Occipital Neuralgia

What is Occipital Neuralgia?

Occipital neuralgia is an irritation and/or damage to the greater or lesser occipital nerve. In 90% of cases the greater occipital is the primary nerve irritated, and only 10% of cases had the lesser occipital nerve as the cause.

When these structures are damaged it can result in a bilateral (on both sides) ache, throbbing or burning pain that begins at the base of the skull and comes over the scalp. This can sometimes occur in a ram’s horn pattern going from the base of the neck in a circle to in front of the ear and near the eye. It is likely to occur after there is a trauma to the area such as a bend and twist of the neck.

In addition to the symptoms above there can be pain in the upper neck that can be associated with nausea and sensitivity to light. There can be a positive tunnel’s sign – reproduction of neurological tingling and numbness, after there is palpation o f these nerves. Other symptoms can include tinnitus (ringing of the ears), dizziness and blurred vision, scalp tenderness and headaches.

Assessment:

When you see an osteopath physical examination will include examination of the neck to identify tight muscles at the mase of the skull, range of motion, neurological testing and identification of referral pain. Tests that identify any possible ligament damage, facet irritation and nerve irritation will also be performed. These tests may aggravate your symptoms however that is necessary in order to pinpoint what is going on.

To rule out any damage to the nerves of the skull and those that innervate the arms neurological strength and sensation testing will be performed. Outcome measures such as the neck disability index may be performed and a referral to the patient’s general practitioner for an MRI/CT and possible nerve block may also be required.

Treatment:

Conservative treatment includes manual therapy such as osteopathy, massage and physiotherapy that focuses on decreasing tight muscle, neuropathic pain and referral.

Our osteopathic practitioners can use a variety of techniques including inhibition, soft tissue, mobilisation, manipulation as well as techniques from osteopathy in the cranial field – something which we specialise in and is performed by no other modality. It is common after treatment to experience some aggravated symptoms however this should subsite within one to two days.

The application of heat and steroids can be used to temporarily manage pain levels and medication is typically prescribed by your doctor. Over the counter anti-inflammatory medications can also have an effect. It is advised that these methods are used regularly and over a shorter period of time.

Other conservative interventions include nerve blocks which last a period of three to four months can also be affective as they contain anaesthetic and anti-inflammatory medications.

Pulsed radiofrequency uses a radiology machine as a treatment mechanism. The theory is that by exposing the nerve to many high voltage short duration pulses can decrease the nerve sensation and pain. Stimulation of the nerve using a neurostimulator can also block nerve sensation and decrease pain.

If none of these methods are effective, then occipital release surgery is recommended. This surgery takes 2-3 hours while the patient is under general anaesthesia with a recovery period of two to three weeks. However, risks of this surgery include permanent numbness of the scalp.

If you are experiencing any of these symptoms and wish to see an osteopath for conservative treatment you’re welcome to book an appointment at eclipse health and osteopathy today. Call 5613 3505 or book through our website.

References

Dougherty, C. (2014, April 16). Occipital Neuralgia. Current Pain and Headache Reports 18, 411. https://doi.org/10.1007/s11916-014-0411-x

Hammond, S.R. and Danta, G. (1978). Occipital Neuralgia. Clinical and Experimental Neurology, 15. Pp 258-270. Occipital neuralgia – PubMed (nih.gov)

John Hopkins Medicine, (2022). Occipital Neuralgia. John Hopkins Medicine. Occipital Neuralgia | Johns Hopkins Medicine

London Pain Clinic, (2022). Nerve Pain – Occipital Neuralgia. London Pain Clinic. Nerve Pain – Occipital Neuralgia – London Pain Clinic

London Pain Clinic, (2022). Occipital Neuralgia. London Pain Clinic Occipital Neuralgia – London Pain Clinic

Marks, H., (2020, July 23). Occipital Neuralgia. WebMD. Occipital Neuralgia: Symptoms, Causes, Diagnosis, Treatments, and More (webmd.com)

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Back Pain

Back Pain

What is Back Pain?

According to the Australian Government 16% of the Australian population experience back pain. Back pain can contribute to psychological distress, chronic pain other comorbidities such as arthritis (AIHW, 2023). Back pain is reported at an increased rate as you age and can interfere with activities of daily living (AIHW, 2023).

Common conditions that may cause back pain include sprains and strains, herniated discs, spinal stenosis, scoliosis, joint degeneration, inflammatory back pain and osteoporosis (Casiano et. al., 2023).

Causes of low back pain can include heavy physical work, frequent twisting, bending or lifting, weak musculature and more. It is important to see your doctor if there are any changes to bowel and bladder movements or incontinence, no improvement or worsening in pain levels as well as numbness, tingling or weakness in the lower limb or groin (Casiano et. al., 2023).

Osteopathy is targeted towards the improvement of physiological function and support of homeostasis when altered by impaired somatic dysfunction of the musculoskeletal system (TFLBPCG, 2016). The American Osteopathic Association analysed studies on both acute and chronic non-specific low back pain and found that osteopathic manipulative treatment was effective at reducing pain and increasing functional status.

