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How a consultation works

Most people who come to me have seen other clinicians first and still do not have a clear picture of what is wrong. This page sets out what happens at a first appointment.

Joel Proskewitz coaching a patient through a spinal stability exercise
ON THE DAY
01

Your history, in full

What happened, what you have already tried, what makes it better and worse, and what you want to get back to. There is time to go through all of it properly.

02

A physical assessment

I look at how your spine behaves under load: the movements and positions that bring your symptoms on, and the ones that settle them. You stay in control the whole time. I tell you what I am going to do before I do it, and we stop when you need to.

03

An explanation you can follow

A clear account of what is driving the problem and why, in language you can repeat to your partner, your GP or your surgeon. If you have scans, we go through them together.

04

A plan, and what it depends on

We agree what to do next, what to avoid for now, and what progress should look like. If your case would benefit from surgical or specialist input, I say so, and I can present it to the spinal multidisciplinary team I sit on in London.

AFTERWARDS

What you leave with

A summary of what we found and what it means, the movements that settle things and the ones to hold off on for now, and the exercises to start straight away. Where it helps, I write to your GP or surgeon. What comes next might be a handful of sessions, a longer programme, or a referral on. You will be told which on the day.

A client training under supervision at PerformanceRx
PRACTICAL
WHERE Fairfax Road, NW6 PerformanceRx, 79–81 Fairfax Road, London NW6 4DY.
ONLINE Also by video The history, going through your scans and reports, the explanation and the plan are the same. The physical assessment is different: I take you through a set movement sequence on camera rather than assessing you under load in person.
BRING Notes and kit Any imaging and reports you have, letters from your GP, physiotherapist or surgeon, and a list of your medication. Come in clothing you can move in. Scans are not essential for the consultation.
CHAPERONE Welcome The in-person appointment includes a physical assessment. You are welcome to bring someone with you: a partner, a friend, a family member.
BOOK

Booking

Consultations are arranged by phone or email. You can also send a message through the contact form.

9AM – 5PM UK, MONDAY TO FRIDAY