Approximately 25% of our patients come to us with a specific complaint of lower back pain running down the leg. Often referred to as SCIATICA, the discomfort can be described as a deep dull ache or a sharp and burning pain. The pain may be continuous from the back of the thigh all the way to the foot. It is not uncommon for patients to also complain of pins and needles or numbness in their limbs especially when sitting or driving.

There are two main causes of sciatica; the nerve may be trapped under or within the piriformis muscle, a muscle deep in the buttock, or there may be misalignments of the spine, causing irritation on the small nerves which form the sciatic nerve.

The symptoms can be brought on by old injuries, repetitive strains, poor posture, motor vehicle accidents or just everyday living.

In several studies conducted in the UK, Australia and North America to establish the efficacy of spinal manipulation as a treatment for lower back pain researchers reported that “the trend for spinal manipulation to produce better results than any other form of treatment to which it was compared was very consistent”. Patients have consistently reported to have had longer lasting results, fewer relapses and much faster recovery from back and leg pain.

If you suffer from
• Pins and Needles in the leg
• Sharp stabbing pain in the leg
• Difficulty sitting, standing or walking
• Lower back pain
• Muscle spasms and stiffness

then it’s time to see your Chiropractor!

Those who suffer from migraine will know too well that it is much more than just a headache. It can strike anywhere and any time, often without warning.

Migraine affects about 15 in every 100 people in the UK and is most common in adults aged between 20 and 50. Women are twice as likely to suffer from the condition as men.

Migraine is a complex entity, usually characterized by unilateral head pain of a pulsating or throbbing quality. Clinically, migraine is subdivided into five phases: prodrome, aura, headache phase, headache resolution and postdrome. The prodrome is experienced by about 60% of migraine sufferers and is characterized by mood changes, food cravings, increased or decreased appetite, nausea, numbness and tingling, an inability or difficulty to speak and clumsiness/weakness of one side of the body. This is followed by an aura phase, experienced by about 20% of migraine sufferers, typically characterized by bright dots of lights in the visual field and saw tooth crescents of light. Following the aura phase, the headache begins, lasting anywhere between 4-72 hours. The headache is then followed by the postdromal phase, which is characterized by fatigue, irritability, mood changes and food intolerance.

Dysfunction of the cervical spine can be related to pain in the head /migraine, via the trigeminocervical complex (figure 1). In simplified terms this involves convergence of the greater occipital nerve (second cervical nerve, C2), with the trigeminal nerve (cranial nerve, V1) as it conveys pain sensation from the periphery towards the brain. This convergence can result in the brain interpreting pain as if it were originating in the head, when actually it may be originating in the joints of the cervical spine, thus resulting in a headache.

Figure 1

Chiropractic care may reduce the severity and frequency of migraine headaches, particularly in those patients with a cervicogenic/neck component to their migraine. Furthermore, the amount of medication required by migraine sufferers is often reduced during and following care. Some patients even report their migraines stop altogether! This can have a profound effect on people’s lives. Frequent migraines can be debilitating and can render a person unable to work, unwilling to socialise or even to get out of bed.

Find studies on migraine headaches and chiropractic here

Many patients find relief of migraines through chiropractic care. Please don’t suffer! If you would like to arrange a consultation, please call one of our clinics to make an appointment.

People are refusing to give up their addiction to tech, despite claiming they experience back or neck pain after using their devices, research reveals.

The consumer survey by the British Chiropractic Association (BCA) of more than 2,000 UK adults who currently suffer from back or neck pain, or have done so in the past, found that almost three in five (56%) people experienced pain after using some form of technological device.

Despite this, only 27% of people surveyed had limited or stopped using their devices due to concerns for their back or neck health and posture.
The research showed people were most likely to experience back or neck pain after using the following technological devices:

• Laptop computer (35%)
• Desktop computer (35%)
• Smart phone (22%)
• Tablet (20%)
• Games console (17%)

The age group most likely to experience back or neck pain when using their smart phone were 16-24 year olds, while nearly half (45%) of young adults 25-34 year olds) admitted to experiencing back or neck pain after using a laptop.