A study by Rehman et. al. (2020) found significant evidence that OMT was effective in reducing pain and disability. It focused not only on muscular treatment but also visceral osteopathy – a more indirect modality. It showed that 8 weeks of osteopathic treatment when compared to standard care was shown to have significant improvement in return to work.

Another study by Licciardone et. al. (2014) investigated osteopathic manual therapy in regard to pain reduction and biomechanical dysfunction. The study looked at 230 patients receiving treatment for 15 minutes every week. In the study a low back pain response was considered a decrease of pain of 30% or greater between the initial appointment and the 12 week follow up. The study focused on various anatomical landmarks and their position to determine biomechanical dysfunction and used 3 different outcome measures to assess results.

A range of techniques were found to be effective in decreasing pain including HVLA manipulation (High Velocity Low Amplitude), soft tissue, myofascial release, positional release, muscle energy technique. In addition, the study highlighted the importance of the psoas muscle due and its contribution to low back pain in the increased likelihood of low back pain returning if the psoas was not focused on.

Economically, Verhaeghe et. al. (2018) found OMT (Osteopathic Manipulative Treatment) to be a cost-effective treatment option for low back pain with improved health outcomes (measured as quality adjusted life years) when compared with usual care.

While osteopathy is a manual therapy there are also aspects that patients can do at home to improve their health. Owen et. al. (2019) used a variety of exercise types and criteria to identify the most effective form of exercise. Pain is best modified through exercise such a pilates, aerobic exercise and stabilisation/control exercise.

Physical  function an capability is best improved using stabilisation/control exercise and resistance training. These were followed by water exercise, pilates and yoga. Mental health greatly contributes to physical health and healing and as such is an important fact to consider in both hands on and exercise therapy. Resistance and aerobic training were most beneficial for mental health and muscle strength.

In addition to strengthening you can also stretch to relieve muscle tension. Some stretches that you may find helpful include the “Cat Cow”, “Thread the Needle” and “Lumbar rotation”.

Instructions for Cat Cow:

Start on your hands and knees with your back in a neutral position. Make sure your hands are under your shoulders and knees under your hips. Arch your back while lifting your head up and tailbone out. This will make a dish like shape with your spine. Hold this position for 5 seconds. Bend your back, tuck your head and tail bone making a sad face shape with your spine. HINT: pull your bellybutton to the ceiling. Hold this position for 5 seconds and then repeat.

Instructions for Lumbar Rotation:

Start lying on your back with arms outstretched palms facing the floor. Keeping one leg flat on the floor bring the other to 90 degrees. Roll the bent leg over the straight as far as is comfortable. You will feel a stretch in your back and opposite armpit. Repeat on both sides. This can be done as a static stretch or as a fluid side to side movement.

Instructions for Thread the Needle:

Start facing the floor with hands and knees equal distance apart, hands under shoulders and knees under hips. Bring one hand off the floor and reach between your other hand and leg. Follow with your shoulder and head moving towards the floor taking the hand towards the opposite wall and allowing your back to twist and stabilising elbow to bend. A stretch should be felt down the side, shoulder blade and neck. Hold and then return to the starting position. Repeat.

References:

Australian Institute of Health and Welfare. (December 14, 2023). Back Problems. Chronic musculoskeletal conditions : Back problems – Australian Institute of Health and Welfare (aihw.gov.au)

Casiano, V.E., Sarwan, G., Dydyk, A.M., Varacallo, M. (2023). Baack Pain. StatPearls. Back Pain – StatPearls – NCBI Bookshelf (nih.gov)

Licciardone, J.C., Kearns, C.M., Crow, W.T. (2014). Changes in biomechanical dysfunction and low back pain reduction with osteopathic manual treatment: Results from the osteopathic trial. Manual Therapy 19 (4), 324-330. https://doi.org/10.1016/j.math.2014.03.004

Owen, P.J., Miller, C.T., Mundell, N.L., Verswijveren, S.J.J.M., Tagliaferri, S.D., Brisby, H., Bowe, S.J., Belavy, D.L. (2019). Which specific modes of exercise training are most effective for treating low back pain? Netwrk meta-analysis. British Medical Journal, 1-12. https://doi.org/10.1136/bjsports-2019-100886

Rehman, Y., Ferguson, H., Bozek, A., Blair, J., Allison, A., Johnston, R. (2020). Osteopathic manual treatment for pain severity, functional improvement, and return to work in patients with chronic pain. Journal of Osteopathic Medicine 120 (12). https://doi.org/10.7556/jaoa.2020.128

Task Force on the Low Back Pain Clinical Practice Guidelines. (2016). American Osteopathic Association Guidelines for Osteopathic Manipulative Treatment (OMT) for Patients With Low Back Pain. Journal of Osteopathic Medicine 116 (8), 536-549. https://doi.org/10.7556/jaoa.2016.107

