Leeds Chiropractic Centre is based within The Lawrence Clinic which has a long established history of providing Chiropractic treatment for the local community and surrounding population of Leeds.
Leeds Chiropractic Centre covers the following areas
Supported by a highly qualified and experienced team of Chiropractors and Podiatrists, it is a specialist centre for the diagnosis and treatment of the following conditions and many more.
low back pain
whiplash-associated disorders
neck pain
migraine headache
cervicogenic headaches
cervicogenic dizziness
shoulder girdle pain/dysfunction
adhesive capsulitis
tennis elbow
hip osteoarthritis
knee osteoarthritis
knee pain (patellofemoral pain syndrome)
plantar fasciitis (heel/foot pain)
sports injuries sprains/ repetitive strain
Chiropractic offers evidence-based care and may help patients with many neuromusculoskeletal conditions. These may originate in the joints, bones and muscles of the spine or of joints outside of it.
NICE - The National Institute for Health and Clinical Excellence recommend spinal manipulative therapy (including Chiropractic) for the early management of persistent non-specific lower back pain.
What Is Chiropractic?Chiropractic is a health profession concerned with the diagnosis, treatment, management and prevention of mechanical disorders of the musculoskeletal system and the effect of these disorders on the function of the nervous system and on general health. The patient’s biomechanical health status is assessed in order to diagnose the complaint, by way of case history, physical, orthopaedic, neurological, palpation and chiropractic examinations, after which a diagnosis will be made and treatment plan given. On-site x-ray facilities may be utilised to further aid in the diagnostic procedure. Treatment is aimed at restoring normal function to the musculoskeletal system, and can play a major part in relieving disorders, and any accompanying pain or discomfort arising from accidents, stress, lack of exercise, poor posture, illness, sports injuries, repetitive strain and everyday wear and tear. Chiropractic takes a holistic approach to health and wellbeing, considering its physical, psychological and social aspects. As a treatment option, chiropractors often undertake onward referral for further imaging investigations (ultrasound, CT or MRI) or to other suitably qualified healthcare professionals e.g podiatrists, neurologists and GPs.
What Does Chiropractic Involve?In practice, chiropractic utilises a package of treatment strategies, offering a choice of treatments, some of which may include manual therapies. These include various soft tissue techniques, stretching, massage, myofascial dry needling, manual joint manipulation (traction, mobilisations, adjustments), drops, as well as the use of an adjusting tool. As such it is an effective, safe and gentle method of treatment which respects and uses the body’s natural healing mechanisms and timeframes, without the use of drugs or surgery. As musculoskeletal experts chiropractors are trained in exercise prescription and rehabilitation, and may give advice on posture and ergonomics (both at home and in the workplace). Chiropractors are also trained to give lifestyle advice as part of a health promotion/disease prevention strategy.
Chiropractic and Podiatry
At the Leeds Chiropractic Centre, we appreciate the multifactorial nature of pain caused by a patient’s complaint. Therefore one or more health professionals may be involved in the co-management of the patient (please refer to links). Commonly, biomechanical assessments are performed with input from both the resident Chiropractor and the Podiatrist, for best possible diagnosing.
Podiatry, the profession involved with conditions of the foot, directly affects the Chiropractic management of the patient, There is a close link between the structure of the foot, its effect on lower limb biomechanics and gait, and resultant pain of mechanical origin. Your feet are the foundation of your body. They support you when you stand, walk, or run. And they help protect your spine, bones, and soft tissues from damaging stress as you move around. Your feet perform better when all their muscles, arches, and bones are in their ideal stable positions.
The pain you feel in your neck could be caused by a misalignment in your spine that is caused by abnormal positioning of parts your feet. It’s a chain reaction. And because all the body is connected, alleviating pain in one part of your body often requires treating a different part. So by looking at the body as a whole, and addressing problems that may be related, we aim to see that …
THE PAIN STOPS HERE !
MECHANICAL BACK PAIN – acute / chronic
Mechanical back pain is pain in the anatomic region of the back for which it is impossible to identify a specific pathologic cause of pain. It can include back pain with or without pain in the lower limbs which may or may not interfere with activities of daily living.
Chiropractors treat mechanical back pain using a package of care that may include manual therapies, exercise, rehabilitation, myofascial dry needling and therapeutic advice.
There is considerable evidence to support this approach to patient care:
National Institute for Health and Clinical Excellence. Early Management of persistent non-specific low back pain. 2009 May.
