Frequently Asked Questions

What can I expect at my first visit?

The initial consultation will involve a detailed case history and examination. You will normally be asked to undress to your underwear, and to perform a series of movements to assess your posture and identify points of excessive strain or weakness.

A diagnosis will then be made and a treatment plan recommended. Treatment is geared to you as an individual and may consist of a range of techniques including soft tissue massage, manipulation of joints, cranial osteopathy, posture adjustment and health education, including prescribing exercises.

We aim to keep your appointments to a minimum and will be able to tell you within a short period of time whether we can treat you, or if we need to refer you to someone else.

Is referral from my GP necessary?

Most patients ‘self refer’ to an osteopath for treatment, however many local GPs regularly recommend our services. Although referral by a GP is not necessary, you’re encouraged to keep their GP fully informed so their medical records are updated, and to ensure that you receive the best possible care from both healthcare practitioners. Osteopaths are skilled in diagnostic techniques and trained to identify when a patient needs to be referred to a GP.

How will I feel after treatment?

Most patients finish a treatment feeling better, although it is common to feel a little sore post treatment for up to 36 hours. This is not too dissimilar to the response that most of us feel the day after a new exercise programme.

Sometimes patients feel tired after treatment, while others can feel energised. It is advisable to avoid vigorous activities or heavy lifting after treatment, and to potter around gently rather than being too inactive.

How many treatments will I need?

This depends on your age, general health and fitness and activity levels as well as the type of problem and the length of time you’ve had the condition.Some conditions will resolve with a few sessions, others will need months of ongoing treatment.

Generally speaking most people should show signs of improvement within three sessions. On average, two to eight treatments is usually sufficient to correct most problems. Some patients with a chronic or longstanding history may choose to return regularly for preventative osteopathic intervention for ongoing postural maintenance or relief from chronic pain, for example.

Can I reclaim fees through my private health plan?

Many private health insurance schemes provide cover osteopathic treatment. We are registered with most of the major companies, including Axa PPP and BUPA (Paul and Sam only).

You will need to ask your insurance company about the available level of cover and whether you need to be referred by your GP or a specialist.

Further Client Testimonials


I am 73 years old and last June I suffered a very serious, level one trauma as I fell from my horse- I multi fractured my pelvic and badly ruptured my bladder.
I was hospitalised over four very long months- not being able to move at all.
I had four surgeries, covid and much more.
Last October I arrived home on a zimmer frame- having not walked since June.
The prognosis was grim for my future mobility plus I suffered from high anxiety and PTS syndrome.
I was determined to re gain my health and now thankfully, I can now walk all day, with no help needed! I work my horses again and feel for much of the time much more ‘ME’
I had turned to Sam at Charles Street Clinic for help as cranial osteopathy has always supported me through my riding career.
Over these months I have felt the powerful changes, the return of my mobility, my general health and energy levels.
I have re gained much of my confidence which was extremely low over months.
My diet, my family and my determination have helped me hugely but to have the support of Sam during this time of healing has helped me on every level.
Thankyou so very much Sam, I highly recommend you – your treatment looks way beyond the problem, in fact it is magical- you embrace the needs of the WHOLE person.


I thought I was just feeling a bit down, adjusting to a few life changes and went to see Christine over a period of six months. She has literally changed my life – I am more in touch with myself and am happier and more relaxed than I have ever been. It has been an amazing journey.


When I was pregnant with my second child I developed a painful condition, symphysis pubis dysfunction (SPD), where I could not walk due to pain in my pelvis. I was told by medics that I might need a walking stick toward the end of my pregnancy. I was already a patient of Sam Middlehurst, one of the few practitioners who is skilled, willing and able to treat pregnant women, and she was confident she could help. As a consequence of only a few treatments I was completely better and could walk easily. I was so pleased; it made all the difference to me especially as I had a toddler to look after as well!


I suffered a bad whiplash injury 30 years ago and, despite a spinal infusion, I still had muscle spasms and headaches. I decided to give Sam Middlehurst and Kim Weir at Charles Street Clinic a try as the doctors could do nothing except prescribe pain killers. In a short time, Kim managed to get rid of the muscle spasms and Sam managed to correct my spine. Both treatments worked so well that I now see Sam for regular ‘servicing’. I cannot recommend this clinic highly enough.


Since an accident in 1993 I’ve not been able to walk and have had very little movement in my right shoulder, arm and hand. Kim has worked wonders in releasing tendons and improving muscle movement and circulation. Thanks to her I’ve enjoyed an amazing improvement in my overall mobility.


Just wanted to say the next morning after I saw you I got up and walked down the stairs normally for the first time in maybe three years! It was very exciting! I was not in pain. I went to yoga and did the whole class! I didn’t even have to drag my left leg forward with my hand, in downward dog.


Angela is a talented and enthusiastic sports massage practitioner who has an excellent range of skills and a can-do attitude to fix aches and pains and longer term ailments. She has sorted out my sports injuries from riding and playing hockey. She also looks at the bigger picture in terms of postural and occupational conditions – I cannot recommend her highly enough! 5 star treatment!