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Physical Therapist

What to Expect

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First Visit with Dr. Hedd Piper BSc DC MRCC (Doctor of Chiropractic)

A full discussion of your problem will reveal what type of care is best for you.  Sometimes this means referring you back to your GP for some tests.  We can also arrange private MRI scans if this is necessary.

Please bring:

  • A list of prescription medication you are taking

  • Copies of any MRI / X-ray reports (ask at your GP reception)

  • A copy of any recent blood tests (ask at your GP reception)

A thorough physical examination can reassure us that there is no underlying problem and give an idea of what treatment may be helpful for you.

There will be a brief explanation of the cause of your problem. If it seems that you are a good candidate for chiropractic treatment then this may take place at the end of this appointment (if time allows).

Allow 1h10mins (to include filling in paperwork) for this appointment £75

Course of Treatment

It is common to need a course of treatments to feel sustainable improvement.   Treatments often take place three or four days apart for the first two or three weeks.

You should expect 5 treatments as a minimum to see signs of recovery.   

You may also benefit from sessions of massage during this time.

You may only need a thorough examination, some advice and reassurance that your pain will settle down without the need for many visits.


Your case will be reviewed after a few sessions (usually 6) and if progress is poor then changes can be made.

Individual follow-up visits are £40.

You can pre-pay for your treatment - £190 for 5 chiropractic appointments and £360 for 10

Maintaining Improvement


You can enjoy peace of mind by having occasional check-ups to make sure your back as healthy as possible.


These check-ups may be monthly to every 6 months depending on your progress.

t 01970 611190


  • What is Chiropractic?
    Chiropractic is a profession (rather than a treatment) which specialises in treating spinal pain. In the UK it is a tightly regulated profession and it is illegal to call yourself a chiropractor without being registered with the General Chiropractic Council. Historically, chiropractic has been closely linked to using manipulation to treat pain. The modern chiropractor will use more than just manual therapy to help you and your care should include education abut your pain and how to manage it, advice on exercise and lifestyle, nutrition, stress and sleep.
  • How does manipulation help spinal pain?
    Your spine is made up of lots of joints. From time to time you may sprain or strain these joints which can cause pain and stiffness. Your body responds by increasing muscle tension around these joints to protect them from further strain. Manipulating the spine has been shown to stretch the ligaments (1) that connect the joints of your spine. This in turn creates a pain relieving response in your body (2) as well as providing a relaxation of the muscles supplied by the same nerves as the joints (3). Manipulation used in isolation is unlikely to solve spinal pain and it must be used as part of a comprehensive, health based approached to pain. 1. Threkeld 1992, Hearne & Rivet 2002 2. Vicenzino/Wright 2002 3. Taylor et al 1994, Murphy et al 1995
  • Do I get treatment on the first visit?
    The priority of the first consultation is to understand your health and your painful problem in as much detail as possible within a relatively short space of time. If you have only had mild symptoms for a few days or weeks and seem in good health then we would hope to be able to offer some treatment towards the end of your consultation. If you have more established health issues with severe, long term or complicated painful symptoms then it may take the first visit to take all the necessary details to decide if we can help you. It may also be that the history of your pain suggest there is the need for further testing to really understand what is causing your issues. This might mean that the type of treatment we can offer at the clinic would not be helpful for you.
  • Are there alternatives to using manipulation for spinal pain?
    Yes. Only around 5% of back pain is caused by something nasty or from any form of structural change to the spine. The other 95% is what is known as 'non-specific pain'. This means we can't be specific as to whether your pain is being caused by joint pain, muscle pain, tendon pain, nerve pain, inflammation or maybe a mixture of all of these. Joint pain can respond well to manipulation; muscle pain may respond to massage; tendon pain responds well to loading exercises; nerve pain may respond well to nutrition advice and nerve exercises (neurodynamics); inflammation should respond to medication. Your case will be individually assessed and the best course of action selected for you.
  • How is chiropractic different to osteopathy or physiotherapy?
    There are historical differences, but very often there is little to choose between the professions. Chiropractors and osteopaths will have spent more time at undergraduate level focussing on the spine than physiotherapists - but many physios then go on to postgraduate studies concentrating on spinal problems. The important thing to consider is who you'd like to work with and what kind of approach you feel will suit you best.
  • Will it definitely work?
    There can be no guarantees that any intervention will work for any health condition. All we can offer at Clinig Corff Ystwyth is that we will do our best to help you overcome pain using any approach, method or technique that gets you closer to your goal. This will take time, patience and a budget.
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