Posts Tagged ‘treatment’

AXA PPP healthcare and therapy….

September 18, 2016

AXA PPP healthcare and therapy….patients need to be aware.

I have been an osteopath for 17 years and run a busy clinic in London with 6 other osteopaths.  We treat a variety of injuries from back and neck pain to sports and pregnancy related problems.  We are respected in our area and hold good standing with local GPs and specialist physicians and surgeons for the work that we do.

I have been a member of AXA PPP for more than 12 years and always have had a good working relationship with them.  As of this month, they have written to Osteopaths, Chiropractors and Physiotherapists telling them that they need to sign themselves into a new binding contract whereby AXA PPP are only willing to pay £35 per treatment of their patients.

This is the same controlling/bullying technique that Bupa used a few years ago and quiet clearly it has nothing to do with their members (which they try and tell us this is where their interest lies!) and is only a business decision.  They want MORE profit.  Many clinics rely heavily on the money paid from these insurance companies and for these clinics, they will take a massive reduction in their earnings.  Especially those in London, where rent and rates are greater than elsewhere in the country.

Practitioners (Osteopaths, Chiropractors and Physiotherapists) do not charge excessive fees when you look at the considerable amount of training they do.  As an osteopath, I trained for 5 years and have also done a significant amount of additional training.  We have a long education, so that we are able to diagnose and treat our patients and keep them safe.

At Back to Back, we are unfortunately taking a stand to this and are leaving AXA PPP.  This sadly will impact on our patients.  We are truly sorry of this.  But we have no choice!

I suspect many other practitioners will follow too.  The only hope is that if many patients complain to AXA PPP and state their concerns.


Yours in health.



Back to Back – The Earlsfield Osteopath



Young fitness fanatics are wrecking their joints….. reports the Times newspaper!

August 7, 2016

High intensity workouts are increasing the load on younger people’s hips, knees and backs and prematurely damaging them according to senior orthopaedic consultant Gorav Datta.

As a surgeon he has seen a fourfold increase in injuries in people under 30 that are doing more explosive exercise such as High intensity training (HIIT).

He feels that any cardiovascular benefits did not account for risks on any other part of the body.

As ever – take your time with exercise – take it gently and build good solid foundations. Get advice if you need it.

If you are concerned that you are overtraining or have hurt yourself, come in and see one of our osteopaths.  Call reception on 020 8605 2323



Health Benefits of Zumba® fitness training: a systematic review

June 23, 2016

Read this paper here.

It concluded that:

Zumba® fitness could be considered an effective type of physical activity able to improve aerobic capacity. Limited evidence described positive effects on muscular strength and flexibility.

So a great one to try.  Good multidirectional, upright cardiovascular exercise.  Fun too!

If you are concerned about an injury, come and see on of the team at Back to Back.  Call reception on 020 8605 2323

Ankylosing spondylitis….and food

June 12, 2016

Jo Harding and her Ankylosing spondylitis……

Love this – this was a patient of ours that has done really, really well by stripping out her diet and becoming responsible for ‘what’ and ‘how’ she eats.  It was a journey for her….but she was motivated and would not listen to someone saying ‘no’.   She is doing brilliantly and is happy!  Jo is now in remission and off all of her medication!  So proud of her!!!!

Look at the amazing story of Jo.  She has put huge thought into her recipes gleaned from her direct experience with this condition and its gives life back to food.

Have a read here.  It has some information about Ankylosing spondylitis and some great ideas of how you can help yourself.  Links to Jo Harding are below too….


Instagram                      @paleocrust

Twitter                           @paleo_crust

Pinterest/ Facebook         paleocrust

If you need some help with Ankylosing spondylitis or other back or joint problem, come in and see one of our great osteopaths.  Call at the clinic on 020 8605 2323.

Explaining back pain

May 29, 2016

This really lovely and simple short video from Dr Mike Evans explaining some of the reasons for lower back pain and what you may be able to do to help yourself.  Often it is about taking responsibility for yourself and talking control and deciding what you need to do.  Movement and treatment are often great ways to start.  Osteopaths are able to treat and advise.

Have a watch …. it is only a few minutes!  But really good…


Come in and see one of the great osteopaths at Back to Back if you need help or are concerned.  They are registered and qualified to assess and treat you.  We are also trained to rule out any ‘red flags’ or ‘things of concern’.  Osteopaths not only treat lower back pain, but neck pain, shoulder pain and most muscle or joint pains.  We also rehab patients post surgery and some of us also use exercises to improve performance or movement in sport.

Call us on 020 8605 2323


Addition to the team at B2B

May 28, 2016

James (Shanahan) joins us here at Back to Back all the way from Melbourne, Australia! He graduated with a Bachelor of Clinical Science (Osteopathy) and a Masters of Osteopathy from Victoria University and brings with him the most up to date knowledge and skills in the industry.  In Australia he is even called a doctor!!!


James has a long background in sport having played Australian Rules Football and Cricket back in Australia and has a passion for treating and rehabilitating sports injuries. He has worked with semi-elite sporting clubs in the past as well as working in a busy CBD clinic in the heart of Melbourne, treating many postural and work related complaints.  He enjoys working with people from all walks of life with the overall goal of getting them back to doing what they love and functioning in the correct manner.

