Improved mobility, strength and well being.

The team at Southside Clinic will assess your individual case and work with you to develop the most appropriate action plan going forward. This may include hands-on treatment, referral to a GP or other health professional, referral for imaging such as an MRI or X-ray, individual exercise prescription and/or general nutritional advice.

We have many older clients attend our Yoga, Pilates or Over 50s Barre classes to help with their general fitness and improve their mobility and flexibility.

Research and Evidence:

Hendry M, Williams NH, Markland D, Wilkinson C, Maddison P. Why should we exercise when our knees hurt? A qualitative study of primary care patients with osteoarthritis of the knee. Family Practice

Several physical, cognitive and contextual factors, and a typology of exercise behaviour were identified that could be addressed in primary care consultations. The importance of gyms and GP referral schemes for people who are exercising for the first time, and the high level of patient satisfaction associated with these were highlighted.

Vaughan B, Morrison T, Buttigieg S, Macfarlane C, Fryer G. Approach to low back pain – osteopathy. Australian Family Physician 2014, Vol43, No.4, April 2014 Pages 197-198

This article aims to provide information about the management approach of different allied health professionals, using the case example of uncomplicated, mechanical low back pain.

Cruser DA, Maurer D, Hensel K, Brown SK, White K, Stoll ST. A randomized, controlled trial of osteopathic manipulative treatment for acute low back pain in active duty military personnel. Journal of Manual and Manipulative Therapy, 2012 Feb; 20(1):5-15.

This study supports the effectiveness of osteopathic manipulative treatment in reducing acute low back pain in active duty military personnel.

Licciardone JC, Minotti DE, Gatchel RJ, Kearns CM, Singh KP. Osteopathic manual treatment and ultrasound therapy for chronic low back pain: a randomized controlled trial. Annals of Family Medicine

The osteopathic manipulative treatment regimen met or exceeded the Cochrane Back Review Group criterion for a medium effect size in relieving chronic low back pain. It was safe, parsimonious, and well accepted by patients.

JC Licciardone, AK Brimhall and LN King Osteopathic manipulative treatment for low back pain: a systematic review and meta-analysis of randomized controlled trials

OMT significantly reduces low back pain. The level of pain reduction is greater than expected from placebo effects alone and persists for at least three months. Additional research is warranted to elucidate mechanistically how OMT exerts its effects, to determine if OMT benefits are long lasting, and to assess the cost-effectiveness of OMT as a complementary treatment for low back pain.

Licciardone JC, Kearns CM, Minotti DE. Outcomes of osteopathic manual treatment for chronic low back pain according to baseline pain severity

The large effect size for OMT in providing substantial pain reduction in patients with chronic LBP of high severity was associated with clinically important improvement in back-specific functioning. Thus, OMT may be an attractive option in such patients before proceeding to more invasive and costly treatments.

Franke H, Franke JD and Fryer G. Osteopathic manipulative treatment for nonspecific low back pain: a systematic review and meta-analysis BMC Musculoskeletal Disorders 2014

Clinically relevant effects of osteopathic manipulative treatment were found for reducing pain and improving functional status in patients with acute and chronic nonspecific low back pain and for low back pain in pregnant and postpartum women at 3 months posttreatment. However, larger, high-quality randomized controlled trials with robust comparison groups are recommended.

Vismara L, Cimolin V, Menegoni F, Zaina F, Galli M, Negrini S, Villa V, Capodaglio P. Osteopathic manipulative treatment in obese patients with chronic low back pain: a pilot study. Manual Therapy

Combined rehabilitation treatment including osteopathic manipulative treatment showed to be effective in improving biomechanical parameters of the thoracic spine in obese patients with chronic low back pain.

Williams NH, Wilkinson C, Russell I, Edwards RT, Hibbs R, Linck P, Muntz R. Randomized osteopathic manipulation study (ROMANS): pragmatic trial for spinal pain in primary care. Family Practice

Aim: was to assess the effectiveness and health care costs of a practice-based osteopathy clinic for subacute spinal pain. A primary care osteopathy clinic improved short-term physical and longer term psychological outcomes, at little extra cost. Rigorous multicentre studies are now needed to assess the generalizability of this approach.

de Oliveira RF, Liebano RE, Costa LC, Rissato LL, Costa LO. Immediate effects of region-specific and non-region-specific spinal manipulative therapy in patients with chronic low back pain: a randomized controlled trial. Physical Therapy

The immediate changes in pain intensity and pressure pain threshold after a single high-velocity manipulation do not differ by region-specific versus non-region-specific manipulation techniques in patients with chronic low back pain.

Downie A, Williams CM, Henschke N, Hancock MJ, Ostelo RW, de Vet HC, Macaskill P, Irwig L, van Tulder MW, Koes BW, Maher CG. Red flags to screen for malignancy and fracture in patients with low back pain: systematic review. BMJ

While several red flags are endorsed in guidelines to screen for fracture or malignancy, only a small subset of these have evidence that they are indeed informative. These findings suggest a need for revision of many current guideline

Chou R and Hoyt Huffman L. Nonpharmacologic Therapies for Acute and Chronic Low Back Pain: A Review of the Evidence for an American Pain Society/American College of Physicians Clinical Practice Guideline

Therapies with good evidence of moderate efficacy for chronic or subacute low back pain are cognitive-behavioral therapy, exercise, spinal manipulation, and interdisciplinary rehabilitation.In 1 study of primary care clinicians, 65% reported recommending massage therapy and 22% recommended, prescribed, or performed spinal manipulation.

Gross A, Langevin P, Burnie SJ, Bédard-Brochu M-S, Empey B, Dugas E, Faber-Dobrescu M, Andres C, Graham N, Goldsmith CH, Brønfort G, Hoving JL, and LeBlanc F. Editorial Group: Cochrane Back and Neck Group Manipulation and mobilisation for neck pain contrasted against an inactive control or another active treatment Published Online: 23 SEP 2015 on Cohrane Library

Findings suggest that manipulation and mobilisation present similar results for every outcome at immediate/short/intermediate-term follow-up. Multiple cervical manipulation sessions may provide better pain relief and functional improvement than certain medications at immediate/intermediate/long-term follow-up. Since the risk of rare but serious adverse events for manipulation exists, further high-quality research is needed to guide clinicians in their optimal treatment choices.

ByongHo JK, JungHoon A, HeeCheol C, DongYun K, TaeYeong K, BumChool Y. Rehabilitation with osteopathic manipulative treatment after lumbar disc surgery: A randomised, controlled pilot study; International Journal of Osteopathic Medicine http://www.sciencedirect.com/science/article/pii/S1746068914001205

Licciardone, JC, Kearns CM, and Crow WT. Changes in biomechanical dysfunction and low back pain reduction with osteopathic manual treatment: Results from the OSTEOPATHIC Trial. Manual Therapy http://www.sciencedirect.com/science/article/pii/S1356689X14000381