
FREQUENTLY ASKED QUESTIONS
Everything you've ever wanted to ask about Osteopathy and Physiotherapy
We want you to feel listened to and cared for every step of the way during your appointment at Guy Gold's. If you've never been to an Osteopath or Physiotherapist before, or it's your first time coming to see us, read on: we've put together all of the most common questions about Osteopathy, Physiotherapy and Podiatry and the way we work.



Are dogs welcome at the clinic?
Guide dogs and assistance dogs are welcome, but unfortunately
What is Osteopathy?
Osteopathy is a form of musculoskeletal therapy that looks at the muscles and bones and how they work together in a patient's body. It's a non-invasive, drug-free treatment, so it's safe for people of all ages.​
What can Osteopaths treat?
Osteopaths can provide help with a range of conditions, including:
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Pain management
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Joint pain including frozen shoulder, shoulder, neck, hip and knee pain
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Headaches that arise from the neck
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Lumbago
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Neuralgia
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Minor sports injuries
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Fibromyalgia
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Cramp
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Circulatory problems
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Digestive issues
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Arthritic pain
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Disc injuries
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Sciatica
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Plantar fasciitis
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Tendinopathy or tendonitis
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Osteopaths are trained to care for babies, toddlers, children, teenagers, adults, pregnant women and elderly patients.
What conditions cannot be treated with Osteopathy?
Osteopaths are trained to screen for and recognise medical conditions. If you are dealing with an issue that cannot be treated with Osteopathy or requires medical attention, your Osteopath will advise you to see a health professional, such as a doctor or a midwife.
Do you offer online appointments?
We are currently offering online appointments for Osteopathy, with Andrew Hudson and Anna Aydinc, and Movement with Andrew Hudson and Michelle Smith. You can find out more about online consultations here.
What should I expect when I go to see an Osteopath?
For your first appointment (60 minutes), your Osteopath will spend some time asking you questions about your symptoms and how we can help you, whether you're experiencing pain, dealing with an injury, or looking for help with postural or joint problems. Your Osteopath will then carry out a physical assessment, and might ask you to perform some movements. They'll then talk you through your treatment options. In a follow-up appointment, your Osteopath will spend 30 minutes working on different parts of your body. To read more about your appointment, visit our Treatment page.
Is Osteopathy painful?
Some of the Osteopathic techniques used during your appointment may cause some mild discomfort, but not pain. Your Osteopath will be in communication with you for the duration of your appointment and will ensure that you are comfortable at all times. Patients occasionally experience some soreness the day after an Osteopathic appointment but this should last no longer than 24 hours.
Do I have to take my clothes off?
You'll never have to take your clothes off if you don't feel comfortable. Often, your Osteopath will ask you to remove some of your clothing so that they can work directly on the skin; however, if you'd prefer not to, just let your Osteopath know at any point during your appointment. We take extra care to ensure our patients feel safe and looked-after at all times when they are in our care: if at any point you'd like to pause the appointment, or have your Osteopath explain part of your treatment, just ask.
Can I bring a friend or family member with me to my appointment?
You are welcome to bring someone along to your appointment with you, if it would make you feel more comfortable.
How do I book an appointment?
If you're booking your first appointment, please call Reception on 02070187180 to book. To book a follow-up appointment, you can book online using our online booking system. If you'd prefer to book over the phone, you are welcome to use the phone number above.
Do I need to see a GP to be referred to an Osteopath?
In most cases it is not necessary to be referred by your GP; the majority of our patients self-refer. If during your appointment your Osteopath becomes aware of a condition that cannot be treated with Osteopathy, they will direct you to the appropriate medical professional.
How many Osteopathy appointments will I need?
Your Osteopath will asses you during your initial consultation, and let you know the recommended course of treatment. Some conditions can be treated in as little as one session, whereas others will require a series of appointments. We will always be clear with you about what kind of treatment we recommend, and will never advise you to attend more appointments than you need.
Do I need to bring anything with me to my appointment?
You should bring details of any medication or prescriptions you are taking to your appointment, as well as any orthotics, braces or supports you are using. If you have copies of any relevant medical reports, scans or X-rays it would be useful to bring those along as well.
Is Osteopathy covered by my insurance?
Osteopathy appointments, including online video appointments, are covered by most major healthcare insurance providers. If you are unsure about whether your insurance provider will cover your treatment please contact them directly.
