GOLF INJURIES
Golf injuries & limitations to playing; by David Gray - Osteopath
Osteopathic manual work can accelerate healing. Regain joint stability and mobility using isometric strengthening and control exercises. Balancing muscle tone, length and strength using appropriate techniques, moving onto more functional dynamic strengthening exercises, as soon as appropriate.
Promoting good postural and movement patterns to reduce risk of recurring injury.
Lower back or lumbar spine:
Among professional and amateur golfers, low back pain has been cited as the most common golf-related injury. It is estimated that 10-33% of LPGA and PGA touring professionals are playing whilst injured at any given time, and that half the group will develop chronic problems.
In the modern swing, the golfer finishes in a lordotic 'reversed c' position. This 'reversed c' leads to hyper-extension of the lower back which adds increased stress on the joints and paraspinal muscles of the lumbar spine.
Increased loads to the lumbar spine during the golf swing, as well as the large forces generated by these muscles, predispose the golfer to muscular strains, spondylosis (degenerative spine condition) and associated risk of herniated discs.
The Mid Back or Thoracic Spine:
The middle of the upper back or thoracic spine can make or break the golf swing. A flexible and supple T-spine will allow for smooth swing mechanics while restrictions will inevitably lead to poor performance and/or injury.
The ribs need to be able to expand, contract and rotate. This allows the diaphragm to move freely. Rotation can be restricted if the muscles between the ribs (the intercostal muscles) are tight. You may have felt something similar to a sharp, stabbing pain in your ribs after a day of hitting balls. This could be your intercostal muscles telling you that they have worked too hard. This is particularly important when associated with general arthritic spinal conditions.
The Neck or Cervical Spine:
As well as having similar spinal restrictions, this area is one of the most important for golf. Good stable mechanics for the golfer's eye-to-ball connection is fundamental in allowing the whole body swing to work correctly.
Shoulder injuries:
Shoulder pain in golfers is a relatively common occurrence compared to other sites of the body, accounting for approximately 8–18% of all golf injuries.
The shoulder goes through a large range of movement during the golf swing. Consequently, excessive practice can produce problems of the shoulder due to overuse.
Injuries to the shoulder in golfers are mainly restricted to the lead shoulder, i.e. the left shoulder in right-handed golfers. Studies have found that shoulder pain may be localised to the acromioclavicular (AC) joint, with the potential for either osteoarthritis or distal clavicle osteolysis.
Wrist/Hand injuries:
The wrist is one of the most common sites of injury in golfers. The wrist accounts for 13–20% of all injuries in amateurs and 20–27% of all injuries in professionals in golf.
Elbow injuries:
Elbow injuries are common in golfers, especially in amateurs and particularly in females. This is thought to be due to the increased carrying angle seen in the female population. Elbow injuries account for 25–33% of all injuries in amateurs and 7–10% of all injuries in professionals.
The importance of proper warm-up and stretching routines prior and most importantly after play, cannot be overemphasized. David your Osteopath will devise specific exercise routines for your own golfing needs.
Osteopathic manual work can accelerate healing. Regain joint stability and mobility using isometric strengthening and control exercises. Balancing muscle tone, length and strength using appropriate techniques, moving onto more functional dynamic strengthening exercises, as soon as appropriate.
Promoting good postural and movement patterns to reduce risk of recurring injury.
Lower back or lumbar spine:
Among professional and amateur golfers, low back pain has been cited as the most common golf-related injury. It is estimated that 10-33% of LPGA and PGA touring professionals are playing whilst injured at any given time, and that half the group will develop chronic problems.
In the modern swing, the golfer finishes in a lordotic 'reversed c' position. This 'reversed c' leads to hyper-extension of the lower back which adds increased stress on the joints and paraspinal muscles of the lumbar spine.
Increased loads to the lumbar spine during the golf swing, as well as the large forces generated by these muscles, predispose the golfer to muscular strains, spondylosis (degenerative spine condition) and associated risk of herniated discs.
The Mid Back or Thoracic Spine:
The middle of the upper back or thoracic spine can make or break the golf swing. A flexible and supple T-spine will allow for smooth swing mechanics while restrictions will inevitably lead to poor performance and/or injury.
The ribs need to be able to expand, contract and rotate. This allows the diaphragm to move freely. Rotation can be restricted if the muscles between the ribs (the intercostal muscles) are tight. You may have felt something similar to a sharp, stabbing pain in your ribs after a day of hitting balls. This could be your intercostal muscles telling you that they have worked too hard. This is particularly important when associated with general arthritic spinal conditions.
The Neck or Cervical Spine:
As well as having similar spinal restrictions, this area is one of the most important for golf. Good stable mechanics for the golfer's eye-to-ball connection is fundamental in allowing the whole body swing to work correctly.
Shoulder injuries:
Shoulder pain in golfers is a relatively common occurrence compared to other sites of the body, accounting for approximately 8–18% of all golf injuries.
The shoulder goes through a large range of movement during the golf swing. Consequently, excessive practice can produce problems of the shoulder due to overuse.
Injuries to the shoulder in golfers are mainly restricted to the lead shoulder, i.e. the left shoulder in right-handed golfers. Studies have found that shoulder pain may be localised to the acromioclavicular (AC) joint, with the potential for either osteoarthritis or distal clavicle osteolysis.
Wrist/Hand injuries:
The wrist is one of the most common sites of injury in golfers. The wrist accounts for 13–20% of all injuries in amateurs and 20–27% of all injuries in professionals in golf.
Elbow injuries:
Elbow injuries are common in golfers, especially in amateurs and particularly in females. This is thought to be due to the increased carrying angle seen in the female population. Elbow injuries account for 25–33% of all injuries in amateurs and 7–10% of all injuries in professionals.
The importance of proper warm-up and stretching routines prior and most importantly after play, cannot be overemphasized. David your Osteopath will devise specific exercise routines for your own golfing needs.
TINNITUS
The ear has two important muscles: the tensor tympani (it attaches to the ear drum, and stabilizes it from the excess vibration caused by loud sounds) and the tensor levi palatini (it attaches to the Eustachian tube, and helps to open and close the tube, thereby equalizing pressure within the inner ear.…..it is what gives that popping sound, when you are on an airplane.
Both of these muscles can become irritated from abnormal or excessive TMJ (jaw) movement, leading to a possible development of Tinnitus. There are also important embryological connections with the muscles used to open the jaw (lateral pterygoids) and the inner ear itself.
What does all this mean? – Well there are important links between the musculature and neurology of the ear and the jaw, by using his understanding David can focus his osteopathy in improving the function and movement of your jaw and the bones of your skull. Which often resolves (or at least reduce) any experience of tinnitus.
This same anatomical and neurological understanding can be applied with people suffering from unexplained vertigo (often caused by a disruption of the inner ear mechanisms) – all of which can be helped by ensuring the efficient movement of the jaw and bones of the skull.
Both of these muscles can become irritated from abnormal or excessive TMJ (jaw) movement, leading to a possible development of Tinnitus. There are also important embryological connections with the muscles used to open the jaw (lateral pterygoids) and the inner ear itself.
What does all this mean? – Well there are important links between the musculature and neurology of the ear and the jaw, by using his understanding David can focus his osteopathy in improving the function and movement of your jaw and the bones of your skull. Which often resolves (or at least reduce) any experience of tinnitus.
This same anatomical and neurological understanding can be applied with people suffering from unexplained vertigo (often caused by a disruption of the inner ear mechanisms) – all of which can be helped by ensuring the efficient movement of the jaw and bones of the skull.
COCCYDINIA
How is coccydinia treated?
David provides appropriate osteopathic treatment which is may be administered indirectly, delivering pain relief.
About the coccyx
The coccyx is often referred to as the 'tail bone', because it forms the last remaining part of the human 'tail' (at the end of the spine). It is located just above the cleft in the buttocks, and curves forward so that it points towards the front of the body.
Three small bones make up the coccyx. These bones are usually loosely fused together, and the coccyx becomes more flexible in pregnant women to allow them to give birth more easily.
What causes coccydinia?
Many different factors can cause pain and damage to the coccyx, such as childbirth or falling on the base of the spine. Coccydinia can also be caused by poor posture, or by a repeated activity or motion such as cycling or rowing.
Aches and pains in the lower part of the back can also result in coccydinia (known as secondary coccydinia).
David provides appropriate osteopathic treatment which is may be administered indirectly, delivering pain relief.
About the coccyx
The coccyx is often referred to as the 'tail bone', because it forms the last remaining part of the human 'tail' (at the end of the spine). It is located just above the cleft in the buttocks, and curves forward so that it points towards the front of the body.
Three small bones make up the coccyx. These bones are usually loosely fused together, and the coccyx becomes more flexible in pregnant women to allow them to give birth more easily.
What causes coccydinia?
Many different factors can cause pain and damage to the coccyx, such as childbirth or falling on the base of the spine. Coccydinia can also be caused by poor posture, or by a repeated activity or motion such as cycling or rowing.
Aches and pains in the lower part of the back can also result in coccydinia (known as secondary coccydinia).
OLDER PEOPLE & OSTEOPATHY
The treatment of older people requires as special approach as older individuals have needs stemming from ageing physiology, the psychological impact of ageing together with age related diseases.
Therefore the care of older people is multidisciplinary and holistic with David. All driven by the goals of health maintenance, and optimum function.
David’s Osteopathic Medicine is ideally suited to the pursuit of these goals as diet and nutrition together with exercise will be used alongside gentle hands on treatment, targeting stiff and painful joints in the neck, spine and other joints such as the shoulders and hips.
As you get older you may suffer more from aches and pains, and of course degenerative conditions such as osteo-arthritis also become more common. However, osteopathy can do much to help maintain mobility and quality of life.
Some of the conditions that occur with age cannot be completely reversed. An arthritic joint, for instance, cannot be fully restored to its original condition, but osteopathic treatment can help in maintaining range of movement and minimising pain. The benefits of keeping up excise in old age are now well documented and David can provide advice on the most suitable exercises. He can also help compile exercise programmes and can also give advise on how to modify lifestyle to reduce injury risks, and on the types of aids and equipment available to older patients.
Many older patients worry about the safety of manual therapy, and whether the treatment may be too forceful for them. Osteopaths, however, have a wide range of gentle and non-invasive techniques available to them, and David is careful to choose techniques that are safe for older patients.
POST OPERATIVE TREATMENT
Patients have found osteopathy extremely beneficial, returning their function, movement & decreasing pain very quickly, with post operative & rehabilitative osteopathic treatment.
Using gentle techniques David can treat immediately after a plaster cast is removed, within a few days of arthroscopy and a few weeks following joint replacement.
Osteopathy delivers a supportive role which is available throughout the life time of all people, as required. Any person with changing needs and circumstances, will be provided with reviews, to enable these to be assessed. Regular assessment & goal planning are tools by which David involves each patient in their own treatment plan.
The following areas are where David frequently provides osteopathic input & support:
Following complications, such as pressure sores, fractures, surgery, contractures, operations etc.
