Pain is a symptom we are still trying to understand. At a cellular level nerve cells called neurons transmit impulses down a nerve. The inside of the cell is usually negatively charged however, when an impulse is sent from a cell body, sodium ions flood into the cell and the impulse is transmitted down the nerve through a series of action potentials. Usually neurons do not fire an action potential unless stimulated to do so.
When a nerve is injured however, it can repeatedly fire and become hypersensitive. Or it can sit just under the threshold, so that the slightest thing makes the neuron fire, such as a small movement, extra stress or heat.
Many things play a part in the pain process. You may have pain in your leg one hour but not the next. Or sometimes you can be tickled and sometimes not. There are so many things that can affect the outcome.
Pain can be seen as a circular model, where the pain can start anywhere along the circle and can be changed by the different inputs and feedback. The following figure shows how so many things impact pain.
Due to the circular nature this is how chronic pain can ensue long after a tissue injury. Not only do you need to look at healing the physical injury, stress and your mental health can also have an affect on pain. Things like doing meditation or mindfulness can really help pain levels as well as addressing any tension in muscles such as trigger points. Massage or using a massager can really help to reduce these.
To book a free chat or for more information call 01763 878087.
Low back pain is a symptom and is usually taken to be where you are getting the pain, from the lower rib margins to the buttock creases and can also include pain into one or both legs or include neurological symptoms in the lower limbs. It is rarely possible to find the main cause of the low back pain. Low back pain tends to have many dimensions from the biophysical component to the psychological and then the social impact as well.
Risk factors for reporting low back pain:
Information taken from Lancet low back series working group, 2018.
If you experience back pain it is important to look at what you do in your everyday life that might be aggravating your back.
If you answered ‘yes’ to any of these questions, that might be what is contributing to your back pain. See if you can make little changes to your life to help your back. Doing some exercise like pilates or tai chi could help strengthen your back and enable it to cope with everyday tasks.
For more information or to book a free chat call 01763 878087 today.
Sciatica is usually the name given when the sciatic nerve is irritated or compressed in some way, causing pain down the back of the leg where the sciatic nerve runs. There are lots of different causes of sciatica but the main ones are either a disc pressing on one of the nerve roots or piriformis syndrome where the piriformis muscle presses on the sciatic nerve.
Here is a picture showing where the sciatic nerve runs and why pain, tingling or numbness can be felt all the way down to the foot.
A disc would affect a nerve as it leaves the spine and depending on how much the disc is bulging effects how far down the leg the pain is felt. Discs can also cause weakness in the muscles and the loss of reflexes. If you ever experience pain down both legs with problems going to the toilet you must seek medical attention as soon as possible as it could be something called cauda equina.
This next diagram shows where the piriformis is and how close it lies to the sciatic nerve. Therefore if this muscle is in spasm it is more likely to affect the sciatic nerve.
If you suffer from pain in the back or leg why not give us a call and see if we can help. We can do some orthopaedic tests to help us work out where your pain is coming from and the bast way to treat it. You will then know how to manage your pain and how to prevent it coming back with advice on the best exercises to do along with treatment such as massage if a muscle like the piriformis is involved or treatment to reduce the inflammation in the spine.
To book your free chat call 01763 878087.
At attend2health the main thing we are concerned about is helping people get better. We want to provide the best service possible and strive to do this everyday. We hold group training sessions to learn from each other and discuss any tricky cases with the patients permission. By working so closely together we feel we can provide the best service for our patients.
We have questionnaires for patients to fill in to make sure we are doing all we can to help and love it when we also get testimonials from patients saying how well they are doing. Currently there are 54 reviews on google which can be seen here.
A couple of patients have given us a video testimonial which is great for other people to hear their experiences. One can be seen here.
If you experience any aches or pains don’t wait for them to get worse call us today on 01763 87 80 87 and see how we can help. We are open 7 days a week to make it easier to get an appointment around work.
Attend2health is very pleased to announce we have been awarded Best Chiropractic Clinic in East Herts by GHP Private Healthcare Awards 2018.
To win this award patients voted for us and we also had to submit evidence of why we deserved to win this award. This was done back in November and we are so grateful to everyone who took the time to vote for us.
