Tag: physiotherapy

Chronic tension shoulder office work pain hurt headache back Emsworth chiropractic chiropractor osteopath osteopathy headache neck migraine muscle business Hampshire injury posture

Solving the mystery of: Chronic shoulder tension

Chronic shoulder tension. Knots in your upper back. Stiffness, headaches, neck pain. Sounds familiar? Yep- we see chronic shoulder tension a lot in clinic- but allow us to explain why simply treating the shoulder isn’t going to solve the issue.

Firstly, muscles don’t work alone.

Our body moves and functions through a combination of movements in a coordinated group of muscles, ligaments, fascia, tendons and joints. Back pain is our bread-and-butter as chiropractors, and we know from both research and experience that pain in the back doesn’t necessarily mean a problem in the back. That pain could be caused by a problem somewhere completely different- something that often causes a bit of confusion when you come to see us for pain in one area and we end up treating somewhere completely different.

Chronic tension shoulder tension office work pain hurt headache back Emsworth chiropractic chiropractor osteopath osteopathy headache neck migraine muscle business Hampshire injury posture latissimus bodybuilding strength stamina stability exercise training health fitness sport

Here’s why…

Let us paint you a picture. You work in an office. You’re stuck at a desk all day, sitting on your behind, slouched and worn out by 5PM. Your shoulders are tight and sore, and you can feel the knots building up in your upper traps, giving you a thunderous headache by the end of the day. Now, you know those knots and tense muscles are going to cause problems of their own, so you had an upper back massage two days ago and they should be feeling better… but they’re not. So is the problem the upper traps and shoulders, or is it something else?

Chronic tension shoulder tension office work pain hurt headache back Emsworth chiropractic chiropractor osteopath osteopathy headache neck migraine muscle business Hampshire injury posture latissimus bodybuilding strength stamina stability exercise training health fitness sport
The latissimus dorsi muscle- isn’t it a beauty?!

Let’s look at the latissimus dorsi.

It’s a muscle that originates from the spinous processes of T7-L5, the iliac crest around the top of the pelvis, the thoracolumbar fascia in the middle of our back, the lower border of the shoulder blade and the lower 3/4 ribs. (Yep, it’s massive!) All those fibres attach to the humerus (the long bone in the top of your arm). Why are we talking about a muscle in the lower back? Surely a muscle in the lower back controls the lower back, right? Wrong. The lat dorsi actually serves to extend, adduct, flex and internally rotate the shoulder, and lends a mere helping fibre or two to extend and laterally flex the spine. (In case you’re interested- it also helps with our lung function and breathing. Safe to say, it’s a pretty important muscle.)

So, back to you sat at your desk.

You’re slouching, your lumbar spine is curved and unsupported, so your latissimus dorsi is stretched beyond the norm and the fibres can’t fire properly. As a result, the muscle can’t complete the role it’s supposed to, the upper trapezius steps in to help and is left to do all the hard work controlling the shoulder itself (Just like that last project your boss asked you and Jane to do together and Jane left it up to you to do all the hard work- thanks Jane….) This leads to imbalance and weakness in both the lats and lower traps not to mention a very grumpy upper trapezius. You’ve tried treating the site of the pain (with that amazing back, neck and shoulder massage) and it feels better for a day or two afterwards but then it comes back.

Chronic tension shoulder office work pain hurt shoulder tension headache back Emsworth chiropractic chiropractor osteopath osteopathy headache neck migraine muscle business Hampshire injury posture
The Posture Oblique Sling Source: tonygentilcore.com

It’s fairly obvious by now that the problem with your tight and knotty upper traps isn’t caused by your shoulders- it’s something further afield.

So we have to look elsewhere- we look at your lower back and find that your latissimus dorsi is, surprise surprise, not happy with life. Now we’ve found that we also need to look at the Posterior Oblique Sling.* The POS includes the latissimus dorsi, glut med (in the back of the hip) and the thoracolumbar fascia (in the middle of our back.) *NB When we talk about one of the “slings” in the body, we’re talking about a specific group of muscles, fascia and ligaments which all work together to stabilise and mobilise the body.

Guess what we find when we examine you?

