At your first osteopathic appointment, you can expect me to take a detailed case history, covering your current symptoms, medical history, and any systemic features that might be relevant. This information gives me an idea of what your diagnosis might be, which I can then test with a physical examination. The examination may involve you removing some clothing to help me see what’s going on. For this reason, you might feel most comfortable wearing shorts or leggings, and a sports bra or vest. I will not ask you to undress any further than you are comfortable.
After seeing how you move, I can give you a more definite diagnosis and plan of action. Most patients do have treatment in their first session, which may involve soft tissue massage, and mobilisation or manipulation (“clicking”) of joints where appropriate. At the end of the first appointment, I will likely give you some advice for exercises, use of heat or ice, and other changes to make, such as tweaks to your desk ergonomics. You’ll also have an idea of roughly how long it will take for you to meet your goals.
If you have aches and pains in the lower back, buttocks, or hips after birth, it might be beneficial to assess the pelvic floor. Internal techniques are optional, but may be helpful to give a better idea of which muscles are involved with your symptoms. It is unlikely that internal assessment will be appropriate at your first appointment, and we can arrange for a chaperone at subsequent appointments if you would like one.
Pelvic floor work can also be appropriate for women who: