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Posts Tagged ‘osteopath Knightsbridge’

Shin Splints

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Shin splints definition

Shin splints are an overuse injury of the origin of the tibialis posterior muscles. There is micro-bleeding at the junction between the bone cover (periosteum) and muscle origin. Our posture before we begin exercising is a springboard to encourage healing. Optimising our posture supports the return from rest to exercise. Then you can establish shin splints recovery. You can supply the missing link between the initial healing stages of an injury like shin splints, normal (or even improved) function and performance. Find out more.

What causes shin splints?

Excessive running with faulty alignment in the lower leg is the most common cause. Shin splints, also known as medial tibial stress syndrome (MTSS),  are an overuse injury.

shin splints pain

shin splits pain

Symptoms of shin splints i.e. what you notice

  • Pain – usually on the inside of the shin bone (tibia) extending over a length of 10-20cm. The pain usually comes on gradually and is worse with running.
  • If the pain is a focal pain (i.e. all the pain is over a 1-2cm area) then it is possible you have a stress fracture, rather than periostitis.
  • Compartment syndrome is when the pain is concentrated in the muscles rather than the bone-muscle junction.

Shin splints

For shin pain not shin splints it’s a good idea to attend a consultation and find out if shin splints treatment can work for you.

Investigations required to confirm shin splints

Usually none are required. If a stress fracture is suspected, then an x-ray may confirm this if symptoms have been present for longer than a month. Otherwise, a bone scan or CT scan is needed. Compartment pressure studies can help confirm a diagnosis of compartment syndrome. Compartment syndrome occurs when injury causes generalised painful swelling and increased pressure within a compartment. This is up to the point that blood cannot supply the muscles and nerves with oxygen and nutrients.

low back pain exercises


Immediate Treatment

  • First aid – an ice pack or ice massage can be helpful after painful activity.
  • Mechanical correction of over-pronating feet is essential. A podiatry referral may be recommended but this depends on the individual.
  • Osteopathy, including myofascial release and a muscle rehabilitation problem
  • Surgery is only required for confirmed compartment syndrome or very severe cases of periostitis lasting many months.

Recovery time

Average recovery time is 2-4 weeks for periostitis, 6-8 weeks for stress fracture and several months for compartment syndrome.
Avoiding reoccurrence is key.

shin splints treatment

shin splints treatment

Recovery sequence, treatment and with osteopathy with Susannah

  • Step 1 Ice packs and osteopathic treatment to correct posture as there will be an overuse mauscle pattern throughout the spine, pelvis and hips as well
  • Step 2 Myofascial release and foot and ankle mobilisation to change movement pattern and aid muscle rehabilitation.
  • Step 3 Continue swimming and cycling, and only restart running, they say after at least two weeks when symptoms have settled but it varies from individual body to body. Starting on grass initially is a good idea.
  • Step 4 Dynamic posture training to enhance running routine and prevent recurrence of injury

See what products I recommend for at home care by getting in touch.
Every individual body will benefit to the maximum when they are advised based on their health history and how shin splints present. Likewise footwear and running shoes.


Instagram review osteopathy

instagram @susannahamakram @tamaraalgabbani#
Tamara Al Gabbani SM Susannah Makram
لمراجعة والعلاج الطبيعي الحديث عن آلام الظهر وأكثر من ذلكSee More
#instagram #susannahamakram #tamaraalgabbani
Tamara Al Gabbani SM Susannah Makram
Ask about back pain and much more.#follow #london #knightsbridge #osteopathy #backpain #health
Instagram review

Instagram review osteopathy


We reach out and answer questions about osteopathy and cupping massage. We exclusively offer aesthetic osteopathy in Knightsbridge and Chelsea — find out more.

Instagram Review Osteopathy

Follow us. See a day in the life of Knightsbridge Osteopath and naturopath Susannah.

Cupping massage

Why’s cupping massage good for cellulite and water retention? What is cellulite exactly? Have you considered seeing real results for example, of natural aesthetic treatments lie cupping massage for cellulite and receiving safe advise about rounded shoulders and ageing posture?

Cupping massage stimulates the circulation of the blood and also activates the burning of fat. Manual Lymphatic Drainage works well if the cellulite is accompanied by water retention.