Airaksinen O, Brox JI, Cedraschic C, Hildebrandt J Klaber-Moffett J, Kovacs F et al:, et al. : Chapter 4. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J 2006, 15 Suppl 2: S169-S191
Van Tulder M, Becker A, Bekkering T, et al. The COST B13 Working group on guidelines for the management of acute low back pain in primary care. Eur Guidelines for the management of acute non-specific low back pain in primary care. Eur Spine J 2006 Mar; 15 supp 2: S169-91.
Department of Health. Musculoskeletal Services Framework for England and Wales. 12 July 2006
Low back pain may also be caused by disc problems. As regulated health professionals specialising in the diagnosis, treatment and management of musculoskeletal disorders, chiropractors are educated and qualified to treat intervertebral disc disorders, which may include sciatic symptoms of pain, sensory change and muscle weakness.
Chiropractic utilises a range of treatment and management interventions for intervertebral disc disorders. These depend upon the severity of the condition and any associated neurological symptoms, and may include manual therapy, myofascial dry needling, exercise prescription, therapeutic advice, patient education strategies and onward referral where indicated. Frequently there is co-management with orthopaedic and neurosurgical colleagues in managing disc injuries and even referral back to the general practitioner for appropriate analgesia. There is evidence to support a conservative chiropractic approach as a safe and effective treatment intervention for mild-moderate disc lesions. This includes the following:
Oliphant D. Safety of spinal manipulation in the treatment of lumbar disk herniations: a systematic review and risk assessment. J Manipulative Physiol Ther 2004 Mar-Apr; 27(3): 197-210
WHIPLASH ASSOCIATED DISORDERS
Whiplash is the term commonly given to traumatically-induced neck pain, most commonly arising secondary to road traffic collision trauma. The term acceleration-deceleration injury is also used to describe this clinical syndrome. It may involve a range of symptoms, most commonly neck and shoulder pain, upper back pain, upper arm pain and headaches. Multiple tissues can be involved, including joints, ligaments, tendons and nerves.Chiropractors treat acceleration-deceleration injuries using a package of care that may include manual therapies, exercise and rehabilitation and myofascial dry needling.
There is evidence to support this approach to patient care:
Spitzer WO, Skovron ML, Salmi LR, Cassidy JD, Duranceau J, Swissa S, Zeiss E. Scientific monograph of the Quebec Task Force on Whiplash Associated Disorders: redefining whiplash and its management. Spine 1995;20(8S): 1S-73S.
Hurwitz EL, Caragee EJ, van der Weld G, et al Treatment of neck pain: non-invasive interventions: results of the Bone and Joint Decade 2000-2010. Task force on neck pain and its associated disorders. J. Manipulative Physiol 2009 Feb; 32(2 suppl): S141-175.
MECHANICAL NECK PAIN
Mechanical neck pain is pain in the anatomic region of the neck for which it is impossible to identify a specific pathologic cause of pain. It can include neck pain and from time to time, pain in the upper limbs which may or may not interfere with the activities of daily living.
Chiropractors treat mechanical neck pain using a package of care that may include manual therapies, exercise, therapeutic advice and postural advice.
There is evidence to support this approach to patient care:
Haldeman S, Carroll L, Cassidy D. Schubert J, Nygren A: The Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders: executive summary. Spine 2008. 33: S5-S7.
MIGRAINE HEADACHES
Chiropractors acknowledge that there are many causes of headaches. Migraine headaches are recurrent/episodic moderate or severe headaches which are usually unilateral, pulsating, aggravated by routine physical activity and are associated and are associated with nauseas, vomiting, photophobia or phonophobia.
Chiropractors treat migraine headaches using a package of care that may include manual therapies, exercise, therapeutic advice and postural advice.
There is evidence to support this approach to patient management:
Bronfort G, Nilsson N, Haas M, Evans R, Goldsmith CH, Assendelft WJJ, Bouter LM. Non invasive physical treatments for chronic/recurrent headache (review). Cochrane Database of Systematic Reviews 2004 issue 3
CERVICOGENIC HEADACHES
Chiropractors acknowledge that there are many causes of headaches. Where they are related to dysfunction in the cervical spine, there is evidence to show the benefit of spinal manipulation. Headaches of this nature can be unilateral or bilateral and are often located in the back of the head and above the eyes. They are mild-moderate in intensity. Certain activities and posture can worsen the headache, including sustained head position or external pressure over the cervical spine or occipital region.
Chiropractors treat cervicogenic headache using a package of care that may include manual therapies, exercise, myofascial dry needling, therapeutic advice and postural advice.
