Friday, 18 December 2009

Merry Christmas and a Happy New Year!

I've finished all my appointments for 2009 and am very happy to report a 46% increase in patients compared to 2008, which is amazing.

So a big thank you to all my current and past patients for your support.

All it leaves me to do is to wish everyone a very Merry Christmas and happy, healthy New Year. I look forward to more successful treatments and happy patients in 2010!!

Rich

Thursday, 17 December 2009

Osteopathy Study Aids Now On Sale

We've now added a range of osteopathy study aids to the site, which is going to be added to as time permits. These have been designed especially for students of osteopathy to help with learning some of the more fundamental topics.

Firstly we have tools to help you learn the brachial plexus as well as some recommended books which will really help your studies generally.

Enjoy!

Saturday, 12 December 2009

Sunday, 15 November 2009

Congratulations again to Dan Hardy!!

Big big congratulations to Dan Hardy, one of my long term clients, on his latest UFC win over Mike Swick yesterday. Not only a great win, it opens up a title shot with Georges St-Pierre for the UFC Welterweight Championship in 2010.

I've worked with Dan for a few years now and he's always impressed me with his drive, professionalism and self belief. Great fighter that GSP is, I wouldn't bet against Dan in their fight if I was you!!

Here's Dan's testimonial for my work: http://www.nottingham-massage.com/client-testimonials/ and here's the fight report on the official UFC site: http://uk.ufc.com/index.cfm?fa=news.detail&gid=26152

Friday, 13 November 2009

Osteopathy on TV

One of the things that concerns me as a trainee osteopath is that I'll not only need to sell myself as a practitioner but also to sell osteopathy as a profession, so it's really good to see the BOA being proactive and getting on the TV.

Here's the video of Danny Williams on GMTV talking about back pain in relation to handbags:



In my mind, any publicity like this is a good thing and I'm fully behind it. The more that osteopathy is part of everyday language, the more likely we are to be able to make a successful career out of it.

Wednesday, 11 November 2009

Updating the blog from my phone

this is a test message to see if I can update the blog from my phone...

Monday, 3 August 2009

Reflections on Year 2



So, another year down! Only 3 more to go!

In many ways, Year 2 was a much harder year for me. Outside of the course, there's been a lot going on which has made it hard to focus on study at the level it deserves. The course content was a lot tougher at times too. I've always found neuroanatomy quite challenging and this was a large part of the content for this year. It was only towards the end of the year that it really clicked for me, especially as we looked into pain perception and management.

On a more positive note, this year felt far more involved than the first year which was very much a foundation year. Although the practical element seemed to make up a fairly small part of this year's modules, it seemed far more aimed at offering a better quality of treatment than just a mechanical method of learning.

Perhaps most pleasingly, I've noticed that my massage treatments have become much more confident as the year has progressed. I'm incorporating many of the techniques that we've learnt into my treatments and am also taking the case histories in as osteopathic a way as possible! Of course, this is great practice for me too.

So, 3 years to go and I'm really looking forward to Year 3. Finally get a chance to actually treat some clients!!

Rich

P.S. 8 As and 2 B+s across the first 2 years isn't bad is it? ;)

Thursday, 18 June 2009

NICE Guidelines - massage & osteopathy

Much has been made of the latest NICE Guidelines for Treatment of Low Back Pain, particularly in the massage and osteopathy fields. The full guidelines can be found here but to summarise:

The 4 Principles of Management for all Patients are described as:

1. Keep diagnosis under review at all times
2. Promote self-management/advice
3. Offer drug treatments as appropriate
4. Offer a range of alternative treatments including exercise, acupuncture and manual therapy.

Manual therapy is then further identified:

The manual therapies reviewed were spinal manipulation, spinal mobilisation and massage. Collectively these are all manual therapy. Mobilisation and massage are performed by a wide variety of practitioners. Manipulation can be performed by chiropractors and osteopaths, as well as by doctors and physiotherapists who have undergone specialist postgraduate training in manipulation.

So that's pretty conclusive, patients suffering from low back pain can and should be referred for massage and osteopathy, amongst other treatments. The guidleines recommend up to 9 treatments over up to 12 weeks.

This has got to be good news for both fields of treatment, hasn't it? The question is, how are we practitioners going to make our presence felt? Should the GPs be actively looking for us or should we target them? And how responsive will GPs be to sending patients off for manual therapy as opposed to physiotherapy or drug treatment?

What do you all think?

Friday, 12 June 2009

Hope with anatomy revision

The second year exams are but a few weeks away and we're all getting into the tough revision that we're got to endure, so it was good to see that no matter how poorly prepared I feel, there are others out there who know even less!
A team at King's College London found public understanding of basic anatomy has not improved since a similar survey was conducted 40 years ago. Less than 50% of the more than 700 people surveyed could correctly place the heart, BMC Family Practice says.Under one-third could place the lungs in their correct location, but more than 85% got the intestines right.