Changing circumstances, hospital move, change in carer, stage of life, change in environment etc.
Gait Training
Maintenance programs and exercise regimes.
Initially treatment reduces the swelling and stiffness and addresses the trauma to the joint as a result of surgery. We then look at restoring the quality of movement to the joint and then look at stretching the muscle, exercise to increase range of movement and strengthen the surrounding muscles.
David also looks at the rest of the body ensuring that balance is restored, treating helps to;
*Optimise the patient’s functional status
*Prevent complications
*Promote Patient’s whole Health
*Promote healing and recovery
David considers that rehabilitation allows for the preparation and support of an individual, to enjoy the life they choose to follow.
BURSITIS
How Bursitis Occurs 
The bursa is what cushions the tendon and thereby helps prevent friction between the tendon and the bone. Unfortunately, constant rubbing of the tendon over the bone with high amounts of repetitive arm, shoulder, hip, knee and ankle motion can lead to enough friction of the bursa itself to cause the inflammation and irritation of the bursa called bursitis.
Bursitis Treatment
The treatment goals are to reduce inflammation in the joint, restore proper posture and movement, and bring the body back to its healthy state, preventing the bursitis from occurring again. David as an Osteopath is skilled in assessing the possible causes of the injury. An appropriate treatment and management plan will be designed to address the cause and help recovery. Specific exercises will be prescribed to speed the recovery process and prevent it coming back.
Common Areas of Bursa inflammation
The most common tendon areas that become inflamed are the elbow, shoulder, hip, knee, ankle, and heel. Of course, bursitis can will vary with each person, as it strikes the areas you use and irritate the most.
Bursitis Symptoms
Symptoms can vary from an achy pain and stiffness to the local area of the joint, to a burning that surrounds the whole joint around the inflamed bursa. With this condition, the pain is usually worse during and after activity, and the bursa and surrounding joint area can become stiffer the following day.
The bursa is what cushions the tendon and thereby helps prevent friction between the tendon and the bone. Unfortunately, constant rubbing of the tendon over the bone with high amounts of repetitive arm, shoulder, hip, knee and ankle motion can lead to enough friction of the bursa itself to cause the inflammation and irritation of the bursa called bursitis.
Bursitis Treatment
The treatment goals are to reduce inflammation in the joint, restore proper posture and movement, and bring the body back to its healthy state, preventing the bursitis from occurring again. David as an Osteopath is skilled in assessing the possible causes of the injury. An appropriate treatment and management plan will be designed to address the cause and help recovery. Specific exercises will be prescribed to speed the recovery process and prevent it coming back.
Common Areas of Bursa inflammation
The most common tendon areas that become inflamed are the elbow, shoulder, hip, knee, ankle, and heel. Of course, bursitis can will vary with each person, as it strikes the areas you use and irritate the most.
Bursitis Symptoms
Symptoms can vary from an achy pain and stiffness to the local area of the joint, to a burning that surrounds the whole joint around the inflamed bursa. With this condition, the pain is usually worse during and after activity, and the bursa and surrounding joint area can become stiffer the following day.
TENDONITIS
How Tendonitis Occurs
Tendonitis is usually seen after excessive repetitive movement with which the tendon gradually becomes tighter until the fibers begin to tear.
For example, a person who plays tennis may overuse the muscles of the elbow through hitting the ball repetitively and cause tendonitis to the area.
Tendonitis is also regularly treated in carpet fitters, builders, plumbers athletes, runners, footballers and those who perform regular activities like house work.
Tendonitis Treatment
With appropriate care Osteopathically, David will help by diagnosing and treating, the problem. As tendonitis often involves tendons that are used in a person’s occupation, additional osteopathy treatment may involve:
- Osteopathic manipulation techniques
- Soft tissue and muscle stretching
- Stretching exercises
- Advice on protecting the tendon from overuse and stress
- Help to reduce the inflammation
- Massage
- Gentle release techniques
- Strapping & Support to aid repair of the tendon
Common Areas of Tendon inflammation
The most common tendon areas that become inflamed are the elbow, wrist, biceps, shoulder (including rotator cuff attachments), leg, knee (patellar), ankle, hip, and Achilles’. Of course, tendonitis will vary with each person, as it strikes the areas you use most.
Tendonitis Symptoms
Symptoms can vary from an achy pain and stiffness to the local area of the tendon, to a burning that surrounds the whole joint around the inflamed tendon. With this condition, the pain is usually worse during and after activity, and the tendon and joint area can become stiffer the following day. The pain is frequently more apparent at night time.
De Quervain's Tendonitis (De Quervain's Tendonosis)
De Quervain's tendonitis occurs when the tendons around the base of the thumb are irritated or constricted. The word "tendinitis" refers to a swelling of the tendons. Thickening of the tendons can cause pain and tenderness along the thumb side of the wrist. This is particularly noticeable when forming a fist, grasping or gripping things, or when turning the wrist. O
Tendonitis is usually seen after excessive repetitive movement with which the tendon gradually becomes tighter until the fibers begin to tear.
For example, a person who plays tennis may overuse the muscles of the elbow through hitting the ball repetitively and cause tendonitis to the area.
Tendonitis is also regularly treated in carpet fitters, builders, plumbers athletes, runners, footballers and those who perform regular activities like house work.
Tendonitis Treatment
With appropriate care Osteopathically, David will help by diagnosing and treating, the problem. As tendonitis often involves tendons that are used in a person’s occupation, additional osteopathy treatment may involve:
- Osteopathic manipulation techniques
- Soft tissue and muscle stretching
- Stretching exercises
- Advice on protecting the tendon from overuse and stress
- Help to reduce the inflammation
- Massage
- Gentle release techniques
- Strapping & Support to aid repair of the tendon
Common Areas of Tendon inflammation
The most common tendon areas that become inflamed are the elbow, wrist, biceps, shoulder (including rotator cuff attachments), leg, knee (patellar), ankle, hip, and Achilles’. Of course, tendonitis will vary with each person, as it strikes the areas you use most.
Tendonitis Symptoms
Symptoms can vary from an achy pain and stiffness to the local area of the tendon, to a burning that surrounds the whole joint around the inflamed tendon. With this condition, the pain is usually worse during and after activity, and the tendon and joint area can become stiffer the following day. The pain is frequently more apparent at night time.
De Quervain's Tendonitis (De Quervain's Tendonosis)
De Quervain's tendonitis occurs when the tendons around the base of the thumb are irritated or constricted. The word "tendinitis" refers to a swelling of the tendons. Thickening of the tendons can cause pain and tenderness along the thumb side of the wrist. This is particularly noticeable when forming a fist, grasping or gripping things, or when turning the wrist. O
SPORTS THERAPY
Sports/Remedial - Massage
Sports and Remedial Massage or Deep Tissue Massage is a deep treatment that loosens up tight muscles, breaks up adhesions in muscle fibres, and generally focuses on restoring and/or maintaining the full functionality of your muscles. It can help your muscles perform better and prevent injury. Muscle injuries will often heal more effectively with the help of sports massage.
What is Sports - Massage
Special form of massage developed to help athletes reach their peak perfomance, to assist in their recovery afterwards and to facilitate the healing processes after injuries as well as prevention from injuries. It utilises techniques similar to Swedish, Therapeutic and Trigger Point Massage being suitable for all individuals with injury and is adapted to their current problem. David uses his experience as an Osteopath to deliver comprehensive treatments.
There are four types 
Training - Massage
To prepare the body for peak performance. It is vigorous and deep to the body's tissues and should be done at least a day before the competition.
Preparation (Pre Training) - Massage
Just before event. It is fast, light and pleasant inducing stimulation of the muscles.
Break Massage
During event to accelerate changes of fluid in muscles thus restoring and rebalancing their energy.
Anti-fatigue (Post Training) - Massage
After event to drain wastes away and restore a proper level of oxygen in the muscles and promote relaxation. Again it works vigorously and deeply into the tissues of the body.
DISC PAIN
The intervertebral discs are the shock absorbers of the spine and are essential for the day to day as well as long term health of your spine and the nerves that run through and around it. 
Technically, discs cannot slip; however, they can bulge, herniate, collapse and even rupture. Accidents or lifting are common ways of causing a disc injury, especially where severe forces have gone through the spine or where years of poor posture have weakened its structure leaving it vulnerable to damage with only the slightest amount of force. When the spine is forced beyond its natural limits, the ligaments, tendons and muscles 
that support the spine can become overstretched or torn. The bulging disc can compress the spinal cord and nerves and produce pain in the local area and areas distant from the site of the problem, this can be in the arms or legs or both.
What symptoms would I experience if I had a lower back disc problem?
-Severe immobilising lower back pain, (or upper back, kneck and arm pain). After a day or so the pain may radiate into one buttock, down the thigh and calf and into the foot. (Sciatica NB Sciatica is a symptom not a diagnosis. It means pain radiating down the leg, why is this?)
-Not exclusively, but pain is often more predominate first thing on waking, present for over 1.5 hours.
-Tingling and numbness may be felt in the calf and foot of one leg. There may also be weakness in one foot.
A professional should always diagnose the condition when one experiences severe back pain for more than 2-3 days.
How can osteopathy help?
Osteopathic treatment will decrease the recovery time, enabling the patient to get back on their feet quickly. The manual treatment (i.e. – soft tissue massage, joint release techniques,etc.) provided by the osteopath reduces the muscle spasm, inflammation, and nerve pressure, the primary pain producers. By mobilising the joints and soft tissues, osteopathic treatment aids in the prevention of scar tissue formation around the disc, a factor associated with recurring back pain.
The osteopath will not just treat the area of pain but also the surrounding areas to alleviate pressure on the injured disc.
What can I do at home?
At the onset of acute back pain you should:
- rest for 1-2 days in the foetal position (side-lying) or lying on one’s back with knees bent and feet raised with 2 sofa sized pillows under the calves.
- apply an ice pack to the back for 15 minutes (not the leg) , every 2-3 hours for a period of 48-72 hours.
- inquire about anti-inflammatory tablets which can be taken under the guidance of one’s family doctor.
- avoid lifting or sitting on low chairs or sofas and bending as these activities stress the injured disc.
After 24-48 hours manual treatment your osteopathy should be started. Long-term bed rest has been shown to hinder the healing process.
that support the spine can become overstretched or torn. The bulging disc can compress the spinal cord and nerves and produce pain in the local area and areas distant from the site of the problem, this can be in the arms or legs or both.What symptoms would I experience if I had a lower back disc problem?
-Severe immobilising lower back pain, (or upper back, kneck and arm pain). After a day or so the pain may radiate into one buttock, down the thigh and calf and into the foot. (Sciatica NB Sciatica is a symptom not a diagnosis. It means pain radiating down the leg, why is this?)
-Not exclusively, but pain is often more predominate first thing on waking, present for over 1.5 hours.
-Tingling and numbness may be felt in the calf and foot of one leg. There may also be weakness in one foot.
