" />
Did you know? Lushington Chiropractic EXPERT GENTLE EFFECTIVE

This website is managed by the award winning Lushington Chiropractic Clinic in Eastbourne

Book a consultation

Our team will contact you to confirm your appointment

Visit the Lushington Chiropractic WebsiteVisit the main Lushington Chiropractic website Click here

Shoulder Strengthening Exercises to Do at Home

Who are these exercises for?

If you have suffered from a shoulder injury then these exercises may be for you. This blog will help those of you who have had a shoulder injury to gently strengthen the shoulder musculature and therefore work to stabilise the shoulder joint itself. Simple home-strengthening exercises for the shoulder can be done daily, however, make sure you check with your chiropractor at Lushington clinic in Eastbourne first. This is in order to ensure you’re ready for these exercises, since doing them too early may cause further injury. An injury may include rotator cuff tears (chronic or acute), weakness from osteoarthritis or muscle strains. Read on to find out how you can potentially strengthen your shoulder at home with some of these simple exercises.

 Internal rotator cuff muscle strengthening exercises

The shoulder joint is one of the most mobile joints in the body, with a huge range of motion in many directions. This gives you the mobility and strength to lift your kids, your shopping, to push open a door, and many of the other things that we take for granted in life! However, it does make the shoulder more prone to instability and therefore more prone to injury. Injury can often affect the rotator cuff muscles and their tendons (where those muscles attach to the bones of the shoulder). The rotator cuff muscles are the four main muscles that support the shoulder joint and help with movements such as internal (inwards) rotation, external (outwards) rotation, and abduction (lifting the arm out to the side).

To exercise the internal rotators, use a TheraBand or other resistance band. This is a stretchy piece of elastic band about 3 inches wide, and made in varying degrees of resistance. Start with the easiest/most stretchy one (usually yellow in colour) and take a length 1 metre long. Tie a secure knot at the end and trap it in a door frame by shutting the door with the knot on the other side of the door. Stand with your bad shoulder at 90 degrees to the door and tuck your elbow into your side with your elbow bent at 90 degrees. Now, slowly bring your lower arm into internal rotation (i.e. the wrist moves away from the door) and back to the neutral starting position. It’s very important to keep the elbow tucked into your side. Repeat 15 times.

Image shows Eastbourne chiropractor Victoria White demonstrating external rotator cuff muscle strengthening exercises using theraband.

External & internal rotator cuff muscle strengthening exercises as demonstrated by Eastbourne Chiropractor Victoria White

External rotator cuff muscle strengthening exercises

Set up your TheraBand as above, for the internal rotator cuff muscles, but stand with your good shoulder towards the door. Do the same movement where the wrist moves away from the door, and repeat 15 times. Keep the elbow tucked into your side.

Abductor rotator cuff muscle strengthening exercises

Step on the knotted end of the TheraBand, and keeping the elbow locked and arm straight, raise the arm and then lower it slowly. Don’t go above the shoulder. Making sure you keep the arm straight ensures that you’re working the correct muscles. Repeat 15 times.

Image shows Eastbourne chiropractor Victoria White demonstrating abductor rotator cuff muscle strengthening exercises

Abductor rotator cuff muscle strengthening exercises

If you have any questions about these shoulder exercises then please ask your chiropractor, and remember to check with them or another medical professional before you begin your shoulder rehabilitation program. A key point is to do little and often, to minimise strain on your injured shoulder, and to do the exercises with good posture. You can also use TheraBands with more resistance as you progress and get stronger. You can get in touch with us at Lushington chiropractic clinic in Eastbourne to book your shoulder assessment and treatment.

Thanks for reading

Vicky  

 

How Can I Strengthen my Neck at Home, and Why Would I Need To?

Here are some quick and easy neck exercises to help strengthen your neck, that you can do in the convenience of your own home.

How many of us suffer from neck aches and pain? Well, of those coming in to see us at Lushington chiropractic clinic in Eastbourne, a fair number!! In combination with chiropractic treatment and a program of home-stretches, there are some fantastic strengthening exercises that you can do at home. These will effectively help to strengthen the neck muscles, alleviate your pain and improve your neck function.

Which muscles should be stronger, and why?

Firstly, let’s focus on which neck muscles need to be stronger. Typically, people with neck issues, pain, or just neck and shoulder stress or tightness are prone to becoming weak in the lower trapezius muscles, and tight in the upper trapezius muscles. The upper trapezius muscles are the ones that you feel on the tops of your shoulders, and they attach at the neck right to the top. You can see in the picture below where the upper trapezius muscles are found (under the model’s hand)….

