Archive for the General Health Category

Dietician Advice: Find a healthy attitude towards food

ClairePettitt_Nutriton_LogoDietician Advice: Find a healthy attitude towards food

It seems wherever you turn these days, you’ll find advice on how to eat, what people have done to lose weight, what not to eat, or even that certain foods are toxic or sending you to an early grave!

 

Well, how about we forget all that and focus on what works for us as individuals. Focus on developing a healthily relationship with food, enjoying it but not obsessing about it or thinking about it every second of the day.

 

Here are my top tips for a healthy you:

 

  1. Choose lots of plant-based foods such as lots of different coloured vegetables.
  2. Eat more beans and pulses as they are full of fibre and protein, they are cheap and they taste great.
  3. Have fewer refined grains and make your carbs whole grains instead, such as oats, quinoa and wholegrain/granary breads.
  4. Have good quality, well sourced meat and fish a few times per week (oily fish such as fresh tuna, salmon, mackerel, or sardines is a must!)
  5. Have less processed foods and if you need something sweet, go for a juicy fruit instead of a fizzy drink, handful of Haribo or a packet of biscuits.
  6. Drink plenty of water, though the occasional tea or coffee won’t hurt.

 

And remember to enjoy your food, take time over it and be mindful not only of what you put in your mouth but the lifestyle that you lead. Activity is key to a healthy way of life so get off your butts and move in whichever way you can!

 

As a Registered Dietitian Claire’s goal is to provide evidenced based nutrition advice to all those in search of sound nutrition information. She offers private consultations in West London so if you are interested in seeing a caring, patient, friendly and professional Dietitian and you wish to make an appointment with Claire or enquire about her services please contact her on info@clairepettitt.com

 

Claire Pettitt MSc RD

Specialist Dietitian

Website:       www.clairepettitt.com

Email:            info@clairepettitt.com

Facebook:     www.facebook.com/CPNutrition

Twitter:        @claire_pettitt

Benefits of Walking

The Benefits of Walking – a summary of recent research from NCOR

Assessing the health benefits of outdoor walking groups

New health interventions advise us to become more active and walking groups are an increasingly popular means of activity.  This systematic review and meta-analysis looked at differences in physiological, psychological, and well-being outcomes.   A total of 42 studies involving 1843 participants were examined.

Statistically significant reductions were found in the mean differences for systolic blood pressure, diastolic blood pressure, resting heart rate, body fat, BMI, total cholesterol, and depression score.  An increase in VO2max was identified.  Evidence was less clear for changes in waist circumferences, serum lipids, and fasting lipids.

Hanson S, Jones A.  Is there evidence that walking groups have health benefits?   A systematic review and meta-analysis.  British Journal of Sports Medicine published online 19 January, 2015.  doi: 10.1136/bjsports-2014-094157.
http://bjsm.bmj.com/content/early/2014/12/19/bjsports-2014-094157.full.pdf+html

 

rambling

 

 

 

 

Laura Tilson  BA (Hons) M.Ost DPO

Laura Tilson is a Registered Osteopath with the General Osteopathic Council and an experienced, established practitioner in London.

She graduated with a Masters Degree from The British School of Osteopathy and then completed training in Paediatric Osteopathy with The Foundation of Paediatric Osteopathy; The Osteopathic Centre for Children (OCC).

Laura worked at the OCC’s busy children’s clinic for two years. She has worked in the neonatal intensive care wards in three London hospitals.

She provides appointments for adults, children and babies in clinics, and also offers home visits for babies.

She uses a variety of osteopathic techniques including cranial osteopathy and structural techniques. She is experienced in treating a variety of women’s health and pre- and post-natal conditions. 

As an undergraduate her research for her dissertation was awarded one of the top grades and she presented her findings at the Chiropractic, Osteopathy and Physiotherapy Conference in 2010. Laura Tilson is a Member of the Institute of Osteopathy and an Alumni Member of the Foundation for Paediatric Osteopathy. She has completed courses at the Molinari Institute of Health in Women’s Health,The Sutherland Cranial College, in Safeguarding Children and pre-natal and post-natal courses with Miranda Clayton.

Appointment Times (Fresh Ground) : Monday 5-9pm and Friday 7-11am

Appointment Times (Fybre Fitness) : Tuesday 5-9pm and Friday 7-11am

 

Testimonials:

I came to see Laura with shoulder pain and a swollen wrist which I had had problems with for 7 years. I have been so much better, even after just one treatment.