A professional should always diagnose the condition when one experiences severe back pain for more than 2-3 days.
How can osteopathy help?
Osteopathic treatment will decrease the recovery time, enabling the patient to get back on their feet quickly. The manual treatment (i.e. – soft tissue massage, joint release techniques,etc.) provided by the osteopath reduces the muscle spasm, inflammation, and nerve pressure, the primary pain producers. By mobilising the joints and soft tissues, osteopathic treatment aids in the prevention of scar tissue formation around the disc, a factor associated with recurring back pain.
The osteopath will not just treat the area of pain but also the surrounding areas to alleviate pressure on the injured disc.
What can I do at home?
At the onset of acute back pain you should:
- rest for 1-2 days in the foetal position (side-lying) or lying on one’s back with knees bent and feet raised with 2 sofa sized pillows under the calves.
- apply an ice pack to the back for 15 minutes (not the leg) , every 2-3 hours for a period of 48-72 hours.
- inquire about anti-inflammatory tablets which can be taken under the guidance of one’s family doctor.
- avoid lifting or sitting on low chairs or sofas and bending as these activities stress the injured disc.
After 24-48 hours manual treatment your osteopathy should be started. Long-term bed rest has been shown to hinder the healing process.
SINUSITIS
Sinusitis is the inflammation of the mucous membranes that line the sinuses. Therefore, in order to reduce the chances of sinusitis David osteopathically aims to improve drainage of the sinuses.
The osteopathic perspective is to address the problem mechanically. David is interested in the anatomical relationships between the bones that make up the sinuses and the other structures around the face. David starts by observing facial relationships, looking for signs of squashed eyes, nose, cheeks and mouth. This may be more obvious in infants who may have had pressure through the face on exiting the birth canal. David observes the relationship of the skull to the neck, throat, thorax and shoulders where compression and torsion may lead to compromised draining.
In addition to the direct anatomical relationships, David addresses function the autonomic nervous system (parasympathetic and sympathetic nervous system) and its contribution to the function of the sinuses. The autonomic nervous system regulates the activity of the mucosa.
It is normally possible for osteopathic treatment to achieve a change in the function of the nasal mucosa within 5-7 treatments.
David will also explore the possibility that the sinusitis may be affected by diet and exposure to environmental irritants. Once all factors have been addressed the body is normally able to recover.
The osteopathic perspective is to address the problem mechanically. David is interested in the anatomical relationships between the bones that make up the sinuses and the other structures around the face. David starts by observing facial relationships, looking for signs of squashed eyes, nose, cheeks and mouth. This may be more obvious in infants who may have had pressure through the face on exiting the birth canal. David observes the relationship of the skull to the neck, throat, thorax and shoulders where compression and torsion may lead to compromised draining.
In addition to the direct anatomical relationships, David addresses function the autonomic nervous system (parasympathetic and sympathetic nervous system) and its contribution to the function of the sinuses. The autonomic nervous system regulates the activity of the mucosa.
It is normally possible for osteopathic treatment to achieve a change in the function of the nasal mucosa within 5-7 treatments.
David will also explore the possibility that the sinusitis may be affected by diet and exposure to environmental irritants. Once all factors have been addressed the body is normally able to recover.
PAINFULL COMPUTERS
Many people work sitting in front of a computer.
The Mouse Syndrome:
No - it is not a state in which you develop a long tail, some fur and an increase appetite for cheese.
The mouse syndrome is a series of signs and symptom that a desk worker tends to develop.
-Neck pain
-Upper Back pain
-Shoulder pain
-Headaches
-Thoracic outlet syndrome
-Carpal tunnel syndrome
-Stress...
Analysis of the typical posture in an office:
Too often people slouch in their chair which because of its price is generally quite comfortable, but in fact wrongly comfortable. When you slouch you:
-decrease your lumbar lordosis (decrease extension of low back) which feels good because you stretch some muscles but in fact you over stretch for 8 hrs a day your ligaments , capsules and discs of your low back.
-increase of thoracic kyphosis (flexion of mid back). This leads to a poor relaxed posture which compromise greatly the function of your diaphragm. In fact your diaphragm cannot contract properly because it sits on your abdominal organs. This obliges you to breathe with your upper chest and use breathing accessories muscles.
-Bring your head back, as the you might have a bit of wear and tear in his neck this neck extension is precipitating some neck pain and headaches.
-Only the wrists or first third of the forearm is resting on the desk. By doing so you need to carry the weight of your arms and forearms. And well known muscles for their tendency to give neck and shoulder pain !
-Tendency to use the mouse moving all the arm and shoulder. The shoulder is not made to do some precise movements but wide ones. if you try to do precise movement with your shoulder you need to contract all the muscles of the shoulder! Mouse Syndrome.
Analysis of a better posture at work:
-Sit right back on your chair, not your back but your buttocks. Now lean forward and insert the grandma cushion down your low back. Now straighten up. How do you feel? if you have the good size cushion you should feel being straight without any effort. The cushion should be situated at the upper part of your low back, if this make sense. Don't try to force your shoulders to touch the back of the chair. Just sit straight.
-Now come closer to your desk, a bit more, a bit more. Be close enough from the desk to have 2 inches between your stomach and the desk.
-Your feet should be flat on the flour with a nice 90 degree angle at your knees. Add a foot rest if your legs are too short.
-Now rest your two forearms on the desk, your keyboard should be at least 25 to 30 cm away from the edge of the desk. Adjust the height of your chair to feel your shoulder relaxed and your arms/forearms resting comfortably on the desk. You should be pretty comfortable in this posture and should feel your shoulder much more relax than earlier. In fact you don't carry the weight of your arms anymore, but the desk does it for you !
-The mouse is situated at the same level than your keyboard. Have your mouse sensitive enough so that you can run through the screen only using your wrist.
-The screen should be standing at least 45cm away from the edge of the desk. I would recommend a 17 or 19 inches flat screen.
Another recommendation would be to adopt a more abdominal breathing.
Each time you breathe in avoid to breathe with your chest but pushing out your abdomen. When you breathe out pull in your stomach and contract your abdominal muscles and pelvic muscles firmly, and when you breathe in just relax them. Doing this will promote a good breathing, a better digestion, a firmer abdo belt, decrease your stress and being more focus on your work !
Take Care, David
The Mouse Syndrome:
No - it is not a state in which you develop a long tail, some fur and an increase appetite for cheese.
The mouse syndrome is a series of signs and symptom that a desk worker tends to develop.
-Neck pain
-Upper Back pain
-Shoulder pain
-Headaches
-Thoracic outlet syndrome
-Carpal tunnel syndrome
-Stress...
Analysis of the typical posture in an office:
Too often people slouch in their chair which because of its price is generally quite comfortable, but in fact wrongly comfortable. When you slouch you:
-decrease your lumbar lordosis (decrease extension of low back) which feels good because you stretch some muscles but in fact you over stretch for 8 hrs a day your ligaments , capsules and discs of your low back.
-increase of thoracic kyphosis (flexion of mid back). This leads to a poor relaxed posture which compromise greatly the function of your diaphragm. In fact your diaphragm cannot contract properly because it sits on your abdominal organs. This obliges you to breathe with your upper chest and use breathing accessories muscles.
-Bring your head back, as the you might have a bit of wear and tear in his neck this neck extension is precipitating some neck pain and headaches.
-Only the wrists or first third of the forearm is resting on the desk. By doing so you need to carry the weight of your arms and forearms. And well known muscles for their tendency to give neck and shoulder pain !
-Tendency to use the mouse moving all the arm and shoulder. The shoulder is not made to do some precise movements but wide ones. if you try to do precise movement with your shoulder you need to contract all the muscles of the shoulder! Mouse Syndrome.
Analysis of a better posture at work:
-Sit right back on your chair, not your back but your buttocks. Now lean forward and insert the grandma cushion down your low back. Now straighten up. How do you feel? if you have the good size cushion you should feel being straight without any effort. The cushion should be situated at the upper part of your low back, if this make sense. Don't try to force your shoulders to touch the back of the chair. Just sit straight.
-Now come closer to your desk, a bit more, a bit more. Be close enough from the desk to have 2 inches between your stomach and the desk.
-Your feet should be flat on the flour with a nice 90 degree angle at your knees. Add a foot rest if your legs are too short.
-Now rest your two forearms on the desk, your keyboard should be at least 25 to 30 cm away from the edge of the desk. Adjust the height of your chair to feel your shoulder relaxed and your arms/forearms resting comfortably on the desk. You should be pretty comfortable in this posture and should feel your shoulder much more relax than earlier. In fact you don't carry the weight of your arms anymore, but the desk does it for you !
-The mouse is situated at the same level than your keyboard. Have your mouse sensitive enough so that you can run through the screen only using your wrist.
-The screen should be standing at least 45cm away from the edge of the desk. I would recommend a 17 or 19 inches flat screen.
Another recommendation would be to adopt a more abdominal breathing.
Each time you breathe in avoid to breathe with your chest but pushing out your abdomen. When you breathe out pull in your stomach and contract your abdominal muscles and pelvic muscles firmly, and when you breathe in just relax them. Doing this will promote a good breathing, a better digestion, a firmer abdo belt, decrease your stress and being more focus on your work !
Take Care, David
DENTAL PROBLEMS
The face is composed of a number of different bones. Some of these bones are very delicate, and they are intricately linked together in a very complex way.All the bones of the face, like those in the rest of the skull, are free to move very minutely, which they do in a gentle rhythmical way. This movement between the bones is important in maintaining drainage of the sinuses, and permitting the free passage of air through the nose.
Trauma to the face may restrict the normal movement between the bones, and can have very wide reaching effects in the whole body. One of the most common causes of trauma is dental treatment.
Common (dental) causes of stress in the face
Extraction of teeth
The forces used to extract teeth may be transmitted through to the articulations and joints of some of the delicate bones of the face. This may strain and disrupt their normal movement.
Common Symptoms
Sinus and ear problems, headache, migraine, neck or lower back pain.
The immediate pain and tenderness after an extraction can mean that one side of the mouth cannot be used for chewing, thus creating an unequal bite with resultant strain on the rest of the face, head and neck. This situation can persist if there are gaps left between the teeth, particularly if more than one gap exists.
Dentures and plates
An upper plate or denture has the effect of holding the bones of the upper jaw rigidly together, preventing or severely limiting their natural movement.
Common Symptoms
Headache, congested sinuses, ear problems, eye strain.
Prevention
Plates and dentures should be removed at night to allow the face to free itself off for some hours during each 24 hour cycle.
Loss of all the teeth leads eventually to a loss of bone from the face. It is important that the correct distance or height between the upper and lower jaw is maintained. If the height of the teeth is wrong this can cause imbalance in the action of the jaw muscles and a marked degree of tension in the face and jaw.
Dentures should be replaced regularly as they wear down, and may have to be built up to allow for bone loss over a period of time.
