Friday, October 29, 2010

what my client say about



dr veal and scott bryant personal trainer for london

Saturday, October 23, 2010

corrective exercise london

The practice of corrective exercise  all clients need to do . Even clients are starting to understand that achieving their end goal might require some customized corrective exercises—which could mean taking a step backward before they move forward.this is what all the london personal  trainer should be doing 
What are some basic, effective corrective exercises? Here are one popular ones, with explanations as to how they might have developed and how they are pertinent to helping clients achieve better alignment and function. Note: Be sure to stay within your scope of practice when working with clients who are injured or have special needs. Whenever it is appropriate, refer clients to a physical therapist or other allied health professional.
Corrective Exercise 
Hip flexor stretches are particularly important in corrective-exercise programs because of the excessive amount of time we spend sitting down in hip flexion. Stretching the hip flexors can reduce the forward pull on the lumbar spine, thus reducing the possibility of excessive lumbar lordosis (a common cause of back pain).
How to Do It: Kneel on one knee with the other foot in front for balance. Tuck the pelvis under, using the gluteal muscles and abdominals to assist with the movement. Raise the arm on the same side as the kneeling leg to increase the stretch. Hug yourself around the shoulders, and rotate the torso over the front leg. Hold the stretch for about 30 seconds and repeat 6-8 times. Ask clients to do at least one set per day on each side.
Corrective Exercise mind body  programs emphasize balance, coordination and weight transfer to correct movement deviations. Science has helped us better understand the body’s systems and the degree to which muscles need to coordinate with one another to facilitate balance and weight transfer. 

Friday, October 22, 2010

Ibs IN LONDON


Irritable Bowel Syndrome

Irritable bowel syndrome (IBS) is a common gut disorder. The cause is not known. Symptoms can be quite variable and include abdominal pain, bloating, and sometimes bouts of diarrhoea and/or constipation. Symptoms tend to come and go. There is no cure for IBS, but symptoms can often be eased with treatment.

What is irritable bowel syndrome and who gets it?

Irritable bowel syndrome (IBS) is a common functional disorder of the gut. (The gut includes the bowels.) A functional disorder means there is a problem with the function of a part of the body, but there is no abnormality in the structure. So, in IBS, the function of the gut is upset, but all parts of the gut look normal, even when looked at under a microscope. IBS causes various symptoms (listed below). Up to 1 in 5 people in the UK develop IBS at some stage in their life. IBS can affect anyone at any age, but it commonly first develops in young adults and teenagers. IBS is twice as common in women as in men.

What are the symptoms of irritable bowel syndrome?

  • Pain and discomfort may occur in different parts of the abdomen. Pain usually comes and goes. The length of each bout of pain can vary greatly. The pain often eases when you pass stools (motions or faeces) or wind. Many people with IBS describe the pain as a spasm or colic. The severity of the pain can vary from mild to severe, both from person to person, and from time to time in the same person.
  • Bloating and swelling of your abdomen may develop from time to time. You may pass more wind than usual.
  • Stools (sometimes called motions or faeces):
    • Some people have bouts of diarrhoea, and some have bouts of constipation.
    • Some people have bouts of diarrhoea that alternate with bouts of constipation.
    • Sometimes the stools become small and pellet-like. Sometimes the stools become watery or ribbony. At times, mucus may be mixed with the stools.
    • You may have a feeling of not emptying your rectum after going to the toilet.
    • Some people have urgency, which means you have to get to the toilet quickly. A 'morning rush' is common. That is, you feel an urgent need to go to the toilet several times shortly after getting up. This is often during and after breakfast.
  • Other symptoms sometimes occur and include: nausea (feeling sick), headache, belching, poor appetite, tiredness, backache, muscle pains, feeling quickly full after eating, heartburn, and bladder symptoms (an associated irritable bladder).
Some people have occasional mild symptoms. Others have unpleasant symptoms for long periods. Many people fall somewhere in between, with flare-ups of symptoms from time to time. Some doctors group people with IBS into one of three categories:
  • Those with abdominal pain or discomfort, and the other symptoms are mainly bloating and constipation.
  • Those with abdominal pain or discomfort, and the other symptoms are mainly urgency to get to the toilet, and diarrhoea.
  • Those who alternate between constipation and diarrhoea.
However, in practice, many people will not fall neatly into any one category, and considerable overlap occurs.

