Call the clinic 01373228841

White Horse View Osteopaths

Appointment information

What to expect at your first appointment

CASE HISTORY: During your first consultation your osteopath will take a full and comprehensive case history, not only details of your presenting symptoms, but finding out about your medical history and current systemic health as these an unbeknowningly be interrelated. Your osteopath will also be interested in you and your lifestyle as a unique individual with a unique and individual set of circumstances and symptoms; this is especially pertinent to know if you are currently physically unable to do things you enjoy such as a sport, hobby or activity.

EXAMINATION: Next your osteopath will exam the site pain or discomfort and relevant related areas that maybe associated to this. This will include an active examination where you will be asked to move your spine, arms and so on and a passive examination where you can relax on the plinth as your osteopath tests range of motion and tissue quality. They may also conduct a series of clinical neurological tests.

DIAGNOSIS: Combining the information from your case history and your physical examination your osteopath will give you their diagnosis of what they believe to be the dysfunction (the what), the cause of the dysfunction (the why) and their suggestion of suitable treatments specific to you, finally a guide of how many sessions you should expect to resolve/minimise your symptoms will be provided. Your osteopath aims to get you better as soon as possible with a combination of treatments and mini-treatments (see below) that you can do at home. Some conditions that are more complex, symptoms in multiple sites or chronic in nature may require an ongoing treatment plan, but your osteopath will do what they can to keep these to a minimum whilst you get back to your normal level of function. It must be noted that not all patients are suitable for treatment, not because we do not want to help you, but it may be in your very best interest to seek treatment elsewhere, such as A&E in the most extreme conditions. However your osteopath is here not only to treat you, but to make sure you are in the hands of the best health care professional so we also offer advice of who best for you to see.

TREATMENT: If we believe you to be safe and suitable for treatment your osteopath will discuss treatments available and consistently confer back with you as to pressure used so you are put in a minimal amount of discomfort during a time when we will be focusing on a particularly painful/uncomfortable area. 

MINI-TREATMENTS/AFTER CARE: Many osteopaths like to also give after care advice, at White Horse View Osteopaths at the end of your treatment we will give you some “Mini Treatments” for you to do at home, they will mimic some of the hands on work we during treatment, which will help you, get better, faster. 

How many follow up appointment will I need

Until you have been examined it is impossible to answer this question as there are many variables, such as the type of condition, your current health, age, diet, lifestyle etc., but rest assured you will be given an idea of how many appointments it will take in your initial consultation. All treatments have two goals, ‘first-aid’ to the sore area and aiming to resolve the reason why things got so bad (more relevant in chronic cases) and this need not take many appointments because both of these are done at the same time. Osteopaths re-exam at each appointment and this gives them the clinical insight into how you are improving, for example, increase range of movement, decrease pain. Your White Horse View Osteopath will keep this to as few as possible and the last one or two will be spaced out to make sure your body has space to heal. There is no pressure and no need to “bulk buy” appointments, your progression will be discussed at each treatment.The after care/mini-treatment advice I will give you is there to give your body a little top ups of treatment, little and often; the more compliant you are with the advice, the better you’ll get, quicker!

What to expect at any follow up appointments

Now we have your full medical history, your next consultation will start with a few basic questions such as how did you feel after your last treatment, this guides your osteopath if they can use stronger more direct techniques, or if your body responds better to gentle rhythmic treatment, we are all completely different! Your osteopath will also talk about changes in things that previously aggravated your symptoms. We will discuss how you got on with your mini-treatments; there are so many different variations, but your osteopath wants to get and aftercare advice just right for you. You will be re-examined to illicit and structural changes and then treatment will commence.

What to bring

If you have any pre-diagnosed medical conditions it is useful to see these from your doctor or specialist, for instance if you have a report from an MRI/X-ray and so on. It can be very useful as part of the examination to have access to seeing the area of discomfort/pain and any areas your osteopath believes maybe related to these symptoms to assess any signs of skin changes (colour/dimpling/temperature), muscle bulk, smoothness of movement and so on, can tell us a lot about what is going on underneath the skin. Therefore it may be helpful to observe these areas with the patient wearing modest underwear. Some patients may wish to bring shorts or a crop top if they feel more comfortable with these. Patients can be examined in their clothes as long as they understand the aforementioned signs will not be able to be observed, the extra information is helpful, but we can work around things.

