Why Do I Have Back Pain?


Back pain affects most people at some point in their life. Generally it presents as muscular, skeletal or neurological and can be treated fairly easily if assessed early!

Muscular refers to muscle tissue and tendons that may be in spasm, inflamed, stiff or fatigued. Furthermore muscles can be chronically torn if not treated and tendons can become inflamed (tendonitis).

Skeletal refers to our joints including cartilage and ligaments. Joints may be stiff,  inflamed  or the cartilage may be suffering from wear and tear. Ligaments, which attach bone to bone, may become sprained.

Neurological refers to pain from nerve compression and irritation which may lead to numbness, tingling, sharp or shooting pain often in the limbs. The sciatic nerve for example can become compressed and cause sciatica.

Consult your GP or medical help urgently if your back pain is associated with any of the following:

Known as red flags

 

  • Constant deep ache not relieved by laying down and not aggravated by movement.
  • Fever >38c
  • Unexplained weight loss
  • Swelling in the back
  • Pain or tingling into your legs or feet
  • Numbness around your genitals/buttocks
  • Loss of bladder/bowel control

What is a muscle spasm?  This is an involuntary contraction of muscle fibres. This usually occurs when the muscle is acting in a protective way – like a protective reflex to protect an underlying damaged tissue from further damage. Finger muscles may spasm whilst writing for prolonged periods ie in an exam. Muscle spasm may also be caused by dehydration, loss of fluids during exercise without replacement can lead to fatigued muscles and eventually spasm. It is thought that it only takes a 2% reduction in body weight due to  fluid loss to have a 10-20% reduction in sport performance.

What is sciatica? Many patients come to see us here at Dynamic Osteopaths saying that they think they have sciatica, however many cases are incorrect. Sciatica is a symptom of a number of possible causes,  the sciatic nerve is the longest and thickest peripheral nerve in the body, extending from our low back to our foot. Sciatic pain can be sharp, shooting pain and numbness from the low back through the buttock and down the back of the thigh to the calf and foot.

Sciatic Nerve

The main causes of sciatica are:

  • A  herniated disc pressing on a nerve root that compresses the sciatic nerve.
  • Spinal stenosis: narrowing of the spinal canal usually due to ageing, as due to arthritis the joints become enlarged and choke the nerve.
  • Piriformis syndrome, as the sciatic nerve run under or through the piriformis muscle in the buttock the nerve may become squeezed or compressed giving ‘sciatic like’ pain.
  • Sacro-Illiac joint dysfunction. As the 5th lumbar nerve lies on top of this pelvic joint any inflammation caused by the  joint dysfunction may cause ‘sciatic like’ pain.
  • Spondylolithesis  is a forward slippage of one vertebrae on another due to a fracture which can pinch the nerve and cause sciatica.
  • Other possible causes for sciatica can be in pregnancy due to constantly changing posture and  although rare, a spinal tumour.

 

What are facet joints? Facet joints are the joints  between each vertebrae, on either side,  that control and facilitate the movement of the spine. Like many joints of the body they are surrounded by a capsule and can be very pain sensitive. Therefore any trauma to the joint or capsule can be very painful and send the muscles in the surrounding area into a spasm.

Facet joint pain can be due to a sudden trauma involving a quick over- rotation of the lumbar spine, common in squash players, which causes acute inflammation and or a ‘locking’ sensation of the joint. Mostly facet joint problems are chronic and are due to ageing and arthritis in the joints. The joints become enlarged and grow spurs which cause pain on rotation and other movements of the lumbar spine.

Facet joints control movement

 

How can Dynamic Osteopaths help?

When you visit an osteopath with back pain, they will first listen to you explain your symptoms and then ask some questions which will include onset of pain, what may make it better or worse and if you have any leg symptoms. They may ask some questions about your general and past health which you may think irrelevant, but this is to build a full picture of you as a whole person and to make sure that there is no under-lying medical problem (RED FLAGS).  The osteopath will then observe your posture and feel how your back is moving and carry-out any relevant clinical tests. All this is to be able to form a diagnosis before treating or referring on to a specialist consultant or further investigations (MRI, X-Ray).