This was my post back in November!
Once all our evidence was also submitted the entries were judged and we found out recently that we had won Best clinic in East Herts! It was lovely to be recognised for all our hard work.
Discussing the success of their winners, Sam Jordan-Turner, GHP Awards Coordinator commented: “As the industry is filled with individuals, teams and companies, we recognise and support all who work tirelessly to provide the best practice and innovation as they strive to provide the highest levels of compassion transforming healthcare for the better. As such, I am proud of the success of all of my winners and I wish them the very best of luck for the future.”
GHP prides itself on the validity of its awards and winners. The awards are given solely on merit and are awarded to commend those most deserving for their ingenuity and hard work, distinguishing them from their competitors and proving them worthy of recognition.
Attend2Health is very proud that it can help so many people and our 50 Five Star Reviews on both Google and Facebook show how well received we are in the community.
We strive to do the very best we can for our patients. The Clinic was 10 years old back in October and is going from strength to strength with a wonderful team of practitioners. With a staff of 15 people at Attend2Health all working together if one treatment type is not suitable there are many more to try.
Louise explained that when the clinic started in 2007 we were just coming into a recession and times were tough. By concentrating on providing the best possible service the clinic has been able to come through the hard times and flourish into a fantastic place helping to ease peoples pain and provide them with a better quality of life.
If you would like to know more about what we do or how we could help, give the clinic a call on 01763 878087 and book a free chat with one of our practitioners. We look forward to speaking to you.
The festive season can be a stressful time, with presents to buy, family gatherings to negotiate and planning for the big day. Remember that stress can have physical consequences as well as mental, including increasing muscle tension and aches and pains, as well as weakening the immune system. Make sure you’re taking time for yourself and time to relax. It’s not a luxury – it’s a necessity.
Make sure you’re only carrying round what you need to. Carrying overly heavy bags on a regular basis can result in upper neck and back pain, poor posture and muscle spasms. Remember to declutter your handbag or briefcase regularly so you don’t leave yourself vulnerable to strain or injury.
If you are Christmas shopping, try and carry bags evenly or take a rucksack to put things in. Make regular trips back to the car so you aren’t having to carry heavy things for too long.
When wrapping presents try and do them over a few days rather than all at once. Wrap small presents at a table and be careful when wrapping the bigger things to take a break and gentle stretch your back before and afterwards.
If you are standing in a queue for a while, try and shift your body weight from side to side or if you can put one foot on a step even better so that the weight is not constantly being focused on one part of your spine. The spine gets its oxygen supply through movement so the more you can move the better.
If you do experience any pain why not book a free chat with one of our practitioners and see if we can help you.
Merry Christmas from everyone at Attend2Health
As the weather starts to get colder its important to wrap up warm and even do a few stretches before venturing out in the cold. Make sure you have good footwear to avoid slipping on the ice and it is also a time to look at taking some extra supplements. It is also important to keep moving as it gets colder to prevent you stiffening up!
Vitamin D is really important and a lot of us are lacking in it especially in the winter, so look at taking a supplement to help. Turmeric has been show in recent studies to be great for inflammation. In the winter it is common for aches and pains such as arthritis to feel worse so taking a supplement like Turmeric could really help.
If you are feeling stiff and achy try giving these foam roller and pilates exercises a try. If you are still in pain book in for a free 15 minute chat at the clinic and see if we can help you further.
This is a saying I hear a lot. Someone simply reaches for a piece of paper or bends to pick a toy off the floor and their back goes. It can be very frustrating and hard to understand why something so simple can cause so much pain.
Usually however the cause can be a build up over time with that last reach being the final straw. Think of you spine a bit like a paper clip. You can bend it forwards and backwards a number of times no problem and then all of a sudden it just snaps and this can be the same with the ligaments and muscles around the spine or with the discs.
Before the back finally goes sometimes you can get a few twinges. Think of these as warning signs and look back on things you have been doing recently. Try to change the everyday tasks you do like loading the dishwasher or how you watch television to try and minimise the pressure on the spine. Make sure you take regular breaks to walk around as the back has a relatively poor blood supply and so gets its oxygen from you moving around.
