When you visit an Osteopath for the first time a full case history will be taken. You may then be asked to remove or loosen some outer clothing so that the osteopath can examine you. You need only remove the clothing you feel comfortable to remove. If you prefer you may wear loose clothing such as a tracksuit or shorts. If you are in acute pain remember to wear items of clothing that you can easily remove or replace. For example slip-on shoes may be easier than lace-ups; if you have a neck or shoulder problem, a shirt or cardigan may be easier to put on than a sweater. Examination may involve performing some simple movements, orthopaedic or neurological assessment and osteopathic evaluation by palpation (touch) to determine points of weakness, strain or restriction. The osteopath may need to refer you for additional investigations such as X-Rays, MRI scans or blood tests to allow full diagnosis and appropriate treatment.