What is Physiotherapy?
Physiotherapy helps to restore movement and function when someone is affected by injury, illness or disability. It can also help to reduce your risk of injury or illness in the future. It takes a holistic approach that involves the patient directly in their own care.
When is Physiotherapy used?
Physiotherapy can be helpful for people of all ages with a wide range of health conditions, including problems affecting the bones, joints and soft tissue – such as back pain, neck pain, shoulder pain and sports injuries.
Physiotherapy can improve your physical activity while helping you to prevent further injuries.
What do Physiotherapists do?
Physiotherapists are specially consider the body as a whole, rather than just focusing on the individual aspects of an injury or illness. Some of the main approaches used by physiotherapists include:
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Education and advice – physiotherapists can give advice about things that can affect your daily life, such as posture and correct lifting or carrying techniques to help prevent injuries
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Movement, tailored exercise and physical activity advice – exercises may be recommended to improve your general health and mobility, and to strengthen specific parts of your body. Our physiotherapist has special training in Pilates, and draws on this approach to inform treatment plans.
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Manual therapy – where the physiotherapist uses their hands to help relieve pain and stiffness, and to encourage better movement of the body
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Dry-needling – similar to acupuncture, our physiotherapist has additional training in dry-needling, and will offer this as part of a treatment plan where it can provide additional benefits.
Do you offer online appointments?
We are currently offering online appointments for Physiotherapy with Michelle Lewis.
What should I expect when I go to see a Physiotherapist?
For your first appointment (60 minutes), your Physiotherapist will spend some time asking you questions about your symptoms and how we can help you, whether you're experiencing pain, dealing with an injury, or looking for help with postural or joint problems. Your Physiotherapist will then carry out a physical assessment, and might ask you to perform some movements. They'll then talk you through your treatment options. In a 30-minute follow-up appointment, your Physiotherapist may use a combination of direct body-work, creating a stretching and exercise programme for you, and giving advice on ways to support your body. Direct work might include dry-needling if they feel this well help and you are comfortable with this.
Is Physiotherapy painful?
Some of the Physiotherapy techniques used during your appointment may cause some mild discomfort, but not pain. Your Physiotherapist will be in communication with you for the duration of your appointment and will ensure that you are comfortable at all times. Patients occasionally experience some soreness the day after a Physiotherapy appointment but this should last no longer than 24 hours.
Do I have to take my clothes off?
You'll never have to take your clothes off if you don't feel comfortable. Your Physiotherapist may ask you to remove some of your clothing so that they can work directly on the skin; however, if you'd prefer not to, just let your Physiotherapist know at any point during your appointment. We take extra care to ensure our patients feel safe and looked-after at all times when they are in our care: if at any point you'd like to pause the appointment, or have your Physiotherapist explain part of your treatment, just ask.
Can I bring a friend or family member with me to my appointment?
You are welcome to bring someone along to your appointment with you, if it would make you feel more comfortable.
How do I book a Physiotherapy appointment?
If you're booking your first appointment, please call Reception on 02070187180 to book. To book a follow-up appointment, you can book online using our online booking system. If you'd prefer to book over the phone, you are welcome to use the phone number above.
Do I need to see a GP to be referred to a Physiotherapist?
In most cases it is not necessary to be referred by your GP; the majority of our patients self-refer. If during your appointment your Physiotherapist becomes aware of a condition that cannot be treated with Physiotherapy, they will direct you to the appropriate medical professional.
How many Physiotherapy appointments will I need?
Your Physiotherapist will asses you during your initial consultation, and let you know the recommended course of treatment. Some conditions can be treated in as little as one session, whereas others will require a series of appointments. We will always be clear with you about what kind of treatment we recommend, and will never advise you to attend more appointments than you need.
Do I need to bring anything with me to my Physiotherapy appointment?
You should bring details of any medication or prescriptions you are taking to your appointment, as well as any orthotics, braces or supports you are using. If you have copies of any relevant medical reports, scans or X-rays it would be useful to bring those along as well.
Is Physiotherapy covered by my insurance?
Physiotherapy appointments, including online video appointments, are covered by most major healthcare insurance providers. If you are unsure about whether your insurance provider will cover your treatment please contact them directly.
What is a podiatrist?