Image shows women rubbing the left hand side of her neck.

The upper trapezius muscles are found at the tops of the shoulders

These muscles tend to tighten in the ‘fight-or-flight’ response, so are often tense in people with anxiety, stressful jobs or busy lives. Additionally, they can cause headaches in a specific referral pattern. The referral headache is usually felt at the back of the head, over the top of the head, and behind the eye. To help release these muscles you need to work to strengthen the antagonistic muscles, that is the muscles that do the opposite action across the same joint of the body. In this instance that is the lower trapezius muscles and rhomboids which pull the scapula (shoulder blades) downwards and hold them stable.

How to strengthen the lower trapezius muscles and rhomboids…

Stand straight with your best posture. Now, ‘open up’ the chest and pull your shoulder blades together using the muscles in between them. Hold for a few seconds and squeeze tightly, then release, and repeat 10 times. As with most exercises, little and often is the key so do this a few times daily until the posture is better.

How to strengthen the lower trapezius muscles and rhomboids…

The other muscles that frequently get tight and cause neck pain are the suboccipitals. When tight and dysfunctional, these can cause headaches that are felt at the back and top of the neck, where the neck meets the skull. They are small muscles but can cause painful headaches.

To help release them you once again need to strengthen the antagonistic muscles, which do the opposite action. Here that is the deep neck flexors located at the front of the neck. These muscles help the chin to tuck downwards. To strengthen the deep neck flexors, lie down on your back, on your bed or sofa, with your head hanging off the edge. Make sure that your chin is tucked down (this is very important) and that your spine is straight, and hold the weight of your head up to work those muscles at the front of the neck. You should be able to last up to one minute – if your neck starts shaking or if your chin juts out then stop, and try again. Do daily for best results.

Thanks for reading. Read my previous blog for information on how to stretch out the tight and tender muscles that typically cause you neck pain.

Vicky

What is the Best Sleeping Position for my Back Pain?

Sleeping positions and their impact on your back pain, explained!

 In Lushington chiropractic clinic in Eastbourne, we are often asked “what’s the best sleeping position for my back?” and “why does my lower back hurt so much and feel so stiff in the mornings?” Well, unsurprisingly, the two issues are related!

If you are a long or a short-term sufferer of back pain, then you may know that feeling of being stiff and achey in the mornings. What a horrible way to wake up! This blog will help you to minimise or even avoid this feeling, and better prepare your body for a more pleasant, less painful wake-up.

Why does my back hurt so much in the mornings?

Any tissues in the body that are inflamed, whether they be muscles, ligaments, joints or around nerves, can become more inflamed with inactivity. This is because when you’re lying still all night (or sitting still in the day) the fluid collects in those irritated tissues and the result is pain when you do finally go to move! Now, of course it’s not practical or desirable for you to get up and exercise during the night, BUT, there are a few changes you can make to your sleeping position that will help to minimise and alleviate that morning pain. You can do this by putting your body in a better position at night so that those tissues are not stretched and strained and to minimise aggravation as much as possible. You’ll be surprised how much it can help!

Remember, the spine is a column of vertebrae (bones) with fluid-filled, shock-absorbing discs in between to stop those bones rubbing on one another. In the daytime when you’re standing and mostly vertical the pressure of gravity, and your bodyweight, compresses these discs very slightly (don’t worry, you don’t lose height!). On the reverse, when you’re asleep there is much less pressure on these discs and so overnight, they become plump and hydrated. This means that first thing in the morning they are most susceptible to being damaged or injured, and are particularly vulnerable to flexion (leaning forward) and twisting injuries. So, wait an hour before doing yoga and other exercises as they’re not the best movements to do as soon as you wake!

What is the best sleeping position? On your back!

Studies have shown that the lying position where the least pressure is placed on your lumbar discs is supine, i.e. lying on your back, face up. You can see from the picture here that if standing vertically is considered a baseline of ‘100%’ of your normal spinal disc pressure, then sleeping while lying on your back puts only 25% of that pressure on your discs. When sleeping on your back, in the supine position, it’s best to only use one pillow under your head for comfort (any more that this and your neck will be tilted upwards). Another good tip is to put two pillows underneath your knees, to make them slightly bent; this will take the pressure off the hamstrings, the lumbar facet joints, the pelvis and the sciatic nerves, and will feel very comfortable when you get used to it.