How long are appointments

Adult (18+) first appointment:               1 Hour  

Adult (18+) follow up appointment:     30 mins

Child/Infant first appointment:            45 mins

Child/Infant follow up appointment:   20 mins

Fees

Adult (18+) first appointment: £45

Adult follow up appointment: £35

Full time student with NUS card first appointment: £42

Full time student with NUS card follow up appointment:  £32

Child/Infant first appointment: £40

Child/Infant follow up appointment: £30

How can I pay

Cash or cheque only.

What training do osteopaths have

Four years at a minimum of full time study. Study includes in-depth anatomical, neurological and pathological study. 

After the osteopath qualifies, they have to complete a minimum of 30 hours of osteopathic related training (CPD-continuous professional development) to maintain their licence to practice.

Do I need a referral

No is the short answer!

Osteopaths are primary health care practioners and it not necessary to seek a referral. Some GPs, surgeons, nurses, midwives and other medical practioners may suggest osteopathy.

If you wish to use medical insurance, please confirm they are happy for you to invoice them for this before your treatment.

How will I feel after treatment?

This varies from person to person. Sometimes patients will feel an immediate increased range in movement and release in tense muscles, other times it may take a day or two to feel the full affect of treatment. Some patients can feel thirsty after treatment (we will offer you a glass of water!) some patients can feel very tired. We will discuss all major possible outcomes with you during your consultation and offer you after-care advice/mini-treatments to help minimise your symptoms of treatment.

Will I get clicked

Not necessarily. Osteopathic manipulation can be a valuable in certain circumstances, but is not by any means required.

If you do not wish to have a manipulation, this should be discussed with your osteopath, for example, did it hurt previously, are you unsure because you don’t know what actually happens, many people worry that one bone clicks on another (which it doesn’t!).  

At any rate, you are in complete control of what treatment you receive and if you don’t want a particular type of treatment, your wishes are completely respected; there are many ways to achieve the same outcome using other osteopathic techniques!

Do you treat using cranial osteopathy?

Yes, we treat both children and adults using these osteopathic techniques. Cranial osteopathy is gentle and painless, using subtle movements to remove tensions and strains in the body. Although the treatment usually involves treatment via the cranium, head, these highly specialised skills can be utilised in all areas of the body, commonly the sacrum, the tailbone, at the base of the spine with a direct connection to the cranium is used. The treatment can be so calm and relaxing that some patients fall asleep, it happens more than you think. Some people can feel a little tired or thirsty after treatment. Your osteopath will tell you more about it during your consultation

Is there parking?

There is ample off road parking. Please use the five-bar gate at the top of The Hollow at the Hisomley cross roads. 

Can I claim on my medical insurance

It depends! Speak your insurer first to check you have cover for osteopathic treatment. If they do, White Horse Osteopaths will provide you with a receipt at the end of each appointment which you can use to claim back your payment treatment fees. We cannot unfortunately be invoiced by your insurer directly.

Lucy Osborne-Kirby is affiliated with Aviva, AXA PPP, Prudential, Simply Health. 

Do you offer home visits

White Horse View Osteopaths do not offer home visits, however we do offer advice over the phone until you feel well enough to come for treatment. We have found that the level of examination and clinical testing is best done in the clinic itself. Please feel free to contact us if you have any questions.

Is there disabled access

There is a step into the practice, but a small ramp can also be arranged. Please advise us of your needs when booking for your first consultation.

What happens if I need to cancel my appointment?

We understand that unforeseen problems can occur which unable you to attend your booked appointment, if you find that yourself in this position we are happy to reschedule your appointment if a minimum of 24 hours notice is given, at no cost. This will enable us to reallocate that time to another patient who may be in urgent need of help if there is a waiting list for that day.

We reserve the right to charge the full cost of treatment for any/all appointments that are missed.

Useful links and advice

Heat and Ice Therapy

With any sprain, strain or bruise there is some bleeding into the underlying tissues. This may cause swelling, pain and delay healing. Ice treatment may be used in both the immediate treatment of soft tissue injuries and in later rehabilitation. During immediate treatment, the aim is to limit the body's response to injury. Ice will:

  •  Reduce bleeding into the tissues
  •  Prevent or reduce swelling
  •  Reduce muscle spasm and pain
  •  Reduce pain by numbing the area and by limiting the effects of swelling

These effects all help to prevent the area from becoming stiff by reducing swelling.

