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Frozen Shoulder Treatment

Frozen Shoulder Causes

If you’ve ever wondered “what’s frozen shoulder pain like?” Can I have frozen shoulder treatment at home? You probably need to check in with our osteopath specialist Susannah. Osteopathy with Susannah for frozen shoulder works to reduce pain and improve mobility. The anatomy of the shoulder makes it the most mobile joint of the body. This helps explain the causes of frozen shoulder from an osteopath’s view. At Susannah Makram Clinics London we provide clients with frozen shoulder symptoms, both knowledge and understanding of how symptoms of immobility and pain can be improved.

causes frozen shoulder

causes frozen shoulder

The bones, ligaments and tendons that make up our shoulder joint are encased in a capsule of connective tissue. Frozen shoulder occurs when this capsule thickens and tightens around the shoulder joint, restricting its movement. These are the first signs of frozen shoulder.

Doctors aren’t sure why this happens to some people and not to others. Like the frozen shoulder pain down arm query, it’s not straightforward. This is why osteopathy works differently for management of frozen shoulder pain symptoms. We will outline how next. Although Doctors aren’t sure, it’s more likely to occur in people who recently had to immobilise their shoulder for long periods of time e.g. after surgery or upper body fracture. Also, more susceptible to frozen shoulder symptoms are people with a history of diabetes, thyroid disorders, tuberculosis, cardiovascular disease and Parkinsons.

Frozen Shoulder Symptoms

Frozen shoulder symptoms typically develop slowly and in three stages. What are the first signs of frozen shoulder?

  • Freezing shoulder stage: Any movement of the shoulder causes pain and  shoulder range of motion starts to become limited.
  • Frozen shoulder stage: Pain may begin to diminish during this stage. However, the shoulder becomes stiffer. Using the shoulder also at this the frozen shoulder stage becomes more difficult.
  • Thawing stage. Range of shoulder motion shoulder starts to improve.

Each of the the three developmental stages can last a number of months.

frozen shoulder treatment

frozen shoulder treatment

Frozen shoulder treatment

As an osteopath Susannah views the entire body’s interaction with the shoulder. How the shoulder interacts in day to day movements, in stillness or semi stillness i.e. seated postures, as well as sleeping postures. The over and underuse of small muscles and their attachments into the spine and surrounding structures or attachments, such as the rib cage can be manipulated by touch.

With gentle and precise pressure, the diaphragm and accessory muscles of breathing, can be stretched. Tension in the diaphragm can be worked on directly and also the fascial attachments, by alleviating tension throughout the sternum and intercostal musculature. This is according to change  breathing patterns in movement and in rest.

To summarise how Susannah works, it’s by changing posture patterns that contributed to the cause or directly caused the symptoms of frozen shoulder, at any stage. Frozen shoulder treatment at home by giving advise for frozen should exercises is an important part of our care.

 

 

frozen shoulder treatment

frozen shoulder treatment

 

Osteopathy with Susannah Makram for frozen shoulder works because the shoulder’s movement in relation to the body is key to getting long-term results. Osteopathy with Susannah works differently.

Frozen shoulder treatment identifies why the symptoms persist and from where in order to alleviate pain and restore range of movement. Susannah assesses how the body as a whole is reacting to the changes in the shoulder joint affected and whether the frozen shoulder is a reaction to changed movement patterns in the lower limbs, e.g. hips and pelvis; or in breathing mechanisms; or the spine over all. For example, the resting position of the shoulder joint is affected by restrictions in mobility or structural or postural changes in the spine, as well as larger muscle or soft tissue tension or tightness.

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Cure Your Instagram Addiction

Is instagram bad for our health?

How is instgaram bad for our health? First, welcome to the Instagram generation.

Instagram SusannahMakram

Instagram SusannahMakram

As an osteopath I’ve only seen teenagers in my clinic in the last 3 years of my 10 years in practice. But we’re an instagram generation now. All day we scroll. Is instagram really bad for our health though?

Students on instagram

If you’re an International student in London you might have sudden back pain. Why? Can low back pain or neck pain come from the stress of study? Can new muscle ache, migraine or headache be related to tension in our muscles? can our bodies respond in this way also to being in a new environment? A new study room, lots of books and lot’s of work on the computer. A new bed too!

mind and technology cleanse

mind and technology cleanse

Is it any wonder the ipad and instagram have added to our problems. Body imbalance from strains and sprain of muscles and ligaments can affect our sleep too. This makes us unable to concentrate and feel tired all the time. 

