EXPERIENCE

What to expect in your initial appointment

Interview and assessment
After reading and signing the consent form, you will go through a detailed interview with your therapist followed by a standard physical assessment including postural analysis, observation, palpation, Range of Motion evaluation, specific tests.

Body scan

The next part is a cranio-sacral body scan to analyse 5 different areas (pain boxes) in order to find the primary cause(s) of your physical symptoms. Each box can reveal different root causes and at the level in which your body needs a treatment.  In each box there are 7 levels:

  1. Structural —> need of a joint manipulation or mobilisation.
  2. Emotional —> need of an emotional rebalance through specific energy centres (chakra) or meridians.
  3. Energetic —> need of an energy rebalance through specific energy centres (chakra) or meridians.
  4. Biochemical —> need of a water or nutrients rebalance through diet adjustments or body liquids mobilisation through biodynamic crania-sacral techniques
  5. Myofascial —> need of a fascial release at the level of your muscles or joints. The fascia is a system of membranes made of connective tissue, based on collagen fibres, like a transparent film wrapping muscles, joints, bones, tendons, ligament, constituting different gliding layers. Often a muscle or skeletal condition generates from the restriction, retraction or entrapment of this structures or layers, due to wrong postures or habits, injuries, bad use, scars, emotional traumas.
  6. Visceral —> need of a viscero-fascial release at the level of your inner organs (digestive, urinary, hormonal, respiratory system, etc.). The viscero-fascia is a system of membranes made of connective tissue, based on collagen fibres, exactly like the myofascia but made to hold/hang the organs in a specific location, cavity or shape. Often a muscle or joint pain is related to a restriction, retraction or entrapment of this structures or layers, due to wrong postures or habits (diet, smoke, drugs, etc.) or previous injuries, surgeries, scars and emotional traumas.
  7. Cranio-sacral —> need of a cranio-sacral rhythm rebalance in a specific body area. Since we are an embryo, we start producing the spinal liquid which will be pumped in the nervous system until a few minutes after our death. This pumping system leaves an imprinted rhythm of expansion and retraction in the whole body. There are 8-12 expansion/retraction (e/r) cycles (7-8 for the visceral organs) per minute and they are symmetrical between the right and left part of the body with a same timing for the two phases (e/r). During illness or after traumas, injuries or surgeries the rhythm can become asymmetrical generating body compensation at the level of different systems (muscles, skeleton, organ, body liquid balance, etc.)
Diagnosis and plan discussion

The body scan will give your therapist all the right information to formulate a diagnosis and develop a treatment plan. The therapist will discuss with you that plan in detail and only if you agree he will proceed to the treatment.

Treatment

The Hito holistic therapy is a blend of different techniques depending on the actual findings. Those techniques are exclusively based on manual therapy and depending on your condition, needs and goals.

At any time before, during and after the treatment, you can ask questions, discuss and review techniques if you need any further clarifications or ask for any changes if you feel uncomfortable with any technique.

 In general, the therapy is very gentle and based on light and relaxing touch. It is common for patients to enter a state of deep relaxation or almost fall asleep because most of these techniques will generate an alpha-theta state which is in between the pre-sleeping phase and the REM phase. For patients who prefer an active participation, we advise to concentrate on a regular diaphragmatic breath or reporting to the therapist their body perceptions.

 Certain techniques are more intense, similar to a deep tissue massage and they are necessary to break the adhesions in the connective tissue to remove the myofascial restrictions. In this case the physiotherapist will notify you the use of them before the application and will modulate the intensity of pressure depending on your discomfort.

 The range of techniques used includes: myofascial or viscera-fascia induction, deep tissue massage, connective tissue reflex massage, reflexology, crania-sacral therapy, neuromuscular taping, vestibular manipulations, joint mobilisation/manipulation, soft tissue massage, Indian/Chinese acupressure, chakra healing, visceral manipulation, cognitive behavioural therapy (CBT), TMJ (jaws) techniques, intra-oral manipulation, etc.

Exercise plan

Depending on your symptoms, findings and goals your therapist will provide you with a tailored exercise program to regularly practice at in your own time.

 The plan always includes diaphragmatic breathing exercises and some myofascial stretching holding a a few specific poses for 2-5 minutes applying a light stretching pressure always below the threshold of pain.

 The strength exercises are usually prescribed when the main pain is gone or very low in intensity and frequency.

 Often the plan includes techniques of self massage or mobilisation/manipulation.

 In case of emotional or energy imbalance the exercises can include some Yin yoga poses to be held for 5-15 minutes, and practiced daily to generate the grounding of an energy centre (chakra) and naturally rebalance it.

 When the primary cause of a condition is related to an emotional blockage or previous trauma or some recent life trigger, the plan will include some type of meditation, mindfulness, CBT or self-journaling exercises (free writing, concept maps, etc.).

Follow up booking

Before leaving the session, it is advised that you book one or more follow up treatments depending on your tailored treatment plan. This will also ensure that you reserve the specific time and day that works for you each week.