No back teeth
Occasionally people have all their back teeth removed leaving just the front incisors. If no dentures are worn, all biting and chewing is done on the front teeth. This places enormous strain on the structures of the head and neck. It almost always leads to a great deal of neck tension, causing headaches and neck pain.
Braces and Orthodontic work
Orthodontic treatment has a dramatic effect on the normal functioning of the face, and can have repercussions throughout the whole body. Enormous stresses are imposed through the bones of the face as the teeth are forcibly moved in their sockets. This restricts and disrupts normal motion of the facial bones.
Common Symptoms
Headache, clicking jaw, painful joints, irritability, reduced concentration, neck pain, lowered immunity and an increased vulnerability to musculoskeletal strains.
After the brace is removed
The stresses do not always dissipate, and are almost always palpable many years later in adults.
Osteopathic treatment is strongly recommended BEFORE the brace is fitted, to reduce the underlying stresses as much as possible. DURING the time the brace is being worn, occasional treatments to help the body accommodate the additional load reduces the secondary symptoms and also helps the teeth to move quicker. AFTER the brace is removed, osteopathic treatment to reduce its long term effects.
Bridges
Bridges generally cause no problem within the mechanics of the face. The exception is a midline bridge across the two upper front teeth. In this situation the bones of the upper jaw become permanently fixed together, which prevents normal movement between the bones.
Common Symptoms
The stress induced by a fixed midline bridge will highlight any area of weakness in the body. Symptoms can be almost anything including headache, sinus or ear problems, neck and back pain, even knee and foot pain.
Clicking Jaw
Pain and clicking in the temperomandibular joint (TMJ) is fairly common. There are many causes, one of which may be imbalances and stresses through the face or teeth, and osteopathic treatment can sometimes help.
Bruxism (grinding teeth)
Many people grind their teeth at night or clench their jaw when they are concentrating or under stress. In children, night grinding may be the result of pressure in the head or face from retained birth compression.
Common Symptoms
Tension, tenderness and irritability in the muscles of the face, head and neck.
How Can Osteopathic Treatment Help?
It may seem after reading this that any dental treatment should be avoided! This is definitely not the case, and much dental work is skillfully performed with the minimum of stress to the mechanics of the face. However, it does highlight the very important connection between stresses resulting from dental treatment, and the types of problems that osteopaths see. The wide subject of facial mechanics is a fascinating one which is often relevant to the patient's presenting symptoms.
Many of the above problems can be successfully treated osteopathically. Obviously if there is a dental problem that is consistently aggravating and causing stress, it is important to have this dealt with by a dentist.
Osteopathic techniques used to treat strains within the face are very gentle.
EXERCISE
Back pain sufferers are often advised to exercise and keep moving. But how do you know what is the most suitable form of exercise for your particular problem? Should you jog, swim or do Pilates? Are certain stretches useful, relevant or likely to cause more pain?
Osteopathy is a method of treatment which assesses the body’s muscle and skeletal system as a whole. The spine, muscles and joints are looked at from a postural, mechanical and structural standpoint. That is to say, how your body functions as a whole and how it responds to movement.
Usually, by the time people go to see an Osteopath they are already in pain, which is the body’s natural alarm bell to say that all is not well.
The aches and pain experienced are often a sign that muscles are pulling the body out of proper or comfortable alignment. Certain areas become tight and stiff while others may have weakened. This will put strain on the spine and joints. Over time, it can lead to inflammation and even wear and tear, which then maintains the aches.
An assessment can be very beneficial if you have been suffering from back or joint pain for a while, have recently had a baby or are about to take up or change an exercise regime.
As a consequence of the assessment, your Osteopath will not only be able to treat the current discomfort/pain through gentle manipulative treatment, but also be in a position to note how your body will respond to exercise. That is, which areas may need stretching or strengthening, and which form of exercise may be the most suitable to cause your body least strain and most gain.
Everyone has a different body, different routine and slightly different cause of back pain.
Healthy fitness is about optimising your body’s ability and potential without causing excessive stress or strain. Everyone will have different needs and a different level of ability.
An Osteopathic assessment with David and he will be able to point you in the right direction.
Osteopathy is a method of treatment which assesses the body’s muscle and skeletal system as a whole. The spine, muscles and joints are looked at from a postural, mechanical and structural standpoint. That is to say, how your body functions as a whole and how it responds to movement.
Usually, by the time people go to see an Osteopath they are already in pain, which is the body’s natural alarm bell to say that all is not well.
The aches and pain experienced are often a sign that muscles are pulling the body out of proper or comfortable alignment. Certain areas become tight and stiff while others may have weakened. This will put strain on the spine and joints. Over time, it can lead to inflammation and even wear and tear, which then maintains the aches.
An assessment can be very beneficial if you have been suffering from back or joint pain for a while, have recently had a baby or are about to take up or change an exercise regime.
As a consequence of the assessment, your Osteopath will not only be able to treat the current discomfort/pain through gentle manipulative treatment, but also be in a position to note how your body will respond to exercise. That is, which areas may need stretching or strengthening, and which form of exercise may be the most suitable to cause your body least strain and most gain.
Everyone has a different body, different routine and slightly different cause of back pain.
Healthy fitness is about optimising your body’s ability and potential without causing excessive stress or strain. Everyone will have different needs and a different level of ability.
An Osteopathic assessment with David and he will be able to point you in the right direction.
ERGONOMICS
Work Place Assessments
Due to health and safety directives, employers are faced with ever increasing demands for professional and thorough work place assessments. It is common for HR departments to have trained staff who perform these assessments. Although there is an understanding of what is required, essentially every employee is different and therefore the same rules cannot be applied to every person.
The following are the more common conditions resulting from poor work station setups:
Repetitive strain injury: Generally this is described as symptoms of the neck, arm and wrist. However please see article of RSI for a more detailed explanation.
Eye strain: This is often a result of VDU work and is a particular problem for workers who concentrate on the screen for long periods. Symptoms can range from sore eyes or head aches to visual disturbances. Badly positioned screens and poor lighting are contributors to this.
Back problems: These are the most common form of ill health at work. If workstations are not set up correctly for the individual employee, they are at risk of pain and discomfort. Often ensuring that regular breaks are taken to walk around can be all that is needed. The lack of fluid movement through body tissues (i.e. sitting in one place for a long time) can have huge impact on the working structures of the body. For more information regarding back pain, please refer to the article on back pain.
Although the above has been focused on the office environment, it does not matter whether work is at a computer terminal or in heavy industry, pain and injury can develop if proper work place assessments are not carried out. So if you feel that by the end of your working day you are experiencing aches and pains it may well be due to your working environment. It is advisable to seek professional advice as soon as possible to ensure it does not develop further.
David as an osteopath has expert knowledge on what the body needs for optimal functioning. Further still, he tailors treatment and advice to the individual, based on their occupation and lifestyle. He can work within companies, working alongside HR staff to ensure expert advice is available.
Due to health and safety directives, employers are faced with ever increasing demands for professional and thorough work place assessments. It is common for HR departments to have trained staff who perform these assessments. Although there is an understanding of what is required, essentially every employee is different and therefore the same rules cannot be applied to every person.
The following are the more common conditions resulting from poor work station setups:
Repetitive strain injury: Generally this is described as symptoms of the neck, arm and wrist. However please see article of RSI for a more detailed explanation.
Eye strain: This is often a result of VDU work and is a particular problem for workers who concentrate on the screen for long periods. Symptoms can range from sore eyes or head aches to visual disturbances. Badly positioned screens and poor lighting are contributors to this.
Back problems: These are the most common form of ill health at work. If workstations are not set up correctly for the individual employee, they are at risk of pain and discomfort. Often ensuring that regular breaks are taken to walk around can be all that is needed. The lack of fluid movement through body tissues (i.e. sitting in one place for a long time) can have huge impact on the working structures of the body. For more information regarding back pain, please refer to the article on back pain.
Although the above has been focused on the office environment, it does not matter whether work is at a computer terminal or in heavy industry, pain and injury can develop if proper work place assessments are not carried out. So if you feel that by the end of your working day you are experiencing aches and pains it may well be due to your working environment. It is advisable to seek professional advice as soon as possible to ensure it does not develop further.
David as an osteopath has expert knowledge on what the body needs for optimal functioning. Further still, he tailors treatment and advice to the individual, based on their occupation and lifestyle. He can work within companies, working alongside HR staff to ensure expert advice is available.
KNEE PAIN
Knee Pain
The knee is essentially made up of four bones. The femur, which is the large bone in your thigh, attaches by ligaments and a capsule to your tibia. Just below and on the outside of the leg, next to the tibia is the fibula, which runs parallel to the tibia. The patella or what we call the knee cap, rides on the knee joint as the knee bends.
When the knee moves it not only bends and straightens but there is also a slight rotational component in this motion. The main muscles of the knee which pass over the knee joint are the quadriceps and hamstrings. However, it is the ligaments which are the vital component of the knee joint, as they bind the joint together. This is why ligament tears can be serious and often require repair.
Knee pain can be the result of local knee problems, including continual wear and stress on the knee joint, as well as injury or a sudden movement that strains the knee. Below are a few of the more common causes:
• sprained or strained knee ligaments and/or muscles
A sprained or strained knee ligament or muscle is usually caused by a trauma to the knee or a sudden movement (usually twisting) of the knee. Symptoms often include pain, swelling, and difficulty in walking.
• torn cartilage
Trauma to the knee can tear the menisci (pads of tissue that act as shock absorbers between the two large bones). Any compression and/or twisting movement can cause pain, plus “locking” of the knee occurs.
• tendonitis
Inflammation of the tendons resulting from overuse of the tendon during certain activities such as running, jumping, or cycling.
• arthritis
Osteoarthritis is the most common type of arthritis that affects the knee
(click here to view article on Arthritis), particularly if there is excessive weight on the joint for a period of time (i.e. being overweight).
Rheumatoid arthritis (click here to view article on Arthritis) can also affect the knees by causing the joint to become inflamed and by destroying the knee cartilage.
However, apart from the local knee problems, generally speaking knee pain is usually a result of problems in areas above and/or below the knee, i.e. the hip, pelvis or foot. For example, an over-pronated foot (fallen arch) causes the whole leg to rotate abnormally, which, over time can lead to pain in the knee through a developed stress pattern.
Osteopaths are in a great position to diagnose and treat knee problems as they not only have the anatomical knowledge, but they take a global approach to dealing with the complaint. This means they will exam areas above and below the knee, in order to ascertain the cause of the problem. For a thorough examination and effective treatment, contact David Gray directly.
The knee is essentially made up of four bones. The femur, which is the large bone in your thigh, attaches by ligaments and a capsule to your tibia. Just below and on the outside of the leg, next to the tibia is the fibula, which runs parallel to the tibia. The patella or what we call the knee cap, rides on the knee joint as the knee bends.
When the knee moves it not only bends and straightens but there is also a slight rotational component in this motion. The main muscles of the knee which pass over the knee joint are the quadriceps and hamstrings. However, it is the ligaments which are the vital component of the knee joint, as they bind the joint together. This is why ligament tears can be serious and often require repair.
