Andreas Nelles stands in his treatment room with his first urgent care patient of the day sitting on the treatment bench in front of him – a pinched nerve in the neck. The osteopath from Jülich runs his hands up his patient's back, examining the possible causes. "In therapeutic treatment, there is no one-size-fits-all solution; the same symptoms can have different causes," Andreas says. The muscles in the shoulder area are tight, and the head is tensed up in a protective position. After a few maneuvers, Andreas finally succeeds in releasing the blockage. The first patient of the day has been successfully treated.

The morning appointments are always reserved for the previous day's emergencies. In these cases, Andreas only finds out the reason for patients seeking treatment during the consultation in the practice. "Acute complaints must be treated as quickly as possible; that's what the emergency appointments are for," the alternative practitioner explains. Andreas always activates such short-term appointments on the practice's website the night before. "This way, I can help as many patients as possible," says the 41-year-old osteopath.

In osteopathy, the aim is to identify not only the symptoms but, above all, the underlying causes of dysfunctions in the human body, Andreas explains. In the process, the body's self-healing powers are activated. Osteopathy is a holistic, manual therapy treatment method that combines the treatment of the human musculoskeletal system, the internal organs, and the skull, spine, pelvis, and nervous system.

"Diagnosis and treatment always take place from the outside. Muscle tension, organ movements, lung movements, and much more can be felt from the outside," says the 41-year-old. For this, Andreas cannot do without his most important tool – his hands. And they are called upon throughout the day.

From early in the morning until late in the evening, one patient after another enters the practice for individual therapy. All have different complaints; all are seeking quick and effective recovery. To be able to provide this, Andreas needs one thing above all: a comprehensive knowledge of the human body. To achieve this, he completed a variety of training and continuing education courses, from physiotherapist to manual therapist, sports therapist to osteopath, and alternative practitioner. However, his daily work is not solely about putting theory into practice. The experience gained from thousands of treatments is also incredibly important. "Knowledge grows continuously – with every patient and with every treatment."

That is precisely what Andreas particularly likes about his profession. "My goal has always been to understand the human body as holistically as possible," he says. The toolbox of treatment methods must be as full and diverse as possible, Andreas emphasizes – a metaphor he likes to use to describe osteopathy as a therapeutic profession. Above all, he can support people who need help, says the Jülich native.

Of course, osteopathy has its limits, the 41-year-old admits. Sometimes, he says, his patients are so physically affected by their illness that his treatment bench is simply about alleviating the accompanying symptoms.

All too well, Andreas remembers a little girl with leukemia who came to the practice with her mother after an exhausting chemotherapy session. "I wanted my treatment to help relieve some of the strain on the weakened body," the osteopath recalls. This, he says, was one of the experiences he carried with him into the evening. "Being a father of two children myself, it took quite a toll on me," Andreas recounts. "The day I saw the same girl, together with her mother, return to my practice two years later after surviving cancer was all the more beautiful."

In addition to the mental strain, Andreas is also physically challenged all day long; there are few opportunities to rest. During his working day, he spends most of his time standing next to his patients who are lying on the bench – and treating them with his hands. "A stable stance is enormously important for my work, to be able to set and use levers correctly," the osteopath explains. Andreas realized early on how crucial the right shoes are for his daily work.

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