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Osteopath In London

Back pain

Back pain isn’t normal. Our London osteopath sees low back pain; sciatica; musculoskeletal issues; sports injury.

Sciatica

Spinal manipulation therapy

Spinal Manipulation Therapy

Studies show high prevalence of sciatica. It’s not as uncommon as we think. We offer chronic pain solutions, functional posture assessment and comprehensive care pathways.

Did you know?
There are around 5,000 osteopaths in the UK who undergo an extensive, four-year training and are a closely regulated profession with very high standards.

Our reviews show what optimising health means to medical doctors, the elderly, high performance CEOs.
Low back pain is commonly seen by London osteopath Susannah. But we’re all in need of personalised care and advice. Either an osteopath or chiropractor might employ spinal manipulation or adjustment “back crack”, to free up joints that have become compressed. Spinal manipulation is one physical therapy technique we offer as part of a whole spectrum of treatments that are effective for musculoskeletal conditions. Find out what osteopathy feels like if you’re not sure. 0207-060-3181
Find out what happens when a new patient comes to our London clinic for osteopathy with Susannah here.

Osteopath In London

Osteopaths and chiropractors undergo four years of training, and must complete a programme of further education every year in order to be allowed to stay on the General Osteopathic Council register and the General Chiropractic Council, respectively.
Any chiropractor who is not on the register is practising illegally. Similarly, under the Osteopaths Act 1993, it is an offence for anyone to describe themselves as an osteopath, either expressly or by implication, unless they are registered.
People are advised never to visit a chiropractor or osteopath without first checking their credentials – and with good reason.
Susannah is registered with the General Osteopathic Council.

Osteopath In London

Osteopath In London

Spinal Manipulation therapy

Osteopaths generally work across the whole body, regarding it as a single, functional unit. They concentrate more on soft tissues and stretching, using manual therapy. Your osteopath may suggest exercises to promote posture correction.

Posture

Posture

If we ignore the warning signs of neck pain and back pain we might end up with a problem requiring urgent attention or one that requires us taking rather a lot of time off work. We describe this service, not as a a luxury, but rather an investment. If we don’t change, our posture will and so our optimal health goals diminish.
We take greater risks from this point onwards. It takes longer to fix a problem the longer it has been there.

Ask us what we can do for you. Find out exactly what it is you’re investing in. This way you’ll not only know what you’re getting but you’ll never find this type of knowledge or experience elsewhere. It’s not found in a product and it’s a personalised type of care that takes years of experience to deliver. Knightsbridge osteopathy. If it’s good enough for Gwyneth…

Health Risks Of Obesity

Posted on: by Susannah 1 Comment

What is Obesity

In an adult the diagnosis of obesity is most commonly made using BMI levels. These provide a measure to be viewed in parallel with the health risks of obesity. BMI is calculated as weight in kilograms (kg) divided by height in metres squared (m2). Ideal BMI is 18.5 to 24.9 kg/m2. The following classification is advised by NICE:

  • A BMI of 25-29.9 kg/m2 is overweight.
  • A BMI of 30-34.9 kg/m2 is obese (Grade I).
  • A BMI of 35-39.9 kg/m2 is obese (Grade II).
  • A BMI of ≥40 kg/m2 is obese (Grade III) or morbidly obese, meaning that weight is a real and imminent threat to health.

Waist circumference in men:

  • <94 cm is defined as low risk.
  • 94 to 102 cm is defined as high risk.
  • >102 cm is defined as very high risk.

Waist circumference in women:

  • <80 cm is defined as low risk.
  • 80 to 88 cm is defined as high risk.
  • >88cm is defined as high risk.

Waist circumference is used in combination with BMI to assess your health risk of obesity       [tweetthis]Waist circumference is used in combination with #BMI to assess #health risk of #obesity[/tweetthis]

Obesity and Genetics

Obesity is the result of a complex pathophysiological pathway involving many factors that control adipose tissue metabolism. Cytokines, free fatty acids and insulin all play a part and genetic defects are likely to have a significant effect on the fine balance of this process. Nam H, Ferguson BS, Stephens JM, et al; Impact of obesity on IL-12 family gene expression  in insulin responsive tissues. Biochim Biophys Acta. 2013 Jan;1832(1):11-9. 

