Improved Mobility, Strength and Well Being
People in their 60’s + may like to visit a practitioner for:
- Knee and hip joint pain
- Tendonitis and bursitis
- Arthritis symptoms including joint stiffness and muscle weakness
- Lower back disc injuries and sciatica
- Chronic pain
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 the GP or other health professional, referral for imaging such as an MRI or X-ray, individual exercise prescription and general nutritional advice.
Benefits of treatment may include;
- Addressing the underlying cause of discomfort
- An improvement in range of motion
- Decrease in muscle tension
- Assistance with ligament stability
- Improvement in bloody supply to the affected area
- Reduction in swelling
- Increase in energy
- Steady return to normal daily activities
Research and Evidence:
- Rehabilitation with osteopathic manipulative treatment after lumbar disc surgery: A randomised, controlled pilot study;
- Why should we exercise when our knees hurt? A qualitative study of primary care patients with osteoarthritis of the knee.
Hendry M, Williams NH, Markland D, Wilkinson C, Maddison P.
Published in 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.
- Changes in biomechanical dysfunction and low back pain reduction with osteopathic manual treatment: Results from the OSTEOPATHIC Trial
Vaughan B, Morrison T, Buttigieg S, Macfarlane C, Fryer G.
Published in Australian Family Physician 2014, Vol43, No.4, April 2014 Pages 197-198
This article forms part of our allied health series for 2014, which aims to provide information about the management approach of different allied health professionals, using the case example of uncomplicated, mechanical low back pain.
- A randomized, controlled trial of osteopathic manipulative treatment for acute low back pain in active duty military personnel.
Cruser dA, Maurer D, Hensel K, Brown SK, White K, Stoll ST.
Published in the 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.
- Osteopathic manual treatment and ultrasound therapy for chronic low back pain: a randomized controlled trial.
Licciardone JC, Minotti DE, Gatchel RJ, Kearns CM, Singh KP.
Published in 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.
- Osteopathic manipulative treatment for low back pain: a systematic review and meta-analysis of randomized controlled trials
JC Licciardone, AK Brimhall and LN King
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.
- Outcomes of osteopathic manual treatment for chronic low back pain according to baseline pain severity
Licciardone JC, Kearns CM, Minotti DE.
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.
- Osteopathic manipulative treatment for nonspecific low back pain: a systematic review and meta-analysis
Helge Franke, Jan-David Franke and Gary Fryer
Published in 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.
Published in 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.
- Randomized osteopathic manipulation study (ROMANS): pragmatic trial for spinal pain in primary care.
Williams NH, Wilkinson C, Russell I, Edwards RT, Hibbs R, Linck P, Muntz R.
Published in 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.
- Immediate effects of region-specific and non-region-specific spinal manipulative therapy in patients with chronic low back pain: a randomized controlled trial.
de Oliveira RF, Liebano RE, Costa Lda C, Rissato LL, Costa LO.
Published in 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.
Published in 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 guidelines.
Paul J Orrock and Stephen P Myers
One trial concluded similarity of effect between osteopathic intervention, exercise and physiotherap and the other was similar in effect to a sham intervention. Further clinical trials into this subject are required that have consistent and rigorous methods.
- 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
Roger Chou, MD; and Laurie Hoyt Huffman, MS
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.
- Manipulation and mobilisation for neck pain contrasted against an inactive control or another active treatment
Anita Gross, Pierre Langevin, Stephen J Burnie, Marie-Sophie Bédard-Brochu, Brian Empey, Estelle Dugas, Michael Faber-Dobrescu, Cristy Andres, Nadine Graham, Charles H Goldsmith, Gert Brønfort, Jan L Hoving, Francis LeBlanc. Editorial Group: Cochrane Back and Neck Group
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.
We have many older clients attend our Yoga and Pilates classes to help with their general fitness and improve their mobility and flexibility.