New Osteopath Amy Hope Joins the team

Amy Hope OsteopathWe’re very proud to announce that we have a new Associate Osteopath joining our team, working on Saturday mornings and Tuesday and Friday evenings – welcome aboard Amy Hope.

Amy has run her own successful clinic in central London since graduating in 2011 and joins us as she has recently moved to the area to study for an MSc at the University of Nottingham.

A graduate of the British College of Osteopathic Medicine, Amy has treated professional dancers and runners and worked with a premiership rugby team. She’s also a trained ballet dancer so understands the vital importance of being free from musculoskeletal complaints, the hindrance that aches and pains can cause and the consequences of ignoring or living with a problem rather than seeking professional help.

A particular area of interest is ergonomics and workplace assessment, which is the subject of her new study. She’s already conducted specialist ergonomics assessments for many of London’s biggest companies & offices, and  can provide valuable information on posture and habits that may be predisposing an injury, hindering healing or causing problems to return.

London’s loss is our gain – welcome to the team Amy.

To book in with Amy, visit her online diary or call 0115 981 5134.

Fibromyalgia Clinic – Tuesdays & Thursdays
Chris Thompson - cranial osteopath Nottingham

Chris Thompson

We’re proud to announce that we’ve are now offering a dedicated Fibromyalgia Clinic on Tuesdays and Thursdays with Associate Osteopath Chris Thompson.

Chris trained at the European School of Osteopathy, graduating in 2011 with his Masters degree. For the last three years he has been working in private practice in Wellington, New Zealand, but has recently made the decision to return to the UK. Chris treats with a variety of osteopathic methods, primarily using gentle cranial osteopathy and functional techniques, tailored to each individual patient.

“Fibromyalgia, is a complex problem with no proven cause. In practice I have found that these conditions seem to result from a combination of factors resulting in overload of the body and therefore an inabiliy to function fully. One of the largest of these factors is often mechanical dysfunction in the body  and it is this in combination with other loads on the body such as stress and poor nutrition that can lead to the chronic pain and tiredness.

Osteopathy can help with the mechanical problems, and by reducing this strain can lead to much better function and in some cases complete resolution of symptoms.”

To book in a specialist appointment with Chris, give our reception team a call on 0115 981 5134 or book online here.

What is fibromyalgia?

Fibromyalgia (FMS) is a widespread musculoskeletal pain and fatigue disorder for which the cause is still unknown. Fibromyalgia means pain in the fibrous tissues in the body.

Most patients with fibromyalgia say that they ache all over. Their muscles may feel like they have been pulled or overworked. Sometimes the muscles twitch and at other times they burn. More women than men are afflicted with fibromyalgia, but it shows up in people of all ages.

(taken from http://ukfibromyalgia.com/what-is-fm.php)

How could an Osteopath help?

Osteopathy offers a natural way to manage pain, without painkillers. Osteopaths are focussed on finding the cause of the pain, rather than just treating the symptoms. Treatment of the tight muscles and stiff joints of the neck, thorax and back can relieve the build-up of muscular tension that may lead to symptoms. Cranial osteopathy techniques can also help reduce pain. An osteopath will also advise on exercise, posture and lifestyle changes which may help to keep the pain at bay.

To book in a specialist appointment with Chris, give our reception team a call on 0115 981 5134 or book online here.

 

Private MRI Referrals in Nottingham

We’re very excited to announce that we can now offer Private MRI Referrals in Nottingham at the City Hospital Campus.

Thanks to our connecting with InHealth, we can now directly refer patients who are looking for an MRI scan without the need to book through the GP or consultant with the associated wait times. Any referral will be dealt with immediately and scans booked usually within the same week. Results come through within 2-4 days. No waiting around or complication referral criteria, we can send you for a scan straight away :)

InHealth mobile MRI scanner unit. Photograph by Martin Neeves Photography - www.martinneeves.com - Tel: 01455 271849 / 07973 638591 - E-mail: mail@martinneeves.com

So how does it work?

