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Everyone! Chiropractic care is not limited to anyone. It's important for infants/toddlers, teenagers, mums, dads, brothers, sisters, elderly, athletes, pregnant women, injured workers, labourers, anyone working with computers, professionals, people from any occupation and walk of life. 

Anyone can be subjected to stresses to their body and spine via their work, their play or their general life; So everyone can be checked.

If you have never seen a chiropractor before, it is natural to wonder what to expect during your initial visit and follow-up appointments. With this in mind, we want to give you as much information as possible so you can feel at ease.

When you first arrive, you will be warmly welcomed by our friendly Clinic Team, who will ask you to complete any new patient paperwork, if you have not already completed this online.

Then you will be met by your designated practitioner and shown to a private consulting room.


During your first visit, your practitioner will ask you questions not only about the pain or complaint that may have brought you to us, but also about your past medical history and general lifestyle. This will ensure that your diagnosis is accurate and that a cause is established.

At SANDS Private Health Clinic, we believe that identifying and treating the cause of a problem will result in a quicker and longer-lasting response to care.

Your details are confidential and no one else will be allowed to see your notes without express permission.


Once the case history is complete, an examination will be performed, which will concentrate on your nerves, muscles and joints (known as the neuromusculoskeletal system), but it may also be necessary to check areas such as your heart, lungs and abdomen to rule out other causes.

Should your practitioner require you to get undressed, gowns are made available for you to wear during the examination.

People often come to us after previous treatments elsewhere have proved unsuccessful and we want to be the last clinicians you consult. This is another reason why our practitioners like to give your case due consideration before commencing care.

As people can often be sore after the initial examination, you will likely not receive your first adjustment/treatment during this appointment. In this instance, we usually recommend that an ice pack is applied to the affected area at home a few times a day for up to 20 minutes. This process is repeated until your next visit, so that the inflammation has a chance to subside; then the first adjustment/treatment can take place (Ice packs are available to purchase at reception).

Upon completion of your examination, you will be booked in for your Report of Findings (RoF) and first treatment appointment, where care can commence as soon as is convenient for you. In urgent cases, we always aim for this to be done within 24-48 hours.

Your RoF appointment is an opportunity for your practitioner to explain in detail what is wrong, how they think they can help, how long they expect it will take and how much it will cost.

You are welcomed and encouraged to ask any questions that you may have at this time.

Chiropractic care is like building a house – certain things have to happen in a particular order in order for everything to stand strong and work correctly. When building a house, if you tried to put up your walls before you had a solid foundation, your walls would be weak and eventually collapse. If you tried to put on your roof before the walls were ready, you would run into the same problem. The same is true for your body. Your body has to go through a particular plan of care in order to repair itself correctly and fully. There are three general phases of care we commonly look at within chiropractic, these are:

Phase 1:  Pain Relief

Most people don’t seek care because they are in pain. They seek care because their problem is affecting their quality of life and preventing them from doing the things they both need to do and want to do on a daily basis. How often you need to be seen will be determined based on your particular problem.

Phase 2: Corrective/Mobility Improvement

During the corrective care phase, muscles and other tissues are allowed to heal more completely, thereby helping prevent injury. How long this phase takes will be determined by your overall health goals and the severity of your problem.

Phase 3: Wellness Care

Once your body has fully healed, it is important to come in for periodic adjustments to maintain your mobility. This will allow you to do the things in life that you need to accomplish on a daily basis and avoid problems in the future.

After assessing your condition and overall health, your chiropractor will carry out a physical examination (unless there is a specific reason for them not to). A gown will be available for you to wear as you may be asked to remove some of your clothes. 

Your chiropractor will perform a range of tests that may include assessment of your posture and range of movement. They may do things such as measure your blood pressure and examine your abdomen to help find out what is wrong.

After the initial assessment and physical examination has been completed, your chiropractor may require you to have further investigations such as an X-ray (or another type of scan such as CT or MRI or a blood test.) If these are required, your chiropractor will explain why they are necessary, and how and when they will be arranged. 

After these assessments and tests, your chiropractor will explain what is wrong and whether your condition can be helped by chiropractic treatment. If they think chiropractic treatment will help, they will give you a care plan, which will set out what you can expect when receiving chiropractic care, the costs of care and the treatment options that are available to you. You will also be told about exercises and lifestyle changes that can help you manage your condition and assist with your recovery.

Anyone who says they're a Chiropractor must register with the General Chiropractic Council (GCC). To check the register please visit their website here. Or alternatively visit The British Chiropractic Association website here for more general information on services.

Yes, some Chiropractors have trained in other areas such as dry needling/modern acupuncture therapy, kinesiotaping etc. These types of treatment techniques if deemed appropriate for the patient, can be incorporated into the treatment sessions. This is discussed in the treatment plan.

