Are you giving your back pain the attention it deserves?

london osteopath w1 n2 n10Treating people with a range of back problems is a mainstay of any Osteopath’s job. Therefore, we welcome a campaign such as Backcare Awareness Week (promoted by BackCare – the National Back Pain Association) that highlights this important public health issue. This year the campaign is aimed at younger people. The campaign reports that 1 in 4 secondary school children suffer from back pain. Naturally, the focus is on prevention this year, and who better to carry good practice and knowledge forward than children between the ages 11-16.

Back pain in adults in the UK

The statistics for adults too show why action needs to be taken. In the UK each year the people who suffer most commonly with back pain are people aged 35-55, but 8 in 10 of us will report some back pain at least once in our lives. The cost to the NHS in 2014 was £1m There is an enormous amount of help available in the form of pain clinics, health practitioners such as physiotherapists and osteopaths, and in extreme cases, surgery, but these are staggering statistics none the less.

Treating Back Pain at The Robin Kiashek Clinics

subhome-column-1Robin Kiashek has over two decades of experience in treating a range of painful conditions related to the spine. By providing a thorough assessment and a treatment plan, including exercises and guidance on how to prevent future occurrences, patients receive a personalised treatment plan well-rounded individual treatment that can bring relief and independence. If the problem is severe or prolonged, such as acute pain resulting from injury, a treatment plan can be adjusted over time to help a patient regain optimum movement and strength.

How Back Pain Can Affect Society

If we consider the toll that chronic pain takes on individuals and families, it is easy to see how the whole of society is affected. This is particularly true in people’s daily occupations: heavy lifting at work, long hours of driving, looking after children, the elderly or disabled. According to NHS statistics, in 2013/2014 2.8 million working days were lost due to back pain. If you are a sufferer or live with someone who is, then you’ll know how debilitating it can be.

Transformative Treatment for Back Pain

getty_rf_photo_of_hands_on_backYou will also recognise how life-changing good treatment is. At The Robin Kiashek Clinics the aim is to make treatment as transformative as possible, not merely temporarily effective. The treatment you will be given will not only relieve pain but help to strengthen the body in order to prevent further pain or injury. It is possible to relieve symptoms with an array of gentle treatments, all with your agreement, ranging from Osteopathy to Western Acupuncture and Low Level Laser Therapy (LLLT). Everything that Robin can offer is at your disposal to get you free of pain, or to get you to a place where pain is manageable and you are able to anticipate and mitigate problems yourself.

Experience tells us that back pain is very individual, often is the result of multiple factors interacting in a complex way, and that the best outcome for any sufferer is a tailored treatment plan, employing a few different methods, from changes in lifestyle, to regular re-evaluation. In many instances, consultation can be a re-education for a patient who has had little explanation of his or her condition in the past.

Want Help With Back Pain?

So, if a trip to the GP has not addressed your pain, or you feel that you have neglected to seek further help for long-standing back pain, call Robin Kiashek for a consultation appointment and highly individualised therapy. You have a choice two clinics, one in North London and one in Central London. Why not request an appointment today.

Here at Robin Kiashek Clinics we have been looking after patients with back pain and structural spinal problems for over twenty years. In some cases, pain is related to the way we are built but in others pain is present because of a recent or historical injury. Any pain is a signal that the body is out of balance and needs assistance in getting back to normal.

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At the Robin Kiashek Clinics, as well as treating acute pain when it occurs, we also aim to prevent problems in our patients before they take hold, so here is a list of 10 tips on how to look after your spine to ward off potentially debilitating problems.

Tip 1 – Rest Your Spine

We mean it! If you have suffered an injury or you are in acute pain, after seeing a specialist, ensure you thoroughly rest your spine. If there is swelling & inflammation, it will need time to go down and the tissue needs rest to recover.

Tip 2 – Wear Supportive Footwear

This might not be immediately obvious, or what you want to hear if you are a lover of high heels, but the plain truth is your footwear determines your posture. Your musculoskeletal structure is one system. Where one part is impacted it is felt elsewhere.

