I found Nick Birch understood my problem from the start of the appointment, having had a conversation with me beforehand. He took note of the way I was moving and explained the causes, did a thorough bone density scan and gave me a run-down on the meanings of the various measurements on the diagrams.He told me that the way forward would be to have exercises and stretches and as I had been to Sarah on previous occasions to have further physio appointments with her.Later the same day he followed up with a letter to me confirming his analysis and recommended treatment and letting me know the letter would also go to other parties involved, including my GP. I was very heartened by my visit which has given me renewed determination to do my part in improving my condition.