Back Pain

1904, 2017

Osteopathy Treats Hip Bursitis

By |April 19th, 2017|Uncategorised|Comments Off on Osteopathy Treats Hip Bursitis

“When you have adjusted the physical to its normal demands. Nature supplies the remainder.”

Dr Andrew Taylor Still. Founder of Osteopathy

Hip bursitis symptoms most often include a deep aching pain that concentrates on the outside of the hip joint at the top of the outer thigh. This sometimes includes buttock pain which may extend down the outside of the leg towards the knee. The pain is usually intense and sharp in the early stages of the condition and may develop into a dull ache over time.

Normal activities such as walking, climbing stairs, running, sitting cross-legged, getting up from a chair or prolonged standing often aggravate the symptoms. Lying on the hip at night is very painful and may be severe enough that it disturbs your sleep. Putting pressure over the trochanter with your finger increases the pain. Stiffness may develop around the hip joint

The trochanteric bursa is a large fluid filled sac which facilitates the gliding of skin, buttock and thigh tendons over the greater trochanter which is the large bump that can be felt on the outside of the femur or upper leg bone. The bursa has the function of working as a shock absorber and as a lubricant for the movement of the muscles adjacent to it thus preventing friction. Muscles attach to this bony prominence so the hip joint is able to move. When this bursa becomes inflamed and causes pain it’s called trochanteric bursitis. Trochanteric bursitis can strike anyone but seems more prevalent in females and senior patients.

The cause of trochanteric hip bursitis is usually overuse and repeated friction, often as a result of faulty biomechanics. Occasionally it can be caused by a sudden impact to the hip such as a fall […]

1607, 2016

Never lift and twist – Rotational deadlifts – Windmills

By |July 16th, 2016|media|Comments Off on Never lift and twist – Rotational deadlifts – Windmills

Never lift and twist            

“Avoid repetitive lumbar flexion as it has been shown to be the damaging mechanism leading to herniations as the nucleus inside the disc breaches the annulus layer by layer with progressive delamination of the layers.”                 (Callaghan and McGill 2001, McGill et al. 2007, Tampier 2007)

It is natural to use spinal rotation to reach across to grab something but it is unlikely that anyone would repeat these functional movements several times in a row through a full range of movement. But what happens when we bend, lift and add rotation with some sort of a load?

Twisting of the spine affects the discs and spinal joints. Twisting causes the collagen rings of the spinal lower back disc to strain and degenerate whilst the load bearing ability of the disc is substantially reduced with twisting. Rotation, increases the lumbar muscle activation resulting in greater spinal compression on the discs that are already weakened in their twisted state. Additionally, rotation of the spine can cause spinal joint compression which may cause these joints to lock. These movements may initiate spinal degeneration leading to rupture of a disc and cause lower back problems.

Disc herniations are essentially repetitive-use injuries that occur gradually over time. Too many backs are injured by inappropriate training that follows current fads or traditional strength training regimens without understanding the biomechanics of the spine. Some people may round their backs when an exercise involves bending over, twisting and lifting. Such as rotational deadlifts, sandbag twists, windmills etc. Also a lot of people who use great form in all exercises and then pick up dumbbells off the floor with a rounded back. 

No matter what the exercise, make sure you keep your back […]

2411, 2014

The Effects of Backpacks on School-Aged Children

By |November 24th, 2014|media|Comments Off on The Effects of Backpacks on School-Aged Children

The Effects of Backpacks on School-Aged Children

“As the twig is bent, so grows the tree”

William Garner Sutherland (1873 – 1954) Founder of Cranial Osteopathy

Most children are required to carry heavy school bags to and from school each day, and the load increases as they reach higher grades. Sports clothing and equipment often adds another bag to their load. Your child’s spine could be in for a tough time coping with all the increased stress, and when you add poor posture, lack of exercise and hours of computer time each day into the mix. According to a study published in the journal ‘Spine’, daily backpack carrying is a frequent cause of discomfort for school children. School backpacks were felt to be heavy by 79.1% of children, to cause fatigue by 65.7%, and to cause back pain by 46.1. Studies show children should not carry any more than 10 per cent of their body weight and that anything over 15 per cent can be damaging.

If the child has to lean forward when walking with a loaded pack, it is too heavy. A heavy backpack has a number of undesirable effects to your child’s spine. It distorts the natural curves in the middle and lower back, causing muscle strain, headaches, irritation to the spine joints and the rib cage, reduced breathing capacity and may hamper his/her overall growth. Spinal dysfunction that results from these poor habits, may affect your child’s ability to study or participate in sport; setting a poor foundation for spinal health that may carry through into adulthood.