Vergaeghe, N., Schepers, J., Van Dun, P., Annemans, L. (2018). Osteopathic care for low back pain and neck pain: A cost-utility analysis. Complementary Therapies in Medicine 40 207-213. https://doi.org/10.1016/j.ctim.2018.06.001

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Things to Avoid with Degenerative Disc Disease

Things to Avoid with Degenerative Disc Disease

What to Avoid with Degenerative Disc Disease

Degenerative disc disease is a common condition that affects the spinal discs as we age. It can cause pain, stiffness, and reduced mobility in the spine, making everyday activities difficult. If you have been diagnosed with degenerative disc disease, there are certain things you should avoid to prevent worsening of your symptoms. Here are some key things to steer clear of:

Avoiding High-Impact Activities

High-impact activities such as running, jumping, or heavy lifting can put excessive strain on the spinal discs, worsening the degeneration process. It is important to avoid these activities as much as possible to prevent further damage to your spine.

Avoiding Prolonged Sitting or Standing

Prolonged sitting or standing can also exacerbate symptoms of degenerative disc disease. It is important to take regular breaks to stretch and move around to relieve pressure on the spinal discs. Using ergonomic chairs and desks can also help reduce strain on your spine.

Avoiding Poor Posture

Poor posture can put additional stress on the spinal discs, leading to increased pain and stiffness. It is important to maintain good posture at all times, whether sitting, standing, or walking. Avoid slouching or hunching over, and use proper body mechanics when lifting objects to protect your spine.

What Is Helpful for Degenerative Disc Disease

While there are certain things to avoid with degenerative disc disease, there are also several helpful strategies to manage your symptoms and improve your quality of life. Here are some key things that can be beneficial:

Regular Exercise

Regular exercise can help strengthen the muscles supporting the spine, improve flexibility, and reduce pain associated with degenerative disc disease. Low-impact exercises such as swimming, yoga, or Pilates can be particularly beneficial for maintaining spinal health.

Healthy Eating Habits

Eating a balanced diet rich in fruits, vegetables, whole grains, and lean proteins can help reduce inflammation in the body and support overall spine health. Avoiding processed foods, sugary drinks, and excessive alcohol can also benefit your spinal health.

Properly Managing Stress

Chronic stress can exacerbate symptoms of degenerative disc disease and increase inflammation and pain levels. It is important to find healthy ways to manage stress, such as practicing mindfulness, meditation, or relaxation techniques. Seeking support from a therapist or counsellor can also be helpful in coping with stress.

How Osteopathy Can Help

Osteopathy is a holistic healthcare approach that focuses on the diagnosis, treatment, and prevention of musculoskeletal disorders, including degenerative disc disease. Osteopaths use hands-on techniques such as manual manipulation, stretching, and massage to relieve pain, improve mobility, and promote healing in the body.

During an osteopathic treatment session, the osteopath will assess your spinal alignment, mobility, and muscle strength to identify any areas of dysfunction or imbalance. They will then use multiple techniques to release tension, improve joint mobility, and restore normal function to the spine.

Osteopathy may help alleviate symptoms of degenerative disc disease by:

  • Relieving pain and stiffness in the spine
  • Improving spinal alignment and mobility
  • Reducing muscle tension and inflammation
  • Preventing further degeneration of the spinal discs

Many people with degenerative disc disease find relief from their symptoms and improved quality of life through osteopathic treatment. Osteopathy is a  complementary therapy that can be used in conjunction with other medical treatments to manage your condition.

Degenerative disc disease can be a challenging condition to live with, but with the right strategies and support, you can effectively manage your symptoms and improve your quality of life. By avoiding high-impact activities, maintaining good posture, and practicing healthy habits, you can help prevent further damage to your spine.

In addition to these lifestyle changes, osteopathy can be a valuable treatment option for relieving pain, improving mobility, and promoting healing in the body. If you are struggling to manage your symptoms of degenerative disc disease, consider seeking the help of an osteopath to guide you on your journey to better spinal health.

Our Osteopaths are also here to support you to continue doing what you love. If this is something that may be impacting your degenerative changes, we will educate you and help to improve what you are doing to decrease the damage occurring. We are here to support you through your health journey and one of our aims is to help you continue doing activities that bring you joy.

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Shoulder Tendinopathy

Shoulder tendinopathy

Shoulder Tendinopathy and Osteopathy: Understanding and Treatment

What is Shoulder Tendinopathy?

Shoulder tendinopathy is a common condition that affects the tendons in the shoulder. Tendons are tough bands of tissue that connect muscles to bones. When tendons in the shoulder become irritated or damaged, it can result in pain, stiffness, and limited range of motion in the shoulder. Shoulder tendinopathy can occur in any of the tendons in the shoulder, but it most commonly affects the rotator cuff tendons.

