Yarrow Signal — Riverside rooms
Every course of care here starts with a full assessment, a plain-language explanation of what we found, and a decision you make with the findings in front of you.
The first visit, in order
Nothing on this list is a surprise on the day. If any step would be uncomfortable for you, say so and we work around it or stop.
01
What hurts, when it started, what makes it worse by evening, and what you have already tried. We also ask about medication, past surgery and recent accidents, because several of those change what we are allowed to do.
About 12 minutes02
Standing, seated and lying ranges, plus how you load one leg, reach overhead and return from a bend. Wear or bring clothes you can move in; nothing here requires a gown.
About 10 minutes03
Joint-by-joint palpation, reflexes, strength and sensation. This is the part that separates a joint and muscle problem from a nerve problem, and it decides whether an adjustment is appropriate at all.
About 15 minutes04
We sit down and go through what tested positive, what a realistic timeframe looks like, and what the options are — including waiting, imaging, or a referral elsewhere. You decide from there.
About 8 minutes05
If an adjustment is suitable, it happens in the same visit, with manual or instrument-assisted technique depending on what you are comfortable with. You leave with two exercises, not a twelve-page programme.
Remaining timeCare lanes
Each lane has its own assessment emphasis and session length. We will confirm or move you after the first visit rather than at the enquiry stage.
Follow-up 20 min
SuitsScreen-heavy work, headaches that build from the base of the skull, jaw clicking alongside neck stiffness.
Upper cervical and thoracic joint work, suboccipital and masseter release, and a breathing and desk-height change that usually matters more than the adjustment does.
Follow-up 20–30 min
SuitsLifting flare-ups, pain that travels past the knee, stiffness that is worst for the first hour of the day.
Lumbar and sacroiliac assessment with nerve tension testing first. Where a disc is the likely driver, we stage loading over weeks instead of adjusting repeatedly into an irritated segment.
Follow-up 30 min
SuitsSecond and third trimester pelvic and rib pain, and the first year after birth.
Side-lying table setup with pregnancy bolsters throughout, low-force pelvic and rib technique, and graded abdominal and glute work once you are cleared to load.
Follow-up 40 min
SuitsAnyone coming back from a flare who wants a date and a plan, not an instruction to rest.
Full movement and loading screen, then a week-by-week return plan written against your actual training week. Hands-on work is the smaller half of this lane.
Between-visit work is part of the plan, not an upsell
How we read the signal
An adjustment is one tool. Deciding whether it is the right tool today is the actual skill, and that decision gets re-made at the start of each visit rather than once at the beginning of a plan.
If the test that reproduced your pain last week is quiet this week, that is progress we can both see. If it is unchanged after four visits, the plan changes.
Manual, drop-piece and instrument-assisted technique all sit on the table. If you would rather not have a manual neck adjustment, you never have to explain why twice.
Home work is written to fit the gap you actually have — a kettle boiling, a commute platform — and gets replaced as soon as it is easy.
Right fit
We would rather point you to the right place on day one than start a plan that was never going to be the answer.
Already under care elsewhere? Bring the plan. We are happy to support it rather than restart it.
If any of the above applies, tell us in the enquiry notes and we will reply with where to go instead.
Questions before booking
No. You can request an assessment directly. If you are claiming through a health plan, check whether your own policy asks for a referral letter first — some do, and it is easier to sort before the visit than after.
It is gas moving within the joint fluid as the joint surfaces separate briefly. It is not bones cracking and it is not a sign of how well the adjustment worked.
Most people describe the adjustment itself as a quick pressure rather than pain. If the sound is the part you dislike, instrument-assisted technique produces no sound at all and we can use that instead.
Pregnancy-adapted care is routine here. You are set up side-lying with bolsters from the second trimester onward, no face-down table use, and we work with low-force pelvic, rib and thoracic technique.
If you have been told you have placenta praevia, pre-eclampsia or any bleeding complication, we ask you to clear care with your midwife or obstetrician first.
We do not answer this at the enquiry stage, because an honest number depends on the testing. After the first visit you get a working range and a review point at the fourth visit.
At that review we compare the tests that were positive on day one. If they have not moved, we change approach or refer you on rather than booking more of the same.
Yes, with one adjustment to expectations: during an acute flare the first visit is mostly assessment, settling and positioning advice. Heavier joint work waits until the area tolerates it.
If you cannot sit for the history, tell us when you request a time and we will plan a shorter standing-and-lying version of the assessment.
You get a written referral letter with the findings, the tests used and the reason, at no charge, whether that is for imaging, your GP, a physiotherapist or a specialist.
Bring any existing scan reports to the first visit. We read the report alongside today's testing rather than treating a scan from three years ago as the current picture.
Loose layers you can move and bend in. Leggings or shorts and a t-shirt are ideal; there is a changing screen in the room if you would rather bring them with you.
Mild soreness for a day, similar to after unfamiliar exercise, is common after the first two visits and settles with movement. Sharp pain, numbness or anything worsening after 48 hours is not expected — contact the clinic and we will reassess.
Request an assessment
We reply with two time options and a short note on what to expect. Nothing is held or charged until you confirm one of them.
Clinic hours
Worth bringing