Salisbury Chiropractic and Physiotherapy

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Salisbury Chiropractic Clinic - Neck Pain

Salisbury Chiropractic Clinic - Back Pain

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Evidence based care for neck and back pain and other musculoskeletal conditions

Salisbury Chiropractic and Physiotherapy - Conditions We Treat

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Most types of back pain

Most back pains are not serious but if you are not getting better after a week or two, the recommendation is to see a registered practitioner such as a chiropractor who specialises in these problems as soon as possible (www.nice.org.uk/CG88). The discomfort is usually due to sudden or repetitive strain of joints, muscles or ligaments between the vertebrae in your spine causing stiffness and muscle spasm.

A case history will be taken and you will be asked questions about any medical conditions you may have and how your back problem began and any previous investigations or treatments you may have had in the past. Chiropractors are skilled at detecting the area causing the problem and will explain what is wrong and the proposed treatment plan.

You will be invited to ask any questions. A combination of treatments may be used involving gently freeing the stiff joints with our hands, which is known as manual therapy or manipulation, or using other treatments such as massage, ultrasound or acupuncture. This is the fastest way to get you better and treatment is safe, effective and not painful.

Advice about pain control and activity will be given and often specific exercises will be suggested to help you manage your problem and to prevent it recurring.

Remember early treatment will get you better faster.

Backache

These are other terms used to describe back pain or aches and pains in the low back or lumbar region. The discomfort is usually due to sudden or repetitive strain of the joints, muscles or ligaments between the vertebrae in your spine causing stiffness.

Chiropractors are skilled at detecting the area causing the problem and treat it by freeing the stiff joints with our hands which is known as manual therapy or manipulation. Other treatments such as ultrasound, acupuncture and exercises together with advice about how to control the pain may be used.

This is the fastest way to get better and treatment is safe, effective and not painful. Advice and often reconditioning exercises will be given to help you manage your problem and to prevent it recurring.

Remember early treatment will get you better faster.

Disc Problems

These are quite rare conditions when the small cushion of cartilage between two of your vertebrae in your spine protrudes and presses on a nerve. It is often brought on by prolonged sitting on poorly designed seating or heavy lifting.

Sometimes people have been told they have this when in fact they only have strain of the joints between the vertebrae and muscle spasm. It is not common but chiropractors are trained to detect it and can decide how best to manage the condition. The research evidence for treating this condition with manual therapy is unclear but we treat it in combination with physiotherapy techniques such as ultrasound, acupuncture and management advice particularly with regard to sitting.

Sometimes more severe cases require further tests such as an MRI scan to assess the problem and may require referral to a spinal surgeon (www.spinal-care.co.uk) for further treatment such as pain relieving  injections or surgery. In which case your chiropractor will decide when to refer you back to your GP for further intervention.

Leg Pains

Pains down the legs are usually due to referred sensations, pins and needles or burning aches from the low back. All the nerves that travel down your legs come from the lower part of the spine.

They do not necessarily mean you have a trapped nerve and protruding disc. Often if the pain is above the knee it is just because it is spilling over from the backache and down the leg. When a nerve is irritated, the pain will go below the knee and is constant and worse than the pain in the back.

Chiropractors are trained to diagnose theses conditions and can decide how best to treat them. While there is some evidence from research that manipulation is effective, we use a combination of other physiotherapy techniques such as ultrasound, acupuncture and specific exercises to treat this condition. We will advise on how  to manage the condition and control the pain. Sometimes more severe cases require further tests such as an MRI scan to assess the problem and may require referral to a spinal surgeon (www.spinal-care.co.uk) for further treatment such as pain relieving  injections or surgery. In which case your chiropractor will decide when to refer you back to your GP for further intervention.This is the fastest way to get you better and treatment is safe, effective and not painful.

Advice about sitting posture and often reconditioning exercises will be given to help you manage your problem and to prevent it recurring.

Neck, shoulder and arm pains

Neck pains are usually due to a sudden or repetitive strain of the joints, muscles or ligaments between the vertebrae of your neck causing stiffness. This might be due to a car accident or whiplash injury causing a sudden stretch to the soft tissues or simply sitting at a desk looking at a screen for long periods of time leading to a gradual build up of strain as well as daily stress and tension. Looking down for long periods while texting causes strain of the neck and shoulder muscles (Text Neck) because the head weighs between 10 and 12 lbs. Pain in your shoulder or down your arm with pins and needles or numbness in your hand may be referred from your neck and possibly due to irritation of a nerve. The nerves that travel down your arms come from your neck or upper spine. Shoulder pain may be due to strain of the muscles or tendons of the shoulder joint or tendinitis which may lead to frozen shoulder which is when arm movement becomes difficult. Tennis elbow is due to strain of the tendons that attach just above the elbow joint and extend the wrist.

Chiropractors are trained to differentiate these problems and treat appropriately with a combination of manipulation, soft tissue massage, ultrasound or acupuncture dry needling and exercises. Advice about posture and lifestyle may be given to help manage the problem and prevent it recurring.

Remember early treatment will get you better faster.

Other joint problems such as in the hands & feet

Aches and pains in the elbows, hands, knees and feet may be due to a variety of conditions as well as being referred pains from the neck or back.

Chiropractors are trained in orthopaedics and can assess what is causing the pain. It could be inflammation of a joint such as a sprain or arthritis. Sometimes it is due to irritation of a nerve in the spine referring pain into the arm or leg. A nerve may be irritated as it enters the wrist in carpal tunnel syndrome or pinched between the bones of the foot causing a Morton’s neuroma. The different approach of a chiropractor will include checking the spine and while the evidence for treating these conditions with manual therapy is unclear, we use a combination of gentle mobilisation and physiotherapy techniques such as ultrasound, ice packs or acupuncture to the involved joint.

You may even be advised about orthotics or supports for your feet or given exercises to improve your posture. Your chiropractor may decide to refer you back to your GP with a report for further tests to make a more accurate diagnosis or to see another specialist for treatment.

Headaches

Headaches may be due to several conditions but often they are not serious and are due to tension of the muscles at the base of the head and in the neck. Chiropractors are trained to rule out serious neurological conditions or vascular and connective tissue disorders. Constant repetitive strain of the joints in the neck such as when sitting and looking down for a long time at a desk or while driving, may cause a build up of pain which is referred to the head. Treatment by gently manipulating the vertebrae of the neck or various soft tissue techniques and massage or acupuncture is safe and relaxes the tight muscles reducing the pain. Advice about posture, working position and lifestyle are important to help with long term management.

Sports injuries

Sports injuries may be due to everyday problems such as poor gait and posture, lack of fitness and poor equipment. While the research evidence for treating sports injuries with manipulation alone  is unclear, we will assess the condition and as well as treating the involved joint or soft tissue injury with a variety of techniques, such as soft tissue massage, ultrasound or acupuncture, we will look for the underlying cause. This may include checking posture and gait and treating the spine with manipulation to improve overall biomechanics and function. Persistent tennis or golfers elbow may relate to a problem in the neck and respond to the different approach that chiropractic treatment can offer. Advice on rehabilitation, training and reconditioning in our special facility at the clinic may be recommended under the supervision of our qualified sports therapist and personal trainer.

College of Chiropractors Clinical Management Quality Mark Award The Royal College of Chiropractors Patient Partnership Quality Mark Award

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