You’ll need to book an initial half hour consultation (£35), where we’ll take a brief history, examine you, make a preliminary diagnosis and then fill out all the necessary paperwork with our partners at InHealth.

They’ll then contact you directly to book in a convenient time for your scan and arrange payment, be it through your medical insurance or personal payment. The scans will take place at the dedicated medical imaging centre at City Hospital, Hucknall Road, Nottingham, NG5 1PB. They’ll handle the whole process on the day, giving you personalised care and using state-of-the-art technology for the most comfortable experience possible.

After the scan, they’ll process the images, write a report of their findings and send this directly to us. We’ll then contact you to book in a further half hour consultation (£35) to discuss the results face-to-face and discuss what treatment needs to follow. We can also give you the results over the phone for the same cost.

That sounds pretty good, how do I book in?

Just give us a call on 0115 981 5134 or email us at info@mooreosteopathy.co.uk and we’ll arrange a time for your initial consultation.

 

New Headaches & Migraines Clinic

We’re proud to announce that we’ve started a new dedicated Headaches and Migraines Clinic on Wednesdays with Associate Osteopath Chris Glover at the helm.

Chris Glover - Associate Osteopath

Chris Glover

Chris his a Masters degree in Osteopathy from the London School of Osteopathy and has trained in advanced spinal manipulations. He has gained extensive experience in the treatment and management of many musculoskeletal conditions and specialises in the treatment of headaches and neck pain.

“Headaches are a common symptom that most people have experienced. However if they seem to be occurring more frequently, it can be very beneficial to see an osteopath to ascertain the cause. Studies have shown that osteopathic treatment may be as effective as some medications in managing pain from headaches, without the side effects. Finding and fixing the cause can eliminate the problem altogether.”

It’s estimated that 1 in 30 adults suffer from chronic tension headaches. Most will reach for the paracetamol or ibuprofen to help ease the pain but, for many, visiting an osteopath would be a better solution. An osteopath will focus on finding the underlying cause of the headaches and can then offer treatment and advice to keep them away for good.

To book in a specialist appointment with Chris, give our reception team a call on 0115 981 5134 or book online here.

What causes headaches?

There are several causes of tension headaches, such as tight muscles in the neck and shoulders which cause pain in the forehead, temples and/or back of the head. These tight muscles could be as a result of your posture, working position, stress, sleeping position or even how you sit in your car. Compression of the joints in the neck can also result in head pain. Different parts of your neck refer pain to different parts of your head. For example, if you’re stiff at the base of your neck, near your shoulders, this could cause pain at the back of your head whilst stiffness at the top of your neck, could appear as forehead pain or pain around the eyes.

How could an Osteopath help?

Osteopathy offers a natural way to manage pain, without painkillers. Osteopaths are focussed on finding the cause of the pain, rather than just treating the symptoms. Treatment of the tight muscles and manipulation of the joints of the neck, thorax and back can relieve the build-up of muscular tension that may lead to headaches. An osteopath will also advise on exercise, posture and lifestyle changes which may help to keep headaches at bay.

What about migraines?

There are many different causes of migraines, but studies have shown that osteopathy may be effective in preventing some types of migraines.

To book in a specialist appointment with Chris, give our reception team a call on 0115 981 5134 or book online here.

 

Latest research into kinesiology taping

We use kinesiology taping quite a bit in our clinic and I personally work with SportTape to deliver fundamentals and specialist taping courses all around the UK. We’re always asked about the evidence for k-taping and as such, I keep an eye on the research that’s coming out… and there’s a LOT. Almost every month there are new papers being published and here are a new batch that were published recently.

Kinesio Taping for temporomandibular disorders: Single-blind, randomized, controlled trial of effectiveness.
Coskun Benlidayi et al (2016)

Patients with TMDs were randomized into experimental and control groups. The experimental group (n= 14) received KT in combination with counseling and jaw exercise, whilst controls (n= 14) were given the regimen of counseling and exercise alone.

