Specialist Clinics

ELIMINATING PAIN & GETTING YOU MOVING FOR GOOD

Worthing Back Pain Clinic

We aim to provide you will rapid access to the right diagnosis and treatment of your neck and back pain. Back pain is one of the most common ailments GPs diagnose, affecting 80% of the population in the UK and costing the nation £6 million a year in lost working days and healthcare. Therefore back pain will affect 4 out of 5 people at some time in their lives.

The NHS is struggling to provide quick diagnosis for Back Pain. Patients that see there Doctor are either given pain killers or told to self-refer to NHS Physio where they will, very often, wait weeks for access and then just be given exercises. More severe cases are sent into the MATT (Musculoskeletal Assessment Triage Team) clinic but waiting times are significant and then access onto to the diagnostics tests are often lengthy again leading to suffering longer with pain.

We have set up Worthing Back Pain Clinic to provide you with rapid access to the right diagnosis as quickly as possible. Ninety percent of the time, Neck and Back pain can be diagnosed and resolved by a Physical Therapist such as a Physiotherapist OR Osteopath.

However, we have access to private X-Ray, MRI and CAT scans, Ultrasound scans and Blood, Saliva and Stool Testing. We appreciate these services can be costly, but most people are happy to pay for services to get the right diagnosis quickly. We can then refer, if necessary, to a private consultant or you back to your GP. Often those that have had their diagnostic tests done privately will access the service quicker within the NHS.

For more information please visit www.worthingbackpainclinic.co.uk

Worthing Children’s Clinic (Mother & Baby)

A specialist clinic set up specifically for pregnant women and their children. We have built an enviable reputation amongst local midwives for providing effective physiotherapeutic and osteopathic care to Mothers and Babies.

Under ASA guidelines we are not allowed to state what conditions we treat. Instead we have given you a list of research articles relating to Osteopathy in particular and some specific health conditions. We have not scrutinized the research regarding its efficacy.

Under ASA guidelines relating to Osteopathy, in particular, we can say that;

Osteopaths utilise a range of techniques including physical manipulation, stretching and massage, and other gentle techniques such as cranial. These are all taught at undergraduate level.

Cranial techniques are safe, gentle, and non-manipulative. They are often used when treating young children and newborn infants.

Osteopaths work under the principle that there may be a number of contributing factors to the symptoms and will therefore evaluate not only the area which is producing the symptoms, but also associated areas that may be contributing to the issue, including past trauma, environmental factors and the family’s health history.

Your osteopath may recommend cranial techniques, which are subtle and gentle.

Osteopathy is based on the principle that the structure and function of the body are intimately related. If the structure is not balanced and healthy then the function is affected.

Osteopaths believe that the healthy balance and function of the musculoskeletal framework of the body is essential to whole body health Injuries such as a sprained ankle can lead the whole body to compensate for a limp. Stiffness or restricted mobility in the pelvis, spine, rib cage, shoulders and neck can make it difficult to compensate for the limp and aching or pain may result.

Osteopathic practice is a healthcare approach that provides a package of care that  can include one or more of the following: manual therapy, health information, self management advice and support, and/or exercise therapy, as determined by the individual needs of the patient.

Due to us training with some of the best in the World in Maternal & Paediatric Osteopathic Care, such as JP Barral, Dr Stephen Sanet, Dr Stephen Sandler and Caroline Stone we have the hands on skills and experience in the private and NHS arenas to help you move forward planning and during your pregnancy.

We have gained qualifications from Post-Graduate institutions such as the Sutherland Cranial Academy, The British School of Osteopathy, The European School of Osteopathy and The Osteopathic Centre for Children, London.

Neck, Back and Leg (Sciatica) pain, Pubic Symphysis Dysfunction (PSD) and Coccydinia are regularly treated during pregnancy by our practitioners as the body changes and adapts to pregnancy. Unfortunately some Mums don’t get to us before their symptoms are so bad that all we can do is help them to manage during their pregnancy.

