Disciplines within our team
Spinal surgeon 0.2
Physiotherapist 0.7
Spinal Physician 0.2
Consultant in Anaesthesia and Pain Management 0.1
Osteopath 1.0
Rationale behind the use of each discipline:
Osteopathy
Aims to maximise function within structural constraints. Generally hands on treatment, manipulative in nature with the patient as the passive participant.
Most helpful for:
- Acute mechanical spinal pain.
- Altered postural mechanics.
- Single segment dysfunction.
- Soft tissue overstrain/overuse.
- When more aggressive intervention needed, but its use contra-indicated.
Physiotherapy
Physiotherapist, Marc Rapkin, uses mainly exercise rehabilitation and core muscle stabilisation techniques with the patient as the active learning participant. He also uses acupuncture/dry needling techniques.
Patients are generally
- Chronic rather than acute
- Postural underlying issues
- Many have reoccurring episodes of similar types of pain
Patient characteristics
These are generally patients who have reached a stage in their condition where they are positively motivated towards helping themselves and are willing to actively participate in learning how to control/manage their condition and learn preventative strategies.
Consultant in Anaesthesia & Pain Management
Dr Mike Bailey’s input to the Team is mainly concerned with patients who present with:
- yellow flags
- require drug manipulation
- require local anaesthetic/steroid blocks
Spinal Physician
Dr Simon Harley's interest lies with patients suffering musculoskeletal who fall outside the remit of the Orthopaedic Surgeon and Rheumatologist. He offers rapid assessment and diagnosis, communication with the patient and liason with colleagues and primary care.
Dr Harley is trained and experienced in interpretation of X-rays and MRI scans, injection treatments (including caudal epidurals) manipulation, dry needling nad acupuncture
Spinal Surgeon
The role of Mr David Sharp is mainly in the arenas of diagnosis, investigation and invasive diagnostic techniques.
Diagnosis
- Further assessment of nerve root pain
- Red flags
- Neurological disorders
- Cauda equina syndrome
- Inflammatory disorders
- Failed conservative treatment
Investigation
- Specialised blood tests
- Special X-ray reviews
- CT
- MRI
- Ultrasound
- Bone Scan
Invasive diagnostic techniques
- “probing”
- discography
- pars injections
- spinal biopsy
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