– C. Mitchell

I could not recommend Laura highly enough. My treatment for low back pain was excellent; she was thorough and professional and I have not had any problems with my back since. I would not hesitate on seeing her again in the future.

– L. Harrison

Appointments:

For an appointment or further questions please call 020 7206 2625 or email info@ltosteo.co.uk

Exercise Benefits for Back Pain

Exercise Benefits for Back Pain

News Article from BBC:

Paracetamol is ineffective at treating back pain and osteoarthritis despite being a recommended treatment, a group of Australian researchers has warned.

Their review of 13 clinical trials, published in the British Medical Journal, said the drug did not reduce disability or improve quality of life.

Instead, the group warned, it increased the odds of liver problems.

The NHS is to review its guidelines. Experts say patients should consult a doctor before changing medicines.

Back pain is a leading cause of disability and in the UK alone it is estimated to affect 26 million people each year.

The National Institute for Health and Care Excellence (NICE), which establishes best NHS practice, currently recommends paracetamol for both lower back painand for osteoarthritis.

However, questions have been raised about the quality of the evidence which led to the decisions.

A team at the University of Sydney assessed data from 13 drug trials involving more than 5,000 patients.

They concluded that paracetamol was “ineffective” at reducing back pain.

In osteoarthritis in the hip or knee, they found a small improvement with paracetamol. Yet the impact was so small it was “not clinically important”.

Man with backpain

Gustavo Machado, one of the researchers, argued: “Paracetamol is the most widely used over-the counter medicine for musculoskeletal conditions so it is critical that we review treatment recommendations in light of this new evidence.

“In our research, paracetamol for low back pain and osteoarthritis was also shown to be associated with higher risk of liver toxicity in patients.

“Patients were nearly four times more likely to have abnormal results on liver function tests compared to those taking placebo pills.”

Exercise

Dr Christian Mallen, from Keele University in the UK, said options other than drugs should be the “cornerstone” of managing the conditions.

However, he added: “While the effectiveness of exercise for both osteoarthritis and spinal pain is established, we know that uptake of and adherence to exercise is poor.”

In the UK, the safety of over-the-counter drugs is being reviewed by the medicines safety regulator.

NICE said it was waiting for the results of that review before conducting its own assessment.

A spokesperson said: “Looking at all of the relevant painkillers together, instead of just one, will then provide a comprehensive overview of this aspect of managing osteoarthritis.”

Jane Tadman from Arthritis Research UK said: “We’ve known for some time that paracetamol may not work for everyone with severe pain from their arthritis, but some people find it helps them and allows them to sleep and to exercise without discomfort.

“Physical activity is probably a better and more effective way of keeping the pain of arthritis and joint pain at bay than taking currently available painkillers.”

Prof Roger Knaggs, from the Royal Pharmaceutical Society, said: “There are other medicines, such as nonsteroidal anti-inflammatory drugs and opioids, which may provide better pain relief but these are associated with a range of other side-effects.

“Anybody with concerns about whether taking paracetamol could cause harm should discuss their concerns with their GP or pharmacist.”

 

http://www.bbc.co.uk/news/health-32132377

MORE ABOUT OUR CLINIC IN CLAPHAM JUNCTION

We are located in the heart of Battersea’s Northcote Road and we provide a range of treatments to help all manner of muskulo-skeletal symptoms.

Commonly people come to see us with back pain, neck and head aches, joint injuries and pregnancy related pain.

We also offer sports massage, cranial osteopathy for babies and children.

We use the gym facilities to provide you with rehabilitation exercises and offer a running clinic to get you better results from your training.

 

Appointments:

For an appointment or further questions please call 020 7206 2625 or CLICK HERE TO BOOK ONLINE. 

Causes of Chest Pain – How your Osteopath Can Help

costochondral_junctionsCauses of Chest Pain – How your Osteopath Can Help

Whilst one of the more common causes of musculoskeletal chest pain is due to referral from the mid back (thoracic spine), pain can also be due to injury of the rib joints at the front of the chest, muscle strain, shoulder injuries and collar bone injuries (at the sterno-clavicular joint).

