Postural Correction

Photo of patient showing before and after treatment.

The left photo show a patient before a course of treatment at Balance-Rite Osteopathy Clinic. The improvement can be seen in the right photo.

You do not have to wait until you feel pain or have an injury to get osteopathic care. At Balance-Rite Osteopathy we have many years of experience treating patients with numerous complaints and our approach to assessment and treatment addresses any underlying mechanical dysfunctions of your whole musculo-skeltal framework. We therefore, can assess and identify dysfuctional areas in your musculo-skeletal framework, before they have become a problem that is likely to cause pain in the future and can work with your mechanical system to improve it. (Read about our approach to assessment HERE.)

We regularly see patients who come to our clinic in pain. Using our comprehensive assessment approach, allows them to see what mechanical dysfunction is behind what has caused them to become injured. With most patients, alleviating the pain does not take long, however, absence of pain does not necessarily mean that the initial underlying cause has gone! A persons posture is not solely determined by the way in which a person sits, stands and holds themselves, it is also affected by mechanical dysfunction in areas of the spine and musculo-skeletal system. If the mechanical functioning is incorrect, the supportive nature required by various parts of the body, are not functional.

It is far easier to explain with a visual image and the photographs on the right show a patient before and after a course of treatment at Balance-Rite Osteopathy Clinic.

This eleven year old boy had been suffering with right ankle pain during the day and at night, for 3 years before attending our Chertsey Clinic. He was diagnosed by his Gp with ‘growing pains’ and four months before attending our clinic, was prescribed orthotics to put inside his shoes and trainers, to correct his dropped arches and flat feet. These did not help, or improve, his ankle pain.

Using our macroscopic, mechanical diagnostic approach, assessment revealed:

  • The vertical red line is placed at the back of the ankle bone in both photos. In the left photo the patients body leans too far forward and so by the time the red line gets to the top of the body, it doesn’t pass through the middle of his head as it should, as seen in the right photo.
  • Laterally facing and pronated feet (turn outwards and flattened arches).
  • What appears to be a longer right leg, with the ankle folding inwards (see rear-view, left, lower photograph).
  • A forward tipping and rotated pelvis, causing the hips to be un-level and twisted.
  • The twist through the hips caused the thigh bones to rotate and turn the knee caps outwards.
  • The twisted thighs caused the lower leg to rotate outwards- giving a knocked-knee effect.
  • The forces through the leg caused the feet to turn out and the inside arches to flatten, with the un-level pelvis/hips making it worse on the right foot.
  • The position of the pelvis caused the lumbar spine (lower spine) to become mechanically dysfunctional, which in turn caused a collapse of the thoracic (upper spine) and rib cage/chest because of a lack of support below it.
  • The head and neck were held in a forward position, due to positioning of spine and lack of support below.

Using our microscopic, mechanical diagnostic approach, assessment revealed:

  • Rigidity in the joints of the ankle and feet
  • Ligament and muscle strain in the ankle and feet
  • Mechanical strain in the spine of vertebral joints, muscles, ligaments and soft tissues.


Photo of patient showing before and after treatment.

The left photo show a patient before a course of treatment at Balance-Rite Osteopathy Clinic. The improvement can be seen in the right photo. Click on image to enlarge.

Treatment was directed at correcting the mechanical dysfunctions of the whole musculo-skeletal framework and not just the patients feet. With this approach his symptoms of ankle pain were successfully relieved after only the first treatment.

However, even though the patient no longer felt pain, the underlying mechanical dysfunctions remained, having taken some years to develop as he grew. The decision was taken to continue treatment to correctly adjust these underlying problems, in order for the symptoms not to return.

Treatment was weekly initially and daily exercises were prescribed to be carried out between sessions.

You can see from the right-hand photographs, that the whole standing posture is improved over a period between March and August 2013. The pelvic angle is not tipped so far forward, providing a stronger more supportive lumbar spine for the upper thoracic spine to sit on. This alters the position of the whole upper shoulder girdle, chest/rib cage and ultimately the head and neck.

The core muscles of the abdomen are no longer under as much tension and are able to support the lower back (lumbar spine). The front of the rib cage is elevated and more open, with the shoulder girdle and shoulder blades in a more supportive position for the neck and head. The head is now held in a more upright position with the chin and top of the head more horizontal and level.

Photo of patient showing before and after treatment.

The left photo show a patient before a course of treatment at Balance-Rite Osteopathy Clinic. The improvement can be seen in the right photo. Click on image to enlarge.

Below the pelvis, the hips are now in an improved position, which allows the thighs, lower legs and feet to be altered to a new position, more forward facing and less collapsing of the inside feet arches.

Having reached a more stable and functional framework using our treatment approach, this patient now has regular monthly pro-active treatments to maintain his now better aligned and balanced whole body mechanics. This will be beneficial for him as his bones ossify and become his adult skeleton, hopefully helping to prevent problems in later life.

Now aged twelve and a half, the pain in his ankle has not returned since his very first visit to us at Balance-Rite Osteopathy Clinic.  Had treatment been stopped after the first session where pain was no longer felt, we would not have gone on to achieve such dramatic changes in this young patients whole mechanical framework. It would also have been inevitable that the pain would have returned, as the underlying cause had not been changed.

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