A complete evaluation of the patient’s vertical posture, weight bearing, typology, tensions, contractures, spasms, the quality of the tissues and skin.

· global, regional and local functional testing, passive, active and specific tests depending on the objectives of the evaluation.

· palpation of the different tissues and physiological rhythms in order to ascertain the severity and origin of osteo-articular blocks and myofascial tensions, as well as the importance of the restriction it creates and imposes on the organism, locally and at a distance by compensation.

· the identification of the causes and a synthesis of all findings. The osteopath then weighs and prioritises the symptoms. Taking into consideration the patient’s state of health, age and vitality, he/she will build a specific osteopathic treatment plan most appropriate to each person.

· an osteopathic treatment follows precise objectives:

- treat the person according to his or her complaints and wishes (pain, functional restrictions, somatic disorders, etc.)

- treat the causes of these dysfunction.

- restore movement to the different mechanisms and systems of the organism which preserve, maintain equilibrium and health, by liberating them from their constraints (tensions, pressures, lockings, etc.)which affect general circulation at the arterial, venous, nervous and lymphatic levels.

This approach ensures a more effective integration of the local treatment, significantly reduces the chances of the condition becoming chronic, and improves the functioning of each system, one in relation to the other.

· an explanation to the patient of what was done and why, followed by advice concerning their particular problems. It is important that the patient becomes self-sufficient and responsible of his or her well-being.

Most patients will feel considerable relief after 2 or 3 appointments, although 5 to 8 treatments are required in the majority of cases to completely resolve the origin of the dysfunction or pain. This, of course, depends on the pathology present.