All assessment information is managed through a strict code of ethics, ensuring confidentiality and patient welfare. It is paramount to our continued practice and our relationship development that patients feel safe and confident in our ability to offer appropriate treatment to the individual, and to keep any information passed between us strictly confidential.
Initially, we will ask you to complete a simple, but thorough, questionnaire on your medical history. This will include details of your injury, as you understand it, and other medical issues relevant to the types of care we offer.
An assessment of your posture and movement patterns will then be made. Following this, we carry out appropriate tests, which may include: a bilateral balance assessment, nerve tests, orthopaedic tests, and mobility, flexibility and strength tests.
We ask that you wear appropriate clothing to allow for full assessment of your injury, but we are sensitive to your needs, and, if necessary, can treat through light clothing. We will explain our findings to you and offer treatment according to what we find.
The method of treatment provided depends on the clinical diagnosis and current available evidence. The mainstay of our treatment is "hands on techniques" and not just a sheet of exercises, however, we often prescribe rehabilitation exercises where appropriate. These exercises are an important, often overlooked, tool for patient recovery and injury prevention.
Imaging (off site referral)
Clients often ask whether they should have an X-ray, which involves ionising radiation; however, we suggest the following information should be considered.
It is possible to have changes to bone structure defined on an X-ray, despite having little or no symptoms. X-rays do not, however, show up the soft tissue structures—such as muscles and discs—which often constitute a common cause of back pain. It is possible that, in some cases, an X-ray cannot provide sufficient detail on the severity of your pain or disability. It is suggested that justification for the use of X-rays as a methodology for diagnosing non- serious back pain is questionable.
X-rays are usually indicated in cases of serious trauma (e.g. fractures) or on suspicion of disease (e.g. cancer).
MRI scans are probably more widely used as a diagnostic tool, as they show up soft tissue structures such as discs, muscles and ligaments. However, research has highlighted that there are several cases of people having disc degeneration and protrusions/bulges showing up on MRI scans and yet having no symptoms.
Although both types of imaging have a place in diagnostic assessment, they must be used with care. Correctly correlating images with clinical presentation and functional assessments, so as to avoid potential exaggeration of the imaging findings, is paramount and failure to do so can lead to mismanagement of the patient. We strongly recommend discussing this with one of our therapists or a medical doctor/orthopaedic specialist.