A Typical Tuesday for your Chiropractor at Lushington Chiropractic
Here’s your chance to find out what else the chiropractors at Lushington Chiropractic in Eastbourne get up to in the course of a normal day. You will only ever see them during your treatment but there is so much more and we thought it would be nice to share a typical day with you.
Our Doctor of Chiropractic and Clinic Director Dr James Revell starts us off by telling us about his day.
I arrived early this morning to catch up with some files and paperwork before the day gets going. I live in Old Town, near Motcombe, so there’s no commute to work – but even on that short drive you notice how quiet and sleepy Eastbourne is at 6 O’clock. I don’t usually see patients on Tuesdays but today I’m seeing some of Mykel Mason’s because he’s away on Honeymoon.
With a team of five chiropractors and four massage therapists the clinic is always busy during the day, so I start extra early sometimes to get on with projects. The phone doesn’t ring and there’s no distractions. We increased our opening hours this summer to keep up with things, so now there’s less “quiet time” in the mornings before our clinic assistants start to arrive from about 7.15am onwards.
Started my chiropractic work at 8am and have now just seen my second guest of the day. He is a roofer and the years of laying felt on our Sussex roofs have taken their toll, resulting in severe lumbago.
He’s got a lot of back pain at the moment. I’m used to seeing people in severe pain and in his case I’ve been using chiropractic techniques to help his muscles which have cramped up and gone into spasm around his low back. The muscle spasm is starting to improve and today we were able to use some gentle mobilisations techniques to take the pressure off the stiff joints in his low back. The chiropractic adjustments I used will have improved the movement between the joints.
I always enjoy helping people who are in pain. They appreciate it and it’s rewarding to see the difference you’ve made. He felt easier as soon as he got off the chiropractic treatment bench. He’s not taking any time of work and has a busy day ahead here in Eastbourne, but at least this one is starting better than yesterday.
I like to know that I’ve made a difference and it’s always rewarding when someone feels better – especially when they feel better straight after their chiropractic treatment! My main focus is always on treating the root of the problem. I take a functional approach, which means I am aim to work out what has caused the back, hip, knee pain or whatever problem the patient has. My chiropractic treatment plan is focused on helping the muscles and joints heal, repair and actually recover, not just “feel better”. I think people like it that the hands on chiropractic treatment actually does something to help. People also appreciate the time we give them, the explanations of what wrong with the muscles and joints and what they can do to help themselves.
Ultimately I want the body to heal better not just feel better.
Although the chap I saw this morning was feeling better after the treatment I want to help his back properly repair and recover from his chronic back pain, so that we create a sustainable improvement for him. It’s still early days but I’d expect his treatment will develop to include some low-back strengthening exercises to reduce his low back pain (by the way never so sit ups!) and exercises he can use when he’s at work if his back gets painful, stiff or achy.
He also has some general aches and pains in various muscles and joints because of his years roofing. The noisiest of those is his knee, which grinds and clicks a lot. I have diagnosed him with patellofemoral pain syndrome associated with arthritis of the knee. At the moment my main focus is his low back pain, but once that starts to settle, I’ll focus treatment to include his knee as well.
I’ve seen a lot of people with osteoarthritic knee pain in Eastbourne. Although Eastbourne is famous for our ageing population, osteoarthritis can affect people of various ages. Osteoarthritis is common and often ignored by a lot of people. In my experience people can tend to just put up with it.
With osteoarthritis, every individual’s treatment varies but I usually carry out a combination of hands on treatment, including knee and leg massage and knee joint mobilisation, combined with home exercise rehabilitation, advice about vitamins and sometimes ergonomic changes.
Over the last year I’ve increasingly used a form of support taping (like kinesiotape) which seems to be helping some people and is a cheap and simple solution. My colleague Dr Vicky White will also use acupuncture (western dry needling) if that’s helpful to manage her patient’s pain.
At our chiropractic clinic, we have a big team so it’s easy to personalise the individual’s treatment to suit them, rather than to suit what I can do. Treatment for osteoarthritis is always personalised to the individual and we work in conjunction with their GP’s core osteoarthritis treatments as well.