Inflammation can occur at the joints between the sternum and ribs, which will cause activity related pain and tenderness over the area. The condition is sometimes referred to as Tietze’s syndrome. Your Osteopath will be able to carefully assess the area and decide on the appropriate course of action to take. If appropriate this will usually include a combination of treatment, advice and rehabilitation exercises.

Chest pain can indicate a serious underlying medical condition. Please always consult a medical professional if you have any concerns.

Tali Rayner M.Ost

Tali Rayner graduated from the British School of Osteopathy obtaining a Masters Degree in Osteopathy. Since graduating she has also completed training in Acupuncture and Medical dry needling lead by Dr Anthony Campbell.

She is registered with the General Osteopathic Council as well as the British Osteopathic Association. She has worked in a number of clinical settings including working with a professional rugby and football team.

Tali is structural in her approach to osteopathic assessments and uses a variety of treatment techniques including medical dry needling in conjunction with osteopathic techniques.

As part of your assessment Tali will assess work related ergonomic issuesor sport related training techniques, which may be contributing and maintaining  injuries and pain. Tali will prescribe exercises as part of your rehabilitation and stabilisation of an injury or longer term postural complaint.

 

Appointment Times (at Fybre Fitness): Wednesday 5-9pm and Friday 7-11am

 

Testimonials:

 

Before I saw Tali, I suffered chronic and consistent sciatic pain. Her specialist treatment immediately alleviated the worst symptoms and quickly enabled me to return to the fully active lifestyle I had missed. Friendly and highly skilled, Tali takes the time to put her patients at ease and discuss their needs. She also directs you to everyday exercises and lifestyle changes that strengthen the body against future injury. Thank you Tali.

– V. George

For the first time in the last 6 years I am beginning to walk without pain and without the anticipation of pain when I come to stairs or other more challenging activities . . . . I would highly recommend Tali to anyone considering osteopathy.

– A. Sharman

Appointments:

For an appointment or further questions please call 020 7206 2625 or email info@ltosteo.co.uk

Osteopathic Treatment for Headaches

Osteopathic Treatment for Headaches

osteopathy for headaches

Headaches can occur for a variety of reasons, one being cervicogenic (originating from the cervical spine or neck). These are headaches arising from abnormalities in the joints, muscles, fascia and neural structures.

Typically cervicogenic headaches are described as a constant, steady dull ache, often one sided but can be both sides. It can feel like a tight band around your head. Many people feel the tension at the base of their neck, it can also refer pain to the temples and forehead. Usually the onset is gradual and the headache can be present for days, weeks, even months. There is sometimes acute trauma, for example a road traffic accident or they can be related to repetitive trauma associated with some sports or work related postures. The posture adopted by many desk based workers of rounded shoulders and an extended neck puts tension through these muscles making them a prime candidate for cervicogenic headaches.

Pain is usually associated with neck stiffness and aggravated by neck movements and/or sudden jolting. Associated symptoms such as light headedness, dizziness and nausea are common. Your Osteopath will take a detailed case history and perform a physical examination to determine the cause of your headache, if appropriate they will proceed to treat you manually and provide advice and exercises.

Jaw pain is often a symptom of temporomandibular disorder which is commonly multifactoral in origin and typically involves dysfunction of the muscles and joints. Displacement of the joint can occur causing wear and tear of the internal structures. Grinding and clenching teeth (bruxism), trauma and osteoarthritis can all cause the movement of the joint to be disturbed.

After careful history taking and examination if appropriate your Osteopath will work to help to improve the function of the joints involved and relieve tension around the jaw. They will also be able to offer advice and in some cases exercises.

Sinus pain or sinusitis is inflammation of the lining of the sinuses, caused by viral or bacterial infections. The sinuses are small cavities behind the forehead and cheekbones, which drain mucus into the nose through small channels. These channels can become blocked when the sinuses are infected and inflamed.

The most common cause of sinusitis is the common cold, a viral or bacterial infection which spreads from the upper airways to the sinuses. Diagnosis is usually made based on symptoms of a blocked or runny nose, facial pain and tenderness, a high temperature of 38ºC or more and headaches. All age groups can be affected and it often clears by itself within a week or two. Alternatively, bacterial infections can develop lasting for longer periods and may require antibiotics. If the episodes are severe or reoccurring you will be referred to a GP to determine any underlying factors.

