Hip Arthroscopy… A Hot Topic

  Since the news of Andy Murray’s forthcoming retirement, and the revelation that he hasn’t made a full and pain-free recovery from his hip surgery, we felt it would be helpful to explain a little about the procedure he underwent – the hip arthroscopy. This topic is of particular interest to Julie Iveson, head physiotherapist and proprietor of The Iveson Clinic, who used to be an international gymnast underwent the same operation on her hips, five and eight years ago. Hip arthroscopy is generally considered for patients below the age of 40 who have damaged their hip joint and possibly the soft tissue around and within it. This damage often occurs in elite athletes whose hips can be affected by repetitive physical exercise over a long period of time.  The hip joint is a ball and socket joint, held tightly together by muscles, ligaments and suction. Hip arthroscopy is commonly performed for a condition called Femoroacetabular Impingement (FAI), where there may be some catching or pinching of the ball and socket joint due to additional bone which can develop on the ball or the rim of the socket which is termed Cam or Pincer impingement.  Due to its deep-seated nature within the body, the hip is not the easiest joint to perform keyhole surgery on. During the procedure, various portholes are inserted as well as a camera, which enables the surgeon to view the area on a screen and thus enable the reparative surgery to proceed.  This may include removing excess bone spurs (i.e. Cam), repairing torn labrum, removing loose bodies and so on. Hip arthroscopy is not a simple process and takes...

Seasons Greetings!

We would like to wish all our clients a Merry Christmas and a Happy, Healthy 2019 Christmas Opening Hours                                              Monday 24th – 9am to 1pm Tuesday 25th & Wednesday 26th – CLOSED                  Thursday 27th – 9am to 5pm Friday 28th – 9am to 5pm  Monday 31st – 9am to 5pm Tuesday 1st Jan – CLOSED                                                                                                               Open as usual from Wednesday 2nd January                                                                                                                                                                                                                                                         ...

Inflammatory Backache – a diagnostic challenge!

Many people think of back pain being caused by poor posture, lifting badly or even just ‘wear and tear’. However, there is another group of patients who suffer from inflammatory backache. Although only a very small percentage of back pain sufferers have this, physiotherapists and chiropractors are trained to pick up possible tell-tale signs. This is important because the treatment approach is very different and, if caught early, can prevent more complications in later life.   Causes & Symptoms Inflammation of the pelvic and spinal joints can have many causes.  The most common is ankylosing spondylitis but it can be associated with psoriasis, bowel inflammation or even a recent infection anywhere in the body. Symptoms that may point to inflammatory back pain include: Suffered back pain for more than 3 months (known as ‘chronic’) Aged under 40 years Gradual onset of pain The pain and stiffness are improved with exercise No improvement with rest If you visit a practitioner such as a physiotherapist when you have back pain, they will take a detailed history, so it’s vital that you describe your pain and symptoms in full; this can help them to reach a diagnosis and, if necessary, make a referral to a rheumatologist for treatment of inflammatory back pain. Medication can help but rehabilitation and exercises to strengthen the back extensors and core muscles are also essential to obtain the best outcome possible.  If chronic back pain is troubling you, the physiotherapists at The Iveson Clinic can help so call us on 01787 374964 to book an appointment.   ...

Celebrating World Acupuncture Day

In celebration of World Acupuncture Day, we thought this graphic would be of interest to our followers. It shows some of the potential benefits of acupuncture. All the physiotherapists at The Iveson Clinic are members of the AACP (Acupuncture Association for Chartered Physiotherapists) and can include acupuncture within your treatment programme, to assist recovery and ease your pain. Call us on 01787 374964 for more information or to book an...

My Back Pain Has Gone – Now What?

Non-specific low back pain is one of the most common – and costly – healthcare problems in this country. This type of back pain typically recurs and has a huge impact on individual sufferers through time off work, poor sleep, reduced physical activity, increased use of pain medication, and on society as a whole through lost work days, GP appointments and so on. Chiropractors generally treat low back pain with gentle spinal manipulation and mobilisation techniques, backed up with the use of exercises. Many studies show that, for many people, this is the most effective approach. However, non-specific low back pain is a complex, multi-faceted problem, which encompasses social, behavioural and psychological factors, and there is little evidence about how best to prevent the pain from returning.  Many chiropractors use one of two strategies once a patient has recovered from their low back pain: to finish treatment and possibly continue with exercises, and only have further treatment when the pain returns (this is known as symptom-guided treatment) or to go on to a maintenance care programme. This involves regular treatment sessions at three, four or even six-monthly intervals to remove any areas of spinal dysfunction as they are found and before they become symptomatic. This is a common approach used by chiropractors and one which, anecdotally, seems to work for many people, although there has been no quality research on it until now. A recent Swedish study looked at a group of over 300 patients with non-specific low back pain who responded well to chiropractic care. They were then either left to return for treatment if and when their pain returned, or they...