Covid-19 News

UPDATE 2nd June 2022
 

As the number of Covid infections in the UK are reducing we are trying to relax some of our precautions. Please read below for our current safety procedure when visiting our practice.

 

 

  • When you arrive for your appointment, you may enter the premises only if the red tape barrier is not across the door. If the barrier is in operation i.e. it is across the front door, call reception letting them know of your arrival and wait there until the receptionist allows you in.
  • As Infection prevention and control for England has advised that the wearing of masks is no longer required in the clinical setting, we are also relaxing our rules for attending our practice. Masks are now recommended and no longer mandatory.
  • To reduce the risk of cross-contamination we recommend that you use contactless card payments where possible.
  • Receipts will be emailed where possible.
  • Please be considerate and patient towards our staff and help us to help you and keep all of us as safe as possible.

Modern Digital X-ray Machine Installation

Rochester Chiropractic Centre is pleased to announce the installation of a modern digital X-ray machine.

 

All films are now digitally produced and recorded. These produce superior quality results compared to the old film variety. We can now also offer our patients a copy of the images at a nominal cost.

 

 

Scientific article in J Manipulative Physiol Ther 2014;xx:1-10.

Cost-effectiveness Of Manual Therapy For The Management Of Musculoskeletal Conditions.

 

Concludes:
Preliminary evidence from this review shows some economic advantage of manual therapy relative to other interventions used for the management of musculoskeletal conditions, indicating that some manual therapy techniques may be more cost-effective than usual GP care, spinal stabilization, GP advice, advice to remain active, or brief pain management for improving low back and shoulder pain/disability.

Nice Clinical Guideline 150 – Headaches

The BCA welcomes the publication today of Clinical guideline 150 “Headaches – Diagnosis and management of headaches in young people and adults” and was pleased, as a Stakeholder, in conjunction with the Anglo European College of Chiropractic to have input to the Guideline Development Group.

 

Whilst there is no specific recommendation for manual therapy for the management of primary headaches, in several studies, the clinical trials suggest that manual therapy is at least as good as conventional care for headaches. More recent trials, not yet considered by NICE, show more favourable outcomes (1) (2).

 

Medication overuse has been associated with harm. The BCA suggests that manual therapy is a low risk intervention that may offer relief to those who do not wish to take medication

 

The BCA supports the need for further research into this often debilitating condition. This should include the class of cervicogenic headaches responsible for one in six cases of headache caused by neck problems which has not been included in this NICE guideline.

 

References:

  1. Effectiveness of manual therapy for chronic tension-type headache: a pragmatic, randomised, clinical trial. Castien RF, van der Windt DA, Grooten A, Dekker J. Cephalalgia. 2011 Jan;31(2):133-43.
  2. Dose response and efficacy of spinal manipulation for chronic cervicogenic headache: a pilot randomized controlled trial. Haas M, Spegman A, Peterson D, Aickin M &Vavrek D. The Spine Journal 2010; 10:117-128.

NICE Guidelines Regarding Low Back Pain & Sciatica

NICE guidelines regarding low back pain and sciatica (Clinical guidelines, NG59 – Issued: Nov. 2016)

 

Consider manual therapy (spinal manipulation, mobilisation or soft tissue techniques such as massage) for managing low back pain with or without sciatica, but only as part of a treatment package including exercise, with or without psychological therapy.

 

Spinal manipulation is part of the package of care that chiropractors offer and, by including this within the guidelines, it will hopefully increase accessibility to these beneficial treatments.