At Attend2Health we offer a free 15 minute chat to see if we can help or to give advice. If you do get any twinges why not come and see us to see if we can prevent your back from going.
Simply call 01763 878087 and book an appointment today!
Winter hibernation is coming to an end and many will be starting to think about Spring gardening jobs. It’s great to get outdoors and blow the cobwebs away but take care of your back with our great advice.
– Don’t wear clothes that are tight or could constrict your movement.
– Gardening is like any other exercise; you need to warm up first. Don’t go straight into the heavy work; start off with lighter jobs as this will lessen the chance of muscle strain.
Take a break
– Vary your activity by spending no more than 20-30 minutes on any one thing and make sure you take regular breaks.
Clever spring pruning
– Get as close as possible to the things you are pruning and avoid overstretching to reach the area you are dealing with.
– Invest in some long handled secateurs to reach plants and bushes that are beyond normal reach.
– If you are planning a trip to the local garden centre store to buy heavy items such as compost, buy smaller bags rather than one big bag as they are easier and safer to carry. Better still, have it delivered direct to your home.
– Don’t lift with your arms straight out, keep the elbows bent and to your side to minimise the stress on your back.
– If having items delivered, have them unloaded as close to where you need them as possible; this will save the effort of moving them again.
– A specialist garden trolley might be worth investing in to move these sorts of materials around, especially if you have lots of patio pots to move around as well.
If you do start to suffer from back pain – book a free 15 minute chat with one of our practitioners and they can let you know if it is just an ache which will go after a day or two or whether any treatment maybe needed to help it. Don’t suffer in pain call 01763 87 80 87.
As with all supplements the research supporting them varies but it is always worth trying them for around 3 months and see if they help
This has been getting a lot of press lately and it seems from the research that it is very good to help reduce inflammation and for spinal cord injuries. One study was published in the journal Neurology Research International was called The potential of Curcumin ( the Indian spice Turmeric) in treatment of spinal cord injury and is worth a read.
Combined medical and surgical treatment after acute spinal cord injury: results of a prospective pilot study to assess the merits of aggressive medical resuscitation and blood pressure management. Fernando L. Vale, M.D., Jennifer Burns, M.D., Amie B. Jackson, M.D., and Mark N. Hadley, M.D.
Division of Neurosurgery and Department of Rehabilitative Medicine, University of Alabama at Birmingham, Birmingham, Alabama
Glucosamine has had mixed research reviews but it is worth trying this supplement if you suffer from arthritis in the joints. Glucosamine has been shown to help rebuild the cartilage in joints and decrease inflammation. 1500mg should be taken a day but this supplement should be avoided if you are diabetic, pregnant or allergic to shellfish.
Derfoul A, Miyoshi AD, Freeman DE, Tuan RS. Glucosamine promotes chondrogenic phenotype in both chondrocytes and mesenchymal stem cells and inhibits MMP-13 expression and matrix degradation. Osteoarthritis and Cartilage. 2007;15(6):646–655. [PubMed]
Dodge GR, Jimenez SA. Glucosamine sulfate modulates the levels of aggrecan and matrix metalloproteinase-3 synthesized by cultured human osteoarthritis articular chondrocytes. Osteoarthritis and Cartilage. 2003;11(6):424–432. [PubMed]
Omega-3 fish oil are made up of essential fatty acids which are known as EPA and DHA. Omega 3 is an excellent supplement to help rheumatoid arthritis (RA) and is also good for the heart. This meta-analysis below showed reduced consumption of painkillers when taking 2.7g of Omega-3 a day for people with RA.
AMR – Omega-3 PUFA and Treatment of Rheumatoid Arthritis Lee YH1, Bae SC, Song GG. Omega-3 polyunsaturated fatty acids and the treatment of rheumatoid arthritis: a meta-analysis. Arch Med Res. 2012 Jul;43(5):356-62
I hope you have found this information helpful. All these supplements are for sale at the clinic. Ask your practitioner to see if any would be suitable for you to take and see how you get on. They don’t suit everyone but some people have seen enormous benefit from them.
For a free 15 minute chat to see how we can help call the clinic on 01763 878087.