As you are aware, following the outbreak of Corona Virus, we were instructed by our professional association to cease all face to face appointments as of immediate effect. Thereby reducing the risk to you (the patient) and to us at the clinic, by limiting exposure.
We have recently been advised that we are now able to start seeing patients again for URGENT care only. This means if you have a problem which is:
– affecting your ability to work
– not responding to advice or medication
– making you consider visit a healthcare professional
and you are not:
– seriously ill
– in the shielding group
– unwell and over 70 years of age
then we may be able to see you for an appointment.
To book an appointment you can call 01189 39 40 40 (this will be diverted to David’s mobile phone) or email email@example.com
You will notice many changes have been put in place at the clinic to help keep you and us safe. We will operate a strict screening process. Appointment times will be longer to allow for a thorough sterilisation between patients and to avoid your exposure to others. PPE will be worn, and we ask that you wear a mask or mouth and nose covering (scarf/bandana).
So if we can help, please do not hesitate to contact us.
Due to the ongoing situation with Corona Virus, we have been instructed by our professional association to cease all face to face appointments as of immediate effect.
As such, any of your existing appointments with us have been cancelled, and we will contact you when the situation has changed and we are open to see patients again.
Should you experience any issues which we can help you with or if you do feel you need to speak with us regarding your condition please call us on 01189394040 (the clinic phone will divert to David’s mobile phone ). Alternatively you can email firstname.lastname@example.org
We will do what we can to help you during this time. We are here for you please do not hesitate!
In the meanwhile, keep fit and stay healthy!
We will see you on the other side.
David and all the team at the Reading Chiropractor
VW Reveals UK’S £21 Billion ‘Builder’s Back’ Bill – British Chiropractic Association, Posted on 2nd Apr 2019 by BCA
• Volkswagen Commercial Vehicles reveals 70% of van drivers suffer from back pain • Van drivers take an average of three weeks off work a year due to ‘Builder’s Back’ • Downtime caused by bad backs costs UK economy an estimated £21 billion per year* • Brand partners with British Chiropractic Association (BCA) to reveal top tips to sit correctly behind the wheel.
More than two-thirds (70%) of van drivers have taken time off work due to back pain** – costing the UK economy on average £21 billion per year, according to a Volkswagen Commercial Vehicles survey.
Drivers who suffer from ‘Builder’s Back’ take an average of three weeks off work** and the resulting downtime costs companies an estimated £500 a day per van. Poor seat adjustment could be to blame for triggering back issues, especially as many drivers spend up to seven hours a day in their vans.
During a day’s testing spent at Cordwallis Van Centre, Heathrow, Volkswagen Commercial Vehicles and a chiropractor from the BCA discovered that while half of van drivers say that they adjust their seat to the correct position, two-thirds are still sitting incorrectly or missing crucial steps***.
Although most drivers adjusted their seats before driving, many committed common mistakes of positioning the seat too close to the steering wheel and angling the seat too far back.
Prab Chandhok, chiropractor and member of, British Chiropractic Association, commented: “Many people now point to driving as a trigger for their back or neck pain, so it’s really important that your van is set up properly for your needs, to help ease the strain that driving – especially for long periods of time – can have on your back and neck.
“The key thing to remember is that there is no single seat that is perfect for everyone, so it’s practical to test the seat out fully before you buy a new vehicle. The more adjustable it is the better.”
Sarah Cox, Head of Marketing of Volkswagen Commercial Vehicles, said: “Labourers commonly suffer from ‘Builder’s Back’ for a variety of reasons but poor seating position can often be overlooked. Our research made it evident that the majority of drivers don’t adjust their seats correctly. The effect of this is not only causing over two-thirds of van drivers to suffer from back pain but also hits the UK economy with up to £21 billion in opportunity cost.
“We were delighted the BCA were on hand to help us during our testing at the Cordwallis Van Centre and to provide us with some top tips to ensure drivers are able to understand the correct way to adjust their seats and avoid back pain.
