New Procedures

Things are a little different at Cathedral Osteopaths Ripon whilst we still have cases of Coronavirus in the UK. We want to keep you safe and still be able to support your needs with Osteopathy.

  • We will need to talk to you ahead of your appointment to make sure you are well and not in the high risk group for Coronavirus.
  • The reception area has changed

We have decluttered reception to make it easier to clean and sanitise,  there is no complementary water or magazines. There is one wipeable chair and some hand sanitizer, face masks are available – we are not charging extra for these at the moment.

Your practitioner

Obviously we cannot maintain distance for your treatment so we will be wearing appropriate PPE.  We wash our hands and arms up to the elbows before and after every patient.

Everything is sanitised before you arrive.

All surfaces and door handles are cleaned with appropriate cleaner bwtween every appointment.

We have wipeable pillows now, we stopped using couch covers back in March to make it easier to clean.

When you have an appointment please observe the following

  1. Please complete the online mandatory COVID survey ahead or your appointment. (Someone will contact you to complete this if you do not have access to the internet or an email address)
  2. Wear loose comfortable clothing for your treatment
  3. Arrive no more than 5 minutes before your appointment time,
  4. Come alone (unless under 16 yoa or if you require assistance)
  5. You must wear a facemask before entering the premises.  If you are exempt from wearing a mask let us know when booking.
  6. Use hand sanitizer on entering the premises
  7. Only bring what you need for your appointment (please avoid bringing bags etc)
  8. The WC is not in use for patients. There are public toilets opposite the Cathedral.
  9. We will contact you to rearrange your appointment if your osteopath reports any symptoms or has been told to self-isolate.
  10. If you have any symptoms of COVID please let us know and we will cancel your appointment. We will not charge the cancellation fee.

We hope that these changes will not interfere with the good service that you expect from us at the Cathedral Osteopaths but rather enhance your feeling of well-being that we have your health and safety at the core of all we do. We look forward to welcoming you back into the practice.

How to Fix a Herniated Disc

 

  • Are you having a nightmare trying to do normal things like sitting, walking and getting dressed?
  • Is the pain is disturbing your sleep? Are you are constantly taking painkillers?
  • Have you tried other treatments like physiotherapy or osteopathy and were disappointed that they did not work for you?
  • Have you had an injection and found the pain came back again?
  • Are you looking for a long-term solution but would like to avoid surgery?

 

 

herniated disc is commonly referred to as a ‘slipped disc’.   These discs are actually made up of layers of thick ligaments with a jelly-like substance in its centre. Ligaments don’t have a very rich blood supply which is why it is an injury to your back which takes longer to heal than say a muscular problem.  When you herniate or ‘slip’ a disc the ligament tears and bulges into the space where the nerves are. If you are really unlucky the jelly substance squishes out so as well as back pain you may be suffering with leg pain and numbness and weakness.

If you have a herniated disc you may be making it worse!

There are two main ways you can damage your disc, the stereotypical injury is bending and twisting when people say ‘I felt something go’ so this is an obvious injury. The other way is by doing small repetitive movements day in and day out causing small tears that over time become larger tears. These injuries are not so obvious and people often say ‘I only leant forward to pick up a piece of paper and my back went’ So perhaps you injured you disc in the second way – every day you reach into the same bottom cupboard to take out your breakfast bowl for example…..so you don’t know you have an injury and it doesn’t appear to get better and you fear something is ‘really wrong’

So, you can make it worse, if you don’t understand your injury you don’t know how to look after it.  For example, avoidance of activities that add stress to the disc will help it heal e.g. lifting heavy objects or bending or sitting. Laying around or resting will compound the problem.  The body does heal as long as it has the right environment e.g. If you constantly pick a scab on a cut as it forms the cut won’t heal quickly or well just as when you constantly reinjure your back by repeating position or movements to exacerbate the problem.

Will it get better on its own ?

