 Living near an RAF base I get to see a lot of fast-jet pilots with stiff, sore necks and achey backs, the consequence of low-level sorties, 'dog-fighting', and pulling 'g'. Sadly, whilst I see a few 'mavericks', none of my patients quite resemble Tom Cruise (think long-johns, thermals, Snowdonia and rain not board-shorts, sunnies, Miramar and sun!). As patients go, the aircrew guys are perhaps some of the worst - late cancellations when a debrief over-runs, or postponing an appointment when the flying programme changes at the last minute.
However, after watching this awesome film, all is forgiven! You can't help but feel enormously proud and patriotic. Thanks guys. Fly safe :)
And, for those of you left wanting more, here's another one. Just to keep you smiling.
 Ever pulled a sicky? Wonder how many other people do? According to a recent study published by the Office of National Statistics it's quite a lot of us:- 131 million working days were lost to sickness absence in 2011.
- This equates to 4.5 days off per person, per year!
- 34.4 million working days in 2011 were lost to musculoskeletal conditions - things like back pain, neck pain and upper limb problems.
- Minor ailments (like coughs, colds and 'flu) were the most common reason given for time off work.
- Per condition, musculoskeletal problems (like back pain and neck pain) caused the greatest number of days off.
- Self-employed people take fewer days off than employed ones. (Office of National Statistics, May 2012)
So, since we chiropractors are the ones to sort out musculoskeletal problems, we're the ones to see if you have any aches and pains! Then again, we all need the odd 'duvet day'...
 Being a keen, (though somewhat weather dependent!) runner, I was grateful of the opportunity to spend a few minutes chatting with the members of Cybi Stryders yesterday evening.
The Cybi Stryders are a friendly, Anglesey running club. Based in Holyhead, they meet twice a week on Wednesdays and Sundays. The mid-week meet is for a short 5-6 mile run, usually in Menai Bridge, Holyhead, Bodedern or Llangefni and they go for a longer run on Sunday mornings - Newborough Forest, The Stacks, Rhoscolyn and sometimes even Snowdonia. The club is made up of a friendly bunch of people with mixed ability - slow plodders to faster, more elite competitive runners. Some go along just for the opportunity to go running with a few, like-minded people, whereas others use the club in order to help them train for specific events (some of them are running the Anglesey Half Marathon next weekend).
I went along just to say hello, and also to do a bit of promotion work for the Llangefni Chiropractic Clinic. Most people are well aware that chiropractors treat backs and necks, but there seems to be less understanding that most of us treat all sorts of problems with the other joints around the body. This includes common 'running' problems like plantar fasciitis, Achilles tendonitis, 'runner's knee' and problems with the iliotibial band. Often these specific ailments are related to 'biomechanical' issues elsewhere in the body - problems with the mechanics and movement of the pelvis or low back can upset the way that the hips, knees, ankles and foot function (remember the song 'the knee bone's connected to the thigh bone, the thigh bone's connected to the hip bone...'!?). We chiropractors are trained to treat the whole 'chain' of events in addition to the specific, localised problem and are also able to give the essential rehabilitative advice that will help to speed recovery and prevent future injury.
I enjoyed meeting the club members, and feel motivated to perhaps go along and join in with some of the runs. I'm always grateful of the opportunity to 'spread the word' about chiropractic, although as one of the members quite rightly pointed out, hopefully none of them will be needing to come along and see me in the clinic!
 What better way to spend a wet, windy weekend than catching up on paperwork? And that's precisely what I've been doing - wrapped up in a snuggly jumper and armed with a large mug of tea.
People always wonder what I'm up to when I'm not in clinic seeing patients, easing their back ache, stiff neck and sore muscles. Much as I would dearly love to be at home, pottering about the garden, playing with Twiglet (our rabbit) or running on the beach, the job of being a chiropractor and running the Llangefni Chiropractic Clinic seems to be somewhat never ending! Or maybe I'm just inefficient, or perhaps a workaholic?!
One of the more time consuming activities is letter-writing. I like to communicate with each and every patient's GP (with the patient's permission, of course), to ensure that the GP is kept up to date with their chiropractic care. Obviously, there are also occasions when patients will require referral on to another healthcare professional for a second opinion. This letter writing also helps to build inter-professional relationships, and maintain the profile of chiropractic within the wider medical world.
In addition to this there is the work involved with my position on the British Chiropractic Association Council, and the 'business' side of running a chiropractic clinic. Then the ongoing reading to keep up with latest research findings and catching up with old colleagues to discuss useful techniques - or just to have a gossip!
