London Spine & Joint Clinic (+44) (020) 7706 7003
Spinal and joint manipulation specialists in London, UK. A wide range of beneficial treatments. Qualified physiotherapists. Call +44 (0)20 7706 7003

Opening hours

bullet Monday 09:00 - 18:30
bullet Tuesday 09:00 - 19:30
bullet Wednesday 08:30 - 18:00
bullet Thursday 09:00 - 19:30
bullet Friday 08:30 - 18:00
020 7706 7003
14 Norfolk Place, London, W2 1QJ


What happens when I visit a Chiropractor for the first time?
What is Chiropractic treatment?
Will the treatment hurt?
What do I need to know before my treatment starts?
How many visits will I need?
Do I need to tell my GP?
Do I have to pay for my treatment?
How much does private Chiropractic care cost?
Can anyone call themselves a Chiropractor?
Are there different types of Chiropractors?

What happens when I visit a Chiropractor for the first time?

Normally your first visit can last anything between 30 minutes and an hour. During this time, the Chiropractor:

  • Will take a full case history.
  • May ask you to remove some of your clothes and you will be offered a gown as normal. You will also be allowed to change in privacy.
  • Will ask for your permission to give you a thorough physical examination, (this will include neurological and orthopaedic tests, if necessary), and the regional examination of which body part is painful.
  • May take or send you for X/Rays if they are needed.

A Chiropractor's first concern is to find out what is wrong. They will also check for signs of any serious conditions, which might necessitate you to go to your GP or hospital.

What is Chiropractic treatment?

Chiropractors are concerned with the framework of bones and muscles that support the body (the 'musculoskeletal system'). Some problems of the musculoskeletal system can be caused by accidents, lack of exercise, poor posture, illness and everyday wear and tear (degeneration). These problems may cause pressure on a specific nerve(s) in the body.

Depending on your condition, the Chiropractor may manipulate parts of your spine or joints and give you advice on exercise, self-help, diet and lifestyle. Some Chiropractors also offer rehabilitation programmes. Dr. Vice specialises in rehabilitation and exercise.

Manipulation involves precisely handling or moving joints, or parts of the spine, sometimes moving them further than they would normally move. There is strong evidence that spinal manipulation for lower back and neck pain is an affective treatment.

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Will the treatment hurt?

Chiropractic treatment is usually painless unless an area is inflamed (swollen). If this is the case your Chiropractor will alter the treatment accordingly. Don't worry if you hear a clicking or popping noise when one of your joints is being manipulated – this is perfectly (physiologically) normal with this form of treatment.

Some patients have mild reactions such as temporary aches and pains after their spine or joints have been manipulated and it is quite normal to have pain after your treatment.

It is important that you talk to your Chiropractor if you feel worried about anything either during or after treatment.

What do I need to know before my treatment starts?

Treatment is very much a partnership between you and your Chiropractor, as is going to your GP.

Before your treatment starts, your Chiropractor should explain to you clearly:

  • What they found in the examination.
  • The treatment plan they propose.
  • The benefits and any significant risks associated with your condition and proposed treatment.

Ask your chiropractor as many questions as you need to, to be sure that you understand what they have told you. Your Chiropractor will then ask you to give your permission for treatment (they call this 'consent').

To help you feel more at ease during a consultation, you or your Chiropractor may want another person to be there. This might be, for example, a clinic assistant or you could choose to bring a relative or friend.

Please note: It is not possible to bring several family members or friends into the consultation room for obvious logistical reasons.

If you would prefer to have only the Chiropractor there, please let your Chiropractor know. They will not do anything without your consent, and will respect your privacy and dignity at all times.

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How many visits will I need?

This will depend on:

  • Your condition
  • How severe it is
  • How long you have had the condition
  • How you respond to treatment
  • How much of your Chiropractor's advice you follow.

After your first examination and diagnosis, the duration of your treatment will depend on your condition and the treatment you need and the amount of visits you need.

The Chiropractor will review your progress regularly and you will be asked to give your consent to any changes to your treatment investigations or referring you to your GP or a private consultant 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 Chiropractor 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?

Yes, Chiropractic is a private 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 Chiropractic care.

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

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How much does private Chiropractic care cost?

The prices our clinic currently charges from 1st January 2024:

Initial consultation (Patient History, Physical examination, Explanation of your findings,
including first treatment, £170.00 (45min)

Subsequent consultation (discussion and or manipulation, with or without any adjunct treatment), £90.00 (15-20min)

X-Rays (performed personally by Ashton Vice)

1 series (2 X/Rays of 1 body part) £170.00 (X/Ray report BY REQUEST, follows, via email, within 24 hrs-No Charge).
2 series (4 X/Rays of 2 body parts) £340.00 (X/Ray report BY REQUEST, follows, via email, within 24 hrs-No Charge).

Each additional X/Ray image, £70.00

Medical report: inclusive of history, physical examination, diagnostic test results, treatment and/or costs £35.00.

Can anyone call themselves a Chiropractor?

No. It is illegal for anyone in the UK to use the title 'Chiropractor'/Doctor of Chiropractic,' or to imply that they are a Chiropractor, unless they have completed a minimum of 5 years full time Chiropractic university and passed with a high degree of competence and are academically and clinical science proficient and registered with the GCC (The General Chiropractic Council). All Chiropractors must have insurance cover for claims made against them by law.

The law, the G.C.C must:

  • Check people who apply for registration to make sure that they have a Chiropractic qualification, are of good character and are physically and mentally fit.
  • Set and Monitor standards of education and training.
  • Set standards of practice and conduct
  • Deal with any complaints about the conduct or practice of Chiropractors.

Are there different types of Chiropractors?

Yes. As no two general practitioners are alike and will practice radically differently, so too Chiropractors vary greatly!

Therefore you should not expect every Chiropractor to practice as another.

Some Chiropractors only manipulate joints of the spine, others might also do physiotherapy and/or acupuncture, exercise and rehabilitation. You should make it clear to your Chiropractor what type of treatment you desire and if your Chiropractor does not practice techniques that you wish or are comfortable with, you should find a Chiropractor who does.

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