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Outline of a Treatment Plan

  1. Is Change Possible? – The first appointment is all about looking to see if change is learnable / trainable.

  2. The Second appointment is about expectations, how long do any desirable changes last?

  3. The Third Appointment is reinforcement of the change you’d prefer, helping you learn subconsciously.  See What Can I do? 

  4. This appointment shows if you are a good responder to manual therapy. Symptomatic Improvement or normalisation usually occurs in the first 1-4 weeks with reasonable effort from you to exercise. 

  5. 4-6 weeks. As appointments spread out from once a week it is important to realise that the process of muscle repair takes about 120 days(1) Reinjury at this point is all about (tertiary) prevention.

  6. 6-8 weeks. Old habits die hard. Your body needs to convince your brain it does not need to protect. Turning down the ‘protectometer’!

  7. Disease(2) and Deconditioning(3) can cause muscular imbalances and thus joint instability, causing a desire for regular appointments. 

  8. Maintenance Care(4), usually consists of monthly visits to help deconditioning and train good posture for you. Acute episodes can reoccur. 


During your examination you can expect:

Physical examination, (MSK) Medical triage and an Imaging needs assessment. 


Treatment can be provided 95% of the time on the first visit. 


Discover the likely sources of your stiffness, discomfort, and or pain.


Fascia First looks to encourage body repair through muscular balance and healthy loading resulting in adaptation called the training response.

Time frames above will be different if you are making use of Distance Appointments or Psychological / Physical combination appointments.


Finish your course


  1. HIdes JA, Richardson CA and Jull GA (1996). Multifidus Muscle Recovery is Not Automatic after Resolution of Acute First Episode. Spine 21(23) 2763-9
  2.  Hisayoshi Murai et al (2009) Altered Firing Pattern of Muscle During Exercise in Chronic Heart Failure. Physiology 587 (11) 2613-22
  3. Lehman G (2006) Trunk and Hip Muscle Recruitment Patterns During The Prone Leg Raise Following an Ankle Sprain Injury (deconditioning). Chiropractic and Osteopathy 14 4
  4. Eklund A et al (2018) Effectiveness of Chiropractic Maintenance Care A Pragmatic Randomised Controlled Trial. PLOS One 13 (9) e0203029
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