On your side…

Since not all of us are able to sleep on our backs, then the second-best position would be to lie on your side. If you do this it is very important to make sure that you assess your lying position when you’re in it, and ask “is my spine in line?”. You should be looking for a straight spine where your head and neck are properly supported by pillows. Too many and your neck will be tilted upwards, too few and it will be tilted downwards. Two pillows is usually about right for most people. Go for supportive synthetic pillows or an orthopaedic one if you prefer, as feather pillows are not supportive once the weight of your head is on them (the feathers push out to the sides and leave your head tilted downwards towards the mattress). The spine should be in alignment through the low back as well; bend both knees and keep them together without sprawling into the recovery position. You can put some of your duvet or a pillow in between the knees if it’s more comfortable. If it helps, you can ask a friend or partner to look at you and help with the “is my spine in line” check, if you wish.

Image shows building blocks demonstrating different spinal disc pressures to accompany the blog by Eastbourne Chiropractor Victoria White on sleeping positions.

The best positions for your lower back are lying on your back and after that, lying on your side

So, if you suffer from back pain in the morning then perhaps it’s time to do the “is my spine in line” check at home tonight! Please ask your chiropractor if you have any questions.

Thanks for reading

 

Vicky

 

 

What is the difference between a Physiotherapist or Chiropractor?

Physiotherapist or Chiropractor?

I frequently get asked by patients here at Lushington Chiropractic in Eastbourne, what is the difference between a chiropractor and a physiotherapist? Well, there are a lot of similarities between both professions. We both use manual therapy and prescribe exercises to help people move and feel better. So it’s an understandable question, but like most things in life the devil is in the detail as to what the differences are. My personal view is from that of a chiropractor, but I have worked alongside physio’s in the past and will be as impartial as I can be.

Image of James Revell - Doctor of Chiropractic at Lushington Chiropractic in Eastbourne to accompany his blog on the differences between Physiotherapy and Chiropractic.

James Revell – Doctor of Chiropractic

What do physiotherapists and Chiropractors have in common?

Based on the NHS choices website definition of physiotherapy, it is described as a profession that helps to restore movement and function when someone is affected by injury, illness, disability. It can also help to reduce the risk of injury or illness in the future. It takes a holistic approach that involves the patient directly in their own care. From this definition you can see there are a lot of similarities between physiotherapists and chiropractors. The most obvious being the focus on restoring movement and function. We both share those goals of wanting you to move and feel better. We also both use manual therapy to help achieve that goal. Generally manual therapy is used more by physiotherapists working within private practice than those working within an NHS hospital setting which is moving more towards exercise based treatment approach.

What kind of manual therapy techniques do chiropractors and physiotherapists use?

We both use a variety of soft tissue techniques such as massage or trigger point therapy for treating stiff and sore muscles. We can combine that with different stretching techniques to help reduce stiffness that can build up within muscles. To help joints move better, we both use joint mobilisation techniques. These are repetitive movements of joints into a specific direction, usually into the direction of joint stiffness. Looking at the updated guidelines from the National Institute of Clinical Excellence (NICE) for the treatment of lower back pain. Spinal manipulative therapy is recommended. Incidentally NICE is the organisation that recommends the best practice for the treatment of certain conditions. These guidelines are often used by GPs, consultants and other health care professionals. Chiropractors and osteopaths are trained to manipulate the spine within their education. Whereas if a physiotherapist or GP wants to use spinal manipulation, they have to undergo additional post graduate training.

What sort of education does a chiropractor or physiotherapist have?

To become a qualified chiropractor involves undergoing a four or five year undergraduate degree programme where students learn to diagnose, treat and rehabilitate a wide range of disorders affecting the musculoskeletal system. They will also learn how to take and read x-rays, as well as interpret MRI scans. Once graduated chiropractors will continue their professional development with additional training. To become a qualified physiotherapist involves a three year undergraduate programme or a two year Masters programme for someone who has a relevant degree such as sports science. The focus is not just on the treatment and management of the musculoskeletal disorders. But will learn how to rehabilitate other disorders such as cardiac and respiratory conditions. This is something chiropractors or osteopaths are not trained to do. Physiotherapist do get good training opportunities in their post graduate training working within the NHS.

So who should I see about my back or neck pain?

The answer to that question is it doesn’t matter. As long as you find a good chiropractor or physiotherapist, they will both help you with your lower back or neck pain. If you would like to find out a bit more about what I can do to help you, have a look at the Lushington Chiropractic website.

