NB: This is a blog of our personal opinions, and is provided as a brief overview of things we think you might find interesting.

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  • Boobs – they’re just so important, for so many of us; so let’s get a bit better at looking after them.

     

    Repetitive trauma or bouncing up and down from jogging, jumping, dancing, or many other forms of activity, can cause permanent damage resulting in breasts dropping. The breasts are composed of mainly fatty tissue with the mammary glands and muscle. The muscle is deep so cannot help much in supporting the breast. There are, however, ligaments interwoven through the breast called Coopers Ligaments, which help hold the breasts up; but they and are thin and not very strong. If the breasts are not supported properly with a good sports bra then repetitive bouncing can stretch these ligaments permanently.

     

    It is not just the larger breasted women who suffer breast pain when exercising; smaller breasted women can suffer from jogger’s breast just as much. It is also possible that breasts that are not properly supported can lead to tension and strain in the upper back and neck, particularly in the larger breasted woman. The excess weight at the front can mean the back muscles have to work harder to keep the shoulders in the correct position. Massage and posture can help reduce the tension, and pain this results in; but can’t do anything for the boobs themselves – prevention is better than cure. So wear the correct sports bra. This should give support and prevent vertical movement as well as side to side movement.

     

    There are many types of sports bra available and the most suitable for one person is not necessarily the best for another person. When choosing a sports bra you should take into account:

    Support level - this will depend on your size (larger breasts need more support) and your sport (high impact?)

    Compression or encapsulation - Compression bras basically compress the breasts against the chest and are usually crop-top styles. Encapsulation bras keep the breast separate in defined cups, more similar to a standard bra. Women with larger breasts should pick an encapsulation bra. Smaller breasted women may feel a compression bra is sufficient. A few styles both compress and encapsulate.

    Strap width - Make sure the straps are wider than a standard bra. This will help support and breasts and prevent the straps digging in.

    Material - Make sure the material is breathable and comfortable to wear. Also ensure that there are no seams on the cups which could cause nipple chafing!

     

    You can find out more here:

    www.nhs.uk/live-well/exercise/right-sports-bra-can-reduce-breast-pain

    www.sportsinjuryclinic.net/features/sports-bras

    www.chiropractic-uk.co.uk/wp-content/uploads/2016/04/Mind-your-posture-bra-fitting.pdf

    The right sized sports bra will help prevent joggers' breast

    How to know your sports bra is the right size

    Sports bras should be correctly fitted

    At Back In Action we also offer free consultations. This will take about 10-15 minutes where we can talk in general terms about your condition, and see if we can point you in the right direction for treatment. Whether that is with ourselves, someone else, or on your own at home. Call today to schedule your free no obligation consultation.

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    As we’re in the New Year’s Resolution time of year; let’s have a look at getting and keeping active.

     

    PE has a lot to answer for. If it brings to mind freezing changing rooms and slogging through muddy fields then it’s likely you’re not alone in those thoughts. The inspiration that PE was meant to offer a future generation to be active and stay healthy is all too often sadly lacking. It doesn’t have to be this way; exercise can = activity which can = something YOU enjoy

     

    When jobs were predominantly manual, when kids climbed trees (more often) and cars were a luxury, physical activity was a regular and normal part of life. With modern day progress has come a requirement for us to go out of our way to achieve even slightly raised heartbeats, which is a shame at best and harmful at worst; it is after all, what our bodies are naturally designed to do and many of the health epidemics – obesity, back pain, diabetes, heart disease – sweeping the modern world can be directly linked in part to our modern reduction in physical activity.

    Most people KNOW the facts and don’t need convincing that exercise will do them good. But directly opposing this knowledge are the often negative perceptions attached to exercise and the fact that many of the benefits – feeling better, living longer, being healthier – can seem abstract and indirect and don’t really cut it when faced with a comfy sofa, an unfinished box set or simply less effort expended.

    It’s possible that we’re biologically programmed to not exert ourselves unless there’s an immediate, tangible reason to do so, then there are the biases and beliefs that we’ve acquired over a lifetime and any previous negative experiences of exercise – PE yes I’m talking about you – make skipping out of the door with a huge smile in place something that even the most enthusiastic gym bunnies can struggle to achieve.