A podiatrist is a medical professional who specializes in diagnosing and treating conditions related to the foot, ankle, and lower leg. They can provide medical and surgical care.
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When should I see a podiatrist?
You should see a podiatrist if you experience foot or ankle pain, changes in joints, skin or nails, injuries, deformities (like bunions or hammertoes), or issues related to diabetes or circulation.
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Do I need a referral to see a podiatrist?
No you do not. You can book an Initial Consultation directly on our website to see our Senior Podiatrist.
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What conditions do podiatrists treat?
Common conditions include plantar fasciitis, bunions, heel pain, ingrown toenails, athlete’s foot, warts, diabetic foot ulcers, fractures, flat feet and much more. A Podiatrist can treat anything in the lower limbs.
Can podiatrists perform surgery?
Yes, podiatrists are trained and licensed to perform minor surgeries. In addition, they can train further to become Podiatric Surgeon where they can surgical correct many pathologies including bunions, hammertoe repair, and treatment of fractures.
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How can a podiatrist help with diabetes?
Podiatrists play a key role in diabetic foot care by monitoring circulation, detecting nerve damage, treating ulcers, and helping prevent serious complications like infections or amputations.
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What should I bring to my first appointment?
Bring your medical history, a list of current medications, any relevant X-rays or test results, and wear shoes you commonly use. Insurance information is also helpful.
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Are orthotics effective?
Yes, custom orthotics prescribed by a podiatrist can help correct structural issues, relieve pain, and improve mobility, especially in conditions like flat feet or plantar fasciitis. The effectiveness of orthotics has been backed up by decades of peer reviewed medical research.
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What is a verruca and how is it treated?
A verruca is a type of wart that appears on the sole of the foot, caused by the human papillomavirus (HPV). It can be painful, especially when walking. Treatments include topical acids, needling, laser therapy, or surgical removal. A podiatrist can recommend the most effective option based on the size, location, and duration of the verruca.
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What’s the difference between corns and calluses, and how are they treated?
Corns and calluses are thickened areas of skin caused by repeated pressure or friction. Corns are smaller, often painful, and usually form on non-weight-bearing areas like toes. Calluses are larger, less painful, and typically develop on weight-bearing areas like the soles. Treatment involves removing the thickened skin, addressing the cause of pressure (like improper footwear), and sometimes using padding or custom orthotics. A podiatrist can safely and effectively manage them, especially if they’re painful or recurrent.
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How can a podiatrist help with nail problems like fungal infections or ingrown toenails?
Podiatrists treat a variety of nail conditions. Fungal nail infections can be managed with topical or oral antifungal medications, and sometimes laser therapy. Ingrown toenails—where the nail grows into the surrounding skin—can be treated conservatively or, in severe cases, with a minor surgical procedure completed by the Podiatrist to remove part of the nail. Podiatrists also provide advice on proper nail care to prevent future issues.
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How can I prevent foot problems?
Wear well-fitting shoes, practice good foot hygiene, stretch regularly, maintain a healthy weight, and inspect your feet often—especially if you have diabetes or circulation issues.
Do I need to eat breakfast?
There is a school of thought that those who eat breakfast tend to eat less throughout the day, it is important for school aged children and their cognitive performance. Skipping breakfast may leave you feeling tired and hungry, which can lead to poor dietary choices. The flip side of that is that intermittent fasting can really help with weight management and blood sugar control. So there is no right answer, breakfast is great for some people. If you don’t feel hungry at the time it’s not good to ignore that and eat anyway.
What is the best way to lose weight?
The best way to lose weight is to make dietary and lifestyle changes that help you focus on healthy choices. Planning and shopping is key.
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How much protein should I eat?
This is really dependent on weight and exercise and activity levels.
Is being vegan detrimental to my health?
Being vegan can be very healthy and an excellent choice for some, as long as vegans remember to supplement with B12 and to take Vitamin D in the winter months.
How much fruit should I eat?
Again this depends on age and weight, always more beneficial to eat the whole fruit which contains fibre that juices. Some people eat very little fruit but have lots of vegetables which give all the necessary vitamins
What is a balanced diet?
A balanced diet is a way of eating that provides all the essential nutrients needed for optimal health, growth, and well-being. It involves consuming a variety of foods from all food groups, proteins, fats and carbohydrates and minerals) in the right proportions, ensuring optimum health and weight.
Do supplements work?
