What to expect at your appointment


Please allow about an hour for your first appointment and about 30-45 mins for follow up appointments.

A detailed Case History

We will take a detailed case history including information such as present symptoms, onset, cause, how it is affecting your day to day living, your past medical history including – general health, medication, diet & exercise, stress both physical & emotional, any illnesses, operations, trauma and any dental work. Please add anything you think will be beneficial for the practitioner to know.


A thorough examination

On your first appointment we may ask you to undress down to your underwear so we can assess the movements of the spine. If you prefer to, you can wear a pair of shorts and vest. You are also very welcome to bring someone with you if that makes you feel more comfortable. We assess your posture, asking you to do bending and moving of your body. We may carry out relevant clinical tests such as taking your blood pressure, listening to your lungs or checking your reflexes. We also may carry out tests to try to reproduce the pain in order to help us to make a diagnosis.



Based on the case history and assessment we’ll discuss with you our thoughts and findings and arrive at a working diagnosis. This takes into consideration the cause of the current symptoms but also looks at why this problem has developed, including any predisposing and maintaining factors.

Treatment aims to relieve your current symptoms, but also address the underlying cause. Lifestyle advice is given to help reduce the maintaining factors causing a problem so that re-occurrence is less likely.

Responses to treatment – sometimes you can feel a little sore after a treatment (24-48 hrs) which is quite normal. Treatment can sometimes cause the body to go into a “healing crisis”, which is when your body is trying to accommodate and make the changes treatment is asking of it. If you are concerned that your treatment response is more than you expected, please call and speak to your osteopath. We may ask you to come in for a free-of-charge assessment or if needed refer you on to your GP.

On average you can expect to have between 2-6 treatments for the presenting problem, but this will depend on the severity and length of time it has been around. It is very common to continue with maintenance treatments to reduce the return of the symptoms – a bit like an MOT for your car!


For Babies & Children

All children under the age of 16 yrs must be accompanied by an adult (preferably a parent).

Currently, Rochelle is the only practitioner that treats babies and children. However, if your teenage is needing treatment then Eli, Honor and Hannah will be happy to see them.

As well as taking a detailed case history we will ask about your pregnancy and labour, the birth and your child’s development. We assess their movements and posture to help identify any underlying factors causing the problem.

For younger children – It is helpful if parents/carers entertain their child during treatment, so if they have a favourite toy or book then do bring these along. We do have some books and toys available. Babies and children don’t have to lie down for treatment. They can sit on the floor and play, sit on your lap or have a breast/bottle feed. You could explain to your child that the osteopath will place their hands on their head or body and treatment will not cause them pain. Please bring your child’s red book to your appointment so we can communicate the treatment with your Health Visitor & Doctor.



Your first appointment is generally 1.5 hours long and is designed to map a clear picture of your health, why you have decided to come for acupuncture and what you would like to achieve. This time is used to get to know you and your health concern (or concerns) which is a vital part of the initial consultation, this ensures that your treatment is entirely tailored towards you and what is important.

• During your consultation you will be asked questions about your medical history and questions about your current symptoms and health. Questions about energy, sleeping pattern, digestion and emotional wellbeing. Women will also be asked about their menstrual cycle, any past pregnancies and childbirth.

• Some questions asked may seem that they do not relate to your current condition but the information will be used to provide a more complete picture of your health and wellbeing.

• Your pulse on both wrists will be taken, with observation of your tongue along with an examination of muscular areas of tension or pain.

• Once a clear picture of your health has been formed, we will talk about your treatment options and agree on a personalised treatment plan.

• When you are comfortable on the couch, single-use, ultra-fine needles are placed at acupuncture points. Some people do feel the sensation of these, but rarely are they described as painful.

• The needles are usually left in place between 20 – 30 minutes depending on what is being treated and your overall condition. I will often leave you to relax but at all times be contactable. Most people find acupuncture very relaxing and often fall asleep during treatment.

How should I prepare for my visit?

Many acupuncture points are located on the lower arms and legs so it is helpful to wear loose clothing that enables access to these areas. Try to avoid being treated after a large meal or on an empty stomach.

What should I expect after treatment?

The majority of people find acupuncture very relaxing and feel very calm following treatment. As you may feel a little tired or sleepy you should take this into account if you are planning to drive or operate heavy machinery straight after your treatment.
You should refrain from vigorous exercise following treatment and ideally give yourself some time to rest. Try not to drink alcohol for several hours following treatment.

Acupuncture has very few side effects, if any do occur these are often self-correcting and mild. Occasionally, symptoms may flare up briefly following treatment; this is usually short-lived and followed by an overall improvement.

You can contact Sheonagh by email or phone if you have any questions.


If you have any questions about what to expect then please do get in contact and speak to a practitioner before your appointment.