Note: passing blood is not a symptom of IBS. You should tell a doctor if you pass blood.

Do I need any tests?

There is no test that confirms the diagnosis of IBS. A doctor can usually diagnose IBS from the typical symptoms.

However, a blood sample is commonly taken to do some tests to help rule out other conditions such as ulcers, colitis, coeliac disease, gut infections, etc. The symptoms of these other diseases can sometimes be confused with IBS. Tests done on the sample of blood commonly include:


What causes irritable bowel syndrome?

The cause can food you eat . It may have something to do with overactivity of part or parts of the gut. The gut is a long muscular tube that goes from the mouth to the anus. The small and large bowel (also called the small and large intestine) are parts of the gut inside the abdomen. Food is passed along by regular contractions (squeezes) of the muscles in the wall of the gut. Pain and other symptoms may develop if the contractions become abnormal or overactive. The area of overactivity in the gut may determine whether constipation or diarrhoea develops.

The cause of overactivity in parts of the gut is not clear. One or more of the following may play a part:

The gut (200.gif)
Overactivity of the nerves or muscles of the gut. It is not known why this may occur. It may have something to do with overactivity of messages sent from the brain to the gut. Stress or emotional upset may play a role. About half of people with IBS can relate the start of symptoms to a stressful event in their life. Symptoms tend to become worse during times of stress or anxiety.

Intolerance to certain foods may play a part in some cases. However, this is thought to be only in a small number of cases.

Infection and bacteria in the gut. IBS is not caused by an ongoing gut infection. However, in about 1 in 6 cases, the onset of symptoms seems to follow a bout of gastroenteritis (a gut infection which can cause diarrhoea and vomiting). So, perhaps a virus or other germ may sensitise or trigger the gut in some way to cause persisting symptoms of IBS.

Also, in some cases, symptoms get worse after taking a course of antibiotics. Antibiotics kill certain harmless or 'good' bacteria in the gut which changes the balance of bacteria types in the gut.

What are the treatments for irritable bowel syndrome?

Many people are reassured that their condition is IBS, and not something more serious such as colitis. Simply understanding about IBS may help you to be less anxious about the condition, which may ease the severity of symptoms. Symptoms often settle for long periods without any treatment. In some cases, symptoms are mild and do not require treatment.

If symptoms are more troublesome or frequent, one or more of the following treatment options may be advised:

Fibre

The advice about fibre in treating IBS has changed somewhat over the years. Fibre (roughage) is the part of the food which is not absorbed into the body. It remains in your gut, and is a main part of faeces (stools). There is a lot of fibre in fruit, vegetables, cereals, wholemeal bread, etc. It used to be said that eating a high-fibre diet was good at easing IBS symptoms. Then various research studies showed that a high-fibre diet can, in some cases, make IBS worse. So, one recent guideline on IBS (from Clinical Knowledge Summaries - cited at the end) states that 'high-fibre diets are not recommended for people with IBS'. But since that guideline was published, a review of treatments for IBS (Ford et al - cited at the end) concluded that fibre was good at easing symptoms in some people with IBS. So, the role of fibre can be confusing!

What seems to be the case is that the type of fibre is probably important. There are two main types of fibre - soluble fibre (which dissolves in water) and insoluble fibre. It is soluble fibre rather than insoluble fibre that seems to help ease symptoms in some cases. So, if you increase fibre, have more soluble fibre and try to minimise the insoluble fibre.
  • Dietary sources of soluble fibre include oats, ispaghula (psyllium), nuts and seeds, some fruit and vegetables and pectins. A fibre supplement called ispaghula powder is also available from pharmacies and health food shops. The recent review of treatments for IBS mentioned earlier mentions ispaghula as the fibre supplement that seems to be the most beneficial.
  • Insoluble fibre is chiefly found in corn (maize) bran, wheat bran and some fruit and vegetables. In particular, avoid bran as a fibre supplement.

