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Why I do Surgical Observation

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Learning For Health

Surgical observation is good practice for physical therapy practitioners – the osteopath, chiropractor, physiotherapist –  working in an integrative way as a team is the difference between a chiropractor and an osteopath? What is the difference between an osteopath and a physio?

Observation

Why I do surgical observation boils down to 4 simple things that distinguish the way I work from other physical therapists.

  1. Anatomy Safe, Clinical, Practical, Effective
  2. Tissue Health is dynamic Safe, Clinical, Practical, Effective
  3. Gut Health is dynamic Safe, Clinical, Practical, Effective
  4. Functional Medicine Safe, Clinical, Practical, Effective

– Anatomy – Structure Governs Function – Osteopathic Principle in practice

Guess what? The human body is not a textbook. Guess what else? A live human body with live tissue structures is unique.

Functional healthcare

Personalised Nutrition

Personalised Nutrition

Functional Medicine incorporates the latest in genetic science, systems biology, and understanding of how environmental and lifestyle factors influence the emergence and progression of disease.  At Susannah Makram Clinics we use this model in our Naturopathic approach to nutrition as prescription

Functional Medicine addresses the underlying causes of disease, using a systems-oriented approach and engaging both patient and practitioner in a therapeutic partnership.

Susannah Makram believes in knowing the right treatment that is best for the patient at every step. This begins by booking a consultation with Susannah to find out the factor or factors influencing your complaint.

Doctor comes from the Latin Docere which means to teach and this is applied throughout Susannah’s time with patients during the ongoing treatment or treatment. Consistent reassessment in order to confirm or reject a diagnosis and offer a prognosis based on the decision made by the patient to progress with treatment requires clear and effective communication between the patient and Susannah.

– Tissue Repair & Gut Health – Health is more than the absence of disease

An MRI scan or CT scan or an x-ray do not expose the integrity of tissues inside and outside of joint capsules to the degree that an endoscopic surgical procedure can.

At Susannah Makram Clinics we carry out consultations and a physical exam and any special testing to include:

Orthopaedic testing. Cranial and peripheral nerve function assessment. Blood pressure, pulse, and further special testing related to gut health. We carry out saliva or buccal swab testing if this is the accurate and convenient way to capture data by testing.

Capturing genetic material for use in healthy weight loss for stubborn fat or weight gain using The Obesity Gene Map  Blood work is sent for when necessary to produce accurate results. These are sent back to Susannah and used to help personalise your treatment for your complete care. Skin prick testing for food allergies, testing for hormonal imbalances and food intolerance test may also be recommended for this purpose.

Functional Health

Functional Health

                               

Naturopaths use a holistic approach and recognise that health is more than the absence of disease. Naturopathic nutrition is a type of nutritional therapy that relies on the background of your practitioner.  Osteopaths are highly competent healthcare professionals, recognised by the NHS as fully qualified to diagnose and treat independently.

Functional care address the WHY. WHY are you unwell? this is what needs to treated in order that you are able to take ownership of your health.  Otherwise, what tends to happen unfortunately, is that a lot of effort is made but results are the same.

Good gut health relies on an environment that is conducive to nutrient absorption. pH levels must be optimal and structural obstructions or lesions in the lining of the gut must be pinpointed and their cause revealed in order that the Susannah Makram Naturopathic Nutritional Portfolio for you is safe, clinical, practical and effective. In the Four Phases.

Allergy epidemic

10 Things To Know About Your Child’s Allergies Now

London naturopath in Kensington and Chelsea Susannah sees complex cases. Acquired allergies and intolerances: are we expected to live with them?
Allergic conditions
have been diagnosed in 50% of UK children .        [tweetthis]In the UK 50% of children have been diagnosed with one or more #allergic conditions. [/tweetthis]      Allergies occur when the immune system reacts, by producing antibodies, to a foreign substance (allergen). When the immune system identifies this substance as harmful, this is an allergic reaction. The same substance does not cause a reaction in most people. Where do our children’s allergies come from? Why is this fast becoming an allergy epidemic?