    But remember, it may not be as involved as you think. Guidelines recommend: 150 mins/week of moderate aerobic activity or 75 mins/week of vigorous aerobic activity. That’s less than 30mins/day of ‘moderate’ activity. “Moderate” means brisk walking; housework; gentle cycling (10-12mph). Moderate isn’t all that difficult to achieve and may well already be part of your day. And if not, with a little thought it probably could be. Walk or cycle instead of driving? Clean the windows or mow the lawn? ‘Vigorous’ activity requires a little more effort but make that a walk up Cleeve Hill, ride the bike a little quicker or some serious garden action and you’re there.

     

    If you enjoy it your brain will remember that enjoyment, and feed it forward into anticipation (just like trying to do something you don’t enjoy). If you don’t enjoy it, bin it; don’t let negative associations getting a grip – you’re unlikely to stick with it anyway – and save your precious time for something else.

    Not sure what you enjoy? Then be a doer; make an effort, have a think and investigate – remember it doesn’t actually have to be something that hard to do or incorporate into your life and it certainly doesn’t have to be hockey / rugby / running / swimming or whichever sport it was that put you off in the first place. Try a dance class, borrow a dog for an hour, take the kids for a bike-ride and picnic (or simply explore the pubs in surrounding villages), volunteer at the nature reserve, maybe pop down to the sailing club and try messing about on the water or join a friend who keeps blathering on about their Zumba, Pilates or Taekwon-Do… the possibilities are endless. We will all enjoy different things – find what works for you and own it; and accept that what you enjoy may not be the first thing you try.

     

    Start Small = Last Long

    If you haven’t broken into a jog since you were a slim, fit youngster then any past ‘10 miles before breakfast’ are likely to be an unrealistic target currently, leading to pain and injury if you manage even half that. Be realistic about what you think you can achieve injury-free and then reduce it slightly. If you’re not sure what you can manage then simply start very small and gradually bump up – miles, minutes, reps – from there. E.g. follow a ‘CouchTo5K’ plan to get into running, gently and realistically increasing your mileage and letting your body avoid overuse injuries by becoming gradually fitter and stronger.

    You only have to prove it to YOU

    Do whatever activity floats YOUR boat and makes YOU feel better and happier overall – remember, a brisk walk to the shops / chasing the grandkids / gardening is likely enough. There IS some effort required to get organised, get out the door and partake but choose wisely and the overall effect will be a fitter, healthier and crucially HAPPIER you.

    If you’re really struggling with motivation then consider where your mental health is at and if you think you need a helping hand, see your GP. There is no perfect way to train, no one size fits all; draw your own map and see where it takes you.

    And finally

    Chiropractic &/ Massage can play a huge part in tackling your physical niggles and advising and helping you get healthier, fitter, stronger and consequently happier. We’re here if you need us!

     

    #LoveActivity #Chiropractic #Massage #ExerciseWorks #Tewkesbury

     

    Find out more here:

    www.nhs.uk/live-well/exercise

    www.csp.org.uk/frontline/article/csp-campaign-love-activity-hate-exercise

    www.chiropractic-uk.co.uk/new-research-shows-movement-physical-activity-best-treatment-backpain

    www.gov.uk/government/publications/health-matters-getting-every-adult-active-every-day/health-matters-getting-every-adult-active-every-day

    How much physical activity should you do

    How active are we

    What counts as moderate physical activity

    What are the health benefits of physical activity

    Physical activity map

    Active travel

    At Back In Action we also offer free consultations. This will take about 10-15 minutes where we can talk in general terms about your condition, and see if we can point you in the right direction for treatment. Whether that is with ourselves, someone else, or on your own at home. Call today to schedule your free no obligation consultation.

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    Let’s take a look at lower crossed syndrome (LCS).

    Lower crossed syndrome isn’t so much a diagnosis as it is a common pattern of muscular imbalance, which can cause or be caused by poor posture, and altered function of the joints in the lower spine and pelvis.

    LCS is characterised by weakness of the Lumbar flexors (abdominals), and hip extensors (gluteals); along with tightness of the lumbar extensors (erector spinae and QL), and hip flexors (iliopsoas, TFL). This muscle pattern allows the pelvis to tilt down at the front, increasing the natural arch of the lumbar spine; in turn this position often causes tightness in the hamstrings as the body tries to correct that tilt.

