At the same time the significance of other possible diseases and other factors affecting the treatment are also defined. A preliminary form including personal details, questions concerning the general health and patient's own estimation about pains and detrimental factors caused by the disease are part of anamnesis too. Pain graphs and drawings are used as indicators. The origin of the symptoms are examined with help of anamnesis, inspection, different orthopedic, neurologic and vascular tests, specific joint level mobility studies and using palpation of soft tissues. A need for radiology and laboratory tests is notified in this stage.
Special attention is drawn to the patient's posture and possible postural anomalies.
After the necessary examinations, the naprapath diagnoses the patient's condition and makes an independent decision about starting the treatment or not. Those diseases and problems not belonging to the naprapathic treatment must be diagnosed separately and the patient must be guided to the appropriate medical specialist afterwards. A functional locomotor disorder is a common treatment indication. Motional restrictions for a joint or joints are used as an indication for manipulation treatment. These can be expected to be in connection with the patient's symptoms.