The first part of the therapy always begins with a detailed interview about the present problem, how it developed and how it affects daily life.

A thorough physical examination will follow to identify the cause of the problem. For example, in the case of a shoulder problem, the neck, ribs and upper spine may also need to be examined to pinpoint the exact nature of the problem.

Each patient is different, with his/her own varying problems. The examination and tests needed are therefore also individually tailored to each patient.

The findings from the interview, tests and examinations are the basis for the treatment that follows.

Treatment methods may include:

• Local manual joint mobilization of the spine or the limbs
• Techniques to improve the mobility and function of neural tissue e.g. with   sciatica or repetitive strain injuries
• Stretching and release of tender or too short muscles
• Prescribed muscle exercise to improve strength and co-ordination
• Training in posture and everyday movements and for preferred sports
• Development of coping strategies with chronic pain
• Explanation of the mechanisms of the problem and advice to promote self-management