Ice or Heat for Neck Pain?

Many patients who experience neck pain come to the clinic and inform us that they have applied either ice or heat to their neck due to pain. More often than not they have made the wrong choice. This article will attempt to explain when it is most appropriate to use either ice or heat, how to apply it most effectively and how each works on the tissues of the neck. Continue reading

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Who is at risk of developing neck pain?

Neck pain is an exceedingly common complaint at our clinic. Neck pain usually spreads to the upper shoulder area and occasionally to the inner shoulder blade region of the mid-back. If there is nerve impingement or irritation patients will experience symptoms such as numbness and/or tingling down their arms. Most neck pain is “benign” or mechanical in origin. The most common source of pain emanate from the muscles and joints of the neck itself. Continue reading

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A Neurosurgeon on “Life with the Chiropractors”

This article was written and contributed by a Spinal Surgeon working at the Broadgate Spine and Joint Clinic.

I have the good fortune to work in a genuinely multidisciplinary environment. Not just a polyclinic with a variety of different medical doctors, but one populated with chiropractors, osteopaths, acupuncturists, physiotherapists, podiatrists, massage therapists and fitness instructors as well as rheumatologists, pain specialists, psychiatrists, orthopaedic surgeons, neurologists and sports physicians. Some I had encountered in my former role as a consultant leading a major London teaching hospital’s neurosurgery service. However this wider experience has materially improved my clinical skills. Put simply, we all have a role to play and by working in the routine company chiropractors enhances the service I can offer to patients.  Continue reading

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A Rheumatologist on Working With Chiropractors

This article was written and contributed by a Spinal Surgeon from the Broadgate Spine and Joint Clinic.

Having a typical degree education in a British medical school usually means that there are gaping holes in one’s general medical knowledge. This especially applies to those professions that are variously termed “non-traditional” “paramedical” “complementary” or even “alternative”. Some of these really are alternative and probably don’t need much attention – I’m talking of the various mumbo jumbo mind-body therapies. But others have huge evidence base, beg our attention but remain essentially ignored by the traditional medical community. In my field, rheumatology, there are several such complementary groups and one we are perhaps most guilty of ignoring is chiropractic.

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The Informed Patient

How to choose a chiropractor?

It is imperative that the chiropractor that you chose is recognised by the General Chiropractic Council www.gcc-uk.org. This is your guarantee that the chiropractor in question has the appropriate qualifications and has successfully completed a yearly continued professional development programme. All registered chiropractors can be easily found on their website.

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Exercise and Lower Back Pain

During the recent past the most common treatment prescribed for longstanding lower back pain has become supervised exercise. There are many exercise programmes available to patients – with many therapists proclaiming that their particular exercise programme is the very best and the one that experts are recommending. In this commentary I would like to summarise what it is that we know about exercise, what we don’t know, and what we hope to learn in the future.

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