Most disc injures heal in around 12 weeks, but you still need to be careful in the months that follow to allow the ligaments to tighten up and the muscles to start working properly again. You may have found physical therapy and/or manual therapy to be of great benefit to you to help speed up your recovery. But what if you are not so lucky? Several weeks later you are still suffering the pain and disability that comes from a herniated disc, and it is relentless.  You may have been offered a smorgasbord of medications to help alleviate the pain, decrease the inflammation and calm down the nerves. Maybe you are taking lots of medication and are worried about the side-effects or that you will be taking them forever.

So, what happens if it doesn’t get better?

Well you may have been offered injections or even surgery, it is true most spinal surgeons will only operate as a last resort and as long as more conservative measures like physical and manual therapy and pain medication have been exhausted…..but there is another option out there called IDD therapy.

Idd therapy has been around since the 90’s and is the latest technology for the treatment of herniated discs offered in 1000’s of clinics around the world. In the UK there are nearly 40 clinics.  IDD bridges the gap between manual therapy and surgery and many back-pain sufferers will try it before surgery because the risks are minimal by comparison, but what is it and what does it do?

 

How does IDD therapy work?

The treatment goals are to mobilise the soft tissues, take pressure off the nerve and realign the spine and restore movement.  How does it work? Well IDD therapy harnesses the body’s ability to heal because it creates an environment for the disc to heal by creating movement and restoring the function of the spine.

Watch our explanation video here

At Cathedral Osteopaths we offer IDD therapy programmes to help our clients step out of pain and back to functioning normally, giving them their lives back so they can play with their grandchildren, return to cycling or running, enjoy travelling again or whatever it is they have been missing out on.

 

If you want to know more about IDD therapy visit our  herniated disc page https://www.cathedralosteopaths.co.uk/services/idd-therapy/

 

 

How to Deal With Cycling Aches and Pains

Cycling plus magazine ask the questions that beginners are dealing with and they asked me for advice on how to deal with cycling aches and pains?

These are my strategies to prevent injury in the first place

“Firstly, a pair of good-quality padded shorts are an absolute must for comfort, and anti-chafing cream can make a big difference on long rides too. If your saddle is too high, it can cause you to rock sideways to reach the bottom of the pedal stroke, resulting in additional chafing as well as giving you problems in your lower back. Conversely, if your saddle is too low your knees will complain.

“When it comes to the saddle itself my preference is for one with a cut-out centre, which takes pressure off the all- important pudendal nerve – if you get numbness down below this is not good and needs remedying urgently. Ideally, the saddle should be horizontal or slope nose downwards very slightly (towards the handlebar). Make sure it’s aligned with your top tube as well, as sitting twisted can cause issues with your lower back, knees and neck.

“Padded gloves afford some protection against road vibration, which can cause pins and needles in your wrists and hands. Forearms can get sore if you are gripping too tightly on the handlebar. Also, if the handlebar is too far in front or too low it can cause compression of the small joints in your neck, again leading to pins and needles in your wrists and hands. Your arms should be approximately at 90 degrees to your body, while maintaining a small bend in your elbows.”

Please click here to visit our Youtube channel for stretches and strengthening that will help cyclists

Vitaliti – Liquid Supplement for Immune Health, Energy and Wellbeing

Give your health a boost with ViTALITI – the powerhouse liquid supplement for Immune Health, Energy and Wellbeing

Here at the clinic we are often asked about supplements for general wellbeing.  We recommend Vitaliti from Clinic Nutrition.

Vitaliti is a one-shot liquid supplement packed with 28 vitamins and minerals.  One dose of Vitaliti includes 500mg of vitamin C, vitamin D, all eight B vitamins, selenium, zinc and other key nutrients plus a super green blend with ginseng and an amino boost blend.

Vitaliti is designed specifically for people who are feeling run down (perhaps from stress or burn out) or who aren’t getting key nutrients from their daily diet. The liquid shot supports their wellbeing and immune system.

Vitaliti is specially formulated to have a broader range of nutrients and in larger quantities than practically any multi-vitamin available.

It is simple to take and, with its delicious orange flavour, a pleasure to consume.

Vitaliti from Clinic Nutrition is a great all rounder you can get from Clinic Nutrition.

Visit Clinic Nutrition

Why liquid?