I caught up with Michaela Jezzard our nutritional therapist about some new plans she has for her nutritional therapy work at the clinic. She’s been doing more courses and studies focusing on detox systems, working on a very holistic basis considering energy-lines and chakras. She’s keen to offer this approach to people here in Eastbourne and surrounding areas, which would make her the only person in Sussex offering the specific approach.
Just seen mum for a treatment. What a privilege to help your own family.
She used to get some terrible neck pain, which can cause headaches and even shoulder pain too. Some morning’s mum couldn’t even lift her head off the pillow it was so sore. She is getting on really well with chiropractic and massage treatment and day-to-day life is much easier. She’s back to gardening, hobby craft, decorating and most appreciated of looking after the grandchildren!
Today mum’s chiropractic treatment focused on some general tension and difficulty relaxing she’s noticed recently. I worked on some of the muscles at the back of her head and eased the tension through the shoulders and neck. She left feeling much better and will see Andy Swan for a massage on Thursday, which will help too.
So it’s the end of a busy morning as a chiropractor.
I love to be busy and make a difference. I think that’s one of the things that has affected the way that I work. I am focussed on getting to the root of a problem and helping the body to work at its best, rather than simply managing symptoms.
I don’t want to just “rub it better” I want to work out a plan of treatment (chiropractic, massage, acupuncture or whatever is needed) to help the problem that the patient is suffering with health repair and recover, to “heal better, not just feel better”.
In a few minutes we’ll discuss cases with the massage team. I’ll catch up with Andy Swan, who’ll be seeing my mum on Thursday about what she needs and he’ll let me know how he’s getting on with the patient’s he saw last week.
Next we hear from Doctor of Chiropractic Dr Deborah Ben Shah
7:45 Tuesday Morning
First of all, it is a half day at work for me, so we are already off to a good start! But the CA’s won’t be happy with me if I don’t have a look at some daily notes they have for us chiropractors to make sure the clinic is running smoothly!
Then it’s time to check the pigeon hole. I am always pleased when it has nothing new in it! All clear this morning!! Yay! But the morning is still young…
Then it is time to pull my patient charts for today’s guests. I have a look at the diary to make sure everything is in order. Then, I fire up the computer and get my room ready for my shift. I will always have a peak at my guests’ files to see what type of guests I will be seeing for the day. Usually it is a combination of regular visit guests, new guests, and report-of-findings guests. So I like to feel that I am prepared for the day! Of course all of this is done while I am enjoying my morning coffee! No milk for me these days as I am trying to cut back of gluten and dairy. That means sad and boring coffee.
I have a little break between guests so it is time to catch up on some paperwork. When you are in the health care profession, there is ALWAYS paperwork to catch up on! The clinic is a little quieter now than it has been in recent months. Boy was it busy, and it seems I could never get on top of all my paperwork. It’s much more manageable now!
My last guest of the day has been seen, and it is time for me to have a quick little break before our afternoon meetings! I am enjoying my delicious roasted vegetable and couscous salad that I made with lots of garlic to keep the vampires away! It has been a great day. I have had a morning streak of lots of patients telling me how well they are feeling and how happy they are with care. It almost brings a tear to my eyes sometimes when I hear guests talk about how much better they are feeling and how grateful they are. I love what I do, and even more so on days like these! But before I head home for the day, I am getting a nice little neck and shoulder rub from Kirsty, one of our fabulous massage therapists! Chiropractors need love too…and there is no shortage of love in this clinic from the staff!
Meetings are done, and I am on my way to get my haircut. And then home for a nice relaxing afternoon and I will spend some time on Facetime this evening with my daughter and family to catch up!
Thanks for sharing your day with us Deborah.
Next we hear from Doctor of Chiropractic Dr Caroline Mulliner.
On Tuesdays I arrive mid- afternoon for our clinic team meetings. After this it’s a quick dash to get myself sorted and ready for a day of seeing guests. These afternoons always flash by in the blink of an eye because they tend to be my busiest shift at Lushington Chiropractic.