What’s the best mattress for back pain?

How does scrolling affect our posture?

susannahmakram instagram

susannahmakram instagram

As part of a new treatment, entitled the ‘Mind & Technology Cleanse’ at The Bulgari Hotel London Spa, a two-hour session promises to treat our technology-ridden bodies. Do you really need two whole hours and what will a single session achieve exactly. Ask us now! 02070603181


Cure Your Instagram Addiction

The Spa that will cure your instagram addiction they called it……

Are you an iphone addict and would you stop scrolling if you knew what it did to, not just your overall health but also performance. What if we were more productive and is quitting instagram really the answer?

In truth, you might have no idea how much you’ll benefit from the sessions until you have them. Why? Osteopathy is not just for back pain.

So what do they think about it @ Amuse ?! 

Osteopath in London

Osteopath in London

Why see an osteopath? Osteopathy in London is more accessible – why?  For Cranial treatment, back pain, sports injury? Back pain or neck pain may be a reason for osteopathy. Some osteopathic techniques can help optimise health.

FAQS @ Susannah Makram Clinics – Do I have to be in pain to book an appointment with the London osteopath?

The simple answer is no. We work using the functional health philosophy that health is more than the absence of disease.

Osteopathy for Sports injury

Typical multifaceted clinical presentations:
Chronic pain – 3 months plus – e.g. back pain or neck pain
– Unexplained feeling unwell or tired IN SPITE OF conventional medical testing revealing no abnormal findings ?

Sports injury

Sports injury

Timing. When’s the right time for physical therapy? When we use functional health as the model to care for our client, we can discuss care pathways available.

Functional Osteopathy — What?

  • Trigger Point Therapy
  • Cranio-sacral Therapy or Cranial Osteopathy
  • Myofacsial stretching and sliding cupping
  • Strain Counter Strain Techniques
  • Controlled Joint traction and mobilisation
  • Gentle Joint Adjustment

 

SAFE. CLINICAL. PRACTICAL. EFFECTIVE.

If we do not feel you are safe to treat we will refer you for emergency or private further investigation or care.

Is Osteopathy For Me?

Osteopathy is a primary care profession. Your osteopath focuses on the diagnosis, treatment, prevention and rehabilitation of musculoskeletal disorders. Also your osteopath focuses on the effects of these conditions on your general health.

Functional Osteopathy

Functional Osteopathy

We use many diagnostic procedures applied in conventional medical assessment. Your osteopath seeks to restore the optimal functioning of the body, where possible without the use of drugs or surgery.


The human body has an amazing capacity to repair and recover. Osteopathy helps remove any barriers to that process.


In short, an Osteopaths aim is to help restore optimal function, but more importantly, prevent pain returning and injuries from reoccurring.

FAQS @ Susannah Makram Clinics – Can I claim osteopathy on my private medical insurance?

Many private health insurance policies provide cover for osteopathic treatment.  It may be possible to claim for a course of treatment. It is advisable to check in advance with your insurance company before seeking Osteopathic treatment, in order to confirm the available level of cover and whether you will need to have a referral from your GP or a specialist.

Functional health — How?

What about Functional Nutrition

Can the right functional testing can help us make small, simple changes to our diet? Changes that have a greater impact on our quality of life.

In modern times, we want our nutritional facts and we want them NOW! But are they up to date? Where are the clinical trials?
We say we need to change. What we need is to stop saying it and take action before it’s too late.

Our choices of nutrition are becoming recognised – finally! – as massive drivers to our health. This is good news because in modern times we’ve never been sicker. Our food has a lot to answer for.

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Why Osteopathy

Back pain

Back pain isn’t the only reason why 30,000++ people every day in the UK visit their osteopath… 6 reasons why below.

(i) What’s the difference between an osteopath, a chiropractor and a physiotherapist?
(ii) Do I need to have back pain to book an appointment with my osteopath?
(iii) Do I need a referral to see my osteopath? (The answer is no!)

why osteopathy

So let’s start at the very beginning! WHY OSTEOPATHY then WHEN OSTEOPATHY.

