The Ealing clinic on Pitshanger Lane has been open for 3 years this August. To celebrate we are offering £5 off all follow up appointments booked online. Offer ends 30th September 2017.
We are running an incentive to encourage patients to use the online booking facility. This special offer will run for a trial period in Maidenhead until the end of September 2017. Click here to take up this offer.
I am pleased to announce that Ciaran Keen, Registered Osteopath, has joined the team and will be offering appointments in Maidenhead from July 2017.
Ciaran graduated from the European School of Osteopathy. He has worked in a number of settings including private practice, the NHS, and as campus based sports therapist within a university sports faculty. Ciaran used his time within the NHS to foster collaborative relationships with consultants to aid patient rehabilitation.
“I primarily support the Brunel University weightlifting team which includes national champions. I am particularly interested in sports injuries and I train like a cross-fitter. I have also coached crossfit and weightlifting in the past. I am taking further studies to become a better strength coach”.
Father’s day is not far away – June 18th. Have you decided on a meaningful gift that he will enjoy? Why not treat him to an osteopathy or sports therapy treatment – both delivered by our expert osteopaths.
Whatever your Dad’s age or fitness level – he will benefit from a session of examination, treatment and exercise prescription to help improve and maintain the health of his muscles, joints and conective tissues. Is he a new Dad, lifting and carrying little children? Is he a Dad looking to get back into fitness with a lingering injury? Is he a retired Dad, wanting to improve his tennis, golf or game of darts? Is he a stressed out Dad that has pulled something after shouting at the teenagers?
Think of your your Dad as a strong and stable rock. The years and elements have shaped him physically. Rain, sun, wind, snow. Whatever the elements coming his way, your rock remains steady and our treatment will help him weather the storms ahead.
If your Dad has not visited the clinic before, then buy him a gift voucher for a 60 minute initial consultation which includes comprehensive examinations and treatment.
If your Dad has been to the clinic before, then treat him to a voucher for a 40 minute follow-up consultation which includes a maintenance treatment and brief examination if needed.
If your Dad is interested in Chinese acupuncture and cupping – then that is an option also.
Osteopathy / Sports Therapy – £68 initial consultation
Osteopathy / Sport Therapy – £58 follow up consultation
Acupuncture + Fire Cupping £65 (initial consultation) and £55 (follow-up consultation)
With London Marathon 2017 done and dusted – our thoughts turn to the many patients we have helped to achieve their sporting goals. Each case has been very satisfying for us to get involved with because our patients have been very much on board with our approach and have adhered to our rehab programs and training modifications. Osteopathy for sports injury has not always been the obvious choice – many default to the services of physiotherapists. However – our reputation in sports therapy is growing as patients have benefited from an approach which integrates total body biomechanics. At the Health in Motion clinic, we like nothing more than to see people thrive and achieve their goals.
Our osteopaths have provided three case examples that illustrate the winning combination of patient determination and osteopathy treatment.
Chris, a very capable triathlete, visited me with a knee pain that was limiting his running distance and target speed. The conclusion reached by his consultants and other professionals was that he should give up running. As Chris was determined to continue in the sport I looked for other areas of his body that would provide scope to improve his running mechanics and therefore prevent irritation to the knee. The main area for improvement was the ankle on the same side, which had been injured many years ago and was malfunctioning, unknown to Chris. Chris now continues to compete in triathlon events. Once I had manipulated the ankle joint and the corresponding sacroiliac joint – Chris reported that the knee was gradually improving and he was soon back on track with training and competing. Here are a few kind words from Chris
“When I came to see Lola in February I had been suffering from a debilitating knee issue for a few months. I had been to see a physiotherapist and a surgeon and I was told that I should not run again. I was recommended to see Lola at that stage. After a couple of visits I started to lightly run again and within 2 months I was back doing triathlons. I think the different approach Lola took to the treatment and the open mind that she looked at my injury with meant that she was able to determine the correct treatment for me where others had misdiagnosed and written me off. My treatment at Health in Motion was fantastic and I have felt great since! “
Rose has always been a good runner, sporty and active with no significant injuries in her 35 years. Having run a marathon in 4 hours a few years ago – and after having 2 beautiful babies – Rose had the good fortune to win a lottery place in the London Marathon 2017. Training was going well until 10 weeks before the event when she started getting worsening calf strains and pain after the longer runs.
