Specialties Complex cases
When nothing has worked so far
Going back over the file from the start, with a perspective that connects the specialties.
Months, sometimes years of consultations, tests and treatments, with no answer that holds: this is the diagnostic odyssey. Daniel Bontems has made it one of his specialties.
He sees these situations in Neuilly-sur-Seine, in Aix-en-Provence and during his assignments abroad. Some patients travel a long way, sometimes from another country, with their medical file in hand.
« J'ai eu la chance ce jour de voir cet ostéopathe après plus d'un an d'errance médicale. »
Does this sound familiar?
If any of these sentences sounds like you, this page was written for you.
I have seen several specialists. Each one looked at their own part.
My test results are normal, but the pain is very real.
Each treatment brings relief for a while, then everything comes back.
I was told I would have to learn to live with it.
My file is thick, and no one has read it all the way through.
I no longer know who to turn to.
What is different here
Not one more technique: a different way of approaching the file.
Your file, read in full
Imaging (the images themselves, not just the reports), laboratory results, letters from your doctors. Trained in anatomy applied to medical imaging, Daniel Bontems reads them with you and relates them to what you are experiencing.
Time to go back over the history
Since when, in what circumstances, what makes it worse, what eases it, what has already been tried. The complete chronology is often what was missing.
Several lenses
Osteopathy, pain neuroscience, micronutrition and expertise in mitochondrial health, respiratory physiology, traditional medicine: where a single lens has failed, several perspectives brought together sometimes open up what seemed closed.
Liaison with your doctors
Designated osteopath of the Réseau Douleur Paris, a network of 47 members (doctors, surgeons and allied health professionals), he also works with the Clinique Drouot Sport & Arthrose. When the analysis points to a specialty, he refers you to it.
A written record
You receive a written report, which you can share with your GP or the specialists who follow you. Your case moves forward, even between two consultations.
How the process works
Reviewing the history
A complete chronology of symptoms, the available tests and reports, the treatments tried and their effects.
Reading your test results
Imaging and laboratory results, read and related to what you are experiencing.
Cross-reading
Osteopathic, neurological, nutritional and respiratory hypotheses, weighed against one another.
Referral
When the analysis points to a medical specialty, you are referred to it.
Written feedback
A written summary, which can be passed on to your doctor or to the practitioners of the Réseau Douleur Paris.
Preparing your file
The more complete the file, the more useful the cross-reading. Please bring on the day of the consultation:
- Your imaging reports, and the images themselves (CD, USB stick or download link)
- Your recent laboratory results
- Referral letters and correspondence from your doctors
- The list of treatments tried, with their dates and effects
- A few chronological reference points: when the symptoms began, significant events, what makes things worse and what eases them
Coming from far away?
Start by describing your situation using the form, in a few lines and without medical details. An initial exchange makes it possible to check that this approach is suitable and to prepare what you need to bring.
- Neuilly-sur-Seine
- Monday, Tuesday, and Wednesday every other week
- Aix-en-Provence
- Wednesday every other week, Thursday and Friday
- Internationally
- United States, Europe, Latin America, Africa
What this approach is not
Because you have already heard a great many promises.
Not a promise of results
Every situation is different. The approach offers a complementary reading, honest about what it can contribute and about what falls within the remit of other specialists.
Not a replacement for your current care
It adds to your ongoing medical care and is intended to inform it. Your doctors remain your doctors.
Not one more technique
Understanding comes before action. Manual treatment follows the review of the file, when it makes sense.
What patients say (reviews in French)
« Il est rare de voir un osteo si bien lire et vous commenter les images IRM. »
C.DGoogle review
« J’ai eu la chance ce jour de voir cet ostéopathe après plus d’un an d’errance médicale. »
E.LGoogle review
« Cela faisait 1 mois que j’enchaînais lombalgies, sciatiques et douleurs cervicales… »
Z.AGoogle review
« …m’a permis de mieux comprendre leurs sources… »
C.RGoogle review
« Quand tu trouves enfin TON ostéo, ayant des migraines depuis plusieurs années… »
M.Google review
« …praticien à l’écoute, qui prend le temps d’expliquer… »
J.SGoogle review
« Un suivi depuis de longues années. Daniel est un super professionnel qui aborde plusieurs axes. N’hésitez pas à y aller. Merci Daniel, à très vite. »
É.DGoogle review
« La séance m’a fait énormément de bien. M. Bontems écoute attentivement, analyse avec finesse et agit avec une précision… »
R.VGoogle review
Complex situations
Another question? Write to the practice
What is a diagnostic odyssey?
It is the experience of a person whose symptoms persist despite multiple consultations and tests, with no clear diagnosis or satisfactory answer. It is common in chronic pain and functional disorders, and it is exhausting: you end up no longer knowing who to turn to.
How does the review of the file work?
The file is reviewed from the beginning, without preconceptions: the chronology of symptoms, the tests, the treatments tried and their effects. The aim is to connect what has been looked at separately, to identify any tests that may be missing, and to refer you to the right specialist if necessary.
What should I bring to the first consultation?
Your imaging reports, and the images if possible, your recent laboratory results, referral letters and correspondence from your doctors, and the list of treatments tried, with their dates and effects. The more complete the history, the more useful the cross-reading.
I live far away, or abroad: what should I do?
Start by describing your situation using the form, in a few lines and without medical details. An initial exchange makes it possible to check that this approach is suitable and to prepare what you need to bring.
Consultations take place in Neuilly-sur-Seine and Aix-en-Provence, and Daniel Bontems travels regularly to the United States, Europe, Latin America and Africa.
Does this approach replace medical care?
No, under no circumstances. It adds to existing care and is intended to inform it. When the analysis points to a medical specialty, the person is referred to it.
Your file deserves to be read in full.
Describe your situation in a few lines, without medical details: the next step takes place in consultation, with your test results in hand.