Prior to seeing guests, I like to look through my shift ahead, making sure that I have filled in all paperwork, GP letters, written x-ray referrals or have exercise sheets to hand ready to give out. I find my day flows much smoother if I get it all sorted beforehand.
Today I start chiropractic treatments from 2:50pm and have 10 guests in a row to see. At the beginning of a shift I always aim to stay as much on time as possible so I am on time for those who I am seeing later. This shift I have a couple of my regular chiropractic guests booked in. The first has been suffering with a lifelong history of neck related headaches. Now I only see her from time to time to ensure her body is working at its best and not tightening up due to daily stresses.
This shift I also have a number of guests who are quite new to care. It’s exciting seeing these people as they’re just beginning to feel the results of chiropractic care and realising that they don’t have to live a life with discomfort. Sometimes it can be challenging as a clinician to be positive, whilst someone is in pain and discomfort. It makes my day as a chiropractor when one my patients comes in saying that their pain has decreased or they haven’t had a headache in a week.
Once I finish with my guests, I ensure all the days’ files are written up and finished with. I tidy up my room, ready for the following day. Turn of the lights and head off home. Ready for a relaxing evening and a nice dinner after a busy afternoon.
Thank you Caroline.
Next we hear from Doctor of Chiropractic Dr Vicky White
I arrive at work and spend some time catching up with two of our lovely clinic assistants, Claire and Judy, about our weekends. Last night I flew back from a long weekend in Madrid and it’s great to see everyone again! I’ve brought with me some Spanish pastries for the team to try so we’ll open those later on. At this point in the day I usually check through my files so everything is ready for the morning shift, and begin with a mug of tea as well as breakfast, which today is spiced couscous with sundried tomatoes (I know, I’m strange like that). Dr Revell also photobombs my morning selfie…!
I see one of my regular guests who has maintenance treatments on a regular basis to keep her in good shape. We get along so well and its lovely to see her and has been a pleasure to treat her for the last year or more. I also have to thank her for the delicious chutneys and jam that she made for me and gave me at our last treatment – amazing!! You can tell by the photo taken at the time how pleased I was. I also see a guest who has a new problem affecting his knee and take my time thoroughly assessing his knee and discussing a management plan with him, as well as give him some tips and some home exercises to strengthen his quads and stretch his hamstrings.
The shift is over and we go into team meetings where we discuss with the massage therapists which guests they will see that week and the progress of each guest on an individual case-by-case basis. Today this means discussing with Kirsty a guest that I’m referring to her who needs a lot of soft tissue work for her (very!) tight shoulders and lower back. The rest of the meeting involves the team going through any outstanding issues and plans for outreach events, which we have booked for the next several months throughout winter. Now I am finished and off for the rest of the day to have lunch and walk my dog!
I hope this has given you an insight into a typical day for us. You can read more by following our online chiropractic blog Backblog
Thanks for reading,
Journey into Remedial Massage
How I became a remedial massage therapist in Eastbourne
A career in IT Management doesn’t really seem to be an obvious route to becoming a Sports Massage Therapist but sometimes a change is a great way of improving your life.
I loved working in IT. It constantly presented me with change and challenges, which kept me on my toes. But eventually I realised that it was taking a toll on me both in strange working hours and the stress of having sometimes hundreds of people waiting for me to fix a problem. Having left a job I loved in London, because the stress and time involved in commuting was unsustainable, I moved into IT locally in the NHS. The reduction in commuting time (4 hours per day had become 40 minutes) left me with some valuable free time, which I wanted to put to good use.
I started helping out at a local running club in an “admin” role.
Being around a running club soon led to pleas to help out in league meetings as they were short of women competitors. So I soon started throwing javelins, shot puts and hammers and then into some relay running. Having done little sport since leaving school this took a bit of a toll on the body! I was recommended to see a sports massage therapist who had recently graduated from the London School of Sports Massage (L.S.S.M). The first treatment really helped my sore shoulders and back and I booked in for regular “maintenance” treatments.
I got hooked!