“As part of our brand promise, Working With You, Volkswagen Commercial Vehicles’ aims to create the smoothest and most comfortable journey possible for van drivers, and in turn avoid downtime, especially as so many of our customers spend such extended periods of time in their van.”
SEVEN TIPS TO ADJUST YOUR SEAT
1. Height: Your thighs should be as parallel to the floor as your seat will allow, and where possible try to get your hips higher than your knees. You should also adjust the thigh support if you have one to ensure you have the maximum surface of your thighs touching the seat. 2. Pedals: You should be able to push the pedals to the floor with a bend in your knees. 3. 110°: Bring your seat all the way up so it’s straight and then take it back until you are comfortable whilst maintaining a 110 degree angle between your back and thighs. 4. Lumbar Support: The lumbar support should be adjusted so you can feel it support the hollow in your back but so it’s not causing your spine to arch more than is normal for you. 5. Head Restraint: The height and angle of your head restraint should be adjusted so you can feel the centre of the support touch the middle of the back of your head, although it does not need to be touching at all times 6. Steering Wheel: Once in correct seating position, bring your arm up in front of you and position the centre of the steering wheel to be in line with the fold of your wrist. 7. Rear Mirror: Lift up your chest by five degrees and then adjust your mirrors to help stay in an upright position on long drives.
*Figure is based on £500 a day downtime costs. 70% of 4 million van drivers and an average of 15 days off work due to back pain
**Volkswagen Commercial Vehicles survey, October 2018, 500 UK van drivers
***Volkswagen Commercial Vehicles and British Chiropractic Association test data, November 2018
Generally it is best to apply cold therapy to your back in the first 24 to 72 hours following an injury, and back injuries are no different. Cold can help to reduce the inflammation and swelling caused by the injury. This in turn will reduce your pain by numbing the area through the slowing the response of the nerve endings and also decrease the tissue damage caused by the inflammation.
Cold can be applied in numerous ways: a frozen bag of vegetables (peas work well) , frozen gel packs, and ice cubes in a damp towel. Regardless of which option you choose, make sure to note the following precautions:
To avoid burning the area, place a towel or tea-towel between the ice and your skin.
Apply cold therapy for no more than 15-20 minutes at a time. You can re-apply cold therapy every hour up to 8 to 10 times per 24 hour period.
Use heat to encourage healing
After the initial swelling and inflammation has eased, applying heat therapy will encourage healing in your lower back. Heat helps to stimulates blood flow in the area of injury, thereby allowing the inflammatory mediators and damaged cells to be removed whilst bringing oxygen and nutrients to help repair the damaged tissues. Heat can also inhibit the transmission of pain signals to your brain and decrease your stiffness by helping to relax tight scar tissue in the muscles and ligaments.
At the Reading Chiropractor, we would always recommend the use of moist heat therapy, this penetrates deeper and therefore will have more of an effect to the deeper tissues of the low back. This can be achieved with a hot water bottle wrapped in a moist towel, or a nice warm bath.
If you have diabetes, an open wound, or dermatitis it is best to avoid heat therapy altogether.
Additionally, if you do suffer from extended or chronic lower back pain make sure to receive care from a qualified medical professional, such as a chiropractor at the Reading Chiropractor. Relying on self-care for too long may make your back pain worse.
To read more on the on the use of ice-packs in the relief of low-back pain https://www.spine-health.com/treatment/heat-therapy-cold-therapy/ice-packs-back-pain-relief
A new study shows that doctors are actually quite bad at estimating the benefit andharm associated with treatments they prescribe.
As a chiropractor I am a primary contact practitioner. This means that patients come to see me with all types of ailments, some of which are chiropractic issues (for which we can help) and others are not, which we need to be aware of and refer out.
As a result, on the initial consultation we perform a detailed medical history. I am amazed at the amount of times patients are unaware as to why they are taking certain medications or why they have had certain medical procedures performed.
We all have an individual responsibility towards OUR OWN health, and naturally this includes our healthcare.
