active x backs https://www.active-x.co.uk Specialising in back pain and sciatica Fri, 15 Feb 2019 03:39:53 +0000 en-US hourly 1 https://wordpress.org/?v=5.0.3 Can osteopathy make my back pain / sciatica worse? https://www.active-x.co.uk/2019/02/12/can-osteopathy-make-my-back-pain-sciatica-worse/ https://www.active-x.co.uk/2019/02/12/can-osteopathy-make-my-back-pain-sciatica-worse/#respond Tue, 12 Feb 2019 21:33:39 +0000 https://www.active-x.co.uk/?p=9935 Can osteopathy make my lower back pain / sciatica worse? Put simply, yes osteopathy can make your lower back pain / sciatica worse.  But it's rare.  The risks for osteopathy are slightly lower than the risks for chiropractic (which are low anyway). I've answered this question pretty thoroughly in a previous article: Can manipulation [...]

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Can osteopathy make my lower back pain / sciatica worse?

Put simply, yes osteopathy can make your lower back pain / sciatica worse.  But it’s rare.  The risks for osteopathy are slightly lower than the risks for chiropractic (which are low anyway). I’ve answered this question pretty thoroughly in a previous article:

Can manipulation make my lower back pain / sciatica worse?

My previous article (linked to above) covers this ground pretty well, so I won’t repeat all of that here.

What’s the most common unwanted side-effect of osteopathic treatment?

It’s quite likely you’ll be a bit sore after treatment and this can last a few days, but is usually just a day.  According to research funded by the General Osteopathic Council about half of patients experience this post-treatment soreness (our figures are closer to 25%).

When I was a young osteopath I was over-enthusiastic in treating the back of a 65 year old retired builder.  Prior to my seeing me he had the occasional stiff back.  The day after he saw me, he had a really sore back, and it took my boss about 8 sessions to get him back to his usual level.  He was exceptionally nice about it, and I’ve never forgotten the lesson – “first do no harm”.

Osteopathic professional indemnity insurance premiums are very low (way way lower than doctors).  This is a testament to what a low risk osteopathy has.  I think the figure is currently just under £300 for up to £10million worth of cover (please don’t sue me now I’ve told you how much I’m covered for!).   This is because we don’t prescribe medications (which can be dangerous); and we don’t do surgery (which can be very dangerous).  It’s also because the techniques and advice we offer are evidence-based and rarely result in more than a little soreness.  I hope that puts your mind at rest and that you’ll now proceed to book an appointment with an osteopath online!! 😉

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IDD therapy for lumbar disc problems in Edinburgh https://www.active-x.co.uk/2019/02/11/idd-therapy-for-lumbar-disc-problems-in-edinburgh/ https://www.active-x.co.uk/2019/02/11/idd-therapy-for-lumbar-disc-problems-in-edinburgh/#respond Mon, 11 Feb 2019 14:35:49 +0000 https://www.active-x.co.uk/?p=9929 IDD therapy for lumbar disc problems in Edinburgh To my knowledge there is only one clinic providing IDD therapy for lumbar disc problems in Edinburgh.  And yet IDD has been around for the best part of 20 years (20 in the USA, but over 10 years in the UK).  Why is this?  Does IDD [...]

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IDD therapy for lumbar disc problems in Edinburgh

To my knowledge there is only one clinic providing IDD therapy for lumbar disc problems in Edinburgh.  And yet IDD has been around for the best part of 20 years (20 in the USA, but over 10 years in the UK).  Why is this?  Does IDD actually work?

Why isn’t IDD therapy practised more widely?

1. It’s expensive.  The most obvious people to offer IDD therapy are manual therapists – osteopaths, chiropractors and physios.  But their clients aren’t used to paying the kind of fees we’re talking here. It’s a big commitment financially, and health insurers in the UK don’t cover it.  There’s no point in having 1 or 2 sessions.  I think the minimum is 6, but more commonly 10-20 sessions, which would easily amount to £600+.  That’s still a lot less then surgery however.

2. It’s a large piece of equipment.  I don’t have room for one in my practice – I’m sure many other practitioners are the same.

Does IDD for back pain / sciatica actually work?