Osteopathic treatment aims to relieve the symptoms and speed up recovery by massaging the local glandsand muscles, which may help to drain the sinuses. This in turn may ease the feeling of compression in the head and subsequent pain.

As sinus pain can be caused by a multitude of factors it is important that you consult a medial professional. Headaches, jaw and sinus pain can sometimes be symptom of a serious underlying medical condition.

Louisa Henderson BA (Hons) MOst MSCCO

Louisa Henderson is our Women’s Health Osteopath. Women commonly see Louisa with pelvic pain, pelvic floor dysfunction, hip problems, rectus diastasis and low back pain.

She uses a range of techniques including structural, visceral and cranial osteopathy to improve function and reduce pain levels as well as providing appropriate exercises specifically tailored to your needs and to aid rehabilitation.

After graduating from the British School of Osteopathy with a Masters degree, she completed a two year diploma in Women’s Health in Osteopathy with the Molinari Institute of Health. She treats adults of all ages, however specialises in treating women during the pre- and post- natal period. Louisa Henderson is a Registered Osteopath with the General Osteopathic Council and a member of the Institute of Osteopathy.

Appointment Times (at Fresh Ground): Tuesdays 12-4pm and Thursdays 5-9pm

Testimonials:

 

I’ve visited Louisa many times and can’t recommend her enough. She first treated me when I was late going into labour … After the birth I saw her again. She eased all my post natal aches and pains. She’s a really lovely, friendly lady and I’ve since recommended her to several other friends who have all had similarly positive experiences.

– Thea

I have been seeing Louisa for nearly 3 years now for ongoing joint issues requiring both osteopathy and sports massage. Whilst my problems cannot be ‘cured’ the treatment and care I receive from Louisa ensures they are managed to a level that does not adversely impact my life … I cannot recommend her highly enough.

– Jennifer

Appointments:

For an appointment or further questions please call 020 7206 2625 or email info@ltosteo.co.uk

Diet versus exercise in Weight Loss

weighing scales - diet versus exercise in weight managementDiet versus exercise in Weight Loss – Fighting Obesity with Exercise 

A recent editorial in the British Journal of Sports Medicine by Malhotra et al has emphasised the need to focus on moderating diet to help with weight management.  The article attempts to counter the idea that it is possible to maintain a healthy weight using exercise to compensate for a poor diet. More details concerning this article can be found at:  Malhotra A, Noakes T, Phinney S.  It is time to bust the myth of physical inactivity and obesity: you cannot outrun a bad diet.  Br J Sports Med.  2015;Apr 22. pii: bjsports-2015-094911. doi: 10.1136/bjsports-2015-094911. [Epub ahead of print]    http://www.ncbi.nlm.nih.gov/pubmed/25904145

This article was taken from the National Council for Osteopathic Research. Osteopaths aim to examine all areas of your health including your diet and exercise levels and see maintaining a healthy wait as essential for improving back pain symptoms. To book an appointment with your osteopath on Northcote Road www.ltosteo.co.uk and click ‘Book Online’.

 

Laura Tilson Osteopathy is also proud to work with a wonderful Dietician – Claire Pettitt who specialises in Obesitclaire_pettity. As a Registered Dietitian Claire’s goal is to provide evidenced based nutrition advice to all those in search of sound nutrition information. She offers private consultations in West London and Skype consultations so if you are interested in seeing a caring, patient, friendly and professional Dietitian and you wish to make an appointment with Claire or enquire about her services please contact her on info@clairepettitt.com

 

To make an appointment with our osteopaths please call 0207 2062625 or CLICK HERE TO BOOK ONLINE. 

Paediatric Osteopathy: The Importance of an Active Lifestyle for your Children

Paediatric Osteopathy: The Importance of an Active Lifestyle for your Children

Study Shows Potential Link between Childhood Motor Coordination and Sedentary Behaviour in Adulthood

We know how much kids love running around but did you know that their level of activity in childhood might be linked to their future level of activity as adults.

This study explains a bit more about the importance of keeping your kids active.

I love this picture. Its from Little Forest Folk – http://www.littleforestfolk.com have a look if you haven’t heard of them.

Good motor coordination in childhood is linked to maintained physical activity in middle age. A team led by University College London used data from the 1970 British Cohort Study, which follows the lives of more than 17,000 people.

