Provide Report & Training Programme – Complex Low Back Consultation
We will provide strategies and exercises to help you on your way to starting to achieve and maintain a healthy and robust spine. Ensuring you clearly understand some progressions and milestones.
Preparing you in the move forward, in the preparation of beginning rehabilitation, in the not so distant future. Focusing you in regaining your active lifestyle, optimizing your health outcome, and enhancing you performance.
If needed, for another clinic to continue assisting your progress, we can produce a report outlining our findings and actions, including a precise description of the pain mechanism (most of the time), of any identified pain causes, of any specific pain free postures and relieving postures found, of all pain free movements which have been coached, and identifying the suggested training programme ahead. This report could be sent to the referring clinician with a recovery plan.
Let’s outline an opportunity to progress!
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I would unreservedly recommend this sensible and realistic treatment programme to any severe, long term sufferer looking to make a real difference to their life.
Complex Low Back Consultation Procedure
For new patients, or the application of new therapies, a full detailed case history is taken, all provided images and reports reviewed, and any prior investigations and current goals discussed, so these can be taken into consideration.
Next, if clinically appropriate, you may be asked to dress down to your underwear to allow us to look at the presenting problem. (However, feel free to wear small shorts, if it makes you feel more comfortable).
You will then be asked to perform simple movements, a mixture of postures, motion and training patterns (dynamic assessment), to help us gain information and understand your posture and movement capacity, and then interpret this in regards to your presenting complaint and goals. Identifying key links in your case.
Then, a detailed passive examination, along with some specific investigations will be performed. If required, additional examination, and questioning will take place. The physical assessment often taking over an hour or more, to assess your back and associated aspects, to identify the pain triggers, muscle insufficiencies, functional deficits, and injury. While testing movement patterns, endurance, and stability. Developing a detailed understanding of what could be causing you back pain. A diagnosis will then be discussed, and if appropriate at this point, treatment will begin.
We aim to identify the cause of the pain during your assessment, by intentionally provoking it. This allows us to formulate a clearer understanding of the pain triggers. This allows for identification of movements, postures, and loads that are potential pain triggers. Building an understanding of your potential injury mechanisms and pain triggers.
Then when suitable, the consultation will continue on to management strategies uniquely customised to your assessment findings. This will be followed by guiding you, through finding and removing your personal pain triggers. Then you will learn corrective movement patterns that prevent and desensitize your lower back pain, trying to prevent future injury. The aim is to coach you to understand these potential pain triggers, and correlate them to your known anatomical and structural injury.
You will then undergo guided learning trying to eliminate your injury mechanisms and pain triggers. We will match corrective, therapeutic and performance enhancement exercises, to your case. We will be coaching you to clearly understand what to do to allow the building of a foundation for pain-free movement. Demonstrating and coaching a remedial core stabilisation programme, and associated motor structures, for corrective exercise prescription, and performance training strategies, is our aim.
For treatment, we provide a seamlessly layered combination approach of diagnosis, education and therapeutic application. This includes education of anatomy and pain theories, manual therapy, osteopathy, posture advice and training, lifestyle advice, hydrotherapy guidance, dietary overviews, and dynamic exercise therapy with motor control training rehabilitation with your new found healthy movement patterns, re-grooving these healthy motor and movement patterns, to re-achieve pain free motor control. All of these work together to provide a uniquely structured approach, towards the aim of restoring your brain’s interpretation, or ‘mapping’ of your healthy functioning body, giving you back the control!
After treatment intervention, you will be re-assessed to ensure efficacy and to optimize the development of therapeutic strategies, for precision care and training.
Guidance for aftercare will be provided, which will assist by aiding to establish and prioritise lifestyle and training components, which can be initiated independently. This will include a regression and progression programme, as an adjunct in achieving your goals.
A report can be produced for you, outlining our findings and actions, including a precise description of the pain mechanism (most of the time), note of any identified pain causes, any specific pain free postures and relieving postures found, all pain free movements which have been coached, and the suggested training programme ahead. The report will be provided to you, and will be sent to the referring clinician with a recovery plan.
During this process and any subsequent treatments, you are welcome to have another adult individual present, to act as a supportive chaperone, if required.
The Initial Consultation will last 180 minutes (3 hours), and all follow up appointments for treatment will last 30 minutes, unless a 60 minutes treatment is required.
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