There is no doubt that treatment is successful in alleviating pain.
Rehabilitation sessions are tailor made
to your requirements, enabling full recovery of movement, power & control.
REHABILITATION - POSTURE
PAINFULL MOVEMENTOpen or Close
• Low back pain often involves altered muscle length relationships, postural changes, muscular imbalances, variations in location of the centres of mass and of pressure. (1, 2)
• Unsurprisingly, in the presence of such changes, associated with chronic low back pain, the speed and intensity of muscular contractions are commonly altered (3).
• With the deep segmentally related muscles losing both contraction speed and intensity, while over activity and tonic contraction occurs in the larger multi-segmental muscles. (4,5)
• All these changes lead to low back pain patients moving differently, compared to the physically non compromised. (6).
1. Commerford M, Mottram S. Movement & stability dysfunction - contemporary developments. Manual Therapy. 2001;6:15-26.
2. Commerford M, Mottram S. Functional stability retraining. Principles & strategies for managing mechanical dysfunction. Manual Therapy. 2001;6:3-14.
3. Radebold A, Cholweicki J, Panjabi M, Patel TC. Muscle response pattern to sudden trunk loading in healthy individuals and in patients with chronic low back pain. Spine. 2000;24:947-954.
4. Hodges P,RichardsonC.Alteredtrunkmuscle recruitment in people with low back pain with upper limb movement at different speeds. Archives of Physical Medicine Rehabilitation. 1999;80:1005-1012.
5. O'Sullivan P, Twomey L, Allison G et al. Altered patterns of abdominal muscle activation in patients with chronic low back pain. Australian Physiotherapy. 1997;43:91-98.
6. Selles R.WagenaarR.SmitT.et al. Disorders in trunk rotation during walking in patients with low back pain: a dynamical systems approach. Clinical Biomechanics. 2001;16,175-181.
ANALYSISOpen or Close
By gathering information through examination & from sources such as;
• tissue state
• movement analysis
• sleep patterns
It is well known that individuals with a history of low back pain (hLBP) exhibit altered movement patterns that are caused by changes in neuromuscular control. Postural disturbance provides an effective method for creating these differentiable movement patterns.
Differences in postural strategies exist between the healthy & hLBP people.
MUSCLE RE-EDUCATIONOpen or Close
Postural Training and Muscle Re-Education are essential elements of optimal rehabilitation.
• David works to first restore normal function by properly re-educating movement & postural control.
• David adapts exercises appropriately, insuring that all body mechanics reinforce appropriate movement.
• Facilitating a person to be self maintaining.
RE - LEARNINGOpen or Close
• Then using system of body restructuring & movement education, through connective tissue manipulation.
• The aim of creating freedom of movement & space within the structures of the body.
• It has been demonstrated in trunk control, where just the perception of a threat of pain to the back, resulted in altered postural strategies .
1. Moseley, G.L. et al, Behav Neurosci, 2006.
POSTURE CORRECTIONOpen or Close
Correction of posture is the first step in any successful rehabilitation programme regardless of the injury.
The importance of posture in preventing low back & neck pain is obvious, but it is equally important with both lower limb & upper problems.
Good posture is the foundation of good health. Whatever stage your body is at, osteopathy can improve your posture & mobility.
When the body is in good alignment, the muscles are relaxed & the joints free. Massage, manipulation, mobilisation & exercise therapy can help improve posture at any age.
Correcting strains in children & teenagers, can help prevent them from developing poor posture in later life.
BENEFITSOpen or Close
• Correct posture promotes normal function of the physical system while at rest, allowing healing to take place.
• Correct posture integrates the movements of locomotion, improving performance & decreasing the risk of injury, for example when gardening.
Without the patterns of misuse or habits, (bad), that sustained the degenerative processes being modified & adapted positively, (better habits). Treatment provided may only offer immediate structural relief, which may not be sustained.
BODY LANGUAGEOpen or Close
Whilst studies conducted on the importance of body language, vary in their conclusions about what percentage of human communication is actually non-verbal.
All studies do agree that;
The majority of human communication is non-verbal, with some study results showing numbers as high as a whopping 93%.
It is safe to say that body language represents a very significant, proportion of any meaning, that is conveyed & interpreted between people.
Postural issues are part of comprehensive interlocking sequence of factors, involving features that might include overuse, previous injury, age, and other variables.
'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’
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.