Knee pain can be the result of local knee problems, including continual wear and stress on the knee joint, as well as injury or a sudden movement that strains the knee. Below are a few of the more common causes:
• sprained or strained knee ligaments and/or muscles
A sprained or strained knee ligament or muscle is usually caused by a trauma to the knee or a sudden movement (usually twisting) of the knee. Symptoms often include pain, swelling, and difficulty in walking.
• torn cartilage
Trauma to the knee can tear the menisci (pads of tissue that act as shock absorbers between the two large bones). Any compression and/or twisting movement can cause pain, plus “locking” of the knee occurs.
• tendonitis
Inflammation of the tendons resulting from overuse of the tendon during certain activities such as running, jumping, or cycling.
• arthritis
Osteoarthritis is the most common type of arthritis that affects the knee
(click here to view article on Arthritis), particularly if there is excessive weight on the joint for a period of time (i.e. being overweight).
Rheumatoid arthritis (click here to view article on Arthritis) can also affect the knees by causing the joint to become inflamed and by destroying the knee cartilage.
However, apart from the local knee problems, generally speaking knee pain is usually a result of problems in areas above and/or below the knee, i.e. the hip, pelvis or foot. For example, an over-pronated foot (fallen arch) causes the whole leg to rotate abnormally, which, over time can lead to pain in the knee through a developed stress pattern.
Osteopaths are in a great position to diagnose and treat knee problems as they not only have the anatomical knowledge, but they take a global approach to dealing with the complaint. This means they will exam areas above and below the knee, in order to ascertain the cause of the problem. For a thorough examination and effective treatment, contact David Gray directly.
WHIPLASH
Providing information about minor neck injuries is likely to be helpful to the huge amount of people per year reported to suffer from this injury. With the number of vehicles on the roads growing each year, this presentation is becoming more and more common.
A road traffic accident is certainly a shocking and disturbing experience. Even minor whiplash injuries can be extremely painful and as a result it is human nature to think that some long-term damage has been done. However, permanent damage is often rare and in most circumstances damage does not extend to the bones, discs or nerves. Many people only develop pain a few days after the accident, which can be attributed to the trauma that the ligaments and muscles have been subjected to.
It is extremely important, however that if you have a violent accident and you are suffering from intense pain, you should go to Accident and Emergency, to ensure that there is no serious damage. This is particularly important if you have been unconscious, have experienced visual disturbances, pins and needles, numbness or weakness, or indeed had any difficulty walking. X-rays and MRI scans can detect any serious spinal injuries.
Although the pain can subside after a few days, it is the damage to the muscles and ligaments that an osteopath can help with. Osteopaths such as David, have the knowledge and skill to assess your neck and also will investigate how the rest of your body has coped with this recent trauma. David will be able to advise you on the appropriate course of action to take and help your body cope with the recent stresses it has suffered.
A road traffic accident is certainly a shocking and disturbing experience. Even minor whiplash injuries can be extremely painful and as a result it is human nature to think that some long-term damage has been done. However, permanent damage is often rare and in most circumstances damage does not extend to the bones, discs or nerves. Many people only develop pain a few days after the accident, which can be attributed to the trauma that the ligaments and muscles have been subjected to.
It is extremely important, however that if you have a violent accident and you are suffering from intense pain, you should go to Accident and Emergency, to ensure that there is no serious damage. This is particularly important if you have been unconscious, have experienced visual disturbances, pins and needles, numbness or weakness, or indeed had any difficulty walking. X-rays and MRI scans can detect any serious spinal injuries.
Although the pain can subside after a few days, it is the damage to the muscles and ligaments that an osteopath can help with. Osteopaths such as David, have the knowledge and skill to assess your neck and also will investigate how the rest of your body has coped with this recent trauma. David will be able to advise you on the appropriate course of action to take and help your body cope with the recent stresses it has suffered.
DIGESTION
Eating food should always be a relaxing and pleasurable experience, as well as nourishing to your body. Unfortunately, an increasing number of people eat on the run, swallow their food whole and consume unhealthy food, causing numerous digestion problems. In fact, it is quite likely that the majority of disease can be traced back to poor digestion. Good digestive health does not just mean breaking down your food properly; it also allows optimum nutrient absorption, immune function, detoxification, and chemical and hormone production. After all the substances in our body have to be made from something!
It is advised that food should be eaten without any distractions when you are in a calm state of mind and each bite chewed thoroughly. The digestion process actually begins when food becomes mixed with saliva. People tend to drink while they eat, however this is known to inhibit digestive juices, it is thought that you should actually not drink anything until 30 minutes after a meal.
People tend to mix too many food groups together at a meal, in particular people with weak digestive tracts can seriously benefit from eating their carbohydrates and proteins at different times during the day. Generally speaking most people eat the wrong types of food (non nutritious) and don’t consume an adequate amount of fresh vegetables and fruits. These fresh fruits and vegetables provide us with enzymes that aid digestion and allow us to absorb nutrients better. Raw fruits and vegetables are best, but filling your plate with fresh or frozen cooked vegetables is also beneficial. Most people are guilty of over consumption of food, which can also be detrimental to digestion.
There are many problems associated with digestion and the intestinal tract, some can be as a result of the factors already described above, however some symptoms indicate a more serious problem. Below is a brief list of common symptoms that could indicate a serious problem:
Abdominal pain, particularly radiating to the back
Difficultly swallowing
Pain on swallowing
Blood in the stools
Symptoms are affected by food
Fever
Constipation
Diahorrea
Abdominal tenderness
David is trained to screen for and treat digestion problems. Osteopathy may not appear to be the most obvious choice, however, the intestinal tract is made from muscle and therefore can be influenced by osteopathic techniques. For example many patients have reported a positive outcome with osteopathic treatment for their Irritable Bowel Syndrome (IBS). Indeed patients presenting with back pain, turn out to have problems within their intestinal tract and vica versa, the nerves that supply and feedback from the intestinal tract are located in the spine. If the osteopath feels there is a more sinister cause to the symptoms then they will refer you to the appropriate health care practitioner.
It is advised that food should be eaten without any distractions when you are in a calm state of mind and each bite chewed thoroughly. The digestion process actually begins when food becomes mixed with saliva. People tend to drink while they eat, however this is known to inhibit digestive juices, it is thought that you should actually not drink anything until 30 minutes after a meal.
People tend to mix too many food groups together at a meal, in particular people with weak digestive tracts can seriously benefit from eating their carbohydrates and proteins at different times during the day. Generally speaking most people eat the wrong types of food (non nutritious) and don’t consume an adequate amount of fresh vegetables and fruits. These fresh fruits and vegetables provide us with enzymes that aid digestion and allow us to absorb nutrients better. Raw fruits and vegetables are best, but filling your plate with fresh or frozen cooked vegetables is also beneficial. Most people are guilty of over consumption of food, which can also be detrimental to digestion.
There are many problems associated with digestion and the intestinal tract, some can be as a result of the factors already described above, however some symptoms indicate a more serious problem. Below is a brief list of common symptoms that could indicate a serious problem:
Abdominal pain, particularly radiating to the back
Difficultly swallowing
Pain on swallowing
Blood in the stools
Symptoms are affected by food
Fever
Constipation
Diahorrea
Abdominal tenderness
David is trained to screen for and treat digestion problems. Osteopathy may not appear to be the most obvious choice, however, the intestinal tract is made from muscle and therefore can be influenced by osteopathic techniques. For example many patients have reported a positive outcome with osteopathic treatment for their Irritable Bowel Syndrome (IBS). Indeed patients presenting with back pain, turn out to have problems within their intestinal tract and vica versa, the nerves that supply and feedback from the intestinal tract are located in the spine. If the osteopath feels there is a more sinister cause to the symptoms then they will refer you to the appropriate health care practitioner.
RUNNING INJURIES
Running Injuries
There often frequent aches and pains that are associated with running, whether that is on track, road, treadmill or on softer ground. In addition there are injuries which result from running. The more common of these are listed below:
1: Pes Planus: Also known as flat feet, this condition can be congenital or can develop over a period of time. The collapse of the longitudinal (medial) arch of the foot is the reason pes planus occurs. Running increases the force of weight through the foot, which can develop this condition. In runners pes planus leads to overuse injuries such as Achilles tendonitis or plantar fascitis.
2: Achilles tendonitis: An overuse injury involving the Achilles tendon, (the tendon connecting the muscles of your calf in the back of your lower leg to your heel bone). The Achilles tendon becomes inflamed or irritated, often at the point of attachment of the tendon to the heel bone.
3: Plantar fascitis: An overuse injury effecting the sole of the foot, the plantar fascia is a tough, fibrous band of tissue (fascia) connecting your heel bone to the base of your toes which helps to maintain the arch of the foot. When the plantar fascia becomes over stressed as a result of excessive running tension builds up along the fascia, leading to pain and inflammation. This can more commonly be felt on the sole of the foot towards the heel.
4: Shin Splints: Although it is listed here, it is in fact a symptom rather than a diagnosis and refers to tears in the tissues that hold the muscles on to your shin bone (tibia). It is usually seen in athletes who suddenly increase their duration or intensity of training, or first time runners who have been running excessively in the early stages. It is one of the most common running injuries.
If you are serious about running, it is always advisable to seek advice from David as an osteopath, who will be able to support you to ensure that your body effortless adjusts to your new regime. In addition to this, regular osteopathic treatment can increase a runner’s performance, by simple measures such as increasing range of motion and by reducing the risk of a injury.
There often frequent aches and pains that are associated with running, whether that is on track, road, treadmill or on softer ground. In addition there are injuries which result from running. The more common of these are listed below:
1: Pes Planus: Also known as flat feet, this condition can be congenital or can develop over a period of time. The collapse of the longitudinal (medial) arch of the foot is the reason pes planus occurs. Running increases the force of weight through the foot, which can develop this condition. In runners pes planus leads to overuse injuries such as Achilles tendonitis or plantar fascitis.
2: Achilles tendonitis: An overuse injury involving the Achilles tendon, (the tendon connecting the muscles of your calf in the back of your lower leg to your heel bone). The Achilles tendon becomes inflamed or irritated, often at the point of attachment of the tendon to the heel bone.
3: Plantar fascitis: An overuse injury effecting the sole of the foot, the plantar fascia is a tough, fibrous band of tissue (fascia) connecting your heel bone to the base of your toes which helps to maintain the arch of the foot. When the plantar fascia becomes over stressed as a result of excessive running tension builds up along the fascia, leading to pain and inflammation. This can more commonly be felt on the sole of the foot towards the heel.
4: Shin Splints: Although it is listed here, it is in fact a symptom rather than a diagnosis and refers to tears in the tissues that hold the muscles on to your shin bone (tibia). It is usually seen in athletes who suddenly increase their duration or intensity of training, or first time runners who have been running excessively in the early stages. It is one of the most common running injuries.
