I qualified in 1989. In 1990 I set up my own practice in Fife and am based in Upper Largo and Kirkcaldy. In Kirkcaldy I work from Tolbooth House, which is a multi therapy centre.
What is Osteopathy?
Osteopathy is a system of diagnosis and treatment of problems of the musculoskeletal system, that is the bones, muscles and joints of our body. Osteopathic Treatment consists of work on muscles with soft tissue massage and joints with articulation techniques and manipulation. Osteopaths mainly use their hands to treat but we also give exercises and postural advice.
Since 1993 after the passing of The Osteopath Act all osteopaths have to be registered with the General Osteopathic Council which regulates the profession and protects the patients. We also have to do 30 hours of continuing professional development annually.
What can osteopathy help?
This can be any part of the spine.
Neck pain and headaches
The proper meaning of this is pain in the sciatic distribution in the leg but it is a term often used for leg pain in any area.
Although osteopathy cannot cure arthritis it can be very successful at treating the pain related to it and improving or help preserve the movement of the joint.
Hip and knee problems
Pain associated with the postural changes.
What happens when I first visit?
The first appointment takes approximately 45 minutes, the first part consists of an in depth history of the problem you are visiting about, and also any previous problems. Then questions are asked about your medical history and any medication you are on and your lifestyle. Following that you have an examination, which may involve removal of some clothing, and various movements performed to determine cause of the problem.
Any findings will then be explained to you and whether treatment could help. If it is decided osteopathic treatment is not suitable you may be referred to your GP or for further tests and no charge is made. There is full patient confidentiality and any referrals will be with your consent.
I will try and give you an idea of how many treatments you might need and what improvement you should expect. It is often difficult to give this exactly as it varies between individuals and sometimes I have a better idea after a couple of treatments. On the whole I expect an improvement within a couple of treatments.
If you agree I will treat you in the first appointment.
First appointment - £45
Subsequent appointments - £37
16-18 years old:
First appointment - £35
Subsequent appointments - £30
Cash, credit / debit cards & bank transfer accepted
Philippa came to see me with pain at base of her neck, which started 2 weeks ago. Pain then spread to her left shoulder and arm and down to her hand. She also had pins and needles in the back of her hand.
When I took her full history I found she had been reaching into a cupboard at an awkward angle a few days before the pain started.
Her job involves a lot of standing with her arms being used all the time and she had suffered from a sore neck and shoulders before but never into her arm.
On examining her I found her neck and shoulder muscles on her left side were very tight and she had pain on bending her head down. She also found it difficult to move her left arm, she could only lift it as high as her shoulder and it was very painful. She had reduced movement in the joints at the base of her neck.
I explained to her we had to work on her muscles to make them less tight and I also got her to put an ice pack at the base of her neck to reduce inflammation.
Philippa had 3 treatments and with the pain in her arm reduced by the 2nd treatment. By the last treatment she was fine with no pain in her arm, no numbness in her hand and full movement of her neck and arm.
George came to see me after falling playing football 2 weeks ago and hurting his low back. Every time he played football this made his back worse.
He had had a similar problem a year ago again after playing football and it had eased after a couple of days, this time his back pain was not easing.
When I examined him he had very tight muscles at the bottom of his back and around his hips. He could bend forward but it was painful coming back up and painful bending backwards. He had reduced movement in the joints at the base of his back and it was quite inflamed. He had no other health problems.
I explained to George that I needed to work on his back to reduce the tightness in his muscles and improve the movement in the joints. He put an ice pack on his back to reduce the inflammation.
He came to see me 3 times after which his back was fine and he was able to play football with no problems.
Daisy came to see me with pain in her right knee, front and back which could travel up to her hip. She found it painful to squat and straighten up, and it was affecting her dancing and walking. When I took her full history she told me that she had an X ray of her left knee after some discomfort and they had found mild degenerative changes, but since that got better her right knee started and became a lot more painful. This had been going on for about a year.
When I examined her I found the muscles of her right hip were much tighter than her left, also tightness and tenderness of the inside and back of her thigh. Apart from some evidence of degeneration in both knees, there didn't seem to be any evidence of an internal problem with the ligaments or menisci.
I told Daisy I thought that due to her left knee being sore she had been protecting it and walking awkwardly which had caused a muscle imbalance of her right knee and hip which began to give her pain in her right knee and hip.
I worked on her muscles around her hip and thigh and after 4 treatments her knee was much easier, apart from some stiffness and she had no hip pain.
Obviously I cannot treat or improve degenerative changes and arthritis in joints, but by working on the muscles around the area this can greatly improve range of movement of the joint, enables people to do more exercise/movement of the joint and this can improve the amount of pain it gives them. Also it can help limit imbalance elsewhere caused by protecting the affected joint.
Privacy statement/data protection/GDPR
PRIVACY NOTICE FOR FIFE OSTEOPATHIC PRACTICE (Why we collect your personal data and what we do with it)
When you supply your personal details to this clinic they are stored and processed for 4 reasons (the bits in bold are the relevant terms used in the Data protection Act 2018, which includes the General Data Protection Regulation – ie the law):
We need to collect personal information about your health in order to provide you with the best possible treatment. Your requesting treatment and our agreement to provide that care constitutes a contract. You can, of course, refuse to provide the information, but if you were to do that we would not be able to provide treatment.
