Osteopathy is a 100% natural hands on method of assessment, diagnosis and treatment. It takes an osteopath 4 years full time to graduate and with over 100 new patients seen in clinical practice prior to graduation.

At Evolve Osteopathy I promote a holistic approach and utilise a Naturopathic philosophy with Osteopathic Medicine.

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What Is Osteopathic Medicine?

Osteopathic Medicine is a system diagnosis and treatment using manipulation, using the hands to correct joint and tissue abnormalities. Osteopathy helps to Restore physical and mental emotional well-being, making it easier for the body to function normally and to recuperate effectively. Central to Naturopathic teaching is the belief that the body has the ability to heal itself through its own “homeostatic” mechanisms.

In Naturopathy, incorrect diet and lifestyle practices as well as environmental pollution are among the principal causes of poor health. Naturopathy utilises dietary and lifestyle advice, hydrotherapy, exercise and other “modalities”. It is not an invasive regime and, as a way of life, is a logical basis for health.

Tom Smith, Evolve Osteopath and Naturopath believes that Osteopathy and Naturopathy have many inherent therapeutic links and synthesising these is at the core of his philosophy. These concepts were once radical for mainstream healthcare but research has come to support the idea of such a “Bio-Psycho- Social Medicine”.

Holistic and Naturopathic Osteopathy as taught and practised by Tom Smith is based on this Bio-Psycho-Social model of health care.


What to Expect – Your first appointment

At Evolve Osteopathy we consider the biological, psychological and social factors instead of viewing your body and symptoms only in isolation.

If the appointment is your first consultation on an issue, we will begin by asking you questions about your case history so we can understand you and your complaint in more detail. This is followed by a thorough medical and osteopathic examination, where you will be asked to undress to your underwear if you are happy to do so.

During the exam, an assessment of your posture is taken, looking at the way you naturally hold yourself and looking for clues as to how your body may be functioning. We will look at how you move, asking you to move in certain ways and also perform some clinical orthopaedic and neurological tests to assess your joints and nerves.

After an examination, we will then discuss with you about what we think is causing the problem to a complaint and a working diagnosis. We will also advise you on possible treatment options, possible effects, and may also advise you on corrective exercise, diet or lifestyle changes which could help manage or improve your complaint.

If needed for your case, an onward referral to your GP or other practitioner(s) may be needed to assist your treatment or even referral for an xray or scan.

Your first consultation will take an hour, and may not always result in treatment depending on the complexity of the case. If this is the case then you will be re-booked for a follow up visit as soon as possible.

Follow-up appointments

Follow up osteopathy appointments will involve more treatment and less examination although periodically re-assessment may be needed to monitor progress. Treatment visit frequency and number of visits will depend on how well patients respond to treatment and case dependant.

Often, patients will go through a course of treatment that progresses from the initial more intensive stage to a corrective phase and patients may opt for wellness care with a monthly maintenance visit.

Follow-up appointments are usually shorter in length and last approximately 45 minutes.

Treatment Techniques

Osteopathy is a hands-on manual therapy that uses a wide range of Osteopathic techniques to increase the mobility and function of tissues throughout the body. The aim of these techniques are to enhance the blood and nerve supply to the tissues, which promote the body’s own healing mechanisms. Some of my skills include:

  • Joint manipulation and articulation – easing joint restriction, relieving pain, promoting nerve function between the site of the symptoms and segments of the spine, allowing better movement away from the site of the pain.
  • Visceral techniques – applying gentle techniques on the internal organs to assist digestive and circulatory problems or breathing difficulties.
  • Soft-tissue massage and stretching – improving range of motion and muscle flexibility.
  • Muscle energy techniques – This involves repeated isometric contractions with passive joint movement to increase joint mobilisation and lengthen contracted muscles
  • Myofascial release techniques – These techniques are similar to deep tissue massage and are designed to stretch muscle and reduce tension
  • Lymphatic pump techniques – These techniques attempt to mechanically assist lymphatic drainage. There are a small number of contraindications to this technique.