Patient Information

The information on this website is based on documents published by the following organisations: The General Chiropractic Council, The British Chiropractic Association, The Royal College of Chiropractors, The Chiropractic Patients’ Association, The Chartered Society of Physiotherapy, NHS choices and The Organisation of Physiotherapists in Private Practice.

What is Chiropractic?

Chiropractic is a regulated profession, which specialises in the diagnosis, treatment and overall management of conditions, which are due to mechanical dysfunction of the nerves, muscles and joints of the body. After taking a detailed case history, going through a thorough examination and reaching a diagnosis, chiropractors provide a package of care. This package may include manual therapy (massage, stretching, mobilisation and manipulation); rehabilitation (through a regime of exercises); advice on orthotics (shoe inserts), posture, activity, lifestyle, diet and prevention. Some chiropractors use other forms of treatment including low-laser therapy and dry needling (also known as medical acupuncture). As far as treatment is concerned, to give their patients an informed freedom of choice, chiropractors will give them advice on all the treatment options available for their particular complaint.
(Chapman-Smith, 2000 cited in Waddell, 2004)

What is Physiotherapy?

According to the Chartered Society of Physiotherapy, “physiotherapy helps restore movement and function when someone is affected by injury, illness or disability. Physiotherapists help people affected by injury, illness or disability through movement and exercise, manual therapy, education and advice”.

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Your first visit will last anything between 45 minutes and an hour. After going through the case history, and obtaining your consent, we will proceed to a thorough physical examination.  For this purpose, we may ask you to change into a gown which we will provide.   Following the examination, the chiropractor is, usually able to reach a diagnosis. If additional investigation, such as an X-ray or MRI scan, is necessary to assist the diagnosis, you will be advised accordingly and provided with a referral letter. Like all BCA chiropractors, we are trained and qualified to interpret X-ray pictures.

If we identify an underlying condition for which other treatment is appropriate, you will be referred to your GP or another specialist without delay.

Before moving on to the treatment phase your chiropractor will explain what he found in the examination, what treatment plan he proposes, what alternative treatments are available and the benefits and risks associated with your condition and the proposed treatment. Before asking you to consent to treatment,  we will make sure you have been given every opportunity to ask questions and to understand what has been explained. If you wish, you are welcome to bring a relative or a friend with you into the consultation room. With your permission, your chiropractor may send a report to your GP, with details of your condition and the treatment you are receiving.

– Acute and chronic lower back or neck pain
– Migraine and cervicogenic headache
– Cervicogenic dizziness
– Shoulder girdle pain
– Adhesive capsulitis (frozen shoulder)
– Tennis elbow
– Hip osteoarthritis
– Knee osteoarthritis
– Plantar fasciitis
– Extremity joint conditions

Based upon Bronfort, G. (2010). The Bronfort Report – Effectiveness of Manual therapies. Available HERE.

– Neck pain and whiplash related disorders
– Back Pain
– Chronic pain

Arthritis and Osteoarthritis

The most common form of arthritis which occurs when the cartilage covering the end of the bones becomes thin and worn causing joints to become stiff and painful. Various techniques are used aimed at relieving pain and restoring mobility.

Hip/ knee replacement

Once the joint has been replaced, physiotherapy is recommended for getting the best result from the new joint.

Falls and fractures

Once the plaster is removed a rehabilitation programme taking into account the patient’s needs and lifestyle can be planned. The aim is to restore joint movement, muscle strength and coordination.

Repetitive Strain Injury (RSI)

Many occupations can lead to muscle pains and problems with nerves, ligaments and joints to the upper limb. A treatment programme including massage, stretching, mobilisation, exercises and advice on posture, workplace and lifestyle can help this condition.

This will depend on:

– Your condition and how severe it is
– How long you have had the condition
– How you respond to treatment
– How much of your chiropractor’s advice you adhere to

The average course of treatment is six to eight sessions to produce significant improvement.

Alain Michelotti - Chiropractor & Physiotherapist

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