Tablets can only contain a certain amount of nutrients before they become too big to swallow.  That is why many people often take a handful of tablets, which can also contain a variety of bulking agents and fillers.

With a liquid, the nutrients can be dissolved, and this makes it possible to put a broader spectrum of nutrients into a single serving and in greater quantity.  Multivitamin tablets sacrifice the quantity of each nutrient in order to have a broad range.

With a liquid, the nutrients are more readily absorbed and a liquid is far easier to swallow than a handful of pills.

Vitaliti aims to help people in three key ways:

IMMUNE HEALTH

Our innate immune system is our first line of defence, detecting intruding cells and trying to stop them replicating.  At the same time our white blood cells, sometimes known as natural killer cells, identify and kill the intruders.  The adaptive immune system learns to identify invading cells for white blood cells to recognise and then kill.

Vitaliti supports this with Vitamins A, B6, B9, B12, C, D and E, as well as Zinc and Selenium.

Having healthy cells means our bodies are as primed as they can be to fight infections.

ENERGY

Many of us do not eat our five a day of fruit and vegetables consistently.  This can result in us not getting as many nutrients as our bodies need for optimal function.  Vitamin B is actually a group of eight B vitamins which, amongst a number of functions, support cell health, red blood cell production and regulate how our bodies use energy.

Without B vitamins we can feel tired and sluggish.  Rather than having to buy a separate vitamin B complex, Vitaliti has all eight B vitamins in each serving.

GENERAL WELLBEING

Regular exercise, a balanced diet and sleep are the three key pillars for living a healthy and vibrant life.

Vitaliti supports the nutritional pillar by being packed with one of the broadest ranges of nutrients found in any supplement including; vitamins A, E, D and K; potassium; magnesium; COQ10 (which is an antioxidant); and many more.

Plus, it has an extra bonus: Vitaliti has a super green blend including spirulina to support digestive health, provide additional antioxidants, and amino acids which help our bodies use protein, support muscle function and the nervous system.

Each 500ml bottle contains thirty-three 15ml servings and comes with a convenient measuring cap.  With its delicious orange flavour it can be drunk neat, diluted with water or added to a smoothie.

All the nutrients in Vitaliti are PubMed-referenced on the Clinic Nutrition website.

Visit Clinic Nutrition

 

Breathing Exercises

Deep breathing is one of the best ways to lower stress in the body. This is because when you breathe deeply, it sends a message to your brain to calm down and relax.
The brain then sends this message to your body. Those things that happen when you  are stressed, such as increased heart rate, fast breathing, and high blood pressure, all decrease as you breathe deeply to relax.
 The way you breathe affects your whole body. Breathing exercises are a good way to relax, reduce tension, and relieve stress.
 Breathing exercises are easy to learn. You can do them whenever you want, and  you don’t need any special tools or equipment to do them.
 You can do different exercises to see which work best for you.
How do you do breathing exercises?
There are lots of breathing exercises you can do to help relax. The first exercise below—belly breathing—is simple to learn and easy to do. It’s best to start there if  you have never done breathing exercises before. The other exercises are more  advanced. All of these exercises can help you relax and relieve stress.

Belly breathing
Belly breathing is easy to do and very relaxing. Try this basic exercise anytime you  need to relax or relieve stress.

  1. Sit or lie flat in a comfortable position.
  2. Put one hand on your belly just below your ribs and the other hand on your chest.
  3. Take a deep breath in through your nose, and let your belly push your hand out. Your chest should not move.
  4. Breathe out through pursed lips as if you were whistling. Feel the hand on your belly go in, and use it to push all the air out.
  5. Do this breathing 3 to 10 times. Take your time with each breath.
  6. Notice how you feel at the end of the exercise.

Next steps
After you have mastered belly breathing, you may want to try one of these more advanced breathing exercises. Try them and see which one works best for you:
 4-7-8 breathing
 Roll breathing

4-7-8 breathing
This exercise also uses belly breathing to help you relax. You can do this exercise either sitting or lying down.