RESULTS:
Active mouth opening improved more in the experimental group than controls. In the experimental group, VAS for temporomandibular joint, masticatory efficiency and functional limitation improved significantly at the sixth week when compared to baseline, but not in controls. Pain, depression and disability scores reduced significantly in the experimental group but not in controls.

CONCLUSION:
KT in combination with counseling and exercise is more effective than counseling and exercise alone in TMDs.

***

Kinesio taping as a treatment method in the acute phase of ACL reconstruction: A double-blind, placebo-controlled study.
Balki et al (2016)

30 male patients with ACL reconstruction were randomly assigned to two groups: (1) an experimental group to receive a KT treatment through the muscle and lymphatic correction techniques; or (2) a control group for sham KT. The groups were compared according to range of motion (ROM), pain, swelling and muscle strength before treatment and on the fifth and tenth treatment days.

RESULTS:
Comparisons showed significant improvements in both groups. In comparison to the control group, the experimental group showed significant improvements in swelling around the patella, all pain measurements and hamstring muscle strength on the fifth KT day and knee flexion range of motion, night pain, all swelling measurements and hamstring muscle strength on the tenth KT day.

CONCLUSION:
Results revealed that KT techniques applied in addition to the acute rehabilitation program of ACL reconstruction are beneficial in treatment of pain, swelling, knee flexion ROM, and hamstring muscle strength.

***

The comparative efficacy of kinesio taping and local injection therapy in patients with subacromial impingement syndrome.
Goksu et al (2016)

61 patients were randomized into two treatment groups receiving either a single corticosteroid and local anesthetic (LA) injection, or kinesio taping performed three times by intervals of 3 days. A exercise program was prescribed for both groups including pendulum, active range of motion (ROM) and strengthening exercises.

RESULTS:
Pain and functional outcome measures improved significantly in both groups, but were more significant in the injection group than in kinesio taping group. The improvements in pain at rest, shoulder abduction degrees, and SPADI scores were statistically higher in injection group than in kinesio taping group.

CONCLUSION:
Although the improvement in pain intensity at rest, ROM and disability were better with local injection, KT may be an alternative noninvasive method to local subacromial injection for patients suffering from subacromial impingement syndrome.

***

Short term effects of kinesio taping on pain and functional disability in young females with menstrual low back pain: A randomised control trial study.
Forozeshfard et al (2016)

32 young females with menstrual LBP participated in this crossover study and were assigned randomly in two separate groups. The first group received KT during their first menstrual cycle and No-KT in their next menstrual, while the other group had no KT during the first mentrual cycle and received KT during the next menstrual cycle.

RESULTS:
Comparing pain and disability between two conditions, of menstrual cycle with KT and menstrual cycle without KT, revealed significant reduction in pain and functional disability by using KT during menstrual cycle.

CONCLUSIONS:
Results showed that KT may effectively reduce pain and disability. The findings may support the clinical application of kinesiotaping in young females with menstrual LBP.

***

So some interesting results there, across a really diverse range of problems. They’re still small numbers of patients involved in each trial but it certainly adds to the growing evidence base for this non-invasive treatment approach.

Richard

My “12 week transformation” project

Everywhere you look on social media are the standard before-and-after photos associated with a 6, 8 or 12 week “body transformation”. I’ve always been intrigued by what these actually entailed, so I thought it was about time that I tried it to see what I could achieve.

Under the guidance of Real World Fitness here in Nottingham, I followed an exercise and diet plan for the 12 weeks in the lead-up to Christmas 2016, focussing on what I could achieve without any ‘extreme’ measures, which I’ll elaborate on later.

My starting point was a weight of 87.4kg, chest measurement of 40.9 inches and a waist measurement of 37.2 inches.

By the end of the 12 weeks, I weighed 81.2kg, had a chest that measured 42.9 inches and a waist of 35.2 inches.