Tamara Al Gabbani instagram

It was such a pleasure to meet Tamara and I suggest you follow our instagram accounts to find out what we got up to on her last visit to London…

Knightsbridge Osteopath

Knightsbridge Osteopath

Knightsbridge osteopath Susannah Makram practices Osteopathy in Knightsbridge at the BVLGARI hotel spa Knightsbridge.
DID YOU KNOW? #Aestheticosteopathy can help improve appearance of the ageing spine as well as skin tone via cupping massage and lymphatic drainage – visibly delivering results.
Speak to Susannah the osteopath @ the BVLGARI SPA now on 0207-151-1010

Aesthetic osteopathy

Aesthetic osteopathy

Cupping massage for cellulite may be part of your aesthetic osteopathy. You can discuss your goals when you book your appointment with Susannah. 
Susannah tailors your osteopathy experience. Most importantly, it’s SAFE. Osteopathy helps maximise gym performance and re-energise. Get clean and lean without injury risk.

Get clean and lean without risking injury.

Consultation begins the osteopathic health journey. That’s osteopathy with Susannah, the Knightsbridge osteopath. Relax and re-energise your body. Osteopathy can help get you moving. Click here to find your osteopath in Knightsbridge

Knightsbridge physical therapy

Knightsbridge physical therapy

Travel to Knightsbridge to experience the energising effects of osteopathy. Find out why KNIGHTSBRIDGE OSTEOPATHY:

  • SPORTS TAPING (we use two types at Susannah Makram Clinics)

(i) improve posture and flexibility
(ii) help you get a great night’s sleep
(iii) speed up recovery from sports’ injury 
(iv) provide clinical advice regarding follow up care and investigations
(v) Get you moving.

knightsbridge osteopath

knightsbridge osteopath


The health journey is treating the body as a whole working with osteopathy and naturopathy techniques. Osteopathy will realign your posture preformed carefully for your optimal comfort.
Whilst osteopathy physically aligns and balances our body, naturopathy supports health on a cellular level by improving circulation, nutrition, detoxification and elimination.

why see an osteopath

why see an osteopath

Osteopathy works to restore our body to a state of balance, where possible without the use of drugs or surgery.
Osteopathy uses touch, physical manipulation, stretching and massage to increase the mobility of joints, to relieve muscle tension, to enhance the blood and nerve supply to tissues, and to help your body’s own healing mechanisms.



Gut Bacteria and Weight Loss

Gut microbiota

1. Thin people and obese people tend to have different types of microbes living in their gut. SO WHAT DOES THIS MEAN?  Weight loss and specifically when obese people lose weight, their microbiota change accordingly.

There’s a strong positive relationship between healthy gut bacteria and weight loss

Obesity is highly heritable and it probably involves genes that pass from parent to child. Body weight is clearly impacted by diet. So the environment and personal habits also play a role.

Gut bacteria and weight loss: Several studies have also turned up evidence linking obesity to the microbiome:

Gut bacteria and weight loss

Gut bacteria and weight loss

2.  A diet high in fat, sugar, and simple carbs is bad for the “healthy” gut microbes that keep us thin. It also encourages the growth of “unhealthy” microbes that make us obese. Obese individuals harbor microbes that are better at extracting energy from food, as well as microbes that signal the body to store energy as fat.

3. The microbiome is changeable.

The relationship among genetics, the environment, and the microbiome as it relates to obesity is certainly complex. But while the genome is fixed and habits are hard to change, the microbiome is changeable. That is why PHASE ONE in the FOUR PHASES of weight loss examines the role of gut bacteria and weight loss for every individual. Find out more about the gut microbiome here.

Fast fact! Our gut is as unique as our DNA so no one nutritional plan, lifestyle or diet tips or advice can work as effectively for you as it will for somebody else. Let that sink in…..

4. Our body can be malnourished even though we’re eating enough. Malnutrition is not simply a matter of lacking calories and nutrients. Some people eat enough nutrients but cannot absorb them properly. So the body produces symptoms of malnourishment because of nutrient malabsorption. The role of microbes can be described when looking at identical twins: one twin undernourished and the other one not. The twins have the same genes, and they eat the same food—but they have different gut microbiota.

There’s no point building on a foundation that’s anything but solid.
This is why personalised nutrition IN THE FOUR PHASES  is key. Each phase is the building block to reinforce the next building block. Every small change made impacts hugely, within the right margins created at PHASE 1.

