Chiropractic and Osteopathy both started in the USA in the mid 1890’s. Nurses in the UK formed the first Physiotherapy society around the same time. In an era where mainstream medicine had long since moved away from manual therapy, the founders of these professions saw a need for an alternative to drugs and surgery. All the manual therapies have their strengths and there’s a lot of crossover between the manual medicine fields. Effective management relies accurate diagnosis after which a combination and approaches may be required.
Over the last hundred years, all of the health professions have evolved. With hundreds of techniques aimed at treatments from head to toe, chiropractors, osteopaths and physiotherapists may tend to vary in the way they practice. Chiro is Greek for hand and practic obviously rounds out the title to denote a manual practitioner. Osteo is a reference to bone and path to disease. Physiotherapy is pretty self explanatory. With evolution of the manual therapies they have probably become more similar rather than different as modern therapists who are evidence based embrace a range of strategies and treatment styles to suit the problem at hand.
In our practice we like to embrace many techniques. At the end of the day it’s the result that’s important. To that end we like to measure outcomes over time and at the start and end of each session. Patients normally want to get rid of their pain. In most cases it’s improved function that paves the way to overcoming a painful condition. In the situation of a chronic or recurrent condition, instant fixes are rare. Long term problems normally require a long term solution.
Analysis of posture, movement, reflexes, muscle tone and strength provide the chiropractor with information regarding the state of the nervous and musculoskeletal systems.
Ideally, clinic sessions should be kept to a minimum whilst managing a problem or condition. Progressive postural and physical rehabilitation in the form of home tasks, exercises and plans of action should accompany treatment to ensure the most effect is gained from each clinical session.