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Treatment is very often a distress purchase. I’m in pain and I want to get rid of it. As practitioners our training is directed to safely and competently achieving good outcomes for our patients. Continuing professional development continues this focus through compulsory lifelong learning. So whether its hands on (osteopathy, gua sha, massage, manipulation or acupuncture) or hands off (clinic and home based exercise programmes) plus advice around life-style choices and activities of daily living we find most patients get good symptom relief within six sessions.

The process is familiar – history and assessment to form a diagnosis, treatment plus homework, relief followed by discharge or referral back to GP for further investigation where there’s been insufficient progress.

And now the dilemma, what comes next? Whilst writing this I’ve just booked one of our ‘regular’ patients in for another session of treatment to relieve the same symptoms that I’ve been treating for the past 10 years. I’d much rather not just keep him ticking along, given the alternative, which is to take a step back and get to the bottom of why these symptoms come along two or three times a year, then plan a course of action to correct it. But he just wants to get ‘fixed’ and get back to his work. Read on to find out what we would recommend instead and ask yourself if this could also apply to you too!