Archive for August 2020

Carpal Tunnel Syndrome

Carpal Tunnel Syndrome Affects Various People in Glasgow & Ayrshire

While carpal tunnel syndrome (CTS) affects 4 percent of the population, certain people have a significantly higher risk of the condition, and a variety of causes will need to be treated in order to achieve a successful outcome.

Trauma: An acute trauma, including fracture bones, can lead to CTS. However, it is more common to link chronic stress reactions with the condition.

Anatomy: Not all wrists are equal and some individuals may have a narrower carpal tunnel which increases the chances of inflammation of the tendons passing through the region, and compressing of the median nerve.

Arthritis: Osteoarthritis can cause spur formations that project into the tunnel and increase pressure on the nerve. Rheumatoid arthritis causes irritation of the wrist joints and the lining of the tendons, and may also exert pressure on the median nerve as it travels through the wrist.

Hormones: Hormonal changes caused by breastfeeding, menstruation, menopause, birth control drugs, hormone replacement therapy, diabetes, hypothyroid, kidney disease, lymphedema, etc. can lead to carpal tunnel swelling or inflammation which can put pressure on the median nerve.

Medications: Certain drugs can raise the risk of CTS, such as anastrozole, a medication used in the treatment of breast cancer; diphosphonates, a class of drugs used to treat osteoporosis; oral anticoagulants; and more. (When there are non-musculoskeletal causes, treatment can include co-management with a patient’s doctor.)

Job environment: CTS risk factors in the office include a cold climate, vibrating equipment, uncomfortable neck / arm / hand configurations, no breaks, excessive machine mouse activity and more. Individuals who work occupations that are marked by quick, repeated, and aggressive behaviours related to grip / pinch can develop CTS up to 2.5 times more often.

Other Musculoskeletal Conditions: The median nerve may be squeezed when it travels through the spine, back, elbow, and forearm, which may cause CTS-like symptoms in the hand and wrist, even though the carpal tunnel itself is not distorted.

Your Osteopath will need to study the history of each patient’s wellbeing and analyse the entire length of the median nerve to determine the potential factors for optimum outcome.

If you are suffering from CTS or any conditions you feel a session with Cram Osteopaths would help you – please book online at

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Various Causes of Hip Pain

Various Causes of Hip Pain

Hip pain is a very common issue in older adults which can impair their movement and ultimately their freedom. Although it is normal to think that hip Osteoarthritis (HOA) is responsible for the aged population’s prevalence of hip pain, the Framingham Osteoarthritis Research (FOS) found that is not always the case.

The FOS authors reported the presence or absence of HOA on x-ray, was poorly correlated with hip pain. Only 15.6 per cent of participants with frequent hip pain had x-rays that showed HOA. When only about one in six people with hip pain have HOA, from where does their hip pain originate?

Bursitis is a common cause. The bursae are fluid-filled sacs found between joints and attachments to the muscle tendon, that cushion the tissue and protect it. Bursitis is an inflamed bursa, which is typically the product of trauma — repetitive over time or following a one-time macro-traumatic incident, including a sport accident.

Hip synovitis (HS) is an inflammatory disease of the synovial membrane (SM) of the hip which is within the joint capsule. SM has the purpose of lubricating and nourishing the cartilage and bones within the joint capsule. The SM is what causes a joint to swell easily after an injury (think about knee or ankle fracture with LOTS of swelling).

Hip synovitis may result from damage, such as a labral tear in which the thin cartilage or labrum ring (located on the hip socket rim) breaks. The labrum cushions the hip joint and acts as a seal of rubber which helps to keep the ball in the hip socket. Injuries from athletics and slip-and-fall will cause labral tears.

Certain sources of hip discomfort include inflammation (various types), damage (bursitis, synovitis, dislocation, fracturing, labral tear, inguinal hernia, sprains, tendinitis, or strains), pinched nerves (sciatica, pinch of the femoral nerve), tumours, and more.

What are Osteopaths doing to aid hip pain? The first step is to develop an objective diagnosis by understanding the history of the patient, a detailed analysis and, if necessary, medical testing such as x-rays or even an MRI. When there is a possibility of a medical issue or other forms of inflammation, a patient may be referred to a doctor for blood testing.

If the condition is musculoskeletal in nature, care may include hip and adjacent joints compression, recovery, and soft tissue therapy for pelvic and low back. Patients may also receive recommendations for nutrition and exercise to reduce inflammation and aid the healing process.

If you are suffering from hip pain book into our Glasgow Or Ayrshire clinics at this link

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Forward Head Posture & Neck Pain in Glasgow & Ayr

Forward Head Posture & Neck Pain in Glasgow & Ayr

Neck pain is one of the most common complaints that results in patients seeking Osteopathic care. Cause of injury is often a reported traumatic incident, but in other cases, the neck pain is the product of wear and tear from bad posture — especially head forward posture.

The Head, weighing 10-11 lbs. (4.5-5 kg), usually rests above your shoulders. If the head of an adult bends to glance at a computer screen or gaze down at their smartphone / tablet, the muscles in the back of the neck and upper back / shoulders tend to work harder to hold the head straight.

Experts estimate that the head feels around 10 lbs for every inch (2.54 cm) of forward head posture, however even heavier on the muscles that attach the head and neck to the back. To demonstrate what that feels like, pick up and hold a 10-pound object, tight to your chest, like a bowling ball. Keep it up with your arm extended out from your body to notice how much heavier it feels, and the pressure it places on your body to sustain the position, even for just a brief while.