Glue Ear

Mills MV, Henley CE, Barnes LL, Carreiro JE, Degenhardt BF. The use of osteopathic manipulative treatment as adjuvant therapy in children with acute otitis media. Arch Pediatr Adolesc Med 2003;157(9):861-6

Degenhardt BF, Kuchera ML. Osteopathic evaluation and manipulative treatment in reducing the morbidity of otitis media: a pilot study. J Am Osteopath Assoc. 2006;106(6):327-34

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. J Man Manip Ther. 2012 Feb;20(1):5-15

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. Ann Fam Med. 2013 Mar;11(2):122-9

Immune System & Osteopathic Treatment

Lisa M Hodge and H Fred Downey. Lymphatic pump treatment enhances the lymphatic and immune systems. Experimental Biology and Medicine 2011, 236:1109-1115

Lisa M. Hodge. Osteopathic lymphatic pump techniques to enhance immunity and treat pneumonia. Int J Osteopath Med. 2012 March ; 15(1): 13–21

Hodge LM, King HH, Williams AG Jr, Reder SJ, Belavadi T, Simecka JW, Stoll ST, Downey HF. Abdominal lymphatic pump treatment increases leukocyte count and flux in thoracic duct lymph. Lymphat Res Biol. 2007;5(2):127-33

Schander A, Downey HF, Hodge LM. Lymphatic pump manipulation mobilizes inflammatory mediators into lymphatic circulation. Exp Biol Med (Maywood). 2012 Jan 1;237(1):58-63

Birth Strains

Frymann VM. Relation of disturbances of craniosacral mechanisms to symptomatology of the newborn: study of 1,250 infants. J Am Osteopath Assoc. 1966;65:1059-1075

Neurological Problems

Frymann VM. Learning difficulties of children viewed in the light of the osteopathic concept. J Am Osteopath Assoc. 1976;76:46-61

Frymann VM, Carney RE, Springall P. Effect of osteopathic medical management on neurologic development in children. J Am Osteopath Assoc. 1992;92:729-744

Frymann VM. The osteopathic approach to the child with a seizure disorder. In King HH. (Ed) Proceedings of international research conference: Osteopathy in Pediatrics at the Osteopathic Center for Children in San Diego, CA 2002. American Academy of Osteopathy, Indianapolis, IN, 2005;89-96

Neurological Problems

Frymann VM. Learning difficulties of children viewed in the light of the osteopathic concept. J Am Osteopath Assoc. 1976;76:46-61

Frymann VM, Carney RE, Springall P. Effect of osteopathic medical management on neurologic development in children. J Am Osteopath Assoc. 1992;92:729-744

Frymann VM. The osteopathic approach to the child with a seizure disorder. In King HH. (Ed) Proceedings of international research conference: Osteopathy in Pediatrics at the Osteopathic Center for Children in San Diego, CA 2002. American Academy of Osteopathy, Indianapolis, IN, 2005;89-96

Sleep

Cutler MJ, Holland BS, Stupinski BA, et al. Cranial manipulation can alter sleep latency and sympathetic nerve activity in humans: a pilot study. J Altern Complement Med. 2005;11(1):103-108

Dentistry

Baker EG. Alteration in width of maxillary arch and its relation to sutural movement of cranial bones. J Am Osteopath Assoc. 1971;70:559-564

Colic

Clive Hayden, Brenda Mullinger. A preliminary assessment of the impact of cranial osteopathy for the relief of infantile colic. Complementary Therapies in Clinical Practice. 2006;12 (2):83-90

Cerebral Palsy

Duncan, B. et al. Parental Perceptions of the Therapeutic Effect from Osteopathic Manipulation or Acupuncture in Children with Spastic Cerebral Palsy. Clinical Pediatrics. 2004; 349-353

Wyatt K, Edwards V, Franck L, Britten N, Creanor S, Maddick A, Logan S. Cranial osteopathy for children with cerebral palsy: a randomised controlled trial. Arch Dis Child. 2011 Jun;96(6):505-12

Worthing Sports Injury Clinic

Incorporating Our Sport & Exercise Doctor

Dr Stephen Lewis completed his Masters in Sports Medicine in 2004 after originally training as an Orthopaedic Surgeon. He has worked in elite sport since 2002 and is currently lead Sports Physician at Brighton & Hove Albion FC following seven years’ with Fulham FC in the Premiership. Previous posts include seven years in international rugby as Head of Medicine for the England Women’s rugby team as well as posts covering Masters Tennis, clinics at the English Institute of Sport, Soccer Aid, and several years working in Rehabilitation Medicine for the Armed Forces.