We put together a treatment plan to address the calf pain and to work through other shortened muscle in posterior muscle group – the chain of muscles which develops power from the lower back down to the big toe.
A stiff right ankle, although not painful or even noticed by Rose, was contributing to a compensating right calf. A subtle lack of rotation through the lumbar spine would not cause any problems under normal circumstances, but when multiplied by 100,000 steps a week….
Rose was following a tried and tested marathon training program which I fully endorsed, however, I believe the “one-legged downward dog” achieved a powerful stretch through the Achilles tendon and prevented her calf muscle from repetitively straining. I also prescribed some core strengthening to improve efficiency in her running gait.
So, after months of hard work and some blood, sweat, and tears Laura completed her first London Marathon in 2017! I first met Laura in December 2015 when she presented with pain in her right knee which had come on during a half marathon. She was in the early stages of training for the 2016 London Marathon. Over a series of osteopathy treatments, the injury healed and Laura felt stronger. However, for the sake of achieving complete recovery Laura was unable to keep on top of her training program we both decided to put the brakes on her training for the marathon. This was a tough decision to make but we thought the right one at the time.
Fast forward a year – Laura was determined to try again! To prevent injury and keep Laura on track with her demanding training program, Laura attended regular osteopathy session for joint and muscle conditioning and followed my prescriptions of strength training exercises. Laura’s story sums up how a person’s determination will do whatever it takes to get over the finish line. Here are a few kind words from Laura –
“I started seeing Jon a year ago for a running related injury and had to drop out of my plan to run the marathon. With Jon’s help, I finally managed to cross the finish line of the London Marathon this year. I’d seen a variety of Physio’s and osteopaths and knew instantly with Jon I was in good hands. His warm nature and great advice has got me to where I am today.”
Many of my osteopathy patients ask me “What type of mattress do you recommend”. My usual answer is… “the type of mattress you buy needs to match the type of body you have”. My advice will also depend on whether the person asking has recurrent issues with their back, neck, shoulders, hips and so on, which is often the case due to my occupation.
Even if you spend 30 mins on each mattress you try in the shop – you will never be sure you have selected the correct choice. Some very expensive brands offer 30 days (or longer) no quibble return after your purchase. However, if the bed turns out to be unsatisfactory how do you know whether or not the mattress is not suited to you or whether or not you (in your current state) are not suited to the mattress.
My advice is going to be based on your weight, and your weight relative to your partner. I will also be considering if you have a strong or a softer build. Are you tall or are you short. If you are sharing the bed I will need to know the same about your partner. Generally speaking a very light person may be suited to a soft to medium mattress. However, a heavier person is going to need a firmer supportive one. For example – I just replaced my daughter’s single bed mattress as she has doubled in weight and strength since I bought it 5 years ago. The softer mattress she had previously was no longer suited to her frame. The firm mattress I bought feels a lot more comfortable for her.
But what do you do if your partner is significantly lighter or heavier than you. You should consider getting a split mattress so that you can both have the mattress that suits your different body type.
Structural issues include
Your choice will not be dependent on your sleeping position but sleeping position may impact on how comfortable you feel during the night and when you wake up. My previous article on pillows discusses sleeping position in more detail.
Generally I recommend a firm, non moulding mattress because of the support needed for a body in it’s relaxed state. When joints are placed awkwardly or without support, the ligaments (fibrous structures that attach bone to bone to form joints) and tendons (terminal sections of muscle that joint muscle to bone) are held in a stretch position, which can weaken them over time. If you are unlucky, on occasion the surrounding muscles can react with a protective spasm if the ligaments or tendons become irritated over night. A firmer mattress is likely to hold you and your joints in a more neutral position. A very athletic person with strong ligaments and tendons may be suited to a moulding (usually memory foam) mattress but the majority of the population are not build that way and I would advise against them for a lot of the people I meet. Taller people may have more flexible ligaments and laxity to other connective tissues in the body – therefore they really need more support at night.