Tip 3 – Quit Smoking

This is not a big headline but it really should be. Nicotine and the general dehydration that goes along with smoking can adversely affect your spine. Also, in the same way that smoking affects blood vessels and circulation, it affects the vascular structures in your disks and joints. Many smokers suffer from lower back pain. It is no coincidence but backed up by research.

Tip 4 – Get a Massage

getty_rf_photo_of_hands_on_backMassage is good for so many aspects of your health. Primarily it helps increase endorphins – your body’s natural painkillers – that provide relief to sufferers of chronic pain. It helps stimulate your circulation, bringing a good blood supply to the affected area, and it improves your lymphatic drainage system helping your body combat disease.

Tip 5 – Limit Sitting Time

This is rather hard if you have a desk job, but you can combat stiffness and aches by regularly getting up from your desk and having a walk around, ensuring you get outside for part of your lunch break. Some people swear by standing desks. If at home, using advert breaks to get up and potter about for 5 minutes, or setting a simple kitchen timer for 45mins to remind you to move, could help you. Any movement and activity is good.

Tip 6 – Have an Ergonomic Workspace

Taking a little time in planning where and how to position your seat, your keyboard and screen or other things on your desk or workspace, can really save your back from straining and twisting. If you spend a lot of time shackled to a phone, for instance, it makes sense to give some thought to positioning essential tools or supplies.

Tip 7 – Practice Good Posture

Whether standing or sitting, try and be aware of your spine’s position. Stand with feet a comfortable width apart and try to hold your tummy in, elongating your spine if you can. When sitting, try to sit up, and if necessary, use a lower back support to help the natural curve in your back to stay in position. Knees bent at right angles and feet flat on the floor should also help steady your posture and support your spine. It’s surprising how we forget such a simple thing!

Tip 8 – Get Comfortable in Bed

Sleep will elude you if you are not comfortable in bed at night. Ask yourself if you need any extra support (maybe a cushion under your knees or between our knees if you sleep on your side) to take the pressure off your hips or lower back? Are you getting enough support from your pillow or mattress? Even things as basic as temperature and atmosphere can affect your sleep and whether you feel pain or not.

Tip 9 – Hydration, Nutrition and Weight

Drinking plenty of water is essential, whether you have a health complaint or not. Eating right also makes the difference in the speed at which you can bounce back from pain and injury. Particularly for people with any joint or muscle pain, sufficient hydration helps lubricate the joints and eating regular, well balanced meals means good lubrication of joints and disks, and nutrition reaching the parts of the body that are struggling. Excess weight puts unnecessary pressure on already beleaguered bones and joints, and can delay recovery or prolong pain. Consider seeing a dietician if you struggle with nutrition or controlling your weight.

Tip 10 – Stay Active and Exercise Your Core

As long as you aren’t in severe pain and have the green light to walk or exercise, try to do as much as you can manage, especially if your specialist has given you particular exercises to practice. If you are able to go to classes at the gym or are fortunate enough to have a personal trainer, depending on your level of fitness, you can hone in on core strength exercises to strengthen the muscles of your abdomen and back, and also your legs. This will support your spine and take the pressure off your lower back. Ensure your instructor is qualified to help you and always make them aware of your condition.

Be it a herniated disk or muscle strain, only a thorough examination by an experienced specialist can reveal the kind of pain it is, and consequently, how to treat it. At The Robin Kiashek Clinics we can offer the very best care and all that Robin’s vast experience can offer. Requesting a consultation is easy – click here to enter your details.

There are a number of questions I am frequently asked when I tell people I am an Osteopath. These generally go along the lines of “what do you actually do”, “how are you different from a Chiropractor” or “what can you treat?” Conversationally these questions are easier to answer, however this printed article has a finite word count. So in this instance I will direct you to my website www.robinkiashek.co.uk where not only these questions, but a multitude of others, are answered.