Your lat dorsi isn’t firing properly, which is throwing off the stability in the posterior oblique sling. Your lower back is stiff and restricted, and you can’t laterally flex properly- further compounding the problem with the latissimus dorsi (remember us saying it helps with lateral flexion of the lumbar spine?) So you can see how you’re caught in a vicious circle of dysfunction creating more dysfunction, and, in your case, leading to chronically tight shoulders that just never seem to get better!

The above is just an example of a classic case we often see in clinic.

Now, there are approximately 640 muscles in the human body, all intricately involved with the others in a chain of movement, that can have a chain of consequences if something in that chain misbehaves. To state the obvious again- each person we see is an individual, and the way dysfunction comes about is different for each person, as is the way in which the body adapts to that dysfunction.

As chiropractors, our job is to work out what’s going on and why (and then work with you to get it better) and this often involves looking at areas that might be quite far afield from where the actual pain is felt- but as you can see, there’s a reason for that.

Back pain children chiropractic Hampshire Emsworth babies shoulder tension
Source: simplebackpain.com

P.S. Poor posture affects kids too!

So where to begin? How can you improve your posture and reduce pain and problems? We’d suggest starting with some simple exercises, and downloading your copy of “Understanding Pain” which will help you get to grips with chronic pain, what’s going on in your body and how you can take back control!

Alternatively, and perhaps best- is to seek professional help and get a diagnosis and treatment plan put in place. You can get started by booking your appointment today.

 

We are moving to Palmers Road early 2017!

The Acorn Team are excited to announce the imminent launch of our new clinic! We have been working hard to create a multidisciplinary ‘health hub’ for you in the heart of Emsworth and are delighted to let you know we’ll be moving to our new premises at 2 Palmer’s Road in early 2017! We are going to be able to offer a range of healthcare therapies to cover all your and your family’s healthcare needs under one roof.

Emsworth Chiropractic Acorn Health Palmers Road Chiropractor Health Hub Clinic Evidence Treatment Physiotherapy Osteopathy

Not only that, we will also be extending our opening hours to offer even more appointments at times convenient to you and will be offering workshops, open days to meet our practitioners, and we’ll be inviting health care specialists and interesting speakers for educational events and seminars so you can get the right information and best care possible.

We hope you’re as excited by this news as we are! We know you will love it, and will benefit from even more once we move to the new clinic in Palmers Road. To stay up-to-date with the latest news and developments on this exciting new project, please follow our Facebook page or sign up to our newsletter to be the first in the know. Let’s get moving!

Want to find out more about Acorn Health?

Read our frequently asked questions here.

Download our free resource on preventing posture and pain here.

Find out more about Philippa Oakley (Nee McKernan) here.

Pain in the butt!

Little muscle- BIG pain! We wanted to tell you about a classic case that appeared in clinic this week as it may also help you – a lady in her mid 30’s came into clinic with excruciating pain and tingling sensations radiating down the back of her thigh. Good old ‘Dr Google’ had suggested this could be sciatica which had got her really worried.

On examination, we found a nasty little group of what are called “trigger points” (focal areas of hyperirritability within a muscle) in her gluteus minimus muscle, and palpation of these reproduced the exact pain she had been experiencing. But what is this? The referred pain generated from trigger points in the gluteus minimus is notorious for activating other trigger points in the TFL, quadriceps, gastrocnemius, hamstrings, and peroneal muscle groups- in fact, gluteus minimus referred pain is often referred to as “pseudo-sciatica”, as it so closely mimics the symptoms of sciatica.

What commonly causes a glute min trigger point?
– Walking or running on uneven ground
– Sitting on a wallet (hello chaps- we’re talking to you!)
– Limping (from a foot or lower leg injury)
– Driving long distances or sitting for long periods
– Sacroiliac joint dysfunction

Chiropractic Emsworth sciatica
Ref: http://www.healing-art-community.com/what-you-need-to-know-about-muscle-knots-or-trigger-points/

Fortunately, with a comprehensive treatment programme which addresses the many components of this problem, this issue can be resolved swiftly and successfully in clinic, helping to relieve what is a literal “pain in the butt“!

Butt!? What is TRUE Sciatica?

Sciatica is the name given to any sort of pain that is caused by irritation or compression of the sciatic nerve. This particular nerve is the longest nerve in your body and it runs from the back of your pelvis, through your buttocks, and all the way down both legs, ending at your feet.

