Both treat musculoskeletal conditions, but their training and emphasis differ. Osteopaths are trained to assess the body as a whole interconnected system, with a strong focus on manual diagnosis and hands-on manipulation of joints, muscles and connective tissue. Physiotherapists tend to place more emphasis on rehabilitation exercises and progressive movement retraining alongside manual therapy. In practice, there is significant overlap — and at our clinic we offer both disciplines. Your practitioner will recommend whichever approach suits your condition best, or a combination of the two.

Osteopaths and chiropractors both use manual therapy, but their philosophies differ. Chiropractic treatment tends to focus primarily on the spine and spinal adjustments. Osteopathy takes a broader view, assessing the whole body — muscles, joints, ligaments, organs and connective tissue — to identify how different structures influence each other. Osteopaths also incorporate a wider range of techniques including soft tissue massage, cranial work and visceral techniques alongside joint manipulation. Both professions are regulated in the UK.

Your first appointment will typically last 45 minutes to an hour. The osteopath will take a detailed case history covering your symptoms, medical history, lifestyle and work. A physical examination follows — this may involve observing your posture and movement, testing range of motion, and hands-on assessment of joints and muscles. Treatment usually begins in the first session. You will leave with a clear understanding of what is causing your problem, a treatment plan and any relevant advice on exercises or posture.

This varies depending on your condition. Acute problems — such as a recent episode of back pain or a sports injury — often respond well within two to four sessions. More chronic or complex issues may require a longer course of treatment. Your osteopath will give you a realistic estimate after your first appointment and will adjust the plan as you progress. Many patients continue with periodic maintenance sessions once their initial problem has resolved.

Our osteopaths are registered with most major private health insurers. Coverage and limits vary by policy, so we recommend checking with your provider before booking. We are happy to provide any documentation your insurer needs. Please note that we are not currently registered with BUPA or AXA/PPP.

In many cases, yes. We keep emergency slots available throughout the week for patients with sudden onset pain or acute injuries. If you call early in the day, we can often fit you in — particularly for urgent back pain, neck pain or whiplash following an accident. Our clinic is open seven days a week including Saturdays and Sundays.

Our clinic is at 325-327 Old Street, London EC1V 9LE — technically in Hoxton, on the border of Shoreditch. Old Street station is a four-minute walk away, and Shoreditch High Street Overground is roughly eight minutes on foot. Many of our patients come from Upper Street, Brick Lane, Spitalfields, Hoxton and the wider City. We are also easily reachable from Moorgate and Liverpool Street stations.

Some techniques — particularly work on inflamed or very tight areas — can be temporarily uncomfortable. Your osteopath will always communicate with you during treatment and work within your tolerance. Most patients find the experience relieving rather than painful. Mild soreness in the 24-48 hours following a session is normal, similar to what you might feel after exercise, and usually settles quickly.