Symptoms of Shoulder Tendinopathy

The symptoms of shoulder tendinopathy can vary depending on the severity of the condition, but common symptoms include:

  • Pain: Pain in the shoulder that worsens with movement or at night
  • Stiffness: Stiffness in the shoulder that limits range of motion
  • Weakened muscles: Weakness in the shoulder muscles
  • Swelling: Swelling and tenderness in the shoulder area

If you are experiencing any of these symptoms, it is important to seek treatment from a healthcare professional to prevent further damage to the shoulder.

Treatment Options for Shoulder Tendinopathy

There are several treatment options available for shoulder tendinopathy, including:

  • Rest and Ice: Resting the shoulder and applying ice to reduce inflammation
  • Physical Therapy: Physical therapy exercises to strengthen the shoulder muscles and improve range of motion
  • Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation
  • Steroid Injections: Corticosteroid injections to reduce inflammation and pain in the shoulder

How Osteopathy Can Help

Osteopathy is a form of manual therapy that focuses on the musculoskeletal system, including the bones, muscles, and joints. Osteopaths are trained to diagnose and treat a wide range of conditions, including shoulder tendinopathy. Osteopathic treatment for shoulder tendinopathy may include:

  • Manual Therapy: Osteopaths use hands-on techniques such as massage, stretching, and manipulation to improve the mobility of the shoulder joint and reduce pain
  • Exercise Prescription: Osteopaths may prescribe specific exercises to strengthen the shoulder muscles and improve range of motion
  • Postural Correction: Osteopaths can assess and correct any postural imbalances that may be contributing to the shoulder pain

Many patients with shoulder tendinopathy have found relief from their symptoms through osteopathic treatment. Osteopathy can help address the underlying causes of shoulder tendinopathy and improve overall shoulder function.

Preventing Shoulder Tendinopathy

While shoulder tendinopathy can be a challenging condition to treat, there are steps you can take to prevent it from occurring in the first place. Some tips for preventing shoulder tendinopathy include:

  • Proper Technique: When participating in sports or activities that involve repetitive shoulder movements, make sure to use proper technique to avoid putting excessive strain on the shoulder tendons
  • Gradual Progression: Gradually increase the intensity and duration of your exercise routine to prevent overuse injuries
  • Warm-Up: Always warm up before exercising to prepare your muscles and tendons for activity
  • Strength Training: Incorporate strength training exercises into your routine to help support the shoulder muscles and tendons

Shoulder tendinopathy can be a painful and debilitating condition, but with the right treatment and preventative measures, you can manage your symptoms and improve your shoulder function. Osteopathy is a popular treatment option for shoulder tendinopathy, providing relief from pain and improving overall shoulder mobility. If you are struggling with shoulder pain, consider seeking help from an osteopath who can develop a personalised treatment plan to address your specific needs.

Our Osteopaths regularly help patients with shoulder tendinopathy, this condition is one of the more common presentations in our clinic in Runaway Bay Marina. If you would like to know more about how we can help feel free to call our clinic on 07 5613 3505.

Remember, early intervention is key to preventing long-term complications from shoulder tendinopathy. Don’t let shoulder pain hold you back from doing the things you love – seek help from a healthcare professional today.

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How Can Arthritis In The Lumbar Spine Be Treated?

How Can Arthritis In The Lumbar Spine Be Treated?

Treating Lumbar Spine Arthritis with Osteopathy

Arthritis is a common condition that affects millions of people worldwide. Lumbar spine arthritis, specifically, can be particularly debilitating as it causes pain and stiffness in the lower back. Luckily, there are treatment options available, including osteopathy.

What is Lumbar Spine Arthritis?

Lumbar spine arthritis, also known as osteoarthritis of the spine, is a degenerative condition that affects the joints and discs in the lower back. It is characterized by the breakdown of cartilage in the joints, leading to inflammation, pain, and stiffness. Common symptoms include pain in the lower back, stiffness, decreased range of motion, and difficulty standing or walking for long periods of time.

Osteopathic Treatment for Lumbar Spine Arthritis

Osteopathy is a holistic approach to healthcare that focuses on the body’s musculoskeletal system. Osteopathic treatment for lumbar spine arthritis aims to reduce pain, improve mobility, and enhance overall function.

The Osteopaths at Eclipse Health and Osteopathy see many patients with arthritis in the lower back, these patients often report feeling they have more mobility and less pain after treatment. As an osteopath we don’t just look at the area affected. Often an Osteopath will look at surrounding areas and their tissues. This may include the hips and lower limbs including feet and ankles, upper back and any other area that may be causing tension and reducing function.

Here are some common techniques used by osteopaths to treat lumbar spine arthritis:

Spinal Manipulation

One of the techniques used in osteopathy is spinal manipulation. This involves the gentle manipulation of the spine to mobilise vertebrae, reduce pain, and improve mobility. Spinal manipulation may help relieve pressure on the affected joints and discs in the lower back, reducing inflammation and promoting healing. Spinal manipulation may or may not be used in patients with arthritis depending on the degree of joint damage,

Soft Tissue Massage

Soft tissue massage is another commonly used technique in osteopathy for treating lumbar spine arthritis. This involves the manipulation of soft tissues, such as muscles and tendons, to reduce tension, improve circulation, and promote healing. Soft tissue massage can help alleviate pain and stiffness in the lower back, while also improving range of motion.

