Initial visits can last up to one hour and follow-up visits up to 30 minutes. After a thorough history is obtained, the patient receives an Osteopathic structural and functional examination. The patient is then treated while lying on their back, front and occasionally in a seated position. At times the patient may be asked to change positions or to participate in some way in the treatment process. Accommodations are always made to make the patient as comfortable as possible.
Various techniques or modalities may be used, based on what is most appropriate for you at that time. These may include gentle soft tissue techniques, such as counterstrain or myofascial release, or thrusting techniques, which DO’s call “high velocity-low amplitude” technique, cranial osteopathy to name but a few. All of these modalities are performed with very little force. Whatever techniques are used, the principles upon which the treatment is based do not change. I look for the health within my patients and work to support your innate capacity for healing. Because treatments are a collaboration between patient and physician I will always discuss what I plan to do respecting your comfort and the needs of your system. There are rarely, if ever, contraindications to the use of Osteopathic treatment, even though there may be a particular technique that might not be appropriate for an individual patient based upon their condition or their preferences.
What To Wear
Patients are treated fully clothed, except for shoes. Wear comfortable, loose fitting clothing, or bring some with you, when possible. Please no sharp objects. Belts, buckles must be removed prior to treatment. For women, loose pants are preferred. Please refrain from perfumes and strong fragrances, as some of our patients are chemically sensitive. It helps to be as relaxed as possible before your treatment, so please refrain from consuming stimulants such as coffee and nicotine right before your treatment.
Typically, patients feel very relaxed and peaceful after a treatment. Occasionally patients experience one or two days of feeling tired or mildly sore. This is normal, often referred to as a “treatment reaction” and can indicate that the treatment process is continuing and that the injury pattern or dysfunction is starting to heal. The time it takes one to heal is dependent on many factors, but in general, the more chronic the issue, the longer it may take. I would usually expect to see some signs of improvement within the first 2 to 3 treatments and will reevaluate at that time. True healing involves respecting the healing process with both the physician and patient setting realistic goals and reevaluating
What To Do After Your Treatment
Because Osteopathic treatment alters the dynamics of tensions held by the tissues and fluids, I recommend that patients “take it easy” for the first two to three days after each treatment. In other words, get adequate rest, limit or eliminate high impact or intense work-outs, avoid excessive alcohol or caffeine, and keep well hydrated with water.
I can collaborate with other members of your health care team (other physicians, as well as physical therapists, acupuncturists, counselors, etc.) as needed. I can also recommend any of a variety of other complementary healthcare modalities, such as dietary changes, nutritional supplements, homeopathy or therapeutic exercises, as part of your overall treatment plan and make referrals as necessary.
It is also preferable, although not absolutely necessary, to schedule other types of constitutional treatments, such as massage, acupuncture, PT, OT, and homeopathy, more than 72 hours before or after Osteopathic treatments. The reason for this recommendation is that the normal healing process takes about 72 hours to fully mature, so this timing allows your system adequate time to fully respond to each treatment before the next is introduced. But please do not let this become another source of stress in your life.