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Plate IX

Triage

Is it my back, my posture or my desk?

An osteopath and a patient sitting at a small table talking over a printed report by a window onto the canal (AI-generated demonstration image)
The Wharf House, Fennbridge.

Seven short questions: where it hurts, when it started, what makes it worse, how long you sit, how you sleep, and whether any warning signs apply. We show you which first visit to book, the price, and who you would see. A minute, not a diagnosis; the diagnosis happens on the table.

First visit £64, 45 minutes

Plate IX, fig. 1The triage

Seven sheets. A minute, not a diagnosis.

Each answer scores the eight routes; the winner names your first visit, its price and who you see.

Sheet I of VII

Where is the problem?

Pick the main one. If there are two, pick the worst; the practitioner will look at the rest.

How it scores

  1. 1.Where, when, what makes it worse, the desk, sleep, warning signs, and which style you prefer.
  2. 2.Every answer adds points to one or more of the eight routes; nothing branches, so no answer is wasted.
  3. 3.Four answers stop the check: they are A&E, 111 or GP first, and we say so plainly.
  4. 4.Nothing scored? We need to look: the £64 first visit is the first session of every plan.

Or skip it: call Grace and describe it.

01632 960440

Plate IX, fig. 2The routes

Eight first visits the triage can name.

Price, length, how soon, and whose hands. Next slots are demonstration data.

  1. Route 1

    Osteopathy first visit

    Seen: Acute back pain today, otherwise within 48 hours

    £6445 min
    Ruth AshdownNext Tue 08:15
  2. Route 2

    Chiropractic first visit

    Seen: Acute back pain today, otherwise within 48 hours

    £6845 min
    Sophie MarchandNext Mon 07:45
  3. Route 3

    Pregnancy osteopathy

    Seen: Within the week; third trimester within 48 hours

    £6845 min
    Mei Lin ChauNext Mon 10:00
  4. Route 4

    Baby and child osteopathy

    Seen: Within the week, in the baby room

    £5840 min
    Mei Lin ChauNext Mon 10:00
  5. Route 5

    Treat the pain, fix the desk

    Seen: Within 48 hours; desk visits within 10 days

    £8545 min
    Daniel OkaforNext Wed 09:30
  6. Route 6

    Sports massage

    Seen: Within 48 hours; evenings and Saturday mornings

    £3830 min
    Tom HallettNext Wed 18:00
  7. Route 7

    Headache and jaw clinic

    Seen: Within the week

    £6845 min
    Daniel OkaforNext Wed 09:30
  8. Route 8

    Second opinion

    Seen: Within the week

    £9560 min
    Ruth AshdownNext Tue 08:15

Plate IX, fig. 3The red-flag stop

Four answers end the check. Here is why.

Why we stop

Not us first. We will see you afterwards.

A few things that present as back or neck pain need a doctor, a scan or an X-ray before anyone treats them by hand. The triage asks about them on purpose, and if one applies it says where to go and stops. Once it has been ruled out, we see you within 48 hours for the recovery.

  • Cauda equina warning signsNot us: same day

This is a guide to which first visit to book, not a diagnosis. Availability shown is demonstration data. If you are in severe pain, have had a significant injury, or any of the warning signs listed apply, go to A&E, urgent care, 111 or your GP first.

  • Stop 1A&E or 999

    Numbness around the saddle area, new trouble controlling my bladder or bowel, or weakness in both legs

    Please go to A&E now or call 999. These can be signs of pressure on the nerves at the bottom of the spine (cauda equina), which needs a same-day scan. We will gladly see you afterwards for the recovery.

  • Stop 2GP first

    Back pain with unexplained weight loss, fever, night sweats, or a history of cancer

    Please see your GP this week before booking with us. These need blood tests or a scan first; once your GP is happy, we will see you within 48 hours.

  • Stop 3A&E or 999

    A fall, crash or impact, and I cannot bear weight or the joint looks wrong

    Please go to urgent care or A&E for an X-ray first. A fracture needs ruling out before anyone treats it by hand. Once it is, book a first visit or a home visit and we will take it from there.

  • Stop 4A&E or 999

    A sudden severe headache, dizziness or visual disturbance with neck pain

    Please call 111 now, or 999 if it is the worst headache you have had. Neck pain with those symptoms needs a doctor to look first; we do not treat a neck until they have.

Sudden severe back pain?

Acute back pain seen today.

Phone and Grace answers. Say where it hurts and whether you can do mornings.

01632 960440

everything else within 48 hours. No GP referral needed.

Two doors, one green

  • Green door, Lock Lane (ground floor)

    Step-free.

    Back & neck Pregnancy & postnatal Babies & children Older adults & balance Second opinion

  • Green door, then one flight of stairs (rooms 2 and 3)

    One flight of stairs; ask for the ground floor if you need it.

    Desk & posture Headaches & jaw Sports massage

Mon–Fri
07:3019:30
Sat
08:0013:00
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