In the vast majority of true sciatica cases, sciatica is caused by a herniated or “slipped” disc (learn more about the fabled slipped disc here): This is when one of the discs that sit between the bones of the spine (the vertebrae) is damaged and presses on the nerves. Less common causes include spinal stenosis (narrowing of the nerve passages in the spine), a spinal injury or infection, or a growth within the spine (such as a tumour in very rare cases). It is important to be checked by a specialist immediately if you have any symptoms, by being diagnosed quickly you will avoid further pain, discomfort and possible injury.

You can minimise your risk of developing a slipped disc or back injury that could lead to sciatica by adopting a better posture and lifting techniques at work, as well as stretching before and after exercise, and exercising regularly. We also recommend adding a foam roller into your exercise routine to help with the after affects of exercise and encourage muscle repair, read ‘5 Ways your foam roller could be more effective’ to find out more.

 

You may also be interested in reading:

Understanding Pain

Stay Ski-fit on the Slopes!

Hot Yoga: This Girl Can!

PROMs patient care health expert chiropractic chiropractor Emsworth Fareham Hampshire back pain neck pain headache joint care musculoskeletal NHS GP doctor

The Acorn Health PROMs: A Case Study

We’re not talking about the BBC PROMS, or in fact anything to do with music. We’re talking about Patient Reported Outcome Measures (PROMs), and they’re far more exciting than the BBC version (in our humble opinion).

Patient Reported Outcome Measures are the tools with which healthcare practitioners and clinicians can better understand the impact illnesses or conditions and treatment are having on our patients’ daily lives.  At Acorn Health, we utilise Care Response, a system which gathers the data for us and is supported by the Royal College of Chiropractors.

PROMs patient care health expert chiropractic chiropractor Emsworth Fareham Hampshire back pain neck pain headache joint care musculoskeletal NHS GP doctor golf golfing sports exercise fitness healthy
Why is it we often wait to get help for something until the pain becomes so intense we can’t do what we want to do?

We don’t collect PROMs purely for our own benefit, it’s also for yours. We want to understand how your pain or problem is affecting your daily life- are you able to wash and dress yourself without pain? Is it stopping you from having a social life? Is it preventing you from working?  Not only that, but we want to know how you feel about your pain. Are you worried it’s never going to get any better? Perhaps you’re scared about whether being physically active is going to make it better or worse and had to duck out of that golf game you had lined up.  These are all very common concerns (so don’t worry if you’re having them- we all do!) and by understanding what your concerns are and how your pain is affecting you, we can provide a more accurate and more appropriate course of treatment for you.  The responses to these questions will also indicate to us whether you are at a low, medium, or high risk of the problem becoming chronic (lasting for a long time) and this can mean that we need to provide you with very specific advice and information in order to prevent this happening- and yes, it can be done!

PROMs are starting to sound really good, aren’t they?

PROMs health chiropractic pregnancy baby childbirth paediatricsAnother fantastic thing about PROMs is that they can tell us whether the treatment plan we have together decided upon is having the effect we want or not.  Often, when pain decreases it can be difficult to remember just how bad it was (Remember that saying about giving birth? If we remembered how bad childbirth was we’d never have more than one child!) That being said, PROMs give us a way to determine your response to treatment based on your original responses to the questionnaire.

The story of patient X: Utilising PROMs in clinical practice

So how do we put PROMs to use in clinical practice, and how do they help inform our decision making and improve the care we provide our patients? We’ve got a case study here to explain it.

A bit of background- this Patient (let’s call them Patient X… sounds all mysterious and technical doesn’t it!) Anyway, Patient X had sustained a lower back injury in a road traffic accident more than a decade ago and had suffered with recurring episodes of lower back pain which, as seen by the chart below, were having a significant impact on their ADL’s (activities of daily living- things like washing, doing housework and sleeping) as well as their social life (going out to see friends, going to the gym, playing sports), the pain was a 6/10 and it was also making them anxious, depressed, having quite a severe impact on their working day and they had very little ability to cope with, control or reduce the pain themselves.  All in all, not a very pleasant situation to find yourself in, but these results are fairly common in the patients we see in clinic. So much so, in fact, that Philippa takes a special clinical interest in chronic pain management– but that’s a story for another time.