6 reasons why osteopathy works:

  1. You’ve had a minor injury but it’s now several days later and it isn’t improving
  2. You have ongoing pain and know you’re popping too many pills in order to cope with it
  3. After pregnancy your body is struggling to return to normal and baby is terribly unsettled too
    pregnancy osteopathy

    why osteopathy

  4. You’re in training for a sporting event and you want to perform the best you can and avoid injuries
sports injury osteopathy

sports injury osteopathy

 

             5. You’ve got a debilitating condition which can’t be cured but is causing you great discomfort
6. You suffer with regular headaches and migraine which makes your life a misery

How does osteopathy work?

To an osteopath, for our body to work well, its structure must also work well. So osteopaths work to restore our body to a state of balance, where possible without the use of drugs or surgery.
Why osteopathy? Osteopaths use 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.
Your osteopath may also provide advice on posture and exercise to aid recovery, promote health and prevent symptoms recurring.

So, why osteopathy? Osteopaths are like ‘Pain Detectives’. Highly skilled at working out where the main problem or issue is happening. Osteopaths trace back to the actual cause of the pain and deal with that too.

Why osteopathy at Susannah Makram Clinics ? It’s SAFE. CLINICAL. PRACTICAL. EFFECTIVE. What are Susannah’s colleagues and clients saying about her? 

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Corporate Wellness

Stress Management

Approx. THREE MILLION employees take long-term sick leave or say they’re unable to work due to back pain according to research from Nuffield Health.

WHY HAVE someone accountable for employee wellbeing?
ACHIEVEMENTS = (i) a dynamic workplace by (ii) capitalising on good stress and eliminating bad stress.
This (iii) keeps the team motivated for their consistent (iv) optimal performance


Poor ‪diet‬ and lack of physical activity ‪‎(PA) are major risk factors for non-communicable diseases (NCDs) including type 2 ‪diabetes‬ (T2D), cardiovascular diseases (CVDs) and many cancers.

↵ WHO. Global Health Risk: Mortality and Burden of Disease Attributable to Selected Major Risks. Geneva: World Health Organization, 2009.
↵ Ezzati M, Riboli E. Global health behavioural and dietary risk factors for noncommunicable diseases. N Engl J Med 2013; 369:954–64.


Corporate Wellness

Corporate Wellness

✅ We keep stress levels down ⬇️  and morale up ⬆️
✅ We help your team prepare for marathons and team building exercises.
✅ We help you achieve goals and targets in the workplace.
✅ We help keep your team working energetically in the office for longer.

Corporate Wellness

Corporate Wellness

Team Building

✅ You won’t have to move out of your comfort zones — ask us how today. Call the number below. Start the conversation today.

✅ We provide health checks as a more rounded healthcare package than your private health insurance.

✅ We provide goal-oriented functional nutrition plans that fit into your square mile lifestyle

✅ We provide on site physical therapy to LOWER the LEADING cause of sickness leave or absence from work.

Find out how. 

Health checks

Health checks

Corporate wellness:- AROUND 30,000 PEOPLE currently consult their OSTEOPATH every working day –and the number is rising! Keep employees at work and on time.

We improve the health of your workforce and our corporate wellness packages provide evidence of our success. Decrease absences and increased presenteeism. We:

(i) Save you money by minimising lost working hours.
(ii) Make you money through a healthier, more productive workforce.

Back pain in the workplace

Back pain is the MOST COMMON reason employees take time off work. 30,000 people in the UK see their osteopath and this number is rising.

Corporate wellness – what is it exactly? We help you develop programmes designed around your team’s natural performance enhancement for stress management and fitness. Whether you’re training for a marathon or simply being challenged and falling sick from stress, we’re here to make it super simple to use the resources you already have to hand in the workplace– and we mean it.

Stress management

Stress management

With 10 years experience working with the highest stress level workers — in the medical community, business owners, in the legal profession, professionals in the field of finance; traders, bankers etc… We know you can’t bear thinking about another thing.
We improve the health of your workforce AND we provide evidence of our success. Just ask Dr John and more…

“I am very pleased to recommend Susannah Makram. I have worked with her both with patients requiring osteopathy and with patients requiring dietary advice. I have found her advice to be intelligent and practical and her guidance easy to follow and I have no hesitation in recommending her to my patients.”
Dr J M Outhwaite FRCP
Consultant physician in Orthopaedic Medicine

Corporate Wellness

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DNA Methylation Epigenetics

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DNA Methylation Epigenetics

Are our genes making us fat? Do we inherit chronic skin conditions & hair loss? DNA Methylation Epigenetics Our DNA contains instructions for building all parts of our body. So, although genetic polymorphisms predispose us to developing a certain health condition, epigenetics or how our environment impacts our genes plays a larger role in the development of a chronic condition such as eczema. 1) 2)