Thanks for reading.

James

 

A chiropractor’s guide to protecting the back when gardening

So the focus for my blog this month is GARDENING and some tips for protecting the back when gardening.  It is inspired by my mum and all my patients here in Eastbourne who are just starting to get back out in the garden now the weather is warming up.

Getting out in the garden can be very therapeutic. It can be stress relieving and being out in the fresh air is lovely, plus the sun is great for Vitamin D levels.  Growing plants, especially your own vegetables can be very satisfying, and having that nice environment to sit out in on a nice summers day or for a BBQ is well worth the effort.

Of course, as a chiropractor here at Lushington Chiropractic there are a few things I would say to keep in mind.  If you are prone to back problems, it is important to be aware that certain activities can exacerbate discomfort and that certain steps should be taken to protect your back when gardening.  I firstly started out doing a little research of my own by getting out in the garden at home to appreciate what it is my patients are doing when they tell me they have been doing a little digging!  Wow when those roots are holding tight they are hard to get out! Not like the plants we have in our little patio garden outside of our X-Ray suite.

Image shows James Revell - Doctor of chiropractic getting to grips with the patio plants outside of the Lushington Chiropractic X-Ray Suite here in Eastbourne.

James getting to grips with the patio plants.

So what is it about gardening that means we need to take care?

To those unfamiliar with what is entailed in maintaining an attractive and orderly outdoor space, gardening may seem like a sedate pastime. Yet, the reality is that many aspects of gardening can involve sudden bursts of activity that the body may well not be ready for, such as twisting and lifting. Combine these movements with poor posture and poor technique and the results can be extremely painful.

The first point to make is that if you have good strong core and back muscles and have looked after your back in other daily activities and sports then your body is much more likely to be robust and ready for the exercises and challenges that you may throw at it.

If you are unsure about how to do this then ask advice from someone who can help, such as a chiropractor or a good personal trainer.

Secondly here are some tips that you should bear in mind:

Like any other exercise, start off slowly and warm up.  Going for a gentle walk, doing some light movement or starting off with lighter/easier jobs first will help your body warm up and lessen the chance of muscle strain. This may seem like overkill for a spot of gardening, but if you are serious about protecting your back it can be essential.

You will also need to wear clothes that are suitable for the task at hand when you step outside.  Tight clothes could constrict your movement. Also be mindful of the type of footwear that you have to prevent slipping in wet conditions.

When using a ladder or steps, make sure it is planted firmly in position.  Have someone with you if necessary to help and try not to overextend when you reach or lean out. Avoid this temptation by moving the ladder frequently when you are working over a large area.

Over-reaching and leaning is one to avoid even when not on a ladder.  Keep what you are doing closer to you, this will put less strain on the body.  You can get tools with longer handles to help with this.

Image shows Doctor of Chiropractic James Revell of Lushington Chiropractic in Eastbourne attending to the plants on the patio of the X-Ray suite.

Gardening? Not much digging going on here!

When digging, push down rather than pushing too far out in front, this helps to minimise bending.

If you are buying heavy items that are delivered, have them dropped off as close to where you need them as you can, to avoid having to carry them later.  Also if you are buying big bags of compost for instance, consider getting more smaller bags to make the lifting easier and alway carry heavy things close to the body.  A wheelbarrow is also handy to limit carrying.

If you are doing lots of potting, think about doing this on on a work surface at a comfortable height so as to limit stooping over.

Vary your activity and take regular breaks, don’t be tempted to do it all once due to the weather forecast!

A knee pad is useful for those knees, rather than kneeling on hard surfaces.

Don’t forget to stay hydrated in hot weather.

Finally if you think something is a bit too much, get someone to help out, take it easy and don’t overdo it.

If you are concerned about protecting the back when gardening, consider all the points above when you are getting outside this summer.  If you need some further advice or have back pain you can always contact us.  Our website is a good place to start.

Thats all for now, above all enjoy!

James

Differences between Osteopathy and Chiropractic

Chiropractors and Osteopaths both treat back pain using a variety of techniques to improve musculoskeletal function. But what is the difference between Osteopathy and Chiropractic?

Chiropractic or Osteopathy?

This is a question I get asked all the time by guests at the clinic here in Eastbourne. Unfortunately, the answer to this question is not black and white due to professional differences within both professions. It is worth bearing in mind that chiropractic and osteopathy are not techniques but are the title of the professions. So I will do my best to explain the different approaches for treating back pain that exist between an osteopath and a chiropractor.