Obesity and Health

Obesity and Health

KRS2 is one gene that has recently been identified as being implicated in obesity and metabolic rate. DNA sequencing in over 2,000 obese individuals identified multiple mutations of the KRS2 gene, and mutation carriers exhibited severe insulin resistance and a reduced metabolic rate. It may be that modulation of KSR2-mediated effects may have the potential to have therapeutic implications for obesity.
Pearce LR, Atanassova N, Banton MC, et al; KSR2 mutations are associated with obesity, insulin resistance, and impaired cellular fuel oxidation. Cell. 2013 Nov 7;155(4):765-77.

Find Out More…

Living with morbid obesity means living at risk for serious health conditions for both men and women combined where applicable. For example, the health risks of obesity are – in terms of the following diseases:-

Type 2 Diabetes
Hypertension
Myocardial Infarction
Colon Cancer
Angina Pectoris
Gall Bladder Disease
Ovarian cancer
Osteoarthritis
Stroke

Obesity and Health

Obesity increases the risk of breast cancer. It also increases the risk of carcinoma of the endometrium. Polycystic Ovary Syndrome PCOS is usually associated with obesity, as is stress incontinence. Obesity impairs fertility in males and females. Obesity increases the risk of fatty liver, along with other features of the metabolic syndrome. Obesity is an important risk factor in the development of chronic respiratory disorders such as COPD, asthma, obesity hypoventilation syndrome, obstructive sleep apnoea. If the person develops a surgical condition, diagnosis is more difficult and almost every postoperative complication is more frequent, including deep vein thrombosis DVT chest infection and wound dehiscence. Not only is osteoarthritis  more common but treatments such as total hip replacements are more likely to be problematical in obesity.

Stress Test Questionnaire

Posted on: by Susannah 2 Comments

Stress and Sick

Chronic stress can have debilitating consequences on our mind and our body.
DID YOU KNOW? Our body is hard-wired to react to stress in ways that actually protect us. It’s our natural stress response. It works for us against threats from predators and other aggressors.

Our body’s stress-response system is usually self-limiting. Once a perceived threat has passed, hormone levels return to normal.
As adrenaline and cortisol levels drop, our heart rate and blood pressure return to baseline levels, and other systems resume their regular activities. Increased cortisol levels commonly challenge those with high stress jobs that go on to suffer with metabolic syndrome. You can work out the likelihood and prevent this if you take ownership at the right time.

Chronic Stress

When stressors are always present, we constantly feel under attack. That fight-or-flight reaction? It stays turned on.The long-term activation of the stress-response system — and the subsequent overexposure to cortisol and other stress hormones — can disrupt almost all your body’s processes. This puts you at increased risk of numerous health problems.

Your levels of stress – how do they add up?
Take this stress test and add up your scores. The results at the end are a guide.   [tweetthis]The 60 second #stress test – add up your scores. The results at the end are a guide.[/tweetthis]

Stress Test

YOUR AGE:

  • Under 45 years [1]
  • 45–54 years [3]
  • 55–64 years [2]
  • Over 64 years [2]

Weight and Stress

Body Mass Index **

  • Lower than 25 kg/m2 [1]
  • 25–30 kg/m2 [2]
  • Higher than 30 kg/m2 [3]

BMI Calculator

Divide your weight in kilograms (kg) by your height in metres (m) then divide the answer by your           height again to get your BMI.  [tweetthis hidden_hashtags=”#weightloss #nutrition”]How to work out your #BMI [/tweetthis]

Fat and Stress

Waist circumference measured below the ribs (usually at the level of the navel)

MEN

  • Less than 94 cm [1]
  • 94–102 cm [2]
  • More than 102 cm [3]

WOMEN

  • Less than 80 cm [1]
    Stress Management

    Stress Management

  • 80–88 cm [2]
  • More than 88 cm [3]

Stress Test

Have you ever taken medication for high blood pressure on regular basis?

  • No
  • Yes [1]

Have you ever been found to have high blood glucose (eg in a health examination, during an illness, during pregnancy)?

  • No
  • Yes [1]

Have any of the members of your immediate family or other relatives been diagnosed with diabetes (type 1 or type 2)?

  • No
  • Yes: grandparent, aunt, uncle or first cousin (but no own parent, brother, sister or child) [2]
  • Yes: parent, brother, sister or own child [3]

  • Stress Test Score – to checklist Below

    • 0 = Never/Rarely
    • 1 = Occasionally/Slightly
    • 2 = Moderate in Intensity or Frequency
    • 3 =Intense/Severe or Frequent

    ✓ My ability to handle stress or pressure has decreased.