Podiatry & Chiropody

You may want to see a podiatrist for advice and treatment if you have, thickened or discoloured toenails, cracks or cuts in the skin, scaling and/ or peeling on your soles, or any other foot-related problem.

Podiatrists can also supply orthotics, which are tailor-made insoles with padding and arch supports to relieve pain on the arch of your foot. Orthotic insoles are put into your shoe to realign your foot, take pressure off vulnerable areas of your foot, or simply to make your shoes more comfortable.

Even if your feet are generally in good condition, you might consider having a single session of podiatry. For example, you may want to have any hard skin on your feet removed or have your toenails clipped.

A podiatrist can also advise you about footwear (take your shoes with you) and give you guidance and best practice on long term foot care.

Podiatrists can also help with more complex foot problems, including preventing, diagnosing and treating injuries related to sports and exercise.

There's no difference between a podiatrist and chiropodist, but podiatrist is a more modern name.

At your first consultation, the podiatrist will take a full medical history and carry out basic tests such as checking the blood circulation and feeling in your feet. They may also look at the way you walk and move your lower leg joints.

They'll discuss your concerns with you to make a diagnosis and finally form a treatment plan.

Any minor problems that are picked up can usually be treated on the spot, including the removal of hard skin, corns and calluses.

The session is usually completely painless (even sometimes pleasant) and takes between 15-30 minutes in most cases.

Anyone who says they're a podiatrist or chiropodist must register with the HCPC. To check the register please visit their website here.


The following can help ease the discomfort of sunburn;

  • Apply a cold compress to the affected area(s).
  • Apply a cooling gel or ointment containing aloe vera or an over-the-counter 1% cream to the affected area.

In cases of severe sunburn or sunstroke, see your doctor immediately.

The exact cause is not known, but one important factor is an increase in hormones called androgens. These male hormones increase in both boys and girls during puberty. Some things that can make it worse include; friction caused by leaning on or rubbing the skin, harsh scrubbing, picking or squeezing blemishes and emotional stress. Acne is not caused by diet or certain kinds of foods.

The easiest way to visualise the difference between Botox and Dermal Fillers is to think of mountains and valleys. Botox smooths out mountains and prevents them from being pushed together, while Dermal fillers fill in the valleys.

The face loses volume and contour when we age, the bones and the soft tissue dissolve and contribute to appearance of sagging. Dermal fillers may be used to replace this volume loss and restore the structural support, giving the patient a more youthful appearance. The aim is to make the face more harmonious and rejuvenated.

For instance, the lips may be injected to improve their shape, size, symmetry and proportion. The cheeks may be injected to make a face more defined and attractive. An underdeveloped chin may be injected to make it appear more projected and proportionate.

Most dermal fillers last anywhere from 9 to 12 months, depending upon the patient and where we’re targeting the injections. Juvederm can last closer to 15-18 months. Botox and other botulinum toxin A injections can last for about 12- 14 weeks.


Listening carefully is the largest part of what all counsellors do. They make sure clients have clarified the problem areas in their own terms and help them decide what steps they want to take next. Counsellors will always let their work proceed at the client’s pace.

Sometimes talking to a friend can be helpful and counsellors often encourage clients to use their family and friends. However, there are some disadvantages to using friends as your only confidants and support.

Friends and family could feel a conflict of loyalty and find it hard to keep things confidential. They may become upset themselves by what you are telling them and could become upset if you don’t accept their advice.

A Counsellors training enables them to have formal support and a work structure which helps them to deal with upsetting and difficult situations; friends may begin to feel overburdened, especially if they have their own problems too.

Your counsellor is not there to give you advice, tell you what to do or judge you in any way. The aim of counselling is to help you come to your own decision(s), only you know how you feel in any given situation. The counsellor might sum up what they understand you have been saying so that they can help you to form a plan of action.


Absolutely! Even if you don’t do any form of sport or exercise, our everyday movements still put stresses on our body, which can over time, lead to long-term issues. Many office workers, for example, who spend long hours every day sitting at a desk suffer from pain and stiffness in their neck, shoulders and lower back, which can become quite serious problems if left unchecked. Regular sports massage will help to ease the strain put on these areas of your body, reducing the risk of serious problems arising.

Sports massage will help your muscles, as well as your mind to become more relaxed and loose, allowing them to move more freely and preventing them from becoming too tight and stiff. Massage helps to drain away fatigue, to relieve swelling, to reduce muscle tension, to promote flexibility and to prevent injuries. People who drive a lot as part of their job have similar problems to the office worker and can benefit from sports massage in the same way. Anyone working in a physically demanding job where movements such as lifting or carrying heavy objects regularly can also benefit from regular sports massage to help counteract the stress put on their knee joints, lower back and shoulders.