In a systematic review of 48 studies performed in 17 countries and involving more than 13,000 clinicians, they found that doctors rarely had accurate expectations of benefits or harms. The inaccuracies were in both directions but more often, harm was underestimated and benefit overestimated. V
If highly trained doctors don’t understand their colleagues’ intentions it stands to reason that most patients feel even more hapless, caught in an endless tangle of tests and explanations but the knowledge and power asymmetry is such that it’s impossible to question the doctor, who must surely know better (if not best).
To help make better decisions with your doctor on benefit vs harm, here are three questions that every patient should ask of every new proposed drug or intervention:
What are my options?
What are the specific benefits and harms to me?
What happens if I do nothing?
If patients asked these questions more often and doctors took it upon themselves to answer faithfully, medicine might yet experience a new dawn.
NICE updates guidance on low back pain and sciatica
The National Institute for Health and Care Excellence (NICE) has published updated guidance on low back pain and sciatica, including recommending manipulation and massage with exercise in all its forms such as: stretching, strengthening, aerobics and yoga .
The guidelines also recommend encouraging people to continue with normal activities as far as possible.
Acupuncture for treating low back pain is not recommended, as current research has not shown this to be effective, however massage and manipulation with exercise is recommended.
In regards to medication, paracetamol on its own should no longer be the first option for managing low back pain. Instead, non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or aspirin, should be tried first. Weak opioids, such as codeine, are now only recommended for acute back pain when NSAIDs have not worked or are not suitable.
Combined physical treatments (such as Chiropractic) and psychological or talking therapies are recommended for people who have not seen an improvement in their pain on previous treatments, or who have significant psychological and social barriers to recovery.
The updated guidance has been expanded to include people with sciatica, a painful condition typically caused by irritation or compression of the nerves that run from the lower back, through the legs and down to the feet.
Professor Mark Baker, clinical practice director for NICE, said: “Millions of people are affected every year by these often debilitating and distressing conditions. For most their symptoms improve in days or weeks. However for some, the pain can be distressing and persist for a long time.
Low back pain causes more disability than any other condition, affecting 1 in 10 people and becoming more common with increasing age.
In the UK it is estimated that low back pain is responsible for 37% of all chronic pain in men and 44% in women and the total cost of low back pain to the UK economy is reckoned to be over £12 billion per year.
Sciatica is also a relatively common condition, with estimates suggesting that as many as 40% of people will experience it at some point in their lives.
Professor Baker added: “It is possible to reduce the impact that low back pain and sciatica can have on people’s lives. The guideline continues to recommend a stepped care approach and means people whose pain or function are not improving despite initial treatment should have access to a choice of further therapies.
“Our aim with this guideline is to give clarity and set out the most clinical and cost effective ways to treat low back pain and sciatica based on the best available evidence.”
16th October is World Spine Day (WSD), part of The Bone & Joint Decade Action Week and people from around the world join together to raise awareness about spinal disorders.
The theme for WSD 2016 is “Straighten Up and Move” highlighting the importance of physical activity and improving posture as part of good spinal health and prevention of injury.
Straighten up on world spine day
The Reading Chiropractor is urging people to pay attention to their posture and straighten up this World Spine Day (October 16th) by following a few simple steps.
Recent research from the British Chiropractic Association found that over half of people in the south East (52%) who have suffered from back or neck pain believe poor posture triggers it. However, having and maintaining a good posture can help to keep back pain at bay.
Many people don’t realise that a straight spine is more achievable than they think, and incorporating just a few small changes into our daily routines can make a huge difference to back health.
The Reading Chiropractor has compiled a number of simple tips to improve posture and protect against back pain.
Get up, stand up. Inactivity is a leading cause of back pain. If you spend most of your day sitting, make sure that you take regular breaks, ideally every 20-30 minutes. Stand up to stretch, change position and walk around a little.
Stretch it out. If you struggle to get away from your seat at work, simple activities such as stretching and shoulder shrugging and even simply fidgeting in your seat can all help to keep your back in line.