Orthotic Prescription: Joint Pain, Posture & Hyper-mobility

Orthotic Prescription: Joint Pain, Posture & Hyper-mobility


Prescribing therapeutic orthotics in addition to Osteopathic care works extremely well in the treatment of numerous clinical conditions and improves a patient’s ability to maintain improved body mechanics and function.

Orthotics promote postural stability and balance within the body, enhancing the integrity of overall musculoskeletal alignment and physiological function. This is because the feet are the foundation of the body in terms of ground reaction and their influence must be considered even in cases involving other body structures. If a patient’s condition is affected by gravitational forces, structural imbalance, or joint disturbances, orthotic prescription may very well be helpful in speeding recovery and preventing reoccurrence. In cases of specific trauma that produce an area of weakness, healing can be accelerated when strong support is provided by a balanced foundation.

Treating the Patient as a whole:

Recognition of the interrelationship of structures in the musculoskeletal system is a fundamental concept of osteopathic practice and is something that is carefully considered daily here at Dynamic Osteopaths. The ability to see the body as an interrelated unit, instead of treating isolated symptoms, generates results that build patient satisfaction and professional success.

In addition, understanding the relationship between a balanced foundation and total postural health improves the effectiveness of individual case of patient management. Gravity forces work through the mechanics of the feet, knees, and legs into the spine and pelvis and then all the way up the spine into the skull. These forces have huge mechanical consequences if maligned. The body functions as a total unique kinetic chain, where movement at one joint influences movement at other joints.

Foot dysfunction occurs in an estimated 80% of people over the age of 40. Often, patients are unaware of their problem because symptoms refer to structures away site. Many pelvic and spinal distortions can be traced to dysfunction in foot biomechanics. Here at Dynamic Osteopaths our sports osteopaths out of Solihull and Birmingham are well trained in identifying these biomechanical abnormalities.

Tracing the Kinetic Chain

Excessive pronation of the subtalar joint is the most common foot disorder that contributes to chronic postural problems (otherwise known as collapsed arches). A natural inroll of the foot must occur during gait/walking so that body weight propels forward, knees can flex, and natural shock absorbers protect upper body structures from heel strike forces. When the degree and duration of pronation exceed established norms, consequences extend throughout the closed kinetic chain. Clinical example:

At the knee: Flattening of the longitudinal arch stretches the retinaculum on the medial side. The patella is pulled laterally in the femoral grove during flexion, setting the stage for chondromalacia patellae.

In the pelvis: Lack of pedal support prolongs inward rotation of the lower extremity, causing inward hip rotation related to myofascial back pain.

At the spine: Excessive pronation effectively creates a functional short leg, leading to pelvic unleveling. Shear strain on the articular facet joints, compensatory scoliosis, and intra-articular capsule changes are possible consequences.7

Orthotic Correction

Here at dynamic osteopaths we promote and prescribe custom fitted Vasyli Medical 6 degree orthotics serving to control motion within the foot, including the angle and timing of pronation. It is extremely important to facilitate but not restrict movement, to avoid a compensatory hypermobility elsewhere in the kinetic chain. These orthotics prescribed by your osteopath allow movement to occur, but check the degree of inroll as if a wedge were placed at the point of weakness.

Several studies verify the effectiveness of orthotic support in stabilizing the pedal foundation for better postural health. In one, pronation measurements were taken on both an injured and a normal foot. When an orthotic was worn on the injured foot, the degree of pronation was almost equal. Another study involving the used of flexible orthotics focused on three key postural measurements:

Femoral head height. Healthy posture shows little or no difference in head height. Variance reflects functional or structural problems in the feet, knees, pelvis, or spine.

Sacrovertebral angle. The accepted optimum angle is 110 degrees. Pelvic tilt or lumbar lordosis will cause a change in angle measurement.

Lumbosacral disc angle. The standard measurement is between five and nine degrees. Outside these limits, weightbearing stress can effect the facet articulation and disc.

Subjects in the study wore spinal pelvic stabilizers for four months, but received no chiropractic adjustments and made no other lifestyle changes. At the end of the period, measured improvements occurred in all three areas. Members of a runners’ club demonstrated that orthotics provide a high level of symptom relief. Almost 350 people who had been using orthotics for an average of two years completed identical questionnaires about specific musculoskeletal symptoms. Complete resolution or great improvement in their symptoms was reported by 75% of respondents.

