We see clients ranging from body builders and figure competitors trying to cut for competition, to triathletes and marathon runners looking to fuel a PB time.
In order to help you achieve your goals we need to know as much as possible about you and your current sports nutrition plan. Your initial appointment is a consultation and may last up to 1 hour depending on how complex your medical and sports training history is. All follow up appointments last up to 30 minutes depending on how much we need to go through in that session.
First we will establish your goals and expectations, and I will go through your past medical history, training history and current dietary habits. Sports nutrition and physiotherapy are perfect adjuncts to enable you to get back to what you love doing.
Next I may take some anthropometrical measurements such as height, weight, body fat, BMI, waist circumference and waist to hip ratio if clinically indicated or if requested. This provides starting point data from which to measure your progress, particularly if weight loss, changing body fat levels or increasing muscle mass are your primary goal. This is not a mandatory part of the initial consultation as many people do not want to be weighed and measured and that is ok.
Once we have completed the consultation I will use any remaining time to provide you sports nutrition advice. This may be in the format of written advice, meal and snack recommendations, a diet plan with recipes or even as in-depth as measuring and tracking macronutrients and calories depending on what you request. Please indicate what level of input you would like.
In some cases this is all that is needed and we can meet again in one or two months time to check in, re-take measurements and discuss your progress. Others might need more frequent input.
It is not unusual for it to take at least 3 months to see significant changes in your body composition, but you should start to feel the benefits in your training and recovery almost immediately.
Most people we work with reach their goals with nutrition and supplement advice. However, in a few cases more input is required to take your performance and recovery to the next level. There may also be some additional testing required in order to help you:
This helps to establish how much sodium and chloride you lose in your sweat. We all have different genetic expressions for sweating and your performance could be hindered by excessive sodium loss leading to cramping. Once we have assessed this we can ensure you have the right amount of sodium in your diet. We can also work out your sweat volume and make sure you are consuming enough fluids in training and competitions.
This helps to establish where you are storing body fat in relation to other areas. For example you may be storing more fat around your waist and we will need to manage your carbohydrate consumption.
Immune markers such as sIgA can be measured in saliva. This marker is sensitive to stress and we know that it is decreased in over training that can lead to upper respiratory tract infections. We can also measure stress hormones in saliva to see how your hormonal system is adapting to training and performance.
A comprehensive blood and urine test to establish your need for vitamins, minerals, antioxidants, essential fats and vitamin D. This also shows markers for amino acid metabolism, toxic metabolites and bowel health.
These tests highlight how your body is responding to the stress that you are exposing it to and how you can optimise your training, nutrition and recovery strategies.
Armed with these test results, your anthropometrics and food diary I can put a detailed nutrition plan together for you that will help you work towards your goal.
This level of input does have costs associated with the testing and follow up sessions that are required.
Follow up sessions are recommended on a monthly basis to implement the actions required based on testing results and you will need to commit yourself to this process for a number of months.
We look forward to helping you improve your performance.
Anirudh MathurTrustindex verifies that the original source of the review is Google. I have been coming here since 6 months now for physiotherapy on my ankle ligament, and I cannot recommend it enough! I have been treated by Nuzhat Shaikh, who has helped me reduce my daily chronic pain, and has helped me gain confidence in going back into sports. She took the time to understand my problems and provided bespoke treatment, tracking progress every session and recommending mitigating actions as required. Highly recommend! Valentin BalaschenkoTrustindex verifies that the original source of the review is Google. As an amateur long-distance triathlete, I developed a sciatic nerve injury that plagued me for over six months, to the point where I stopped enjoying the sport I love. Kirsty quickly identified the root cause, and after several treatment sessions the pain gradually disappeared. She also recommended physiotherapy exercises and Pilates classes to address the underlying issue and help prevent it from returning. The best validation of the treatment came recently when I completed an ultra-marathon with significant elevation, putting my sciatica to the ultimate test. There wasn’t a single niggle—my leg felt as good as new. Thank you, Kirsty, and the entire Wandsworth Therapy team, for helping me get back to doing what I love! Natasha KellyTrustindex verifies that the original source of the review is Google. I visited Wandsworth Physiotherapy after straining my ACL. Nuzhat tailored my sessions to my injury and set out a clear routine of exercises to aid my recovery. Nuzhat was flexible with timings, provided massage, acupuncture and exercises. Thank you so much. Rhys HarrisTrustindex verifies that the original source of the review is Google. Christina was extremely helpful during my physio sessions, super clear throughout and prescribed the best approach to resolve my overloaded arch. Thank you! HenryTrustindex verifies that the original source of the review is Google. Nuzhat has been my physiotherapist at Nine Elms for the last two months. Don't be fooled the quiet demeanour of this unassuming lady. She is an outstanding physiotherapist. Her knowledge of health and nutrition and her techniques (which include focused massage and acupuncture) to deal with my tendonitis and muscle strain have put me well on the road to recovery. The exercises she has given me in the WPO app (stretching, bands, ball, light weights) are tailored to me and have been a big help. Nuzhat, I can't thank you enough. Harry Symes-ThompsonTrustindex verifies that the original source of the review is Google. I had a fantastic experience with Nuzhat. I had been struggling with pack pain for over 6 months and she conducted a comprehensive assessment of the issue and put me on a path to recovery through a combination of manual therapy and acupuncture. I am so happy with the progress and Nuzhat has been brilliant. Malgorzata KralaTrustindex verifies that the original source of the review is Google. I am so happy with my physiotherapy sessions. They were able to fix me twice now each time quicker than expected. Michael FoxTrustindex verifies that the original source of the review is Google. Friendly staff and very professional. Diagnosed and treated my shoulder issue very quickly with no re occurrence of the problem. Would highly recommend. Maggie SekaraTrustindex verifies that the original source of the review is Google. Pilates with Shreya - one of the best Pilates classes I've attended. I go to the Advanced Clinical Pilates class with Shreya at Wandsworth Physiotherapy and really enjoy it. The class is challenging and intense in the best way, and I always leave feeling like I've had a deep and effective workout. Shreya is friendly, attentive and knowledgeable. She pays close attention to form, ensures everyone is exercising safely, and structures the class brilliantly - with a warm-up to prepare the body for deeper work and a relaxing body scan at the end. I attended a couple of beginner classes before joining the advanced group, but once I moved to Shreya's class it was a perfect fit for my experience level. The sessions are focused, engaging and incredibly rewarding. Highly recommend.Google rating score: 4.9 of 5, based on 489 reviews
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