PROMs patient care health expert chiropractic chiropractor Emsworth Fareham Hampshire back pain neck pain headache joint care musculoskeletal NHS GP doctor
Patient X’s initial responses

The questions on the initial form are part of a validated assessment tool called the Bournemouth Questionnaire, and the answers are scaled on a 0 – 10 linear scale, 0 being “the pain has no interference” and 10 being variations of responses such as “completely unable to carry on” or “extremely anxious/extremely depressed.”  As you can see, this patient was also at medium risk of chronicity due to some concerns they had about their back pain and what it meant for them, as they were worrying about it a lot of the time and felt that it was never going to improve.

We normally complete an outcome questionnaire after 2 weeks but in this particular case it was after 4, and Patient X completed this questionnaire which asked how their pain has changed, and also assesses the impact this pain is having on their lives at that time.  This is where we get a bit geeky and excited- bear with us while we explain why.

Yes, as you can see below, Patient X’s pain level had increased at the time they completed the outcome questionnaire because (by their own report) the “Sciatic nerve in left leg has been irritated since last weekend” after spending a weekend doing a lot of heavy work in the garden…. they knew it wasn’t the best idea (!) However, despite the fact that they’d been doing quite hard physical work and had a slight flare-up as a result, they still reported they were “much improved” as a result of treatment, and their Bournemouth Questionnaire (the one that tells us how the pain is impacting on your day-to-day life) had reduced from 52/100 to 34/100 (which is computed as a 34.62% improvement!)

PROMs patient care health expert chiropractic chiropractor Emsworth Fareham Hampshire back pain neck pain headache joint care musculoskeletal NHS GP doctor
Patient X’s outcome at 1 month

How is it possible that the pain could actually have increased, but Patient X felt better? Well, as we do with all our patients, we had a lengthy chat with Patient X about their pain, and how it was impacting them, and how they could manage it more effectively, as well as what we could do to help.  Studies have shown that in some specific cases, a pain management course is actually more helpful than physical treatment, so we always include pain management as part of our treatment programmes. The more control you have over your pain, the less pain you feel. So through understanding pain and knowing what’s going on, what the cause was (in this case a mechanical issue with how a joint in the lower back was moving) what it isn’t (lower back pain is very rarely serious) and what to do about it (treatment and active self-management), Patient X felt less pain as they were less threatened by it, understood what was going on, were less concerned by the pain and able to move more normally without fear of pain.

After speaking to Patient X to establish what they felt had changed, the overall message was “I know what’s happening now, and I know what to do about it.” Woohoo!  This is why it’s absolutely critical that we convey the right messages to you and help you to understand your pain.  As practitioners, we also know that pain in itself is a really unreliable indicator of the severity of the underlying issue.  To use our favourite analogy- think how painful a papercut can be despite the fact it’s a fairly minor injury. Pain in itself is just a symptom and studies have shown it does not relate to the severity of the underlying problem- in fact, some studies show that pain related fear is more disabling than the pain itself!

To understand more about pain and what causes pain, this should be your next bit of reading: Understanding Pain.

Let’s get back to Patient X, who today completed their final outcome assessment.

PROMs patient care health expert chiropractic chiropractor Emsworth Fareham Hampshire back pain neck pain headache joint care musculoskeletal NHS GP doctor golf golfing sports exercise fitness healthy
Patient X’s outcome at discharge

As you can see, the pain has dropped now to a 3/10. Those sections where Patient X reported were a 9/10 (ability to complete ADL’s and impact on social life) have dropped to a 3/10 and 2/10 respectively, impact on work was initially 7/10 and is now 0/10, anxiety and depression are both down from 7/10 to 1/10, and ability to cope with, control and reduce the pain was initially a 7/10 and is now a mere 2/10!

Whilst plenty of naysayers might say “Sure, but they’re not pain free and their Bournemouth Questionnaire isn’t zero.” If you had an illness or disease that lasted several years, would you take a few pills and expect it to be cured? No.  Realistically, you’d hope that it would be better, as it is for this patient.  Recovery takes time and is something that cannot be rushed. If you recall, Patient X’s problem had started over a decade ago, so we’re delighted that two months later the pain has improved this significantly. Not only that, but Patient X reports feeling “much improved” as well so we know they’re happy with how they’ve progressed- which gives us all sorts of warm fuzzy feelings. Hooray for job satisfaction!

