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Sabai Leela Osteopathy Promotion | Earls Court, Fulham, Chelsea and Kensington

Earls Court Osteopath

Peter Chierakul | Osteopathic TreatementOsteopathy  is an established, recognised system of diagnosis and treatment that lays its main emphasis on the structural integrity of the body. It is distinctive in the fact that it recognises much of the pain and disability we suffer stems from abnormalities in the function of the body structure as well as damage caused to it by disease.

It uses many of the diagnostic procedures used in conventional medical assessment and diagnosis. Its main strength however lies in the unique way the patient is assessed from a mechanical, functional and postural standpoint and the manual methods of treatment applied to suit the needs of the individual patient.

Osteopaths use their hands both to investigate the underlying causes of pain and to carry out treatment using a variety of manipulative techniques. These may include muscle and connective tissue stretching, rhythmic joint movements or high velocity thrust techniques to improve the range of motion at a joint.

What do Osteopaths treat?

Osteopathy is a system of health care utilising manual therapy which can be used to treat any part of the body. Commonly treated conditions include:

  • Back pain
  • Neck pain
  • ‘Sciatica’ or ‘trapped nerves’
  • Sports injuries
  • Postural problems
  • Pregnancy aches & pains
  • Joint pain

Osteopathy aims to improve the functioning of the body by working on its structure.

What happens during my first visit?

The initial purpose of the consultation is to gather the information required to establish a working diagnosis. This is the first definition of the problem, and it allows the formulation of a plan for treatment and advice both in the short and long term. This is also an opportunity to clarify that the patient is indeed suitable for osteopathic treatment by ruling out any medical cause for the condition.

A comprehensive case history is taken that not only covers the presenting condition, but the previous medical history in some considerable detail. A thorough physical examination is then conducted for which you may be asked to undress to your underwear to allow a clear view of your posture, to examine mobility, and conduct a range of tests, all of which help to clarify the condition and its underlying causes. You are never required to undress beyond the underwear, and you are asked to to make it clear if undressing makes you uncomfortable for any reason. Being able to view the area concerned does help greatly, but the wish is to never make you feel anxious in any way. You may feel more comfortable bringing shorts to wear during your visits.

Once a diagnosis is established then this is clearly explained, together with detail of the treatment plan, the techniques that may be employed, and an initial estimate of how many treatments may be required. Normally there is time towards the end of this first visit for some treatment and advice.

What should I expect from subsequent treatments?

Following some questioning about the changes to your condition a brief re-examination is made. The allows the progression of treatment to be assessed objectively and ensures that it is adapted accordingly. During these visits both hands-on treatment is provided as well as advice regarding exercises or lifestyle modifications that will assist in your recovery. Any questions you may have can be addressed along the way.

How frequent are treatments?

This depends on the problem and its severity. In some cases, particularly when the pain is acute, then is more effective to see the patient again within a few days. Generally treatments are spaced roughly one week apart, although as the condition begins to improve they may be spaced more widely.

Some patients feel that they benefit from visits on a regular basis despite the absence of any pain. In such cases they may chose to attend every few weeks or months for a check-up, and can simply book themselves in.

How many visits will I need?

This will depend on:

  • your condition
  • how severe it is
  • how long you have had the condition

After your first examination and diagnosis, how long any further visits last will depend on your condition and the treatment you need.

The osteopath will review your progress regularly and you will be asked to give your consent to any changes to your treatment plan. They will discuss carrying out further investigations or referring you to your GP if your condition does not improve.

Do I need to tell my GP?

You do not need to let your GP know unless you want to. With your permission, your Osteopath may send a report to your GP, with details of your condition and the treatment you are receiving. This is because your GP holds all your medical records, and it is in your interests for them to be complete and up to date.

Do I have to pay for my treatment?

You will need to pay for your treatment unless you are covered by Private Medical Insurance (PMI) or a health cash plan, or live in an area where there is NHS-funded osteopathic care.

Treatment through the NHS is not widely available at the moment, so it is a good idea to talk to your GP or osteopath to find out the situation in your area. If you have PMI, confirm with your provider that osteopathic treatment is covered and tell the osteopath that this is how you will be paying for treatment.


Case Studies: Why our patients love us

Neck Pain

Neck Pain

Treatment of neck pain and tennis elbow from long desk based working
view case study
Sports Injuries

Sports Injuries

Treatment of severe back pain after a heavy weights session deadlifting.
view case study


Peter Chierakul | Back Pain, Rehabilitation,Sport InjuryPeter Chierakul – M.Ost BA (Hons)
Member of the British Osteopathic Association (BOA)
Registered with the General Osteopathic Council

Peter graduated from the London School of Osteopathy and is an accomplished structural osteopath. He has a particular interest in long term postural issues and back pain and passionately believes that most of the musculo-skeletal problems caused by our modern lifestyles can be managed with the right treatment, exercise and lifestyle.

Prior to becoming an osteopath Peter qualified as a Sports Massage Therapist and Traditional Thai therapist in 2006. He also is a qualified personal trainer and has considerable experience working with amateur and professional sporting injuries, especially for martial artists and footballers.

Peter is registered with the General Osteopathic Council (GOsC) in accordance with the Osteopaths Act 1993 and is a member of both the British Osteopathic Association (BOA). Peter commits to Continual Professional Development training regularly.


“I was in a terrible motorcycle accident with a broken leg and damaged back. Six months after the operation I was still in a lot of pain and on a lot of painkillers. I had been discharged and even with MRI scans the hospital basically said I was recovered. I saw Peter and after the first treatment I felt immediate relief. He was able to give me a diagnosis and treatment plan and it was only after a few treatments that I felt 100% better – completely pain free!”

Katee, Social Media Manager and Amateur Footballer


“I hurt my back on a long photoshoot and a day of carrying heavy equipment. After only two treatments, Peter had me walking pain-free again. He manages to explain his treatment very clearly without medical jargon and is always very professional and caring. I would not hesitate to recommend him to others seeking osteopathic treatment.”

Lydia, Photographer

“I was treated by Peter following a weight-lifting injury and found him to be a massive help in getting back to training. I would thoroughly recommend his services.”

Ian, Personal Trainer and ex-Commonwealth Boxer


“I don’t let anyone else touch my back except for Peter! When I went to see a physio, they said I’d be out for 2 weeks – Peter had me back on my feet in 2 days! He is a miracle worker!”

Sarah, Banker