Bed sales personnel are not well informed on muscular and skeletal issues and conditions – so may not be best placed to provide all the advice you need regarding mattress choice. If you are a patient at one of our clinics then we will be aware of your issues and can offer more information about mattress choice. If you are not a patient – then you are welcome to seek our advice. If you have recently bought a mattress but not sure about your choice then talk to us and we may be able to offer advice about customisation or some treatment that may allow your body to settle better at night.
As a start point – I can provide the following generic guidance – which I can customise once I speak with you individually
We look forward to helping you make your mattress choice.
January is when you might be about to start your training for the spring Marathon season. Whether it’s your first or you’re an experienced marathon runner, it’s generally recommended that you train for between 15 and 20 weeks to prepare yourself properly. In this article we answer some of the most frequently asked questions from our many running enthusiasts.
As your body adapts to running you may find that muscles ache after a run. This is normal and should resolve during rest days. Pain serves a useful purpose and should not be feared. However, any pain that seems uncharacteristic, of a sharp or burning quality; and increases while running, or is preventing you from running, needs to be investigated by a professional such as an osteopath. There are lots of conditions associated with running. These include achilles tendonitis, plantar fasciitis, shin splints, ankle and knee pain and hip strains. Don’t ignore uncharateristic pain! Come and speak to us at Health in Motion Osteopaths for advice. We can diagnose the issue properly and suggest ways of adapting your training to get you back on track.
Treatments like osteopathy and sports massage offered at Health in Motion, can help to reduce the chance of injury during training. With proactively scheduled treatment sessions we can make adjustments to improve your biomechanics so that the risk of repetitive injuries are minimised.
Before and after a high profile race is when we are introduced to new patients who are runners, there is broad mix of running experience within this group. Existing patients who are runners are usually seeing us throughout the year and are “tactically” programming treatment into their training and event schedules.
In the absence of meeting the person, asking this question and diagnosing the cause of their symptoms, the best answer we can give is as follows. Keep an open mind. If it continues; or changes in behaviour; and/or it is undermining your confidence, then get it checked out by us or by a similar professional. Chances are you are developing a repetitive strain as your training intensifies and your body may need some adjustment to cope with the increased mileage and frequency of training. These symptoms are much more straightforward to deal with if we have at least 6 weeks before the event. So do not delay if your getting any warning signs of running injury.
We will only be able to advise on this if we have examined and diagnosed your injury at the clinic. The most frequent injury that we see in the 2 to 3 weeks before a race is either a calf injury or a hip injury. Most runners are concerned about whether or not they are doing lasting damage. Again, we can provide treatment and advice to make sure that no lasting damage is being done.
That depends on the injury but it is our intention to keep you active during your recovery. We can do this by making any of the following recommendations which are applicable to your case.
Regress your training plan / reduce mileage to recommended level for a recommended period
Rest but continue with non-weight bearing CVS and conditioning exercise for a recommended period
We will teach you how to “stress test” the injured area after we have confirmed that you are ready to resume running or increase your distances. Stress testing is low risk loading of the injured area to give the runner confidence that they are safe to proceed with training.
This recommendation varies according to each individual and the nature of this injury. We will give your our estimate of the amount of treatment required once we have assessed your injury
This is very individualised advice, because it is based on full evaluation of your case. We will produce a bespoke exercise plan to suit your condition. The exercises will include stress testing, once we judge you are recovered enough to do them yourself. Do not be surprised if we give you exercises that do not seem related to the symptomatic area. We are giving you these because we have judged other areas to be linked to your current complaint. This is all explained in your consultation.
Although early assessment and intervention is recommended, it is never too late to seek osteopathic advice and treatment in the last weeks leading up to the event.
This depends on whether your practitioner feels it is necessary to do so. We can advise on this when we assess your injury.
Absolutely, post-event osteopathy can provide restorative treatment after an endurance event. Osteopathy is hugely beneficial for prevention of any potential injuries. For example, if you have suffered from a knee injury after your event, we will be able to work to relax and strengthen the structures supporting your knee and hence retain mobility of the joint. This will then prevent any further injuries throughout the year and allow you to continue running!
I have always had an interest in nutrition and I considered becoming a dietitian before I discovered Osteopathy. My interest and curiosity turned into a passion when I met Marcus, my husband, who is a type 1 diabetic. Living with Marcus and his condition helped me gain a better understanding of the body and made me see how osteopathy and nutrition can work together.
