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.
If you experience back pain it is important to look at what you do in your everyday life that might be aggravating your back. Ask yourself these questions…
• Do you spend a lot of time sitting?
• Do you have to carry heavy loads?
• Do you have to bend a lot?
• Do you spend a lot of time driving?
• Are you overweight?
• Do you sleep on your front?
• Do you have to look after small children?
• Have you had an accident or jarred your back in the past?
• Do I do any impact sports?
If you answered yes to any of these questions that might be what is contributing towards your back pain. Look and see if there are any changes you can make to your everyday life to help your back.
• Did you know that there is more pressure on your discs when you sit down than when you stand up? Could you get up and walk about every hour? Or lying down for 5 minutes would really take the pressure off the spine. Swimming is a great activity to help relieve the pressure as when you float there is no pressure on your spine. Just avoid breaststroke with your head up!
• Could you decrease the load you are carrying or wear a support belt? Try to avoid lifting with a bad back as this will aggravate it further. Wearing a support belt could really help if you just have to lift something.
• Could you bend from your hips or change what you are doing to avoid bending? Bending is very bad for the discs. Even bending forwards slightly when washing up or hoovering is enough to set it off. Ask for help with these jobs as you don’t want to make your back worse.
• Could you take breaks between driving to walk about? Try and clench your buttocks in the car or wriggle around in your seat as the back gets its oxygen supply through movement.
• Could you look at what you eat and reduce your calorie intake?
• Could you change your sleeping position? Try and sleep on your back or side. If you are on your side have a pillow between your knees.
• Could you try some strengthening exercises for your back to help it recover from an injury? Look into a pilates class as these are great to help build up the core muscles.
• Could I reduce my training to give my back a chance to recover? Make sure you give your back a chance to recover before going back to full training. Go back slowly so you can gauge if your back can cope with it or not.
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By taking a case history and finding out from you where you are getting any pain or things you do that might aggravate your back, this is our first step in finding out what the problem is.
We then conduct a thorough examination which can include taking blood pressure and neurological testing such as testing the reflexes to work out where the pain is coming from and what it is affecting. From this we can come to a diagnosis and work out if we can treat what’s wrong or whether you need further testing or to see the GP instead.
If your problem involves the muscles and joints we have a number of different treatment options which can help. One of those options is massage to help relax any muscles which are tight and in spasm.
Ultrasound is a tool we can use to help relax muscles and help decrease inflammation.
Gentle mobilisation or manipulation of the spine is an effective way to help loosen stiff or locked joints in the spine relieving tension on the nerves and reducing pain.
Other tools we can use to help include an activator which is very gentle and used to help the spine move better and a Thumper which is a type of massage machine which helps to relax tight muscles without being too painful.
By using tape this can help support muscles and help for example to keep your shoulders back or give a little extra support to you low back if you have pulled a muscle there. It just gives the muscles a chance to recover if they are always working. Tape can also help treatment last longer as you usually wear it for a few days.
Acupuncture is another great way to reduce pain and muscle tension.
Exercises are a great way to help strengthen your back to help prevent the pain coming back again.
We can go through exercises in the clinic to make sure they are bring done correctly.
We will also give you exercises to do at home to help your back pain. Exercises are an important part of your recovery from any injury or pain as an area typically weakens when it is in pain.
I hope you have found all this information helpful but if you do have any questions or want to know more please get in touch as we would be happy to help.
Just call us on 01763 87087. I look forward to hearing from 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 diagram shows how when you have a slipped disc or sciatica what actually happens is tiny tears occur in the outer fibres of the disc which means the inner jelly called the nucleus pulposus is pushed outwards towards the sciatic nerve. The disc is not normally seen by the body but when it bulges out the body then attacks it a foreign creating a lot of inflammation which puts extra pressure on the nerve. It depends how far the disc has bulged out as to how bad the symptoms are and how long they may take to go.
If you are experiencing pain down your leg with any tingling or numbness it is a good idea to see a chiropractor or osteopath as there are lots of tests they can do to determine how bad the problem is and whether they can help or if you need further investigation such as an MRI scan. A lot of the time treatment can really help ease the pain but it usually takes quite a long time when the disc is bulging out. Long term Pilates exercises can really help to stabilise the spine and prevent further episodes.
If you would like to book a free chat with one of our practitioners give us a call on 01763 878087, we’d be happy to help. Or why not like our Facebook page for up to date advice.