At the first consultation:
This appointment is the longest as I need to go through a thorough and complete case history regarding the current complain, medical history, occupation, life-style etc.
I use this time to gather information that will give me a full picture of who my patient is and this will assist me to offer them the best management.
In my point of view, it is a significant part of the consultation and it is important to settle trust between the patient and their osteopath.
I then carry on with the physical examination part of the appointment, starting with a general standing examination, assessing posture, mechanics and obvious pattern and dysfunctions. The rest of the examination will depend on the patient’s presentation, and can include some tests, movements active and passive, palpation etc. Aiming to find and understand the origin of the problem.
I then discuss with the patient our diagnosis and our understanding, what we would like to address and how, and how many treatments I think are appropriate.
Together, we build a plan of action, according to patient’s needs and expectations, which will aim to help the patient to gain back their health and agency.
Then I proceed with treatment, with constant communication and information to my patient.
At the end of the treatment I will give advise and recommendations which can include exercise, stretches or referral if appropriate.
Shorter and sometimes more hands on, this is a follow-up, where the patient update me on their state, reaction to previous treatment, or recent changes, and treatment follows.