What are the similarities between an osteopath and a chiropractor?  

Both osteopaths and chiropractors are statutory regulated health professions, the osteopaths by the general osteopathic council and chiropractors by the General Chiropractic Council. In terms of education, both have to complete a four or five-year degree level course. Based on a definition taken from the General Osteopathic Council, osteopathy is described as a primary health care profession. This is similar to chiropractic and means you do not need a referral to visit an osteopath or Chiropractor. In the same way you do not need a referral to visit a NHS dentist or GP. This means both a chiropractor and osteopath have the necessary diagnostic skills to know what we can treat and when to refer.

The NHS describes osteopathy as being based on the principle that the wellbeing of a person depends on their bones, muscles, ligaments and connective tissue function smoothly together. They can help prevent health problems through the use of physical manipulation, stretching and massage techniques. With the aim Increasing mobility of joints, relieving muscle tension, enhancing blood supply to tissues and helping the body to move. As a chiropractor I would agree that a musculoskeletal system functioning to the best of its capability is beneficial for your overall health and wellbeing.  We all have experienced days where are muscles and joints ache, leaving us feeling tired and down. I would say we both share the goal of wanting to reduce back pain and improve musculoskeletal system function. With an understanding how that can have a positive impact on your wellbeing.

Doctor of Chiropractic James Revell explains the differences between chiropractic and osteopathy

Doctor of Chiropractic James Revell explains the differences between chiropractic and osteopathy. Pictured here with Founder of Chiropractic Daniel David Palmer

What techniques do Osteopaths and Chiropractors use?

Both Osteopaths and Chiropractors use manipulative techniques to treat and improve movement within the spine. Chiropractors call these spinal manipulations, chiropractic adjustments. These manoeuvres involve a quick but gentle thrust to the spine that sometimes causes the characteristic click or pop sound to come from your joints. As a chiropractor my goal is to improve the movement of the joint and recognise the beneficial effect this can have on your nervous system. I would expect an osteopath would also have a similar goal. But there are slight differences in the techniques used.

Osteopaths and chiropractors treat joints and muscles using massage and stretching techniques. Personally as a chiropractor I like to adjust, use a facial edge tool to break up any scar tissue within the connective tissue surrounding muscles and combine this with other massage techniques, rehabilitative exercise, and stretching of stiff muscles to improve your musculoskeletal health. Both chiropractors and osteopaths will develop their own style of practicing and this will be based on their own experience with patients and the type of courses they choose to attend after University. It is not unusual for chiropractors and osteopaths to attend the same courses and learn techniques from each other.

Are there any differences between chiropractors and osteopaths?

We have established a lot of similarities between chiropractors and osteopaths. But the biggest difference to the best of my knowledge is chiropractors are trained to take x-rays. Both professions are taught to read and interpret x-rays and MRI scans. Chiropractors can organise a private referral for an MRI scan if you require it. As you can see the answer is not straight forward and it is about finding the right practitioner for you. If you want to find out more about what I do look for James Revell on the Lushington Chiropractic website.

Thanks for reading.

James

What is McTimoney Chiropractic and how is it different from the Chiropractic we do here in Eastbourne?

The differences between McTimoney Chiropractic and the Chiropractors here at Lushington Chiropractic Clinic?

You may have noticed some chiropractors advertise themselves as McTimoney Chiropractors. You might be wondering what a McTimoney chiropractor is and how they differ from the Chiropractors here at Lushington Chiropractic Clinic in Eastbourne? This isn’t a straight forward question to answer as it involves a bit of over generalisation about Chiropractors and McTimoney Chiropractors. The trouble when explaining the differences between Chiropractic and McTimoney, is chiropractic is the name of a profession and not a technique or approach. Within the profession there are a variety of different approaches and Techniques. One Chiropractor may work very differently to another Chiropractor in terms of evaluation and treatment.

It is also worth mentioning that I have not trained using McTimoney technique. So, I am not an expert in that technique and may present information with an unintentional bias towards what I do. But I can tell you what I do know about McTimoney. This is based on my knowledge from speaking to different McTimoney Chiropractors at various seminars. Plus, the information I gathered from the McTimoney Chiropractic College website.

What is McTimoney Chiropractic?