Foods, drinks and lifestyle

A healthy diet is important for all of us. However, some people with IBS find certain foods of a normal healthy diet can trigger symptoms or make symptoms worse. Current national guidelines about IBS include the following points about diet which may help to minimise symptoms:
  • Have regular meals and take time to eat at a leisurely pace.
  • Avoid missing meals or leaving long gaps between eating.
  • Drink at least eight cups of fluid per day, especially water or other non-caffeinated drinks such as herbal teas. This helps to keep the faeces (stools) soft and easy to pass along the gut.
  • Restrict tea and coffee to three cups per day (as caffeine may be a factor in some people).
  • Restrict the amount of fizzy drinks that you have to a minimum.
  • Don't drink too much alcohol. (Some people report an improvement in symptoms when they cut down from drinking a lot of alcohol, or stop smoking if they smoke.)
  • Consider limiting intake of high-fibre food (but see the section above where an increase may help in some cases).
  • Limit fresh fruit to three portions (of 80 g each) per day.
  • If you have diarrhoea, avoid sorbitol, an artificial sweetener found in sugar-free sweets (including chewing gum) and in drinks, and in some diabetic and slimming products.
  • If you have a lot of wind and bloating, consider increasing your intake of oats (for example, oat-based breakfast cereal or porridge) and linseeds (up to one tablespoon per day). You can buy linseeds from health food shops.
Individual food intolerance
Some people with IBS find that one or more individual foods can trigger symptoms, or make symptoms worse (food intolerance or sensitivity). If you are not sure if a food is causing symptoms, it may be worth discussing this with a doctor who may refer you to a dietician. A dietician may be able to advise on an exclusion diet. For example, one meat, one fruit, and one vegetable. Then, advise on adding in different foods gradually to your diet to see if any cause the symptoms. It may be possible to identify one or more foods that cause symptoms. This can be a tedious process, and often no problem food is found. However, some people say that they have identified one or more foods that cause symptoms, and then can control symptoms by not eating them.

The foods that are most commonly reported to cause IBS symptoms in the UK are: wheat (in bread and cereals), rye, barley, dairy products, coffee (and other caffeine-rich drinks such as tea and cola), and onions.

Probiotics
Probiotics are nutritional supplements that contain 'good' bacteria. That is, bacteria that normally live in the gut and seem to be beneficial. Taking probiotics may increase the 'good' bacteria in the gut which may help to ward off 'bad' bacteria that may have some effect on causing IBS symptoms. You can buy probiotic capsules (various brands) from pharmacies. The dose is on the product label. You can also buy foods that contain probiotic bacteria. These include certain milk drinks, yoghurts, cheeses, frozen yoghurts, and ice creams. They may be labelled as 'probiotic', 'containing bacterial cultures', or 'containing live bacteria'.

There is some evidence that taking probiotics may help ease symptoms in some people with IBS. At present, there are various bacteria that are used in probiotic products. Further research is needed to clarify the role of probiotics and which one or ones are most helpful. In the meantime, if you want to try probiotics, you should keep to the same brand of probiotic-containing product for at least four weeks to monitor the effect. Perhaps try a different probiotic for at least a further four weeks if the first one made no difference.

Other lifestyle factors
Regular exercise may also help to ease symptoms. Stress and other emotional factors may trigger symptoms in some people. So, anything that can reduce your level of stress or emotional upset may help.

It may help to keep a food and lifestyle diary for 2-4 weeks to monitor symptoms and activities. Note everything that you eat and drink, times that you were stressed, and when you took any formal exercise. This may identify triggers, such as a food, alcohol, or emotional stresses, and may show if exercise helps to ease or prevent symptoms.


Treating constipation

Constipation is sometimes a main symptom of IBS. If so, it may help if you increase your fibre as discussed earlier (that is, with soluble fibre such as ispaghula). Sometimes laxatives are advised for short periods if increasing fibre is not enough to ease a troublesome bout of constipation.

Treating diarrhoea

An antidiarrhoeal medicine may be useful if diarrhoea is a main symptom. Loperamide is the most commonly used antidiarrhoeal medicine for IBS. You can buy this at pharmacies (but it is quite expensive). You can also get it on prescription which may be more cost-effective if you need to take it regularly.

The dose of loperamide needed to control diarrhoea varies considerably. Many people use loperamide as required but some take it regularly. Many people learn to take a dose of loperamide in advance when they feel diarrhoea is likely to be a problem. For example, before going out to places where they know it may be difficult to find a toilet.