So why do people most commonly need an Osteopath?

london osteopath w1 n2 n10For me, within a clinical setting, I like to use the analogy of ‘The Dripping Tap Syndrome’. People will often have a small twinge or niggle of pain (a dripping tap over a glass scenario) which progressively starts to irritate that little bit more frequently (the glass starts to fill up). This can be over a period of weeks, months or even years. The analogical drip ultimately starts happening more often until eventually the final drop causes the glass to overflow and the patient experiences a significant increase in pain (commonly known as ‘acute’ pain). This ‘final drop’ can be an everyday event – maybe a sneeze, bending forward, a certain slight move etc

People come to me when the glass has overflowed. And my job is not only to turn it off, but to then understand why the tap was dripping in the first place. And the underlying reasons can sometimes be multifactorial – both on a physical level and sometimes emotional

How Can an Osteopath Help?

Assuming that someone has an issue which I can help, be that chronic or acute pain, sciatica, workplace injuries, sporting injuries or migraine, there is a very common set of three questions people ask me:

  1. What’s happening? (which is often a subtext for is it something more serious which I may not survive)
  2. How long will it take to fix?
  3. Will it come back?

A Holistic Approach to Health

Physiotherapist massaging patientUltimately I take a holistic approach to any health issue and, to go back to the analogy, find out why that dripping tap first occurred. As somebody who has undertaken extensive training from Osteopathy and Naturopathy, Post graduate studies in NeuroLinguistic Programming (NLP)/Life Coaching, Western Acupuncture, The Perrin Technique for Chronic Fatigue Syndrome and Low Level Laser Therapy.

Stopping the drip is normally the relatively straightforward part of what I do. When it comes to preventing it from recurring this is where I need to understand the individual patient’s causative factors and working alongside them, help reduce the probability of a re-occurrence.

We both want the same goal, the patient to be happy and pain free. And by working together that is a more likely outcome.

To find out more about working with me in North or Central London please call 020 8815 0979. Alternatively you can request an appointment directly through our website here: https://www.robinkiashek.co.uk//request-an-appointment/

low level laser therapyLow Level Laser Therapy (LLLT) is a treatment that can speed up certain healing processes by using specific wavelengths of light to interact with tissue. It has been effective in treating a variety of chronic and acute conditions in order to enhance functionality and to reduce pain, swelling and spasms. Some conditions that respond particularly well to LLLT include:

  • Sports Injuries
  • Plantar Fasciitis (Heel Pain)
  • Epicondylitis (Tennis Elbow)
  • Achilles Tendonitis
  • Acute & Chronic Back Pain
  • Adhesive Capsulitis (Frozen Shoulder)
  • Rheumatoid & Osteo-Arthritis
  • Chronic Oedema (Swelling & Fluid Retention)
  • Fracture Healing
  • Headaches & Migraines (including TMJ Dysfunction)

I advise my patients that LLLT can stimulate certain cell types including muscle, ligament, cartilage and nerves; therefore a thorough evaluation of each patient’s case should be conducted to assess the correct form of treatment.

Interesting Note: The light used in LLLT has the ability to penetrate 2 to 5 centimetres below the skin!

So what happens during LLLT treatment?

During treatment, the laser (which is about the size of a torch) is placed directly over the injured area for about 30 seconds to several minutes (the exact time depends on the size of the area being treated and the severity of the injury). As a painless and extremely safe process, the light passes through the layers of skin and interacts with the light sensitive areas of the mitochondrial and fibroblast cells. Once the cells have absorbed this light energy, a series of events initiate, which create a healing process to the injured or damaged tissue. The desired result is a reduced level of pain, swelling and inflammation and an accelerated healing process.

Depending on your type of condition and its severity, you may be offered LLLT on a weekly or twice-weekly basis where the frequency of your treatment will decrease as your condition improves.

Find out more about: Low Level Laser Therapy.

With the countdown to Christmas in full swing, more and more drivers will face heavy traffic as they head to the shops or travel to visit relatives or friends. As a leading London osteopath, I regularly treat patients who are suffering from back and neck pain as a result of being in road traffic accidents. And quite often, whiplash is a major culprit.

Whiplash can occur following vigorous movement of the head that overstretches and damages the ligaments and tendons in the neck. Symptoms include neck pain and stiffness, reduced neck movements, muscle tenderness and headaches. In some cases, symptoms can become chronic; leading to anxiety and depression.