McTimoney Chiropractors are graduates of McTimoney College Chiropractic. The college bases its training on a particular technique developed by a chiropractor called John McTimoney. The technique is quite distinctive and a separate branch of chiropractic. Their main tool is a specific type of adjustment that doesn’t cause the audible popping or cracking sound. It is very gentle and involves a flicking motion on specific joints within the spine. The course is a 5-year part time course, although recently they have added a full-time curriculum. There is less emphasis on learning soft tissue techniques, rehabilitation exercises or how to take x-rays within the curriculum.

Where did I train to become a Chiropractor?

I personally trained at the Anglo-European College of Chiropractic (AECC) where there was a strong focus on evidence informed treatments. This included chiropractic adjustments (spinal manipulation), rehabilitative exercise, soft tissue massage and stretching techniques, alongside other useful strategies to help prevent further injury. We were taught how to take and read x-rays. The type of adjusting I was taught and use, often results in an audible joint popping sound. This is caused by Nitrogen gas leaving the joint. I also use gentler techniques, for those who aren’t keen on the noise. My main aim with the adjustments is to increase movement within the joints and to ease muscle tension.

So what is the difference?

Starting with the adjustments used, the McTimoney chiropractors will focus their adjustments on misaligned vertebrae and will follow a specific McTimoney Chiropractic protocol to determine which areas of the body require an adjustment. Whereas my adjustments are based on a range of factors including posture, pain location and more importantly where movement is lacking in the spine. I use a range of techniques including Diversified Chiropractic, Flexion-Distraction, Activator and more. When I studied we actually covered seven different chiropractic treatment protocols as well massage, rehabilitation and other modalities (ultra-sound etc).Increasingly McTimoney Chiropractors will learn other techniques whilst at undergraduate level, or on additional post-graduate courses.

Around stiff joints there is normally a tight muscle. So here in Eastbourne, I use more soft tissue massaging techniques and stretching techniques to relieve the tension within the tight muscles. This is something a lot of McTimoney Chiropractors tend to avoid doing, unless they’ve done additional post graduate training.

Image of James Revell - Doctor of Chiropractic at Lushington Chiropractic in Eastbourne to accompany his blog on the differences between McTimoney Chiropractic and the Chiropractors here at Lushington Chiropractic .

James Revell – Doctor of Chiropractic

One of the areas I am passionate about in chiropractic is the rehabilitation side of things. Being able to identify specific areas within the body that require strengthening, stretching or better muscle control through various functional tests. Is something I find useful in preventing further injury. Traditionally this isn’t an area McTimoney Chiropractors would typically focus on quite as much. Although I have met some McTimoney Chiropractors with an interest for rehab at various seminars.

If you have any questions about the blogs or would like to know any more information. Do not hesitate to contact me here Lushington Chiropractic in Eastbourne.

Thank you for reading my blog,

James

New NICE guidelines recommend chiropractic techniques for the lower back pain and sciatica

Chiropractic for the treatment of lower of back pain and sciatica

The National Institute for Clinical Excellence (NICE) recently published new guidelines for the treatment of lower back pain and sciatica. NICE is an organisation that provides guidance and advice to improve health and social care on a national level. These are the guidelines used by the NHS and other healthcare professionals. This guideline for the treatment of low back pain and sciatica covers everything from public health advice to surgical interventions.

The guidelines recommend a number of interventions for low back pain, including spinal manipulation and soft tissue massage techniques. Exercise and psychological therapies are also recognised as important in the treatment of lower back pain and sciatica.

What is spinal manipulation?

Let me explain in a little more detail what these treatments consist of. Spinal manipulative therapy is an umbrella term for a variety of methods and techniques available to chiropractors and other healthcare professionals. Depending on the nature of the issue, one or more of these interventions can be utilised to restore joint movement and function.

The chiropractor will observe and feel the movement of your spinal joints, looking for stiff joints. They will then apply a small thrust to a specific joint, to help improve movement there. The amount of force or movement used in the manipulation varies according to the techniques that the healthcare provider has been trained in, and how they can adapt them to your needs.

Spinal manipulation has been practiced by health practitioners for thousands of years. There are reports suggesting it’s use as far back as Egyptian times. Over the last 100 years’ chiropractors have been increasingly considered as some of the leading specialists in spinal manipulation.  Although chiropractors carry out a wide range of types of treatments from massage to exercise advice, we have developed over a hundred different spinal manipulation techniques, which we refine for each person individually.

When you see a chiropractor they often refer to the spinal manipulation as an “adjustment”.  It’s worth noting as well that we are trained to adjust and treat other joints or muscles throughout the body.