    Essentially, the human body is still better evolved (in some aspects) for walking around on 4 legs, rather than 2. Our animal companions have a single arch through their spine, with all the organs hanging below it, held in a cocoon of abdominal, diaphragm and pelvic floor muscles; with the deepest (transverse) layer of the abdominal muscles providing resistance against gravity. For humans, we have a reversed curve in our lower back, which allows us to walk upright; and this means that our organs hang off the front of the body. Transverse abdominus then has no gravity to resist, and no reason to hold tension; which releases tension in rectus abdominus allowing the front of the pelvis to droop away from the ribs. This drooping of the pelvis at the front; increases the arch of the lower back, encouraging the hips to hold a little flexion; so the lumbar extensors and hip flexors shorten, whilst rectus, and the hip extensors lengthen… which then leads to the cycle feeding into itself and repeating. Tightening the abs and glutes; whilst relaxing and stretching the hip flexors and lumbar extensors counters this cycle.

    You can find out more here:
    www.muscleimbalancesyndromes.com/jan…/lower-crossed-syndrome
    www.physio-pedia.com/Lower_crossed_syndrome

    Lower crossed syndrome

    Lower crossed syndrome explained

    Exercises for lower crossed syndrome

    At Back In Action we also offer free consultations. This will take about 10-15 minutes where we can talk in general terms about your condition, and see if we can point you in the right direction for treatment. Whether that is with ourselves, someone else, or on your own at home. Call today to schedule your free no obligation consultation.

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    Massage 14 December 2018 | Comments (0)

    What actually is massage?

                            

    Massage is a natural therapy involved with soft tissue manipulation and has evolved over thousands of years. From ancient China to present-day Europe, it has been used for the promotion and restoration of health. Massage is a non-invasive, non-threatening and natural therapy.

                                 

    Remedial Massage

    The term "Remedial Massage" refers to a variety of techniques specifically designed to relax muscles by applying pressure to them against deeper muscles and bones, and rubbing in the same direction as the flow of blood returning to the heart. This also includes the use of deep tissue strokes, to help more chronic (long-standing) problems of the muscles, tendons and fascia.

    This type of massage helps you de-stress and relax whilst loosening muscle tissue and releasing toxins from the muscles themselves.

     

    Sport massage

    Sports massage is typically used before, during, and after athletic events. The purpose of the massage is to prepare the athlete for peak performance, to drain away fatigue, to relieve swelling, to reduce muscle tension, to promote flexibility and to prevent injuries.

    Vigorous pre-event massage helps reduce sports-related injuries by warming, stimulating and preparing muscles and joints for increased activity while more restful post-sport techniques relieve sore, overworked muscles. Note: this does not need to be pitch-side.

    Maintenance sports massage can be considered a more vigorous remedial massage.

    Like any other massage at Back In Action, the treatment will be tailored to the individual.

     

    Or just for relaxation

    People often seek massage for stress, tension, feelings of fatigue or general weariness. Massage is excellent at promoting relaxation when used in conjunction with exercise and other activities which promote physical and mental well-being.

     

    You can find out more here:

     

    www.physio-pedia.com/Massage

    www.sportsinjuryclinic.net/treatments-therapies/sports-massage

    Massage

    Massage

    Massage

     

    At Back In Action we also offer free consultations. This will take about 10-15 minutes where we can talk in general terms about your condition, and see if we can point you in the right direction for treatment. Whether that is with ourselves, someone else, or on your own at home. Call today to schedule your free no obligation consultation.

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    Upper Core 07 December 2018 | Comments (0)

    Let’s take a look at core strength and stability for the shoulder girdle and neck.

     

    First of all – what is meant by your Core Musculature? Well, this largely depends on who you ask. As physical therapists, we mean the deep muscles that stabilise your body, and allow other, larger muscles to create movement from a firm base – the foundations if you like. The 2 most important areas for this core stability are for the pelvic girdle and lower back; and for the shoulder girdle and neck (the subject of this post).

     

    As humans, we’re evolved originally to be 4 legged animals, with pillars (arms), our spine suspended from here by lower shoulder stabilisers (rhomboids, lower trapezius), some animals (typically those which do not hold their body off the ground with their forelegs, eg apes, birds, aquatic mammals) further reinforced this structure by bracing from below (clavicle). The lower shoulder stabilisers are therefore postural in nature and, in bipeds, provide stability of the shoulder girdle, for the arms and neck that use that as a base. This is doubly important as the clavicle provides stability at the front upper quadrant; whilst these muscles provide stability at the lower rear quadrant of the shoulder girdle; which is great for stability. However, most of us have poor strength and control here, as our bipedal posture prefers to use the upper trapezius and levator scapula muscles to resist the downwards pull of gravity, so that muscular stability comes from the upper quadrant, alongside the clavicle; whilst the core stabilisers waste away.