How do you make ice packs?

Ice packs can be made by placing crushed ice cubes in a plastic bag or wet tea towel (though ensure no sharpedges of ice are pressing into your skin). A packet of frozen peas is also ideal as these mould nicely around the injured area and can be used more than once as they can be refrozen (do not eat the peas if they have been defrosted and refrozen). Take care when using ice and cold packs from a deep freeze. These are very cold and can cause ice burns quickly if used without care and proper protection. Oxford osteopaths can supply cold packs which remain at a core lower temperature for longer and can be refrozen.

How are ice packs used?

  • Ideally, rub a small amount of cream or oil over the area where the ice pack is to be placed (anycream or oil can be used). If the skin is broken or there are stitches in place, do not cover in cream oroil but protect the area with a plastic bag. This will stop the wound getting wet
  • Place a cold wet flannel over the area (you do not need to if using a plastic bag).
  • Place the ice pack over the flannel• Check the colour of the skin after five minutes. If it is bright pink/red remove the pack. If it is notpink, replace the bag for a further five to ten minutes
  • Ice can be left on for 20 minutes but there is little benefit to be gained by leaving it on for longer. You run the risk of damaging the skin if ice is left on the skin for more than 20 minutes ata time.  

Note: ice can burn or cause frostbite if the skin is not protected with oil and/or other protection such as a wet flannel. Oxford osteopaths can supply hot/cold packs from the clinic – these are high quality reusable items you can store in your freezer 

How long should ice be applied for?

  • Ideally, ice should be applied within five to ten minutes of injury for 15-20 minutes.
  •  This can be repeated every two to three hours, whilst you are awake, for the next 24-48 hrs.
  •  If you are applying ice over a bony area, such as an elbow, reduce the time ofapplication to ten minutes.
  •  After the first 48 hours, when bleeding should have stopped, you can continue to use icefor pain relief and relaxation of muscle tissue.

Heat

  • Do not use heat on a new injury (for example, soaking in a hot bath, using heat lamps, hotwater bottles, deep heat creams, etc). This will increase bleeding and make the problemworse
  • When an injury is older than 48 hours, heat can be applied in the form of heat pads, deepheat cream, hot water bottles or heat lamps. Heat causes the blood vessels to dilate (openwide) which brings more blood into the area. It also has a direct soothing effect and helps torelieve pain and spasm
  • If heat is applied to the skin it should not be hot. Gentle warmth will suffice. If heat isapplied there is the risk of burns and scalds
  • The skin must be checked at regular intervals

How is heat used?

  •  Use a hot water bottle or hot pack over the area to be treated. Ensure the hot pack or waterbottle is not too hot
  •  You can fold a towel or two and place them on the skin under the hot pack, to prevent a burn
  •  Check the skin regularly and remove the heat if the skin looks red (it should be a healthy pinkcolour)
  •  The heat can be applied for 20 minutes in one area

Precautions when using heat and ice

Do not use cold packs or heat:

  •  Over areas of skin that are in poor condition
  •  Over areas of skin with poor sensation to heat or cold
  •  Over areas of the body with known poor circulation
  •  If you have diabetes
  •  In the presence of infection

Also

  •  Do not use ice packs on the left shoulder if you have a heart condition
  •  Do not use ice packs around the front or side of the neck

 

Stretches

Forearm Flexor stretch not compromising common flexor tendons

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Forearm Extensor stretch, not compromising common extensor tendons

Osteopath stretches

If you have any further questions or are unsure if osteopathy is suitable for you please contact the clinic on 0137322841 and we will be happy help.

Phone:  01373 228841

Hisomley
The Hollow
Dilton Marsh
Westbury
Wiltshire
BA13 4DD

Opening hours:

Monday: 9am-6pm 

Tuesday: 9am-11am

Wednesday: 9am-11am

Thursday: 9am-11am

Friday: 9am-6pm

Saturday: 9-12 (alternate weeks)

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Copyright White Horse View Osteopaths. Registered and Insured Osteopath.