In relation to spinal manipulation itself, which is one of the treatment types recommended in this NICE guideline for the treatment of lower back pain and sciatica, the only healthcare professionals in the UK to have these techniques included as part of their required degree training are chiropractors and osteopaths. If a physiotherapist or GP wants to learn how to manipulate spines they have to undergo additional postgraduate training.

Soft tissue techniques

The guidelines recommend the use of soft tissue techniques for the treatment of lower back pain and sciatica.

There’s a wide variety of soft tissue techniques that can be used to treat back pain and sciatica. I predominately use stretching and massage techniques to help reduce stiffness and tension within the muscles and connective tissue. There is nothing more satisfying than improving someone’s hip and back range of motion with well-targeted massage and stretching.

At our chiropractic clinic in Eastbourne we have a large team of chiropractors, which is great for our patients, because we often discuss severe cases and share techniques we specialise in.

Exercise

For a wide variety of people, I find that spinal manipulation and soft tissue techniques are best combined with specific therapeutic exercises, that are aimed to strengthen specific muscles and stabilise joints. Part of my assessment at Lushington Chiropractic Clinic is to identify the areas of the body that need to be strengthened and the areas that need increased mobility. This assessment helps me to develop a personalised care plan, based on the individual findings of each guest.

Psychological therapies

You may be wondering what role psychological therapies have in the treatment of lower back pain and sciatica.

What we do know, how we feel and our past experiences of pain have a big influence over our pain levels. Especially persistent pain that has been around for a long time. Our pain threshold becomes reduced when we feel anxious or depressed. We also know that our muscles can become tense when we feel like this. One technique I use alongside the manual therapy and exercise is cognitive behavioural therapy (CBT). This is useful in reducing anxiety, stress and helping people to manage depression.

Nice to hear from NICE

New Guideline from NICE recommends Chiropractic treatment for lower back pain.

New Guideline from NICE recommends Chiropractic treatment for lower back pain.

This was something I was pleased to hear about. Considerable thought goes into devising the treatment plans for the guests at our clinic, so it is gratifying to read that the techniques we use have been incorporated into the NICE guidelines. This reinforces our belief that the treatment packages used here in Eastbourne are of the highest standard.

If you would like to find out more about the treatments available here at Lushington Chiropractic in Eastbourne, do not hesitate to contact either myself or another member of the team.

James

An interview with Dr Gemma Crouch: Part 2

Continuing on from last time, here is part 2 of our interview series with Dr Gemma Crouch. In this part of the interview, we will learn more about which patient group she specialises in and why, as well as learn about what she likes to do in her spare time.

Image shows Eastbourne Chiropractors Dr Gemma Crouch and Dr Josh French seated in the X-Ray Suite at Lushington Chiropractic

Dr Josh sat down with Dr Gemma Crouch recently to ask some questions and find out more about her and why she chose to be a chiropractor.

Hi Gemma. Thanks for giving us more time and allowing us to interview again! Following on from last time, is there a particular patient group you specialise in working with?

As well as treating patients of all ages and stages of life, I love to treat pregnant ladies, babies and young children. This is a special passion of mine by the extra reading and studying I have done. It is incredibly fulfilling and rewarding to help mothers provide the best care for their children right from the start. Not every chiropractor goes through the extra training I have done but I felt it was necessary to provide the best paediatric chiropractic care possible.

What made you want to specialise in pregnancy and paediatric chiropractic care?

I guess it started when I was a child when I went to see a chiropractor. My brother and I are twins and we were very young when we went to see the chiropractor because we were both suffering from problems which developed from when we were babies. As chiropractic care helped me then, I wanted to be able to help families with similar problems.

Before moving to Eastbourne, whilst I was at chiropractic college, I chose to study the extra courses in pregnancy and paediatric chiropractic. I was very lucky to be tutored by one of the leading professors in paediatric chiropractic in the world and have been able to learn from them and gain the experience for treating babies first hand.

In addition, since moving to Eastbourne as a chiropractor, I have attended post-graduation courses in pregnancy and paediatric chiropractic care. It’s so rewarding to see the differences that chiropractic can have in these populations of people and this is why I love treating pregnant ladies and young babies.

You can find out more about how Gemma can help with pregnancy and paediatrics from her blogs.

What’s it like to work alongside other therapists such as sports massage therapists, chiropodists and acupuncturists to name a few?

