Our Approach to Assessment

Assessment & diagnosis of your condition. 

The initial assessment involves examining your whole musculo-skeletal framework for asymmetries, in both a macro-structural and micro-structural manner.  This short video, guides you through what to expect at your first assessment at our clinic, identifying the differences in our approach to assessment & treatment compared to that of all other osteopaths, chiropractors, physiotherapists and manual therapists in Chertsey and the surrounding areas within Surrey. You will see actual photographs of patients before and after their treatment at our clinic.

Photos showing before & after treatment

Click on the photo to enlarge.

Macro-structural Examination

This is more easily explained by looking at the left of the two photographs showing a patient before and after treatment. This photograph shows how the pelvic girdle is side-shifted to the left, with a rotation to the left. This affects the positioning of the hips, legs and attaching soft tissues (muscles, ligaments, tendons and fascia) as they extend down from the pelvis and into the legs, causing incorrect and unbalanced tensions in the soft tissues.

The effect of the pelvic ‘twists’ on the lower leg and adjoining bones and soft tissues, in this case, is causing the left knee to be hyperextended and sit behind the right knee with the effects continuing down into the feet. Here both feet are slightly turned out but the left foot is worse, showing from behind, more of the outer part of the foot and none of the inner part (big toe).

The effects of the pelvic girdle twisting, also continues upwards, by rotating and sidebending the individual vertebrae of the lumbar and thoracic spine. This has caused the shoulder girdle to rotate forward on the right, showing a more prominent shoulder blade on the left. The result of this is to place unequal tensions through the muscles and soft tissues into the neck and head.


Photos comparing differences in microscopic examination

Photos 1 and 2 show how the spine compensates and develops localised areas of spinal segmentation. Photo 3 shows the correctly adjusted spinal vertebrae sitting one on top of another in a straight line.

Micro-structural Examination

Again, looking at the three photographs on the right you can see in photo 1 and 2 where the individual vertebrae have rotated away from the central mid-line of the spine. In photo 2 there is a group of several vertebrae that have rotated and formed a slight side-bend to the left (between the two arrows) away from the central mid-spinal line. When this occurs in the spine it can form what is known as a somatic dysfunction and the attaching soft tissues become unbalanced with an unequal distribution of strain and tension placed through them. This tends to make them less mobile than the surrounding vertebrae and thus the spine no longer works as one whole functioning unit, but in segmented parts.

In photo 3 you can see a correctly balanced spine after having received a course of treatment, using our unique approach at Balance-Rite Osteopathy Clinic. The vertebrae are all running straight along the mid-spinal line, with the vertebrae stacked one on top of the other. This spine will operate mechanically correctly as a whole unit. It is able to move freely, in both micro-structural and macro-structural movement, along its whole length and without any asymmetrical strain or tension placed on the attaching soft tissues, as they are now balanced on  both sides of the spine.

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