There is evidence to support this approach to patient management:
Bronfort G, Nilsson N, Haas M, Evans R, Goldsmith CH, Assendelft WJJ, Bouter LM. Non invasive physical treatments for chronic/recurrent headache (review). Cochrane Database of Systematic Reviews 2004 issue 3.
DIZZINESS & VERTIGO
Dizziness and vertigo are symptoms of disorientation which can be a sensation that the person or their environment is spinning. Sometimes these symptoms can be related to cervical spine dysfunction.
Chiropractors treat dizziness and vertigo using a package of care that may include manual therapies and onward referral where indicated.
There is evidence to support this approach to patient care:
Hawk C, Khorsan R, Lesi AJ, Ferrance RJ, Evans MW. Chiropractic care for non-musculoskeletal conditions: a systematic review with implications for whole systems research. J Complementary Med 2007 Jun; 13(5): 479-80.
Reid SA, Rivett DA. Manual therapy treatment for cervicogenic dizziness: a systematic review. Manual Therapy 2005; 10: 4-13.
SHOULDER PAIN including ADHESIVE CAPSULITIS
Shoulder pain presents as soreness, tension, and/or stiffness in the shoulder and shoulder girdle region. It can also be related to cervical spine dysfunction and can be secondary to a range of multiple conditions including, which might include, rotator cuff disease and adhesive capsulitis.
Chiropractors treat shoulder pain using a package of care that may include manual therapies, exercise, therapeutic advice and postural advice.
There is evidence to support this approach to patient care:
Vermeulen HM, Rozing PM, Obermann WR, LeCessie S, Vliet Vieland TP. Comparison of high grade and low grade mobilisation techniques in the management of adhesive capsulitis of the shoulder randomised controlled trial Phys Ther 2006 Mar; 86(3): 355-68.
Van den Dolder PA, Roberts DL. A trial into the effectiveness of soft tissue massage in the treatment of shoulder pain. Austr J Physiotherapy 2003; 49(3): 183-8.
TENNIS ELBOW (LATERAL EPICONDYLITIS)
Tennis elbow involves a chronic inflammation of the lateral epicondyle (the distal extensor attachment of the humerus). It may arise secondary to sport-related injuries or chronic repetitive injury. Pain is experienced on the outer aspect of the elbow and is aggravated by repeated activity.
Chiropractors treat tennis elbow using a package of care that may include manual therapies, ergonomic advice in the workplace, myofascial dry needling, the use of supports and onward referral when indicated.
There is evidence to support this approach to patient care:
Bisset L, Paungmaili A. Vicenzino B, Beller E. A systematic review and meta-analysis of clinical trials on physical interventions for latearal epicondylalgia. Br J Sports Med 2005; 39:411-422
Bussieres AE, Peterson C. Taylor JA. Diagnostic imagine guideline for musculoskeletal complaints in adults – an evidence based approach – part 2: upper extremity disorders. J Manipulative Physiol Ther 2008 Jan;31(1):2-32
HIP & GROIN PAIN
Hip pain is pain arising from the anatomical region of the hip. It can arise primarily from the joint itself or soft tissue around it or as a secondary site of pain when referred from the spine. Commonly hip pain may refer into the groin or into the thigh and knee.
Chiropractors treat hip pain using a package of care that may include manual therapies, myofascial dry needling, exercise prescription and onward referral when indicated.
There is evidence to support this approach to patient care:
National Institute for Health and Clinical Excellence. Osteoarthritis: national clinical guideline for care and management in adults. Clinical guideline 59. February 2008
KNEE PAIN
Knee pain is pain arising from the anatomical region of the knee. It may follow a traumatic onset (eg. sports injury) or be related to age-related degenerative change.
Chiropractors treat knee pain using a package of care that may include manual therapies, myofascial dry needling, exercise prescription and onward referral when indicated.
There is evidence to support this approach to patient care:
National Institute for Health and Clinical Excellence. Osteoarthritis: national clinical guideline for care and management in adults. Clinical guideline 59. February 2008
Pollard H, Ward G, Hoskins W, Hardy K. The effect of a manual therapy knee protocol on osteoarthritic knee pain: a randomised controlled trial. J Can Chiroprac Assn 2008; 52: 230-242.
ARTHRITIS
The term arthritis covers a wide range of conditions involving damage and/or inflammation of the joints of the body. These conditions may variously involve pain, swelling or stiffness. There are over one hundred different types of arthritis and broadly, these can be categorised into inflammatory or non-inflammatory in nature. The most common is osteoarthritis, a non-inflammatory condition caused by degeneration or trauma.
