What does a typical treatment consist of?
My treatments ( after a physical examination where the problem area AND adjoining areas are looked at and mobility is assessed ) consists of a mixture of
1/ soft tissue techniques ( STT ). Some of these are very similar to many common massage techniques BUT are more functional rather than relaxing. They can be as deep ( sometimes a little bit sore! ) or shallow and gentle if the person prefers it.
2/ other very gentle techniques e.g functional technique, where parts of the body are slowly and very carefully put into positions of ” ease “. These can be very, very useful especially with neck pain / whiplash.
3/ mobilisations – where parts of the body are moved by the practitioner whilst the patient is relaxing. This is similar, in a way to “passive movement “. ” Active movement ” being when a person uses their own muscles to move themself. This is very useful in most stiff joints and much more effective than when the person tries to stretch joints themselves.
4/ manipulations – where the joint is carefully stretched then moved so that a “click” may be heard. MANY people are cautious / anxious about these. Most often when the neck is involved. They can, however, frequently help some problems very quickly. ALSO, in the neck it is possible to do a TOGGLE manipulation where the neck is moved into a suitable position then “jiggled” gently until the joint releases itself. This is a very gentle and safe technique as the joint is encouraged to move rather than forced.
5/ medical acupuncture – this is described on it’s own page. Treatment is short – 5 – 10 minutes – and frequently very useful. If someone responds very well to acupuncture OR just wants it by itself I can do treatments of 10-20 minutes.
Is osteopathy officially recognised to be a help with backpain?
Yes it is. The UK National Institute for Health and Care Excellence – usually referred to as N.I.C.E – recommends spinal manipulation for lower back pain. Osteopaths are trained to deliver such treatment and offer useful self-management advice. Further research being carried out by a group of osteopaths in the main Nottingham Spinal Care unit is showing hugely favourable results for osteopathy against other accepted therapies.
Will I be safe?
The General Osteopathic Council regulates the practice of osteopathy in the UK, promoting patient safety by setting and monitoring standards of osteopathic conduct. By law, an osteopath must be registered and comply with strict regulatory requirements. This gives the patients the same sorts of guarantees as those given by doctors, dentists and physiotherapists
Will it hurt?
I can be very gentle and use very subtle techniques if the problem calls for it OR if the person requests it. If someone has had osteopathic treatment in the past ( which they have found effective ) then I always try to use similar techniques. If someone has had manipulations ( short movements where and audible click is heard when the joint is stretched ) in the past which have been effective, I will try and reproduce those techniques. If someone does not want to be “manipulated” then I will use other movements to try and get to the same end point. There are certain situations when a few “back cracks” can offer immediate relief when other techniques would take 2-3 treatments OR not work at all. Many manipulations can be done with NO or very minimal discomfort at all. Obviously, the most important thing is that the patient is at ease and trusts the practitioner to not do anything, at all, they are at uncomfortable with. I NEVER do any “surprise” manipulations unless SPECIFICALLY ASKED TO DO SO.
Can I bring someone else with me to the consultation or treatments?
Of course you can. Part of an effective treatment is to feel at ease with the situation. If by bringing someone along with you will make you feel more comfortable then please do so.
NB frequently I find couples coming in with each other so one can jog the others memory – especially useful in situations when the problem has lasted a long time OR when there is a complicated case history.
Cost / length of treatments
These vary between clinics.
1/ Moseley – will be £50 for the initial consultation and treatment. This will last from between 50 – 60 minutes. Follow up treatments are £35 for a half hour appointment.
2/ Walsall – is £47 for the initial consultation / treatment which lasts 45 minutes. Follow up treatments of 30 minutes are £37.
3/ Worcester – is £60 for first consultation / treatment ( 50 – 60 mins ) and follow ups are £45 ( 35-40 mins ).
What clothes should I wear.
For neck, shoulder and mid back problems, the patient will be asked to remove upper body clothes ( women down to a bra ) . For a full assessment to be made the whole back needs to be seen so that movement of the shoulders, scapulae and muscles around these and the spine can be seen moving. Also, for soft tissue work ( massage ) the area must be accessible. Woman can wear a big baggy T-shirt if necessary which can be hitched out of the way during examination and treatment.
If the problem is lower back, buttock and/or hips, patients generally undress down to their underwear. Loose jogging bottoms or shorts can be useful – the latter if there is going to be any acupuncture to the hips or thighs.
If there is a knee problem, please either be prepared to take trousers off OR wear shorts ( or dress/skirt ) OR wear trousers that will easily roll up to half way up the thigh. We can always use towels to cover various parts of the body if the patient feels at all worried about being half undressed. This would be quite normal and should not put anyone coming in for a treatment – we can work around it.
What is the difference between osteopathy, chiropractic and physiotherapy? An honest answer.
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