Among their complaints were pain in the knees, feet, ankles, shins, and hips. The top three conditions in those diagnosed by health care professionals were excessive pronation, plantar fascitis, and Achilles tendinitis.

A study focusing on patients with leg length discrepancy involved 1,157 subjects with discrepancies of less than 10 millimeters. Over a 15-year period, they demonstrated a 75 percent reduction in low back pain, sciatic pain, and hip pain when shoe insert were worn. Pain would often occur the same day that inserts were not used, and go away when used resumed.

Identifying Imbalance is a standard Osteopathic system. With a trained eye, many osteopaths can determine the likelihood of imbalance as the patient walks into the examining room. These include:

Foot flare: toeing out while walking indicates excessive inroll in one or both feet.

Medial patellar rotation: impact of pronation on the knee as described above manifests in abnormal rotation of the patella.

Bowed Achilles tendon: inroll of the foot stresses soft tissues, creating a distinctive curve of the Achilles tendon.

These factors serve as general indicators of foot imbalance. During the routine patient exam, be alert to more specific symptoms, including:
The presence of shin splints, patellofemoral disorders, Achilles tendinitis, plantar fascitis, or stress fractures.

Local signs such as corns, calluses, bunions, neuralgia, or altered circulation.

Leg length inequality, especially in the presence of low back pain, unilateral hip arthrosis, or lower extremity stress.

General complaints of leg cramps, knee or hip pain, spinal distortion, cervical tension, mid-thoracic or low back pain, sciatica, or fatigue.

Collapsed Arches:

The integrity of the body’s Biomechanical foundation has a direct impact on total musculoskeletal health. The Biomechanical kinetic relationship between the feet and upper body structures can affect the effectiveness and longevity of osteopathic care and treatment management.

Osteopathic orthotic description aids normalizes foot structure and motion to provide a more stable base for the musculoskeletal complex. Even though the feet may not hurt, symptoms referred elsewhere in the body manifest as chronic pain or lack of permanence in osteopathic manual medicine.

Clinical studies and field research verify the value of orthotics in relieving pain and improving structural integrity. Flexible orthotics control pedal motion without restricting function and creating compensatory hypermobility in other structures.

For further information please do not hesitate to contact us at www.dynamicosteopaths.com
Or alternatively email us at info@dynamicosteopaths.com

We have Osteopathic clinics operating out of Henley in Arden, Solihull and Harborne Birmingham.

Sports Medicine: Exercising With Lower Back Pain: Prescription for Health

Sports Medicine: Exercising With Lower Back Pain: Prescription for Health


Sports Medicine – Exercise is medicine!

Back pain is one of the most common medical complaints in the world. Don’t let low back pain get you down! A well-designed exercise program can help speed recovery from low back pain, reduce pain levels, and possibly prevent reinjury. In fact, regular physical activity has been shown to increase muscle strength and endurance, enhance mobility and reduce the risk of falling is superior to spine therapy at helping people cope with back pain and at keeping it under control! The key to maximizing the benefits of exercise is to follow a well-designed program that you can stick to over the long-term.

Getting Started

The goal of exercise training is to improve overall fitness (cardiovascular, muscle strength and endurance, flexibility, coordination and function).

Talk with your health care provider before starting an exercise program and ask if they have specific concerns about you doing exercise. Most people do very well with regular exercise and sufficient time, but some people do need surgery.

The goal of exercise training is to improve overall fitness (cardiovascular, muscle strength and endurance, flexibility, coordination and function) while minimizing the stress to the lower back.

Choose low-impact activities, such as walking, swimming, and cycling.

Strong abdominals, back, and leg muscles are essential for helping you maintain good posture and body mechanics. Once the acute pain subsides, you can begin doing light strengthening-training exercises designed to help your posture.

Yoga and tai chi may help relieve or prevent lower back pain by increasing flexibility and reducing tension. Be careful, however, not to do any poses that could exacerbate your condition.

Start slowly and gradually progress the intensity and duration of your workouts.

Do low- to moderate-intensity cardiovascular exercise for 20 to 60 minutes at least three to four days per week.

Exercise Cautions

Avoid high-impact activities such as running.

While low-impact aerobic activities can be started within two weeks of the onset of lower back pain, exercises that target the trunk region should be delayed until at least two weeks after the first sign of symptoms.

