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).

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Treatment of Low Back Pain – Dynamic Osteopaths

Treatment of Low Back Pain – Dynamic Osteopaths


Treatment for low back pain:

Ligamentous injury – either caused from trauma or biomechanical alteration leading to increased strain.
Treatment via ice / spinal mobilisation / pain free exercise.

Facet joint injury – normally a relation to altered pelvic balance, hip rotation, tight hamstrings, with a dull and sharpe pain on extension.
Treatment via spinal manipulation, mobilisations, traction, education and specific strengthening.

Spinal instability – increased pain for maintained posture. Treatment via mobilisation of hypomobile segments and stability training to strengthen spinal dynamic motion.

Disc herination– gentle mobilisations, flexion/distraction / extention mobilisation. Education, core strengthening and stability training.

Spinal stenosis – flexion exercises, paraspinal pelvic tilts / strength and conditioning.

DDD (spinal degeneration / spondylosis) – HVT / mobilisations / reduction of hip flexion and lumbar erector spinea, traction, Acupuncture, diet.

Sacroiliac joint dysfunction – instability correction: leg length discrepancy correction, torsion, Restriction, mobilisations, stretches, exercises.

For further information on how low back pain treatment is carried out here at Dynamic Osteopaths please contact us on Www.dynamicosteopaths.com.

Alternatively call us on (07966) 317712 or email us at info@dynamicosteopaths.com

How Osteopathic Medicine Works

How Osteopathic Medicine Works


How Osteopathic Medicine Works

More and more people are consulting osteopaths, reaching over 7 million consultation each year, this mainly due to natural promotion of health.
Osteopaths have been helping people variety of a variety of ages with varied health issues for many years without the use surgery at a first call.

Osteopaths get proven results with these specific health conditions by using the best available evidence based research, patient preference and osteopathic expertise.

Here at Dynamic Osteopaths we use out underpinning osteopathic medical philosophy along with new and up and coming research to provide the best level of pain relief services to our patients. Here we assess your health, explain what we’ve found and make specific recommendations once what it is we may have found:

• Your health and Wellbeing is primary objective
• The optimal function and your neurology and circulatory system
• Stress results in cortisol and can overload your body systems relating you illness and poor health
• Spinal joint dysfunction had a large relation to compensatory control
• Spinal manipulation can help restore spinal range if motion

Click on this link to learn more about osteopathic medicine and why it is so beneficial to the individual.

Alternately please contact our clinic at info@dynamicosteopaths.com / 07966 317712

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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.