So, that's probably why I'm finally getting around to writing this blog at 11pm, at the end of a productive rainy day. And yes, I did make sure I got up regularly for a wriggle and had a couple of walks, between the showers, for a bit of fresh air and exercise!
 None of us are getting any younger. That's something that we really can't do anything about; we can't stop the clock, or even slow it down. However, we can do something about it. I love the saying 'use it or lose it' and when it comes down to the body, that really is the case.
This year, 2012, marks the 'European Year for Active Ageing'; an initiative set up by the European Union to recognise the increasing ageing population, and to raise awareness of the contribution that the older generation makes to society. The European Year encourages 'active ageing' with emphasis placed on the maintenance of good health and wellbeing, and an active, independent lifestyle, fully integrated and incorporated into the wider society.
In recognition of this initiative, and as part of Chiropractic Awareness Week (16th to 20th April), we chiropractors have done a bit of consumer research*, the results of which highlight the need for action and attention, whatever your age, shape or size: - One in five (20%) aged 55 and over are most worried about becoming less active as they age.
- 48% of over 55’s admit that they are a lot less active than 20 years ago.
- 51% of over 55 year olds are currently suffering from back or neck pain with 33% of those complaining that they suffer daily and 24% stating they have endured some kind of back or neck complaint for more than 10 years.
*conducted by the British Chiropractic Association, February 2012.
The research also explored how back and neck pain is impacting on people’s daily lives. The findings revealed that 13% of those suffering from back or neck pain, aged 55+ experienced difficulties with going to work – a clear concern for the ageing workforce. Additionally, 13% found their pain impacted on their ability to socialise with friends and family. The other main areas of concern related to restrictions in carrying bags/rucksacks, carrying out DIY, exercising and sleeping.
However, despite our concerns, we can do something about it! Like a car, or any well-oiled machine, keep the body moving gently on a daily basis and it'll generally keep going for longer. Remaining active as we grow older is vital for our overall wellbeing and continued health, and a few simple steps can be taken to help preserve your back and posture for years to come:
- Stay as active as you can within your physical limitations - but check with your doctor before embarking on any new exercise regime to make sure it won't interfere with any existing condition or medication.
- Some exercises that may seem daunting or only for the very fit may, in fact, be perfect in allowing you to maintain fitness and mobility if done at a ‘lower’ level. Adding just a few minutes of exercise or stretches to your daily routine could be of benefit - even just a few shoulder shrugs or gentle knee lifts can help to loosen up the joints! Or just try to be a bit more active generally; walk to the shops, take the stairs rather than the lift, walk a little faster than normal to 'boost' your exercise routine. Any exercise is better than none!
- Walking is a great way to stay active and the benefits are underestimated. It is less strenuous on the joints than other forms of exercise but is weight bearing and so can help maintain bone density too.
- Swimming is a good alternative to keep the joints supple and mobile - particularly if other 'weight bearing' forms of exercise are too painful. The water will help to support the body, so have a look for a swimming session or 'water aerobics' class at the local pool. Cycling, or an exercise bike, can also be good.
- A moving joint is likely to be less painful than a static joint, so even simple movement, stretches or gentle exercises could help relieve pain. Think of a rusty hinge - keep it moving on a daily basis and it'll work pretty well. If you don't move it at all, it'll seize up completely, and then require much more effort to get it moving!
- Promoting core strength and positive posture by doing StraightenUpUK – a series of simple stretches and exercises is a great idea. Or find a local exercise class that promotes balance and core stability - local Age Well groups have several exercise classes, or Tai Chi, Yoga and Pilates are also excellent at maintaining the strength, posture and balance of the body.
There are loads of other ways for us to keep fit and healthy, despite the advancing years, increasing wrinkles and grey hairs. Remember 'USE IT or LOSE IT!'.
 I'm always being asked 'what is the difference between a chiropractor and an osteopath?' My standard response is 'there are more similarities than differences; the training and teaching is very similar, the problems that we treat are the same, but the actual treatment methods and techniques may differ. It's a different way to skin a cat!' Having said which, there are huge variations within each profession and the technique used often depends on the individual practitioner (out of the myriad that they are taught!). There are some chiropractors who work in a very osteopathic way, and some osteopaths who work in a very chiropractic way! However, I've had a look at both professions and hopefully will provide a more thorough explanation... What do we study...?
