If you have never seen an osteopath before, the whole thing can feel a little mysterious. What actually happens? Do I need to undress? Will it hurt? Is it like a massage, or like a chiropractor, or something else entirely? These are all reasonable questions. Navigating healthcare in a country where you may not speak the language makes it even more understandable to want to know what you are walking into.
Here is a straightforward account of what happens at a first appointment at my practice in Gdańsk, from start to finish.
Before You Arrive
You do not need a referral from a doctor to see an osteopath. You can book directly, which most patients do. If you have relevant medical records, imaging reports, or a list of current medications, bring these along. Do not worry if you do not have them. We can work without them.
Wear comfortable clothing if possible. Leggings or loose trousers, a vest top, sports bra, or shorts all work well. I need to see how you move and to work on the relevant areas of your body without your clothing getting in the way. You will never be asked to remove more than is necessary, and you can always keep more on if you prefer.
A first appointment runs for around 45 to 60 minutes. Subsequent appointments typically take 30 to 45 minutes. Give yourself a little extra time either side so you are not rushing.
Finding the Clinic
The clinic is at FizjoTeam Fizjoterapia, ul. Juliusza Słowackiego 77 in Gdańsk. It is a well-established physiotherapy clinic with a calm, professional atmosphere. All communication with me is in English. There is no need to navigate Polish on the day.
Taking Your Case History
The first part of the appointment is a conversation. I ask about what has brought you in, when your symptoms started, what makes them better or worse, and how they are affecting your daily life. This takes longer than people often expect, and rightly so. The history is frequently where the most useful clinical information lives.
I also ask about your general health, any significant past injuries or operations, medications you take, and relevant family history. This builds a picture of you as a whole person rather than just a set of symptoms. Everything you tell me stays completely confidential.
The Physical Examination
Following the case history, I carry out a physical assessment. I observe your posture and ask you to perform certain movements, such as bending, turning, and reaching, so I can see how your body is moving and where restrictions or compensations might exist. I may also carry out specific orthopaedic or neurological tests depending on your presentation.
With your consent, I then carry out a hands-on examination. I feel how your muscles, joints, and tissues move. I explain what I am doing as I go. You can ask questions at any point, and you can stop at any time.
Treatment
If it is appropriate to treat at the first appointment, which it usually is, treatment follows the assessment. Techniques I might use include soft tissue work to ease muscle tension, joint mobilisation to restore range of movement, and stretching to support flexibility. I may also incorporate medical acupuncture if that is clinically indicated and you are happy to proceed.
I discuss every technique before using it. Some techniques feel immediately relieving. Others produce a mild ache for a day or two afterwards, similar to how muscles feel after exercise. This is a normal response and settles quickly.
What Happens at the End
At the end of the appointment I explain my findings in plain language. I cover what I found, what I think is contributing to your problem, and what I recommend next. I give you a sense of how many sessions might be useful and what to expect in terms of timescale.
I also give you something to work on between appointments. This might be a simple exercise or two, some advice on posture or working position, or guidance on heat, ice, or activity modification. Self-management is a core part of the process. The aim is never to make you dependent on regular treatment. The goal is to help you understand your body and manage it well yourself.
A Note for Expats and International Patients
Finding good healthcare in a foreign country is one of the less glamorous parts of expat life. You want to know the person treating you is properly qualified, that you can communicate clearly, and that a language barrier will not get in the way when you are already dealing with pain or discomfort.
My practice serves English-speaking patients in Gdańsk and across the Trójmiasto region. I trained in the UK, I hold registration with the General Osteopathic Council (registration number 8536), and I have over 15 years of clinical experience. All consultations, explanations, and follow-up communication are in English.
If you have questions before booking, get in touch via the contact page. There is no obligation and no pressure. Sometimes people just want to check that a practice feels right for them before committing, and that is completely fine.
Ready to Book?
Appointments are available every Thursday in person at the clinic in Gdańsk. Virtual sessions for Pilates and somatic movement therapy are available throughout the week. Book directly online or get in touch to discuss your needs first.
Edward Bateman is a British-trained osteopath based in Gdańsk, Poland, offering English-language consultations in osteopathy, medical acupuncture, Pilates, and somatic movement therapy.