There are concerns that a poor grasp of anatomy could potentially compromise patient care.

http://news.bbc.co.uk/1/hi/health/8092930.stm

Saturday, 25 April 2009

Now treating in 2 venues!!

I'm very excited to announce that I'm now offering professional sports massage in two prime locations in Nottingham City Centre. Tuesday appointments will now be taken at Elite Martial Arts, based at the High Pavement Business Centre in The Lace Market, Nottingham. This new facility is directly opposite the famous Pitcher & Piano pub, so is in a perfect location for those based in the city centre.

Thursdays will still be at Bushido MMA, the number 1 location for MMA, BJJ and Muay Thai boxing in Nottingham. Home of the Rough House Team featuring some of the best MMA fighters out of the UK including Dan "The Outlaw" Hardy, Paul "Semtex" Daley, Jim Wallhead, Lee Livingstone and many more, it has established itself as a top martial arts training location in the East Midlands.

Appointments are available from 6pm on Tuesdays and Thursdays, with other times and home visits available on request. If you would like to book an appointment at one of these great facilities, give me a call on 07990 548519.

Wednesday, 15 April 2009

Chest pain, coughing up blood...

... I think you've got a tree growing in your lung!!

Saw this amazing news article today about Artyom Sidorkin, a 28 year old Russian chap who presented to his local hospital with agonising chest pain and hemoptysis (coughing up blood). Convinced that he had lung cancer, he was taken to x-ray which showed what appeared to be a tumor. Straight into surgery where a section of his lung was removed and biopsied.. to reveal a 5cm spruce tree!!

Apparently he had inhaled a seed which then took root in his lung and began to grow! Read the full story here: http://tinyurl.com/cng9pw

And here's a nice little picture!


Saturday, 28 March 2009

Footballer's Ankle

Whilst in clinic this week, I observed a young man being treated for neck and shoulder pain, alongside which he had a suspected Footballer's Ankle.

What is Footballer's Ankle?

This is a pinching or impingement of the ligaments or tendons of the ankle between the bones, particularly the talus and tibia. This results in pain, inflammation and swelling.

A common cause of anterior impingement is a bone spur on anklebone (talus) or the shinbone (tibia). Repeated kicking actions can cause the anklebone to hit the bottom of the shinbone, which can lead to a lump of bone (or bone spur) developing. This bone spur may then begin to impact on the soft tissue at the front of the ankle, causing inflammation and swelling.

The condition is most common in athletes who repeatedly bend the ankle upward (dorsiflexion), such as footballers, hence the name.

What are the symptoms?
- pain and tenderness over anterior ankle joint
- pain on dorsiflexion and plantar flexion
- band of pain across anterior ankle when kicking a ball
- palpable bony lump on distal tibia or superior talus

How can it be treated?
- soft tissue techniques to stretch muscles crossing the ankle to relieve tension
- mobilisation of ankle joint
- steroid injection to tackle inflammation
- surgery to remove bony spurs

Ref: http://www.sportsinjuryclinic.net/cybertherapist/front/ankle/footballersankle.htm & http://www.simonmoyes.com/trt_ankle_football.php

Monday, 19 January 2009

New testimonial!

Just received this really nice testimonial from one of my clients:
I have a huge thank you to say to you for giving me the confidence to allow someone to treat me for my back problem. Without you I would not be where I am today. I am still being treated for my back problem at an oesteopath in Belper but am down to monthly treatments now. Thanks for your support. If I lived closer to Nottingham I would still be making appointments with you today.
Without sounding overly sentimental, this kind of comment really does make it all worthwhile - Thank you.

Tuesday, 13 January 2009

Muscle a day #2: Omohyoid


Revising the triangles of the neck at the weekend, I realised that I knew very little about omohyoid, an important muscle which defines some of the sub triangles of both the anterior and posterior traingles. So here's some more information:

Omohyoid
This muscle is an infrahyoid muscle found in the anterior neck, deep to sternocleidomastoid.

Attachments
Upper border of scapula and occasionally superior transverse scapular ligament (crossing scapular notch).
Lower border of hyoid bone, lateral to insertion of sternohyoid.

Innervation
Ansa Cervicalis (C1-C3) (branch of cervical plexus)

Action
Depresses, retracts, and steadies hyoid bone

Notes:
The omohyoid has 2 bellies connected by a tendon and is one of the infrahyoid muscles. It passes anteriorly and superiorly from the scapula, passing behind sternoclediomastoid where it takes a steep redirection superiorly towards its attachment to the inferior hyoid.

The central tendon is attached to the first rib and clavicle by the deep cervical fascia.