Forward head posture is something the body can manage in the short term, but over time the muscles can get tired and the strain can injure the soft tissue in the back of the neck, shoulders and upper back. Some muscles may get stronger to adapt (and some may atrophy), the shoulders may roll forward, the cervical curve may straighten etc. Researchers have observed that forward head posture, particularly with rotation and forward flexion movements, can also reduce neck mobility. Although these changes may lead to a number of negative health problems, neck pain is perhaps the most obvious and common.

If a patient arrives for Osteopathic neck pain treatment, it is usually appropriate to correct postural defects in order to produce a successful result. This can be achieved through manual therapies to restore proper movement in the affected joints, and through exercises to retrain the muscles that may have become deconditioned.

A patient may also need to learn improved postural practices, especially when communicating and interacting with their electronic devices. While the process may take time, the good news is that forward-head posture can be reduced, which can also reduce the risk of recurrence of neck pain.

If you are struggling with neck pain or any related issues, please book into one of our locations which can be found here

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Choose Your Osteopath First for Low Back Pain

Choose Your Osteopath First for Low Back Pain

Seeing an Osteopath first will also reduce a patient’s risk of needing to perform a surgical operation to treat back pain. A research released in Spine in 2013 looked at statistics from government employees and found 43 percent of those with a back injury who first approached their doctor, ended up getting surgery when just 1.5 percent of those who first had Osteopathic treatment eventually had surgery for back pain — a major disparity.

Will it matter what sort of health care provider a patient first sees for treatment when it comes to a condition like low back pain? A report released in 2015 investigated this issue and concluded that a patient’s originally treated form of healthcare provider, had a significant effect on both their short-term and long-term prognoses.

Researchers in the study examined 719 patients with low back pain, 403 of whom first met with a general practitioner and the remainder were first receiving treatment from an Osteopath. Studies found that not only did the patients in the Osteopathic Treatment community report a significant decline in their low back pain, they were much more satisfied with their treatment. The study concluded they strongly recommended Osteopathic care for patients with low back pain as the main and initial treatment option.

In a 2019 study, researchers reviewed medical records from over 216,000 patients without a history of opioid use and who had new-onset back pain, to see if initial provider choice influenced future prescription narcotic use.  The results showed that in the short-term 22 percent of patients required an opioid prescription; however, patients who first met with an Osteopath were much less likely to need either a short-term or long-term medication plan, than those who first saw a general practitioner. The study authors concluded, “Incentivising use of conservative therapists may be a strategy to reduce risks of early and long-term opioid use.”

A subsequent research tracked a group of 2,870 patients for four-years, with acute and chronic low back pain. The researchers found that Osteopathic treatment offered more beneficial short-term outcomes for patients with chronic back pain, while patients with both acute and chronic low back pain showed better long-term outcomes, especially in chronic patients with leg pain extending below the knee.

Try Osteopathic treatment FIRST to find the most comfortable, reliable and cost-effective approach to treating acute or chronic low back pain! Book online at

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Hints & Tips for Energy Boosting

Hints & Tips for Energy Boosting

Many people will look for a sugary snack or a caffeinated drink as tiredness occurs during the day. Whilst these activities may lead to a quick, fast burst of energy, the crash can leave us feeling much more exhausted afterwards. Let’s look at better and healthier ways of raising energy levels.

1) EAT BREAKFAST: Studies have found that there is less exhaustion and fatigue found in those eating breakfast than in those who miss it. Avoid white flour / sugary options, such as donuts. Instead, consider fruit and fibre-rich foods, such as oatmeal, that help maintain satiety longer.

2) EXERCISE: A quick 5- to 10-minute walk or quick burst of exercise can increase blood flow to the brain and improve cognitive function.

3) SING/TALK: Singing activates different brain pathways which can boost emotions as well as reduce levels of stress hormones. Try it while driving or feel those eyelids falling at any moment, but maybe NOT at an office meeting! Speaking activates brain regions like music, making us more alert.

4) DRINK WATER: Feeling lethargic is one common dehydration symptom. Try drinking water during the day (such as eight 8-oz. glasses a day), as some doctors also suggest you might still be in a moderate state of dehydration. Hunger can often be mistaken for dehydration, which may also hinder cognitive function and increase the likelihood of headaches.

5) SUNSHINE: Spending time in the sun stimulates the development of vitamin D which boosts energy. A new research found that sunlight exposure during the workday not only resulted in healthier sleep but also increased cognitive test results.

6) SNACK: Start consuming almonds and peanuts which are rich in magnesium and folic acid and are important for the development of energy and new cells. Consuming protein and slow-burning carbs with fresh berries like bananas, peanut butter, or granola will also help control blood sugar levels. A scented spice, like cinnamon or peppermint, can even combat tiredness and make us more alert.

7) LAUGH: Listen to comedy or think about a recent funny encounter and laugh out loud, if possible — it’s incredible how it stimulates those centres of the brain to give you a boost of energy.

8) GET MORE SLEEP: It seems obvious but it’s unhealthy to sleep less than seven hours a night because it decreases the energy resource that you have available during daytime. Sleep quality is also crucial so we recommend a sleep test to assess for sleep apnea, if you toss and turn or wake up a lot at night.

If you would like to consult with us on a wide range of health treatments, we are based in Glasgow and Ayrshire. Please feel free to book online and we look forward to seeing you!

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