Registered Osteopath

– José Manuel Ponce

Osteopathy: Patient Information

the advantages and disadvantages of osteopathy & other frequently asked questions
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What Are The Advantages And Disadvantages Of Osteopathy?

Osteopathy is a body-oriented therapy which works on your structure to provide the best physical environment for all your body systems to function optimally and thus improve your total health

 Osteopathy is non-invasive, highly effective and very safe. However there are occasions when some forms of manual osteopathic manipulation might pose a risk

Osteopaths is trained to be aware of any potential risk and will assess the safety of any intervention and seek your informed consent before carrying out a procedure. For your information and further peace of mind I’ve prepared a guide to what you might expect during and following a treatment

 

What Can I Expect From Osteopathic Treatment

In Treatment

Manuel is fully qualified osteopath ...

…registered with the General Osteopathic Council, and preferentially uses the cranial approach to osteopathy

This is a very gentle form of treatment, and suitable for people of any age, from newborns to the elderly. It is a very safe form of treatment but there are some facts that you should be aware of:

About Your Osteopathic Session

Osteopaths treat using their hands and will place their hands on various parts of your body. If you feel unhappy with hand contact in any part, you should tell Manuel immediately

Whilst we use our professional skill do our utmost to help you with your problems, we cannot guarantee the outcome because every patient is different

Osteopathic treatment affects the whole body, and it is not possible to treat one part in isolation without influencing and changing other parts

Therefore Manuel may spend some or all of the session in an area distant from your symptoms. This is because the cause of the problem lies distant to the area of symptoms

During treatment you may feel sensations in various parts of your body. This is usually a feeling of warmth or tingling, or a sense of deep
relaxation. Occasionally some discomfort may be felt. You should tell Manuel immediately if you are in pain

It may be helpful during the course of your treatment for the osteopath to either inform your GP about areas of your health and treatment or to obtain details of your medical history, Your consent is required for this and we will ensure that we inform you before doing so.

Post Treatment

General Osteopathy

A normal treatment response is for symptoms to change after a treatment, often for up to a week. Normally any new symptoms will be short lived and pass after 2 to 3 days

It is common for old symptoms to reappear temporarily during a course of treatment

If you are in more pain for more than 2 to 3 days after a treatment, or if you are concerned, please contact Manuel for advice

Occasionally a new symptom area develops; this is due to the whole body responding to the treatment

A degree of light-headedness is common after treatment; this is normal and usually lasts a few hours at most

More rarely dizziness may occur after treatment, if this persists for more than 2 to 3 days you should contact Manuel

Babies are usually relaxed settled and sleep well after a treatment, but occasionally they may be unsettled, sometimes severely so. This is temporary, but if it persists for more than 24 hours, again contact Manuel

Cranial Osteopathy

Cranial osteopathy is very low risk because it is so gentle, but no treatment is 100% risk free

In some cases pain may get worse before it gets better

If you are a migraine sufferer, in a small number of cases the treatment will trigger a migraine. It will not cause migraine if you are not a migraine sufferer, although a headache can occur after treatment for a few hours

In a patient who has a history of seizures or epileptic fits, although osteopathic treatment is often beneficial in reducing the number of fits, it may trigger a fit after treatment

Rarely tinnitus (ringing in the ears) can be caused by cranial treatment.

Serious Reactions

Serious reactions are extremely rare. Osteopaths are trained to take the utmost care to fully assess the suitability of all interventions to protect you from harm

Osteopathic manipulation is contraindicated in cases of fracture, joint dislocation, tendon and ligament rapture and where disease such as cancer or osteoporosis may weaken bone

Vary rarely osteopathy has been implicated in cases of stroke. This is almost invariable after high velocity mobilization of the neck

Rarely, cranial osteopathic treatment has produced tinnitus, dizziness and migraine in sufferer. cranial treatment can also trigger a fit in epilepsy sufferers in the short term, though it may help in the longer term

Pregnancy

It is important that you tell your osteopath as soon as you know you are pregnant

We know of no evidence to show that cranial
treatment carries a risk of miscarriage even curing the critical first 12-week period, although forceful manipulation would be contraindicated at this time

Confidentiality

Data Protection

Under the Data Protection (1988) Act, we are required to advise our patients on our Data Protection Policy

As part of the patient record, practitioners are required to retain information for the purpose of consultation for treatment, recording subsequent treatments and for the use by third party medical
practitioners only at the request of the patient in writing

All information will be stored for as long as the patient remains a patient of the clinic and thereafter for a period of 7 years (until the age of 21 for children)

All information provided will be treated as confidential and will not
be given to any other person or organisation without your written consent

andvantages and disadvantages of osteopathy

Frequently Asked Questions

Below is a collection of questions often asked by clients. The list is a work in progress and I would greatly welcome your contribution

Please submit your question(s) via the contact form

General

What should I bring to my treatment session?

Please bring with you any documented information you have about your health, such as

  • Xrays / scans
  • Blood, urine and other laboratory tests
  • Letters and reports from your GP, consultant, physio or any other health professional
  • A list of medications you’re taking
  • Your own notes on your current and past medical history. eg. a diary of your symptoms, or a list of any diagnoses you’ve been given
How will Manuel examine me?

The assessment is based on taking a history, observation, and hands-on examination

Your consent is required at every stage, either during examination or treatment

Consent to a procedure is for that occasion only and not automatically apply on a subsequent occasion

 

How will Manuel treat me?