So I lost over 6kg and actually changed my body proportions – not bad for a 3 month experiment!

So what did I do….

Richard Moore before and after 1

Training/exercise

Training was almost entirely restricted to full-body, resistance-based, weight training. I was initially training 2-3 times a week but, by the end, was regularly training 4 times a week, for around an hour each time.

A typical week would consist of a mixture of upper and lower body, pushing and pulling movements, with a session looking like this:

  • Barbell Press – 4 sets of 6
  • Weighted dips – 4 sets of 6
  • Military press – 4 sets of 8
  • Barbell rows – 4 sets of 8
  • Cable lateral raises – 4 sets of 12

There was no ‘cardio’ on top of this programme, other than staying as active as possible outside of the gym. To help me focus this, I bought a pedometer and really tried to hit 10,000 steps a day. For me, this meant walking to work a couple of times a week and on days where I hadn’t hit my target, going out for a walk in the evening after dinner. Not much fun in the cold, wet winter months I can testify!!

I also bought a cheap (and a bit rubbish) exercise bike off Ebay to go on if I was unable to get out for a walk. I limited this to 20 minutes maximum and only did it a couple of times a week, so no long, boring cardio sessions for me – excellent!

12-2

Diet

I was adamant that I didn’t want to spend hours on end, ‘prepping’ repetitive food into little tupperware boxes at the weekend, I wanted to eat ‘normal’ food and to eat meals with my family at home.

So we opted for a ‘flexible dieting’ or ‘If it fits your macros (IIFYM)’ approach, where the overall daily calorie amount and macronutrient breakdown of protein, fat and carbohydrates was predetermined but could be met using any mixture of foods, meals and servings.

For me this was:

  • 2,230 calories per day
  • 40% protein (223g)
  • 25% fat (62g)
  • 35% carbohydrates (195g)

This approach was ideal for me as I could stick to a ‘normal’ eating regime of breakfast, lunch, dinner and then an extra meal in the evening, to make sure I met all my targets. My personal approach to nutrition promotes eating as wide a range of foods as possible, so again, it suited me.

However it did mean becoming extremely au fait using My Fitness Pal and getting into the habit of weighing EVERYTHING that I ate. To be honest it was a pain in the beginning but you soon get used to it. Eating out was difficult and, if I’m honest, I did take the scales out with me a couple of times during the 12 weeks… Another reason to not do this experiment in the run-up to Christmas!

But overall, I didn’t feel hungry, got it right most (!) of the time and just ate regular food. Even it did mean more of certain foods, such as protein, than I was used to.

12-3

Overall Thoughts

I can’t help but be very proud of the end results. I worked REALLY hard during the 12 weeks, not just in the gym but also making sure that I was hitting my targets with daily activity outside the gym and, perhaps most importantly, the food, both in terms of overall calories and also the individual macros. Of course, I didn’t get it right all the time but it generally seemed to get easier as time went on.

Yes, it did get repetitive at times and I did tire of all the weighing and planning, but wherever possible I mixed things up to keep myself motivated. The prospect of a photoshoot at the end certainly helps keep focus! Without that focus….?

Looking back, the key for me wasn’t any fancy diet or elaborate training plan, it was all about… CONSISTENCY. And by that I mean: training 4 times a week, EVERY week, watching what you eat, EVERY day and keeping active EVERY day. I think prior to this I was following an unofficial 5:2 diet, where I ate and exercised well during the week and they it all went a bit haywire at weekends! The only way to get decent results is to think of it all as a 7-day a week plan… every week!!

12-back

And What Now?

Although the photos looked great and the scales were very flattering, I must admit that by the end of the 3 months I was beginning to find the gym-based training a little repetitive and not necessarily something that I could envisage doing indefinitely. That said, I would be happy to continue with this style of training in the short term but I found that by the end of this project, I felt stiffer and less mobile than I had for a long time. Mobility and flexibility has always been important to me.