Exercise Prescription

Exercise is an important component of osteopathic treatment for lumbar spine arthritis. Osteopaths often prescribe specific exercises to improve strength, flexibility, and overall function in the lower back. These exercises can help stabilize the spine, reduce pain, and prevent further degeneration of the affected joints.

Postural Correction

Correcting posture is essential for managing lumbar spine arthritis. Poor posture can put additional strain on the lower back, exacerbating pain and stiffness. Osteopaths work with patients to improve posture, teaching proper body mechanics and ergonomics to reduce stress on the spine and prevent further damage.

Diet and Nutrition

Good nutrition is integral to managing lumbar spine arthritis. Osteopaths may recommend dietary changes and supplements to reduce inflammation, promote healing, and support overall joint health. A balanced diet rich in antioxidants, omega-3 fatty acids, and vitamins and minerals can help reduce pain and improve mobility in the lower back.

Lumbar spine arthritis can be a challenging condition to manage, but with the right treatment approach, it is possible to reduce pain, improve mobility, and enhance overall function. Osteopathy offers a holistic treatment option for lumbar spine arthritis, focusing on reducing inflammation, improving joint function, and promoting healing. If you are suffering from lumbar spine arthritis, consider consulting with an osteopath to develop a personalized treatment plan that addresses your specific needs and goals.

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Whiplash Associated Disorder

Whiplash Associated Disorder

Whiplash Associated Disorder is when soft tissue damage (stretch, tearing or rupture) to the ligaments, muscles, intervertebral discs, and other tissues surrounding the cervical spine leads can lead to a variety of symptoms. This typically occurs after a rapid acceleration/deceleration of the neck with some twisting involved. During the trauma damage can occur to the muscles at the front and back of the neck. The movement that causes this is hyperextension (hyper = increase) and hyperflexion.

Symptoms of whiplash associated disorder include neurological referral to the upper extremities, local swelling and redness, headaches, decreased sleep and range of motion. Dizziness can also occur that can be accompanied by ear ringing and double vision.

There are three grades of whiplash disorder. Grade one is when there is mild swelling and stretch, no instability, mild pain at end of range and recovery occurs within two to fourteen days. Grade two involves mild to moderate swelling and instability, ligament damage and recovery occurs between fourteen days and two months. Finally grade three is when there is severe swelling with clear bruising. Possible fracture with instability and ligament damage, complete loss of motion and recovery takes one to three months.

Whiplash most commonly occurs in women in their late 30’s and early 40’s and commonly occurs during motor vehicle accidents, skating and surfing incidents.

Assessment:

Testing of all range of motion of the neck is important to identify any joint sprains or ligament/muscle strains and they are often identified during range of motion. Tests aimed at identifying nerve tension, referral pain and joint injury are also performed. Neurological testing of the nerves of the upper limb (arm) and the head are also performed regardless of whether the patient is experiencing neurological symptoms (numbness, tingling weakness) or is feeling dazed. Imaging such as CT scans can be helpful in showing decreased cervical lordosis (angle of the neck). MRI can also show impact on the soft tissue (muscle, ligament).

Review of evidence for management

Manual Therapy has been shown to decrease muscular tension, increase biomechanical function and prevent contractures. It is not recommended to manipulate in the acute stages of injury however mobilisation of the area to increase blood flow to tissues and impact neuromuscular link to decrease guarding and therefore tissue tension. Once past the acute stage of whiplash depending on the severity manipulation may be considered.

Passive methods such as the use of ice, heat, tens machines and manual therapy assist in preventing chronic pain and disability. They can also decrease inflammation as well as stretch and strengthen muscles of the cervical spine. Your therapist may provide activities that aim to improve strength, endurance, posture, body mechanics and flexibility. It is recommended the patient attend sessions 3 times per week for 4-8 weeks.

Preventatively if patients are involved in a high intensity sport it is recommended that patients stretch before and after activity especially if they are involved in high intensity sport.

Long term therapy includes regaining quality and full quantity of range of motion as well as postural teachings to ensure stabilisation, decreased loading and increased ergonomics.

If you would like too receive treatment for whiplash please call 07 5613 3505 or book through our website.

