Archive for February 2017

Three Types of Care – Chiropractic and Osteopathy

Three Types of Care – Chiropractic and Osteopathy

Our chiropractors and osteopaths are highly trained in diagnosing the cause of your symptoms, whether you are complaining of pain, pins and needles, lack of movement, numbness or a combination of all of them.

The correct diagnosis or cause of your symptoms is important to establish before treatment commences in order to provide you with the correct treatment management. Our practitioners will use a combination of physical assessment, clinical tests and orthopaedic tests and/ or combined with diagnostic imaging such as x-rays, ultrasound scans or MRI scans if deemed necessary.

When making a diagnosis the practitioner will be taking into consideration the reasons why you are experiencing the symptoms, for example why one side of the body is affected more than the other. They will assess your posture, looking for asymmetry and for muscle imbalances and weaknesses that can be addressed and corrected.

They will ask you questions about your day to day activity, sleeping pattern/ position and hobbies or personal interests in order to determine how this may be affecting your posture and therefore symptoms.

We want our patients to understand that pain is just a symptom of an underlying cause and that treating the underlying cause will prevent the symptom/s from returning.

The “Three Types of Care” chart demonstrates the progression of spinal health from the first time you visit it us with spinal related symptoms to being symptom free and with improved mechanical spinal health. Symptoms arising from dysfunction in the spine are varied and can be widespread, such as neck pain, back pain, muscle spasm, arm or leg pain with or without pins and needles, numbness or weakness.

Many patients consult our practitioners after an acute attack of back or neck pain. At this stage, your treatment will be focused on “Pain Management Care” and you can expect to be receiving this type of care twice a week until your symptoms improve. It is common to have good days and bad days during this period, with minor relapses as you try to increase your activity levels. As your pain level and relapses decrease so will the frequency of your visits to your practitioner, at which point the main focus of treatment is on restoring the health of your spine and muscles through “Functional Corrective Care”.

It is common for patients to stop coming for treatment at this stage as they are feeling symptom free and have returned to normal activity levels. However research has shown that 25% to 50% of people after an acute episode of back pain; will experience additional episode over the following year. It is therefore a recommendation that our patients continue with “Maintenance and Preventative Care” which may vary from one patient to the next on the frequency of the visits, dependent on their general spinal health, lifestyle and social factors. The aim is to try to space out the interval of your maintenance visits to once every 3 months. Of course how long you decide to benefit from chiropractic or osteopathic treatment is always up to you.

The treatment you may expect to receive during visits is varied and dependent on what your practitioner thinks is suitable for you at the time and of course what you feel comfortable with.

Pain Management Intensive Care:

  • Cryotherapy or the use of cold packs
  • Soft tissue work
  • Intereferential therapy (minute electrical pulses used to treat pain and muscle spasm)
  • Therapeutic ultrasound (to speed up healing and reduce inflammation)
  • Dry needling (to reduce muscles spasm or tension)
  • Spinal manipulative therapy or spinal mobilization

Functional Corrective Care:

  • Soft tissue work
  • Interferential Therapy
  • Dry needling
  • Spinal manipulative therapy or spinal mobilization
  • Rehabilitation through a specific exercise program tailored to your condition. The NICE guidelines for low back pain recommend rehabilitation exercise for up to 8 sessions over 12 weeks.

Maintenance and Preventative Care:

  • Soft tissue work
  • Interferential Therapy
  • Dry needling
  • Spinal manipulative therapy or spinal mobilization
More

Chiropractic Care During Pregnancy

Chiropractic Care During Pregnancy

Why consider Chiropractic during pregnancy?

Every expecting woman knows how much her body changes during pregnancy. Hormonal and physical adaptations are often felt very early on and become more obvious further along the pregnancy. It is those changes that have an effect on the joints causing pregnancy related aches and pains.

For instance the hormone relaxin is released in high amounts during pregnancy and causes the joints to become lax in preparation for birth and as a result can cause back pain, pelvic or pubic symphysis pain. In the third trimester this is made worse by postural changes due to the protruding abdomen forcing the pelvis to tilt and increasing the curve in the low back. Therefore keeping muscles and joints functioning properly is very important for a healthy birth and allows for an active and pain-free pregnancy up until the end.

Is it safe to have Chiropractic treatment during pregnancy?

Being pregnant makes a mum-to-be especially aware and protective over her body, raising concern whether Chiropractic manipulation is safe for her and the unborn baby. Chiropractors with a special interest to provide care during pregnancy will complete additional courses to develop their knowledge and skills to treat prenatal musculoskeletal conditions. Hence, chiropractors will adjust their treatment bench to accommodate for the pregnant body shape and use treatment techniques where no pressure on the abdomen is needed. They will know which exercises are useful and safe during pregnancy. So it’s not just safe to see a chiropractor whilst pregnant but also beneficial!

So what exactly are the benefits of Chiropractic care during pregnancy?

The pelvis is like a basket that holds the baby and widens as it grows. Misalignments can restrict movement in the uterus and pelvis giving the baby less room to grow (intrauterine constraint). Chiropractic can reduce such intrauterine constraint increasing the chance for a natural and quick delivery.

The growing abdomen increases the stress onto the spine which can result in back or neck pain. Chiropractic can reduce aches and pains arising from those postural changes.

A very common pregnancy related condition is Symphysis Pubis Dysfunction (SPD) which is characterised by pain in the front of the pelvis. This can be quite severe in some cases where walking and standing is very painful. SPD usually occurs in the last trimester but can last for several months after birth making it hard for some mums to cope with their newborn. Chiropractors can reduce the discomfort and provide safe exercises to reduce the symptoms.

Are you suffering from Pubic Symphysis pain? Here is one simple exercise which might help…

If you suffer from pubic symphysis pain there is a gentle exercise that can be easily done – even during the third trimester:

Sit in a comfortable chair with your knees in line with hips and ankles. Place your fist between both knees and make sure not to arch your back whilst  doing so. Now gently press your legs together squeezing your fist with both knees. Count to 10 and repeat 3x for at least 3 times a day.

If you would like to discuss any pregnancy related back, pelvic or neck pain with a chiropractor first, please call the clinic on 0208 661 1613 and Maria Schlott (Chiropractor) will be happy to discuss whether chiropractic treatment is suitable for your condition before booking an appointment.

 

More