Providing care and assessments for the whole family
Chiropractic is for everyone
We adapt our care plans for each individuals' needs, from the very young to the elderly.
Each person is unique in their movement, genetic and injury experience. Chiropractic is based on the concept that dysfunction in the spine and its joints can lead to dysfunction within the nervous system.
The nervous system controls and coordinates all of the body’s systems, so spinal dysfunction can have wide ranging effects on our body’s health.
Moving our bodies through space against gravity and the pull this creates on our joints, ligaments and muscles is the generator that gives our brains the ability to activate and function.
Restriction in the motion of spinal and any other joint in your body diminishes the proprioceptive feedback that drives your central nervous system activity.
Chiropractic is Effective
Chiropractic is not just about Pain Relief
Studies have shown that there is an alteration of muscle tissue health in spinal pain sufferers. It has also been shown that muscle activation patterns change as soon as the individual is feeling pain such that different muscles are recruited when performing a task with neck muscle pain as without pain. These alternative muscle use patterns switch off core muscles and recruit more superficial muscles creating weakness and instability as well as overuse tightness/injury.
Active exercise in this pain state can actually perpetuate this compensation muscle activation pattern. It has been recommended that pain is reduced before active exercise programs are introduced. Also Specific muscle exercise is recommended over general exercise to reprogram these pain induced patterns and re-establish better motor programs.
Pain relief can be achieved without drugs or surgery in many cases and there are many studies that show spinal manipulation and mobilisation is effective with chronic low back pain, chronic neck pain, and acute lower back pain and neck pain. It is recommended that this is combined with specific muscle exercise for best long term results
McGill S, PhD. Ultimate Back Fitness and Performance. Waterloo, Canada, Wabuno Publishers; 2006: 1025.
Hebert JJ, DC, PhD, et al. Postoperative Rehabilitation Following Lumbar Discectomy With Quantification of Trunk Muscle Morphology & Function: A Case Report and Review of the literature. JOSPT 2010; 40(7):402-412
Boudreau SA, et al. The role of motor learning and neuroplasticity in designing rehabilitation approaches for musculoskeletal pain disorders. Manual Ther 2010; xxx: 1-5.
Globe G, DC, MBA, PhD et al. Chiropractic management of low back disorders: report from a consensus process. CCGPP. JMPT 2008;28(9):651-8.
Hurwitz E, DC, PhD, et al. Treatment of Neck Pain: Noninvasive Interventions: Results of the Bone & Joint Decade 2000-2010 Task Force on Neck Pain. Spine 2008;33:S123-52.
Chou R, MD, Qaseem A, MD, PhD, MHA, et al. Diagnosis & Treatment of LBP: A Joint Clinical Practice Guideline from the American College of Physicians & the American Pain Society. Annals of Internal Med 2007;147:478-91.
Gross A, et al. Manipulation or mobilization for neck pain: A Cochrane Review. Manual Therapy 2010;15(4): 315-333.
Leaver AM, et al. A randomized controlled trial comparing manipulation with mobilization for recent onset neck pain. Arch Phys Med Rehabil 2010;91:1313-8
Cleland, J A, PT, PhD et al. Comparison of the effectiveness of 3 manual physical therapy techniques in a subgroup of patients with LBP who satisfy a clinical prediction rule. Spine 2009;34(25):2720-9.
Balthazard P et al. Manual therapy followed by specific active exercises versus a placebo followed by specific active exercises on the improvement of functional disability in patients with chronic non specific low back pain: a randomized controlled trial. BMC Musculoskeletal Disorders 2012, 13:162.
Chiropractic, the hands on approach
Chiropractic has a philosophical approach.
Traditionally chiropractic is not just about pain relief but optimisation of health outcomes. Chiropractic at its inception theorised that there is an organizing force within us, dubbed 'Innate Intelligence' that acts to maintain our optimal state of homeostasis and health.
Thus Chiropractic has always searched for the natural way of doing things. Better health outcomes without drugs or surgery.
Chiropractors are part of the wider community of health care providers and we refer to other health care providers when needed for the best outcomes of the patient. We cannot "cure" everything or indeed anything.
We aim to improve the bodys own innate ability
to heal itself where possible
In Touch Combines its Core Chiropractic Care with home exercises
Recent research has indicated that for the best long term outcomes with chiropractic care, exercise therapy needs to be a part of the care plan.
Exercises are targeted to the individuals needs as assessed by the chiropractor. There is often a combination of stretching exercises (long muscles are strong muscles) and strengthening exercises, (weak muscles tend to get tight and irritable)
We send home exercise sheets, and demonstrate exercises in house.
If you are a current patient and have forgotten/lost your exercises or would like an update please ask at reception to book a special appointment for this :)
Studies/Research (including all research relevent to this topic is impractical in this forum please ask your chiropractor if you are interested in exploring this further)
Lluch E, et al "Immediate effects of active cranio-cervical flexion exercise vs passive mobilization of the upper cervical spine on pain and performance on the cranio-cervical flexion test" Manual Therapy 2014 FEb;19(1):25-31.
The conclusion of this study was that both active and passive treatments offered pain relief but only the exercise group also improved motor function, thus highlighting the importance of specific active exercise for improved motor control of the cervical spine.