     

    You can find out more here:

    www.physioadvisor.com.au/exercises/strengthening-joints/shoulder-blade

    www.sportsinjuryclinic.net/rehabilitation-exercises/shoulder-exercises/wobble-board-for-shoulders

    Muscles of the Upper Core / Shoulder Girdle

    Wall Angel Exercises to Stabilise the Upper Core / Shoulder Girdle

    The Interscapular Muscles shoulder act as a Suspension Bridge

    At Back In Action we also offer free consultations. This will take about 10-15 minutes where we can talk in general terms about your condition, and see if we can point you in the right direction for treatment. Whether that is with ourselves, someone else, or on your own at home. Call today to schedule your free no obligation consultation.

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    The rotator cuff is a group of 4 muscles which hold your arm to your shoulder blade. Despite their group name they do not cause much movement of the joint, rotation or otherwise; rather they stabilise and control the movement caused by other, larger muscles.

     

    These muscles are particularly prone to overuse or repetitive injuries, traumatic tearing, or impingement from other structures. It can be cause by any repetitive action of the shoulder, fall onto the shoulder, or simply the process of aging. Often, the pain associated with this condition is experienced as an ache in the shoulder that increases to a sharper pain or catching pain with certain activities. Occasionally, pain may also be experienced in the upper arm, shoulder blade, upper back or neck. Weakness or a feeling of instability for the shoulder or arm, is often a hallmark of this condition. The POLICE protocol for tissue healing should be applied; with ice massage and the optimisation of the tissue load (rest, massage, gradual strengthening) being particularly useful forms of treatment for these conditions; whilst unresponsive cases may require steroid injections or even surgery.

     

    You can find out more here:

    www.physioadvisor.com.au/injuries/shoulder/rotator-cuff-tear

    www.sportsinjuryclinic.net/sport-injuries/shoulder-pain/rotator-cuff-strain

    www.physio-pedia.com/Calcific_Tendinopathy_of_the_Shoulder

    Right shoulder from the front

    Testing for a possible rotator cuff tear

    At Back In Action we also offer free consultations. This will take about 10-15 minutes where we can talk in general terms about your condition, and see if we can point you in the right direction for treatment. Whether that is with ourselves, someone else, or on your own at home. Call today to schedule your free no obligation consultation.

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    Sciatica 16 November 2018 | Comments (0)

    Let’s take a look at sciatica.

     

    Sciatica is the term given to symptoms experienced from compression or irritation of the sciatic nerve; it is not a diagnosis so much as a collection of symptoms; so a diagnosis will still be needed before starting treatment. The sensation of sciatica will be familiar to anyone who’s banged their “funny bone”; but located in their buttock, leg, foot and sometimes the back. Different diagnoses result in different treatment plans and different expectations for recovery, same may resolve in days, whilst others may never resolve completely.

     

    Whilst most cases resolve within a couple of weeks; for those that do become chronic, the best thing you can do to improve the prognosis, is to start treatment sooner; which is a bit of a catch 22. As a rule of thumb, if the sciatica is significantly reduced after 5-6 days, then you shouldn’t need any treatment; if it is barely improved, or still worsening, then treatment might be a good idea, even if it’s just in the form of advice on how to manage the pain at home, and prevent it coming again.

     

    You can find out more here:

    www.chiro-trust.org/back-pain/low-back-and-leg-pain-is-it-sciatica

    www.nhs.uk/conditions/sciatica/Pages/Introduction.aspx

    Sciatica

    Pain from Sciatica

    Managing low back pain and sciatica

    At Back In Action we also offer free consultations. This will take about 10-15 minutes where we can talk in general terms about your condition, and see if we can point you in the right direction for treatment. Whether that is with ourselves, someone else, or on your own at home. Call today to schedule your free no obligation consultation.

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    Medical Imaging 09 November 2018 | Comments (0)

    Yesterday was the International Day of Radiology, so let’s take a look at medical imaging.

     

    First of all, I love a good X-ray or an MRI / CT scan.

    However, they are not always appropriate, and just like opioids, or statins, they have been overprescribed recently, and making the news.

