A full case history is required. The
osteopath will ask basic details such as date of birth, occupation
and active hobbies. The aim is to build up a picture of how you
use your body - this is important: a 25 year old bricklayer who
plays football twice a week will need different treatment from a
55 year old accountant whose idea of physical exercise is playing
and how it started
What factors aggravate or relieve the pain
Any other treatments which have been given
Any medical tests carried out.
Your is also important.
For example, a badly broken leg which has healed shortened may be
a factor in the cause of back pain, due to the imbalance produced
across the pelvis.
All sorts of long-ago events have changed the way you use your body,
and that, in turn, contributes to how
it is now.
For the next stage patients are normally
asked to undress to their underwear so that the joints, muscles
and posture can be . If you do not wish to undress, or would
prefer to have someone in the room with you, please tell your osteopath.
You will probably be asked to do some and any other that may be necessary will
be done. These may include testing your reflexes, taking your blood
pressure, listening to your heart and lungs, examining your eyes or your ears - in fact many of the clinical tests any doctor might perform.
Your osteopath will explain what has been found and outline the
proposed treatment. Occasionally at this point the consultation
may end, if the osteopath feels that more tests are required before
starting the treatment, or if your case is not suitable for osteopathic
treatment. Assuming it is appropriate, a short treatment will be carried
out on your first visit.
The first appointment usually lasts about an hour while second and subsequent appointments take about 30 minutes and involve a quick re-examination followed by a longer
On your return appointments you will be asked
about your . The majority of patients see good improvements
in their symptoms within three treatment sessions. If this is not
happening then you may be referred back to your GP for further tests.
Some patients are understandably nervous,
especially at their first appointment with an osteopath. You are
very welcome to bring a friend or relative with you. If you give
us advanced notice, the practice may also be able to arrange for
a chaperone if required.