Category: Osteopathy & Acupuncture
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This should be a pleasant and relaxing experience, with confidentiality maintained at all times. The first session includes a full musculo-skeletal & medical case history, physical assessment and evaluation for a diagnosis, and treatment plan to be agreed.

The Case History

This is important to;

As thorough as we try to be, it is important that you tell us of any diagnosed medical conditions before any treatment is given. It may even be possible that we can help with these too. Check A-Z of osteopathy page.

Having said that it is important that you allow the osteopath to lead you through the case history to enable them to prioritise what information is most relevant. We can always add any additional information at the end. It is important that you be as honest and as frank as possible, which will mean that we can provide the best health care that we can and can get on with the job of treating you.

Also, don't be afraid to ask if you have any concerns, such as regarding manipulation. Check Articles page for a research article on this subject.

Examination & Assessment

This is because the body behaves differently when actively contracting muscles to move itself, as opposed to when it is been moved.

Further Tests may include;


With osteopathy assessment & treatment tend to merge into one another. We work with our hands on people every working day & it's only with such regular use of our hands for assessment & treatment that a high sensitivity to touch develops. This is known as palpation, on which osteopaths are very reliant for diagnosis & treatment. The sort of things that would be palpated would include joint health & quality of movement, muscle tone (poor, good, excessive, spasm) & so on.

The osteopath should have a wide range of approaches & techniques that can be adapted, as appropriate for the individual. Some osteopaths treat only people with structural, orthopaedic problems & others do further study & practice cranial & visceral osteopathy, that covers a much wider range of problems..

Normally treatment is included in the first consultation, unless the problem is particularly complex or further investigations are required. The fee is for the consultation, advice and/or treatment, not for the time period involved. It is possible to over treat people and it is said that - less is more - in osteopathy, as the body needs time to adjust to changes.

After Treatment Care

Occasionally people experience flare ups, this is most likely to happen the following day. If this does happen, and we have not advised otherwise, then it is important to do your best to keep moving generally, without over-doing it. This will reduce the build up of inflammation and little & often is the key. Hot & cold compresses (5 mins each) will also help. Other self help advice is often given that may include stretching, strengthening, relaxation exercises, posture, etc., as appropriate. This is to aid recovery and avoid re-occurrence. Follow-up treatments are shorter and charged accordingly.

Miracles take a little longer

Generally speaking, the older the problem - the longer it will take to resolve. It is important to be realistic about the outcome and that you need to do your bit, such as;- stretching exercises, maintaining mobility, etc - we can not do these things for you.

Once the problem has settled it may be recommended that an occasional maintenance or preventative treatment is given to help avoid a further crisis. This also keeps your record open and avoids having to do a re-assessment, with a new case history. Otherwise, we can only keep your record open for 18 months - this is for reasons of legality & safety. If we don t see you in the meantime, then you have another flare up or another problem, then we need to start with a new case history & re-examination and charge accordingly.

The cure of this ill - is not to sit still.