Antidepressant medicines

An antidepressant medicine in the tricyclic group is sometimes used to treat IBS. In particular, it tends to work best if pain and diarrhoea are the main symptoms. (Tricyclic antidepressants have other actions separate to their action on depression. They are used in a variety of painful conditions, including IBS.) Unlike antispasmodics, you need to take an antidepressant regularly rather than as required. Therefore, an antidepressant is usually only advised if you have persistent symptoms, or frequent bad flare-ups that have not been helped by other treatments.

Psychological treatments (talking treatments)

Situations such as family problems, work stress, exams, recurring thoughts of previous abuse, etc, may trigger symptoms of IBS in some people. People with anxious personalities may find symptoms difficult to control. The relationship between the mind, brain, nervous impulses, and overactivity of internal organs such as the gut is complex. Some people have found relaxation techniques, stress counselling, cognitive behavioural therapy, psychotherapy, hypnotherapy, and similar therapies useful in controlling symptoms of IBS.

Psychological treatments are generally mainly considered in people with moderate-to-severe IBS, when other treatments have failed. Or, when it seems that stress or psychological factors are contributing to causing symptoms. However, some of these treatments may not be available on the NHS in your area, or there may be long waiting lists.

Other treatments

Various alternative and complementary therapies are sometimes used. For example, studies have shown that certain Chinese herbal medicines may help to ease symptoms in some cases. However, more research is needed to clarify their safety and usefulness.

Newer medicines that affect certain functions of the gut are also being developed and may become useful treatments in the future.

Assess your symptoms - perhaps keep a diary

As you can see from the above section, there are many different treatments that may be tried for IBS. All will have some effect in some people, but none will help in every person with IBS. So, if you are advised to try a particular treatment, it may be sensible is to keep a symptom diary before and after the start of the treatment. For example, before changing the amount of fibre that you eat, or taking a probiotic, or starting medication. You may wish to jot down in the diary the type and severity of symptoms that you get each day for a week or so. Keep the diary going after you start treatment. You can then assess whether a treatment has improved symptoms or not. No treatment is likely to take away symptoms completely, but treatment can often ease symptoms and improve your quality of life.

www.activeberyantsystems.com 


Thursday, October 21, 2010

Back Pain


Back Pain

Back pain, the chief cause of work place absence in the UK, affects an average of 8 of 10 adults in this country at some point in their lives. It accounts for about 7 million GP visits annually in the UK.

Back Pain Overview

Back pain is most common in the age group of 35-55 years, possibly as a direct result of occupational hazards. Postmenopausal women are also more prone to back pain due to the development of osteoporosis. While one of several factors may be responsible, symptoms are similar, and most episodes of back pain will respond quickly to over the counter pain medications, rest and gentle exercise . However, you should seek a doctor's opinion if the pain persists, doesn't respond to treatment, or if it is associated with other symptoms.

What is Back Pain?

Pain in the back may occur in any region from the base of the skull to the hips. It may arise from muscles, nerves, bones, joints or other supporting structures in the spine. The symptom may arise suddenly or gradually. As most episodes are self-limiting (get better by themselves), back pain usually does not warrant immediate medical attention. Occasionally, however, it may signal the presence of a serious underlying health condition.

Common Causes of Back Pain

Back pain may arise from a variety of causes, some of which can be due to breathing pattern  disorders poor posture and the way in which the back is used. Pulled muscles, or muscle strains, are frequent causes of back pain. Injuries such as sprains and fractures, mechanical problems including muscle spasms and imbalance and herniated discs, various acquired conditions of the spine including osteoporosis and rarely, infections and tumours may all give rise to back pain.
Stress may contribute to backache by inducing muscle spasm. Pregnant women commonly report low back pain.

Main Symptoms of Back Pain

Any part of the back may be affected upper, middle or lower. Pain may be described as acute or chronic depending on its duration. Acute back pain usually lasts less than three months, whereas chronic pain persists beyond this period and is frequently progressive in nature.
Symptoms may be as varied as a constant muscle ache or an acute piercing or stabbing pain. Back pain may restrict your mobility and alter your posture. When back pain is caused due to irritation of nerve roots, it often radiates into the thigh, and may be accompanied by other symptoms such as weakness, tingling and numbness. More on the symptoms of back pain.