In his spare time James likes to listen to music, read and occasionally get sucked into a Game of Thrones marathon.  He also plays football with the West London Wildcats in the AFL London competition.  He enjoys wandering aimlessly around London finding new things to do whilst trying not to get lost, Citymapper has become his new best friend.

James is a registered practitioner with the General Osteopathic Council (GOsC)

Sportman’s hernia

April 18, 2016

Sportsman’s hernia? An ambiguous term…..


Interesting paper on this is here.  It is a recent article that highlights more recent observations in treatments and why naming this set of injuries has always been a challenge.

Diagnosis of the problem needs to be based on a thorough history and examination.  Onset can be sudden, but often is of a progressive gradual nature.  There may be months of low grade/dull abdominal or groin ache.  It is usually unilateral and can progress to unilateral burning or sharp pain that can travel to the groin, abdomen, upper thigh or lower back.  It may be aggravated by activities like running, cutting,twisting or kicking.

If you are concerned about your pain, come in and see one of our osteopaths.  You can make an appointment to see them on 020 8605 2323.

Osteoporosis… the silent one!

April 18, 2016

Many people don’t know that they have osteoporosis until the sustain a fracture, often after a fall.  Across the European Union in 2010, there were an estimated 43,000 deaths causally related to fractures!  It is important to note that osteoporotic related fractures do not only affect women: one in five men in the UK over 50 years old break a bone due to low bone strength…. and it is interesting to know that men’s fracture related mortality is higher than women’s.

As ever with the articles we write, we highlight how crucial it is for people to take greater responsibility for themselves.  Diagnosing osteoporosis early is critical to managing the condition.

Females over 50 are more likely to get osteoporosis, especially if there is a family history.

Other risk factors are:

Thyroid problems or other problems with hormone levels.

Low calcium levels or eating disorders increase the likelihood of osteoporosis.

Long-term use of oral or injected corticosteroid medications such as prednisone or cortisone.

Lifestyle choices can also have a large impact on your bone health.    Excessive alcohol consumption and the use of tobacco, along with a being too sedentary directly impacts on bone strength.

Make your health your priority and keep strong, agile and healthy.  Walking regularly is great – up and down hills is better.  Dancing may not be your thing, but it has been shown to improve your strength.  So maybe give it a go!

If you are concerned….. come in and see one of the osteopaths here at Back to Back for advice.  Call us on 02 08605 2323

Statins… do you need them.. really need them..??

November 23, 2015

Have a read here…..  It is an article written in the Telegraph newspaper about a cardiovascular surgeon’s views about statins….and what he says is not great for statins!!

Nicely written  –  it highlights how wrong doctors could have been for years… lead by incorrect and poorly done research….. and possibly the people to gain are the shareholders of the pharmaceutical companies…..  not the patients who have been given the drugs!

Your call – but have a good look at your life and if there is a problem, how can YOU make a difference?… how can you become more empowered about what YOU can do?   Become RESPONSIBLE for YOUR body.  People often take medications without question and sit on the fence and think as they are taking the medication, it absolves them from doing anything themselves.  They think they don’t need to take action… and they should!

It is REALLY hard to change things ….. especially the things that we love like sugar and bread. You would crave them for sure…most of us are addicted to things like sugar and bread.  But would it not be worth it if it meant that you did not have to take drugs for the rest of your life??

Obviously do not come off medication without advice – but start to look at research and start to question… talk to your doctor and see if you can get them onto your side.

It is your body   – and it is YOUR call!!


Golf and the Golf Swing

May 28, 2015
At Back to Back we treat more than a few golfers and their injuries.  An injury common to the golfer may be one of many…. But often a golfer presents with pain in their elbow, shoulder, their back, hip or knee.  It could be their neck or other area.
Identifying with their pain can be the easy part.  Working out why they have pain is often a little more challenging.
Our AFS (or Applied Functional Science) team will be best to do this.  Their aim is to track down the ‘why behind the what’.  What I mean by this is … why has that particular area of your body failed?  What in that person’s body is not working as it should and increasing the ‘load’ elsewhere?
What encouraged me to write this was a patient that I saw just over 4 weeks ago.  He was in his late forties with a handicap of 4!  He had been suffering with right shoulder pain for the last 5 months!  He had seen a few other practitioners before find his way to the clinic.
To me, it was crucial to see him swing as if he was hitting the ball!  Watching this and adapting the way he hit the ball, it immediately became apparent that he was restricted in his left hip.  As he was halfway through his backswing the movement that should have been available at his left hip was not there and he was then using his upper back and right shoulder to do much more work than it needed or was build to do.
All that was happening was his shoulder was becoming strained because of his hip!  Before coming to see us, this lovely patient had had his shoulder and surrounding area rubbed for 14 treatments.
Working with his left hip and left foot and integrating them into his swing gave great results in 3 treatments and he was almost pain free at 4 treatments.  He still has a small way to go, but it just goes to show that rubbing symptoms (in this case the shoulder) is not always the right answer.  Getting fully assessed by someone that appreciates integrated movement and treats the body as a whole is critical.
Get assessed properly and get properly fixed!
James Dodd BSc (Hons)Ost. FAFS  GPS
Clinic Director
Back to Back – The Earlsfield Osteopath
Twitter:   @jamesDosteopath
If you have any concerns about your swing or pain in golf, call reception on 020 8605 2323
and come in and see Steph or James