What is online osteopathy?
The recent Coronavirus pandemic has left millions unable to leave their homes safely. In an effort to assist, and provide continuity of care, I now offer video consultations.
My video osteopathic consultations include the standard patient case history and interview, visual assessment, guided self-assessment and orthopaedic testing, diagnosis & prognosis, medical, health & lifestyle advice, guided self-application of gentle manual techniques, personalised exercise prescription & demonstration, form critique, progress reviews and referral where appropriate.
As always, osteopathic treatment is tailored to meet the needs and goals of each individual patient.
How effective is it if there is no hands-on treatment?
Actually, the merits of having ‘hands on’ treatment tend to get overplayed. Manual therapy [such as sports massage] might help you feel nice in the short term, but there is limited evidence it helps with recovery.
In fact, in the guidelines for management of lower back pain released by the National Institute for Clinical Excellence (“NICE”), the front and center of the management is active rehabilitation. Manual therapy is there as an adjunct to active rehabilitation.
Active rehabilitation basically means doing exercises to strengthen and align the affected area.
By its very nature, online osteopathy can’t provide manual therapy, like sports massage. Perhaps, however, that forces it to be more efficient – by cutting out the short-lived, temporary relief and focussing instead on the activities you can do to aid your long term recovery.
Naturally, online consultations will never be the same as being in the same room as a clinician, but it’s certainly more convenient, and more cost effective. We can do a lot of the same stuff and actually, we remove the ‘passive treatment’, which can be detrimental to recovery. This removes the thought that your osteopath is there to "fix you" and instead helps you as the patient to understand that you’re ultimately in control of what happens to you.
As with most chronic or acute injuries, the sooner that you do the correct things, the better your chances of recovery. As already mentioned it’s not about what’s done to you, it’s about what you can do to help yourself. You want to ensure that you are doing the absolutely correct things, not only to progress your rehabilitation to get you back in full health, but to also make sure that you’re not making things worse.
How does it work?
My telehealth consultations offer a high level of care and service, just like my in-clinic consultations do.
1. You first book an appointment here:
2. You will then be asked to fill in a questionnaire.
3. You will be sent a confirmation email containing a link to join a videoconference call via the software Zoom. Make sure you familiarise yourself with the software. At the time of the consultation, you just need to click on the link sent to you in your confirmation and/or reminder email, in order to join the session.
4. Make sure your computer is connected to a camera, and that your audio microphone and speakers are working correctly. Make sure that you are in a well-lit room with enough space behind you to be able to move and also maybe have a mat so you can lie on the floor to perform some orthopdic tests and exercises. Make sure that you are not back lit, so if there are windows behind you, you may want to close the blinds and switch on the lights so that I can assess you properly.
5. During the video consultation, I will be doing everything you would expect from an in-person osteopathic consultation, minus the hands-on treatment. This includes:
a full case history
guided self-assessment and orthopaedic testing
diagnosis & prognosis
medical, health & lifestyle advice
guided self-application of gentle manual techniques
personalised exercise prescription & demonstration
form correction and critique
and referral where appropriate.
6. After the consultation, you will receive a personalised treatment and rehabilitation exercise programme sent directly to your email or phone, with videos and accompanying instructions.
7. With your consent, I will follow-up your consultation with a 5 minute telephone call, at no extra cost, to monitor your progress and make sure that you are on track with your rehabilitation programme.
How much does it cost?
An initial consultation costs £50 pounds for a 45 minute to 60 minute session.
A follow-up sessions costs £30 pounds for 30 minutes.