    Medical imaging will show you the gross anatomy, and whether it is “normal” or “abnormal” or even “normally abnormal”. It will not tell you whether what it shows is clinically relevant; it just adds to the overall clinical picture.

     

    Imaging carries risks, whether the risks of radiation (X-ray / CT scan) or just the risk of false-positives; that is, an abnormal finding that is irrelevant to the patient’s wellbeing – until they find out, at which point it becomes a negative to the patient’s perception of their wellbeing.

    For example, a researcher called Brinjikji in 2014 found that, if you took MRI scans of a completely healthy people, ½ of all 30 year olds will have a degree of “disc degeneration”; ½ of 40 year olds would have a “disc bulge” and ⅓ of 50 year olds would have some “facet degeneration” (AKA osteoarthritis). This proves that these things can be completely normal, and not lead to any problems – which doesn’t mean that they can’t, just that it’s normal, and doesn’t have to be acted upon.

     

    Imaging of biomechanical complaints should NOT be done “just in case” or “to have a look”; imaging should NOT be done to reassure the doctor or the patient. For non-traumatic, non-complicated cases, the image is highly unlikely to change the treatment plan for the better; but might well change it for the worse. You may feel that your doctor isn’t listening to you when they opt not to send you for imaging, but it will generally mean that they’re simply following current guidelines.

    Imaging absolutely SHOULD be done in cases where there are red flags for a serious pathology (such as unexplained weight loss; loss of swallowing/bowel/bladder control; high fever; or loss of feeling/strength in the legs or arms). It SHOULD be done in patients who don’t recover as expected (such as failing to improve with less-invasive care; or failing to improve significantly after 2 months duration).

     

    You can find out more here:

    www.choosingwisely.co.uk

    www.choosingwisely.org/patient-resources/imaging-tests-for-back-pain

    Reliability of Reading MRI Scans for Low Back Pain

    Incidence of False Positive Findings in the MRI Scans of Symptom-free Individuals

    Colour MRI Scan of the Neck

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    Let’s take a look at tension headaches.

     

    Tension headache is a neurological disorder characterized by a predisposition to attacks of mild to moderate headache with few associated symptoms. This is the most common type of primary headache: its lifetime prevalence in the general population is estimated at up to 70-75%. The pain from tension headaches typically comes from muscle tension, often the muscles of chewing, or those which hold the head stable at the top of the neck. Consequently there is a large overlap between tension headaches and cervicogenic headaches (where the pain originates in the neck, but is felt in the head); where the same headache could be correctly classified both ways simultaneously.

     

    Tension headaches typically last anywhere between a few hours to several days; and are usually caused by stress or tension; whether one feels like a “stressy” person or not. Most cases are episodic; but they can become chronic, or be just a one-off; the key to this is to address the cause of the stress/tension in the first place; this can be through relaxation strategies, or through identification and elimination. The pain is often felt on both sides of the head; in a band-like distribution, and is often coupled with sleep disturbance, and/or tightness in the shoulders, neck or jaw (other physical manifestations of stress). The severity is usually mild to moderate; and they are not associated with any visual or auditory disturbance or sensitivity.

     

    You can find out more here:

    www.nhs.uk/Conditions/headaches-tension-type/Pages/Introduction.aspx

    www.chiro-trust.org/headaches/tension-type-headaches

    Tension Headache

    Muscles of the Skull

    Different Headache Types - Tension Headaches

    At Back In Action we also offer free consultations. This will take about 10-15 minutes where we can talk in general terms about your condition, and see if we can point you in the right direction for treatment. Whether that is with ourselves, someone else, or on your own at home. Call today to schedule your free no obligation consultation.

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    Let’s take a look at plantar fasciitis.

                   

    Plantar fasciitis is the most common cause of heel pain, accounting for around four out of five cases.

    The plantar fascia is the thick band of tissue that connects the heel bone with the rest of the foot, forming the arches of the foot, and is essential in the spring mechanism when toeing off in gait. The plantar fascia can become damaged and thickened either by trauma, or through the micro-trauma of gradual wear and tear. The plantar fascia share fibres with the achilles tendon, and it is often a good idea to look at both of these areas for treatment, along with things like footwear, gait etc.