When my running club took up triathlon (Swim/Bike/Run) around this time, I thought why not? (Not being able to swim anything other than slow breaststroke was perhaps one reason!) Soon, I had learned to swim front crawl and also to ride a racing bike and to run further and with continuing massage treatments entered my first race.
Some friends wanted to qualify to race in New Zealand in 2003 and I was persuaded to give it a go as well. I went to New Zealand as part of the GB Team and then onto many other races around the world in wonderful places such as Hawaii, Vancouver etc. as part of the wonderful GB Age Group family.
Having taken some UK Athletics and British Triathlon coaching qualifications
I was constantly being asked about ways of combating and fixing injuries and so looked into doing a sports massage course myself. I did a weekend taster course at the L.S.S.M and was instantly hooked by the benefits massage can bring. I enrolled on the Level 5 Diploma in Remedial and Sports Massage Therapy course (now Soft Tissue Therapist Dip). Having qualified I took the offer of redundancy during one of the many NHS reorganisations and went into Remedial and Sports Massage as my “day” job.
Six years on, over three of these practising remedial massage therapy at Lushington Chiropractic Clinic in Eastbourne,
I am still in awe of the help and changes I can bring about using various massage, stretching and related techniques both to sports people and to others whose jobs and day to day living causes them stress, pain and injury. Rehabilitation from injury is also part of the work and is very rewarding as it’s always a pleasure to see people return to an activity that they have had to give up.
Continuing Professional Development Courses (C.P.D) in areas such as myofascial release and medical acupuncture (dry needling), kinesio taping have added to my skills and so to my ability to help people. Remedial/ Sports Massage is a truly rewarding thing to do and I also meet a wide range of interesting people
Massage Therapist: Sue Hudson – Get to know your Massage Therapist.
Sue Hudson Clinical Sport and Remedial Massage Therapist BSc ( Hons) LSSM (Dip) MISRM
Lushington’s Q & A:
What would your perfect Sunday consist of:
In Summer a nice sea swim followed by coffee and cake ( cake is always required after a sea swim) . Afternoon in the garden and a nice meal in the evening.
There are too many lovely things to choose from to have a favourite – I love trying new and unusual things
Favourite TV show:
QI, Have I got news for you, Mock the week
Inspirational people rather than hero/heroine . Its got to be Sister Madonna Buder – a catholic nun who decided at age 48 to leave her closed order to take up triathlon training and after years of racing still currently holds the world record for the oldest women to complete an ironman length triathlon (2.4mile swim, 112 mile bike and 26.2 mile run) at the age of 81 in 2012– an inspirational person who shows that age is not a barrier!
To compete in – Triathlon – swimming, cycling and running in that order. Also love scuba diving in warm waters although the equipment is a bit heavy out of the water!
I like watching track running and cross country running live rather than on TV .
I Used to have a season ticket at one of the larger London football Clubs but I won’t mention which one.
People taking themselves too seriously
It might have been a hamster but not sure if it was mine or my brother’s but it soon escaped and was replaced by an unfriendly black cat. (The cat might have had something to do with the hamster’s disappearance.)
Try out new things. Stay active and enjoy it. Keep learning.
How many places have you travelled to:
Far too many to list but since taking up Triathlon I have competed in Australia, New Zealand, France, Switzerland, Denmark, Holland, Madeira, Hungary, Czech Republic, Hawaii and Canada.
Have also visited most of Europe and North Africa, bits of the USA and the middle East , Mexico , Fiji and Iceland
Lots more still on the list to see !
I think it was Tobacco Road by the Nashville Teens. Still one of my favourites by a great British group despite the name . If you’ve never heard it ….
If you were an animal what would you be and why:
A pine marten .
I once stayed in a cottage in Scotland where they visited every evening. Very inquisitive but wary and they loved jam sandwiches as a treat .
What was your favourite toy as a child:
A red tricycle . Many hours spent out with my friends cycling around east brighton park and along the undercliff walk in Brighton.
Can you play any instruments?:
NO but I tried the gazoo.
Any unusual hobbies:
Coaching adult triathletes in running and swimming .