If you are serious about running, it is always advisable to seek advice from David as an osteopath, who will be able to support you to ensure that your body effortless adjusts to your new regime. In addition to this, regular osteopathic treatment can increase a runner’s performance, by simple measures such as increasing range of motion and by reducing the risk of a injury.
ASTHMA
BREATHING DIFFICULTIES
Asthma is an inflammatory condition of the lungs and is usually characterised by a cough, wheeze, chest tightness and difficulty breathing. It is often put down to an over sensitivity of the airways to a range of stimuli, including dust, dust-mites, pollen, fungal spores, pollutants, vapours and fumes, cold air, exercise and sometimes emotional upset. Childhood sufferers often ‘grow out’ of this over-sensitivity but for unknown reasons their condition sometimes returns around the 3rd or 4th decade of life.
The role of the musculoskeletal system in maintaining and exacerbating this condition is not often talked about, but can also be an important factor. Effective breathing relies on having full movement in the area known as the thoracic cage or thorax. The bony thorax is made up of:
• the twelve pairs of ribs;
• the twelve thoracic vertebrae, which form the backbone of the mid back;
• the breast bone (or sternum), which joins the upper ribs together at the front of the chest.
When put together these components form a cage shape. The joints between the ribs and the thoracic vertebrae at the back, and between the ribs and the breast bone at the front, must be able to move freely within their normal range in order to allow maximum chest expansion when we breathe.
When we take a breathe, we do so using the intercostal muscles between the ribs and the large, dome shaped diaphragm muscle, which fills the entire space at the floor of the thoracic cage. But we also recruit a large number of other muscles in our chest, back, abdomen and especially in the neck and shoulder region. The effort it takes us to move all the components of the chest wall - our breathing muscles, the bony thorax and our actual lung tissue - in order to take a breath, is known as “the work of breathing”.
People with this condition often overuse the muscles in their neck, back and shoulder regions as they struggle to take a deep breath. If they are continually overused, these muscles can become tight and shortened and in turn they can restrict the movements of the bony thorax. As everything gets tighter the work of breathing increases, requiring even more effort to breathe. What is more, as the respiratory muscles shorten they are thought to send signals to the brain, which increase the sense of breathlessness. Factors such as stress, excessive computer use, driving and drinking too much caffeine can also shorten these muscles, compounding the situation for the individual.
Individuals experiencing this condition hyperventilate or over breathe and ultimately they may struggle to maintain the work of breathing as their respiratory muscles become exhausted. It is this muscle exhaustion which eventually leads to respiratory failure.
If expansion of the rib cage is restricted over time, breathing can tend to become shallow and concentrated in the area of the upper chest, and this in turns means the breathing rate has to increase to compensate. When we shallow breathe quickly we may blow off excessive amounts of carbon dioxide, which can make the lung tissues excessively alkaline and lead to earlier exhaustion of our breathing muscles.
It therefore becomes clear that having a mobile bony thorax and long, elastic and well functioning respiratory muscles is essential to all of us if we are to breathe efficiently. For asthmatics, this is even more crucial in order to prevent musculoskeletal restrictions from exacerbating and prolonging their condition.
David’s Osteopathic treatment aims to improve the mobility of the bony thorax through gentle articulation and stretching of the ribs and thoracic spine and by releasing specific joint restrictions. The osteopath will also work to relax the diaphragm, lengthen the other respiratory muscles and improve their function using direct soft tissue techniques and muscle energy techniques, which reset stretch receptors in the muscles. The treatment aims to improve the compliance or “stretchability” of the chest wall and help to reduce the work of breathing. The osteopath will also offer advice and breathing exercises which can help to manage the condition in the long term. Treatment can be adapted for patients of any age, from very young children showing first signs of asthma, to frail and elderly patients experiencing breathing difficulties.
David will always take a full medical history to ensure that patients are receiving the appropriate medical help and, if necessary, he or she can refer a patient back to their GP. Osteopathic treatment for is not meant as a substitute for GP prescribed medication such as inhalers, but can work alongside medical treatment to help the patient lead a less stressful and more active life. By reducing respiratory muscle exhaustion and changing the pattern of shallow breathing, osteopathic treatment may also help to diminish some of the primary signs and symptoms of the condition.
Asthma is an inflammatory condition of the lungs and is usually characterised by a cough, wheeze, chest tightness and difficulty breathing. It is often put down to an over sensitivity of the airways to a range of stimuli, including dust, dust-mites, pollen, fungal spores, pollutants, vapours and fumes, cold air, exercise and sometimes emotional upset. Childhood sufferers often ‘grow out’ of this over-sensitivity but for unknown reasons their condition sometimes returns around the 3rd or 4th decade of life.
The role of the musculoskeletal system in maintaining and exacerbating this condition is not often talked about, but can also be an important factor. Effective breathing relies on having full movement in the area known as the thoracic cage or thorax. The bony thorax is made up of:
• the twelve pairs of ribs;
• the twelve thoracic vertebrae, which form the backbone of the mid back;
• the breast bone (or sternum), which joins the upper ribs together at the front of the chest.
When put together these components form a cage shape. The joints between the ribs and the thoracic vertebrae at the back, and between the ribs and the breast bone at the front, must be able to move freely within their normal range in order to allow maximum chest expansion when we breathe.
When we take a breathe, we do so using the intercostal muscles between the ribs and the large, dome shaped diaphragm muscle, which fills the entire space at the floor of the thoracic cage. But we also recruit a large number of other muscles in our chest, back, abdomen and especially in the neck and shoulder region. The effort it takes us to move all the components of the chest wall - our breathing muscles, the bony thorax and our actual lung tissue - in order to take a breath, is known as “the work of breathing”.
People with this condition often overuse the muscles in their neck, back and shoulder regions as they struggle to take a deep breath. If they are continually overused, these muscles can become tight and shortened and in turn they can restrict the movements of the bony thorax. As everything gets tighter the work of breathing increases, requiring even more effort to breathe. What is more, as the respiratory muscles shorten they are thought to send signals to the brain, which increase the sense of breathlessness. Factors such as stress, excessive computer use, driving and drinking too much caffeine can also shorten these muscles, compounding the situation for the individual.
Individuals experiencing this condition hyperventilate or over breathe and ultimately they may struggle to maintain the work of breathing as their respiratory muscles become exhausted. It is this muscle exhaustion which eventually leads to respiratory failure.
If expansion of the rib cage is restricted over time, breathing can tend to become shallow and concentrated in the area of the upper chest, and this in turns means the breathing rate has to increase to compensate. When we shallow breathe quickly we may blow off excessive amounts of carbon dioxide, which can make the lung tissues excessively alkaline and lead to earlier exhaustion of our breathing muscles.
It therefore becomes clear that having a mobile bony thorax and long, elastic and well functioning respiratory muscles is essential to all of us if we are to breathe efficiently. For asthmatics, this is even more crucial in order to prevent musculoskeletal restrictions from exacerbating and prolonging their condition.
David’s Osteopathic treatment aims to improve the mobility of the bony thorax through gentle articulation and stretching of the ribs and thoracic spine and by releasing specific joint restrictions. The osteopath will also work to relax the diaphragm, lengthen the other respiratory muscles and improve their function using direct soft tissue techniques and muscle energy techniques, which reset stretch receptors in the muscles. The treatment aims to improve the compliance or “stretchability” of the chest wall and help to reduce the work of breathing. The osteopath will also offer advice and breathing exercises which can help to manage the condition in the long term. Treatment can be adapted for patients of any age, from very young children showing first signs of asthma, to frail and elderly patients experiencing breathing difficulties.
David will always take a full medical history to ensure that patients are receiving the appropriate medical help and, if necessary, he or she can refer a patient back to their GP. Osteopathic treatment for is not meant as a substitute for GP prescribed medication such as inhalers, but can work alongside medical treatment to help the patient lead a less stressful and more active life. By reducing respiratory muscle exhaustion and changing the pattern of shallow breathing, osteopathic treatment may also help to diminish some of the primary signs and symptoms of the condition.
R.S.I.
Repetitive Strain Injury (RSI)
This condition is commonly given to a group of injuries affecting the muscles, tendons and nerves primarily of the neck and upper limbs. However it actually covers much more, namely:
• Back pain
• Shoulder pain
• Constant muscle spasms
• Tendonitis (inflamed tendons)
• Calf injury
• Tendon damage
Many of the above can be traced back to poor posture and repetitive actions (i.e. typing) whilst sitting at a computer desk for more than a few hours a day. Having said this many people taking part in certain sports as well as playing a musical instrument or working on a factory production line can suffer these conditions from repetitive actions.
Symptoms can range from mild to severe and include: a dull ache, throbbing, numbness, tingling, swelling, weakness, cramps and tightness in the affected area. It is not a life threatening injury but it has the potential to cause crippling pain and disability, and perhaps more importantly hinder the action it stems from.
There are two types of RSI:-
• Specific - these include well defined syndromes such as carpal tunnel syndrome (pain and compression in the wrist), tendonitis (inflammation of a tendon), tenosynovitis (inflammation of a tendon sheath), frozen shoulder, bursitis (inflamed bursa), tennis elbow, etc.
• Diffuse - this is where there is no clear-cut diagnosis but a range of symptoms exist.
The condition is preventable and treatable. It is advisable not to ignore the early warning signs, the earlier expert advice is sought, the easier the management and recovery will be. Often resting the specific action and icing the area goes a long way in reducing the inflammation, however, this is not always practical as commonly it is a work related matter.
David’s Osteopathic in-depth knowledge, make useful allies in combating RSI, with a range of techniques and advice they are able to support you with the recovery process.
This condition is commonly given to a group of injuries affecting the muscles, tendons and nerves primarily of the neck and upper limbs. However it actually covers much more, namely:
• Back pain
• Shoulder pain
• Constant muscle spasms
• Tendonitis (inflamed tendons)
• Calf injury
• Tendon damage
Many of the above can be traced back to poor posture and repetitive actions (i.e. typing) whilst sitting at a computer desk for more than a few hours a day. Having said this many people taking part in certain sports as well as playing a musical instrument or working on a factory production line can suffer these conditions from repetitive actions.
Symptoms can range from mild to severe and include: a dull ache, throbbing, numbness, tingling, swelling, weakness, cramps and tightness in the affected area. It is not a life threatening injury but it has the potential to cause crippling pain and disability, and perhaps more importantly hinder the action it stems from.
There are two types of RSI:-
• Specific - these include well defined syndromes such as carpal tunnel syndrome (pain and compression in the wrist), tendonitis (inflammation of a tendon), tenosynovitis (inflammation of a tendon sheath), frozen shoulder, bursitis (inflamed bursa), tennis elbow, etc.
• Diffuse - this is where there is no clear-cut diagnosis but a range of symptoms exist.
The condition is preventable and treatable. It is advisable not to ignore the early warning signs, the earlier expert advice is sought, the easier the management and recovery will be. Often resting the specific action and icing the area goes a long way in reducing the inflammation, however, this is not always practical as commonly it is a work related matter.