Once identified as such, osteoarthritis can be managed by a variety of means depending upon the location and severity. Care options that are open to chiropractors include manual therapies (which may include manipulation), acupuncture, home exercise, supervised exercise, lifestyle advice or orthoses. Chiropractors are qualified to diagnose this condition and determine appropriate treatment strategies for effective symptom relief and functional improvement.
WEAR AND TEAR
Wear and tear is the phrase commonly associated with musculoskeletal degeneration of the body. These may include excessive loading on joints, age-related conditions such as osteoarthritis, or post traumatic reactions to injuries such as fractures or dislocations. In such cases the additional stresses on tissues often cause pain and dysfunction.
Chiropractors manage such conditions using a package of care that may include manual therapies, myofascial dry needling, exercise prescription and onward referral when indicated. These are accepted interventions for this form of musculoskeletal disorder and are commonly used by regulated healthcare professionals specialising in manual therapy, including chiropractors, osteopaths and physiotherapists.
ANKLE & FOOT PAIN
Ankle and foot pain is defined as pain arising from the anatomical region of the ankle and foot. It may arise traumatically or from degenerative change, congenital conditions or inflammatory arthropathies.
Chiropractors treat ankle and foot pain using a package of care that may include manual therapies, myofascial dry needling, use of orthotic supports under the guidance of a Podiatrist
There is evidence to support this approach to patient care:
Brantingham JW, Globe G, Pollard H, Hicks M, Korporaal C, Hoskins W. Manipulative therapy for lower extremity conditions: expansion of literature review. J Manipulative Physiol 2009; 32(1): 53-71
Van der Wees PJ, Lenssen AF, Hendriks EJ, Stomp DJ, Dekker J, de Bie RA. Effectiveness of exercise therapy and manual mobilisation in ankle sprain and functional instability: a systematic review. Aust J Physiotherapy 2006; 52(1): 27-37
SPORTS INJURIES
These can best be defined as musculoskeletal conditions arising secondary to sporting or athletic conditions. Chiropractors manage sports injuries by undertaking a full assessment, performing a physical examination and utilising diagnostic imaging where appropriate.
Chiropractors treat sports injuries using a package of care that may include manual therapies, exercise, rehabilitation and therapeutic advice. They may also use supports and orthotics as indicated.
As musculoskeletal specialists, chiropractors have expertise in this field of care and utilise interventions which are common to other health professions providing care in this area. It therefore follows that there is a substantial evidence base to support the application of physical modalities to the treatment and rehabilitation of sports injuries.
SPRAINS
A sprain is defined as an injury to a joint where the ligaments are carried beyond their normal range of motion without dislocation or fracture. They can be graded depending on the degree of damage sustained to the ligament. Typically, joint sprains fall into the category of musculoskeletal injuries.
Chiropractors manage ligament sprains using a package of care that may include patient education, preventative strategies, manual therapies, myofascial dry needling, exercise prescription and onward referral when indicated. They are often involved in the process of rehabilitation and may work alongside other healthcare professionals in delivering effective care strategies.
There is evidence available to support this treatment approach:
Hepperets MD, Verhagen EA, van Mechelen W. Effect of unsupervised home based proprioceptive treaining on recurrences of ankle sprain: a randomised controlled trial. BMJ 2009 Jul 9; 339: b2684.
Handoll HH, Rowe BH, Quinn KM, de Bie R. Interventions for preventing ankle ligament injuries. Cochrane database Syst Rev. 200; (3): CD000018
REPETITIVE STRAIN INJURY
Repetitive Strain Injury (RSI) is an ill defined condition which most commonly affects the upper extremity. It is a common occupational disorder caused by chronic overuse of soft tissues of the arm and usually affects the wrist and forearm. Carpal tunnel syndrome sometimes falls into this category of condition when it is work-related.
As a syndrome there is limited evidence to demonstrate effectiveness as the condition is often multi-factorial. Chiropractors treat the components of RSI (which may include carpal tunnel syndrome, chronic extensor tendonitis, lateral epicondylitis and rotator cuff injury to the shoulder) and using a package of care that may include manual therapies, myofascial dry needling, exercise prescription and onward referral when indicated. Chiropractors are also well qualified to advise on ergonomics.
There is evidence to support this approach to care. This includes:
Konijnenberg HS, de Wilde NS, Gerritsen AA, van Tulder MW, de Vet HC. Conservative treatment for repetitive strain injury. Scand J Work Environ Health. 2001 (Oct); 27(5): 299-310.
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