The right supplements really do work and can support ‘nutrition gaps’ in the diet.
How much water should I drink?
This depends on your size and levels of activity.
How can I reduce my inflammation in the body?
By focusing on eating a variety of anti-inflammatory foods while limiting or avoiding foods that promote inflammation. Choosing whole, plant-based foods like fruits, vegetables, whole grains, nuts and legumes, while limiting processed foods, red and processed meats, refined carbohydrates, and saturated fats. For some it is appropriate to reduce the nightshade family such as peppers, tomatoes, aubergines and potatoes.
What conditions can massage help with?
Massage therapy may help with:
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Muscular tension and tightness
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Sports-related soreness or overuse injuries
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Postural discomfort from work or daily activities
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Stress and tension headaches
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Reduced mobility and stiffness
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Water Retention (via lymphatic drainage)
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Treatments are always adapted to the individual and may incorporate a combination of techniques.
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Do you treat children?
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Yes, massage can be provided for children and teenagers.
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Children aged 12–17 can receive treatment.
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A parent or guardian must provide written consent.
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A parent or guardian must be present in the treatment room during the session.
Treatment techniques and pressure will always be adapted to be appropriate for younger clients.
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Do you treat pregnant clients?
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Merci does not currently offer pregnancy massage.
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Do you offer postnatal massage?
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Yes. Postnatal massage can support recovery following pregnancy and birth by helping to reduce muscular tension, improve circulation and promote relaxation.
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Clients are generally advised to wait until after their postnatal check (around 6 weeks after birth) before receiving massage, particularly following a C-section or if there were complications. Medical clearance from a GP, midwife or healthcare professional may be required before treatment.
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What should I expect during my first massage appointment?
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Your first appointment will begin with a short consultation to discuss your health history, lifestyle and treatment goals. This allows the treatment to be tailored to your individual needs and ensures it is safe and appropriate for you.
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When should I avoid massage?
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Massage may need to be postponed if you have:
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Fever or infection
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Contagious skin conditions
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Recent surgery without medical clearance
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Blood clots or severe circulatory conditions
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Certain acute injuries
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If you are unsure whether massage is appropriate, please contact the clinic before booking.
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How often should I have a massage?
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This depends on your goals. Some clients benefit from occasional treatments for relaxation, while others may schedule regular sessions to support recovery, manage muscular tension or maintain mobility.​
What is Reflexology?
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Reflexology is a complementary therapy that involves applying gentle pressure to specific points on the feet. These points are believed to correspond with different organs and systems within the body. Reflexology aims to support relaxation, improve circulation and encourage the body’s natural balance and wellbeing.
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What can Reflexology help with?​
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Reflexology may help support general wellbeing and relaxation. Clients often seek reflexology for:
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Stress and tension
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Fatigue and low energy
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Sleep disturbances
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Headaches and tension
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Digestive discomfort
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Hormonal balance
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General relaxation and wellbeing
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Back Pain
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Fertility
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Periods
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Reflexology is not intended to diagnose or treat medical conditions but may be used alongside conventional healthcare to support overall wellbeing.
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What should I expect during my first Reflexology appointment?​
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Your first appointment will begin with a short consultation where your therapist will ask about your health history, lifestyle and treatment goals. This helps ensure the treatment is safe and appropriate for you.
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During the session you will lay down while the therapist applies gentle pressure to reflex points on the feet.
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Is Reflexology painful?​
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Reflexology should not be painful. Some areas of the feet may feel slightly sensitive during treatment, but the pressure will always be adjusted to ensure you remain comfortable.
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Most clients find reflexology deeply relaxing.
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Do I need to remove my clothing during a Reflexology appointment?​
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No. Only the feet and lower legs need to be accessible during a reflexology treatment. You may simply remove your shoes and socks.​
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Do you offer Reflexology appointments for children?​
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Reflexology may be offered for children aged 12–17 years.
A parent or legal guardian must provide consent, and a parent or guardian must remain in the room during the appointment.
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Do you offer Reflexology for pregnant patients?​
Reflexology for clients who are currently pregnant is not offered at this time.
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How many Reflexology sessions will I need?​
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Some clients choose reflexology as an occasional treatment for relaxation, while others may benefit from a series of sessions to support ongoing wellbeing. Your therapist can discuss an appropriate treatment plan depending on your goals.