The allergy epidemic. Fast Facts.

  1. Most to least common environmental allergens: pollen, grass, dust mites, molds or moulds and weeds. Food intolerance/sensitivity: generally less serious, often limited to digestive problems.
  2. Severity ranges from minor irritation to anaphylaxis —a potentially life-threatening emergency. 90% of food-allergic reactions are to peanuts, eggs, milk, (shell)fish, wheat, soy, tree nuts. Symptoms: h
ives, eczema, asthma, difficulty breathing, abdominal pain, vomiting, diarrhoea. Anaphylaxis also causes confusion, rapid heart beat/palpitations,  swelling of lips, tongue, throat, bluish skin, nausea, dizziness, fainting.

The allergy epidemic – understanding it gives us knowledge to combat the allergy epidemic.

  1. The pathophysiology of environmental allergies is fairly well understood. Allergies and asthma often occur together. Diagnosis can be made by history taking, physical exam and a Radioallergosorbent test (RAST) (prick-skin test). Results are nearly immediate. 50-60% of positive skin test results are also false positives. ImmunoCAP (blood test measuring levels of antibodies to specific food proteins). Results take up to one week. Highly controlled food challenges can render a definitive diagnosis.
  1. Introducing high allergenic foods to your child is advisable from 6 months. these foods should be introduced one at a time. leaving 3 days in between each new food is best. It is encouraged to breastfeed babies with eczema or a family history for 4 months+. Avoid cow’s milk or soy formulas. Hydrolysed protein formulas are best. “Hypoallergenic” formulas will not prevent but may delay allergy onset.
  1. Allergic reactions share a genetic link. Specific allergies do not. Studies show a gender-specific genetic link in inherited allergies.
  1. Quercetin can block the effects of histamine before they start. Recommended: 500 mg 1-2 times/ day, weeks before allergy season+ vitamin C.
  1. The best way to fight allergies is to avoid the offending allergen. This is not easy. Controlling your environment is a start. Keep homes cool, dry, non-smoking, low-odour and ventilated (use a pollen-proof screen). If keeping carpets think small, vacuum and dust often. Launder sheets. pillowcases (55°C water) and wash indoor pets, especially cats, after discussing this with your vet weekly. Replace furnaces and air-conditioner filters while in use. Wash stuffed animals (55°C water/place in a plastic bag in the freezer for a few days) monthly.
Allergy Epidemic

Allergy Epidemic

  1. Leukotriene inhibitors and steroids sprayed in the nose can help with symptoms. Conventionally anti-histamines (diphenhydramine; check side–effects) with/out “Mast cell stabilisers” or steroids are given.
  • Changing medication prevents building a tolerance to them.
  1. Subcutaneous immunotherapy (SCIT) or allergy shots are injections of allergens given at increasing dosages. Typical treatment: weekly shots for the first 3-6 months, then monthly for 3-5 years.
  • Sublingual Immunotherapy (SLIT) – a preventive treatment – is not as effective as shots but is safer, since there’s less risk of side effects (anaphylaxis).
  • In the case of severe allergies, carry an EpiPen in case of anaphylaxis.
  1. Most allergies can’t be cured. However, potentially life-threatening peanut allergies have recently essentially cured 9/10 recipients of a new treatment using a dose of a probiotic, together with peanut protein in increasing amounts.

Susannah Makram is a registered Naturopath. Her diagnostic skills are recognised as a registered Osteopath. Her interests in Naturopathic Nutrition, nutrigenomics, epigenetics and the functional approach to healthcare make her Portfolio treatment Safe, Clinical, Practical, Effective.

When you correctly identify your child’s allergies, Susannah will help you find a suitable strategy to help manage your child’s allergies. Managing your child’s allergy symptoms need not be a lifelong burden.


Safe, clinical, practical and effective.


Call  020 7060 3181