He has a particular interest in groin problems and ultrasound guided injection therapy and his expertise will benefit those patients with both acute and chronic musculoskeletal problems and recurrent injuries. He will also advise patients on recovery and injury prevention strategies, overtraining and fatigue issues.

Worthing Sports Injury Clinic

Incorporating The Tendon Clinic

Tendons are the structures that attach our muscles to bones in order to move our joints. They are living tissue, and as such are vulnerable to injury, either through overuse or direct trauma. It is important to treat tendon pain early, as left too long it can significantly impact on our lives, whether it be walking the dog, hampering your marathon training, or even affecting your ability to do your job on a daily basis. What can start as a niggle can quickly progress into an excruciating and debilitating condition that may then need surgical intervention if not treated quickly.

However, the vast majority of tendon problems do not require surgery, yet end up under the care of an orthopaedic consultant. For the first time in the South Coast region, The Tendon Clinic at Worthing Physiotherapy & Osteopathy Clinic (WPOC) brings together a group of clinicians with wide experience in elite sport (including Premiership, Championship and League One Football, Premiership & International Rugby, UK Athletics and County Cricket) and expert skills in diagnosing and treating tendon conditions.

An initial assessment with Dr Stephen Lewis, Consultant in Sport & Exercise Medicine at WPOC involves a 45 minute consultation and examination, exploring the background to the injury, possible causes including underlying medical conditions and its relation to physical activity and sports participation. High resolution ultrasound scanning is undertaken at the same appointment, the ‘gold standard’ for tendon injury diagnosis and for directing on-going treatment.

Dr Lewis is also able to undertake a variety of guided injections to help reduce inflammation and pain in preparation for on-going rehabilitation. The ‘Gold Standard’ treatment for Tendon injuries is Shockwave Therapy. We are fortunate to have two practitioners trained in its use at the clinic; Dr Lewis and Dean Dickinson.

Conditions treated by the Tendon Clinic include:

  • Tennis and Golfers elbow tendinopathy
  • Achilles and patella tendinitis (“Jumpers knee”)
  • Rotator cuff, high hamstring, tibialis posterior, peroneal tendinitis
  • Partial ruptures or tears
  • Iliotibial Band (ITB) dysfunction
  • Greater trochanteric and Ischial bursitis

Patients are welcome to call or email to discuss their injury and discover whether they may benefit from visiting The Tendon Clinic at WPOC.

This clinic is for self-funding patients only.

Worthing Sports Injury Clinic

Incorporating Sports Specific Rehabilitation

We have experience in working with all types of sports people from the next teenage sensation to the retired who just want to find that little bit extra. Professional or keen amateur there is always that little extra that can be found in the tennis or golf swing!

We are the only clinic locally to have Woodway treadmill for gait analysis. Running on slatted treadmills have been proven to be much like running outside with reduced contact friction.

To view the video on why its so difference please have a look here. We also uses GoPro Cameras and Dartfish Software for analysis.

And that’s not it! In our Rehab gym we have are also using the latest movement sensor products such as BPM Pro to track your progress through your recovery. Along with many other initative rehab products generally only found in the USA we have bought them all together in our Rehab gym.

Running

A recent study suggested that 50% of runners become injured on an annual basis! Whether you’re a Competitive or Casual runner and you have just got into Park Run, want to enter into a Cancer Research 5K run to remember someone special or have entered a Half or Full Marathon, an injury can be devastating.