Keep moving. Exercise is key to a healthy back, however you don’t need to embark on any extreme fitness regimes. Adding just a few extra minutes of walking a day can have a huge impact on your posture.
Straighten Up. Try incorporating some simple exercises into your daily routine. The BCA has developed – Straighten Up UK – a series of simple exercises designed to improve posture and help prevent back pain by promoting balance, strength and flexibility in the spine. You can find these via the BCA website on www.chiropractic-uk.co.uk
Spot your side profile. Paying closer attention to your body’s side profile can help you recognise back or neck pain triggers.People who want to improve their posture should try imagining they have a plumb line hanging straight from their ears to ankles – with everything in the middle sitting on the same line.One way to do this is to try standing in a relaxed way and then gently contracting the abdominal muscles
BCA comments: “As modern lifestyles put increasing amounts of strain on our backs and necks it’s becoming even more important for people to take proactive measures to protect their back health.
“Prevention is always better than cure, so this World Spine Day we want to encourage people to straighten up, and incorporate simple steps into their daily routine to maintain a healthy posture. For example, people are often surprised at the positive impact that simply ensuring you take regular breaks when sitting for long periods of time, or walking regularly can have on your back.”
For more information on how to maintain a healthy posture and avoid triggering neck and back pain, visit the BCA website at www.chiropractic-uk.co.uk.
Article thanks to the British Chiropractic Association
By 2037, it’s anticipated that the number of carers in the UK will increase to 9 million, and three in five of us will be carers at some point in our lives. For many carers physical activity such as lifting is a significant part of their daily routine. However, not all carers will be aware of their back when looking after someone.
New research from the British Chiropractic Association showed that lifting and carrying can trigger back pain for more than half (55%) of people in the South East, and this number could even be higher for those carers who are often putting additional stresses and strains on their bodies.
Although paid carers may receive training on how to protect their backs during the physical aspects of their work, many unpaid carers, of which there are 6.5 million in England and Wales, may not receive any training or information about back care.
To coincide with Back Care Awareness Week (5 – 9 October) The British Chiropractic Association (BCA) The Reading Chiropractor has developed the following simple tips for all carers to help them whilst they’re helping others.
back care awareness
Golden rules for carers
Think ahead – assess each situation and look for the best and easiest way to achieve the desired result, this may mean using any available equipment whether it be for specialist lifting or a simple sack barrow for moving boxes of supplies.
Follow the weight – always try and face the direction in which you want to carry any weight – your body is strongest when you are square on to the weight.
Take care when lifting – never lift while twisting from the waist. Bend your knees, try to have a relaxed, straight back and if possible, brace your abdominal muscles. For added stability make sure that your feet are about a shoulder width or more apart before lifting.
Supportive shoes are essential – wear good, soft-soled shoes that are supportive and have a good grip on the ground.
Take regular breaks – if doing a repetitive task, take a break every 20 minutes and do some simple stretches to relax your muscles.
Ask for help – if in a home setting looking after a relative or friend there are many local agencies and charities who can assess and advise on what equipment or help you may need. Don’t carry on putting your body at strain. Explore all avenues of assistance. If you are provided with any equipment, make sure you are given training on how to use it.
Ask for training – if in a formal setting make sure you have been properly trained in good lifting techniques and on any equipment you are using.
“Carers spend long periods of time on their feet and put a lot of strain on their bodies, from lifting and assisting the person they are caring for, to moving equipment. Even though our bodies are very well adapted to a variety of tasks, carers need to be particularly careful not to overload themselves and put their backs at risk.”
“Formal care settings should have lifting and moving equipment available and staff should always make sure that they have been trained in the proper use of all equipment. Home carers should make sure they receive home assessments for the person they are caring for as equipment can often be loaned out – this will require appropriate training for proper use.”
The Reading Chiropractor recommends a very simple three minute exercise routine entitled ‘Straighten Up UK’ from the British Chiropractic Association (BCA) has developed which is really easy to incorporate into daily life to help strengthen the spine and improve posture. The exercise routine can be accessed on the BCA website here: http://bit.ly/straightenupuk
1 hour Reflexology or Facial Reflexology for just £30.00 (usually £40).