Back Pain Diagnosis and Treatment

If you need to see a doctor for your back pain, you will be asked to provide a detailed medical history since many different conditions may give rise to back pain. You will be thoroughly examined and may need laboratory tests and imaging studies like x-rays or a CT/MRI scan.
Treatment strategies aim to provide pain relief and restore flexibility and mobility. If back pain is caused by strain or minor injury, you will be advised to take adequate rest. Application of an ice pack in the acute stage may prove beneficial. Hot packs may provide relief once the acute phase has subsided. As prolonged bed rest is no longer advisable in most sufferers, you should begin gentle activity like walking within 24-72 hours.
Physical therapy and  C.H.E.K Practitioner london muscle strengthening exercises will further help strengthen your back. or muscle relaxants if pain hinders your day-to-day activities. Physiotherapy also plays a role in the management of long-standing back pain. Alternative therapies like acupuncture, chiropractic and C.H.E.K.Practitioner  may provide relief in some people. Although rare, extreme cases may require surgey. 

Neck pain london

Neck pain london 

Neck pain can be caused by inappropriate working posture.
What is neck pain?

  • Pain in the neck can be due bad breathing pattern disorders  to: injury, a mechanical or muscular problem, a trapped nerve caused by a bulge in one of the discs between the vertebrae or from arthritis of the neck.
  • It can range from mild discomfort to severe, burning pain.
  • If the pain is 'acute' – sudden and intense – it's called a crick in the neck, facet syndrome or muscular rheumatism.
  • If the pain has lasted more than three months, it's termed 'chronic' neck pain.
  • Neck pain is a common condition and is both  seen in women & men.
  • Most people will experience pain in the neck at some point in their life.

What causes neck pain?

Many things can trigger neck pain. These include:
  • trauma or injury
  • worry and stress
  • falling asleep in an awkward position
  • prolonged use of a computer keyboard.
There are several theories about why so many people suffer neck pain, but they are not supported by scientific proof. For most people, no specific reason for the pain can be found.
But in some cases it's possible to make a precise diagnosis. The underlying problem could be a slipped disc, brittle bones (osteoporosis), deformed natural curvature of the spine (scoliosis) and, very rarely, structural damage due to tumours or infection.
Finally, road traffic accidents involving whiplash injury may result in acute or chronic neck pain that takes several months to improve. or a year if you don.t get look at 

What does neck pain feel like?

  • General pain located in the neck area, as well as stiffness in the neck muscles.
  • The pain may radiate down to the shoulder or between the shoulder blades.
  • It may also radiate out into the arm, the hand or up into the head, causing a one-sided or double-sidedheadache.
  • The muscles in the neck are tense, sore and feel hard to the touch.
  • Acute pain can give rise to abnormal neck posture in which the head is forced to turn to one side. This condition is known as torticollis.
  • The pain at the base of the skull may be accompanied by a feeling of weakness in the shoulders and arms.
  • There may be a prickly or tingling sensation in the arms and fingers.

Danger signals associated with neck pain

In some cases, neck pain may be a symptom of meningitis.
  • A rash develops that doesn't fade when you press it with a glass tumbler or a finger.
  • The patient feels ill or is running a fever, as well as feeling neck pain.
  • It's so painful to bend the neck forward that the patient can't put their chin on their chest.
  • Light hurts the eyes.
  • Neck pain is accompanied by severe headache or continuous vomiting.
  • Neck pain is accompanied by severe pain in the back.
In some cases, neck pain can be a symptom of head injury or disc trouble in the neck.
  • Neck pain is the result of a recent head injury and the person is becoming drowsy, confused or is vomiting.
  • Neck pain is accompanied by headache.
  • If there's pain behind one eye.
  • Vision, hearing, taste or balance are affected.
  • Severe vomiting.
  • The muscle power in arms or legs is reduced.

What can you do yourself?

Stay as active as possible. Try to go to work and keep up your normal everyday activities – bed rest isn't necessary.
If you're given a neck-collar, try not to use this for more than one or one days. Avoid driving if you're unable to turn your head quickly.
Remember that neck pain is rarely caused by a serious illness and will often disappear within a week.
If you have had pains in the neck for a longer period, it's a good idea to consult your GP or a physical therapist – such as a C.H.E.K.Practitioner london   or physiotherapist.
Also, the following symptoms may indicate a more serious underlying problem than simple mechanical neck pain and require that you seek further advice from your GP:
  • co-existing illness, such as unexplained weight loss
  • actual tenderness or pain in the neck bones (vertebrae)
  • the pain simply continues to get steadily worse despite treatment
  • if one or both of your arms become affected, eg persistent numbness, weakness or clumsiness.