So what can you do to prevent the risk of whiplash injuries when you’re on the road this Christmas? My advice, as a reputable London osteopath, is as follows:

1: Adjust your seat appropriately

Make sure your car seat has less than a 20 degree incline angle. This will help to keep you in your seat should you be involved in a rear end collision.

2: Adjust the height of your head restraint

The top of your head restraint should be level with or above the top of your head. A good way to measure this is to place your hand on the top of your head and adjust the head restraint so that it touches your hand.

3: Position your head restraint close to your head

Adjust your head restraint so that it is about 5cm (2 inches) from the back of your head. The closer your head restraint is to your head, the less distance there will be for your head to build up speed and load the neck during a collision.

Small adjustments can make big differences when it comes to road safety this Christmas.

NHS to trial the Perrin Technique

As an experienced and busy Osteopath in London I have spent many years helping patients with a variety of conditions. Being qualified in the Perrin Technique, a practice which works towards diagnosing and treating Chronic Fatigue Syndrome (CFS), more commonly known as Myalgic Encephalitis or ‘ME’ I am able to help patients with this conditions.

The Perrin Technique is a hands-on Osteopathic approach developed by Dr Raymond Perrin that detoxifies the body and the brain. The Perrin Technique aims to target the root of this potentially debilitating disease and cure it. Having trained with Dr Perrin and go on to be a practitioner of the the Perrin Technique helping patients with this disease I am pleased to know that the NHS is to trial the Perrin Technique for Chronic Fatigue Syndrome (ME).

What is Chronic Fatigue Syndrome (CFS/ME)?

CFS is a clinically defined condition characterized by severe disabling fatigue and a number of symptoms including disturbance of concentration, loss of short-term memory and disturbed sleep and musculoskeletal pain.

Due to the fact there is no accepted means of diagnosis by pathological tests such as blood or urine analysis, the standard diagnostic protocol of Chronic Fatigue Syndrome used within the NHS is one of exclusion. This means that a patient will only be diagnosed as suffering from CFS/ME when all other possible diagnostic tests has proved negative.

This isn’t an ideal situation for the patient at all.  It is not an adequate way to diagnose any disease; it causes distress amongst patients and forces in some cases numerous exhaustive tests that still provide no answer. Not to mention it is a slow process which will prolong the full force of the effects of the syndrome longer the needed.

The Perrin Technique NHS trial

A new research project is to begin at Wrightington Hospital, Wigan, based on Dr Perrin’s discovery. The project “Examining the accuracy of a physical technique for Chronic Fatigue Syndrome/Myalgic Encephalomyelitis” has received ethical approval and is being conducted by a team at the Allied Health Professions unit at the University of Central Lancashire in association with 3 NHS trusts.

Introducing an evidence-based bio-physical diagnostic procedure for Chronic Fatigue Syndrome/ME at the earliest onset of the symptoms associated with this disease could lead to much speedier diagnosis. The patient  would then be in a position to have their illness managed far earlier than the present NHS protocol supports which in some regions can take at least six months before referral to an NHS specialist unit and at least a further month of blood tests.

The benefits to the patient is significant. In addition, reducing the need of some of the pathological tests currently being carried out could reduce the huge financial burden placed on the health  service for these tests.

How leading Osteopath in London can help

If you are suffering from Chronic Fatigue Syndrome/ME and would like further information on how I may help you or to book an appointment at one of my osteopathy clinics in London please feel free to send me a message or call me on 020 8815 0979.

More information on The Perrin Technique and Treatment

I know my story is your story too.

Five years ago, I turned 50. It felt as though everything changed overnight. 
In my 20s, 30s and 40s, I charged ahead with life, first throwing myself into my career — I worked as a magazine publisher — and then, in my late 30s, meeting my husband, getting married and having children. 
Those busy years almost seemed like one long decade, during which I didn’t feel any different about how I looked or acted. 
I never stopped to think about what impact the way I was living might have down the road.