Book as many as you like in the month of June!
Call 0118394040 to book an appointment.
Reflexology at the Reading Health Centre
Reflexology is the method of applying gentle pressure to the reflexes on the feet to help bring about a state of deep relaxation, to stimulate the body’s own healing processes and to help you to return to a state of balance and wellbeing.
Helps with pain relief
Provides deep relaxation
Helps clear the body of toxins and waste products
Encourages the body’s own healing processes
Your Treatment –
Your treatment will last either half hour or an hour depending on which treatment you have booked.
A confidential medical history will be taken on the first visit to discuss your lifestyle and if there are any health concerns you would like to address. This is very informal and allows me to get to know you a little better and to understand how I can help you with reflexology. You will be asked to sign the consultation form confirming your personal details and permission for me to treat you.
Before the treatment starts, you will just need to remove your shoes, socks or tights, then lie down and relax!
When the treatment is finished I will discuss any imbalances that I have found during the treatment and will give advice where possible.
1 hour Reflexology or Facial Reflexology for just £30.00 (usually £40).
Workers in the South East slacking when it comes to back pain
As part of Chiropractic Awareness Week (11 – 16 April) the Reading Chiropractor is urging workers to do more to protect their backs, both in the office and at home.
New research from the British Chiropractic Association (BCA) reveals that over a quarter (28%) of workers in the South East admit to taking no proactive measures to help prevent back or neck pain. Despite this, almost one fifth (19%) of people in the region who have suffered from back or neck pain said work can trigger it, and four in ten (41%) have had to take time off work because of their pain.
The BCA found that 40% of workers in the South East who have suffered from back or neck pain said that sitting in the same position whilst working for long periods of time contributes to their pain. Additionally, those working remotely often don’t have a back-healthy set up, with almost a quarter (24%) admitting to primarily working from the sofa.
David from The Reading Chiropractor comments: “The reality of modern working lifestyles means that many more workers are often spending long days in front of a computer screen, either in the office or working remotely and not doing enough to prevent serious strain on their backs. Whilst it may be tempting to do work from your sofa or bed when working from home, poor posture means you could be putting even more strain on your spine. However the good news is there are several simple steps you can take and I would encourage all workers in the South East, particularly office workers, to follow these to minimise their risk of work-related back pain.”
David has developed these top tips to help people protect their backs wherever they are working:
Be computer compatible: Make sure the top of the screen is level with the eyebrows and the chair is tilted slightly forward, allowing for the knees to be lower than the hips and the feet to be flat on the floor.
Sit up straight: Relax when sitting into your seat, making sure you have your bottom against the seat back with your shoulder blades touching the back rest of the chair. Keep arms relaxed and close to the body and place on the desk when typing.
Take regular breaks: Don’t sit for more than 20-30 minutes at a time – stand up to stretch, change position and walk around a little. If you struggle to get away then take time to gently massage the back of your head and neck as this will help to improve posture and reduce back pain by promoting balance, strength and flexibility in the spine.
If working from home:
If possible, designate a specific area in your home for working and always work at a table, sitting on a chair, rather than on the sofa or in bed.
If you don’t want to invest in a computer stand, place sturdy books, for example copies of the Yellow Pages under your laptop so that you can adjust the level of the screen to fit your eye line.
Use a detachable keyboard and mouse whenever possible, as this will ensure that your movement is not restricted and you are not placing unnecessary strain on your back.
An easy way to ensure that you get away from your desk and take regular breaks is to set a loud alarm in another room. When making phone calls, take the opportunity to get up from your desk and move around as you talk
Embrace the privacy of working from home by doing regular stretches. The BCA has developed a series of simple exercises to improve posture and help prevent back pain. Please see the BCA website for more information: http://bit.ly/straightenup
Reading Health Centre
61 Castle Street
0118 9 39 40 40
workers chiropractic back pain
The research was carried out on behalf of the British Chiropractic Association between 27/01/2016 and 02/02/2016