Joanna’s versatile approach to your treatment incorporates a range of techniques. These are intended to be focussed and gentle and should not be painful. Treatment is recommended and discussed following re-evaluation at each session.

Structural osteopathy

  • Mobilisation and rhythmic movement of a joint help to restore mobility.
  • Manipulation which can be used to improve the range of motion and relieve pain.
  • Stretching and tissue release may relax and help improve overall function in your muscles.
  • Deep tissue massage aligns muscle fibres, improves circulation as well as reducing inflammation and improving healing.
  • MET (muscle energy technique) is particularly subtle and may ease stiffness and contribute to better stability and the range of motion in a joint.

Balanced Ligamentous Tension
A form of functional osteopathy where an impairment in a joint is treated by rebalancing the relationship between the ligaments that protect them.

Body adjustment
This traditional approach involves a systematic routine of ‘Total Body Adjustment’, whereby the major joints are rhythmically articulated in order to address all those areas presenting pain and discomfort. Gentle manipulations may be combined with this treatment.

Acupuncture
Medical, or modern, acupuncture is an adaptation of Chinese acupuncture. It involves the insertion of needles for muscular pain relief and to stimulate the nervous system to relieve pain and promote healing.

Very often, tight painful bands within a muscle, called a ‘trigger points’, cause pain to be experienced at a distance from the trigger point itself. This and other conditions are suitable for treatment by acupuncture. Very fine, disposable single-use needles are inserted into points in the body and gently moved. Although the sensation varies from person to person, it is usually painless and relieves discomfort.

Joanna is a member of the British Medical Acupuncture Society and uses the principles of evidence-based medicine and her knowledge of anatomy, physiology and pathology to diagnose trigger points and other conditions relating to bone, muscle and ligaments. She will take your case history, carry-out examination and discuss whether this approach, or a combined osteopathic and acupuncture treatment plan may be helpful to you.

Sports massage
Sports massage is more than a treatment. It involves an evaluation of how you are using your body for your chosen activity. Your complaint may indicate a weakness where muscle balance can be skewed by activities such as golf, running, cycling, walking etc. This creates a pattern in your body which your everyday jobs and lives also contribute to. This pattern is considered before a plan is devised and treatment recommended. Exercises and modifications to daily life will be prescribed as part of the plan.

During sports activity tension builds-up in soft tissue causing pain and stiffness. This form of deep massage incorporates effleurage, petrissage, frictions, trigger point release and stretches aiming to improve circulation, promote healing and enable relaxation. Such techniques are useful for all types of sports and can help prevent or reduce injury.

Many individuals find sports massage techniques relaxing and effective in treating soft tissue injury even if they are not involved in sporting activity.

Therapeutic ultrasound
A variety of musculo-skeletal complaints may benefit from ultrasound therapy. The heating effect of sound waves can reduce pain and promote tissue repair. Ultrasound is used in addition to a sports massage, or as part of your osteopathic treatment. This type of therapy is not the same as diagnostic ultrasound, or sonography, where you see inside the body on a computer screen.

Initial consultation (usually lasting 1 hour)

Joanna will listen to you describe your complaint and thoroughly explore your symptoms, case history and previous medical history.

Following an osteopathic assessment of your posture and mobility, Joanna will suggest a diagnosis for your presentation and explain a management plan with options for a treatment approach. Importantly, this will include an explanation and of your discomfort or pain and its possible cause. Osteopaths arrive at this diagnosis using their knowledge of anatomy, biomechanics, physiology and pathology; then consider it in relation to your life and its demands on the body in terms of your job, sports, hobbies and activities and also the stresses and strains of everyday life.

The initial consultation will involve the measurement of blood pressure, and may include testing of your reflexes etc. to assist in an accurate diagnosis. An idea of the number of treatments should also be included, however, this depends on your presentation, condition and how you respond. Joanna prefers to advise you on this when you meet.

Ideally, your osteopathic assessment will be made with you in your underwear, so that the associated joints and how your whole body moves can be assessed in relation to your complaint. It is essential you feel comfortable, however, so bring a pair of shorts to wear, if you would prefer.

Do bring someone to accompany you to this session if you like. Individuals below the age of 18 must be accompanied by a parent or guardian.

Please bring any medical reports and scans relating to your complaint with details of any medication you take to this session. This includes any orthotics or braces you wear. You should have time for treatment. It may not always be possible to treat you at this first session as it maybe necessary to refer you to your GP arrange for an ultrasound, MRI or X-RAY, or, see another healthcare professional. Osteopaths are trained to recognise conditions that require referral for further investigation.

Follow up treatments (30 minutes)

After an update on your progress and appropriate re-evaluation, these sessions focus on treatment address your symptoms and alleviating your pain and discomfort. The diagnosis may be reviewed and the aims of the treatment re-orientated.

Importantly, you will be provided with exercises and advice to carry-out between treatments intended to help you return to normal. Please keep a note of your progress between sessions to discuss at your next appointment.