Initial Consultations

The initial consultation is an extremely important part of the osteopathic process.  It involves a thorough case history assessment in which I will ask a lot of questions about your current complaint and past and current medical health and well-being. A physical assessment follows this, whereby I will examine the areas of the body which I believe may be the cause of your discomfort by looking at posture, movement and using orthopaedic and other clinical tests. Areas of assessment often include the spine, joints, muscles, fascia, and ligaments or abdominal or pelvic organs. 

Once a working diagnosis is reached this will be explained to you along with what I feel may be the best treatment plan to implement. Treatment application will depend on the individual patient and their issue but may involve some of the following: joint mobilisation and manipulations, soft tissue and stretching techniques, visceral manipulation, relaxation and breathing and lifestyle, exercise and nutritional advice. 

It is important to note that on some occasions osteopathy may not be suitable or additional tests may be required to ensure the best and safest treatment option is given to you. Sometimes what seems like a simple musculoskeletal complaint may in fact be systemic in nature. This is another reason a thorough case history is important.  In this case, you will be referred to your GP.

Please note that Nexus Vitality will be closing at the end of January 2020 due to relocation abroad. The last day of business at Pimlico will be Thursday January 30th, 2020. The last day of business at Belsize Park will be Friday January 31st, 2020.

During Christmas, business will be closed, Christmas and Boxing Day and New Years Day.

Follow Up Appointments

Follow-up appointments always involve the continual assessment of how treatment is helping you and if it is not, alternative methods or techniques are considered. Sometimes you may be referred to your GP for further investigations or to another recommended practitioner, if this is deemed appropriate. 


Important Considerations

Osteopathic treatments often involve undressing down to your underwear for both assessment and treatment.  This is so a practitioner can be thorough in assessing the source of your discomfort. Your practitioner understands this isn’t always a comfortable process and you may be assured that modesty will always be preserved. Towels and clothing can be used to cover parts the practitioner is not working on during treatment.  If you feel uncomfortable at any moment please let your practitioner know.  You may also bring shorts to wear.  

Please note that you are always welcome to bring a friend or relative with you to your appointments. 

Some discomfort may be experienced during assessment and treatment but I will always aim to keep this to a minimum. If your problem is very acute and you are unable to move, it is advised that you wait a few days and consult your GP for pain relief and advice before booking an appointment. This is because assessment requires you to move in order to come to a diagnosis, which is needed before treatment can begin. 

It is common to experience some soreness after treatment for 24-48 hours (this is often called a ‘treatment reaction’). I will explain any potential reactions from treatment and advise you aftercare to aid in reducing this. If you have any concerns please contact me. 

Please be assured that your confidentiality is highest on my list of priorities. 




Pimlico, London Victoria - £70 all appointments

Belsize Park - £75 Consultation, £65 follow-up.  

Allow up to 50-55 minutes for initial appointments and 40-45 minutes for follow-up appointments.  

Cancellation Policy

I ask that you please give 24 hours’ notice when cancelling an appointment so that I may offer the appointment to someone else.  Cancellation within less than 24 hours will incur the full fee. 

Ready to find out more?

Contact me or book an appointment.