Manuel uses a variety of treatment methods including

  • massage
  • joint mobilization
  • acupuncture
  • the cranial approach

He uses the cranial approach preferentially. This is a very gentle, safe, yet effective form of treatment suitable for all ages and all body regions

What should I wear?

You can wear any combination of loose-comfortable or stretch clothing which doesn’t restrict you movement. Please avoid items such as tight jeans or leathers

Will I need to undress?

Manuel will need to examine you sufficiently to adequately investigate your symptoms in order to reach a diagnosis and offer you a treatment plan

This does not automatically entail undressing. However, on occasion Manuel may suggest you remove some item of clothing to carry out some vital procedure, following which you will be able to re-dress

If you find you are not happy about any aspect of undressing please let Manuel know, if possible prior to your session

If you were not aware of this before-hand you’ll be given a chance to reschedule your treatment so you can plan your attire, perhaps bring a chaperone, or maybe consider consulting a different practitioner

Can I bring a friend or family member?

Absolutely: you are more than welcome to bring a chaperone of your choosing so your session is enjoyable and beneficial

What if I am not happy with a proposed intervention?

The use of some procedures, such as acupuncture and high-speed manipulations is not to everyone’s taste

Or you may find that a procedure requires being touched in a place you’re not altogether comfortable with

Manuel will check with you beforehand. Even so, if you decide against it, please let Manuel know immediately

In most cases we can offer you an alternative that’s appropriate, effective and safe

In every case you can take time to consider, even postponing your decision to a future session if necessary

What should I expect after a session?

A normal treatment response is for your symptoms to change after a treatment, often for up to a week

  • occasionally a new symptom area develops; this is due to the whole body responding to the treatment. New symptoms are normally short lived and pass within 2 to 3 days
  • old symptoms may reappear temporarily during a course of treatment
  • light headedness and rarely dizziness can develop after treatment. If dizziness persists for more than a day you should contact Manuel

Manuel will advise whether he expects a reaction after your treatment, but please note that it can be difficult to predict accurately because every patient reacts differently.

Mum & Baby

How will Manuel treat me during pregnancy?

A normal treatment response is for symptoms to change after a treatment, often for up to a week. Normally any new symptoms will be short lived and pass after 2 to 3 days

It is common for old symptoms to reappear temporarily during a course of treatment

If you are in more pain for more than 2 to 3 days after a treatment, or if you are concerned, please contact Manuel for advice

Occasionally a new symptom area develops; this is due to the whole body responding to the treatment

A degree of light-headedness is common after treatment; this is normal and usually lasts a few hours at most

More rarely dizziness may occur after treatment, if this persists for more than 2 to 3 days you should contact Manuel

Babies are usually relaxed settled and sleep well after a treatment, but occasionally they may be unsettled, sometimes severely so. This is temporary, but if it persists for more than 24 hours, again contact Manuel

How will Manuel treat my baby?

Cranial osteopathy is very low risk because it is so gentle, but no treatment is 100% risk free

In some cases pain may get worse before it gets better

If you are a migraine sufferer, in a small number of cases the treatment will trigger a migraine. It will not cause migraine if you are not a migraine sufferer, although a headache can occur after treatment for a few hours

In a patient who has a history of seizures or epileptic fits, although osteopathic treatment is often beneficial in reducing the number of fits, it may trigger a fit after treatment

Rarely tinnitus (ringing in the ears) can be caused by cranial treatment.

Is osteopathic treatment safe in early pregnancy?

Serious reactions are extremely rare. Osteopaths are trained to take the utmost care to fully assess the suitability of all interventions to protect you from harm

Osteopathic manipulation is contraindicated in cases of fracture, joint dislocation, tendon and ligament rapture and where disease such as cancer or osteoporosis may weaken bone

Vary rarely osteopathy has been implicated in cases of stroke. This is almost invariable after high velocity mobilization of the neck

Rarely, cranial osteopathic treatment has produced tinnitus, dizziness and migraine in sufferer. cranial treatment can also trigger a fit in epilepsy sufferers in the short term, though it may help in the longer term

Giving Feedback

How do I give feedback about my treatment?

For general questions please contact me via the contact form or call me on +44 7735 448588

To give positive feedback you can leave a testimonial with a star rating on my Google Review page

How do I express concern about my treatment?

If you have a concern about your treatment please contact me by phone on +44 7735 448 588 or write to me either via the contact form contact form or email to manuel@cranial-osteopath.com

I will do my utmost to listen to your concern and offer you ways to bridge any communication gap, apologize and offset any adverse effect with further treatment or referral to a colleague

I take your concerns very seriously and will undertake to learn from the situation to rectify any mistake and prevent such an event happening again in the future

If you are not comfortable speaking to me directly or are not satisfied with the outcome of our conversation you may wish to contact the General Osteopathic Council (Tel +44 20 7357 6655 x224) for information and advice

For your information the Council provides a pdf leaflet How To complain About An Osteopath

 

How do I lodge a formal complaint?

If you wish to lodge a formal complaint please contact the General Osteopathic Council:

 

  • GOsC web-site
  • GOsC Tel +44 20 7357 6655
  • General Osteopathic Council, Osteopathy House 176 Tower Bridge Road, London, SE1 3LU
  • Re. Joseph Manuel Ponce – Ref 1038

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