Knee Pain

2705, 2015

Curtsy Lunges

By |May 27th, 2015|media|Comments Off on Curtsy Lunges

Curtsy Lunges

‘Keeping your knees healthy and symptom free begins with developing a functional understanding of how this unique joint is constructed (anatomy) and how it does and doesn’t function (biomechanics)’

Lunges are excellent dynamic strength exercises for the lower body but can cause pain if not performed properly.

The curtsy lunge is like the standard lunge, but your rear foot moves backward, crossing it behind the front  leg, planting the ball of your rear foot about half a metre across the midline as though you were about to curtsy. In this movement the knee travels across the body vs. the traditional forward and backward motion. The weight used in the exercise has to be lowered drastically. Not just because your muscle can’t handle it, but because there is no chance for your muscles and body’s passive structures to exert enough force in such an extreme, anatomically disadvantageous position.

The curtsy lunge exercise negates one foundational rule of biomechanics. To encourage proper movement pattern, function, and strength, the knee joint, hip joint, and shoulder joint should be kept in alignment with one another the entire time while bearing load. For the grand majority, this will produce unwanted stress since the hip socket doesn’t align with this movement angle or pattern. Consequently, the IT band and TFL will take a loaded stretch.

Increased rotation of the knee causes excessive overstretching or twisting of the ligaments or tendons or increased shearing forces on the bursa surrounding the knee, then ligament strain, tendinitis, meniscus tears, bursitis, iliotibial band and patella femoral syndrome can occur.

The knee is a hinge-type joint, roughly equivalent to a door hinge, but with a slight rotation to lock it into full extension. The meniscus is located between the femur […]

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

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

Taking a Holistic Approach to Sports Injuries

By |October 30th, 2013|media|Comments Off on Taking a Holistic Approach to Sports Injuries

Taking a Holistic Approach to Sports Injuries

Whether you are a trained athlete or new to a sport, injuries can happen to any of us. Taking time out to allow healing can impact upon your fitness and performance, so it’s essential that you take the necessary steps following injury to promote your recovery. While straight after the event it’s important to use ice, compression and elevation to reduce swelling, opinion is divided as to the further care. Taking a strictly medical approach, you would be advised to take an anti-inflammatories such as aspirin or ibuprofen and may be provided with means to immobilise the injury such as a splint, cast or sling. However, these medications are not suitable for everyone and in any case, you may prefer to take a more natural well-rounded approach to aid healing. Osteopathy is an important aspect of a holistic approach to sports injury, helping to relieve muscle tension, improve blood flow and immune function, aid the removal of waste products from the muscles and increase your range of motion, all of which play an important part in tissue recovery. However, there are other simple steps that can be taken to aid repair and restore your musculoskeletal function.

Rest and activity

While a certain degree of rest is obviously important to keep your weight off a leg, knee or ankle injury, or similarly to avoid overexertion that may adversely affect damage to the upper body, it is important that this is balanced with activity. A certain degree of movement is advisable as this not only aids healing, but helps you to maintain your fitness and muscle mass while you recover. There will be some types of movements though that may make a condition worse. […]

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.

Stretching should be done in a […]

2110, 2013

Knee Pain Helped with Osteopathy

By |October 21st, 2013|common complaints|Comments Off on Knee Pain Helped with Osteopathy

Knee Pain Helped with Osteopathy – Because the knee is a weight bearing joint, knee pain affects almost everything we do that requires mobility, including those things most of us have usually taken for granted. Routine activities of living, work, social and recreational activities are often limited or avoided because of knee pain. A person with a bad knee knows how often it gets in the way of doing the things they want and need to do in daily life.

Knee pain can be caused by direct trauma to the knee from falls, over-use or impact sports injuries, motor vehicle accidents, poor alignment /muscle imbalance, congenital weakness, disease, and age related wear and tear. With both chronic and acute knee conditions, an osteopath can be an invaluable resource in the diagnosis and treatment of your knee condition

The stress and jarring of routine running activities combined with a poor tracking ability of the kneecap (Runner’s knee) wears down and inflames the knee joint cartilage. The result can be pain, swelling, and dysfunction. Left untreated, these inflammatory knee disorders inevitably lead to arthritis.