References

Bickley, R., Belyea, C.M., Harpstrite, J.K., Min, K.S. (2021). Surfing Injuries: A Review for the Orthopaedic Surgeon.  Journal of Bone and Joint Surgery, 9 (4). Pp 1-9. https://doi.org/10.2106/JBJS.RVW.20.00152

Freeman, M.D., Talavera, F., Klein, M.J., Hunter Jr., O.K., Childers, M.K. (2021, April 9). Cervical Sprain and Strain Treatment & Management. Medscape. Cervical Sprain and Strain Treatment & Management: Rehabilitation Program, Medical Issues/Complications, Surgical Intervention (medscape.com)

Matsushita, E. (2019). Oupatient physical therapy for a patient with chronic neck

pain secondary to whiplash associated disorder. [PhD Thesis, California State University] 5712m7024 (calstate.edu)

McArthur, K., Jorgensen, D., Climstein, M., Furness, J. (2020). Epidemiology of Acute Injuries in Surfing: Type, Location, Mechanism, Severity, and Incidence: A Systematic Review. Sports, 8(2), pp 25. https://doi.org/10.3390/sports8020025

Meir R.A, Zhou, S., Rolfe, M.I., Gilleard, W.L., Coutts, R.A. An investigation of surf participation and injury prevalence in Australian surfers: a self-reported retrospective analysis. New Zea- land J Sports Med. 2012;39(2):52-8. (PDF) An investigation of surf participation and injury prevalence in Australian surfers: a self-reported retrospective analysis (researchgate.net)

Parravicini, G. (PT, DO) & Ghiringhelli, M. (PT, DO) (2021). Osteopathic Cranial Manipulation for a Patient With Whiplash-Associated Disorder: A Case Report. Journal of Chiropractic Medicine, 20(3), pp. 163-169. https://doi.org/10.1016/j.jcm.2021.12.003

 

Vizniak, N.A., (2019). Evidence-Informed Orthopaedic Conditions. 3rd edition. Prohealthsys.

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Frozen Shoulder Treatment

Treatment of Frozen Shoulder

Frozen shoulder, also known as adhesive capsulitis, is a common condition that causes pain and stiffness in the shoulder joint. It typically develops slowly over time and can be a debilitating condition if left untreated. In this post, we will explore the various treatment options available for frozen shoulder and how Osteopathy can help in managing the symptoms.

Frozen shoulder is generally self limiting, with resolution of symptoms within 1.5 to 3 years. Treatment and an exercise program may help decreased this time as well as prevent the other shoulder from developing the same condition.

Causes and Symptoms of Frozen Shoulder

Frozen shoulder occurs when the capsule of connective tissue surrounding the shoulder joint becomes inflamed and thickened. This leads to the formation of adhesions, which restrict the movement of the shoulder joint. The exact cause of frozen shoulder is not fully understood, but it is believed to be associated with factors such as age, gender, and certain medical conditions such as diabetes and thyroid disorders.

The main symptoms of frozen shoulder include:

  • Pain: Persistent pain in the shoulder joint, especially with movement.
  • Stiffness: Severe limitation in the range of motion of the shoulder, making daily activities difficult.
  • Weakness: Muscle weakness in the affected shoulder due to lack of use.

Treatment Options for Frozen Shoulder

There are several treatment options available for frozen shoulder, depending on the severity of the condition. These include:

1. Physiotherapy

Physiotherapy plays a crucial role in the treatment of frozen shoulder. A physiotherapist can design a tailored exercise program to help improve the range of motion in the shoulder joint and reduce pain. These exercises may include stretching and strengthening exercises, as well as manual therapy techniques to mobilise the shoulder joint.

2. Medications

Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen can help to reduce pain and inflammation in the shoulder joint. In more severe cases, corticosteroid injections may be recommended to provide temporary relief from pain and improve mobility in the shoulder.

3. Osteopathy

Osteopathy is a holistic approach to healthcare that focuses on the manual manipulation of the musculoskeletal system to improve overall health and wellbeing. Osteopathic treatment for frozen shoulder may involve gentle manipulation of the shoulder joint to help improve range of motion and reduce pain and stiffness.

Research has shown that osteopathy may be an effective treatment option for frozen shoulder, with studies reporting improvements in pain relief and functional outcomes after osteopathic treatment. Osteopathic care focuses on restoring balance and alignment in the body, which can help to alleviate the symptoms of frozen shoulder and improve overall joint health.

We regularly see patients with frozen shoulder an assist them to get back to what they love doing, as well as improving their quality of life.

4. Surgery

In severe cases of frozen shoulder where conservative treatments have not been effective, surgery may be recommended. Surgical procedures for frozen shoulder include arthroscopic capsular release, where the tight capsule surrounding the shoulder joint is cut to improve mobility, or manipulation under anaesthesia, where the shoulder is manipulated to break up adhesions and improve range of motion.

How Osteopathy Can Help

Osteopathy can be an valuable treatment option for frozen shoulder due to its hands-on approach to healthcare. Osteopathic treatment for frozen shoulder may involve:

  • Joint mobilisation: Gentle manipulation of the shoulder joint to improve range of motion and reduce stiffness.
  • Soft tissue techniques: Massage and stretching techniques to help relieve pain and improve muscle function.
  • Postural correction: Assessment and correction of posture to help prevent further strain on the shoulder joint.

Osteopathic treatment for frozen shoulder is tailored to the individual needs of the patient, taking into account their specific symptoms and health history. Osteopaths work to address the underlying causes of frozen shoulder, such as poor posture or muscle imbalances, to help restore normal function in the shoulder joint.

