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First visit

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First visit

Your first visit (Initial Consultation)is a specialsied appointment. It takes longer than a treatment session and is designed to help us understand the reason for your visit and how best to help you. It usually lasts between 45 to 60 minutes and follows the following structure.

Case history

During case history, your practitioner with ask you questions about the reason for your visit. These can include questions such as :

  • Area of pain
  • Severity
  • Timescale
  • Aggravating factors
  • Associated symptoms
  • Relevant history
  • General health questions and medical history

Physical examination

Your Chiropractor or Osteopath will then examine you in order to determine the problem or dysfunction. This can include the site of injury as well as any other areas that might have an impact.

  • Visual and postural observation
  • Orthopaedic examination
  • Neurological examination
  • Functional examination
  • Chiropractic motion palpation
  • Osteopathic joint examination
  • Further tests if necessariy or imaging referral

Report of Findings

Once your Chiropractor or Osteopath has concluded the case history and examination stages of the initial consultation. What follows i sa detailed report of findings. You will be given an explanation of your problem as well as a detailed treatment plan

  • Diagnosis
  • Explanation of the problem
  • Explanation of examination findings
  • Treatment plan
  • Risks and side effects of proposed treatment
  • Rationale of care and prognosis
  • Relevant advice and answering questions

Stages of Care

Most peoples journey with Chiropractic or Osteopathy follow the following stages of care.

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Initial Consultation

Acute phase treatment

Rehabilitative phase

Maintenance phase

How many treatments do I need?

Your practitioner will explain the best plan of management for your condition. The plan of management includes:

-Treatment Plan : Amount of treatments. 

-Types of treatment modalities (e.g:Spinal manipulation, Soft tissue techniques, Trigger point therapy)

-Important recovery advice

-Exercise regime

-Prevention advice


As a rule of thumb , Most conditions during the:

 Acute phase:  require between 4-12 treatment sessions on a frequent basis.

Rehabilitative phase : emphasis on self-care and corrective exercises with supportive treatment sessions on a semi-regular basis.

Maintenance phase: Minimising treatment frequency to monthly, or quarterly treatment frequency and emphasising prevention advice.