As I said before, it’s really inspiring to work alongside other practitioners because they are experts at what they do and you are constantly learning and experiencing different views from different practitioners, and this allows the patients of Lushington Chiropractic to get the highest quality of care possible.

When you’re not in the chiropractic clinic, what do you enjoy doing?

I have recently joined Eastbourne Hockey Club which I hope to continue throughout the season and represent them in their games and also to meet different people in the community. As well as playing hockey I also go to a local gym and I love running along the South Downs and Eastbourne’s sea front.

My love of animals has inspired me to start to volunteer at a local animal rescue centre so I can give back to the community. I have recently adopted a kitten called Ruby, so she is taking up a lot of my free time at the moment.

Finally, what career aspirations do you have?

I chose a very rewarding career in chiropractic, so I would like to stay in the chiropractic profession. I live in Eastbourne now and have set up a family home here, but the long term future is unknown. However, I intend to stay at Lushington Chiropractic clinic to continue helping all of the lovely patients I have met so far. As I progress in my career I would love to expand upon my paediatric chiropractic skills and therefore provide the people of Eastbourne with truly world class care.

Thanks a lot Gemma!!

That concludes my interview with Dr Gemma Crouch, I hope you enjoyed finding out a bit more about her. If you missed part 1 click here.

Thanks for reading,

Josh French

 

An Interview with Eastbourne Chiropractor Dr Joshua French: Part 3

This is the final part to an interview with Eastbourne Chiropractor Dr Joshua French. Dr Gemma asks her final questions and finds out how Dr Joshua came to live in Eastbourne and what he likes to do in his spare time.

Image shows Eastbourne Chiropractors Dr Gemma Crouch and Dr Josh French seated in the X-Ray Suite at Lushington Chiropractic

Dr Gemma asks the questions to Dr Joshua, our sports chiropractor.

Part 3

Josh, why did you decide to move to Eastbourne to work at Lushington Chiropractic?

During my final year at University, I was looking for a chiropractic clinic that would suit me well. When I saw the advert for the job at Lushington Chiropractic, I felt that would be a very good fit for the clinic. When I came for the interview and saw that the clinic was in Eastbourne town centre, I immediately knew that it was the right place for me to work.

I particularly enjoy working with such a diverse group of practitioners here at Lushington Chiropractic and am very glad I have chosen Eastbourne as the place to practice chiropractic.

How are you settling into Eastbourne?

Week by week I find myself getting more and more settled into life in Eastbourne. I particularly enjoy being so close to the sea and frequently go on walks along the Eastbourne beaches. As an Eastbourne chiropractor, I particularly enjoy everyone’s friendly attitude and frequently run into patients out and about in Eastbourne.

As Mykel is going on holiday for six months very soon, Josh, you will be looking after his patients whilst he is away, is that right?

Yes!

I will be looking after all of Mykel’s patients whilst he is away. I am particularly looking forward to meeting and working with everyone. I have already met and observed Mykel with a lot of the patients and everyone I have met so far has been incredibly friendly.

Obviously Mykel is an excellent chiropractor, so I am honoured to have been given this excellent opportunity, as I know how big a responsibility this is.

What is it like working at Lushington Chiropractic in Eastbourne?

It is incredibly enjoyable working at Lushington Chiropractic surrounded by so many like minded chiropractors, as well as exceptional chiropractic assistants. I thoroughly believe that one of the reasons that Lushington Chiropractic is such a successful clinic is because of how multi-disciplinary it is and I know that a lot of our patients in Eastbourne get a lot of benefit out of seeing the massage therapists, as well as the acupuncturists and other practitioners we have here.

What sports are you playing in your spare time?

Now that I have moved to Eastbourne, I am really enjoying playing at all the local Eastbourne golf clubs, even if my level of playing is not up to par(!). I have also joined a local jiujitsu gym, so two nights a week I drive over to Hailsham to train jiujitsu.

On top of this, I like to keep a generally healthy lifestyle, so I also go to my local gym a few times a week. I find that this is essential for me because I am working with my patients every day, so I need to make sure that I stay on top of any niggles that I pick up during golf or jiujitsu and serve the patients at Lushington Chiropractic to my best ability.

There we have it! We have gotten to know Dr Joshua French over the last interview. Thanks to Josh for your time today.

I hope you have enjoyed reading up about Eastbourne Chiropractor Dr Joshua French. To read part 1 click here or part 2 click here.

Thanks for reading,

Gemma Crouch