As ever, the answer to this isn’t straight forward. I’m sure there are people who have benefited from IDD therapy.  But what does the science say?  On the IDD therapy evidence page for the main UK distributor, they showcase the scientific literature published in support of the device. They state “The manufacturers of SPINA machines and IDD Therapy put forward the treatment for independent testing and are transparent in the presentation and publication of data.  ”  As part of this transparency they cite a number of articles.  I was looking for reviews, where researchers will collate data from a number of studies and report on the generalised findings across those studies.  However, none of the articles were reviews (I don’t think there’s enough research to warrant someone to undertake a review), and certainly none were “systematic reviews of placebo controlled trials” (the best kind of review).  The best article I could find (in terms of quality of research) in so far as it mentioned “single blind, randomized controlled trial” in the title is linked to here*. It’s not very promising however, with there being no significant difference between IDD therapy and sham IDD therapy.  However, both of the groups – in conjunction with a “standard graded activity program” – improved significantly during the study period.

Would I try IDD therapy?

Yes.  If I had intractable sciatic pain and I felt that it might be a useful addition to all the other strategies I can employ to speed up healing and avoid aggravating my sciatica I would certainly consider it. I have recommended other patients try it in order to avoid surgery.  However, neither of the two I recommended it to felt any benefit and one certainly felt considerable discomfort.  So, I’m afraid – while I’m open to it benefiting some people some of the time – like most clinical interventions (including osteopathy) it won’t help all of the people all of the time. 🙁

*No effect of traction in patients with low back pain: a single centre, single blind, randomized controlled trial of Intervertebral Differential Dynamics Therapy. Eur Spine J. 2009 Dec;18(12):1843-50. doi: 10.1007/s00586-009-1044-3. Epub 2009 May 31.

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Edinburgh osteopath, chiropractor or physio? https://www.active-x.co.uk/2019/02/08/edinburgh-osteopath-chiropractor-or-physio/ https://www.active-x.co.uk/2019/02/08/edinburgh-osteopath-chiropractor-or-physio/#respond Fri, 08 Feb 2019 09:31:11 +0000 https://www.active-x.co.uk/?p=9926 The old question... osteopath, chiropractor or physio?  Edinburgh has a good choice of professionals you could consult for lower back pain or sciatica.  I reviewed the osteopaths I recommend in the article Who is the best osteopath in Edinburgh?   As indicated in that review, it depends what you're looking for.  If you'd like a [...]

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The old question… osteopath, chiropractor or physio?  Edinburgh has a good choice of professionals you could consult for lower back pain or sciatica.  I reviewed the osteopaths I recommend in the article Who is the best osteopath in Edinburgh?   As indicated in that review, it depends what you’re looking for.  If you’d like a better understanding of how the professions compare, check out the article Chiropractor, osteopath or physiotherapist?

I know this is a brief article, but I think all the content you need is linked to!

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Who is the best osteopath in Edinburgh? https://www.active-x.co.uk/2019/02/01/who-is-the-best-osteopath-in-edinburgh/ https://www.active-x.co.uk/2019/02/01/who-is-the-best-osteopath-in-edinburgh/#respond Fri, 01 Feb 2019 07:58:25 +0000 https://www.active-x.co.uk/?p=8578 As an osteopath in Edinburgh for over 25 years, I should be pretty well-qualified to answer this question.  I will avoid the obvious answer, because I have a massive bias ;-)  The below are a list of osteopaths that I would be very happy to consult, either because they have a huge amount of [...]

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As an osteopath in Edinburgh for over 25 years, I should be pretty well-qualified to answer this question.  I will avoid the obvious answer, because I have a massive bias 😉  The below are a list of osteopaths that I would be very happy to consult, either because they have a huge amount of experience, or have a specialism.  Of course whether any one of them would be the best one for you and your particular problem is hard to judge.  But you will get a quality experience from someone who has a high level of professionalism.

Paul Barratt has been in practice for longer than me, and – like me – has a Master of Science Degree in Pain Management from Edinburgh University.  He knows his stuff.  Is he the best osteopath in Edinburgh?

Although he’s a good bit younger, Adam Harker has gained considerable experience around the world, and is the guy to take your small child to, as he specialises in babies, children and pregnant women.  Is he the best osteopath in Edinburgh?

Patrick Harding is of a similar vintage to me, with lots of experience, a gentle but reassuring manner, and good hands.  Is he the best osteopath in Edinburgh?

Phil Mack is definitely not the best osteopath in Edinburgh, because he’s a physiotherapist, and not an osteopath.  But he’s a very good one.  He’s the guy I send most of my knee patients to. I’m sure he’s good at other body-parts too, but I know he’s particularly good at knees!

