Low Back Pain and Osteopathy

Low back pain affects up to 70% of people throughout their lives, and is the most common reason for

lost work hours and limitation of daily activities in the world (WHO, 2013). It can range from an annoying ache or stiffness right through to something truly debilitating, and may be caused by something as physical as heavy laboring or high impact sports, or as trivial as poor posture or bending down to pick up that toothbrush that dropped to the floor! Whilst these pains may come and go on their own, they can often last for days, weeks, months and even years, leading to use of strong medication for pain relief and gradual loss of movement. So what can you do to help relieve this pain?

Osteopathy is a treatment method that has been shown to be effective in treating both acute and chronic low back pain. A randomised control trial (RCT) – the current gold standard for research designs – has found osteopathy to be effective to help reduce pain. One paper published on the study specifically looked at chronic lower back pain and found that patients who received osteopathic treatment had https://www.acheterviagrafr24.com/viagra-ordonnance/ a ‘moderate to substantial improvement’ in pain levels. In many cases, this reduction in pain level also led to patients using prescription pain relieving medication less frequently. A second paper published using the same data found that, not only did osteopathy help reduce low back pain, it also helped to improve the movement and function in the low back for patients with improved pain. This study complements a second RCT which looked at osteopathic treatment for acute low back pain, also concluding osteopathy to be effective in reduction of acute low back pain symptoms.

So if you or someone you know is suffering from low back pain, osteopathy may be able to help. Contact us, or book appointment with us or visit your GP to find out if osteopathy may be a way of helping you reduce your back pain and getting you moving more easily again.

Sources:

Licciardone, J.C., Kearns, C.M., & Minotti, D.E. (2013). Outcomes of osteopathic manual treatment for chronic low back pain according to baseline pain severity: Results from the OSTEOPATHIC Trial. Manual Therapy, 18(6), 533-540. doi: 10.1016/j.math.2013.05.006

Licciardone, J.C., Minotti, D.E., Gatchel, G.J., Kearns, C.M., & Singh, K.P. (2013). Osteopathic Manual Treatment and Ultrasound Therapy for Chronic Low Back Pain: A Randomized Controlled Trial. Annals of Family Medicine, 11(2), 122-129. doi: 10.1370/afm.1468

Cruser, A., Maurer, D., Hensel, K., Brown, S.K., White, K., & Stoll, S.T. (2012). A randomized, controlled trial of osteopathic manipulative treatment for acute low back pain in active duty military personnel. Journal of Manual and Manipulative Therapy, 20(1), 5-15. doi: 10.1179/2042618611Y.0000000016 

Barefoot Running

Patients who run often ask as what shoes are best for them, especially if they notice that they have had some pain with a recent footwear change or as their running style changes and evolves. Some come in with hip pain, others knee or ankle, and for some it is a mixture of all three. One question that does get asked is whether a change to Barefoot running shoes and other Barefoot Inspired Shoes (BFIS), like the Vibram Five Fingers shoes, may help them with either running technique or pain.

The important thing to note about Barefoot shoes is the change that happens in your feet when you do run. Instead of running on and landing through the rear of your foot, Barefoot and BFIS are designed for the runner to run on their toes and through the forefoot. A recent study has shown that this type of running in these Barefoot and BFIS may help to improve loading at the knee, particularly at the patellofemoral joint (between your kneecap and your thigh bone). For runners with pain at this area of their knee during running, especially if performing this up or down hill where the patellofemoral joint is under greater stress, Barefoot and BFIS may help to reduce pressure and force at this joint, decreasing irritation and pain, allowing for more comfortable running. This may also be a useful tool in rehabilitation from this pain in runners who have previously worn conventional running shoes.

However, Barefoot and BFIS do have a downside by increasing the force in your Achilles tendon, increasing the risk of injuries to your Achilles when you run. As such, people with chronic Achilles and calf muscle problems, a change to Barefoot type running may not suit. Therefore, if you have been considering a switch in footwear or have knee or calf/Achilles pain with running, speak to us and we can help you to decide, along with our podiatry partners and expert shoe fitting specialists, to find out whether a change in footwear may be right for you.

Source: Sinclair, J. (2014). Effects of barefoot and barefoot inspired footwear on knee and ankle loading during running. Clinical https://www.acheterviagrafr24.com/viagra-pfizer/ Biomechanics, 29(4), 395-399. doi:10.1016/j.clinbiomech.2014.02.004

http://www.sciencedirect.com/science/article/pii/S0268003314000333