When the participants were aged 10 their motor coordination skills were assessed. This included tasks such throwing a ball, standing on one leg, and walking backwards.

The researchers don’t yet know if poor coordination leads to more sedentary behaviour. One possibility is that sports are less enjoyable in those with less well-developed coordination, and this may lead to lower participation in physical activities.

Since sedentary lifestyles have a wide range of poor effects on health, the authors of the study suggest that children should be encouraged to participate in sports, and that this may benefit their health into adulthood.

The full paper is available at http://www.ijbnpa.org/content/pdf/s12966-015-0236-y.pdf

Paediatric osteopaths are trained to assess your child’s motor function and joint health. Your osteopath will be able to offer you and your family advice on creating and maintaining an active and healthy lifestyle, and give you advice on the sort of exercise that would be suitable.

Jacqueline Shergold MHS B.Sc

Jacqueline enjoys treating a wide variety of conditions with a particular passion for treating children and babies. She uses gentle techniques to release tension in the muscles and joints that may have resulted from their position in the womb or from their birth. She is currently completing a Postgraduate Diploma in Paediatric Osteopathy and works in the clinic at the Osteopathic Centre for Children in London.

Jacqueline Shergold has worked in clinics in Australia and Ireland where she worked extensively with Australian Footballers and other elite athletes. In Australia she taught anatomy at University level and therefore has a great understanding of the human body in function and dysfunction.

Techniques she uses include Cranial, Obstetric and Paediatric Osteopathy, dry needling and sports taping. She uses cranial and structural osteopathy as well as rehabilitation exercises in combination for the best possible outcomes.

Appointment Times: Fridays 12-4pm and Home Visits for Newborns available on Wednesdays

Testimonials:

I have been treated by Jacqueline on numerous occasions for neck pain, headaches and various other aches and pains. She is professional and thorough, while also being kind and patient. I always leave with a smile on my face, feeling better than when I walked in.

– Brea

I highly recommend Jacqui S. She made me feel really relaxed and comfortable after I was a bit anxious about treatment. Very patient with little ones too and knows how to engage with them to keep them still.

– Angela

Appointments:

For an appointment or further questions please call 020 7206 2625 or email info@ltosteo.co.uk

Pain Management

Pain Management

pain reliefA friend recently recommended this website from US written by http://www.retrainpain.org/ a group of physical therapists (Elan Schneider, Rob DiLillo, and Greg Hullstrung), who teamed up to build an organization devoted to free online pain education. Click on the link to start a series of short courses which explain how our bodies register pain and how that system can go wrong. There are many chronic pain management groups in UK available via your GP and other health care providers.

 

Here is some more about this group taken from their website:

Why did we make this free online program?

Chronic pain is a big problem, affecting about 1 out of 5 people.  Over the last 10 years there have been many important discoveries that help explain what causes chronic pain,  as well as new research about which treatment approaches are most effective. Sadly, many of these discoveries sit quietly in science journals, inaccessible to the average patient.  We believe that pain patients throughout the world deserve access to accurate and up to date information about pain rehabilitation, and that is the mission of our organization.

In 2013 we opened an innovative pain therapy program in New York, but we dreamed of being able to share our program with people around the world for free.  We created the Retrain Pain Foundation, and have now converted many of the key lessons of our live program into this online course.  We are very excited to share this program with you, and look forward to getting your feedback on how we can continue to improve it.

Does this course replace the need for a doctor or therapist?

No!  This course is meant to be used in addition to the care you get from your medical team. Before applying anything you learn from this course,  please check with your personal health care team to make sure it is safe and relevant for your individual situation.

How do you use this course?

The course is free, and is viewed entirely online. We recommend you view it slowly, in small sections.  This allows time to review and apply the material.

What else do we offer?

– Online Workshops for Patients

– Corporate Pain Rehabilitation Services

How can you contact us?

Feel free to contact us with comments, questions, or suggestions.

 

Acknowledgements:

We thank the following scientists, clinicians, and educators whose work has been the inspiration for this program:

Dr. Fabrizio BenedettiDr. David ButlerDr. Herta FlorDr. Adriaan LouwDr. Lorimer MoseleyDr. Jo Nijs, Dr. Frank Porreca,  Dr. Irene TraceyDr. Katja Wiech,  Dr. Clifford Woolf  (This program is not specifically endorsed by any of the above)

 

Louisa Henderson BA (Hons) MOst MSCCO

Louisa Henderson is our Women’s Health Osteopath. Women commonly see Louisa with pelvic pain, pelvic floor dysfunction, hip problems, rectus diastasis and low back pain.