Yes. Sports massage is proven to reduce recovery time, sometimes dramatically by shortening the time it takes for injuries to heal and makes the after effects “better”. Sports Massage reduces the swelling and oedema associated with soft tissue injuries. After a serious injury, Sports Massage helps form strong, pliable scar tissue instead of the usual random stiff scar tissue, so that the range of motion and tissue extensibility are maintained. A short list of benefits are:

  • Shortens the time it takes for an injury to heal.
  • Helps to reduce swelling and oedema.
  • Helps to form soft, pliable scar tissue.
  • Maintains or increases the range of motion.
  • Eliminates splinting in associated muscle tissue.
  • Locates and deactivates “trigger points” that form as a result of the original trauma.
  • Help get the athlete back into training sooner with less chance of re-injury.

That depends on several factors: if you are an athlete/participate in sport, factors such as training volume and intensity need to be considered; also whether or not you have chronic pain or acute injury, etc. If you don’t participate in sport, then occupational factors may come into play, for example, do you sit at a desk all day and have a tight neck and shoulders? Or do you carry out heavy manual work which makes you tight and prone to injury?

For some athletes, a weekly massage gives huge results. Other athletes only get an occasional Sports Massage if they’re in pain. The best way to reduce the effects of hard training, stress or occupational aches and pains is with regular Sports Massage. It is a fact that even getting massaged once a month regularly has a long lasting positive impact.

Sports massage uses a lot more pressure to release tightness etc than other types of massage. However, our team will work within your individual capacity for pressure and use a scale system to help learn what you feel comfortable with. For example, if you’ve just ran a marathon we know you can’t take a lot of pressure on your legs. Sometimes individuals develop knots or trigger points that require stronger bodywork which may cause discomfort. If this is the case, our therapists will communicate with the you about pain levels, working together to make the session as productive as possible and as pain-free as possible.

Yes. Contraindications are conditions when you should not be massaged. The most common condition among athletes is that of an acute injury or inflammation. Usually, the first 72 hours after an injury is the acute stage. After the swelling and pain begin to diminish, massage is recommended. A partial list of contraindications are: fever, vascular conditions, severe heart disease, contagious skin conditions, inflammation, abrasions, cuts, hematomas, cancer, neuritis, recent surgery, infectious diseases, diabetes with vascular dysfunction, fractures, and acute injury. There are too many possible conditions to list here so it is your responsibility to alert us to any medical condition or injury before a massage begins.

Always consult with your doctor if unsure.

Hearing & Audiology

Audiology is the study of hearing and balance and related disorders. There are a range of professional titles that you may come across which are used in audiology. These include Clinical Physiologist (including audiologist and hearing therapist), Clinical Scientist (including audiological scientist and clinical physicist), ENT Consultant, Audiological Physician, Teacher of the Deaf and Educational Audiologist. There are also many research scientists studying the field, often working in partnership with healthcare professionals.

A basic hearing test will measure the quietest sounds that you can hear across a range of frequencies or pitches, from low to high. Additional information, such as how rapidly sounds become loud for you or your ability to hear speech or speech sounds, can also be undertaken, if necessary.

For more information on hearing tests, see the NHS Choices website here.

If you feel your hearing is not as good as it once was or you are struggling to hear, whether in quiet or just in noisy situations, or if you need the volume on the TV turned up; these are signs that it would be worth having your hearing tested. People’s experience shows us that it is much easier to get used to a hearing aid at an early stage, rather than waiting until it may become worse.

You might like to try the hearing check on the Action on Hearing Loss website here.

It's not always easy to tell if you've lost hearing in 1 ear as you may still be able to hear with your other ear.

Signs of a hearing problem in 1 ear include:

  • your hearing is worse when sound comes from 1 side.
  • all sounds seem generally quieter than usual.
  • finding it hard to tell where sound is coming from.
  • difficulty ignoring background noise or telling different sounds apart.
  • finding speech unclear.
  • difficulty hearing in noisy places or over long distances.

Hearing loss in 1 ear is often caused by sound temporarily being unable to pass through the ear – for example, because of ear wax or an ear infection.

Your child may have a problem with their hearing if they:

  • are slow to learn to talk or aren't clear when they speak.
  • don't reply when you call them.
  • talk very loudly.
  • ask you to repeat yourself or respond inappropriately to questions.
  • turn up the volume of the TV very high.

Hearing loss in children can be caused by a build-up of fluid in the ear , which tends to get better over time and can be treated.

Seen anything you need help with?

If you would like to know more about the services that we provide, or you have any queries about the way we operate, please do not hesitate to get in touch with us for more information. You can reach us on 01443-238232 or simply

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