The first appointment is longer than any subsequent ones as a full account of the problem has to be discussed, also a medical history and a current systems check. If patients are taking any regular medication it is helpful to have a list or a copy of a repeat prescription.
It is also helpful if patients wear loose clothing to be able to undertake simple movement tests and if possible to show the osteopath or chiropractor the part that hurts; often a pair of shorts or joggers will fit the bill. Chaperones are welcome to support patients, indeed are required for anyone under the age of 18.
Once the history and discussion are complete, the Osteopath or Chiropractor will observe various movement, conduct orthopaedic or neurological tests and come to a conclusion or diagnosis and then discuss this with the patient. They will also discuss treatment approaches and if everyone is happy, then proceed to treatment.
For all therapies treatment reactions and risks will be discussed and also an estimate of the number of appointments that will be necessary to achieve a successful outcome.