Frozen shoulder is a common condition that can cause pain and stiffness in the shoulder joint. Treatment options for frozen shoulder include physiotherapy, medications, surgery, and Osteopathy. Osteopathic treatment for frozen shoulder can help to improve range of motion, reduce pain, and restore normal function in the shoulder joint. If you are suffering from frozen shoulder, consider seeking Osteopathic care to help manage your symptoms and improve your overall joint health.

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How Can Osteopathy Help Hip Bursitis?

The Benefits of Osteopathy for Hip Bursitis

Hip bursitis is an extremely painful condition that occurs when the bursae, small fluid-filled sacs located near the hip joint, become inflamed. This inflammation can cause pain and limited movement in the hip area, making everyday tasks difficult to perform.

What is Osteopathy?

Osteopathy is a form of manual therapy that focuses on the musculoskeletal system to improve overall health and well-being. Osteopaths use a variety of techniques such as manipulation, stretching, and massage to help alleviate pain and improve function in the body.

How Osteopathy Can Help with Hip Bursitis

If you are suffering from hip bursitis, osteopathy can be a valuable treatment option to help manage your symptoms and improve your quality of life. Here are some ways in which osteopathy can benefit those with hip bursitis:

1. Pain Relief

Osteopathic treatment can help reduce the pain associated with hip bursitis by addressing the underlying causes of inflammation and imbalances in the musculoskeletal system. By using gentle manipulation and stretching techniques, osteopaths can help to relieve tension and pressure in the hip area, providing relief from pain.

2. Improved Range of Motion

One of the main symptoms of hip bursitis is limited range of motion in the hip joint. Osteopathic treatment aims to improve flexibility and mobility in the affected area by targeting tight muscles and restricted joints. By working to restore proper alignment and function in the hip joint, osteopaths can help improve range of motion and overall mobility.

3. Addressing Underlying Imbalances

Osteopaths take a holistic approach to treatment, focusing on the body as a whole rather than just the symptoms of hip bursitis. By identifying and addressing any underlying imbalances or weaknesses in the musculoskeletal system, osteopaths can help prevent future flare-ups and promote long-term healing.

4. Preventing Recurrence

Once you have received treatment for hip bursitis, it is important to take steps to prevent it from coming back. Osteopaths can provide you with exercises and stretches to help strengthen the muscles around the hip joint and improve stability and function. By following a tailored exercise program, you can reduce your risk of future hip bursitis episodes.

5. Education and Self-Care

Another benefit of seeing an osteopath for hip bursitis is the education and guidance they can provide on self-care techniques. Osteopaths can offer advice on lifestyle modifications, ergonomic adjustments, and home exercises to help manage your symptoms and prevent further injury. By empowering you to take an active role in your recovery, osteopathy promotes long-term health and well-being.

Osteopathy offers a natural approach to managing hip bursitis by addressing the underlying causes of pain and inflammation in the hip area. By focusing on improving alignment, mobility, and stability in the hip joint, osteopaths can help reduce pain, improve range of motion, and prevent future flare-ups. If you are suffering from hip bursitis, consider seeing an osteopath to explore your treatment options and take a proactive approach to healing.

Our osteopaths have extensive experience treating people with hip bursitis. They aim to get you back to what you love doing as fast as possible.

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5 Ways Osteopathy Can Help With Frozen Shoulder

5 Ways Osteopathy Can Help with Frozen Shoulder

Dealing with a frozen shoulder can be incredibly frustrating and debilitating. The pain and stiffness can limit your range of motion and affect your quality of life. However, there is hope! Osteopathy is a reliable treatment option that can help alleviate the symptoms of frozen shoulder and help you regain mobility. Here are five ways osteopathy can help:

1. Improving Joint Mobility

Osteopathy focuses on treating the body as a whole, rather than just the symptoms. With frozen shoulder, the joint capsule becomes tight and inflamed, restricting movement. Osteopathic techniques such as joint mobilisation and stretching can help loosen up the joint, increase blood flow, and improve mobility. By releasing tension and restoring function to the joint, osteopathy can help alleviate the pain and stiffness associated with frozen shoulder.

2. Relieving Muscle Tension

When you have a frozen shoulder, the muscles surrounding the joint can become tense and inflamed as they try to compensate for the limited range of motion. Osteopathic treatments such as soft tissue massage and trigger point therapy can help relax these muscles, reduce inflammation, and improve circulation. By releasing tension in the muscles, osteopathy can help reduce pain and improve function in the shoulder.

3. Improving Posture and Alignment

Poor posture and alignment can contribute to the development of frozen shoulder and exacerbate symptoms. Osteopathy can help address underlying structural issues that may be contributing to your condition. By working on improving posture, alignment, and muscle balance, osteopathy can help prevent future shoulder issues and promote overall musculoskeletal health.