I’d love to earn the label best osteopath in Edinburgh myself, but – as commented at the top of the article, I cannot be part of the judging panel!! 😉

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Why am I the only osteopath in Edinburgh specialising in lower back pain and sciatica? https://www.active-x.co.uk/2019/01/28/why-am-i-the-only-osteopath-in-edinburgh-specialising-in-lower-back-pain-and-sciatica/ https://www.active-x.co.uk/2019/01/28/why-am-i-the-only-osteopath-in-edinburgh-specialising-in-lower-back-pain-and-sciatica/#respond Mon, 28 Jan 2019 21:42:47 +0000 https://www.active-x.co.uk/?p=8558 I don't know, but maybe it doesn't occur to any other Edinburgh osteopath to specialise in lower back pain and sciatica.  I had written my first book on lower back pain in 1997, then in 2015 completed an MSc in The Clinical Management of Pain (with a focus on lower back pain in my [...]

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I don’t know, but maybe it doesn’t occur to any other Edinburgh osteopath to specialise in lower back pain and sciatica.  I had written my first book on lower back pain in 1997, then in 2015 completed an MSc in The Clinical Management of Pain (with a focus on lower back pain in my dissertation) before I realised that I had always spent significantly more of my professional and personal life focusing on lower back issues than on all other body parts combined.  So, I suppose it was an obvious thing for me to formally specialise in, which led to the publication of my second book on back pain , with contributions from Gavin Hastings OBE.

We now have an online course for lower back pain and sciatica, and a low back pain course for fitness/movement professionals  who want to gain a better understanding of the topic in order to help their clients more, and an app for lower back pain.  So, I guess it’s safe to say, I/we have a real focus on lower back pain and sciatica.

The question is, why don’t more osteopaths/chiropractors specialise in lower back pain and sciatica?  From talking to them, the answer seems to be that they want to appeal to as broad a market as possible i.e. they don’t want to miss out on business opportunities.  Another answer is that they don’t want to get bored, dealing with the same problem time and time again.

I think the first answer is naive – there are so many people with lower back pain and/or sciatica that you are unlikely to run out of clients.  Also, I think people (you) prefer someone who specialises in their particular problem.  Lower back pain is so incredibly common, and at times complex, that it’s worth taking a deep deep dive into the topic, and that’s what I have done and will continue to do.  The other day, a visiting osteopath paid me a huge compliment (although I’m not sure it was meant that way) by saying “I’ve never met another osteopath who approaches lower back problems the way you do”.

The second answer (that they may get bored) is at odds with my experience. Specialising in such a common but complex problem has allowed me to dive so deep and develop an approach so firm in its principles, yet so nuanced in the application of those principles that I have the pleasure of knowing my approach is sound, but the additional pleasure of needing to bring my 27 years of experience (at time of writing) to bear on an individual’s personal experience of pain.

So if you want an Edinburgh osteopath specialising in lower back pain and sciatica, you know where to find me!

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Can lower back pain / sciatica be a sign of something more serious? https://www.active-x.co.uk/2019/01/23/can-lower-back-pain-sciatica-be-a-sign-of-something-more-serious/ https://www.active-x.co.uk/2019/01/23/can-lower-back-pain-sciatica-be-a-sign-of-something-more-serious/#respond Wed, 23 Jan 2019 10:03:06 +0000 https://www.active-x.co.uk/?p=8543 In short, yes.  But let's start by putting it into perspective.  Only about 1 in 200 lower back pains are due to a more serious underlying illness.  I'm not going to give you a big long list of possibilities, but yes, cancer is in there, along with a host of other nasties.  However, [...]

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In short, yes.  But let’s start by putting it into perspective.  Only about 1 in 200 lower back pains are due to a more serious underlying illness.  I’m not going to give you a big long list of possibilities, but yes, cancer is in there, along with a host of other nasties.  However, there is a widely accepted collection of questions that help to determine whether you should be seeking a medical opinion or not.  These are what clinicians refer to as “red flag” questions.  The list is specific to lower back pain, but if you have sciatica, they are relevant too.

  • Compared with during your waking day, is your background pain worse when trying to sleep?  (Not the sharper pain you get when you’re turning over, just the constant type of ache).
  • Have you lost any great amount of weight without meaning to over the last year?
  • Have you been diagnosed with Cancer at any time?
  • Have you had lower back surgery in the last 2 years?
  • Do you have any weakness (rather than pain) in any of the following?