We have a “Legitimate Interest” in collecting that information, because without it we couldn’t do our job effectively and safely.
We also think that it is important that we can contact you in order to confirm your appointments with us or to update you on matters related to your medical care. This again constitutes “Legitimate Interest”, but this time it is your legitimate interest.
Provided we have your consent, we may occasionally send you general health information in the form of articles, advice or newsletters. You may withdraw this consent at any time – just let us know by any convenient method.
We have a legal obligation to retain your records for 8 years after your most recent appointment (or age 25, if this is longer), but after this period you can ask us to delete your records if you wish. Otherwise, we will retain your records indefinitely in order that we can provide you with the best possible care should you need to see us at some future date.
Your records are stored* on paper, in locked filing cabinets, and the offices are always locked and alarmed out of working hours.
We will never share your data with anyone who does not need access without your written consent. Only the following people/agencies will have routine access to your data:
Your practitioner(s) in order that they can provide you with treatment
Our reception staff, because they organise our practitioners’ diaries, and coordinate appointments and reminders (but they do not have access to your medical history or sensitive personal information)
Other administrative staff, such as our bookkeeper. Again, administrative staff will not have access to your medical notes, just your essential contact details.
From time to time, we may have to employ consultants to perform tasks which might give them access to your personal data (but not your medical notes). We will ensure that they are fully aware that they must treat that information as confidential, and we will ensure that they sign a non-disclosure agreement.
You have the right to see what personal data of yours we hold, and you can also ask us to correct any factual errors. Provided the legal minimum period has elapsed, you can also ask us to erase your records.
We want you to be absolutely confident that we are treating your personal data responsibly, and that we are doing everything we can to make sure that the only people who can access that data have a genuine need to do so.
Of course, if you feel that we are mishandling your personal data in some way, you have the right to complain. Complaints need to be sent to what is referred to in the jargon as the “Data Controller”. Here are the details you need for that:
If you are not satisfied with our response, then you have the right to raise the matter with the Information Commissioner’s Office.
COVID-19 Policy as of 15 May 2020
FIFE OSTEOPATHIC PRACTICE AND TOLBOOTH HOUSE
The health and safety of both patients and therapists is paramount. Infection control has been increased with additional measures being taken during COVID-19.
Additional Infection Control between each appointment to wipe with diluted bleach:
treatment couch including pillows
patients’ chair in clinic
credit card machine
and anything else touched by therapist during treatment or by patient.
Personal Protective Equipment (PPE)
The guidance for the use of PPE in the private sector is considered by a cross-professional group of private healthcare professional bodies, including those representing osteopaths, physiotherapists and chiropractors, and in liaison with their respective regulators:
single-use of nitrate gloves for each patient
single-use of plastic aprons with each patient
IIR fluid resistant masks
eye or face mask, depending on risk. Risk factors to be considered are which procedure, likelihood of patient being contagious and risk factors of the therapist for contracting COVID-19
wearing of visor is depending on risk assessment as above.
Before Booking an Appointment:
The osteopath will question the patient and, if an existing patient, refer to previous notes to assess risk factors of patient contacting Covid 19 and also assess any changes in patient's condition.
Before an Appointment:
The COVID-19 triage form is completed
The patient consents to attending the appointment
It is explained to the patient that they must wait in the car or outside the building until their allotted time, and:
the patient may be required to wear a mask
the patient needs to sanitise their hands using gel provided by osteopath
the patient maintains 2 meters distance where possible out-with actual treatment
the patient will need to attend on their own
the patient will need to pay by BACCS or by card
the toilet is for staff use only.
On Arrival to an Appointment:
The patient waits in the car or outside the building until their appointment time
The patient is given a mask, if appropriate
The patient is directed to sanitise hands.
Changes to the Clinic:
as much as possible, surfaces are clear to allow for easy cleaning
pillows to be made in a wipe able material or covered with wipe able or disposable covers
doors and windows left open unless ambient temperature is intolerably low
sign on door about COVID-19 guidelines
tissues and hand sanitiser available to patients
gaps between patients’ appointments to avoid cross over and to allow additional time to clean
patients who are particularly vulnerable are to be seen at the start of the session.
clean scrubs and socks to be put on in clinic
shoes to be kept in clinic
after session, scrubs and socks to be placed into a pillow case and put directly into washing machine upon bringing them into the house
after session, podiatrist to go directly home and shower, laundering clothes that have been worn between clinic and house.
Updated 15 May 2020
COP “PPE Clarification May 2020”
COP “PPE Inaccessibility Guidance”
Scottish Government/ Public Health England “Additional considerations, in addition to standard infection prevention and control precautions” table 4 “Any setting. Direct patient/ resident care assessing an individual that is not currently a possible or confirmed case2 (within 2 meters)”
13 Tolbooth Street
Fife KY1 1RW
1 Gilston Bridge
Fife KY8 5QW