  1. To start, put one hand on your belly and the other on your chest as in the belly
    breathing exercise.
  2. Take a deep, slow breath from your belly, and silently count to 4 as you breathe in.
  3. Hold your breath, and silently count from 1 to 7.
  4. Breathe out completely as you silently count from 1 to 8. Try to get all the air out of your lungs by the time you count to 8.
  5. Repeat 3 to 7 times or until you feel calm.
  6. Notice how you feel at the end of the exercise. Roll breathing helps you to develop full use of your lungs and to focus on the rhythm
    of your breathing. You can do it in any position. But while you are learning, it is best to lie on your back with your knees bent.
  7. Put your left hand on your belly and your right hand on your chest. Notice how your hands move as you breathe in and out.
  8. Practice filling your lower lungs by breathing so that your “belly” (left) hand goes up when you inhale and your “chest” (right) hand remains still. Always breathe in through your nose and breathe out through your mouth. Do this 8 to 10 times.
  9. When you have filled and emptied your lower lungs 8 to 10 times, add the second step to your breathing: inhale first into your lower lungs as before, and then continue inhaling into your upper chest. Breathe slowly and regularly. As you do so, your right hand will rise and your left hand will fall a little as your belly falls.
  10. As you exhale slowly through your mouth, make a quiet, whooshing sound as first your left hand and then your right-hand fall. As you exhale, feel the tension leaving your body as you become more and more relaxed.
  11. Practice breathing in and out in this way for 3 to 5 minutes. Notice that the movement of your belly and chest rises and falls like the motion of rolling waves.
  12. Notice how you feel at the end of the exercise.
    Practice roll breathing daily for several weeks until you can do it almost anywhere.
    You can use it as an instant relaxation tool anytime you need one. Caution: Some people get dizzy the first few times they try roll breathing. If you begin to breathe too fast or feel lightheaded, slow your breathing. Get up slowly.

Do you drive a desk?

Back, neck, wrist and leg pain can all be caused by a poor workstation set up. You can spend a lot of money making sure your workstation is perfectly set up but here are some effective and cheaper hacks.

The most obvious is to take regular breaks.

This is not as daft as it sounds, there is a deep muscle in your spine whose job is to report to your brain what your spine is doing, it makes small adjustments so you don’t injure yourself. However it gets bored after 25 minutes of inactivity and goes to sleep leaving you vunerable to injury.

From the app store try STAND UP its free.

Eg If you need to get a message to a co-worker get up and go and see them rather than firing off an email or move the printer so you have to move to get your print out.

Using your laptop for longer than half an hour? DON”T!!

Use your laptop as the monitor by placing in on a stand, and use a plug in keyboard and mouse.

Stands are easily available and vary in price according to how much adjustment they need and how portable they are.

This is the link to the one I use

https://www.posturite.co.uk/slim-cool-laptop-stand.html

  • Eyestrain or headaches?
  • Is there a window reflecting in the screen?
  • Is the screen brightness too bright/dim
  • Have you had an eye-test, even if you already wear glasses you may need a different prescription specifically for monitor work

Don’t have an all singing all dancing ergonomic office chair costing gazillions? 

Check your existing chair it may have adjustments you aren’t aware of.

No excuse to slouch, use a ‘Backfriend’ by Medesign they are brilliant for using with a dining room chair and they fit car seats.

Or use a small cushion to support the curve in your low back and lean back into it.

Cheaper alternatives to ergonomic office chairs:-

  • Sit to stand desks 
  • Kneel-on chairs 
  • Fitball as chairs
  • Saddle stools

Keep crossing your legs? 

If you are under 5’6” chances are you need a footrest – find a box to rest your feet on.

If you would like to know more about minimising injuries at work or would like to book an ergonomic assessment please get in touch vanessa@cathedralosteopaths.co.uk

Back, neck, wrist and leg pain can all be caused by a poor workstation set up. You can spend a lot of money making sure your workstation is perfectly set up but here are some effective and cheaper hacks.

The most obvious is to take regular breaks.