When standing, lifting either big toe up

When standing, pushing up onto the toes of one foot (compared with the other, or compared with what you would expect is your normal)

Squatting

  • Do you have any numbness (lack of sensation) or pins and needles in your pelvic floor area (up between your upper thighs, the area you would sit on if on a saddle)?
  • Have you had any recent change in sexual function?  Loss of feeling, erection or ability to orgasm?
  • Do you have any difficulty urinating or defecating (using the toilet)?  e.g. trouble starting or stopping, or not aware of your bladder filling
  • Have you suffered any significant trauma recently, which in any way could impact on your lower back?
  • Have you been on a prolonged course of oral corticosteroids in the past or now?
  • Have you had a persistent high temperature recently?

If the answer to all of the above is “no” then the chances that you have something nasty going on are extremely low.  At Active X Backs, we ask all of our clients these questions in a questionnaire before we even see them. However, if the answer to one or more is “yes”, it’s not that I won’t see you, but it indicates that I need to ask you for more detail, and if after that I’m concerned, then I’ll recommend that you consult a relevant medical professional (usually your family doctor).

There is another “however”.  Even if you answer “no” to all of the above questions, it is still possible that you have a “pathology”.  This is where the experienced clinician proves his/her worth.  I have seen so many non-pathological lower back problems that when something very subtly different comes along, I think I’m pretty good at sniffing it out – some people call it intuition;  I think it’s intuition based on over 25 years of experience.

Anyway, if you’re concerned that your lower back pain or sciatica may be due to something nasty, start with the above questions.  If you’re still concerned, then give me a ring or book an appointment to see me – in person or via skype.

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Who are the best Pilates instructors in Edinburgh for lower back pain / sciatica? https://www.active-x.co.uk/2019/01/20/who-are-the-best-pilates-instructors-in-edinburgh-for-lower-back-pain-sciatica/ https://www.active-x.co.uk/2019/01/20/who-are-the-best-pilates-instructors-in-edinburgh-for-lower-back-pain-sciatica/#comments Sun, 20 Jan 2019 21:38:32 +0000 https://www.active-x.co.uk/?p=8535 I'm really sorry, I don't feel qualified to answer this question, because I don't have enough direct experience of any of them.  But please bear with me and let me tell you what I think you should look for in a Pilates instructor if you have a pre-existing lower back pain or sciatica. One-to-one [...]

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I’m really sorry, I don’t feel qualified to answer this question, because I don’t have enough direct experience of any of them.  But please bear with me and let me tell you what I think you should look for in a Pilates instructor if you have a pre-existing lower back pain or sciatica.

One-to-one instruction

You should almost certainly be starting with at least a couple of one-to-one sessions to make sure the instructor has a good working understanding of your limitations so that he/she can bring that to any future classes you may attend.

A good understanding of pain

This can be summed up in my Number 1 Rule “Use it or Lose it, But Don’t Abuse it”, of which there’s a good fleshing out in the article “What’s the quickest way to fix my lower back pain / sciatica?” In fact, you may wish to point any instructor to the article.  If they show willingness to learn that’s a good sign.  If they give off a “Don’t you think I know my job?” attitude, perhaps best to give them a body-swerve.

Empathy

If he/she doesn’t accept what you bring to the mat, but tries to get you to fit in with their class, again this is a bad sign.  Any good instructor should be tailoring the session to the needs of those in the class, including you.  However, if the instructor takes you to the side at the end and explains that he/she can’t give what you need, that is probably a sign of a diligent, well-meaning instructor too!  Hopefully you’ll be directed to someone more suitable.

Personal experience of pain

I’ve found that clinicians with significant personal experience of pain tend to make better clinicians.   I’d bet the same is true of Pilates instructors. I guess this boosts empathy.

If you know of any Pilates Instructors in Edinburgh who specialise in lower back pain / sciatica and are worth a mention on this page, please feel free to comment, and I’ll try to make time to check them out on the above points.  Meantime, just outside Edinburgh – in Haddington – is a fabulous pilates studio run by Maureen Evans called Complete Movement.  She ticks all of the above boxes, and I’d highly recommend her.  So, although Haddington isn’t quite Edinburgh, I hope I’ve delivered on some of the intent in this article. 😉 Please don’t take this as criticism of all the Edinburgh Pilates Instructors, it’s just that – as I said in my opening paragraph – I don’t know any of them well enough to give them my personal seal of approval.