  • The DNA in our bodies is wrapped around proteins called histones.
  • Both the DNA and histones are covered with chemical tags. This second layer or structure is called the Epigenome.
  • The epigenome shapes the physical structure of the genome. It tightly wraps inactive genes making them unreadable. It relaxes active genes making them easily accessible.
  • Different sets of genes are active in differential types.
  • The DNA code remains fixed for life but the epigenome is flexible.
  • Epigenetic tags react to signals from the outside world such as diet and stress. The epigenome dynamically responds to the environment. Stress, diet, behavior, toxins, and other factors regulate gene expression.
  • The epigenome adjusts specific genes in our genomic landscape that responds to our rapidly changing environment.
DNA methylation epigenetics

DNA methylation epigenetics

Our body is a system, an ecosystem where everything is connected. When that system is out of balance, diseases arises.

Nutrigenomics teaches us how to prevent, treat and reverse almost every chronic illness. Chronic disease include diabetes, high blood pressure, depression, allergies, asthma, IBS, reflux, migraines, acne, low sex drive, fatigue and more.

Disease goes away as a side effect of getting healthy. When we treat the cause or causes with proper understanding of these processes that led to the disease, then we’re going to change. We won’t accept that simply living with certain conditions is acceptable.

Immune Modulation and Chronic Inflammation

Chronic inflammatory disorders such as eczema, acne and psoriasis – skin conditions – are characterised by a hyper responsive immune system.  10 key epigenetic factors must be addressed to regulate and better coordinate our immune response.

1.  Blood Sugar instability  Blood sugar imbalances cause immune dysfunction and malcoordination.  Stable blood sugar is critical for a healthy immune response.

2.  Low Vitamin D Levels Individuals with low vitamin D3 levels (below 40 ng/ml) are at significant risk for developing chronic inflammation and allergy-like conditions 3)

3.   Gut Dysbiosis  Unhealthy microbial imbalance in the gut microbiome leads to leaky gut syndrome and chronic inflammation 4) so we’ve got to address gut issues in order to get well.

4.   Mitochondrial Dysfunction  The mitochondria are the energy producing organelles in each cell of the body.  They are extremely key in the bodies ability to handle oxidative stress.  Dysfunction in the mitochondria leads to increased free radical and oxidative stress which creates immune alterations. Low Glutathione Levels. Glutathione is the major antioxidant within every cell of the body.  It’s critical for white blood cell (WBC) function as the WBCs encounter tremendous amounts of free radical and oxidative stress every second of the day. Low glutathione leads to chronic inflammation and often to auto-immunity 5).

6.  Methylation. Methylation is a key process that protects DNA, turns on and off genetic traits and helps to detoxify environmental chemicals.  Many of us individuals have certain genetic polymorphisms that limit their ability to appropriately methylate. Methylation plays a very important role in T cell function and poor methylation status is associated with the development of autoimmunity. Psoriasis is a T cell mediated inflammatory skin disease. 6)  Poor Omega 6:3 ratio  – the average person has significantly more omega 6 fats than omega 3 fats.  The increased omega 6 stimulate the release of pro-inflammatory mediating prostaglandin molecules.  This is a key factor in the development of chronic inflammation and skin related disorders 7).

Epigenetics

Epigenetics

7.  Environmental Toxins:  Exposure to high levels of infectious microbes, environmental chemicals, pesticides, herbicides, beauty, hygiene and other personal care products, heavy metals and biotoxins e.g. mold. These wear down our body’s glutathione levels, alter the gut microflora and increase inflammatory activity in the body (7, 8, 9).

8.  High Stress High mental and emotional stress increases stress hormone production. This changes our posture and the way we breathe, which in turn induces inflammatory activity within the body. Poor posture, breathing and musculoskeletal aches and pain that result can simulate chronic mental and emotional stressors 10)

9.  Lack of Sleep Poor quality sleep promotes immune dysfunction and increased inflammation throughout the body. Good sleeping habits and optimal melatonin secretion reduce inflammation and promote improved tissue healing 11).

10.  EMF Exposure  Electromagnetic frequency exposure has been shown to alter the function of the immune system. Also, its been shown to increase one’s susceptability to developing an auto-immune condition 12)

What is osteopathy?

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Common Causes Of Back Pain

Low back pain affects 1/3 of us. Back pain isn’t normal. What can we do? Keep reading for common causes of back pain.