David’s Osteopathic in-depth knowledge, make useful allies in combating RSI, with a range of techniques and advice they are able to support you with the recovery process.
SHOULDER PROBLEMS
Shoulder Pain
The specific approach to osteopathic treatment is dictated by the diagnosis at presentation, following a thorough examination and detailed history of each individual patient.
Not every pain felt in the shoulder region is actually caused by a problem in the shoulder joint. When the problem is in the shoulder joint the pain is often felt over the front of the shoulder or in the upper part of the arm. It can appear to spread down the arm to the elbow (known as referred pain). If the pain spreads further, or if there is tingling or pins and needles, the pain probably comes from a problem in the neck.
Each shoulder problem has its own pattern. Most conditions cause pain with use and movement, and it is worth noting which movements give most pain because this will be a good indication of where the problem lies.
Most shoulder problems do not give much pain when the shoulder is at rest, other than at night, which can be a particularly difficult time. Some people cannot lie on the affected side and find it better to be propped up in bed.
Osteopathy is also frequently recommended for patients with adhesive capsulitis, (frozen Shoulder). The treatment program for these patients initially focuses on regaining a range of motion and, once this is achieved, improving strength.
Multiple controlled clinical trials have documented the effectiveness of conservative physical treatment for patients with adhesive capsulitis in improving range of motion. Vigorous and repetitive exercises are contraindicated for patients’ with shoulder problems, in addition, more aggressive and painful rehabilitation have been associated with poor patient compliance.
The specific approach to osteopathic treatment is dictated by the diagnosis at presentation, following a thorough examination and detailed history of each individual patient.
Not every pain felt in the shoulder region is actually caused by a problem in the shoulder joint. When the problem is in the shoulder joint the pain is often felt over the front of the shoulder or in the upper part of the arm. It can appear to spread down the arm to the elbow (known as referred pain). If the pain spreads further, or if there is tingling or pins and needles, the pain probably comes from a problem in the neck.
Each shoulder problem has its own pattern. Most conditions cause pain with use and movement, and it is worth noting which movements give most pain because this will be a good indication of where the problem lies.
Osteopathy is also frequently recommended for patients with adhesive capsulitis, (frozen Shoulder). The treatment program for these patients initially focuses on regaining a range of motion and, once this is achieved, improving strength.
Multiple controlled clinical trials have documented the effectiveness of conservative physical treatment for patients with adhesive capsulitis in improving range of motion. Vigorous and repetitive exercises are contraindicated for patients’ with shoulder problems, in addition, more aggressive and painful rehabilitation have been associated with poor patient compliance.CHILDREN'S TREATMENT
Osteopathy for Children
Do babies and children need osteopathic treatment?
Young children, especially babies, are often thought of as too young to have built up tension, stresses and injuries in their bodies, but that is simply not the case.
The journey of being born is a traumatic one that we all go through and is a hugely stressful experience. A baby’s route through the birth canal is a tortuous one, with enormous contractile pressure throughout. However, a baby’s head is beautifully designed to allow for the many bones of the skull to move and overlap in order to reduce the overall diameter, enabling the baby to be safely delivered. Sometimes this results in extreme moulding (odd shape) of the baby’s head that is normally resolved within the first days of life in the world as the baby suckles, cries and yawns. Unfortunately this is not always completely the case, resulting in unresolved tensions and pains throughout the musculoskeletal system (framework of the body), and subsequently irritation of nerves supplying different parts of the body e.g. the digestive system and the nervous system itself.
What do paediatric osteopaths treat?
The most commonly seen reasons for babies to be brought for osteopathic treatment are: • Infantile colic • Generally unsettled / fretful behaviour • Constant crying • Reflux / regurgitation • Plagiocephally (misshapen head) • Babies that favour one side of their bodies e.g. their head movement • Sleep difficulties • Constipation • Feeding problems • Post partum check up
Osteopathy for children can help the majority of these conditions as they are often as a result of the compressive trauma from the birth process.
What about treatment after babyhood?
Older children too may benefit from osteopathic assessment and treatment. Common reasons may include: • Glue ear • Musculoskeletal effects of asthma • Poor concentration levels • Sinusitis • ‘Growing pains’ and injuries
Is it safe?
Osteopathy for children is very gentle, safe and non-invasive. Often other techniques will be incorporated into the treatment plan – such as Cranial Osteopathy – to provide an integrated approach. Osteopathy aims to support your baby or child’s body and encourage it into a position from which the body is able to help restore itself to health.
How many treatments will my child need?
Babies and children’s bodies are very dynamic and usually respond quickly to treatment with an average number of treatments being approximately 3-6 depending on the problem.
How soon should we seek treatment for our child?
It is certainly recommended that ideally all babies are checked after birth as a matter of course, and certainly before the age of five to deal with retained stress and strains, maximising their optimum health for the future.
Do babies and children need osteopathic treatment?
Young children, especially babies, are often thought of as too young to have built up tension, stresses and injuries in their bodies, but that is simply not the case.
The journey of being born is a traumatic one that we all go through and is a hugely stressful experience. A baby’s route through the birth canal is a tortuous one, with enormous contractile pressure throughout. However, a baby’s head is beautifully designed to allow for the many bones of the skull to move and overlap in order to reduce the overall diameter, enabling the baby to be safely delivered. Sometimes this results in extreme moulding (odd shape) of the baby’s head that is normally resolved within the first days of life in the world as the baby suckles, cries and yawns. Unfortunately this is not always completely the case, resulting in unresolved tensions and pains throughout the musculoskeletal system (framework of the body), and subsequently irritation of nerves supplying different parts of the body e.g. the digestive system and the nervous system itself.
What do paediatric osteopaths treat?
The most commonly seen reasons for babies to be brought for osteopathic treatment are: • Infantile colic • Generally unsettled / fretful behaviour • Constant crying • Reflux / regurgitation • Plagiocephally (misshapen head) • Babies that favour one side of their bodies e.g. their head movement • Sleep difficulties • Constipation • Feeding problems • Post partum check up
Osteopathy for children can help the majority of these conditions as they are often as a result of the compressive trauma from the birth process.
What about treatment after babyhood?
Older children too may benefit from osteopathic assessment and treatment. Common reasons may include: • Glue ear • Musculoskeletal effects of asthma • Poor concentration levels • Sinusitis • ‘Growing pains’ and injuries
Is it safe?
Osteopathy for children is very gentle, safe and non-invasive. Often other techniques will be incorporated into the treatment plan – such as Cranial Osteopathy – to provide an integrated approach. Osteopathy aims to support your baby or child’s body and encourage it into a position from which the body is able to help restore itself to health.
How many treatments will my child need?
Babies and children’s bodies are very dynamic and usually respond quickly to treatment with an average number of treatments being approximately 3-6 depending on the problem.
How soon should we seek treatment for our child?
It is certainly recommended that ideally all babies are checked after birth as a matter of course, and certainly before the age of five to deal with retained stress and strains, maximising their optimum health for the future.
OSTEOARTHRITIS
Arthritis
This is perhaps one of the most commonly used words by patients with any joint pain. More often than not it is used without a clear understanding of what it is. Arthritis refers to inflammation of a joint. There are two main types, osteo and rheumatoid:
Osteoarthritis is often explained as “wear and tear” to the joint, which is true to a certain extent. But what has brought on this “wear and tear” and why only that joint? Well, it can be put down to occupation (i.e. the body being used repetitively in the same way) as well as obesity (more pressure on the joint surfaces), however, sometimes it is due to altered postural and biomechanics (movement of the body). This can be caused by a past trauma, growth patterns and even as far back as the most traumatic experience in any ones life – the birthing process. Symptoms include tenderness and stiffness, which are somewhat relieved after a period of movement.
Rheumatoid arthritis is a more complex, it is an autoimmune condition, i.e. one in which the body’s immune system attacks the body’s own tissue. It usually affects the whole body, particularly the membranes of the joints. The joints typically affected are the hands and feet, wrists, ankles and knees. These tend to be warm, tender and swollen, and the skin over the joint will take on a ruddy purplish hue. Joint deformities occur in the hands and feet, as the disease progresses.
David as an Osteopath is highly skilled in helping patients with either form of the condition. As the symptoms are produced largely by the inflammation around the joint, specific movements and treatment techniques can be extremely effective. By encouraging the movement of fluid around the joints and tissues, this helps to remove the inflammatory substances. In the elderly, minimal treatment can often have profound effect in reducing the pain.
David as an Osteopath will also address diet and lifestyle in order to help control the symptoms experienced.
This is perhaps one of the most commonly used words by patients with any joint pain. More often than not it is used without a clear understanding of what it is. Arthritis refers to inflammation of a joint. There are two main types, osteo and rheumatoid:
Osteoarthritis is often explained as “wear and tear” to the joint, which is true to a certain extent. But what has brought on this “wear and tear” and why only that joint? Well, it can be put down to occupation (i.e. the body being used repetitively in the same way) as well as obesity (more pressure on the joint surfaces), however, sometimes it is due to altered postural and biomechanics (movement of the body). This can be caused by a past trauma, growth patterns and even as far back as the most traumatic experience in any ones life – the birthing process. Symptoms include tenderness and stiffness, which are somewhat relieved after a period of movement.
Rheumatoid arthritis is a more complex, it is an autoimmune condition, i.e. one in which the body’s immune system attacks the body’s own tissue. It usually affects the whole body, particularly the membranes of the joints. The joints typically affected are the hands and feet, wrists, ankles and knees. These tend to be warm, tender and swollen, and the skin over the joint will take on a ruddy purplish hue. Joint deformities occur in the hands and feet, as the disease progresses.
David as an Osteopath is highly skilled in helping patients with either form of the condition. As the symptoms are produced largely by the inflammation around the joint, specific movements and treatment techniques can be extremely effective. By encouraging the movement of fluid around the joints and tissues, this helps to remove the inflammatory substances. In the elderly, minimal treatment can often have profound effect in reducing the pain.
David as an Osteopath will also address diet and lifestyle in order to help control the symptoms experienced.
HEALTHY STRETCHING
Stretching
Our bodies are unique and are able to cope with the stresses and strains forced upon them as a result of poor postural habits at work or physical activities such as playing sport or gardening. Beware! The body can only cope for a certain amount of time.
Not only do our muscles and joints have to cope with external influences as we age, our muscles also progressively become tighter. The flexibility within our joints reduce, thus decreasing the body mechanism to cope. Aging affects parts of the body differently and slows an active lifestyle and even hinders day-to-day activities. Some people develop tight hamstrings, while others have tight neck and shoulders muscles. If you have tight hamstrings this can affect your back and cause lower back pain, and tight neck muscles can lead to headaches and even dizziness.
Stretching helps to balance muscle groups that might be overused during exercise or physical training or as a result of bad posture. When a joint has limited range of motion, muscles, tendons and ligaments are at risk to strains and sprains. When you stretch on a regular basis the length of your muscles and tendons is increased. As a result of this, muscle tension is minimised and normal range of movement is increased thus improving muscle balance and posture. The more flexible and pliable your muscles, the less chance you will be prone to injuries.
