Treatment

 
  "Caroline brings a caring and dedicated approach to her practice. She demonstrates a sincere willingness to listen and be attentive to her patients' needs. The ease in her style creates a relaxed atmosphere and she treats her patients in completeness, being aware of the body / mind as an integrated whole. I highly recommend Caroline and refer my colleagues and clients to her without hesitation." — R.B.
 
 

There are four main principles upon which my osteopathic treatment is based.

  1. Your body is an integrated whole. This means that the source of your ailment may be located in a part of your body different from where you are experiencing pain.

  2. Your body has the capacity to heal itself, given the right support. My role is to provide that support to your body’s own healing mechanisms, stimulating them to work at their optimal capacity.

  3. The structural integrity of your body and how well it works depend on each other. If one is in trouble, then the other one will be affected too.

  4. You are not just your physical body. Your physical health is closely connected with your complete health. My treatments take into consideration the interactions and influences between your physical body and your emotional, psychological and spiritual health.

To successfully treat your condition, we would follow these steps:

  1. I’ll take you through a thorough case history. This includes the what you’ve come about, as well as a personal and family medical history. I will record any medication that you’re taking and ask about medication in the past. This helps me decide which techniques are safe and appropriate to use. I will also ask you about diet and lifestyle since these have a significant influence on the state of your health.

  2. I will do a structural assessment of your body, particularly the problem area. You will be asked to go through a series of simple moves to help me determine what the problem is and where it lies. Normally, for this, you will need to remove some of your clothing, but this never involves removal of your underclothing. If removing some of your clothing is a problem for you then we can discuss it to find a solution.

  3. I’ll give you an example of why it’s important to see the whole body during examination. A new patient came into my office suffering from frequent headaches. When I examined him, he appeared to have an imbalance at the top of his neck. With his shirt removed, I saw other imbalances in his back and decided to take measurements of his leg lengths. They were very different! This is what was really causing the imbalances in his back. I could see that this disrupted blood flow from the top of the neck into the head, producing the headaches. My treatment, therefore, incorporated compensation for the leg length difference as well as correction of the imbalances in his back and neck.

  4. Sometimes I may need to take your reflexes or blood pressure. There may also be times when I’ll listen to your heart and lungs with a stethoscope, especially in cases of asthma or suspected infection. I’ll probably ask you to put various joints through a series of movements to determine how well they’re functioning. I will then test the same movements myself while you remain relaxed sitting or lying down. I’ll use orthopedic tests to help evaluate such things as muscle contracture, nerve impingement and prolapsed intervertebral discs. Occasionally, I may need additional investigations such as X-rays or blood tests, but this is rare. Once my examination is complete, I will offer you a treatment plan.

During treatment, I can use a range of techniques to help restore your health. This may include stretching of muscles, remedial massage, mobilization of joints and joint adjustment. There is also a subtle technique called cranial osteopathy. One major aspect of osteopathy is 'listening with one's fingers'. Osteopaths have a highly developed sense of touch. Palpation reveals such things as tissue quality and joint mobility that are essential information for diagnosis. Osteopaths also look for such things as skin markings, thread veins, etc. which are clues to the health of the underlying tissue.

I use a wide variety of techniques. The 'classic' ones are soft tissue techniques, including massage, joint mobilizations or articulations and joint adjustment.

Soft tissue techniques includes anything from a gentle relaxing massage to a more rigorous and precise neuromuscular technique. Soft tissue techniques are frequently used to prepare a joint for mobilization and adjustment. This is because there is no point adjusting a joint just to have its motion restricted yet again by tight muscle. In fact, chronic muscle contracture leads to lack of joint mobility which causes further muscle contraction and a viscious cycle ensues. The cycle is broken at the muscular level by soft tissue techniques and active and passive stretching and at the joint level by mobilization and adjustment. These techniques also increase blood flow and nutrition to an area as well as stimulating the nerves. Cranial osteopathy makes adjustments through very subtle changes in the position of bones, nerves, fascia, organs, fluids and other body tissues to promote and restore health.

The number of treatments needed varies with the type of problem and how long it has been present. An average number of treatments is 3-6.

I treat both chronic and acute conditions. With chronic conditions maintenance treatments are often needed. The time period between treatments can vary from weeks to months.



 
Caroline Abrams Osteopath | Tel: 604.730.5950 | info@vancouverosteopath.com

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