Never exercise to the point of pain — if something hurts, don’t do it.

Your exercise program should be designed to maximize the benefits with the fewest risks of aggravating your health or physical condition. Consider contacting us here at Dynamic Osteopaths to cover realistic goals and design a safe and effective program that addresses your specific needs.

For more information, visit us at Dynamic Osteopaths in Solihull and Birmingham at http://www.dynamicosteopaths.com or email us at info@dynamicosteopaths.com

Osteopathy room rental / Physiotherapy room rental


 

Therapy Room Hire

Clinic Therapy Room available to rent /hire on Doctors Lane Henley In Arden

 

Room Rates:

Rates are fair and reasonable. Please enquire for therapy rooms to rent with Dynamic Osteopaths In Henley In Arden.

If it is your first time, you are having problems, or would simply like to book a room the old fashioned way, please do not hesitate to contact us on: 07966 317712.

Alternatively, e-mail us at info@dynamicosteopaths.com.

Further information can be found at Dynamic Osteopaths Clinic

 

What are the consequences of poor lifting technique?


Back pain and sciatica

 

We have all been told over and over that we should always bend at the knees and keep a straight back when lifting.  What happens if you don’t do this? CASE STUDY:

20 year old male patient, that began experiencing lower back pain and morning stiffness, which has steadily worsened to the point where he is now in constant pain and finds it difficult to work.

At the base of the spine, it was identified that the last vertebral disc had become greatly reduced compared to the other disc spaces in his spine.

This is a degenerative process that greatly accelerates if the back joints are readily subjected to high levels of strain during lifting.

Bending at the knees and keeping a straight back when we lift keeps this strain to a minimum. This is otherwise known as keeping  a natural spine!

Although Osteopathic treatment may help relieve the pain and stiffness that occurs in a case like this, the real cure is to make sure that you look after your lower back in the first place

Further information can be found at http://www.dynamicosteopaths.com or please contact us on info@dynamicosteopaths.com

Sports Medicine: The benefit of neuromuscular training and rehab in athletes – ACL study


As participation in high-demand sports has increased over the past decade, so has the number of anterior cruciate ligament (ACL) injuries in teens and young adults. In a study appearing in the Journal of Bone and Joint Surgery(JBJS), it was found that neuromuscular training for high school and college-age athletes – which focuses on the optimal way to bend, jump, land and pivot the knee – is an effective and inexpensive way to avoid ACL damage, which ultimately relates to high demand on costs and time.

The ACL is a critical ligament that stabilizes the knee joint. An ACL injury, one of the most common sports injuries, often requires surgery and a lengthy period of rehabilitation. Recent research has found that screening tools such as a “hop test” or isokinetic dynamometer which measure muscle strength to identify neuromuscular deficits, as well as neuromuscular training programs, may reduce ACL injuries.

Image

Researchers evaluated three strategies for young athletes: no training or screening, universal neuromuscular training, and universal screening with neuromuscular training for identified high-risk athletes only. 

Findings:

  • On average, universal training reduced the incidence of ACL injury by 63%, while the screening program, on average, reduced the incidence rate by 40%.
  • Out of 10,000 athletes, the model predicted 300 ACL injuries in the no-screening group, 110 in the universal training group, and 180 in the universal training/screening for “at risk” athletes group.

While it is not a surprise that training was more cost-effective than no intervention, the  magnitude of the benefit was significant.

Dynamic Osteopaths explain how this further identifies the huge benefit and importance that the correct form of clinical rehabilitation is performed and what effect this can have on prevention and cost effective treatment.

Proprioceptive neuromuscular training has huge benefits in creating dynamic joint stabilization and biomechanical control, which ultimately allows the joint to function at its strongest in the most optimal form.

For further information and how these an be treated please contact Dynamic Osteopaths on the link provided.

Alternatively contact the clinic at:
Info@dynamicosteopaths.com

Osteopathic clinics out of Henley In Arden, Solihull and Harborne Birmingham.

Exercise rehabilitation based in Central Solihull.