So what happens now? At this stage, we’ll see a lot less of Patient X as they are formally discharged from care. The pain is now PROMs patient care health expert chiropractic chiropractor Emsworth Fareham Hampshire back pain neck pain headache joint care musculoskeletal NHS GP doctor golf golfing sports exercise fitness healthyso minimal and intermittent that after discussing it with them, they’re happy to manage it themselves at home with stretches, exercises and lifestyle modifications (such as taking regular breaks from sitting whilst at work).  We’ll check up on them in a few months to review their exercises, identify if there are any issues that have crept back on and this also gives us an opportunity to discuss their progress with them and if they have any further concerns.  Of course, we’re always at the end of a phone or email, Facebook, Google+ or Twitter if they (or you) want to get in touch in the meantime!

We never guarantee 100% cure as nothing in medicine can. No pill, no operation, no treatment. There are no guarantees. What we do say at Acorn Health is that we will always give you the very best treatment and care, in accordance with the latest research guidelines and current evidence base.  We can also say (thanks to another fancy PROMs questionnaire) that we have 100% satisfaction rates from every patient we’ve seen since we opened back in 2014, and that makes us very happy indeed.

PROMs patient care health expert chiropractic chiropractor Emsworth Fareham Hampshire back pain neck pain headache joint care musculoskeletal NHS GP doctor golf golfing sports exercise fitness healthy
Acorn Health Outcome Satisfaction Results

So there’s a little overview and case study into how PROMs are put into use in clinical practice, and why we utilise them! If you’d like to know more, or would like to get in touch to book your own appointment, you can contact us using the form below.

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PROMs patient care health expert chiropractic chiropractor Emsworth Fareham Hampshire back pain neck pain headache joint care musculoskeletal NHS GP doctor

Sports injury running health fitness exercise gym chiropractic Hampshire Havant Fareham Emsworth Sussex Chiropractic Chiropractor Physiotherapy physiotherapist

New Year’s Resolution: Injury free for 2016

Here it is, the oh-so-predictable New Year’s Resolution post about a “New Year, New You.” We’re going to bypass that this year in favour of something far more important. Whilst New Year’s Resolutions which centre around going to the gym, getting fitter or putting more of an emphasis on our health are fantastic, we want you to spare a thought for your joints before you start a new exercise regime.  Search online for “getting fit quotes” and the words that pop up most frequently are “pain”, “hurt”, “sore”, “skinny” or “burn”.  Whilst some pain is normal and to be expected, this has given rise to a worrying influx in the number of sport-related injuries we’ve seen from athletes “training through the pain”.
Sports injury running health fitness exercise gym chiropractic Hampshire Havant Fareham Emsworth Sussex Chiropractic Chiropractor Physiotherapy physiotherapist
Most sporting injuries occur from what we call the Terrible Toos- doing too much, too soon. After not working out for months or years, people come in and try to run 5 miles or lift 200 lbs at their first session.  Their deconditioned, unprepared muscles can’t cope with the action and so injury occurs. We then have to recover from the injury by which point our motivation for our New Year’s resolution is gone.  You won’t become Batman (or Catwoman) in one workout session, so please please please train properly and spare a thought for injury prevention this year.

So how does injury occur?

Injury, particularly sports injury, occurs through direct or indirect trauma to muscles, ligaments, and joint capsules.  Injury takes two forms- direct and indirect. Direct trauma or injury occurs through blunt trauma or a sudden overload- so dropping a weight on your foot would be a direct trauma (HINT: Don’t do it!)

Indirect trauma or injury occurs from repeated submaximal loading.  (When we refer to joint loading, what we mean is the force that is put on a load-bearing or weight-bearing joint during exercise.) This could be therefore be repetitive injury to your elbows when lifting, or your knee when running. Indirect trauma can therefore occur through repetitive lifting of weights, running, or any activity that “loads” a joint.

Regardless of direct or indirect trauma, the end result is still the same- tissue dysfunction that is characterised through pain, inflammation, and internal tissue stress.  This can lead to what is known as “functional disability”, where you’re able to go about your day-to-day life largely without issue, but your training or exercise regime is impaired. Not what you want when you’re motivated to get to the gym!

