A case history is taken which includes details of what it is that brings you to the osteopath. That is: your symptoms, what and where they are, how long have you had them, what you think may have caused the problem, and when it happened. If you have had any previous treatment - what it was and whether you have had X-rays or blood tests and have you been prescribed any medication. The case history will also include details of any previous or present medical history, whether you are currently receiving medication or medical attention for anything.
You are then usually asked to undress to your underwear. Sometimes, if a patient is uneasy about this it can be discussed and ways may be found to avoid this. If the problem is limited to the lower leg or ankle or hand it is often unnecessary to be undressed. However, when it is a low back or neck problem it is usually important to look at the whole spine to look at how the mechanics of the body are working.
During an examination various tests may be performed eg: blood pressure may be taken and the heart listened to. Reflexes and other orthopaedic tests may also be used to assess what is wrong. Occasionally, you may be referred back to your GP or a medical specialist for further tests if there is any doubt about the cause of your symptoms.
Usually, the examination runs into being treatment that may consist of all or some of the following: i) Soft tissue treatment: this is where groups of muscles are worked on to relax them. ii) Articulatory treatment: a gentle mobilizing movement taking a joint through its range of movement. This can also be diagnostic in that it informs the osteopath about whether a joint is normal and healthy. This could apply to parts of the spine or a shoulder or knee, for example. iii) Specific manipulation, some times described as high velocity technique (HVT). Often accompanied by a `crack’. Can be alarming but is discussed with the patient beforehand. Some momentary discomfort can be experienced but should not be particularly painful. iv) Functional technique. Could be described as a `listening’ technique. Very gentle and patients often like this form of treatment. It is important to emphasise that you do not have to undertake any treatment you do not like or feel is not helping you.
After the treatment, you will be reassessed, usually in a standing position. Often some immediate relief is felt. However, this can be delayed for the first 24 hours when you may feel worse. Occasionally, it can feel quite acute for the first day. If you are unsure about what is happening it is a good idea to telephone for reassurance or some advice. When a condition is longstanding it may take more than 3-4 treatments to produce a positive response. When you go to an osteopath for the first time it is likely that you will be asked to come back for another treatment in 3-5 days or a week depending upon the severity and chronicity of the problem. Patients who are acute and need to go on a flight or to play serious sport may be seen daily. Generally, after the first 2-3 treatments the gaps between are usually weekly. On an average, a course may consist of 4-7 treatments. More chronic and difficult problems may take longer and some patients may only require the one visit.
Usually, the examination runs into being treatment that may consist of all or some of the following: i) Soft tissue treatment: this is where groups of muscles are worked on to relax them. ii) Articulatory treatment: a gentle mobilizing movement taking a joint through its range of movement. This can also be diagnostic in that it informs the osteopath about whether a joint is normal and healthy. This could apply to parts of the spine or a shoulder or knee, for example. iii) Specific manipulation, some times described as high velocity technique (HVT). Often accompanied by a `crack’. Can be alarming but is discussed with the patient beforehand. Some momentary discomfort can be experienced but should not be particularly painful. iv) Functional technique. Could be described as a `listening’ technique. Very gentle and patients often like this form of treatment. It is important to emphasise that you do not have to undertake any treatment you do not like or feel is not helping you.
