Osteopathy & Osteopaths
Although osteopaths are best known for treating neck & back problems and
yes spinal problems are the mainstay of most osteopathic practices, but
many will be surprised by the range of problems that osteopathy may be able
to help with.
A few examples of the
problems that people seek osteopathic help for;
-
Arthritic Pain
- The pain of osteoarthritis (common arthritis) affects most of us sooner or later.
-
Colic in
newborn babies is a common complaint that many parents seek cranial osteopathic
treatment for. The wonder of babies is that they are so adaptable & usually
respond with only a few treatments.
-
Joint pain in
general - whether it be tennis or golfer's elbow, frozen shoulder, RSI
(repetitive strain injury) of the wrist, sprained ankle, foot problems (i.e.
heel spur, fallen arches), or the painful knee, hip or S.I. (sacroiliac) joint.
-
Headaches -
many headaches have their origin in the upper neck & is officially called
cervicogenic head pain and the neck itself may not be painful. Other 'hidden'
upper neck problems may also contribute to migraine, disturbance of balance, vertigo, jaw
problems, ear pain, scalp tenderness or numbness, sinus pain, brain fog - the
inability to focus or think clearly, etc.
See
A-Z for
more on this.
Osteopathy is a safe and natural approach to health care,
treating individuals for health problems from the trauma of birth to the
arthritis of the ‘third age’. From the cradle to the rocking chair, as it
were.
Osteopaths consider the body as the physical aspect of the
whole person, rather than merely a structure to protect and support the vital
organs. It is a ‘hands on’ approach using a highly trained sense of touch to
examine and identify dysfunction within the body. Treatment is focused on the
cause (where possible), rather than just treating the symptoms. Just rubbing
the sore bit rarely works! Improving the function of the dysfunctional
areas, optimises the body’s ability to heal itself and relief from the
symptoms usually follows.
A wide range of approaches may be used including:-
-
soft tissue - massage/manipulation/stretch, etc.
-
passive joint movement (articulation)
-
manipulative techniques. these are wide & varied,
but include the famous click as a joint releases.
-
cranial osteopathy.
Osteopathy is not a ‘quick fix’, despite often giving some immediate
relief of acute painful symptoms. If advised, it is wise to have some further treatment to
address the underlying problem, to reduce the risk of the problem returning.
NB
No techniques or treatment approaches are used
that are known to be dangerous or without permission.
If you are unsure then ask!
We are only too happy to explain what
we intend to do & why.
The technique that seems of most concern is
manipulation of the neck. The results of a Swedish study showed that it was
safer to have a course of neck manipulation over 6 weeks than to take a course
of non steroidal anti-inflammatory drugs over the same period. These are the
aspirin based 'over the counter' type anti-inflammatories.
There are situations, of course, were this
approach is less advisable. i.e. When there is a high risk of stroke,
weakness/degeneration of the bones (i.e. osteoporosis & osteopenia) or that the client just feels too
apprehensive
about this manipulative technique.
There are always other ways to treat a
problem.
Manipulation is just one approach
of many!
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Intro
Osteopathy being a Holistic approach to health, means
that the focus is on the individual & their circumstance, rather than a particular
‘named condition’. However to answer this question, without individual
assessment, it is easier to talk in these general terms.
Back & Neck Pain
Osteopathy is a particularly successful approach to
treatment of spinal pain. Most commonly in the low back and neck, but
often these can refer pain to the lower and upper limbs respectively. Similarly,
stiffness/pain originating in the limbs, such as arthritic, injury (i.e.
'whiplash') or
repetitive strain (RSI) conditions may also be
helped.
Headaches
Many headaches, sometimes inappropriately diagnosed as
migraines, originate from stiffness/tension in the joints of the upper neck and
treatment often brings relief.
It is about trying to get to & treat the
underlying cause, rather than the symptom! In this case pain that the
brain perceives to being in the head.
Pregnancy
Osteopathic treatment can help to reduce the additional
stresses and strains associated with pregnancy by helping the body adapt
to the changes involved.
The extra weight at the front tends to pull the lumbar
spine forward, which can irritate the small facet joints at the
back of the spine. Once aggravated they tend to lock together,
causing further pain, muscle spasm & sometimes radiating pain around
the waist, into pelvis, buttock or leg.
