Your first visit

When you meet your chiropractor for the first time, they will start with a discussion about you, your health and your reasons for asking for chiropractic care. You will be asked for a great deal of information, not just about the pain or complaint that may have brought you to the clinic, but also about your past health history. Some of the questions may appear irrelevant, but they are extremely important to your chiropractor. To ensure that chiropractic care is appropriate for your condition, she/he will need to establish your overall health picture. If chiropractic appears not to be suitable for you, you will be referred to your GP or relevant specialist. Your details are confidential. No one else will be allowed to see your notes without your permission.

Once your case history is complete, we will examine you and have a discussion about your condition. The examination will concentrate on your neuromusculoskeletal system (nerves, muscles and joints). Gowns are made available for you to wear for the examination, as well as for any following treatments. After the initial consultation and examination, your chiropractor may offer treatment almost immediately. However, it may be delayed for a day or two if she/he needs to order x-rays or obtain further information from your GP (blood test results, for example) and, where appropriate, refer you for an MRI/CT scan. Any imaging will only be requested where clinically justified, in line with current legislation and guidelines.

Before starting treatment, in clear, simple language, you will be told the diagnosis, what can be done about it and what you should expect when you receive your first adjustment. You will probably be told about any exercises or changes to your lifestyle or diet that may be beneficial so that you can help yourself. A part of getting better is up to you, so please follow any instructions and advice carefully and completely. You will also be advised of all costs that relate to your future care. It would be appropriate, at this point, for your chiropractor to tell you of any likelihood of a recurrence of your problem and the possible need for any ongoing supportive care. This is not an unusual situation for patients who have had serious injuries, as well as those who have long-term problem due to wear and tear to the joints.

Your chiropractor


​Interest areas: Biomechanics, Sports Injuries

Nick is expertly qualified and an experienced clinician, working in several clinics achieving a high level of qualifications. He qualified in 2002 with an honours degree in Chiropractic from Glamorgan University after 4 years of studying. He has also gone onto achieve a Diploma and a Masters with distinction degree at Imperial College, London. He has also been awarded ‘Fellow’ and ‘Licentiate’ titles from the Royal College of Chiropractors and is qualified in the use of medical dry needling (acupuncture), low level laser therapy and custom orthotic prescription (insoles).

Nick is a keen sportsman in activities including golf, windsurfing, mountain biking, rugby and snowboarding. This has led him to develop a passionate interest in the treatment and management of sports injuries and rehabilitation.

Nick is registered with the General Chiropractic Council. He is also a member of the British Chiropractic Association and the Royal College of Chiropractors.

Your sports massage therapist

Lorraine Middleton BSc Sports Therapy

​Interest areas: Sports Injuries & Rehabilitation, Sports Psychology

Lorraine completed an Access to Health Science in 2016 at Stoke on Trent college. She qualified with an honours degree in Sports Therapy from Staffordshire University after 3 years of study.

Lorraine enjoys all areas of health and fitness activities including running, cycling, swimming and nutrition. This has lead her to develop a passion for promoting health and wellbeing, and an interest in the treatment of sports injuries and rehabilitation.

Lorraine is registered with the Sports Therapist Association.

Frequently Asked Questions


Are there any risks?

Chiropractic has far fewer risks than many other treatments for your problem. Serious side effects are extremely uncommon. Research shows that chiropractic is one of the safest and most effective forms of treatment available. Your chiropractor will, of course be happy to discuss all your concerns regarding treatment.


Does treatment hurt?

Generally, a chiropractic manipulation does not hurt – although there may be some minor short-term discomfort, which quickly passes for most patients. You will normally find that follow up treatments are much more comfortable, as your symptoms improve and you feel at ease with your chiropractor.


How soon will I feel better?

Often patients report a feeling of increased mobility and a sense of increased well-being immediately after treatment. However, not all cases are the same and you may find there is a small exacerbation of your condition before you start to feel better. In cases where chiropractic can help it is usual to start feeling improvement within the first few weeks.


Will I need x-rays or a scan?

Any decision to take x-rays or referral for scanning will be made in consultation with you. At all times, your chiropractor will weigh the risks against the benefits and advise you accordingly. Typical circumstances where an x-ray may be necessary are recent injuries, older patients whose bone structure may have altered over time, unusual examination findings or a history of serious diseases.


How often do I need to go?

This is very much dependent on each individual case. A simple strain for example would be quicker to treat than a more complicated condition that has been present for many years. Whatever your individual situation happens to be, your chiropractor will sit with you during your report of findings and discuss this with you.


How is my chiropractor trained?

Your chiropractor has studied a Bachelor of Science degree with honours in chiropractic over 4 years at university. This is followed by a further year of postgraduate clinical training. In addition to this, your chiropractor has studied for postgraduate qualifications in the management of extremity conditions.


Who are the chiropractors registered with?

All Chiropractors in England have to be registered with the General Chiropractic Council (GCC) to practice legally. In addition to this Chiropractors are members of the British Chiropractic Association (BCA) and the College of Chiropractors (CoC).


The British Chiropractic Association (BCA) is the largest and longest-standing association for chiropractors in the UK, requiring international standards of education, exemplary conduct and a commitment to  ongoing professional development.
The General Chiropractic Council (GCC) regulates chiropractors in the UK to ensure the safety of patients undergoing chiropractic treatment.

The GCC is an independent statutory body established by Parliament to regulate the chiropractic profession. We protect the health and safety of the public by ensuring high standards of practice in the chiropractic profession.

Spine-Health provides a comprehensive, highly informative and useful resource for understanding, preventing, and seeking appropriate treatment for back and neck pain and related conditions. This site has been developed by a multi-specialty group of medical professionals.