How does the doctor or C.H.E.K practitioner  london make a assessment ?

In most cases, a neck problem can be diagnosed by carrying out a thorough examination that may include all or some of the following:
  • testing the movement of the neck
  • testing for trapped nerves
  • examination of the muscles
  • examination of the movement of the joints of the spine, neck and hands
  •  assessment  tests may be necessary to make a precise 

    assessment 

How is neck pain treated?

Acute pain at the base of the skull may well disappear without treatment.
For short-term problems, manual treatment (C.H.E.K practitioner london  or physiotherapy) and pain-relieving medicine are recommended.
With longer-term pain (ie three months or more) there's the following choice of treatment:
  • C.H.E.K practitioner treatment
  • intensive muscle training
  • physiotherapy, including advice on posture and the use of a supportive pillow
  • acupuncture provides relief for significant numbers of people with chronic neck and shoulder pain, although this is not routinely available on the NHS.


Exercise london

People with weak neck muscles are more prone to neck problems, and in such cases do trigger point work an exercise programme to strengthen the neck is a good idea. or zone excise out of how to eat move and be healthy 

Future prospects

This depends on the underlying cause of the pain. The prognosis is generally good, provided the patient remains active and obtains the correct treatment without delay.arthitis for more in info give scott a call on 07841144878 goto activebryantsystems

Tuesday, October 19, 2010

back pain in london


Back pain london 

 health information team, September 2008.
This factsheet is for people who have back pain, or who would like information about it.
Back pain is extremely common - about eight in 10 people in the UK are affected at some time in their lives.


About back pain

Back pain can affect anyone at any age, but it's most common in people between the ages of 35 and 55.
'Acute' and 'chronic' are terms used to describe how long the symptoms last, not how severe they are.
  • Acute back pain - less than six weeks.
  • Sub-acute back pain - six weeks to three months.
  • Chronic back pain - longer than three months.

How your back works london 

Your spine is made up of many small, inter-connected bones called vertebrae. These are separated by strong connectors called discs, which act as shock absorbers and allow the spine to bend. Your spine is supported along its length by muscles and ligaments. Your spinal cord threads down through the centre of each vertebra, carrying nerves from your brain to the rest of your body.
Illustration of the different parts of the spine
The different parts of the spine

Causes of back pain london

There isn't usually an underlying condition causing back pain - nothing shows up in tests and nothing is permanently damaged. This is called simple or non-specific back pain. Nine out of 10 people with simple back pain recover completely within six weeks.
You're more likely to develop simple back pain if you:
  • stand, sit or bend down for long periods
  • lift, carry, push or pull loads that are too heavy, or if you go about these tasks in the wrong way
  • have a trip or a fall
  • are stressed or anxious
  • are overweight
Occasionally, there may be a more serious underlying cause of your back pain, but this is rare. These causes include osteoporosis, a prolapsed (slipped) disc, spinal stenosis, malformation of the spine, infection or collapse of the vertebrae, tuberculosis or cancer.

Symptoms of back pain

Simple back pain is often in your lower back (lumbar region), and may also spread to your buttocks and thighs. It's often described as a dull pain and can come and go at different times, depending on your level of activity. The pain can begin suddenly or come on gradually if you strain your back over time.
Simple back pain usually only lasts a few days and gets better on its own.
However, you should see your GP as soon as possible if, as well as back pain, you have:
  • fever (high temperature)
  • redness or swelling on your back
  • pain down your legs and below your knees
  • numbness or weakness in one or both legs or around your buttocks
  • loss of bladder or bowel control (incontinence)
Some symptoms are called "red flags" and may indicate that you require treatment for an underlying condition. You should see your GP if:
  • your pain is the result of an injury
  • you're under 20 or over 55 and the pain lasts for more than a few days
  • you have had or currently have cancer in any part of your body
  • you have been taking steroid medicines for more than a few months

