Frequently Asked Questions

Osteopathic medicine is based on the following principles. These direct the osteopathic diagnosis and treatment. 

  • The body is a co-ordinated unit, with contiguous tissues intimately related to and influencing each other.
  • The structure and function of the body are reciprocally inter-related.
  • The body has the inherent capacity to regulate, defend and repair itself.
  • When the normal adaptability is disrupted, or when environmental changes overcome the body’s capacity for self-maintenance, dysfunction or disease may develop.
  • Tissue and organs which receive optimal nutrition, blood supply and drainage are more able to function well.
  • There are musculoskeletal components to disease that are not only part of the disease, but also contribute to the continuance of the disease.
  • Logical treatment of disease should consider these principles.

Are Osteopathy and Chiropractic safe? In fact, Osteopathy and Chiropractic care are immeasurably safer that driving in a car, riding a bike, walking in a park, flying in a plane, staying in bed or taking an aspirin.  

The risk of injury from spinal manipulation is related to the upper cervical spine, with the head held backwards and rotated as far as is possible… like in the movies. It doesn’t happen that way in real life and certainly not in our clinic. In the rare instance that the upper cervical spine needs to be manipulated, a ‘provocation’ test is performed, and if negative – that is, it doesn’t provoke any strange symptoms or signs – the manipulation is performed with the head held forward and rotated only minimally. There is no strain on the vertebral arteries when the practitioner uses this positioning.

The other extremely rare risk attributed, often incorrectly, to manual therapy is dissection of the arteries of the neck. This is a pathology that begins to develop days or weeks before the patient develops a one sided sore neck and headache… and so visits the osteopath, chiropractor, physiotherapist, massage therapist or GP. However the dissection is undetectable without specialist scanning, and the process is already in train. The hapless practitioner can get the blame for a process that had started days before and is otherwise undetectable.

Of course, practitioners or a therapeutic approach can be deemed dangerous  because of what is NOT done - danger by neglect. We might miss something. You can be assured that our practitioners have had a comprehensive and extremely detailed medical education, with particular emphasis on the screening and diagnosis of the kinds of injuries and illnesses likely to turn up to a musculoskeletal clinic. All our patients have a comprehensive history taken, all have a clinical examination. We do not ever vacillate or hesitate to refer to a different modality or a medical doctor should that be necessary.

More information is available in our NEWS section of this website where the American Heart Association and American Stroke Association have published a position statement for for the informed public healthcare professionals.

...and Effective?

As we have said, there is little research into the efficacy of osteopathy and chiropractic. That's for reasons related to political influence and the funding of health care as well as the irritating fact that every person is different, every presentation is different, and every treatment is different. Spinal manipulation performed by an experienced practitioner of many year's experience will be a completely different animal compared to an attempt of spinal manipulation from undergraduate physiotherapy students. Add to that the unique skillset and experience of the practitioner, and we can see that it is impossible to safely make assumptions or predictions from the general to the particular.

This, of course, applies to all medicine.

At CSO, we treat every person according to their unique presentation and needs. Only our patients, our clinic longevity and our reputation can give a very good indication of our effectiveness. We have a successful clinic without a massive subsidy from Medicare. So ask around. See what our patients say. We are happy to rely on their recommendations.

At CSO we are successful because, in the vast majority of instances, we help the vast majority of our patients recover from what ails them. If we were ineffective, and if we were unsafe, we would not practice and we would not be the recipients of the respect and success this clinic enjoys.

 

Modern scientific medicine, Osteopathy and chiropractic work well together. At Central Sydney Osteopathy we embrace all medical care - surgery, rehabilitation, antibiotics and other pharmaceuticals, public health initiatives, radiology, and immunisation, when these interventions are required and appropriate. There is no such thing as alternative, or complementary, or orthodox, medicine - there is only effective medicine and ineffective medicine. As responsible practitioners we will always refer you for care to other effective modalities, when required. Unfortunately, Osteopathy and other allied health modalities do not receive public funding of research through the NHMRC, such as that offered to medicine, so very little high quality research is done into these cost effective (and low profit) modalities. In Britain however, research has recommended that Osteopathy be included in the NHS since it has been found to be effective in the management of back pain. We suggest you ask around to see what our patients say about the results of their treatment at CSO.

Because your osteopath is diagnosing and correcting mechanical imbalance and restriction, after a treatment you will usually feel more energetic, balanced and mobile. If yours is a chronic or acutely inflamed problem, the massage and mobilisation may well cause some post treatment soreness, which usually passes in a couple of days. You may find that after treatment you feel inexplicably lighter, and are able to sleep well and wake refreshed for the first time in a long while. This is indicative of reduced mechanical strain in your structure. Quality of sleep is a great indicator of both your need for osteopathic therapy and your response to it.

All sessions at CSO are 40 – 60 minutes long of face-to-face treatment.

Depending on the severity of your pain, we expect to see you initially for up to 4 - 6 sessions in the first month, and then on a maintenance regime, as we have come to understand that you should see an osteopath every 4 to 6 weeks to maintain optimal mobility. People on a monthly treatment regime report that they feel fabulous and are able to avoid the acute episodes... unless they do something really silly like trying to lift a piano.

Our fees range from $90 to $110. We cost less than many other Sydney clinics because we maintain a commitment to be affordable and accessible.

HICAPS allows you to make your private health claim on the spot to reduce your outlay. We offer a 10% discount to healthcare card holders, all teachers, all RPA and SSWAHS staff, Burwood Briars hockey players, and Yoga To Go Petersham referrals. Oh, and for your birthday!

In respect to our hard working practitioners, we do not offer discounts on weekends or public holidays.

Osteopathy, chiropractic, acupuncture & TCM, and remedial massage are all covered by private health insurance, claimable through HICAPS. Osteopaths, chiropractors and TCM practitioners are Government registered and so are also claimable through the Motor Accident Authority (3rd Party), DVA, WorkCover and under the Medicare Chronic Disease Management plan. See your GP for advice and referrals for each of these.

We help many people from remote and rural areas, even internationally, who are unable to access effective care. If we can advise or help you, do contact us and we speak with you or send on information and information sheets, free of charge, and maybe refer you to a trusted colleague or modality closer to you.

Check out the information sheets and videos on this website for remedial care advice.

CSO has no financial links with any other clinics, and all our referrals are made on a needs basis. We receive no remuneration for our referrals.