Cranial Osteopathy for
Babies & Children
Cranio-Sacral osteopathy is especially suitable for
children and the new born with conditions such as glue ear, colic and the
detrimental effects of a difficult delivery. These may also manifest as
restlessness, behavioural problems or learning difficulties.

This approach tunes into the subtle, rhythmic
Involuntary Movement System that occurs throughout the whole body. The
effects of previous or recent trauma can compromise the function of this
system and may lead to a reduced ability to compensate for the stresses
and strains of daily life.
I should say that this approach is not just for
children, but can be used on anyone.
Research
There is also research showing the effectiveness of
osteopathic treatment with Glue Ear, Irritable Bowel Syndrome ( IBS),
Chronic Fatigue Syndrome (CFS/ME) and menstrual problems, amongst others.
Close
These are given as a few examples, as each person is
assessed on their own merits and possible outcomes discussed.
Ultimately,
health is the responsibility of the individual and with the right
treatment & advice, all but the most severe conditions may
be alleviated. As a very general rule, the more severe or longer you've
had the problem - the longer it will take to recover. Having said that, it
is not that unusual for, say a 10 year old problem to resolve with a few
treatments.
For other conditions - see the
A-Z
section.
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This should be a pleasant and relaxing experience, with
confidentiality maintained at all times. The first session includes a full
musculo-skeletal & medical case history, physical assessment and evaluation
for a diagnosis, and treatment plan to be agreed. The case history is also
important to asses the appropriateness of certain techniques and any need for
possible tests or referral elsewhere. As thorough as we try to be, it is
important for your safety to tell us of any medical conditions before any
treatment is given. It may be possible that we can help with these too.
Normally treatment is included in the first consultation,
unless the case is particularly complex or further investigations are required.
The fee is for the consultation, advice and/or treatment, not for the time
period involved. It is possible to over treat people and quite often - less
is more - in osteopathy, as the body needs time to adjust to changes.
There are many different ways to treat a problem and it is
important that you let your osteopath know if you have any diagnosed conditions
or if you have concerns, especially regarding manipulation.
Occasionally people experience ‘flare ups’, this is most
likely to happen the following day. If this does happen, and we have not advised
otherwise, then it is important to do your best to keep moving generally,
without over-doing it. This will reduce the build up of inflammation and little
& often is the key. Hot & cold compresses (5 mins each) will also help.
Other self help advice is often given that may include stretching,
strengthening, relaxation exercises, posture, etc., as appropriate. This is to
aid recovery and avoid re-occurrence. Follow-up treatments are shorter and
charged accordingly.
Miracles take a little longer!
Generally speaking, the older the problem - the longer it
will take to resolve. It is important to be realistic about the outcome and that
you need to do your bit - we can not do this alone.
Once the problem has settled it may be recommended that an
occasional maintenance or preventative treatment is given to help avoid a
further crisis. This also keeps your record open and avoids having to do a
re-assessment, with a new case history. Otherwise, we can only keep your record
open for 18 months - this is for reasons of legality & safety. If we don’t
see you in the meantime then we need to start from scratch and charge
accordingly.
The cure of this ill - is not to sit still!
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No summary on this subject can be complete without a
mention of Dr Andrew Taylor Still ‘discoverer’ of osteopathy, as he
put it. From Virginia, he served as an army doctor on both sides of the
American Civil War. Following the tragic loss of his wife and three
children from meningitis he became disillusioned with the orthodox
medicine of the day, known as ‘heroic medicine’ with good reason.
Inspired by the philosophies of the native Americans and principles of
Ayurveda (that he learned from two Swamis he met), he founded osteopathy
in 1872. Western influences
are thought to have been from the medieval art of bone setting still
practiced in some remote areas of the UK.
Ayurveda (science of life), originally from the ancient
Indian Veda (some of the earliest known Sanskrit texts approx. 5000 BC),
is the oldest known health system. It is the original holistic approach to
life & health. It is
currently being popularised in the West by one its' greatest proponents
& widely written authors -
Dr
Deepak Chopra.
Amongst those who studied under A.T.Still were
D.D.Palmer, William Garner Sutherland DO
and Dr John Martin Littlejohn.
Palmer went on to develop Chiropractics. Sutherland, after many years of
research developed cranio-sacral osteopathy (or cranial osteopathy). Like Still
he did not accept any credit himself, but insisted that all the answers lay in nature. Littlejohn, a British physiologist with
many other accreditations, brought home osteopathy to the UK, to found the
first osteopathic college in Britain - The British School of Osteopathy in London,
1917.