Why does injury occur?

Whilst some sports injury occurs through direct trauma- such as a rugby tackle, overuse injuries are more common in sports than acute injuries. These are subtle and occur over time, hence why early detection and diagnosis is key. Faulty movement patterns, joint restriction or muscle dysfunction can be detected by your chiropractor which can help to identify those who are at risk of an overuse injury and provide advice on injury prevention, modification of exercises, adaptations to technique or treatment if appropriate.
Sports injury running health fitness exercise gym chiropractic Hampshire Havant Fareham Emsworth Sussex Chiropractic Chiropractor Physiotherapy physiotherapist

Researchers have reported that impact forces of up to 550% the normal force load are transmitted to our joints when running, with impact forces between 4 to 8 times higher than those during normal walking.  Much as you wouldn’t lift a heavy weight without putting some thought into it first (if you even decided to lift it at all!) we need to put some thought into how well equipped our bodies are to cope with these additional stresses and strains before we hit the gym. This is why launching into a fitness regime without putting some thought into how you’re going to do it and how you’re going to protect yourself whilst doing it can be crucial.

Coping with this degree of stress can be challenging enough even for joints that are well-adapted to this degree of stress, but if you are starting a new exercise regime or perhaps picking up a new activity, your joints need some time to adapt to the new activity. They also need to be ready and able to cope with this degree of stress. This is where chiropractic comes in.

How does chiropractic help?

Chiropractors are primary healthcare professionals who are trained to diagnose, treat, manage and prevent disorders of the musculoskeletal system (bones, joints and muscles), as well as the effects these can have on the nervous system and general health.

<a href="http://acornhealth.org.uk/?attachment_id=1174" rel="attachment wp-att-1174"><img class="aligncenter size-full wp-image-1174" src="http://acornhealth.org.uk/wp-content/uploads/iStock_000047834800Large-1.jpg" alt="Sports injury running health fitness exercise gym chiropractic Hampshire Havant Fareham Emsworth Sussex Chiropractic Chiropractor Physiotherapy physiotherapist" width="2547" height="1930" /></a>
Philippa explaining Achilles tendonitis at a recent “Running without Pain” workshop at The Run Company, Chichester.

Chiropractors are often thought to only “crack backs” and only treat back pain.  Much like your GP wouldn’t prescribe the same pill for an ear infection as they would for high blood pressure, so a chiropractor doesn’t just perform spinal manipulation for a bad back.  It entirely depends on the nature of the injury, the level of pain, and most importantly, your personal preferences (it all comes down to teamwork!) Chiropractors have a vast array of treatment options they can offer and chiropractic care can be crucial in injury prevention because chiropractic emphasises the correct functioning of all joints, muscles, tendons and ligaments in your body to ensure you are performing at your very best. Whether you are an elite athlete, a gym newbie, or perhaps a keen sportsperson returning from injury, chiropractic can be crucial in identifying dysfunction prior to an injury occurring.

A crucial part of treatment at Acorn Health is helping you to develop a firm understanding of how your body works, how pain and problems can occur and how to prevent it.  We work with you to develop a new fitness routine and training programme with appropriate exercises that will enable you to strengthen and stabilise your joints whilst reducing your risk of picking up an injury.

So whilst you’re dusting off your trainers and wrangling your way into your sports kit, spare a thought for your joints, and spare a thought for injury prevention.

If you would like to receive our “Injury for Runners” resource, detailing the most common types of running injuries, the mechanism of injury, preventative measures and more useful information, please complete your details below.

References:

Kessler MA, et al.: Volume Changes in the Menisci and Articular Cartilage of Runners An In Vivo Investigation Based on 3-D Magnetic Resonance Imaging. Am J Sports Med May 2006 34:832-836.

Kessler MA, et al.: Recovery of the Menisci and Articular Cartilage of Runners After Cessation of Exercise Additional Aspects of In Vivo Investigation Based on 3-Dimensional Magnetic Resonance Imaging. Am J Sports Med May 2008 36:966-970.

