This system of therapy treats the mechanics of the human body – the bones, joints, muscles, ligaments and other connective tissues. Osteopaths believe that many diseases are caused by the problems with the body’s structure; therefore, if they fix the structural problems, the body will be encouraged to heal itself. They use gentle, manipulative techniques to reduce tension and restore health. Although osteopathy is especially effective in treating such problems as muscle and joint pains, an osteopath always tries to find out why these disorders are occurring, in case they are symptoms of some other disorder. A first visit usually lasts up to one hour. The osteopath asks about your lifestyle, work and leisure activities, as well as your illness. He or she examines you standing, sitting, and lying on the treatment table. You may be asked to bend or stretch to see how your body responds in different positions.

Soft tissue manipulation, with a range of massage like techniques that help relax tight muscles and tighten loose ones, is often the first stage in treatment. The osteopath uses his or her fingertips to probe your muscles to seek out tension and other problems. If you have joint problems, the osteopath may use gentle rhythmic strokes and stretches to ease them. He or she may also try a technique known as the high velocity thrust. This is a rapid, painless movement, usually used on the spine. It makes the joint move and click and the muscles around the joint can be relieved with this technique.

You may even need several return visits, which usually last about half an hour each. The number of visits required will vary according to several factors – the condition itself, how long you have had the problem, and your age (younger people usually need fewer visits). Besides joint and muscle problems, disorders that may respond well to osteopathy include sports injuries, migraine, premenstrual syndrome, constipation and such respiratory problems as asthma.