What’s osteopathy exactly?

Osteopathy includes treatment techniques that can vary from osteopath to osteopath.
Osteopathy is a safe form of physical therapy. The treatment goal is to optimise movement and restore mobility. This can help REDUCE PAIN intensity. Also, it’s to prevent further injury, which can be debilitating.

Is focus on POSTURE important? OUR dynamic posture is how we move; how we breathe; how we sleep.

What’s the result of physical therapy?

Did you know, in Britain, our BACK PAIN ranks as the leading cause of absence from work?
EVERY DAY 30,00 people in the UK see an OSTEOPATH.
As an osteopath we know there’s a huge difference between your first episode and subsequent episodes of low back pain. 

That’s not all…

What’s the most common cause of back pain?

Just how much chronic back pain are GP surgeries seeing day in, day out? In most cases, commonly, the cause of back pain has been cited as muscle strains or sprains. These are best approached with initial treatment. Initial treatment includes physical therapy or osteopathy.

Sciatica

The diagnosis of sciatica and its management varies within and between countries. (1) The radiating leg pain and related disabilities make this condition highly impactful on quality of life. Exact data on the incidence and prevalence of sciatica is lacking. In general an estimated 5%-10% of patients with low back pain have sciatica. (2)

iStock_000001550919_Small

What is Osteopathy? 

 

What is osteopathy?

There are four main principles of osteopathy:

  1. The Body is a Unit
  2. Structure governs function
  3. The body is capable of self-regulation, self-healing and health maintenance
  4. The Rule of the Artery is Supreme

SAFE, CLINICAL, PRACTICAL, EFFECTIVE

WHAT IS OSTEOPATHY? SAFE

In 2006, the Department of Health published guidelines entitled The Musculoskeletal Services Framework, to include osteopathy. Musculoskeletal back pain is the bulk of what registered osteopaths treat, on a day-to-day basis.

The osteopathic profession sees that initial screening takes place at first consultation. If necessary, appropriate referral (for further investigation) is made. Osteopathy at Susannah Makram Clinics is not for everybody. Also, not every  is suitable for osteopathic treatment. Not every patient is suitable for all techniques of osteopathy. This relieves the burden on GPs vastly as osteopaths do not need referral in order be clinically safe.

The National Council for Osteopathic Research (NCOR) and the British Osteopathic Association                                                       have conducted a standardised data collection (SDC) exercise. The report is available on the NCOR website.

The Royal College of General Practitioners issued guidelines for GP’s, which recommends manipulation. This performed by osteopaths, for the relief of acute low back pain.

WHAT IS OSTEOPATHY? CLINICAL

The General Osteopathic Council defines osteopathy as: “…a primary care profession, focusing on the diagnosis, treatment, prevention and rehabilitation of musculoskeletal disorders, and the effects of these conditions on patients’ general health.”

time for a checkup

osteopathy

Your osteopath assesses by medical history taking and physical examination. Orthopaedic physical exam at consultation assesses for muscle strength; nerve function etc.
Gait analysis looks for patterns of dysfunction. At Susannah Makram Clinics we also look for musculoskeletal function. Susannah focuses on dynamic movement – our posture. Finding our posture changes our life.  We help optimise recovery and prevent injury.

Osteopathy (BSc Degree) is a four-year full-time programme.

Modules of study include: Principles of Osteopathy; Anatomy; Physiology; Osteopathic Technique; Soft-Tissue Techniques; Pathology; Nutrition; Diagnosis; Exercise Physiology, Orthopaedics and Traumatology; Psychology; Pathology; Paediatrics; among others.

The clinical teaching, standards and time requirements are the same as for the Masters in Osteopathy.

Functional healthcare relies on working with the best. That’s why Susannah Makram Clinics is established from years of experience. Do your research before you choose your specialist. Your health is your wealth. Invest wisely.

(1) Weinstein JN, Lurie JD, Olson PR, Bronner KK, Fisher ES. United States’ trends and regional variations in lumbar spine surgery: 1992-2003. Spine 2006;31:2707-14.
(2) Younes M, Bejia I, Aguir Z, Letaief M, Hassen-Zroer S, Touzi M, et al. Prevalence and risk factors of disc-related sciatica in an urban population in Tunisia. Joint Bone Spine 2006;73:538-42.


Safe, clinical, practical and effective.


Call  020 7060 3181