What to expect at your first appointment

Prior to your first appointment (time permitting) you will be sent an information and consent form by email or post, please read and sign. Alternatively, please arrive for your appointment a few minutes early in order to do this.


Initial Consulatation - up to 1 hour

Download new patient information and consent form here

Case History...

At the initial consultation a detailed case history will be taken. You will be asked about your presenting ailment as well as your general health and personal/family medical background. It is useful if you are able to provide details of any medication you are taking as this may influence what treatment and management advice you are given. This consultation is an essential part in diagnosing and managing your condition.


Following on from the case history, a full examination will be carried out to assess your physical condition. This may involve undressing down to your underwear in order to fully assess your posture and muscle tone. Some patients prefer to wear shorts and a vest top. A gown is available to wear for your comfort, if you would prefer. You will be asked to perform a few simple movements to assess how your spine and/or other joints are working. Sometimes a more thorough neurological, vascular, respiratory or abdominal screen may also be performed.


After the case history and examination a diagnosis can be made. A suitable treatment plan can then be formulated and explained to you. Sometimes Osteopathic treatment is not appropriate and it is necessary to refer patients on for further tests/examinations with other health care professionals.


You are welcome to bring a friend with you for the consultation, examination and treatment. All children under the age of 16 must have a parent or guardian present. You are free to stop the consultation, examination or treatment at any time.



The treatment approach will be individually tailored to the patient and the diagnosis made. A range of techniques can be used from gentle cranial work, soft tissue massage, joint articulation, dry needling or the more direct structural manipulations. The overall aim is to reduce pain and improve biomechanics by freeing up restrictions and allowing the body to function optimally.


Dry needling is an approach that may be offered depending on the condition being treated. Dry needling, or western acupuncture, is used to treat musculoskeletal pain and areas of muscle tension. It involves the insertion of a sterile needle into areas of tight muscle to reduce pain and stimulate local blood supply, to restore the correct functioning of the muscle.


The number of treatments will vary depending on the patient and the condition. This will be discussed with you at your first appointment.


Are there any side effects...

Sometimes a patient will experience a mild post treatment reaction. This is normally much less than the complaint that brought them to the clinic in the first place. This may be a slight soreness, aching or mild headache; theses are quite common and normal reactions. These normally pass within 24-48 hours. This is most common on the first visits and may not be experienced on subsequent visits.

Following treatment you will be offered advice on pain management and relevant stretching and strengthening exercises in order to improve your posture and reduce the likelihood of the problem reoccurring.


Follow up Visits - up to 30 mins...

Treatment will be given following a brief consultation and examination to assess your progress.



All patient information is treated in the strictest confidence.