We have developed skills in the treatment, rehab, strength, conditioning, programming and recovery of runners. Utilising diagnostic equipment on and off site, we can manage your return to running. Using latest treatment techniques and equipment, such as Shockwave Therapy, we can get you uninjured, back on your feet and working towards a recovery as quickly as possible. Utilising The Woodway treadmill and Aerofloor when can get firing up in a controlled and manageable fashion.

Achilles, Iliotibial Band (ITB) and Foot arch problems are just some of the issues you may encounter in running. We may need to work on your feet first getting them to move properly and getting them to contact the floor correctly to fire up the system above. And so the process begins…

Football

With Dr Steve Lewis and Dean Dickinson on board you will have years of experience in professional football medicine knowledge at your finger tips. With all of these practitioners currently working with professional teams such our local side Brighton & Hove Albion FC and AFC Wimbledon across all ages from youth, academy and first team we will be able to assess, diagnosis, treat and rehab you back to full fitness just like the pro footballers.

Commonly injuries are to the lower extremity such as ankle, knees, hips and groin.

Kite surfing/Windsurfing

We have gained much experience in working with these athletes being located so close to the sea! Having now retired from kite surfing due to the weather frustration and not being able to cancel appointments when the weather was good, Dean has decided just to treat the other injuries instead. We have close links with Worthing Watersports and are happy to share advice and knowledge regarding equipment choice if need be.

Triathlons (Cycling & Swimming)

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Rugby

We have years of experience in professional rugby both at international and domestic level. We have treated many rugby players, both women and men. We have pitch side trauma knowledge and re-couperated many back to full fitness. With an increase in acceptance of head trauma amongst rugby and its effects on children playing the game we are passionate about player assessment and safety for concussion.

Common injuries are neck, shoulder and knees. We have rapid access to injury diagnostics such as MRI and Ultrasound scans and have close links with Orthopaedic surgeons that can repair rotator cuff tears and meniscal tears at short notice. We have a county and tri county ex player in our ranks so our inside knowledge of training schedules and difficult coaches are likely to be of benefit to you.

Golf

Our work in functional rehabilitation utilising the knowledge and skills of the likes of Gary Ward, Gray Cooke and Dr Gary Gray and Dr Dave Tiberio of the Gray Institute our knowledge of multi-planar movement and its ability to be broken down and put back together for injury prevention is second to none.

Dean Dickinson is soon to be approved Titleist Certified Golf Expert.

Working out what planes of movement your body like and dislikes allows us to build a picture of what parts of your body over work and under work that can lead to injury, but prior to injury, why you might be pulling, topping or just coming up short every shot. This cross over between assessment and coaching allows for improved performance and reduced injury risk. We constantly working with Golf pro’s and their clients. We are happy to liaise with any specialist you are currently working with.

We work closely with the guys at Precision Golf if you want to make that next step up in Custom golf club fitting.

Just a little teaser. Please take a look Dr Gray in action getting you warmed up!

Tennis, Squash & Racket Sports

With multi vector movements being the key to effective tennis/squash, injury treatment is the easy bit, Injury prevention is the hard bit!

What might appear to be a simple calf strain is likely to be the end of chain injury superimposed on a whole dysfunctional biomechanical sequence. What does this mean? Well it could be that the skeleton is dysfunctional causing areas to be over or under used that has a knock on effect down the skeletal chain. Muscle chain control or function could be down to poor strength and conditioning of individual muscles or muscle chains via fascial connections. Motor cortex movement mapping may have been reduced via poorly functioning balance organs (eye and middle ear) that then feed into musculoskeletal sensory organs to reduce sensory awareness. This reduction in sensory awareness would mean that an over retch may cause the body to interpret it as injury causing and cause an acute neurological response such as a tissue to strain/tear.

Understanding your movement restrictions and limitations and more importantly what movement you do like and gain stability from allows us to blend your movement patterns to gain body awareness, balance, strength and conditioning whilst reducing injury risk.

Dance, Martial Arts, MMA & Boxing

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