Diagnosis of back pain

Your GP will ask you about your symptoms and examine you. He or she may also ask you about your medical history.
If your pain lasts longer than six weeks, or if your GP suspects there is some underlying cause of your pain, he or she may recommend more tests such as:
  • X-rays
  • CT scans - a CT scan uses X-rays to make a three-dimensional image of the body/or part of the body
  • MRI - an MRI scan uses magnets and radiowaves to produce images of the inside of your body
  • blood tests

Treatment of back pain

Self-help

There are many things you can do to help yourself.
  • Stay active - return to your usual level of physical activity as soon as possible. This may hurt more at first, but it will help you get better and reduce your risk of getting simple back pain again.
  • Bed rest - if the pain is so bad that you can't get moving, keep the time you stay in bed as short as possible. Lying in bed can do more harm than good.
  • Stay positive and set yourself goals - this will help you get back to your usual levels of physical activity.
  • Heat therapy - apply a hot water bottle or heat pack directly to the affected area, or take a hot bath.
  • Ice therapy - apply a cold compress, such as ice or a bag of frozen peas, wrapped in a towel. Don't apply ice directly to your skin because you could damage it.
  • Pace yourself - be careful not to overdo it when your pain improves.
  • see a chek practitioner london 

Medicines

Taking a painkiller (such as aspirin or paracetamol) or anti-inflammatory medicine (such as ibuprofen) is often enough to relieve simple back pain and can help you keep active. You can also use creams, lotions and gels that contain painkillers or anti-inflammatory ingredients that can be applied directly onto the painful area.
If your pain continues, your GP may prescribe stronger medicines such as diazepam, morphine or tramadol. However, these aren't suitable for everyone because they can be addictive and cause side-effects.
Your GP or pharmacist will advise you which treatment is the most appropriate for you. Always read the patient information leaflet that comes with your medicine and if you have any questions, ask your GP or pharmacist for advice.

Transcutaneous electrical nerve stimulation (TENS)

TENS relieves back pain by delivering mild electric pulses to the painful area through electrodes on your skin. These stimulate your nerve fibres and block the pain signals to your brain. TENS isn't suitable for everybody and isn't always effective. You should check with your GP before you use TENS and make sure you know how to use it properly.

Physiotherapy

Physiotherapists can assess and treat your back pain, and teach you exercises to do at home that will increase your mobility and help you manage your pain. You should only see a physiotherapist registered with the Chartered Society of Physiotherapy.

Manipulation

Osteopathy and chiropractic are treatments involving manipulation of the body, mainly focusing on the spine. They are most useful if you have had back pain for less than three months and can provide short-term (most often) or long-term pain relief. These treatments aren't suitable for everybody and aren't always effective, so it's important to speak to your GP first. You should only see an osteopath registered with the General Osteopathic Council or a chiropractor registered with the General Chiropractic Council.

Pain clinics

If your pain continues, your GP may refer you to a pain clinic. Pain clinics offer a range of treatments that are known to be effective and can also help you deal with your pain by changing the way you think about it. Treatments at pain clinics are often combined and tailored to suit your needs.

Injections

Painkillers and anti-inflammatory medicines (usually steroids) can be injected directly into the epidural space (the space around your spinal cord) or around the joints of your spine to ease pain and decrease inflammation. These injections are only given by specialist doctors in hospitals. Epidural injections are usually only done if other treatments don't work.

Surgery

Surgery is considered as a last resort in the treatment of back pain. The type of surgery you're offered will depend on the cause of your pain and each type has different risks and success rates. Your surgeon will discuss the different options with you in more detail.

Complementary therapies

The following complementary therapies may help with back pain in some people. You should talk to your GP before trying them as he or she may be able to refer you to a specialist practitioner experienced in treating back pain.
  • Acupuncture.
  • Counselling.
  • The Alexander Technique - becoming more aware of your body's balance, posture, and movement.
  • Herbal remedies.
  • Massage.

Prevention of back pain

Good back care can greatly reduce your risk of back pain. To look after your back, make sure you:
  • take regular exercise - walking and swimming are particularly recommended
  • try to reduce your stress levels - use relaxation techniques
  • bend from your knees and hips - not your back
  • maintain good posture - keep your shoulders back and don't slouch

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