You first appointment usually lasts between 30 minutes and one hour including your initial assessment and first treatment.
Your Case History
We will ask you a set of detailed questions about the symptoms from which you are suffering; this includes when it happened, how it started (if you know), things which aggravate your symptoms, and what you can do yourself to ease them. We will ask about any previous problems you’ve had (similar or different), your daily activities (to get an idea of the physical stresses and strains that your body is used to), any accidents you‘ve had (recently or in the past).
We will also take a brief medical history; please bring a list of any medication that you are taking. This allows us an opportunity to screen for underlying medical issues. The aim of this process is for us to ensure it is safe and appropriate for us to treat you and to form an idea of what may be causing your problem, so we can advise on the best course of treatment for you.
We will then perform an examination to confirm your diagnosis. This usually involves observing your posture while you stand, testing the tone of your muscles, and observing your active movements, seeing if any movements cause pain or stiffness. It is useful for diagnostic purposes to see the relevant areas of your body and spine, so we may ask you to undress to your underwear. Please tell us if you have an issue with undressing; it is helpful but not essential: your comfort is our main concern. Feel free to bring along shorts and T-shirt with you, and you are more welcome to have a friend or family member with you for the duration of your appointment.
Before starting the treatment, we will explain to you what we intend to do and why. This is based on our clinical experience of treating patients with similar problems, however you get the final say in what we do. If you are not comfortable with a particular treatment method or technique please tell us; there are always alternative ways of working.
At the end of your treatment we will re-examine you to assess any improvements in your muscle tone or range of movement. Taking this into account and the severity and longevity of your symptoms, we will be able to give you an idea of how many treatments we would expect you to require. Treatments are usually spaced at weekly intervals to start. Each case is individual, but we see the average new patient 2 or 3 times.