In this article I will be discussing the benefits of drinking pure water at regular intervals and how to remind yourself to keep hydrated during your busy day with the help of useful apps.
Up to 60% of our body is made up of water. Water is made up of 2 parts Hydrogen and 1 part Oxygen which are vital materials for cell activity. Hydration is only possible with pure water, juices and other drinks, although they are wet, do not provide hydration for the body.
Water helps us to perform better during exercise as water is lost through sweat during exertion. Hydration improves endurance and can reduce oxidative stress put on the muscles during high intensity workouts. Hydrate your body before a physical workout.
It is also important to drink water after an osteopathic treatment because you may experience soreness in the muscles that have been worked on during your session. Keeping your muscles hydrated will help to reduce the achiness. I would advice drinking a glass of water before you leave the clinic. There is no excuse, its right by the front door!
Studies have shown that fluid loss of up to 2% due to exercise, daily activities, sedentary living or high temperatures can affect your mood and your concentration. If you experience headaches at work or after exercise, dehydration may be the cause of it. It is important to note that there are many different types of headaches. Water may help to alleviate the headache and reduce the episodes if its caused by a lack of adequate water intake. If you have trouble performing tasks or often experience the feeling of being tired this could be a sign of your body telling you that you need to drink more water.
Constipation is commonly linked to a lack of fibre as one of the main causes but water has also been proven to help with bowel movements too. The intestines use peristalsis (muscular contraction) to get things moving. Water will assist with this and in turn may help the symptoms of constipation. Whenever patients consult us regarding constipation we will usually recommend increasing fibre into their diet and to try drinking more water.
A benefit of drinking water especially before bed can be to help reduce the effects of early morning joint stiffness. If you’ve consumed alcohol, drinking a glass of water before bed may also minimise its dehydrating effects and help reduce your hangover!
I have listed my favourite apps for reminders during the day. I will be the first to admit that drinking water is something I easily forget and that is why apps are so handy. If this is something you struggle with try one of these apps that you can find for free in the Apple or Android stores and see if they help you stay hydrated. If any of the conditions mentioned in the article are something you are dealing with or a family member or friend, feel free to pop in to the Health in Motion clinic to discuss it with us or book an appointment with one of the osteopaths. Happy New year!
1. Water log- Daily reminder and health tracker
2. Daily water balance tracker – Hydration app log
3. Daily water free – Water reminder and counter
In case you haven’t noticed it’s winter! Other than the cold weather, which some like and some don’t, we find ourselves with an issue that is less obvious, and that is a lack of sunlight.
Many of us get up nice and early in the morning (when it’s still dark), commute into work using various forms of transport, sit in an office all day and then head home in the dark. Some of us may not see the sunlight for more than a few minutes if at all on an average day.
One major result of a lack of sunlight can be a vitamin D deficiency. Vitamin D is very important to us as it helps with the absorption of calcium, iron, zinc and magnesium in our guts. Unfortunately the types of vitamin D we require aren’t found in abundance in foods and are only really created by our skin being exposed to UVB rays from the sun.
In our osteopathy clinic we see patients all year round who may present with signs of vitamin D deficiency and not realize it. These signs include; tiredness, general aches and pains, more frequent infections and in severe cases bone pain and difficulty getting around.
As osteopaths we offer our patients longer appointment times than your GP may be able to. This gives us the opportunity to ask more questions that may make us suspicious of a vitamin deficiency. It is common for people to assume physical pain or discomfort is only linked to musculoskeletal issues.
Although osteopaths can’t directly treat vitamin D deficiencies we can offer advice regarding lifestyle and exercise and also when necessary refer you back to your GP for further investigation. Vitamin deficiencies are normally diagnosed with a simple blood test.
If you’re coming into the Health in Motion clinic with a pre-diagnosed vitamin D deficiency and are in pain we can help to differentiate between a bio-mechanical cause and a possible link with the deficiency. As osteopaths we are trained to ask very specific questions about your presenting symptoms that may lead us in the right direction. The sort of clues that can aid our diagnosis are; if you find your pain is made worse by certain activities or by rest or if it’s worse in the morning or the evening.
Please come and speak to us at Health in Motion osteopaths in Ealing and Maidenhead for more info and advice or to have a chat about any of the information in this article.