Whether a knee condition is acute (injury related) or chronic (wear and tear related) the importance of getting a good diagnosis and receiving the proper treatment cannot be understated. Although analgesics can help relieve some pain and swelling, it takes proper corrective measures to address the underlying cause of the problem. A consultation with an osteopath could help you determine just how much you can do to improve the condition of your knees by taking a comprehensive medical history and perform a thorough physical and biomechanical examination in order to make an accurate diagnosis. Treatment would involve hands on osteopathic techniques to relief pain, improve joint function, reduce any swelling and treating areas around the knee that can be contributing to your Knee pain and advice […]

3001, 2013

Rheumatoid Arthritis – Rheumatoid Arthritis Treatment

By |January 30th, 2013|common complaints, testimonials|Comments Off on Rheumatoid Arthritis – Rheumatoid Arthritis Treatment

Rheumatoid Arthritis Treatment

I was diagnosed with Rheumatoid Arthritis at the age of 18 which was 28 years ago. My initial treatment was conventional medicine eg. Voltaren and the rest of the anti-inflammatory drugs. My final visit with a Rheumatologist was walking out with a scrip for Cortisone and Disprin. I tore up the scrip and decided that was the end of drugs for me. It has been a process of elimination from herbalist to naturopath to acupuncture. Currently I am a patient of Dr Barbara Lewis (my homeopath) and Dr Guy Ashburner (my osteopath). I personally feel that I have benefited from “alternative” medicine by not succumbing to drugs and the many related side effects. Both of my chosen therapies have a holistic approach to my Rheumatoid Arthritis and have helped me change my lifestyle to a huge extent.

Homeopathy was always a preferred therapy and I am extremely happy with the treatment I receive from Dr Barbara Lewis. Osteopathy on the other hand was totally unknown to me and had it not been recommended by a colleague, I would probably not have tried it. My initial visit with Dr Guy Ashburner was about 2 years ago to sort out my back. My back problem turned out to be my hip that was taking strain. As a result of aerobics I had messed up my right knee and had a total knee replacement 21 years ago. This caused me to totally abandon going to gym. Thanks to Dr Guy Ashburner I am now back at the gym under his guidance and regaining some of the flexibility I had lost. I cannot explain how this has impacted on my life. Not only have the physical benefits been […]

1012, 2012

Pregnancy – Pregnancy Effects – Beat the Strain

By |December 10th, 2012|common complaints, media|Comments Off on Pregnancy – Pregnancy Effects – Beat the Strain


Pregnancy and birth are a time when a woman’s body undergoes the most change. Rapid weight gain, physical and hormonal changes, stretching ligaments and skin and all the added strains of looking after a newborn mean mom needs specific help to recuperate while she’s spending all her time on the new addition to the family. […]

1906, 2012

Say Goodbye to Neck and Back pain for Good

By |June 19th, 2012|media|Comments Off on Say Goodbye to Neck and Back pain for Good

Say goodbye to neck and back pain for good

Our backs and necks are perhaps two of the most neglected areas of our bodies. Statistics show that more than 80% of people will suffer from back and neck pain at some point in their lives – a number too high to ignore. Charlene Yared-West talks to the experts about what to do about
it and how to avoid it. […]

2805, 2012

Chronic Fatigue Syndrome

By |May 28th, 2012|testimonials|Comments Off on Chronic Fatigue Syndrome

Chronic Fatigue Syndrome

I met Dr Ashburner last year in when I took my daughter to see him regarding her knees, which had been troubling her for some time. During her appointment he asked me what was troubling me and I briefly explained that I was suffering from chronic exhaustion as well as tension and discomfort in my back and neck.

He told me that he was confident that he could assist me. At my first appointment he took a very thorough history and explained what his approach would be to the chronic fatigue. At this point I was willing to attempt any treatment that could help me regain some comfort in my body. Added energy would be a bonus.
I am a full time ballet teacher and mom to 2 young teenagers and my life is full of demands on my energy reserves.

Over the previous number of years I had struggled to honour all my commitments due to a constant feeling of flu-like illness, pain and discomfort, headaches and extreme exhaustion. Many visits to my G.P with general complaints of not feeling well had not uncovered any more than a chronic iron deficiency. I had 5 iron infusions to correct the deficiency, but even after that I was still suffering with very sore neck glands and a general feeling of fatigue.

Over the years I have also been on the Quantum machine, had kinesiology and chiropractic treatments as well as acupuncture.

Whilst all the earlier treatments had for a short while lightened my symptoms, none have made as big a difference to me as what osteopathy has.

Dr Ashburner has significantly changed my life for the better. I am so happy to no longer suffer any backache. My focus on […]