|21 April 2014|
3 February 2014
Thornton Heath Osteopaths.WHAT IS OSTEOPATHY?
Osteopathy is a physical therapy based on a holistic approach for the treatment of common muscular, joint and visceral disorders, using an established system of clinical diagnosis and manual treatment. You do not need a referral to see the osteopath, and usually there are no waiting lists. Osteopathy has been endorsed by NICE, National Institute of Clinical Excellency as a therapy for the relief of back pain. (See complete article at the bottom of the page).
Most people associate osteopathy for its effectiveness in the treatment of back pain, but this is not all. Osteopathy looks at the relationship between the different parts of the body.For example, the nervous, vascular, and muscular systems are interrelated. The function of these systems affect every cell in the body. To help improve function, the osteopath corrects structural imbalances, to assist the self regulatory mechanisms of the body to heal itself.
The most common conditions that benefit from osteopathy are:
Sciatic pain, felt on buttocks, hips, groin, and legs.
Generalised aches and pains:
Joint pains, including hip and knee pain from osteoarthritis.
Headache arising from the neck (cervicogenic):
Frozen shoulder, shoulder and elbow pain, tennis elbow.
Inability to relax
Minor sports injuries and tensions .
Your first visit:
At your first visit, the osteopath takes a detailed medical history to discuss and ascertain the cause of the presenting problem. Details of your general health, past and present, stress levels, occupation and lifestyle and stress levels are considered. These last two are important, because you could be straining different areas of your body. For example a teacher in charge of infants, over a period of time, can develop chronic back pain, caused and maintained by frequent bending forward.
A desk worker may be prone to headaches, neck and shoulder pain, and tension, after spending many hours in front of a bright computer screen.
The osteopathic examination:
Depending on the area being treated, you may need to undress to your underwear. Here we provide a screen, and a towel if needed.
Osteopathic assessment usually includes a series of standard orthopaedic tests. These are for ascertaining the range of motion of the joints, especially those related to your problem. Deep tendon reflexes are taken when necessary.
Postural assessment gives valuable information about your body framework. Here we can find areas affected by injury, disease, overuse and long term misuse of muscles, or congenital conditions such as scoliosis.
Palpation is another valuable osteopathic tool. Feeling with the hands gives valuable information about the tissues, the position of the joints, and the likely cause of the problem.
The Osteopathic Diagnosis:
After gathering all the information, a diagnosis can be made, and the findings explained as to what may be causing the pain; for example herniated discs, pulled or strained muscles, short or strained ligaments. It is important to understand why the problem has developed, why it has become chronic, and the necessary steps to follow to correct it, by osteopathic manipulation, exercise, and addressing postural, lifestyle issues that may be affecting the body.
If treatment is not indicated, then with the patient's consent the osteopath would write to their GP for more information about their health, or suggest further investigations such as blood tests, X-R or MRI scans.
Osteopathy is a manual therapy, and the techniques selected are unique to your problem. The choice could be between standard osteopathic techniques such as the traditional osteopathic manipulation or thrust (click) technique for releasing joint problems. The latter is a swift and painless manipulation, which can be effective in freeing a stuck joint on the spine or any joint in the body. In most cases, it reduces the pain and restriction almost immediately.
There are many manual methods to assist and align the body. Soft tissue manipulation, which is very effective in releasing muscles and ligamentous restrictions, articulation techniques, or other forms of manipulation like neuromuscular techniques, muscle energy techniques, traction, strain-counterstrain and harmonic techniques.
The follow up:
After the treatment,it is possible to advise how many treatments may be needed, as well as their frequency.
Based on experience and feedback from the patient the osteopath can suggest a course of treatment to assist recovery. Depending on the severity of the problem, you may need several treatments. It is important to follow the osteopath's advice to achieve recovery, and prevent recurrence.
In chronic or recurring cases about four to six treatments might be needed, over a period of six to eight weeks. About 20% of new patients need only one treatment.
Side effects following osteopathic treatment:
Some may experience aggravation of the symptoms, usually for a day. Soreness might be felt around the areas where motion was restricted. In cases of concern, telephone the practice.
First treatment lasting 45 minutes: £43.00
Follow-ups: £40.00, lasting on average half an hour
Private health insurance - AXA PPP, Norwich Union, HSA.
The practitioners are:
Mrs Salome Olivia, registered with The General Osteopathic Council, and member of the following associations:
The British Osteopathic Association.
The Foundation for Paediatric Osteopathy.
The International Cranial Association.
Miss Natalie Burnham, registered with the General Osteopathic Council and the British Osteopathic Association.
NEW NICE GUIDELINES TO HELP MILLIONS OF PEOPLE WITH LOW BACK PAIN
Millions of people with low back pain will benefit from new guidance issued to the NHS on the most effective ways to treat this often painful and distressing condition.
The National Institute for Health and Clinical Excellence (NICE) and the National Clinical Guideline Centre today (Wednesday 27 May) publish a guideline to improve the early management of persistent non-specific low back pain. This covers people who have been in pain longer than six weeks but less than one year, where the pain may be linked to structures in the back such as the joints, muscles and ligaments. Setting out a range of effective mainstream and complementary treatments, the guideline recommends what care and advice the NHS should offer to people affected by low back pain.