Falls elderly ice snow weather cold falling Emsworth chiropractic Philippa McKernan chiropractor Hampshire Chichester Sussex Havant Waterlooville

Tis the season for… fall prevention

It’s officially winter, and whilst this brings slippers, warm fires, mulled everything and of course Christmas, it can often spell a hazardous period for those most at risk of a slip or fall.Falls fall elderly ice snow weather cold falling Emsworth chiropractic Philippa McKernan chiropractor Hampshire Chichester Sussex Havant Waterlooville

Who is most at risk of falling?

Physical changes to our bodies, coupled with underlying health conditions and sometimes even our medication can mean that as we get older, we’re at increased risk of falling.  In fact, falls prevention is an important issue as falls are the leading cause of death due to injury among the elderly and account for 87% of all fractures in the elderly.

Falls fall elderly ice snow weather cold falling Emsworth chiropractic Philippa McKernan chiropractor Hampshire Chichester Sussex Havant Waterlooville
Source: Learnnottofall.com

Older people are more likely to have a fall because they may have:

    • Poor vision
    • Poor balance
    • Muscle weakness
    • Long term health conditions (such as heart disease, low blood pressure or dementia)

Interestingly, it is not necessarily the frail elderly who are most at risk of falling. Vigorous older persons living with more home hazards  (such as loose rugs, dimly lit rooms or shower trays without slip matting) are more likely to fall than frail older persons with home hazards!

Falls are also a common cause of minor injury in pregnant women, but the truth is everyone is at risk of falls (how many times have you tripped rushing around at home, caught your foot on a rug or slipped over on a patch of ice?)

What to do if you have a fall

If you are hurt:

  • If you are hurt but able to move, getting up too quickly or in the wrong way could make an injury worse.
  • Keep calm, if there is someone nearby ask them to call for an ambulance.
  • If you are alone, try to get someone’s attention by calling out for help, banging on the wall or floor, or using your emergency call button.
  • If possible, crawl to a telephone and dial 999 to request an ambulance.
  • Try to keep yourself warm. If you can reach a blanket or towel, put this over yourself (particularly your legs and feet).
  • Stay as comfortable as possible, try to change your position at least once every half an hour or so and wait for help to arrive.

If you are unhurt:

  • If you are unhurt and can get up safely without help, roll over onto your side, then rest again to allow your blood pressure and body to adjust.
  • Slowly get on to your hands and knees, and crawl to a sturdy piece of furniture (such as a bed or chair).
  • Put your hands on each side of the piece of furniture and slide one foot forward so that it is flat on the floor.  Keep your other knee bent so your knee is on the floor.
  • From this kneeling position, slowly get yourself up and turn to sit on the bed or chair.

Ten top tips for fall prevention

  1. Route planner: Think about the best route to your destination and don’t rush on the way there. Allow yourself some extra time to make your journey.
  2. Don’t rush: If your destination involves a trip outdoors, avoid rushing or taking shortcuts over an area where there is snow or ice. Walk slowly, and never run over icy ground.
  3. Centre of balance: Take small steps to keep your centre of balance beneath you.
  4. Risk reduction: If you are in the “at risk” category, minimise your trip hazards at home.  This could mean installing handrails, removing loose rugs, and always keeping the stairs and hallway clear of objects such as books or shoes!)
  5. Shoes: Appropriate footwear is a must, indoors or outdoors.  Flat footwear with rubber soles provides better grip and traction than leather soles or high heels. At home, avoid slip-on shoes such as mule slippers.
  6. Handrails: Use handrails where possible to support yourself.
  7. Resist your pockets: Don’t put your hands in your pocket- keep them both free for balance.
  8. Watch out for cars: If getting in and out the car, hold on to the vehicle for support.
  9. Carrying sensibly: Avoid carrying your children or lots of heavy shopping bags, particularly on stairs.
  10. Use floor mats: Wipe your shoes when entering a building to remove moisture on the soles of your shoes. This not only reduces your risk of slipping, but means others walking behind you are less likely to slip on a wet surface too!

Do you know someone who is at risk of a slip or fall this winter? If so, please do share this information with them.  If you’ve had a fall and are in need of our assistance, you can call us on 01243 379693 or book your appointment online here and start your journey to a pain-free festive season!
Falls fall elderly ice snow weather cold falling Emsworth chiropractic Philippa McKernan chiropractor Hampshire Chichester Sussex Havant Waterlooville

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Contact Info

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Acorn Health Limited © 2014 - 2020

Website Created by WebHolism