Taking ownership of our health means making choices about what we EAT DRINK TAKE MAKE. These choices we are making are feeding ‘good’ bacteria in our gut or they are feeding ‘bad’ bacteria in our gut that can than lead to SIBO, for example.

Pain and Gut Inflammation

As a London Osteopath offering a complete care pathway for low back pain and musculoskeletal strains and sprains we do need to include the element of nutrition for total body wellness. Chronic pain change our bodies internal environment

  1. Pain and gut inflammation – what is pain? Defining it  & Redefining it  – A gold standard method for measuring Pain does not exist in practice. There is no universally recognised unit that can, in the present day, be called into existence.
  2. Background – History of Pain – Pain Discovery – Measuring Pain – In the 1940s, a group of doctors at the University of Cornell set out to create a unit of pain intensity. Using the “dol” as a unit, the physicians created a 21-point quantitative scale. Their hot pursuit of knowledge was perhaps reflected in the means by which they gathered relevant data. They tested pain reactions on medical students and women in labor between contractions. Also, they did this by burning their subjects. Understandably, such methods were deemed controversial and “dol” never quite caught on as a unit of pain measurement. Subsequent attempts at method justification, for the sole purpose of recruiting a unit measurement of pain, did not receive the required research grants. It would seem that inflicting pain artificially, or allowing for the natural occurrence of this experience, could not morally accommodate for a study of pain that would be of significant future benefit to the suffering individual.


Consequently, the National Institute of Nursing Research reference that “Pain remains a uniquely personal experience that cannot be measured objectively.”        [tweetthis]#Pain remains a uniquely personal experience that cannot be measured objectively[/tweetthis]

  1. Two definitive categories should be used to inform the pain medicine practice of all health care professionals: Acute Pain – This can be defined as pain that lasts less than 6 weeks, or pain that is directly related to tissue damage. The pain that is experienced from a paper cut or from standing on a tack is acute pain. Pain that is felt after an operation is acute pain; it is severe, but we expect it to go away. Chronic Pain – This can be defined as pain that lasts longer than 3 months. There are at least two different types of chronic pain problems — pain that has an identifiable cause, (an injury), and pain with no longer an identifiable cause (the injury has healed). Most of chronic pain is of musculoskeletal origin.
  2.  Other terms used to describe or define pain include: Neuropathic Pain – Mechanical
    Inflammatory – Chemical (Metabolic) – Somatic – Visceral Referred & Ischaemic Pain
  3. Clinically, the most common tests to diagnose inflammation include measuring erythrocyte sedimentation rate (ESR), white blood cell count, and albumin levels (and other biomarkers) These tests are nonspecific; that is, an abnormal result might result from a condition unrelated to inflammation. Such non-specific tests do not account for IBS and SIBO for example.
  4. If you are seeking solutions by way of nutritional therapy, recognising signs and symptoms of gut health and acute, sub-acute and chronic inflammatory process, as well as being able to interpret laboratory reports thus, is unique and invaluable when it comes to getting results for healthy weight loss, unexplained fatigue etc.
  5. The principles of Naturopathy were first used by the Hippocratic School of Medicine in about 400 BC. The Greek philosopher Hippocrates believed in viewing the whole person in regards to finding a cause of disease, and using the laws of nature to induce cure. It was from this original school of thought that Naturopathy takes its principles.

Other Referenced Definitions Of Pain

Pain is what the person says it is, existing when and where the person says it does.” (McCaffery & Beebe, 1999)
Margo McCaffery is a Nurse Consultant who has published widely about pain medicine. What she is saying here is that pain is individual to the patient, the best judge of the intensity of the pain is the patient, and that the patient should be believed. This definition of pain is taught to all nursing and medical students.
The International Association for the Study of Pain (IASP) defined pain as: “An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage” (IASP, 1979)
The importance of this definition is that it includes pain that may occur without any recognised stimulus, and it also introduces recognition that pain is influenced by our emotions.
The British Pain Society have a useful glossary of medical terminology, on which pain is defined as:-
“…An emotion experienced in the brain, it is not like touch, taste, sight, smell or hearing. It is categorised into Acute pain – less than twelve weeks duration and Chronic pain – of more than twelve weeks.
Pain can be perceived as a warning of potential damage, but can also be present when no actual harm is being done to the body.”