     

    The symptoms of plantar fasciitis can come on over the course of several hours to several days; and will often get worse with time; potentially leading to the formation of heel spurs. Patients typically experience sharp pain and tenderness in the heel, or sole of the foot; which can be aggravated by activity, or by prolonged rest. There are many, many potential causes of plantar fasciitis; and getting to the root cause of the issue for an individual can often be the single most useful piece of information for treating them. However, treatment with the POLICE principal of Protection, Optimal Loading, Ice, Compression and Elevation; specifically with ice massage, stretching and strengthening the muscles of the foot and ankle are also useful in most people; but they may have limited use on preventing recurrence.

     

    You can find out more here:

     

    www.physioadvisor.com.au/injuries/foot/plantar-fasciitis

    www.sportsinjuryclinic.net/sport-injuries/foot-heel-pain/plantar-fasciitis

    Plantar Fasciitis

    Self-Care for Plantar Fasciitis

    What Plantar Fasciitis feels like

    At Back In Action we also offer free consultations. This will take about 10-15 minutes where we can talk in general terms about your condition, and see if we can point you in the right direction for treatment. Whether that is with ourselves, someone else, or on your own at home. Call today to schedule your free no obligation consultation.

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    Osteoporosis 19 October 2018 | Comments (0)

    Tomororw is World Osteoporosis Day so let’s take a look at Osteoporosis.

     

    Osteoporosis is a metabolic condition where the calcium leaches out of the bones, leaving them less dense, more porous and brittle; leading to an increased risk of fracture. Bone density is only really built up in the first 25 years of life, held stable for the next 15 or so, before reducing naturally with time; more rapidly with the menopause. Thus it is important for later-life health that teenagers and young adults have a diet higher in calcium (dairy, collards etc) and partake in regular weight-bearing exercise, preferably with a degree of impact (eg. running, boxing, dancing etc); as this will help stockpile calcium in the bones to start with. The same advice, with additional vitamin D and vibration training can help slow the leaching of the bones in those aged over 45.

     

    NB: Whilst chiropractic and massage cannot treat osteoporosis, or the fractures it can result in; this does not mean that we cannot treat you. You will need to let us know that you suffer from osteoporosis, so that we can make allowances within the treatment plan.

                   

    You can find out more here:

    www.iofbonehealth.org

    www.nhs.uk/conditions/Osteoporosis/Pages/Introduction

    www.physio-pedia.com/Osteoporosis

    Osteoporotic Changes Visible on X-Ray

     

    Bone Health Over Time - Osteoporosis

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    We're coming to the end of National Arthritis Week; whilst today is World Arthritis Day. So this week, let’s take a look at degenerative joint disease (DJD).

    AKA Osteoarthritis, Spondylosis, or even “Wear and Tear”.

     

    DJD is a normal part of aging - just like grey hairs; and is not painful in and of itself; but can cause other structures to become symptomatic. Consequently, whilst medical imaging (X-ray, MRI) can confirm that DJD is present or not; the severity of change on the image tends not to be in proportion to the severity of symptoms the patient is experiencing; and therefore imaging is RARELY appropriate or necessary to diagnose or assess DJD.

     

    It is caused by an excess of movement or load – whether briefly in the case of traumatic onset; just a little every day, for decades; or through carrying too much weight every day for several years. DJD symptoms include joint pain with stiffness and increased muscle tension as the body try to stabilise the area; eventually growing new bone to buttress the joint.

     

    Treatment typically involves pain control by medication or other measures; controlled mobilisation of the joint, through exercise and/or manual therapy; and strengthening of the muscles which support the joint, through exercises like pilates or rehab. If you are overweight, weight loss can often help improve DJD symptoms, but is unlikely to be a “golden bullet” unless combined with increased activity and fitness.

     

    NB: There is no way to treat DJD itself, and any treatment plan can only have the aim of relieving symptoms, which can only be temporary (though “temporary” may mean anything from hours to decades). Consequently, we talk in terms of “management” rather than “cure”; and it may be a good idea to consider maintenance based treatment whilst feeling pain free and mobile, to keep you that way.

     

    You can find out more here:
    www.nhs.uk/Conditions/Osteoarthritis/Pages/Introduction

    www.physio-pedia.com/Osteoarthritis

    Affect of Osteoarthritis on a joint

    Osteoarthritis Target Joints

    Osteoarthritis as seen on X-ray

    At Back In Action we also offer free consultations. This will take about 10-15 minutes where we can talk in general terms about your condition, and see if we can point you in the right direction for treatment. Whether that is with ourselves, someone else, or on your own at home. Call today to schedule your free no obligation consultation.

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