One in seven (14%) 16-24 year olds attributed their back or neck pain to virtual reality headsets.

As part of Chiropractic Awareness Week (10-16 April) the BCA is calling for technology companies to design devices with posture in mind, to help tech proof our back health.

BCA chiropractor Rishi Loatey comments: “We all know how easy it is to remain glued to our smart phone or tablet, messaging friends or scrolling through social media. However, this addiction to technology could be causing changes to posture, which can lead to increased pressure on the muscles, joints and discs in the spine.

“Technology companies are now starting to issue older phone models which hark back to a time before smart phones enabled people to do everything from check emails and take pictures, to internet banking. Returning to a time of basic functionality, which may see people look to limit the time spent on their phone, can only be good news for our backs.

“Yet, in an age where people can now track their health and wellbeing using their phone, technology companies should also start looking at ways to make their devices posture friendly from the outset, encouraging us to take time away from our desks and breaks from our scrolling, gaming and messaging.”

To help you use your technological devices without impacting your back or neck health and posture, the British Chiropractic Association provides their top tech tips to stay back pain free:

• Mind your posture: Be aware of your posture when using mobile devices on the go, don’t hunch over small screens and try to ensure you are never in the same position for a prolonged period.

• Be computer compatible: When sitting in front of your PC or laptop, sit in a chair that provides full support for your spine and make sure your shoulders, hips and knees face the same direction. Your seat should be adjusted so that your feet are flat on the ground and knees bent, but with a slope from your hips to your knees. You should end up with your hips higher than your knees and your eyes level with the top of the computer screen. You may need to put the screen on a stand, book or ream of paper to bring it to the right height.

• Keep your head up: The head is a heavy weight, so sitting with it forward of your body can put unnecessary strain on your neck and back. Try to sit with your head directly over your body.

• Try before you buy: Try out new gadgets before you buy them to make sure they’re comfortable to use and spend time setting them up in a way that works well for you.

• Bag it up: If you carry a laptop use a rucksack design laptop case, carry it on both shoulders and adjust the straps so that the bag is held close to your back.

• Stretch it out: When using your mobile, smartphone, laptop or tablet whilst sitting down, including on your commute, take the time to break position on a regular basis and stretch your arms, shrug your shoulders and move your fingers around as this helps to keep the muscles more relaxed. Try to avoid sitting in the same position for more than 40 minutes where possible.

The modern world is becoming increasingly complex, and the demands on our time and attention are many. It’s often said that stress is one of the most destructive elements in people’s daily lives, but that’s only a half-truth. The way we react to stress is more important than the stress itself!

There are three types of stress that affect the body: chemical stress, physical stress and emotional stress, all of which can create nerve interference in the body.
Chemical stress includes things you ingest or inhale. Preservatives in food, medications, alcohol, smoggy air and pollen are just a few examples of chemical stressors that can irritate the nervous system.

Physical stress includes repetitive motions, improper posture (such as leaning over your computer keyboard or falling asleep in an awkward position) and traumas such as car accidents or falling. Physical stress can result in muscle tightening or loss of muscle tone, which can contribute to joint and disc problems, ultimately resulting in the nerve disturbances that cause pain and immobility.

Emotional stress is less tangible, but often the bigger problem. Emotional stress includes worrying over finances, grief, anger or frustration, that result in tension in the body, particularly in any areas that are already weakened or overworked. This tension can lead to tight muscles and irritation of the nerves.

Chronic Stress means you never completely relax. Many studies of people who have been subjected to chronic stress have found evidence of negative health effects. These effects include high blood pressure, damage to muscle tissue, diabetes, infertility, damage to the immune response, and slowed healing from disease and injury. Stress reactions are also at the root of disorders such as post-traumatic stress disorder, and stress has been linked in human and animal research with cardiovascular disease.

The Chiropractic Approach

Chiropractors work primarily with the spine, the root of the nervous system through which nerve impulses travel from the brain to the rest of the body. One effect of chronic stress is prolonged muscle tension and contraction. This muscle tension creates uneven pressures on the bony structures of the body, often leading to misalignment of the spinal column.