This is not as daft as it sounds, there is a deep muscle in your spine whose job is to report to your brain what your spine is doing, it makes small adjustments so you don’t injure yourself. However it gets bored after 25 minutes of inactivity and goes to sleep leaving you vulnerable to injury.

From the app store try STAND UP its free.

Eg If you need to get a message to a co-worker get up and go and see them rather than firing off an email.

Using your laptop for longer than half an hour? DON”T!!

Use your laptop as the monitor by placing in on a stand, and use a plug in keyboard and mouse.

Stands are easily available and vary in price according to how much adjustment they need and how portable they are.

This is the link to the one I use

https://www.posturite.co.uk/slim-cool-laptop-stand.html

Eyestrain or headaches?

Is the screen antiglare?

Is the screen brightness too bright/dim

Have you had an eye-test, even if you already wear glasses you may need a different prescription for monitor work.

Don’t have an all singing all dancing ergonomic office chair costing gazillions?

No excuse to slouch, use a ‘Backfriend’ by Medesign (I sell these just above cost so if you would like one let me know, they are brilliant for using with a dining room chair and they fit car seats,) Or use a small cushion to support the curve in your low back and lean back into it.
Cheaper alternatives to ergonomic office chairs:-

  • SWOPPER CHAIRS go to https://cruz-uk.com/
  • Sit to stand desks
  • Kneel-on chairs
  • Fitball as chairs
  • Saddle stools

To Ice Or Not To Ice? – How to recover quickly from injury

Ice therapy has been the gold standard for the treatment of acute injury since its introduction in 1978 in the book Sportsmedicine. Gabe Mirkin was the man who pioneered its use in combination with rest, compression and elevation otherwise known as RICE.

But why do you ice? What is the theory behind it?

The aim of Ice Therapy is to reduce inflammation by constricting the blood vessels. This leads to a reduction in pain (gate control theory), reduction in muscle spasm and a reduction in oedema.

Sounds pretty sensible right? You hurt yourself, get an ice pack.

But surely the human body knows better? What makes us think that inhibiting a natural response to injury is more beneficial?

For starters if you cut yourself how does it heal? if you have an infection how do you get better? The body’s response to injury is inflammatory because it is normal healthy physiology; it is BLOOD that carries a whole army of cells and chemicals to go to work and fix the problem.

The advice now for an ankle sprain is not RICE (rest, ice, compression and elevation) but compression and elevation and to get it moving as quickly as possible as focusing on drainage is key. Icing an area reduces blood flow therefore reducing the effectiveness of the inflammatory response, meaning it will take longer to get better.

So what about our friend Gabe? Well thankfully back in 2015 he did a 180 and is now an advocate against the use of ice. He said I was wrong and “we should stop using Ice as part of the protocol and really just focus on the “CE” but with movement added in!”

What is the evidence?

There is not much quality evidence (Randomised Clinical Trails – RCT) to support the use of ice for musculoskeletal injury or for the treatment of DOMS (delayed onset muscle soreness). In fact an article in in Sports Medicine; November 28, 2011 found that icing for 20 minutes led to a decrease in strength, speed and power in agility based running.

There is still limited evidence but a RCT published in Postgraduate Medicine 2015 showed that heat acts as an analgesic (painkiller), leads to increased blood flow, increased metabolism and elasticity of connective tissues. It decreased pain in acute low back pain and in the use of DOMS.

So how to treat an acute injury?

  1. The use of heat will cause vasodilation, allowing blood to flow to the area carrying with it all good stuff to make us better.
    (Please note that over-application of heat will not heal you faster but will exhaust the reflexes of the nervous system rendering them inactive). 
    Depending on the site of the injury heat can be applied for 15-20 minutes and can repeated.
    There are contraindications to heat, if you have loss of sensation, circulatory problems or DVT.
  2. Get it moving and gradually load the tissues pain free, as drainage is important. Muscular contraction helps move the fluid with its waste products out of the area and back into main circulation.

Obviously if the injury is traumatic and there has been some concussion, there is an open wound or possibility of fracture a visit to A&E is recommended.

If you have had an injury that has not fully resolved or that comes back again and again, please contact us to find out how Vanessa can help.