 

Orthotics for the treatment of knee pain hip pain and backpain – Dynamic Osteopaths


It is estimated that around 75% of the population suffer from poor foot biomechanics and a related factor known as excess foot pronation (collapsed arches). This poor foot structure then commonly disturbs normal knee function and hip alignment and increases forces on the lower back. These biomechanical deficiencies are common in all types of patients from children to the elderly, from top athletes two people with sedimentary lifestyles. By realigning the lower limb to its natural angle via the means of orthotics can ensure correct foot function and help relieve common biomechanical complaints. This in combination with your practitioner’s regular treatment regime, orthotics are usually successful in alleviating chronic pains and surgery is seldom required!

Orthotic foot correction can help relieve the following common joint related aches and pain:

– Heel pain (planter fasciitis)

– Knee pain (patello-femoral pain)

– Shin pain (tibial stress syndrome)

– Tired, aching legs

– Achilles pain (Tendonitis)

– Hip pain (ITB syndrome)

– Low back pain and pelvic pain

For further information on custom fitted orthotics or how they can provide pain relief in further detail please feel free to contact Dynamic Osteopaths and one of our friendly practitioners will contact you within the hour to discuss your needs.

Dynamic Osteopaths provide services for orthotics.

Dynamic Osteopath has osteopathic clinics within Henley In Arden, Solihull and Harborne Birmingham.

Tel: 0121 472 1268
Clinic: 07966 317712

Web: www.dynamicosteopaths.com
Email: info@dynamicoateopaths.com

Low Back Pain Management


Low Back Pain Management: Early management of persistent non-specific low back pain. Recommendations and guidelines via the Nation Institute of Clinical Excellence. 

Recommend treatment options based of clinical evidence based medicine:

● Manual Therapy:
– Course of manual therapy, including spinal manipulation*
– up to 9 sessions over up to 12 weeks

(*The manual therapies reviewed were spinal manipulation, spinal mobilisation and massage. Collectively these are all manual therapy. Mobilisation and massage are performed by a wide variety of practitioners. Manipulation can be performed by osteopaths and chiropractors, as well as by doctors and physiotherapists who have undergone specialist postgraduate training in manipulation).

● Acupuncture:
– Course of acupuncture needling
– Up to 10 sessions over up to 12 weeks.

● Structured exercise programme:
– Up to 8 sessions over up to 12 weeks
– Supervised exercise programme, tailored to the individual
– May include aerobic activity, movement instruction, muscle strengthening, postural control and stretching

In addition the National Institute of Clinical Excellence have NOT recommended the following:

● ISSRIs for treating pain
● Injections of therapeutic substances into the back
● Laser therapy
● Interferential therapy
● Therapeutic ultrasound
● TENS
● Lumbar supports
● Traction

 

Further information in the evidence-based treatment and management of low back pain can be found at: http://guidance.nice.org.uk/CG88/NICEGuidance/pdf/English.

Alternatively please contact us at Dynamic Osteopaths. We can offer you with friendly support and advice with questions and concerns you may have.

T: 0121 4721268

E: info@dynamicosteopaths.com

W: www.dynamicosteopaths.com

We have osteopathic clinics with Henley In Arden, Solihull and Harborne Birmingham. Our clinics provide fast and effective treatment for back pain and joint pain, which coincide to the National Institute of Clinical Excellence guidelines.  

 

Pain Relief and Osteopathy


Osteopaths spend most of their time working with people who are dealing from pain – whether it occurs at a young age from sport or in the older generation from arthritis. Osteopaths roles are to alleviate pain, to improve mobility and to make patients’ live more comfortable.  

What is pain?  Pain is a warning signal that something is wrong. If is one of the body’s natural defence mechanisms to alert you to a problem but it is there to stop you from further damage.  

Osteopaths diagnose the cause of pain and can often do a great deal to help reduce the level of your pain and suffering. But what directly causes pain? Often, it is the result of localised inflammation for injured tissues which created pressure on nerves.  

Your pain  
– low back pain
– neck pain
– headaches
– joint pain
– rheumatic pain
– pelvic pain
– pain from trauma
– arthritic pain
– joint stiffness
– leg pain  

The skilled techniques of osteopaths can allow the body to self heal and return to normal activity. Even if your pain has been chronic, osteopathy may help but may take patience. The osteopath will look at how your whole body functions and be able to reduce strain on the painful areas caused by mechanical problems elsewhere.  

There are times when it is wise for you to take medication in addition to osteopathic treatment. Osteopaths frequently work in close cooperation with your GP.