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Who are the best yoga instructors in Edinburgh for lower back pain / sciatica? https://www.active-x.co.uk/2019/01/19/who-are-the-best-yoga-instructors-in-edinburgh-for-lower-back-pain-sciatica/ https://www.active-x.co.uk/2019/01/19/who-are-the-best-yoga-instructors-in-edinburgh-for-lower-back-pain-sciatica/#respond Sat, 19 Jan 2019 07:25:22 +0000 https://www.active-x.co.uk/?p=8529 Before giving my view on the best yoga instructors in Edinburgh for lower back pain / sciatica, it´s important to state that (at time of writing) we have no financial relationship with any of the instructors mentioned here.  However, I do know them - otherwise I wouldn´t feel qualified to comment on their knowledge/approach.  [...]

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Before giving my view on the best yoga instructors in Edinburgh for lower back pain / sciatica, it´s important to state that (at time of writing) we have no financial relationship with any of the instructors mentioned here.  However, I do know them – otherwise I wouldn´t feel qualified to comment on their knowledge/approach.  Also, for your sake, I´m delighted you´re thinking about yoga, as I´m a big fan, and have been practising at a very amateur level for 20+ years. But before you dive in, please read “Should I do exercises for lower back pain / sciatica?” on our partner website backpainandsciatica.co.uk.  It will provide you with some invaluable guidelines to adhere to in any physical movement – not least The Number One Rule!

Now, assuming you´ve read that (and I really hope the yoga instructors have too!), let´s dive in.

Caroline Yoga

Caroline McIntosh is an incredibly thoughtful practitioner who will go out of her way to accommodate your limitations and think about how best to gradually extend them. She specialises in one-to-one  and one-to-two which is the best way to start (rather than in a group), especially if you´re a beginner and you have lower back issues.  She also provides yoga in a corporate setting.

Meadowlark Yoga

Karen Kirkness leads the team at Meadowlark, and with an MSc in Human Anatomy she has a deep understanding of backs.  Again, you will find extremely high levels of empathy here, and a desire to accommodate whatever you bring to your yoga practice – including back pain!

East Lothian Yoga School

It´s not quite in Edinburgh (North Berwick), but Nicola Bourke is the closest to Edinburgh providing the Yoga for Healthy Lower Backs program, which is a group class, run over 12 weeks and validated by research conducted by the University of York, and Arthritis UK.

If you´re a yoga teacher and think you should be included in our list of the best yoga instructors in Edinburgh for lower back pain / sciatica, please get in touch.  I´d be delighted to review your offering too, although reserve the right to decide whether or not to include you.  I will update this page as I become aware of other deserving yoga instructors.

gavin@active-x.co.uk

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Negative reviews and complaints for Active X Backs https://www.active-x.co.uk/2019/01/18/negative-reviews-complaints-active-x-backs/ https://www.active-x.co.uk/2019/01/18/negative-reviews-complaints-active-x-backs/#respond Fri, 18 Jan 2019 12:21:40 +0000 https://www.active-x.co.uk/?p=8522 This page is where we publish any negative reviews clients have given to Active X Backs, whether given to us directly, or found on the world wide web.  Fortunately at time of writing (January 2019), I couldn´t find any on the web. I did what you probably did - simply searched "negative reviews complaints [...]

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This page is where we publish any negative reviews clients have given to Active X Backs, whether given to us directly, or found on the world wide web.  Fortunately at time of writing (January 2019), I couldn´t find any on the web. I did what you probably did – simply searched “negative reviews complaints Active X Backs”.  Why would I collate complaints for you to read in one place? Because I want to demonstrate to you that as the Clinic Director (Chief Back Öfficer) I take complaints seriously, and to show you how we respond to any complaints and negative reviews – by learning and getting better at delivering our service.  We have a complaints procedure which is linked to on our New Client Information page.

So, although there are no negative reviews online, have we received complaints? Yes. Active X Backs has been trading for 26 years, and in that time we have received complaints and they have always been valid.

