CHRONIC PAIN OSTEOPATH
A recent study involving fibromyalgia sufferers, showed a reduction in tender points & overall pain symptoms.
Fibromyalgia patients also reported increased range of motion & dexterity, with a decreased number of chronic headaches.
INDIRECT TECHNIQUESOpen or Close
Indirect techniques, are also used to increase range of motion.
However, instead of manipulating your joints around restrictive positions. David your osteopath, can also move your body into the most comfortable position possible, to release tissues.
Once you are in this position, he will then be able to introduce releases into the muscles.
Localised muscle/joint pains impact significantly on chronic pain suffered. Their systematic identification & treatment, are recommended in fibromyalgia.
SOFT TISSUE MANIPULATIONOpen or Close
Soft tissue manipulation, involves palpating the muscles, tendons, ligaments & fascia underneath your skin.
During soft tissue manipulation, your osteopath will use his hands to repair damaged muscles & tissues.
He may stretch your muscles, or use deep pressure massage, in order to relieve stress & pressure.
Soft tissue manipulation helps:
improve muscle dexterity
increase range of motion
TRIGGER POINTSOpen or Close
Myofascial trigger points (MTrP) are a hyper- irritable spot in skeletal muscle that is associated with a hypersensitive palpable nodule in a taut band.
It is usually associated with muscle spasm & is most often seen in the region, of the neck.
Distressed tissues tend to involve a major degree of ischemia – inadequate blood & oxygen supply. 
Such tissues are a natural breeding ground for myofascial trigger points which are a major feature in all chronic & much acute, musculoskeletal pain. 
While it is well-known that trigger points can produce pain, it is a less appreciated fact that trigger points also alter the function of the tissues to which they refer 
1. Baldry P. Acupuncture, Trigger Points and Musculoskeletal Pain. Churchill Livingstone. Edinburgh. 1993.
2. Wall PD and Melzack R (eds). Textbook of Pain. 2nd edition. Churchill Livingstone. Edinburgh. 1990.
3. Simons D, Travell J and Simons L. Myofascial Pain and Dysfunction: The Trigger Point Manual. Vol 1. Upper half of body. 2nd edition. Williams and Wilkins, Baltimore 1999
DIRECT TECHNIQUESOpen or Close
Direct techniques, involve manipulating your joints beyond their usual range of motion.
This helps the body to move past structural restrictions, allowing freedom of movement.
David may thrust your joints past their range of motion at high speeds.
This helps to achieve:
increased range of motion
reduction of pain
AFTER TREATMENTOpen or Close
Every individual feels differently, after an osteopathic treatment.
You may feel:
particularly sleepy or tired
sore in the manipulated areas
Any lingering sensation, should disappear within a day or so.
DIAGNOSISOpen or Close
Confusion in Diagnosing Fibromyalgia/FMS & other Chronic Pain Syndromes
Current research indicates that FMS is not primarily a musculoskeletal problem, although the muscles & joints are where the major symptoms are experienced.
Because there are no clear laboratory procedures that can identify FMS & because the condition is associated with a cluster of variable symptoms, diagnosis remains a problem.
A number of complex conditions exist that have symptom patterns similar to those observed in FMS, in particular:
Changed perception of pain;
Abnormal sleep patterns;
Reduced brain serotonin;
Abnormalities of microcirculation & energy metabolism in muscle.
Because there are many similarities within MPS, FMS, CFS, MCS & PTSD, the accepted diagnosis for each patient may be confusing & sometimes inaccurate. Many with these conditions can have several overlapping diagnosis for example CFS & FMS.
CHRONIC MYOFASCIAL PAIN SYNDROME (MPS).
This involves multiple active myofascial trigger points. Much of the pain experienced by people with FMS may derive from trigger points.
CHRONIC FATIGUE SYNDROME (CFS).
The symptoms of CFS are almost all those usually present in FMS. With greater emphasis on the fatigue elements, rather than the painful ones.
MULTIPLE CHEMICAL SENSITIVITY (MCS).
Allergy or sensitivity to chemicals or foods is the main component of this disorder. The symptoms are likely to fluctuate, suggesting that the condition is not mainly systemic, but results from environmental factors.
POST-TRAUMATIC STRESS DISORDER (PTSD).
The history of the patient will commonly contain evidence of violent traumatic, physical or emotional experiences that suggest PTSD as a contributory feature.
David incorporates diagnostic & therapeutic strategies. These address body unity, homeostatic mechanisms & structure-function interrelationships.
In regard to pain, David takes a thorough history with consultation, guiding his examination. This determines for any individual the quality, duration & origin of this condition, how it uniquely affects you & how best to provide treatment.
'he is committed to his patients and his goal is to address issues as quickly as possible'
David will explain to you what treatment you'll need, how to speed up your recovery & when you can return to your regular activities & sports.
He may prescribe special exercises together with treatment to increase your joint mobility & performance.
Together with stretching your muscle groups accordingly, strengthening weak muscles, to restore muscle balance.
‘I am now walking and living pain free for the first time in 3 years’