Why an osteopath?

Osteopaths help to reduce tissue inflammation by a number of methods ranging from muscular treatment to spinal manipulation and joint rehabilitation.

This process will help to reduce muscular spasms and increase mobility, helping to create healthier state in which damaged tissues can heal.

Much long-term, recurrent pain is caused by degenerative changes to the body’s framework. Nobody can reverse the process of ages, unfortunately! However, osteopathic treatment using manual and physical therapy in addition to medical acupuncture can often ease pain, reduce swelling and improve the mobility and range of motion at a joint. Pain control is an important part is the treatment and osteopaths give guidance on simple method to carry out at home.

-osteopaths are skilled healthcare professionals
-osteopaths deal with pain every day
-UK Osteopaths treat over 7 million people every year who are suffering from pain
-osteopaths can help you both with treatment and advice on self-help

Visiting your osteopath

When you visit your osteopath of the first time a case history will be taken and you will be given a physical examination in regards to your complaints.
You will normally be asked to remove relevant areas of clothing and perform a simple series of movements. The osteopath will then use their examination to identify any points of dysfunction or excessive strain throughout certain structures.
The osteopath may need additional investigations such as x-rays or blood tests. This will allow a full diagnosis and suitable treatment plans to be developed with you. Osteopathy is a patient centred approach which means the treatment is geared to you as an individual.

Osteopathic fees

Most people consults their osteopath privately. However, and increasing number of patients work with GP practices so that it may be possible for your doctor to refer you to an osteopath on the NHS.
Most private health care insurance schemes give benefit for osteopathic treatment. Some companies Will reimburse the total fee that you have paid to the osteopath, some only a percentage. Most companies require a GP or specialist referral. All insurance companies have helplines to explain your actual benefits and methods of claiming.

Osteopathy and patient protection

Osteopaths are highly trained to recognise and treat many causes of pain. Osteopathy is an established system of diagnosis and manual treatment which is recognised by the British Medical Association as a discrete clinical discipline.

For the last 60 years, osteopaths have worked within a system of voluntary regulation that sets standards of training and practice. In 1993, osteopathy became the first major complimentary healthcare profession to be accorded statutory regulation under the 1993 Osteopaths act. This has been culminated in the opening of the statutory register of osteopaths by the general osteopathic Council in May 1998. Only those practitioners able to show that they have been in safe and competent practice of osteopathy will you be allowed to gain entry onto the register and in the future all osteopaths will be trained to the same high rigourous standards. All osteopaths will have medical malpractice insurance and to follow a strict code of conduct. Patients will have the same safeguards as when currently they consult a doctor or dentist.

For further information on pain relief and osteopathy please contact our friendly clinic on 07966 317712, Or alternatively visit our website at www.dynamicosteopaths.com.

Dynamic Osteopaths are currently practicing out of Henley in Arden Warwickshire, Solihull and Harborne Birmingham. Offering treatment for pain relief, back pain, and joint pain.

The importance of regular exercise and chronic pain – osteopathic perspective.


Regular exercise has many benefits, not just for general fitness, but also for people who may be suffering from ongoing chronic pain, within the spine and the joints. Evidence identifies how keeping yourself active and exercising regularly provides huge benefits for you joints – keeping then well lubricated which in turn reduces stiffness and pain, at the same time as keeping your muscles active and strong, which enables your joints to be more stable and better at dealing with dynamic properties.

Dynamic Osteopaths are traditional osteopaths with strong backgrounds in sports medicine, that see patients on a daily basis who are dealing with the difficulties of chronic pain. Here at Dynamic Osteopaths we treat such musculoskeletal conditions by providing spinal and muscular osteopathic treatment, specifically aimed at reducing pain and promoting individual function, enabling regular bouts of exercise to continue. Here, our osteopaths will provide full support of specific stretches and exercises to help enhance mobility and strengthen problematic areas. The sports osteopath, who is an exercise specialist will recommend how many times a week exercise and will educate you on why these exercises are important to prevent injury.

Here at Dynamic Osteopaths, we have operating clinics within Henley In Arden, Solihull and Harborne Birmingham, where we provide comprehensive treatment and support for chronic pain suffers.

For further information, feel free to contact us on 0121 472 1268 or visit our website at www.dynamicosteopaths.com to find out further information.