Then, one day, I woke up and… I was 50. Suddenly, I would catch myself in the mirror and notice my drying skin, crow’s feet, the way my hair looked. I felt aches and pains for the first time. I also began to gain weight. 
It wasn’t a huge amount, but it was steady and showing no signs of slowing down. Weight gain can often be a part of the aging process, especially after women go through menopause. However, I remember reading somewhere that five pounds was an acceptable amount to gain, but anything more was another term for “letting yourself go.”

I knew that if changes weren’t made — and fast — I’d be heading into my 50s at a terrible disadvantage. Wanting to stay healthy, fit, energetic and productive for the rest of my life, I was ready to change — and possibly save — my life.
 I didn’t simply want to think, “I’m 50 now, that’s it, my life is over.” I wanted to be fearless after 50. There’s been a lot written about how women cease to exist once they hit this age. 
Despite our great consumer power, post 50 women are often dismissed as invisible, and seen as neither young nor interesting enough. This is so wrong, and I was depressed thinking that this was my future.

But, there was more…

When I turned 50, I found myself asking the ‘what if’ questions: What if I get sick or have a heart attack? What if I get Alzheimer’s? What if I get cancer? Do I already have cancer without knowing it? 
I looked around and people my age were having strokes, struggling with depression, developing diabetes. 
It’s not that younger people didn’t have some of these health concerns, but that after 50 they seemed all too common. And the closer I looked, the more I realized that many of these health issues were in my control. The more I thought about it, the more questions I had. I began to wonder if there were tests I should be getting and asking what I could do to make sure that I lived a healthy life.

Like many women, I had gone a long time without doing simple things that could positively affect my health. 
Many of us are part of the so-called sandwich generation — caught between looking after our children and caring for elderly parents — and I realized life had kept me busy taking care of others, yet failing to do the right things for myself.

Sleeping enough and exercising daily had come to seem like an indulgence, even as I made sure that my family was well-fed and well-rested. 
So I embarked on a quest to discover how ordinary women could look and feel their best in their 50s and beyond. 
I soon realized that what I wanted was the best information I could find. I began to contact beauty experts and financial experts. 
I talked to the renowned hairdresser Frederic Fekkai, and to fashion designer Diane von Furstenberg. 
I tracked down women’s health specialists and exercise gurus, nutritionists and make-up experts. And, after hearing their advice, I took it.

I started going for slow runs with breaks for walking every day and learned how to do push-ups and other exercises to prevent osteoporosis. 
I went for annual health checks. I changed the way I ate and dropped the bad habits I’d slipped into. 
Where I had once spent my time dieting instead of eating, I began to pay attention to what I ate and to eat something healthy and small every couple of hours. 
I even accepted the fact that my hair, which I had spent decades straightening, was naturally wavy and looked its best that way. And I didn’t just lose the 15 lbs. I gained, I dropped an entire pants size.

Five years later, I feel fitter then I have at any time since I turned 30. 
More importantly, I found that I don’t only look and feel better, my health has improved. 
My cholesterol levels dropped and I even ran the New York City Marathon this year to celebrate my 55th birthday and raise money for a very deserving charitable organization. 
And, while turning 50 gave me a shock, now that I am 55 I am happier than ever before.

I loved the earlier decades of my life but I rushed through them. I was more insecure then and less happy about how I looked and felt. 
Like many women, I sought approval from everyone except myself. Now, when I look in the mirror, I see a woman who is brimming with confidence, enthusiasm, and energy. I am happy with who I am and with how I look — including my crow’s feet, which are a part of the story of my life.

So many of us fear aging when we should embrace it. But the greatest lesson I learned on my quest for reinvention is we need to feel comfortable in our own skin, whatever age we are. 
Whether you are 49, or 62, or 75, you need to decide that you are going to be the fittest, healthiest and best-looking 49, 62, or 75-year-old there is. 
For too long, women have been tricked into seeing 50 as the end of the road when, instead, we should be viewing it as the start of a new life, one in which we are truly comfortable with who we are. Instead of retreating from the world, we can embrace our place within it.

Turning 50 did more than save my life. It put me on the path to a new one.