Chronic stress also leads to nerve irritation. Chiropractic adjustments release muscle tension and reduce spinal nerve irritation, which helps the body return to a more balanced, relaxed state. These changes can, in many cases, convince the brain to turn off the fight or flight response, beginning the process of healing.

A chiropractor cannot make a job less stressful, or create a quieter, calmer world. What chiropractic treatment can do is help you develop healthy responses to stress, reducing potential physical damage.

If you or someone you know has been under a lot of stress, maybe it’s time for a chiropractic check-up?

New consumer research from the BCA has found that two fifths (41%) of people have been prevented from exercising due to back or neck pain.

Furthermore, a quarter (25%) of respondents reported their back or neck pain has deterred them from physical activity for up to a month, with a further 9% stating their back or neck pain has led to them avoiding exercise for over half a year. An unfortunate 34% felt it was exercise itself which triggered their pain.

To help people of all ages and fitness levels back pain-proof their work-out routines the BCA has developed these top tips:

• Know your equipment at the gym: When trying a new activity, it’s always best to make sure you ask your instructor how your equipment should be set up, and make sure it’s right for you. For example, if you’re cycling or spinning, you need to set your saddle and handlebar to the correct height so that you are in a comfortable position that isn’t putting tension on your neck or back

• Know your limits: Even professional athletes aren’t born ready, it takes time to build the intensity of your practice. If you try a new sport, or want to intensify your workout, it’s important to take a slow approach and not to push your body’s limits. It is always advisable to visit a professional who can assess your body’s capabilities and advise on a safe way of training based on your body’s limitations

• Warm up and cool down: Before starting any form of physical activity, you should warm up any muscle groups which might be affected whilst you exercise. If you use them without preparing them first, your muscles could get a shock, causing you pain which could have been prevented

• Reduce the impact: If a previous injury is causing you pain, adapt your exercise to reduce the impact on your joints and muscles. Activities such as swimming, walking or yoga can be less demanding on your body keeping your muscles mobile!

• Not all exercise is the same: The fittest of athletes will still find it difficult to adapt to a new sport, as each sport uses some muscle groups more than others. With this in mind, always approach a new activity with care and don’t assume that you can jump in at the deep end!

The British Chiropractic Association (BCA) recommends that, if you are experiencing pain for more than a few days then you seek professional help, as an undiagnosed problem could lead to longer-term problems if left untreated.

Dizziness is a common condition seen in the Chiropractic office. Individuals with cervicogenic (coming from the neck) dizziness will usually present with neck pain and may also experience headaches.

Neck pain may only occur with palpation (when touching certain areas of the neck); therefore, many people may not realize that their neck is a problem. Cervicogenic dizziness may occur in the absence of an injury or may occur months to years after a head or neck injury. Approximately 20-50% of people who have sustained a whiplash injury will experience symptoms of dizziness, vertigo, or decreased balance. These symptoms can be coming from the vestibular system, central nervous system, or neck. Dizziness may also occur as a result of arthritic changes, herniated disc, instability of the cervical vertebrae, muscle spasm, or postural adaptations such as scoliosis. Cervicogenic dizziness may occur gradually with continual worsening of symptoms or the onset may be rapid.

Faulty mechanics of the neck due to injury, muscle tightness, or poor posture may cause a sensation of dizziness. This is due to the connection between the nerve receptors in the upper neck and the vestibular system (inner ear and balance). The nerve receptors in the neck supply information about your head position and help with balance. This balance information works together with information from your eyes and inner ears to tell you what position your body is in with relationship to gravity and the ground. This gives you a sense of balance.

If the neck receptors are not providing the correct information and do not agree with the signals coming from the eyes and inner ears, the brain may get confused. This can result in the symptoms associated with cervicogenic dizziness. This connection between your neck, eyes, and inner ear also helps to improve your hand eye coordination, postural control, and balance. Therefore, damage or altered mechanics of the neck receptors may result in a sense of dizziness or disequilibrium and may decrease your coordination.