In America osteopathy was recognised and incorporated into
mainstream medicine in the 1960s. As a result they have specialised
medical colleges that osteopathy is taught alongside orthodox medicine.
However, by their own admission, this has meant that some of the
focus may have moved away from the original principles of osteopathy.
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There are many modern variations on these, but we feel Dr Still’s original principles of osteopathy,
despite the old English, are
just as valid today, as they were then.
-
The Interrelation of Structure and Function
If the structure of the body is compromised, (i.e. injury,
strain, overuse, etc.), then it is likely to have a detrimental effect on the
function (i.e. stiffness, pain or instability). This also works in reverse, in
that a lack of stretching before & after exercise or lack of exercise in
general (functional) - will cause a shortening of the muscles (structural)
leading to stiffness.
The cartilage that covers most of our joint surfaces has a
limited blood supply, so relies heavily on the fluid within the joint for its
nutrition. Regular movement of the joint through a good range of movement stimulates
the production of the ‘synovial’ fluid and distributes it around the joint
surfaces.
In other words - Use it or lose it!
-
The Body as a Unit (or whole)
Dr Still used this expression over 50 years before the actual
naming of Holism by Jan Smutts (1926). In short it means that each part effects
each & every other part and that the ‘whole’ is greater than merely the
sum of these parts. An example might be:- short hamstring muscles at the back of
the thighs may lead to a backwards tilt of the pelvis. This in turn flattens the
curve of the low back (making disc injuries more likely) and the rest of the
spine above has to adapt to stop us tipping over. As the body strives to keep
eyes & ears level the upper neck is usually the final point of compensation,
which may result in head & neck pain.
-
The Medicine Chest Within
Again, A.T.Still was ahead of his time. Bearing in mind that
very little was known then of the immune, healing, chemical & hormonal
systems of the body. In short, he was suggesting that we should stimulate and
support the persons own healing systems. In doing so, the body is able to
resolve all but the most severe of conditions.
-
The Rule of the Artery Reigns
Supreme
(One should include vein and lymph drainage.)
For healing to occur there needs to be a good blood supply to
be able to provide the nutrients and immune cells to the area. Equally, there
needs to be effective drainage via the veins and lymph vessels from the area.
This is to remove the waste materials and by-products of the healing process,
such as inflammatory fluids. Inflammation is the source of the pain in most
painful conditions.
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Osteopaths
are primary health care practitioners & are now statutorily regulated,
like
doctors and dentists.
This means that;
-
Osteopathy is recognised as a discrete discipline by the British Medical
Association.
-
We asses & diagnose according to osteopathic principles, although any
tests you may have had or medication you are taking will be important
information for your care.
-
You don't need to be referred by your doctor.
-
If you would be better helped by orthodox medicine we will advise on this.
-
Your doctor shouldn't 'officially' disapprove of osteopathic treatment.
There seems to be the general belief that we only treat back & neck
problems, and if you have a condition, such as, osteoporosis, then you
shouldn't have osteopathic treatment.
This is not true - but you
do need to tell us
if you have any condition, even if you think it is not
relevant.
-
In some areas you can be referred for osteopathic treatment on the NHS,
check with your GP.
-
All osteopaths should
now be registered with the General Osteopathic Council,
as a legal requirement to practice.
-
It is currently being debated whether we should be called doctor &
whether we should be given drug prescribing rights.
Osteopaths have a thorough training in anatomy,
pathology, physiology, biomechanics, interpretation of clinical tests and
imaging, and relevant areas of psychology and sociology. Qualified
osteopaths will have an academic qualification indicated by
DO,
BSc, BOst or MLCOM.
Osteopathy is an established system of assessment, diagnosis and manual treatment,
which is recognised by the British Medical Association as a discrete
clinical discipline in its’ own right.
In 1993 the profession was given statutory recognition
by Act of Parliament and as a result the voluntary register (MRO’s)
of 60 years was disbanded. This set a precedent in being the first
complimentary health discipline to achieve this.
The new statutory
register is The General Osteopathic Council (GOsC)
and membership is mandatory to use the title ‘osteopath’ (since the
7th May 2000).
Many private health insurers now
have cover for osteopathy, but do check the policy before consulting
for the following;
-
you are covered for osteopathy
-
if cover is only for a new
or particular type of complaint
-
if you need to be referred by a GP
for your claim

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