Everyone can learn how to stretch and it is great for all ages and levels of flexibility. It’s not only great for the body but also good for the mind as it induces a sense of well-being and relaxation. Whether you are at work in front of the computer, just finished your exercise program or watching your favourite TV show, there is no excuse! Stretching can be done almost anywhere and at anytime and is easily incorporated as part of your daily routine.
Visit David Gray the osteopath who will be able to assess the quality of the muscles and their respective functions. This allows the osteopath to advise which stretches are more beneficial and specific to you and the environment you are in.
Our bodies are unique and are able to cope with the stresses and strains forced upon them as a result of poor postural habits at work or physical activities such as playing sport or gardening. Beware! The body can only cope for a certain amount of time.
Not only do our muscles and joints have to cope with external influences as we age, our muscles also progressively become tighter. The flexibility within our joints reduce, thus decreasing the body mechanism to cope. Aging affects parts of the body differently and slows an active lifestyle and even hinders day-to-day activities. Some people develop tight hamstrings, while others have tight neck and shoulders muscles. If you have tight hamstrings this can affect your back and cause lower back pain, and tight neck muscles can lead to headaches and even dizziness.
Stretching helps to balance muscle groups that might be overused during exercise or physical training or as a result of bad posture. When a joint has limited range of motion, muscles, tendons and ligaments are at risk to strains and sprains. When you stretch on a regular basis the length of your muscles and tendons is increased. As a result of this, muscle tension is minimised and normal range of movement is increased thus improving muscle balance and posture. The more flexible and pliable your muscles, the less chance you will be prone to injuries.
Everyone can learn how to stretch and it is great for all ages and levels of flexibility. It’s not only great for the body but also good for the mind as it induces a sense of well-being and relaxation. Whether you are at work in front of the computer, just finished your exercise program or watching your favourite TV show, there is no excuse! Stretching can be done almost anywhere and at anytime and is easily incorporated as part of your daily routine.
Visit David Gray the osteopath who will be able to assess the quality of the muscles and their respective functions. This allows the osteopath to advise which stretches are more beneficial and specific to you and the environment you are in.
MIGRAINES & HEADACHES
Migraines
Based on research an estimated 20% of the population suffers from daily, or weekly, headaches and common migraines. Occurring more often in women than men, approximately 25% of women and 8% of men suffer from one some time in their lives.
They are different from other headaches because they occur with symptoms such as nausea, vomiting, fatigue, and sensitivity to light. An episode can last hours, days, or weeks, which can leave the sufferer virtually disabled for that particular time duration. An attack can be induced by various triggers, including bright light, certain food items, and alcohol.
They can cause depression and psychological problems, however are not often caused by psychological factors. In severe cases your G.P. may refer you to a neurologist in order to rule out other causes of headache, such as sinus inflammation or a brain mass.
The headaches tend to start between the ages of 10 and 46 and normally have some genetic components. The genetic factors are due to skeletal imbalance problems that are passed on from generation to generation. It is these skeletal imbalance problems that are often missed and if correctly diagnosed and treated go a long way in reducing the chronic pain.
A good number of practitioners fail to recognise the most critical problem: abnormal muscular activity causing compression, thereby shifting blood flow and changing the electrochemistry of the head. There are many causes of this muscular imbalance, a genetic component as mentioned above, a history of trauma or even an undiagnosed jaw problem.
Patients who suffer from Migraines that have been inadequately or incorrectly diagnosed are usually told it results from stress, or a sinus problem or perhaps some residual, lingering effect of an accident they had years ago. Sadly, a sizeable number of these patients are recommended to use popular pain medications which do not necessarily address the root causes of pain.
Due to the knowledge of anatomy and physiology (function of the body), osteopaths have the skills to address the root cause of the problem. By addressing the muscular and skeletal imbalances David as an osteopath is in a position to provide you with a better understanding of the cause and as a result to provide you with effective treatment.
Based on research an estimated 20% of the population suffers from daily, or weekly, headaches and common migraines. Occurring more often in women than men, approximately 25% of women and 8% of men suffer from one some time in their lives.They are different from other headaches because they occur with symptoms such as nausea, vomiting, fatigue, and sensitivity to light. An episode can last hours, days, or weeks, which can leave the sufferer virtually disabled for that particular time duration. An attack can be induced by various triggers, including bright light, certain food items, and alcohol.
They can cause depression and psychological problems, however are not often caused by psychological factors. In severe cases your G.P. may refer you to a neurologist in order to rule out other causes of headache, such as sinus inflammation or a brain mass.The headaches tend to start between the ages of 10 and 46 and normally have some genetic components. The genetic factors are due to skeletal imbalance problems that are passed on from generation to generation. It is these skeletal imbalance problems that are often missed and if correctly diagnosed and treated go a long way in reducing the chronic pain.
A good number of practitioners fail to recognise the most critical problem: abnormal muscular activity causing compression, thereby shifting blood flow and changing the electrochemistry of the head. There are many causes of this muscular imbalance, a genetic component as mentioned above, a history of trauma or even an undiagnosed jaw problem.
Patients who suffer from Migraines that have been inadequately or incorrectly diagnosed are usually told it results from stress, or a sinus problem or perhaps some residual, lingering effect of an accident they had years ago. Sadly, a sizeable number of these patients are recommended to use popular pain medications which do not necessarily address the root causes of pain.
Due to the knowledge of anatomy and physiology (function of the body), osteopaths have the skills to address the root cause of the problem. By addressing the muscular and skeletal imbalances David as an osteopath is in a position to provide you with a better understanding of the cause and as a result to provide you with effective treatment.
WOMENS HEALTH
Womens Health
Many people would not normally associate
osteopathy with problems such as pelvic floor dysfunction, bladder weakness, and pain associated with some gynaecological problems.
Using a gentle approach, mobilising the muscles and tissues of the pelvic region, osteopaths consider they can help circulation and drainage, improve muscle function, and ease various symptoms arising from the pelvic organs.
Some cases of painful intercourse after childbirth injury, for example, can be eased with gentle techniques applied locally. Other painful symptoms such as with fibroids or endometriosis can also be eased by reducing swelling and tissue tension. In these instances treatment may need to be repeated but can lead to a better quality of life. Advice and help can also be given with pelvic floor exercises to improve organ support.
Primary Dysmenorrhoea
The first step in treating dysmenorrhoea is determining the cause. Primary dysmenorrhoea is a diagnosis given once all other conditions have been ruled out. It is a disorder in which the uterine muscle is behaving abnormally, the muscular contractions are too strong and too frequent. The uterine muscles are not able to relax properly in between contractions, and blood flow through the muscle is restricted. This causes the pain. The most common chemical cause of this is a prostaglandin imbalance; the most common structural cause is a sacral or lower back interference of nerve supply to these muscles.
David as your
Osteopath uses appropriate 'hands on' management, to release tissue tension and some help with exercises, (making sure you are working with the correct ones), to aid overall progress.
Drug therapy does not always work effectively or the same, in all people, and so alternative supportive measures, such as osteopathy may be needed.
Osteopaths can gently work on the following:·
Pelvic floor muscles·
Symphysis pubis and other pelvis joints·
Pelvic organs (by gentle massaging and stretching by the lower abdomen / tummy muscles)
David does not aim to replace standard medical treatment as surgery may still be required in some instances, but, it is often the case that surgery can be deferred following treatment, or that recovery may be aided following osteopathic treatment.
Because osteopaths use very gentle techniques they can be applied with days or weeks or surgery. If you have not had a medical diagnosis or any special tests done then these will be understood, to help ensure osteopathic management is best directed.
Treatment is aimed at improving movement and flexibility in the pelvic organs and tissues, and does not aim to 'remove' the problem, like surgery does for endometriosis or fibroids, for example.
Osteopaths try to get the body and the tissues to accommodate the scarring and inflammation more efficiently, thus reducing pain and suffering.
The gentle massaging style techniques are applied to minimise discomfort. Patients often find that treatment takes 2-3 sessions to begin to alter the pain / symptom pattern, and after 4-6 treatments patients often notice improvement in their overall problem and lifestyle.
Some patients require more 'maintenance treatment' than others, and this can be discussed in detail during the treatment sessions.
Everyone requires a slightly different type of management, and there is no 'set number of treatments per condition.'
Many people would not normally associate
osteopathy with problems such as pelvic floor dysfunction, bladder weakness, and pain associated with some gynaecological problems. Using a gentle approach, mobilising the muscles and tissues of the pelvic region, osteopaths consider they can help circulation and drainage, improve muscle function, and ease various symptoms arising from the pelvic organs.
Some cases of painful intercourse after childbirth injury, for example, can be eased with gentle techniques applied locally. Other painful symptoms such as with fibroids or endometriosis can also be eased by reducing swelling and tissue tension. In these instances treatment may need to be repeated but can lead to a better quality of life. Advice and help can also be given with pelvic floor exercises to improve organ support.
Primary Dysmenorrhoea
The first step in treating dysmenorrhoea is determining the cause. Primary dysmenorrhoea is a diagnosis given once all other conditions have been ruled out. It is a disorder in which the uterine muscle is behaving abnormally, the muscular contractions are too strong and too frequent. The uterine muscles are not able to relax properly in between contractions, and blood flow through the muscle is restricted. This causes the pain. The most common chemical cause of this is a prostaglandin imbalance; the most common structural cause is a sacral or lower back interference of nerve supply to these muscles.
David as your
Osteopath uses appropriate 'hands on' management, to release tissue tension and some help with exercises, (making sure you are working with the correct ones), to aid overall progress. Drug therapy does not always work effectively or the same, in all people, and so alternative supportive measures, such as osteopathy may be needed.
Osteopaths can gently work on the following:·
Pelvic floor muscles·
Symphysis pubis and other pelvis joints·
Pelvic organs (by gentle massaging and stretching by the lower abdomen / tummy muscles)
David does not aim to replace standard medical treatment as surgery may still be required in some instances, but, it is often the case that surgery can be deferred following treatment, or that recovery may be aided following osteopathic treatment.
Because osteopaths use very gentle techniques they can be applied with days or weeks or surgery. If you have not had a medical diagnosis or any special tests done then these will be understood, to help ensure osteopathic management is best directed.
Treatment is aimed at improving movement and flexibility in the pelvic organs and tissues, and does not aim to 'remove' the problem, like surgery does for endometriosis or fibroids, for example.
Osteopaths try to get the body and the tissues to accommodate the scarring and inflammation more efficiently, thus reducing pain and suffering.
The gentle massaging style techniques are applied to minimise discomfort. Patients often find that treatment takes 2-3 sessions to begin to alter the pain / symptom pattern, and after 4-6 treatments patients often notice improvement in their overall problem and lifestyle.
Some patients require more 'maintenance treatment' than others, and this can be discussed in detail during the treatment sessions.
Everyone requires a slightly different type of management, and there is no 'set number of treatments per condition.'
