Another patient coming in for his regular MOT. Here is an example of a lower back manipulation. https://www.youtube.com/watch?v=mwToIdqLPJo ..read more

Simon is a professional body builder who was in need of a good spinal manipulation. Here I am demonstrating how it is done. https://www.youtube.com/watch?v=NH7ModezH9E ..read more

Discover the best diet for diabetics and how to eat to prevent diabetes. Type 2 diabetes can be reversed — and even type 1 diabetics can improve their life and health. Learning how to eat to prevent diabetes and how to eat if you have diabetes or prediabetes can help you take control of your health. A diet of vegetables, nuts, seeds, beans, and fresh fruit can prevent and even reverse diabetes while promoting long-term health ..read more

Exercise, while one of The Most Important self management approaches for persistent pain, is not an easy sell to someone who is experiencing pain. Especially not if that exercise looks like huffing and puffing, hauling on bits of metal in a gym, or wearing lycra. Not to mention the “sports drinks”… Those things aside, exercising is a good thing. You heard it from me, and I have declared my body an exercise free zone! The thing is, what kind of exercise, for what purpose, and how to get introduced to it. Personally I’m a fan of exercise that achieves something else other than “getting fit”. I ..read more

Fat Pad Anatomy Generalized pain in the front of the knee, also known as anterior knee pain, can have many causes. One cause is impingement of the fat pad. The fat pad is a mass of fatty tissue that lies below the kneecap (patella) and behind the patellar tendon. Fat Pad Impingement Signs and Symptoms Fat pad impingement can occur when the fat pad becomes swollen and inflamed due to a direct blow, hyperextension injury or chronic irritation. As a result, the bottom tip (or inferior pole) of the patella can pinch the fat pad. A person who has excessive hyperextension of the knee may also be mo ..read more

With the run up to the London Marathon I am seeing more and more people complaining of the dreaded runners knee. This is all about the ITB/runners knee syndrome The iliotibial band (ITB) runs down the outside of the leg from the side of the pelvis (ilium) to below the knee where it attaches to the upper outside part of the lower leg (tibia and fibula). It is a tough fibrous band of connective tissue which blends with the small tensor fascia lata (TFL) muscle. Iliotibial band syndrome, also known as runner’s knees, occurs when the ITB becomes overly tight and rubs over the femoral condyle (low ..read more

The knee is the largest joint in the body. It is a major weight-bearing joint and is one of the most frequently injured joints in the human body. ​​ Knee pain can have a number of different causes and can be painful and debilitating and although some conditions may require surgery many can be helped with the right advice, exercise and treatment. The knee joint lies between the femur and tibia and at the front is the patella or kneecap. It is made up of a number of structures including ligaments, muscles, capsule, synovial membrane and two ‘c’ shaped pieces of cartilage which sit between the f ..read more

What is tennis elbow? Tennis elbow is caused by a strain to tendons in the forearm. The tendons become inflamed where they join the bony part on the outside of your elbow joint. Any activity that involves gripping and twisting of the forearm can cause this type of strain – most cases aren’t actually related to tennis or any kind of exercise. Golfer’s elbow is a similar condition that affects the inside of the elbow joint near the funny bone. What are the symptoms? Symptoms vary – you may have mild discomfort when you move your arm, or the pain may be bad enough to disturb your sleep. The outs ..read more

Despite being a less common cause of low back pain, sciatica is still something I regularly see as a general internist. Primary care doctors can and should manage sciatica, because for most individuals the body can fix the problem. My job is to help manage the pain while the body does its job. When a person’s symptoms don’t improve, I discuss the role of surgery or an injection to speed things up. What is sciatica? Sciatica refers to pain caused by the sciatic nerve that carries messages from the brain down the spinal cord to the legs. The pain of sciatica typically radiates down one side fro ..read more

Another patient coming in for his regular MOT. Here is an example of a lower back manipulation. https://www.youtube.com/watch?v=mwToIdqLPJo ..read more