On average, one treatment per week for a number of weeks is advised, moving to one session every two, three or four weeks at the final stage or as maintenance. Occasionally, your therapist will suggest for you to have more than one session per week for the first two weeks in case there are many overlapping symptoms and conditions.

After the session

The techniques used during each session will generate body changes and biochemical variations which will require up to 48 hours of extra energy, water and oxygen usage.

We advice to drink plenty of water, avoiding alcohol and caffeine as well as intense stress, trainings or sport competitions for the following 2 days.

As everyone is different, then everyone can react in a different way to each session. It is very common to feel lighter and great, immediately with less pain, but also the opposite with tiredness and more or different symptoms for a couple of days until the body will find a new balance, adjusting to those inner changes.

We advice to rest if needed and keep your therapist updated in case of any variation: sometimes a few sessions in a row are necessary before to get a stable pain reduction.

Usually the symptoms improve then return in a few days, please take note of any change because those details will be useful to tailor your follow-up sessions.

Follow up sessions

During the subsequent sessions, your therapist will ask you about an update of your symptoms, then he will reassess you using new tests if necessary but in general he will repeat the test where you were positive.

He will also repeat a body scan and update you about the new findings, explaining them before to proceed for the next treatment, which will include only the techniques necessary at that stage.

LOCATION

You can experience a Hito treatment at the Light Centre Moorgate, just within 3 minutes walking distance from the Moorgate tube station.  Your therapist is also available for home visits at certain times of the week depending on the location.

DURATION

The initial appointment lasts always 1 hour (except if differently required by your insurance company) to allow you and your therapist to have sufficient time for a detailed chat, the physical assessment, plan development and discussion and the treatment. Please arrive 10 minutes in advance to have enough time to read and sign the consent form. Then depending on your choice about the plan discussed or depending on your insurance policy, you can have 30 or 60 minute follow-up appointments.

Any delay due to your late arrival will be taken from the time you have booked. In the rare case of any delays due to your therapist, please wait in the waiting room to be called and you will agree together how and when to recover the time lost, usually as an extension of your current session.

CONFIRMING YOUR BOOKING

We will send you a reminder via mail and SMS the day before your appointment, please respond ‘yes’ to ensure your appointment time is secured or reschedule your appointment to an appropriate time. 

CANCELLATION POLICY

We require at least 24 hours notice if you need to reschedule or cancel your appointment. This is to allow us time to offer your appointment time to someone else who may need treatment. Late cancellations within the 24-hour cancellation period or failure to attend an appointment will result to a cancellation fee of 50% of standard charges.

WAITLIST

Usually we are able to offer an appointment within 48 hours to maximum 1 week depending on bookings. If you are unable to find a time that suits you when online booking please contact us to let us know your availability and we will do our
best to fit you in. 

DRESS CODE

There are no specific dress requirements. Most of techniques can be delivered even over the clothes. We advice patients to wear comfortable clothes made of soft and thin fabrics avoiding thick jeans, trousers or jumpers.

When doing a postural analysis it will be best if the patient wears sports clothes or only the underwear, as this helps the therapist to make better observations of the main reference point in the main joints, leading to a most accurate diagnosis.

For some treatment techniques such as Myofascial Induction will be more effective if delivered with a direct skin contact. In this case, we advice patients to wear only the underwear or a swimsuit.  Please discuss with your therapist if this is not an option for you so a workaround can be agreed.

PRICES

PAYMENT

You can generally pay by card, cash or bank order.  In these cases, payment is required immediately after the treatment.

In case of use of your insurance cover the type of payment will depend on your specific policy requirements (e.g. full payment by patient to be refunded by the insurer, excess, etc.).

WHAT TO BRING

Any recent medical imaging (Ultrasound, X-Ray, MRI or CT scans and reports)
Doctors letters, reports or referralsAny relevant paperwork
Any prescription or diet or exercise program you’re currently following
The list of your current medications
Any relevant medical device
Policy number and authorisation code (if using your insurance cover)

LET’S START SOMETHING NEW

LOCATION

Following recently updated guidance (dated 12th May 2020) from NHS England and the Chartered Society of Physiotherapy (CSP), I am pleased to announce that I can now offer ‘face to face’ consultations from July, where clinically appropriate and necessary, as urgent or acute conditions or whether video consultations have not provided enough benefit.

If you are struggling with pain, please do not hesitate to contact me and we can discuss all treatment options and work out what will be best for you!

RESTART DISCOUNT 

25% off until the end of July

BOOK NOW

I may look a little different in a full PPE gear but at the moment this is best way to ensure your protection and safety, respecting the latest current regulation.

Your full recovery in 3 simple steps:

  1. BOOK a Free video call including COVID-19 risk assessment
  2. Video session to get the best exercises, advices and strategy towards a definitive resolution of your symptoms
  3. Face to face consultation if the case strictly requires manual therapy 

Read more about our COVID-19 policy