She uses a range of techniques including structural, visceral and cranial osteopathy to improve function and reduce pain levels as well as providing appropriate exercises specifically tailored to your needs and to aid rehabilitation.

After graduating from the British School of Osteopathy with a Masters degree, she completed a two year diploma in Women’s Health in Osteopathy with the Molinari Institute of Health. She treats adults of all ages, however specialises in treating women during the pre- and post- natal period. Louisa Henderson is a Registered Osteopath with the General Osteopathic Council and a member of the Institute of Osteopathy.

Appointment Times (at Fresh Ground): Tuesdays 12-4pm and Thursdays 5-9pm

Testimonials:

 

I’ve visited Louisa many times and can’t recommend her enough. She first treated me when I was late going into labour … After the birth I saw her again. She eased all my post natal aches and pains. She’s a really lovely, friendly lady and I’ve since recommended her to several other friends who have all had similarly positive experiences.

– Thea

I have been seeing Louisa for nearly 3 years now for ongoing joint issues requiring both osteopathy and sports massage. Whilst my problems cannot be ‘cured’ the treatment and care I receive from Louisa ensures they are managed to a level that does not adversely impact my life … I cannot recommend her highly enough.

– Jennifer

Appointments:

For an appointment or further questions please call 020 7206 2625 or email info@ltosteo.co.uk

NHS Osteopathy

NHS Osteopathy: This article explains how the NHS plans to work more closely with Osteopaths

News

Chief Allied Health Professions Officer extends her remit to two additional professions

NHS Osteopathy: NHS England has extended the remit of the Chief Allied Health Professions Officer to two additional regulated professions.

Since 1 April 2017, Operating Department Practitioners (ODPs) and Osteopaths have joined the existing 12 health professionals currently within the remit of the Chief Allied Health Professions Officer at NHS England.  This new representation will support wider professional engagement and shared working initiatives for NHS England and the 14 professions.

This will involve sharing national working goals and approaches around improving patient care and delivery and wider areas around prevention, self-care, self-management and medicines mechanisms.

Prior to 1 April, there were 12 professions that came within the remit of the Chief Allied Health Professions Officer across England, with over 146,000 working across the NHS and wider care system. All are registered with the regulator, the Health and Care Professions Council (HCPC).  This will now increase to over 162,000. ODPs are registered with the HCPC and Osteopaths with the General Osteopathic Council.

Chief Allied Health Professions Officer, Suzanne Rastrick, said:  “I am very pleased to welcome these two additional professions within my remit.  We are committed to making greater use of these professionals in all aspects of NHS service delivery to promote the adoption of new ways of working across the health and care system and to improve patient care. The priority is to ensure we realise the full potential of all fourteen professions to contribute to prevention and health promotion, improving outcomes and patient experience, increasing capacity and improving cost-effectiveness.”

The new professions are:

  • Operating Department Practitioners – ODPs work in a wide range of clinical areas and roles including Obstetrics, Neonatal Units, ITUs Critical Care, Resuscitation, A&E Emergency Care Practitioner, Transplant Co-ordinator, Physician Associate Anaesthesia (PAA) Advanced Life Support Trainer, day surgery.
  • Osteopaths – work closely with other health professionals such as GPs, nurses and midwives Osteopathy complements other medical interventions including surgery and prescribed medication.

Currently, 12 Allied Health Professions, account for 1 in 10 NHS staff, they are a diverse group of practitioners who deliver high quality care to patients by carrying out assessment, diagnosis, treatment and discharge across a range of settings.

The new arrangements follow a series of discussions, events and roadshows undertaken in 2016 by a team led by Suzanne Rastrick in developing the sector wide Allied Health Professions into Action.

This guidance provides a blueprint for Clinical Commissioning Groups, provider organisations, health leaders and local authorities to fully utilise and involve Allied Health Professionals in transformation programmes and delivery of NHS England’s Five Year Forward View and Delivery Plan.

 

To make an appointment with our osteopaths please CLICK HERE to book online or call 02072062625