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...

Keep On Running!

Sports Injuries & Trigger Point Acupuncture We are all being encouraged to get more active but, with increased activity, comes the risk of injuries and pain. Physiotherapy offers an integrated approach to sports injuries, combining acupuncture and manual therapy for the treatment of pain and inflammation, which will help get you up and running again. Acupuncture works by stimulating the body’s own chemical response which aids recovery and rehabilitation. Trigger point acupuncture (also known as dry needling) is becoming increasingly popular in the sporting world due to the rapid effect it has on pain arising from tense muscles and myofascial tissue. A trigger point is a hyper-sensitised area within a muscle, which is generally tender to touch and taut on palpation. The pain may be felt some distance from the trigger point. For example, the brachialis muscle in the upper arm can refer pain to the wrist. Studies have shown that needling deactivates the trigger point and enables the tense muscle to ease and lengthen. The physical act of needling into the myofascial or muscle tissue, and stimulating it by twisting the needle, stretches the tissue in relation to the surrounding areas. What does it feel like? Many people wonder – or even worry about – what this procedure feels like. As the needle is inserted, a slight momentary pin-prick sensation may be felt, followed by a deep ache, tingling or warmth. This is a positive response as it shows that the body’s pain relief mechanisms have been stimulated. There may also be a twitch response in the trigger point which indicates the needle is in the affected area.  Physiotherapists here...

Scars….More than just skin deep???

The resulting scar following surgery, injury or trauma can have significant consequences; far greater than what is seen on the superficial surface. Adhesions from the scar can form and attach to bones, muscles, ligaments, tendons and even organs; this can then effect the function of these structures. Sensation can be lost or an area can become hypersensitive around the scar site, causing pain and aversion to touching the area or even having clothing touching the area. A scar that is puckered or red may well have developed these adhesions. Scar massage aims to improve circulation, flexibility and break down the adhesions to encourage the scar to function “normally”, resulting in a better appearance, reduction in pain and improved functioning of the scar and surrounding tissues. It takes 2 years for a scar to fully mature but even after this point scar massage can improve the situation. Here at The Iveson Clinic we offer scar massage, call today to book in your appointment on 01787 374964....

The Iveson Clinic – * Autumn Giveaway *

              In celebration of approaching our 5000th patient, we are delighted to offer this Autumnal Giveaway. The Iveson Clinic is based in Long Melford, offering Physiotherapy , Chiropractic and Acupuncture treatment, by widely experienced practitioners.  Our giveaway, which is worth £45 , includes: Kinesiology tape, Ice Pack, Wheat Pack, Candle, £10 Gift Voucher, Pen and Credit card cover To be in with a chance of winning this prize: Like and comment on this post on our Facebook page Like The Iveson Clinic Facebook page  and even better, share it with your friends.  Once we have reached 200 likes, we will draw the lucky winner and the name will be posted on our Facebook page. Good luck !...

Do You Need a Knee Arthroscopy?

Developments in the Treatment of Degenerative Knee Arthritis & Meniscal Tears For many years knee arthroscopy has been used for patients with persistent knee pain, instability due to a torn meniscus, debridement (removal of loose bodies within the knee) and for diagnostic purposes. It was considered a good option as it was keyhole surgery, thus reducing the risk of infection and speeding up post-operative recovery. Previously arthroscopy was an open procedure, involving a larger incision and an elongated recovery period. However, recent clinical trials have studied patient recovery times and outcomes when treating degenerative meniscus tears with arthroscopy versus a combination of physiotherapy and exercise (Brignardello-Peterson, Guyatt BMJ 2017 – see link below for more details). The conclusion was that knee arthroscopy was not the most effective treatment. Also, a large trial in 2016 found there was no further benefit from arthroscopy compared to a programme of physiotherapy and exercise over a 12-month review period. Here at The Iveson Clinic, when a patient presents with an arthritic knee or cartilage degeneration, we would start with a detailed assessment and examination of the knee. We would also observe the patient’s general posture, particularly with regard to foot alignment. Findings are then discussed with the patient and a treatment plan is made. Advice includes avoiding kneeling, twisting on a stationary foot, squatting or any activity that aggravates the condition. If the knee is warm, swollen and inflamed, treatment is offered to aid recovery such as ice, acupuncture and soft tissue massage. The patient will also be offered a personalised, graduated exercise programme to strengthen the muscles supporting the knee joint. With compliance to the treatment and the home...

Dizziness

Do you suffer from a whirling, spinning or dizziness feeling? If so you are not alone, it is reported that up to 50% of adults will experience dizziness at some point. There are many causes for dizziness, one of these is benign paroxysmal positional vertigo (BPPV), which is a condition of the inner ear. We can assess for this using the Hallpike-Dix test. This helps us to determine if your inner ear is the cause of the dizziness. If this is the case then the Epley Manoeuvre can be simply performed by our trained health professional. In most cases this quickly resolves the symptoms. Commonly, with BPPV, people will complain of dizziness when turning over in bed, looking up, looking down or laying down. This spinning feeling may be accompanied with nausea/vomiting and falling. Here at the Iveson Clinic we are proud to have health professionals fully trained in the assessment and treatment of BPPV. Call to make your appointment today on 01787...

Back To Health

As we all start to enjoy longer days and increased levels of activities, there is a tendency to overdo things and thus suffer with increased levels of back pain. The AACP (Acupuncture Association of Chartered Physiotherapists), recommends the use of acupuncture as a treatment for patients with low back pain. Our physiotherapists at the Iveson Clinic, may often use this treatment in conjunction with ‘hand’s on’ treatment, advice and exercise.  Acupuncture treatment is especially cost effective when it is delivered by a physiotherapist as part of the management plan. Evidence concludes that acupuncture will assist in reducing low back pain. With less pain, back exercises can be engaged more rapidly. Acupuncture may also mean less analgesic medication is required. Acupuncture works by stimulating the brain and central nervous system to release natural pain relieving hormones , such as Endorphin.  The affects of acupuncture treatment can last up to six months and result in a reduction of pain and thus an improved quality of life....

New General Data Protection Regulations

You are probably aware that new General Data Protection Regulations (known as GDPR) are coming into force on 25th May 2018. These regulations are designed to give EU citizens more control over their data, who has access to it and how it is used.  The Iveson Clinic is committed to maintaining the privacy of our clients, and to safeguarding the information we hold; we have therefore reviewed how we collect and store personal information, and we have put into place procedures and policies in order to be fully compliant with the new regulations.  If you would like to know more, you can read our Privacy Policy...