The posture that a child habitually assumes will affect the shape of the bones and the way in which the end plates harden and form. This is particularly evident […]

1510, 2014

Medical Doctor uses Osteopathy as first choice for musculo-skeletal problems

By |October 15th, 2014|testimonials|Comments Off on Medical Doctor uses Osteopathy as first choice for musculo-skeletal problems

I have long suffered with upper back and neck pain secondary to poor posture and tension, and with a busy schedule, it’s so much easier convenient to take anti-inflammatories and analgesics then it is to actually deal with the problem. I had tried massage, Acupuncture and Acupressure, with little or short lived success. I stumbled across Osteopathy rather serendipitously while trying to find a chiropractor. After the first treatment by Dr Ashburner I had immediate and lasting relief. I also tried some of the posture exercises he advised and that helped as well.
Osteopathy is my first choice when it comes to musculo-skeletal problems.

Dr Rabiah Kamedien MD

910, 2014

Sleep disorders and sleep problems in childhood – Toddlers – Babies

By |October 9th, 2014|testimonials|Comments Off on Sleep disorders and sleep problems in childhood – Toddlers – Babies

Sleep disorders and sleep problems in childhood

When I had my second child, I never expected it to be even harder than my firstborn. But Jason didn’t just cry all night – he SCREAMED and thrashed about, arching his back to escape as us we tried to comfort him – as though we were torturing him. It went on for a year and a half. The only time he ever slept more than his maximum of 2 hours (even at 18 months of age), was when we had dosed him with Ponstan or other pain meds. It simply couldn’t continue.

We had tried all other methods – we had him on reflux meds and changed his diet to be dairy free. But when his throat was scanned for scarring, they could find no sign of reflux.

We had his ears checked and were informed that he had glue ear, but after having grommets put in the only change in his behaviour was a fear of simple noises, the night time screaming sessions did not stop.

We had him assessed by an Occupational Therapist who told us he had Sensory Processing Disorder and instructed us to brush him every two hours. Whilst he showed a minor improvement with the brushing, he was still waking and screaming at least 3 to 4 times a night.

Eventually a friend at the office recommended that I try and find a cranial osteopath. I had never heard of this but was willing to try, especially as this (out of all the other treatment methods) was non-evasive and painfree. She found an article that Dr Ashburner had written and brought it to me.

I took Jason to see Dr Ashburner, and whilst he is not an easy […]

2008, 2014

Sort yourself out today…Shoulder pain

By |August 20th, 2014|media|Comments Off on Sort yourself out today…Shoulder pain

Back and shoulder pain is a common complaint due to our sedentary lifestyles and bad posture. Nearly 50% of us will suffer at some point in our lives -our experts are here to help you avoid it.

The Osteopath

Dr Guy Ashburner is a Cape Town-based osteopath

Painful shoulder conditions that limit movement are common, and are caused by injuries affecting the muscles, tendons, ligaments and cartilage. As the shoulder has a high degree of flexibility, it’s less stable and more prone to injuries than other joints. As the nerves that supply the shoulder and arm originate from the neck and upper spine, conditions such as spinal dysfunction commonly contribute to pain in the shoulder. To determine the cause of your pain, the osteopath will conduct a full orthopedic and neurological examination of the shoulder, neck and upper back. When a diagnosis has been reached, the osteopath will discuss the treatment options with you. Although shoulder pain can be serious, the vast majority of injuries are not serious and can easily be helped.

The Physiotherapist

Kerryn Alcock runs a practice in Linden, Joburg

The shoulder is made up of three bones: the clavicle (collarbone), the scapula (shoulder blade) and the humerus (upper arm bone). Shoulder pain is often related to occupation or sport, overuse or ‘wear and tear’ also results in a painful shoulder and this can come with age. To ensure a good prognosis, early treatment is essential in order to prevent stiffness, over-stretching of ligaments or tendons, weakness and further injury. Simple exercises can be done at home such as pendular exercises done while lying on your stomach with your arm off the bed or while standing, bending over slightly or leaning on a chair. Relax your arm and […]

308, 2014

No Muscle Left Behind – Muscle Imbalance

By |August 3rd, 2014|media|Comments Off on No Muscle Left Behind – Muscle Imbalance

Muscle Left Behind – Muscle Imbalance. To get a strong and sculpt a sleek silhouette, you have to identify which muscles are slacking and whip them into shape.

Nearly every muscle in your body has a corresponding muscle group that carries out the opposite function. Take your biceps and triceps: their even match-up lets you bend and straighten your elbow without any thought. That’s how it should work, at least. Unfortunately, everyday habits (like sitting at a desk), repetitive workouts (say, that marathon you’re training for, or your weekly abs class) and even your wardrobe (yes your skyscraper heels) threaten these partnerships.

The result:one of the muscles becomes stronger and overpowers the other, a common condition known as muscular imbalance, which can worsen poor posture and wreak havoc on your figure, says trainer Melissa Paris. (tight hip flexors, for example, can tilt your hips forward and give you a “boep”.) Correcting them , she adds, helps elongate your silhouette and can actually make you look slimmer.