    ✓ I am less productive at work.

    ✓ I seem to have decreased in cognitive ability. I don’t think as clearly as I used to.

    ✓ My thinking is confused when hurried or under pressure.

    ✓ I tend to avoid emotional situations.

    ✓ I tend to shake or am nervous when under pressure.

    ✓ I suffer from nervous stomach indigestion when tense.

    ✓ I have many unexplained fears/anxieties.

    ✓ My sex drive is noticeably less than it used to be.

    ✓ I get lightheaded or dizzy when rising rapidly from a sitting or lying position.

    ✓ I have feelings of greying or blacking out.

    ✓ I am chronically fatigued; a tiredness that is not usually relieved by sleep.

    ✓ I feel unwell much of the time.

    ✓ I notice that my ankles are swollen — the swelling is worse in the evening.

    ✓ I usually need to lie down or rest after sessions of psychological or emotional pressure/stress.

    ✓ My muscles sometimes feel weaker than they should.

    ✓ My hands and legs get restless — experience meaningless body movements.

    ✓ I have become allergic or have increased frequency/severity of allergic reactions.

    ✓ When I scratch my skin a white line remains for a minute or more.

    ✓ Small, irregular dark brown spots have appeared on my forehead, face, neck and shoulders.

    ✓ I sometimes feel weak all over.

    ✓ I have unexplained and frequent headaches.

    ✓ I am frequently cold.

    ✓ I have a decreased tolerance for cold.

    ✓ I have low blood pressure.

    ✓ I often become hungry, confused, shaky or somewhat paralyzed under stress.

    ✓ I have lost weight without reason while feeling very tired and listless.

    ✓ I have feelings of hopelessness and despair.

    ✓ I have decreased tolerance. People irritate me more.

    ✓ The lymph nodes in my neck are frequently swollen (I get swollen glands on my neck).

    ✓ I have times of nausea and vomiting for no apparent reason.

    ✓ I am easily fatigued

    ✓ I often have to force myself in order to keep going.

    ✓ Everything seems like a chore

    ✓ I have difficulty getting up in the morning (don’t really wake up until about 10:00am

    ✓ I suddenly run out of energy

    ✓ I usually feel much better and fully awake after the noon

    meal

    ✓ I often have an afternoon low between 3:00-5:00pm

    ✓ I get low on energy, moody or foggy if I do not eat

    regularly

    ✓ I usually feel my best after 6:00pm

    ✓ I am often tired at 9:00-10:00 pm, but resist going to

    bed

    ✓ I like to sleep late in the morning

    ✓ My best, most refreshing sleep often comes between

    7:00-9:00am

    ✓ I often do my best work late at night (early in the

    morning).

    ✓ If I don’t go to bed by 11:00pm, I get a second burst of

    energy around 11:00pm, often lasting until 1:00-2:00am

    RESULTS 
    TOTAL SCORE:
    45-65… It is unlikely that you experience significant amounts of stress to impact your lifestyle or health at present
    65-90… It is unlikely that the stress you experience is negatively impacting your health at present
    90-150… The stress you experience may be having serious negative health implications  
    150+… It is likely that the stress you experience is having serious negative health implications  
    Health Conditions associated with Chronic Stress 
    Type 2 diabetes – Adrenal Fatigue Syndrome – infertility – Autoimmune diseases – Depression – Anxiety Disorders – Digestive problems -Heart disease – Sleep problems – Weight gain – Memory and concentration impairment
    How to find the UNDERLYING issues that PREDISPOSE us to chronic illness.
    What or why are they TRIGGERED by PROLONGED periods of STRESS?
    How do we nip it in the bud BEFORE we’re sick?

          IN THE FOUR PHASES 

  1.  Consultation is Key
  2.  Physical Exam is Key
  3.  Special Investigations may include blood pressure average reading, adrenal stress test, blood sugar readings, blood work
  4.   Naturopathic Portfolio  HOW is stress affecting our health? Do we require special investigations? One type of stress management doesn’t work for every body. If working in a high stress job is affecting our health but we can’t check out into a spa then we need to know what to do to prevent chronic illness.

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.

Summary:

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.

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