What to expect on your first visit
On
your first visit, a detailed case history will be taken of the presenting
problem.
- How the problem first occurred?
- What the pain feels like?
- What aggravates or relieves the symptoms?
- Is the pain focused to one area or does it travel?
Details of your past medical history will be taken. For example,
if you have received treatment before or whether you have had x-rays
or not or are on any medication for other medical conditions.
A physical examination will then be carried out.
Active examination
It
is important to observe the patient standing in what they consider
to be their normal posture. This allows examination for symmetry
of structure, tightness of muscles and compensatory postures. The
patient will be asked to perform certain movements to include forward
flexion, side bending and rotation of the spine (pain permitting).
This enables assessment of the mobility of the patient and what
limitations occur. Similar movements may need to be demonstrated
if the problem involves a limb such as the shoulder, hip or knee
etc.
Orthopaedic testing
With the information from the case history and the active examination
it may be prudent to take a few tests such as blood pressure, reflexes
(by tapping the knee with the patella hammer) in order to formulate
a working diagnosis and to assess if the patient needs to be referred
on, for instance to be x-rayed.
Passive examination
A
hands-on examination will follow. This is performed with the osteopath
actively performing the movements for the patient whilst they are
relaxed either lying down or sitting. The findings from the examination
will allow the osteopath to feel the movements of individual joints
and how the muscles respond to those movements.
How long does a treatment take?
All patients are treated as individuals and treatments are tailored
for them. On the first visit the minimum time allocated is 60 minutes
with follow up visits lasting between 35-40 minutes.
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