Both chiropractors and osteopaths undergo a 4 or 5 yr degree course at University and study all the basic biomedical sciences (anatomy, physiology, biochemistry, pathology, biomechanics, nutrition, pharmacology etc), together with the hands-on clinical stuff (physical examination, orthopaedics, neurology) and the various different treatment techniques (manipulation, mobilisation, soft tissue work, rehabilitation etc.) Students have to complete 2-3 years in the teaching clinic (real patients with real problems under supervision from clinicians) and complete a clinical research dissertation prior to graduating. On graduating, many of the associations require completion of a year-long Pre-Registration Training Scheme before they can be fully registered. There are several different Universities and Colleges in the UK that offer chiropractic or osteopathy, as well as those elsewhere in the world. All courses and colleges should be accredited with the appropriate educational and regulatory body. How are we regulated...?
Both professions are regulated and protected in the UK by the General Chiropractic Council (GCC) or General Osteopathic Council (GOsC) respectively, who set and maintain the Code of Practice and Standards of Proficiency. Both regulatory bodies require all practitioners to register with them, and it is illegal to call yourself an osteopath or chiropractor, or to practise as one, if you are not on the appropriate Register. The GCC and GOsC require renewal of registration on an annual basis, and will check to see that the applicant has met the mandatory Continuing Professional Development (CPD) requirements, is in good health and good character, is in a 'fit state' to practise and has appropriate indemnity insurance. They can and do prosecute bad people, strike them off the register, or put restrictions of practise on them! In addition to this, individuals may join an association (eg the British Chiropractic Association, British Osteopathic Association). Each different association has its own membership criteria, (some more stringent than others, so may be a useful indicator in the 'quality' of the practitioner). The associations provide a number of different services and support for the practitioner, for instance indemnity insurance, business and clinical advice and legal support. The College of Chiropractors is another body; subdivided into regional and educational faculties, its primary role is the provision of postgraduate education, courses and seminars. Attendance at these can be used not only to meet the annual CPD requirements, but also to gain further post-graduate qualifications. So, what do we actually do...?
Both chiropractors and osteopaths specialise in the diagnosis, treatment and management of conditions that affect the neuromusculoskeletal system and the affect that these may have on the overall health and wellbeing of the whole body. Both chiropractors and osteopaths use 'hands on' techniques (including manipulation, adjustment, mobilisation, soft tissue work, fascial release techniques, myofascial dry needling) to mobilise joints, ease muscle tension, reduce pain and restore neurological function. Most chiropractors and osteopaths will advise on rehabilitative exercises and stretches, posture and ergonomics, diet, nutrition and general exercise and lifestyle in order to promote recovery, prevent recurrence and improve overall health and wellbeing of the patient. Whilst traditionally thought of as just working on the spine (admittedly, we do tend to specialise in this!) both chiropractors and osteopaths treat the whole body. Hence, as well as treating problems affecting the neck, and low back pain we are proficient at treating problems affecting all the joints (including hip and knee pain, shoulder and elbow injuries, sports injuries, repetitive strain and over-use problems). Does it work and is it safe...?
By taking a thorough medical and case history, and performing an extensive physical assessment, chiropractors and osteopaths are trained to pick up problems or complications that might prevent, or interfere with treatment. If this is the case, they are able to refer you on to the appropriate specialist, usually via your GP. The most appropriate type of treatment will be used for each individual patient, and techniques can be modified and adapted as necessary, so are safe and effective for people of all ages, shapes and sizes. The efficacy of chiropractic or osteopathy is supported in a number of peer-reviewed research studies, (particularly when assessing manipulation in the management of chronic or acute, low back or neck pain), but as in all areas of medicine we need more research! And, finally, which one's best...?!
Both chiropractic and osteopathy are safe and effective in the management of problems with the muscles, joints and nerves. Both require a long period of initial and continued training, both are stringently regulated. As in any profession, regrettably there are unscrupulous individuals, and some practitioners may be better or worse than others. When advising whom to see, I always recommend that people should ensure that the practitioner is registered with their regulatory body, and ideally go with a 'word of mouth' recommendation from someone who has been a patient there before. At the end of the day, the appropriate qualified professional, whether chiropractor or osteopath, should be able to provide safe, professional, responsible and ethical care of patients.
 A recent study by researchers at Harvard University have found that the use of tablet computers, like the Apple iPad, may cause neck and shoulder discomfort. Researchers found that the head and neck were more bent when using a tablet computer than when desktop or notebook computing, which might lead to neck and upper back problems. Neck and upper back posture could be improved simply by propping the device up on a table, allowing the neck to be held in a more neutral position. The full article can be viewed here.
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