A chiropractic consultation

Detecting the Cause Of Pain

At Severn Chiropractic Clinic our chiropractors are trained in the differential diagnosis of neuro-musculo-skeletal pain. This includes the identification of significant joint and muscle dysfunction, faulty movement patterns, as well as the more uncommon but potentially serious disorders. Chiropractors specialise in the neuro-musculo-skeletal system, which may be the source of over 90% of the pain people experience.

History Taking

This process involves a detailed discussion of your pain history and other health problems. By obtaining detailed information, the Chiropractor is able to rule out more serious problems and focus the examination on the area that is most likely to be causing the pain.

In most cases, after we have gone through and understood your history, examined your physical state, and concluded any further tests, we can establish a diagnosis.

If we conclude that the problem is one that is treatable at Severn Chiropractic Clinic, and your case is accepted, we will formulate and recommend a treatment strategy. This strategy will be discussed with you in detail to ensure you understand it and all the options available.


The physical examination helps establish the cause of your problem. It involves an assessment of movement patterns; activities that may give you pain, but also relieve the pain; palpation of joints of the spine or extremities and also examination of muscles and muscle testing.

A neurological and/or orthopaedic examination assesses the joints and nervous system. This aims to provide an accurate evaluation of the specific problems of the patient.


Occasionally, it may be necessary to obtain advanced testing such as X-rays, CT scan or MRI to establish if a structural problem is the cause of your pain. Blood tests, urine analysis or other physical tests may also be required to further investigate the problem.

We can refer you to the appropriate imaging facilities, though not always through the NHS.


The treatment strategy designed for you will be unique to your particular problem. It may include one or more approaches, and may include referral to another health professional, such as a medical specialist, if deemed appropriate. Treatment will be directed at those primary dysfunctions that were detected during the examination. The treatment techniques are explained on our frequently asked questions page.