, jumping and change-of-direction work, measured against the other side, so your return is based on how the ankle performs.
Why it happens
A sudden increase in running, walking or jumping, especially on hard surfaces or hills
Weakness or low endurance in the calf muscles, which share load with the Achilles and heel
Rolling the ankle on uneven ground, a kerb or during a change of direction
Long hours standing, or footwear with little support or cushioning
Stiffness in the calf and ankle, which increases the load through the heel
A previous ankle sprain that was never fully rehabilitated, leaving the ankle weaker and less stable
Your first session is a full hour with Carly. She takes your history, asks what you need to get back to, then screens how you move, how strong you are and what the problem area is doing under load.
You leave with a working diagnosis in plain English, the first steps of your plan, and a clear idea of how progress will be measured.
Sessions are £150 per hour, by appointment at UNTIL Marylebone, Canary Wharf or Soho. You can refer yourself; no GP letter is needed.
A clear path from first assessment to being back at full output, measured, not guessed. Every session is one hour with Carly, at UNTIL Marylebone, Canary Wharf or Soho.
Physical screening and performance testing to find what is limiting you. Carly takes a full history, examines how you move and load, and measures where it matters, so the plan starts from numbers rather than guesswork.
A programme built around your goals, your sport and your calendar. You leave knowing what is driving the problem, what you are going to do about it, and how progress will be measured from one session to the next.
Coached sessions and progressive loading, adjusted as you improve. Strength, control and conditioning are built in stages, with the load moved on only when the last stage has been earned.
Back to sport and racing, with objective measures to prove it. The decision to return rests on retesting against your own baseline, so you go back with evidence rather than a feeling.
Treatment approach
Assessment separates heel, Achilles and ankle problems and checks for anything that needs a medical opinion, then sets a loading programme you can start straight away.
See treatment detail →Progressive calf and foot strengthening, balance work and a staged return to running, jumping and changes of direction, matched to the demands of your sport.
See treatment detail →Calf strength, hopping and balance measured against the other side, so the return to running and sport is based on what the ankle can do.
See treatment detail →FAQ
Plantar fasciitis often improves within several months with the right exercises and changes to activity, although some cases take longer. Progress is rarely a straight line. Carly reviews how your heel responds at each Box Box session and adjusts the loading so it keeps moving forward.
Not always. Many people can keep running at a reduced level while the tendon is strengthened, as long as pain stays mild and settles by the next morning. Carly will set a running level the tendon tolerates and build it back up as strength improves.
Go to an urgent treatment centre or A&E if you heard a snap or pop at the back of the ankle, cannot stand on tiptoe, cannot put any weight on the foot, or the ankle or foot has changed shape, is very swollen, or feels numb or cold.
Some people find supportive footwear or insoles help in the short term, but they work best alongside strengthening. Carly will look at your footwear, how you stand and move, and what you do each day, then advise whether insoles are worth trying in your case.
Get Started
Box Box Physiotherapy and Performance • UNTIL Soho, 111 Charing Cross Road, London WC2H 0DT
Book an assessmentBased in central London, by appointment. Sessions at UNTIL Marylebone, Canary Wharf and Soho.