Affecting around 1 in 3 adults in the UK each year, low back pain is a very common disorder, with an estimated 2.5 million people seeking help from their GP about their condition. For many people the pain goes away in days or weeks. However for some, the pain can be distressing and persist for a long time. It is difficult to ‘cure’ low back pain, but the treatments recommended in this guideline can reduce its effect on people’s lives.
Professor Peter Littlejohns, NICE Clinical and Public Health Director, said: “Most people will be affected by low back pain at some stage in their lives, so it’s good news that the NHS now has evidence-based guidance on how to treat the condition effectively. There is variation in current clinical practice, so this new NICE guideline means that for the first time we now have the means for a consistent national approach to managing low back pain. Importantly patients whose pain is not improving should have access to a choice of different therapies including acupuncture, structured exercise and manual therapy. The recommendations will enable health professionals to provide the best care and advice for people seeking help for low back pain, which should reduce the impact of the condition on patients’ day-to-day lives.”
Recommendations from the guideline for health professionals include:
• Advise people with low back pain that staying physically active as much as possible is likely to help and provide people with advice and information to help them manage their low back pain.
• Offer one of the following treatment options, taking into account the patient’s preference: an exercise programme, a course of manual therapy including manipulation, or a course of acupuncture (more details on each below). Consider offering another of these options if the chosen treatment does not result in satisfactory improvement.
• Consider offering a structured exercise programme tailored to the individual that may include exercises to strengthen muscles, improve posture and stretching.
• Consider offering a course of manual therapy, including spinal manipulation, spinal mobilisation and massage. Treatment may be provided by a range of health professionals including chiropractors, osteopaths, manipulative physiotherapists or doctors who have had specialist training.
• Consider offering a course of acupuncture needling, up to a maximum of 10 sessions over a period of up to 12 weeks.
• Injections of therapeutic substances into the back for non-specific low back pain are not recommended.
• Offer a combined intensive exercise and psychological treatment programme for people who have had at least one less intensive treatment already, but who still have disabling pain which causes significant distress or seriously impacts on daily life.
• Do not offer X-ray of the lumbar spine for the management of non-specific low back pain, and only offer an MRI scan within the context of a referral for an opinion on spinal fusion.
Professor Martin Underwood, Chair of the Guideline Development Group and GP, said: “This guideline heralds a sea-change in the treatment of low back pain. I am delighted that now, as a GP, I’ll be able to offer my patients a choice of therapies for persistent low back pain that have been shown to work. For those patients who don’t improve, I will be able to refer them for intensive treatment that will reduce the misery of living for years with disabling low back pain. Importantly, this guideline also gives doctors and other health professionals clear and consistent advice on how to help their patients with persistent back pain.”
Steve Vogel, Guideline Developer and NHS Osteopath, said: “Having been one of a small minority of osteopaths working in an NHS general practice for the last fifteen years, I am excited that many more of the millions of people who suffer from back pain can benefit from the sort of hands-on treatment I provide. The guideline recommendations combine giving advice about exercise and activity, with options including hands on treatment by osteopaths, chiropractors, manipulating physiotherapists and acupuncturists. This choice, alongside traditional pain treatments like paracetamol, is essential in enabling people to find something that works for them."
Dr Dries Hettinga, Head of Policy and Research at BackCare, and Patient Representative on the Guideline said: “This guideline is an important step forward in raising the standards of care for people with low back pain, and providing a choice of effective treatments. Fortunately most people with back pain recover within weeks without specialised treatments, but a significant group need a bit more help with their condition. This guideline is aimed at people who haven’t got better after six weeks, offering them a comprehensive treatment programme that should help prevent a long term problem from developing. This guideline will help patients understand what treatment and care can help them with their back pain, and shows that there can be a positive outlook for treating this condition.”
Elaine Buchanan, Guideline Developer and Consultant Physiotherapist said: “This guideline provides an essential opportunity for physiotherapists and other health professionals to ensure that people with low back pain benefit from evidence-based treatment. In addition to advice and medication, people who have back pain persisting beyond six weeks now have the choice of three effective treatments: acupuncture, exercise and manual therapy. The small number of people who continue to have problematic back pain following these therapies will have access to an intensive treatment programme, run by a team of specialists. These programmes combine physical and cognitive behavioural approaches to help people maximise their quality of life, by teaching them skills and techniques which reduce the disability and distress caused by their condition.”
Notes to Editors
About the guideline
1. The guidance is available at www.nice.org.uk/CG88 (available from Weds 27 May).
2. Low back pain can be soreness or stiffness in the back between the bottom of the ribcage and the top of the legs.
3. The National Institute for Health and Clinical Excellence (NICE) is the independent organisation responsible for providing national guidance on the promotion of good health and the prevention and treatment of ill health.
NICE produces guidance in three areas of health:
• public health – guidance on the promotion of good health and the prevention of ill health for those working in the NHS, local authorities and the wider public and voluntary sector
• health technologies – guidance on the use of new and existing medicines, treatments and procedures within the NHS
• clinical practice – guidance on the appropriate treatment and care of people with specific diseases and conditions within the NHS.
68 Melfort Road
Telephone 0208 684 3888.
Mobile: 079 664 537 96
The General Osteopathic Council:
British Osteopathic Association:
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