So, my training from here will certainly take elements from the above training but not be limited by it. I intend to add in more mobility work and bodyweight exercises to keep my muscle mass and shape whilst challenging my movement and mobility.

Overall my main priority is to maintain the good results that I achieved and the lessons that I learnt in terms of nutrition have been invaluable. I did find that over 220g of protein a day was rather high, so I’ll drop that down to somewhere around 200g (or even a little lower) but otherwise, will leave things as they were. That said, I do like experimenting with my diet to find out what works best for me, so I might experiment with some high-fat or carbohydrate manipulating options instead….

Let’s see what I can do in 2017….!

Richard

2016 – Year in Review

Wow, what a year! A LOT has happened at the clinic and within the team so here’s a little run down of some of the things we’ve been up to over the past 12 months.

40% increase in patients

We’re extremely proud to announce that year-on-year we’ve seen a 40% increase in the number of patients that have come in to see us. This means that we’ve been able to help a lot more people than we ever have before!

We pride ourselves on offering our absolute best to everyone that comes to see us and it sounds like word is spreading! A massive Thank You to everyone we’ve met this year, we hope that we’ve been able to help.

A bunch of Mudders

May this year saw 4/5 of the team (sadly Terry was otherwise engaged) take on the Tough Mudder Half obstacle race at Belvoir Castle. After a couple of very muddy hours, the team emerged, battered and bruised… but we survived! We also picked up a ‘Teamwork of the Day’ award which gave us the use of a hot jacuzzi at the finishing line! It almost made it all worthwhile… almost 😉

Tough Mudder Half

Richard’s on the Telly

It was a big year for Clinical Director Richard who made it onto National TV this October… for about 5 seconds! The program was ‘Extraordinary Pregnancies’ and focussed on Kat, a local lady who was still competing in pole dancing despite being heavily pregnant. A film crew descended on the clinic early one Tuesday morning to film Richard treating and talking to the patient for a couple of hours.

My Extraordinary Pregnancy

It seems like most of it ended up on the cutting room floor but he still had time to shine. Click on the image above to see the full appearance… don’t blink!

Building Bridges

As you probably know, we’re keen on building connections to other professionals and businesses and this year was no exception as we met and grew relationships with some really interesting folks:

Future Health – by name and by nature! These guys are a VERY impressive setup based on Nottingham Innovation Park offering stem cell harvesting and banking. It really is cutting-edge stuff. Have a look at our thoughts when we went to visit in November – Future Health blog.

Future Health Biobank

Real World Fitness – Richard has been training at RWF for a couple of years now but they moved from rather modest premises into their own standalone gym space in Cowlick earlier this year. We think it’s the best facility of it’s type in Nottingham and definitely worth a look if you’re interested in a quality, no-nonsense approach to your fitness training.

RWF Gym

… and what about next year?

You know us, we’re not going to rest on our laurels. We’ve got big plans for next year, including expanding the team and offering new services but without losing our core values: we want to consistently offer the best treatment, advice and service to all our patients and help everyone that comes through our doors. Simple as that.

And with that, we’d like to wish you a vey Merry Christmas and a Happy New Year! Hopefully see you again in 2017!

The value of a day out of the office

Therapy Expo banner

As an osteopath I have to undertake at least 30 hours of CPD (Continual Professional Development) each year. This usually takes the form of discussion with colleagues, online research and learning, training courses and relevant events. I always try to use a number of different methods to reach my hours and a particular favourite is Therapy Expo at the NEC in Birmingham.

te-blog3

This is the second year that I’ve been to this event and it didn’t disappoint. Two days of excellent talks about topics ranging from paediatrics to pregnancy to sport injuries to new technology to marketing ideas, it really does have it all. I’d thoroughly recommend it to anyone in our field.

However it’s not just about the content of the event, I believe that there is real value in going to events like this, beyond the nitty gritty.