In 2001 we employed an osteopath who turned out to be a disaster.  He was only with us for 4 days, but when it was flagged up to me on day 3 that his note-keeping was poor and sometimes he only spent 10 minutes with patients before showing them back out to reception, I investigated immediately.  His note-keeping was indeed entirely inadequate.  I called every patient he had seen – 50% of them were dissatisfied. I apologised and refunded their fees and offered to see them myself. His employment contract was immediately cancelled and he never saw another client of ours.  I flagged up his terrible performance to the regulator.  We immediately reviewed our recruitment process and our induction process, and to this day I audit the experience clients have with us, and intensely so when they are seeing a new member of our clinical team.

We had another osteopath around the same time who was a likable young man but he made a crucial error in under-estimating the frailty of a 60-something year old lady who consulted him about mid back pain.  His treatment – she told me later – immediately caused her severe pain and this had continued for several days afterwards. I saw her myself and it was apparent that her pain was likely due to an osteoporotic fracture in her thoracic spine.  She had always been very slim, had had an early menopause and been a heavy smoker all her life – all of these risk factors for osteoporosis. Although proving cause and effect is difficult, it is likely that the techniques this osteopath applied were too forceful, leading to a fracture of – as was confirmed later on XRay – her T7 and T8 vertebrae.  What a nightmare for the poor woman, potentially a disaster for us as a business, and for him as an osteopath.  The lady herself was very generous in her desire to put the episode behind her and focus on recovery. The osteopath moved to Australia within 4 weeks, simultaneously resigning his registration with the UK regulator.  What did we learn from the experience?  We didn´t learn a great deal, but it did reinforce my view that despite an expectation that professionals we employ will not make mistakes, it is possible that they will, and that if and whey they do, our focus must continue to be on supporting the patient first.

Complaints related to money, price and value have happened, and I think they have probably always been due to us failing to communicate adequately on the topic. Our fees are on our online booking facility, but it appears that quite often people come for a first appointment without asking (or even thinking about) what our fees are.  So now, whenever a first appointment is made by phone we tell the client what the fees are and what to expect on that first occasion.  In an attempt to provide further clarity, I recently wrote an article entitled “How long should an appointment be with an osteopath, and how much should it cost?”  To be fair, we´ve had a few chancers over the years who come for an appointment then act surprised afterwards when we ask them to pay!

I know it´s almost inevitable that we will receive a complaint or negative review in the future, and when we do, I´ll publish it here (it may need to be anonymised if the person doesn´t give us permission to include their name).  I´ll also publish how we responded and what we´ve learnt from it.  Only through experiences and facing up to any negative ones can we continually improve.

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Why doesn´t my doctor recommend osteopaths for lower back pain / sciatica? https://www.active-x.co.uk/2019/01/17/doctor-recommend-osteopaths-for-low-back-pain-sciatica/ https://www.active-x.co.uk/2019/01/17/doctor-recommend-osteopaths-for-low-back-pain-sciatica/#respond Thu, 17 Jan 2019 14:13:33 +0000 https://www.active-x.co.uk/?p=8517 I honestly don´t know.  But here are some possible reasons your doctor may not want you to consult an osteopath for low back pain / sciatica. Your doctor doesn´t really know what osteopathy is, or what osteopaths do If you didn´t know anything about a profession you might distrust it, and you almost certainly [...]

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I honestly don´t know.  But here are some possible reasons your doctor may not want you to consult an osteopath for low back pain / sciatica.

Your doctor doesn´t really know what osteopathy is, or what osteopaths do

If you didn´t know anything about a profession you might distrust it, and you almost certainly wouldn´t recommend that your clients consult a member of that profession. Doctors care about their clients/patients and for the most part feel responsible for their wellbeing and don´t like to take chances.

Your doctor has a bias

We all have biases, and unfortunately these tend to be predominantly negative.  If your doctor has ever heard anything bad about an osteopath, he/she is more likely to remember that than anything positive.

Your doctor has valid concerns

Your doctor may feel that you would be better-off pursuing another course of action for your problem.

If you´re concerned whether osteopathy is right for your lower back pain or sciatica, here are a few articles you should find useful:

Can manipulation make my lower back pain / sciatica worse?

Why Active X Backs?

How much will it cost to fix my lower back pain / sciatica?

If you would like to discuss anything in-person, please just fill in our contact form or give us a call, or if you´re feeling reassured, you can book an osteopathy appointment online here.

The post Why doesn´t my doctor recommend osteopaths for lower back pain / sciatica? appeared first on active x backs.

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