4. Enhancing Nerve Function

Frozen shoulder can put pressure on the nerves in the shoulder area, leading to symptoms such as tingling, numbness, and weakness. Osteopathic techniques such as nerve mobilisation can help release tension on the nerves and improve their function. By addressing nerve-related issues, osteopathy can help alleviate additional symptoms associated with frozen shoulder and promote better overall function in the shoulder.

5. Providing Lifestyle and Exercise Advice

Living with a frozen shoulder can be challenging, but osteopathy can offer more than just hands-on treatment. Osteopaths can provide advice on lifestyle modifications, ergonomic changes, and specific exercises to help support your recovery and prevent future issues. By empowering you with the knowledge and tools to manage your condition, osteopathy can help you take control of your health and achieve long-term results.

The Osteopaths at Eclipse health and Osteopathy see many patients with frozen shoulder and other shoulder pain conditions and have had success in treating these conditions.

Frozen shoulder can be a frustrating and painful condition, but osteopathy offers a holistic approach to treatment. By addressing the underlying causes of your symptoms and providing hands-on therapy, osteopathy can help you regain mobility, reduce pain, and improve function in your shoulder. If you are struggling with frozen shoulder, consider incorporating osteopathy into your treatment plan for a comprehensive and personalized approach to healing.

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How to Stop Aching Pains at Night

How to Stop Aching Pains at Night

How to Stop Aching Pains at Night: A Guide to Osteopathy

Do you find yourself tossing and turning at night due to aching pains in your body? If so, you are not alone. Many people suffer from night time aches and pains that can disrupt their sleep and negatively impact their daily lives. But fear not, there are ways to alleviate these aches and pains, and one effective method is through osteopathy.

What is Osteopathy?

Osteopathy is a holistic approach to healthcare that focuses on the relationship between the body’s structure and function. Osteopaths believe that the body has what it needs to heal itself, improving function assists it to be able to heal itself and prevent illness. Osteopathy uses manual therapy techniques such as stretching, massage, and manipulation to improve the body’s overall function and alleviate pain.

Common Causes of Aching Pains at Night

There are many reasons why you may be experiencing aching pains at night. Some common causes include:

  • Poor posture: Sitting or standing in a certain position for long periods of time can put strain on your muscles and joints, leading to discomfort and pain.
  • Injuries: Previous injuries or trauma can cause lingering pain that worsens at night when the body is resting.
  • Stress: Mental stress can manifest as physical pain, particularly in the muscles and joints.
  • Medical conditions: Conditions such as arthritis, fibromyalgia, or sciatica can cause nighttime pain and discomfort.

How Osteopathy Can Help

Osteopathy can be a highly beneficial treatment for alleviating nighttime aches and pains. Osteopaths assess the body as a whole and look for areas of tension, strain, or misalignment that may be contributing to your pain. By using manual therapy techniques, osteopaths can help release tension in the muscles, improve joint mobility, and promote overall healing.

Some of the ways that osteopathy can help with night time pain include:

  • Improved circulation: Osteopathic techniques can help improve blood flow to areas of the body that may be experiencing pain, promoting healing and reducing discomfort.
  • Reduced muscle tension: Manual therapy can help release tight muscles that may be causing pain or discomfort, allowing for greater relaxation and better sleep.
  • Improved joint mobility: Osteopathy can help improve the function of the joints, reducing stiffness and pain that may be worsened at night.

Self-Care Tips for Managing Nighttime Aches and Pains

In addition to seeking treatment from an osteopath, there are several self-care tips that can help you manage nighttime aches and pains:

  • Practice good sleep hygiene: Make sure your sleep environment is comfortable and conducive to restful sleep. This includes using a supportive mattress and pillows, keeping the room cool and dark, and limiting screen time before bed.
  • Stretch before bed: Gentle stretching before bedtime can help relax tight muscles and prepare your body for sleep. Focus on areas that are particularly tense or painful.
  • Stay active: Regular exercise can help reduce muscle tension and improve overall body function. Try incorporating gentle exercises such as yoga or Pilates into your routine.
  • Practice relaxation techniques: Stress and anxiety can exacerbate nighttime pain. Try practicing relaxation techniques such as deep breathing, meditation, or progressive muscle relaxation to help calm the mind and body before bed.

Consulting with an Osteopath

If you are experiencing persistent nighttime aches and pains that are impacting your quality of life, it may be beneficial to consult with an osteopath. Osteopathy is a natural treatment option that can help address the root cause of your pain and provide effective relief.

During your initial consultation, your osteopath will conduct a thorough assessment of your condition, including a review of your medical history and a physical examination. Based on their findings, they will develop a personalized treatment plan that may include manual therapy techniques, exercise recommendations, and lifestyle modifications to help alleviate your pain. The will also assess if there is another underlying cause that may need a medical diagnosis and refer you if needed.

By working with an osteopath, you can take proactive steps to address your nighttime aches and pains and improve your overall well-being. Don’t let pain keep you up at night – seek out osteopathic care and start experiencing relief today.

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