1. Time to listen

We spend most of our time in a 1-to-1 situation with patients, so conversation is often quite personal and direct, with lots of interaction. It makes a change to sit down, relax and listen to someone speaking about a topic of interest with the time and freedom to make notes, think about what they’re saying and be led on a journey.

te-blog2

2. Time to catch up and have a coffee

Every time I go to events like these I bump into friends, colleagues and peers and have the time for a cup of coffee and a natter. Yes this is often led by ‘shop talk’ but conversation soon wanders and we can switch off… even if it’s for a little while.

3. Time to be exposed to new ideas

This year I saw exoskeletons being demonstrated and saw the impact that they had on a people who’d had life-changing accidents. Not directly relevant to my practice perhaps but absolutely inspiring. I really must get one for work….

Therapy Expo Exoskeletons

4. Time to reflect

I usually find myself in at least one of the marketing and business talks and if I’m honest, I find that I’m already putting into practice a lot of what is suggested. That said, as the speaker extols the virtues of social media, harnessing referrals or implementing business systems, I find myself thinking about my business, what is working and what could be improved. EVERY SINGLE TIME I come away with new ideas…

5. Time to plan

But of course, plans need to be made. The ‘great‘ thing about the NEC is that there’s always traffic on the roads or delays on the trains meaning that there’s plenty of time to start thinking about short term and long term plans. It’s no coincidence that my productivity shoots up after attending events like this one. The trick is maintaining that over the whole year 😉

So, see you next year?

So as you can see, I’m a big fan of getting out of the office, going to events like these and having my horizons broadened. Even if it just gives you some headspace to think about what you’re doing, how it could be improved and what you can do to make both yours and your patients’ experiences that little bit better, surely that’s got to be worth it.

 

Future Health Biobank stem cell banking

We recently had the pleasure of a visit to Future Health Biobank, the largest stem cell bank in the UK, based very close to our clinic in Nottingham.

We’re really interested in the latest health technology and developments and were blown away by what they do there. I must admit, I thought that stem cell harvesting and storage, in the treatment of future illness and disease, was within the realms of science fiction, but it is in fact, very real… and actually quite affordable.

They provide five main services:

  • cord blood and cord tissue stem cell banking
  • dental pulp cell banking (from lost baby teeth)
  • adipose (fat) stem cell banking
  • non-invasive prenatal testing
    • Down’s Syndrome, Edwards’ Syndrome, Patau’s Syndrome
  • new born screening testing
    • Coeliac disease, lactose intolerance etc

In a nutshell, stems cells can be taken from the umbilical cord, lost baby teeth or even fat cells, stored in the facility in Nottingham and them retrieved if they’re needed in the future, to treat a on of a number of illnesses. At the moment, stem cells are routinely used in the treatment of some leukaemias and anaemias but there’s a lot of research being carried out about what the stem cells could be used for in the future. This list actually includes autism, cerebral palsy, type 1 diabetes and all sorts. In fact there are over 300 therapies in clinical trials at the moment! Who knows what the future might bring….?

If you’re interested in what they could do for you and your family, give them a call on 0115 967 7707 and have a chat. They’ve even given us a discount code to take 10% off the cost. Just mention ‘MHC01′ when you speak to them.

We’ve also got some flyers at the clinic so why not had a read of one of those, next time you’re in. VERY interesting stuff!

BackTalk Event, Nottingham, 19 May 2016

I’m very proud to have been asked to speak at a really interesting event next week in Nottingham which has been organised by a new website called BackMentor.me

This is a new website that offers support and advice to those suffering from long-term back pain with a focus on changing attitudes, becoming empowered and ultimately getting on top of the situation. There are a team of experts (including me) on hand to offer our opinions and a little advice to help sufferers take back control.

I’ll be speaking about how important it is to treat each case individually and will be presenting alongside a trusted local personal trainer and a hip specialist. The founder of the website, Arman Brevig will also be introducing the website and explaining where the idea came from.

It’s a FREE EVENT and should be a lot of fun. Why not register and come along?

http://www.backmentor.me/backtalkevent/