Chain reaction

Muscles, ligaments, tendons and bones are all connected through an intricate system , known to trainers and doctors as the kinetic chain. When one link in the chain is dodgy, it starts a reaction through the rest of your body. So your back pain could actually stem from a problem with your shoulder, your knee or even your shin. As with any team, when one muscle’s not keeping up, others have to work harder to compensate. “The danger of muscular imbalances is that they alter your natural movement patterns,” cautions personal trainer Karen Joseph. “Over time, they can pull your bones and joints out of alignment, which often leads to pain and injury.” The result, says Cape Town -based osteopath Guy […]

2907, 2014

Lat pulldowns- Proper technique and how to avoid Injury.

By |July 29th, 2014|media|Comments Off on Lat pulldowns- Proper technique and how to avoid Injury.

Lat pulldowns are a popular gym exercise for strengthening the upper back, shoulders, biceps and forearms and is without a doubt the most frequently misused piece of equipment in the gym.
This week I saw a prime example of what not to do with Lat pulldowns.  An over enthusiastic man in his late thirties holding the bar with an extra wide grip yanking the bar down quickly behind his head which forced his neck forward and bent his whole spine into a unnatural bent forward position.
Here is some guidance on how to avoid making mistakes which may result in injury and help you achieve your fitness goals.
Exercisers should grasp the bar with palms facing away from you (pronated) and with a grip at or about shoulder width apart or where comfortable with the hands evenly spaced on the bar. If you are experiencing rotator cuff issues (a group of four muscles that provide shoulder stability) or shoulder pain, switch the handle attachment so your palms face each other giving you better leverage and an even closer grip which can sometimes alleviate the shoulder strain. Lat pulldown bars are long with curve at each end giving people incorrect notions about how far apart their hands should be.  Gripping the bar wider compromises the ability of the body to work as a unit and increases the potential for shoulder injuries.
Exercisers should lean back slightly and pull the bar to the upper chest or sternum. This will allow the head to be moved away from the cable and bar and reduce the need to turn the head to the side especially with heavy resistances and help reduce neck strain and injury. Leaning back slightly will also ensure that the […]

2907, 2014

It happened to me: Osteopathy worked wonders for my son

By |July 29th, 2014|media|Comments Off on It happened to me: Osteopathy worked wonders for my son

Osteopathy worked wonders for my son. Since complications during his birth, Caleb Sedeman (12) of Cape Town has always struggled with low muscle tone, a speech impediment, epilepsy and ADHD. He also has a very high pain threshold which means he doesn’t always realise when he hurts himself. But his mom, Celestia, says osteopathy has worked wonders for her son.

Caleb’s story

“Hours after Caleb and I were released from the hospital following his birth, we were readmitted to the ICU unit at the Red Cross War Memorial Children’s Hospital,” recalls Celestia. “He was treated for apnoea [temporary inability to breathe] and acute tubular necrosis [damaged kidney tissue caused by lack of oxygen], and he was struggling to feed like a newborn or pass any urine. We stayed there for three weeks and the doctors were amazed that he was still alive.”

Today Celestia and Caleb’s lives consist of a range of regular therapies in order for Caleb to be able to function normally. These include occupational therapy, speech therapy and regular visits to a neurologist. Celestia’s mom helps her with this busy schedule. “My mom is always reading up and trying to find new ways of helping him – that’s when she came across a book on women who had difficult births, and they suggested cranial osteopathy for helping children recover from traumatic births.”

Caleb has received four therapy sessions by Cape Town osteopath Dr Guy Ashburner in the past six weeks. Celestia recalls their first visit: “We had no idea what to expect! He asked a lot of questions relating to Caleb’s birth, his milestones and development. Then he started by slowly massaging Caleb’s head, neck, back and arms. It looked like the usual massage therapy but […]

3010, 2013

Stretching Exercises

By |October 30th, 2013|media|Comments Off on Stretching Exercises

Many office workers visit osteopaths or other physical therapists to relieve neck and back problems. Sitting with poor posture for prolonged periods of time often results in headaches, neck and back pain, postural fatigue of the shoulders, and a multitude of other unpleasant aches and pains.

Fascia is the fibrous connective tissue that surrounds muscles, groups of muscles, blood vessels and nerves, binding those structures together. Visualise how plastic wrap is used to hold the contents of sandwiches together, and you’ll get the general idea: When we adopt prolonged poor postures, our fascia becomes stuck in a certain position.

Try this exercise to see what I mean. Adopt a slumped-over posture. You’ll see that the shirt or top you are wearing crumples up over your abdomen. Imagine that material is fascia, and if you remained still long enough it would stay in that position, now hold the material where it is and try to sit up. You won’t be able to, because the material is holding you fast. If you sit badly for long enough you will stay sitting badly, because your fascia will shorten, closely followed by your muscles. Did your mother ever tell you that if you keep a funny face or a cross expression for long enough, it will stick like that? Well, theoretically it is true!

If you are desk bound, you probably regularly find yourself sinking into a bad postural position, with your chest collapsed and your shoulders slumped. Eventually many people find that this becomes their normal posture. This drooping position lengthens the fascia on the back of the body and shortens it on the front. Chronic shoulder, neck and back pain are the result.

HOW TO STRETCH
Stretching should be done in a […]