Here are the answers to some of your
most frequently asked questions.


Here are the answers to some of your most frequently asked questions.


What can I expect on my first visit?

Your first visit will last approximately one hour.

You will be asked to talk about your symptoms and relevant aspects of your general health to make sure you are suitable for osteopathic treatment.  

There is usually a physical examination. This involves some movement of the affected area to see how it functions. It often involves identifying areas of stiffness and tension in the muscles and joints (by pressing gently into the tissues). Other tests may be necessary depending on the problem.

There is usually some discussion about the findings, a diagnosis, what treatment will involve, how many treatments you may need and what your options are (if Andreas thinks that your condition is unlikely to respond to osteopathic treatment, you will be advised on how to seek further care)

Treatment will usually begin on the first visit. Osteopathy is a ‘package’ of care that includes skilled mobilising, manipulative and ‘massage’ techniques, reinforced by guidance on diet, lifestyle, exercise and education on your symptoms.

What information would be helpful?

Medical reports, scans or X-ray results and medication details are always helpful.  If you are seeking treatment for a specific concern (i.e. a sore lower back) it may be helpful to think about things that may have triggered the condition and what tends to make it worse or better.

Will I need to undress?

You may be asked to remove some items of clothing in order for Andreas to assess and treat you. It is recommended that you wear modest and sensible attire, comfortable underwear and/or shorts for your appointment.

If you are uncomfortable with removing clothing you will be offered a light, disposable medical gown. Towels are also used during treatment. You are welcome to be accompanied by a chaperone should you wish (particularly at Andreas’ home venue in Wandsworth Town).

Can I bring someone with me?

Yes, people often bring partners, a friend or a relative with them. Children under 16 are required to be accompanied by a parent or responsible adult.

Will my back /neck be ‘clicked’?

Andreas will discuss with you what techniques are considered and ensure you are happy with these throughout your session; if there is a certain type of technique you do not wish to have done this is never an issue, there are plenty of other ways your symptoms can be managed. Joint manipulation is just one technique Andreas may use as part of your treatment and this can produce a ‘popping’ or ‘clicking’ sound which is usually painless. Joint manipulation is not suitable for everyone, and some people don’t like it – it is important you feel comfortable with treatment.

You will be involved in decisions regarding your care, your informed decision is final and every part of the process requires your consent to proceed.


Does osteopathy hurt?

Every effort is made for you to feel as comfortable as possible during your visits. You may feel some discomfort when examined or when an area is treated. It’s a common experience that people feel a little stiff or sore later on in the day of the treatment and sometimes the day after; this is part of the healing process and nothing to worry about.

How many treatments will I need?

Each patient is assessed individually, and each individual responds differently to treatment so it is difficult to predict an exact figure. Some benefit is often experienced following the first session and, in general terms, most acute problems are well on the way to recovery after 3-5 sessions.

Andreas should be able to anticipate your course of treatment, and give you a realistic idea on recovery time. Occasionally, with long term problems or because patients may find it useful, regular treatment over a long term basis, for example once every 4-12 weeks may be suitable for ongoing prevention and/or maintenance.

Will I need to come back for check-ups?

Patients are generally encouraged to self- manage and look after their own health as much as possible. However, some people benefit from periodic treatment sessions, e.g. every 3 months and most of Andreas’ patients like to return often or when they need some help.

Do I need to see my doctor first?

Healthcare insurance providers often insist on a GP referral prior to osteopathic treatment so you would need to contact your GP in this instance. However, osteopaths are trained to examine and understand health problems themselves so you can simply call and make an appointment.

Osteopaths are also trained to recognise when a person needs medical attention rather than osteopathic treatment. Your consent will be required to make a referral to your GP (or other professional).

Is my personal information kept confidential?

Yes, your notes have the same protection as your other medical records.

In the event that you are referred to another professional (GP, physiotherapist etc) your explicit and written consent will be obtained.

Please see Andreas’ privacy policy.

Can I claim on my private medical insurance?

Many private health insurance policies provide cover for osteopathic treatment. It may be possible to claim for a course of treatment but you should check in advance with your insurance company before seeking osteopathic treatment, in order to confirm the available level of cover and whether you will need to have a referral from your GP or a specialist.
Many insurance companies provide an annual limit for self-referred treatment by complimentary healthcare practitioners, such as osteopaths. In such cases, you will be able to claim back costs and reimbursed after your insurance receives receipt of payments (usually with an authorisation reference/ number provided by the insurer). Andreas will be happy to provide all documentation required.

Are there any risks of having osteopathic treatment, and is it safe?

Osteopathic treatment carries very few risks. Minor adverse reactions are not uncommon and include short term increase in pain and/or symptoms and minor headaches or fatigue. Severe adverse reactions are very rare. Recent research has demonstrated that whilst the former are common, the latter are very rare and are reduced by thorough clinical history and examination. Techniques will be adapted as appropriate in order to keep treatment safe and if you are not suitable for treatment at all, Andreas will discuss other treatment options and/or refer you to the appropriate medical professional.

Osteopaths are trained for a minimum of 4 years and are regulated by the General Osteopathic Council (GOsC). For more information about osteopathy training and the professions’ regulation please visit the General Osteopathic Council (GOsC) and Institute of Osteopathy (iO) websites. Any specific risks will be discussed with you before any examination or treatment begins. If you have any concerns then please contact Andreas and he will be happy to discuss these with you.

Get in touch today

If you have any other questions or if you want to go ahead and book a treatment.
Contact Andreas here

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