Chiropractic is a very effective treatment for cervicogenic vertigo as it is able to address joint dysfunction in the neck which is a major cause of the condition. The joints of the neck provide the brain with major input as far as head and body positioning. Joints that are fixed or immobile give the brain bad input and may cause vertigo. Chiropractic adjustments normalize the function and position of the joints and allow the joints to send the brain correct positioning information.

 

“Text Neck” or “Tech Neck” is when there are changes to the shape of a child’s spine due to bad posture. This can be caused by spending too much time looking down at a smart device, or by being hunched over a computer.

You can tell by looking at someone’s posture from the side. Does their head jut forward? Are their shoulders rounding forward?

More often than not these changes can be present without symptoms. Over time, text neck tends to get worse and can lead to headaches, neck pain, shoulder pain, and mid or lower back pain. It can even cause numbness and pain into the arms and hands and may lead to behavioural issues and difficulty concentrating.

Whilst this used to be more common in office workers, it’s now not uncommon to see children as young as 12 suffering from text neck.

What can you do?

Prevention is better than cure!

– Start the day with stretches. When you wake up your child in the morning, take five minutes to help them stretch. Stretching helps them to stay flexible and can help take strain and stress off the spine. It’s crucial to do this before they spend the whole day sitting at school or starting an activity in which they’ll be seated.

– Make sure your child gets at least 1 hour of physical activity every day.

– When using smart devices encourage your child to have them at eye level and not on their lap. Ensure their head isn’t hanging from their shoulders. A great way to encourage good posture is to have your child balance a book on their head while using their device. There are also many ipad stands on the market that can be placed on a table so your child is looking straight ahead.

See here for ways to hold your mobile device
Ways to hold your phone

– Ensure adequate hydration. The discs of the spinal column are mainly made up of water; therefore, it is important to stay hydrated during the day, in order to maintain flexibility and health.

– Limit screen time. Limiting screen time and helping your child to find a balance between the online world and the real world is important. This might be easier said than done, but to help your child stay healthy, it’s important to help them find other activities to fill their time.

If in doubt – please ask a chiropractor. Many of our patients report a big improvement in their posture after starting chiropractic care. Of course – the worse your posture, the more work can be involved, so correcting the problem sooner than later is advised!

Those who suffer from migraine will know too well that it is much more than just a headache. It can strike anywhere and any time, often without warning.

Migraine affects about 15 in every 100 people in the UK and is most common in adults aged between 20 and 50. Women are twice as likely to suffer from the condition as men.

Migraine is a complex entity, usually characterized by unilateral head pain of a pulsating or throbbing quality. Clinically, migraine is subdivided into five phases: prodrome, aura, headache phase, headache resolution and postdrome. The prodrome is experienced by about 60% of migraine sufferers and is characterized by mood changes, food cravings, increased or decreased appetite, nausea, numbness and tingling, an inability or difficulty to speak and clumsiness/weakness of one side of the body. This is followed by an aura phase, experienced by about 20% of migraine sufferers, typically characterized by bright dots of lights in the visual field and saw tooth crescents of light. Following the aura phase, the headache begins, lasting anywhere between 4-72 hours. The headache is then followed by the postdromal phase, which is characterized by fatigue, irritability, mood changes and food intolerance.

Dysfunction of the cervical spine can be related to pain in the head /migraine, via the trigeminocervical complex (figure 1). In simplified terms this involves convergence of the greater occipital nerve (second cervical nerve, C2), with the trigeminal nerve (cranial nerve, V1) as it conveys pain sensation from the periphery towards the brain. This convergence can result in the brain interpreting pain as if it were originating in the head, when actually it may be originating in the joints of the cervical spine, thus resulting in a headache.

Figure 1

Chiropractic care may reduce the severity and frequency of migraine headaches, particularly in those patients with a cervicogenic/neck component to their migraine. Furthermore, the amount of medication required by migraine sufferers is often reduced during and following care. Some patients even report their migraines stop altogether! This can have a profound effect on people’s lives. Frequent migraines can be debilitating and can render a person unable to work, unwilling to socialise or even to get out of bed.

Find studies on migraine headaches and chiropractic here

Many patients find relief of migraines through chiropracticare. Please don’t suffer! If you would like to arrange a consultation, please call one of our clinics to make an appointment.