The initial visit involves taking a case history that includes details of any current problems, previous episodes of pain or discomfort as well as a full medical history, detailing any accidents, illnesses or operations. This gives us an understanding of which structures could be under strain and what other health issues may need addressed. We will also look at your spine and general movement to assess its quality and any particular areas of restriction.   We may also do clinical examinations of the nervous, cardiovascular, respiratory and digestive systems, including checking reflexes and power, ophthalmology, blood pressure and urine. This visit will take 45 minutes.