Physiotherapy Osteopathy Chiropractic Difference

Osteopathy and chiropractic

Physiotherapy; osteopathy; chiropractic. What’s the difference? Which physical therapy is for me? Low down:
1. NHS – Osteopathy and chiropractic aren’t available on the NHS in all parts of the UK. Even in places where osteopathy is available, there may be limited availability. The same applies for Chiropractic treatment.

Finding Osteopathy Chiropractic Difference interesting? Don’t forget to subscribe to Susannah Makram TV 

Osteopathy and Physiotherapy

Many physiotherapists work as part of a multi-disciplinary team. They can work from NHS hospitals. Also, from community based organisations, private hospitals and clinics, sports clubs, charities and workplaces. Physiotherapists and osteopaths and chiropractors all use manual therapy or physical therapy.
That’s to say, we all use touch, to varying degrees. The skill of an Osteopath is high in palpation. The physiotherapist generally uses ultrasound, acupuncture, taping and creams and so on more so than the osteopath and chiropractor. Much hands on treatment technique differs somewhat. Manipulation or adjustment techniques used by the chiropractor, physiotherapist and osteopath – HVT or HVLAT – High velocity, low amplitude thrust techniques – are unique to the profession.

2. Qualifications – physiotherapy osteopathy chiropractic difference

Osteopaths complete a four – or five-year honours degree programme (bachelor’s or master’s), which involves at least 1,000 hours of clinical training. Some osteopaths are qualified to PhD level.
Chiropractors’ 4-year Chiropractic Degree programme ensures completion of bachelor of human science degree completion.
Physiotherapists complete a three-year full-time BSc (Hons ) programme.

Physiotherapy osteopathy chiropractic difference

3. NICE Guidelines – physiotherapy osteopathy chiropractic difference

There’s good evidence that osteopathy is effective for the treatment of persistent lower back pain. The National Institute for Health and Care Excellence (NICE) recommends it as a treatment for this condition.

Physiotherapy Osteopathy Chiropractic Difference

Physiotherapy Osteopathy Chiropractic Difference

Currently, (NICE) recommends manual therapy that might include spinal manipulation (as practiced by chiropractors) as a treatment option for persistent lower back pain.

The National Institute for Health and Care Excellence (NICE) advises that manual therapy can be used to treat persistent low back pain.

4. Legal – Primary Certifying Body – physiotherapy osteopathy chiropractic difference

It’s illegal to practice osteopathy in the UK unless registered with General Osteopathic Council. It’s illegal to practise o practice chiropractic in the UK unless registered General Chiropractic Council. Physiotherapy, likewise, unless registered with the Chartered Society of Physiotherapy.

Physiotherapy Osteopathy Chiropractic Difference – FAST FACTS

5.  Osteopathy is one of only two complementary and alternative medicines (CAMs) that are regulated under UK law. The other is chiropractic.     [tweetthis]#Osteopathy is 1 of only 2 complementary & alternative medicines regulated under UK law[/tweetthis]


6. Chiropractic was founded as a health profession in the US in 1895 by a Canadian called Daniel David Palmer. Palmer practiced magnetic healing and had no conventional medical training.

7. The earliest documented origins of physiotherapy (physical therapy) as a professional group date back to Per Henrik Ling, “Father of Swedish Gymnastics.” He founded the Royal Central Institute of Gymnastics (RCIG) in 1813 for massage, manipulation, and exercise. In 1894 four nurses in Great Britain formed the Chartered Society of Physiotherapy

8. Andrew Taylor Still, MD, DO (August 6, 1828 – December 12, 1917) was the founder of osteopathy and osteopathic medicine in 1874. He was also a physician and surgeon, author, inventor and Kansas territorial and state legislator.

9. OMT is typically used to treat musculoskeletal disorders. These include low back pain, neck pain. Also, pelvic pain, sports injuries, repetitive stress injuries RSI and tension headaches. While osteopathic and chiropractic techniques overlap, they’re not identical. As a general rule, chiropractic manipulation uses direct thrust techniques on the spine (HVLA). Osteopathic practitioners use other, gentler techniques, as well as HVLA.


All three professions now have a similar medical training. They differ in professional training and emphasis during treatment.

Physiotherapists tend to focus on exercises. Chiropractors tend to focus on manipulation of the spine. Osteopaths tend to use exercise, manipulation and soft tissue massage as part of an integrated approach.

Safe, clinical, practical and effective.

Call  020 7060 3181