Expert Treatment in West Hampstead and Maidenhead
Our osteopath healthcare practitioners are experts in treating frozen shoulder, thoracic outlet syndrome and related conditions of the shoulder, neck and thorax. We are a leading osteopathic clinic run by Robin Lansman, a past president of the Institute of Osteopathy and regular guest on BBC TV and radio, and treatment is available at both our West Hampstead and Maidenhead clinics, with easy online booking, and online video consultations also available. We can also advise you on workplace health and other factors to prevent the problem recurring.
Frozen shoulder, TOS and related conditions are complicated complaints which are frequently misdiagnosed. We are experts in understanding the complex and fine interplay between the upper ribs, the mechanics of breathing, postural muscles and the brachial plexus bundle of nerves that runs between the neck and the whole arm providing power and sensation to the area. We can provide an accurate diagnosis of your problem and treat the underlying cause, which is often not where the problem presents.
At our London clinic we work closely with the medical staff at Doctor Today, allowing us preferential access to services such as blood tests and x-rays where necessary. All our osteopaths attend regular continuing professional development, ensuring everyone is up to date with the latest treatments and research.
What Are Frozen Shoulder and Thoracic Outlet Syndrome?
Frozen Shoulder is a particular manifestation of shoulder pain where the shoulder becomes stiff and painful. It can occur when the shoulder is not moved very much, for example after an operation, or can occur without any obvious cause.
Thoracic Outlet Syndrome occurs when there is tension or pressure on the nerves which lead from the thorax into the arm and shoulder. This can cause similar symptoms such as stiffness and pain, as well as other symptoms like pins and needles in the arm or cold feelings in the fingers.
While symptoms may be similar for various types of shoulder, neck and arm pain, getting to the root cause of the problem is essential for treatment to be effective.
Dead Arm, Pins and Needles in Arm, Hot and Cold Feelings
Pressure on the nerves in the thoracic outlet can lead to various sensations in the arm, including numbness, cold feelings or pins and needs in the arm and fingers, or a “dead arm”. All of these can be symptoms that the root cause of your shoulder or arm pain is pressure on the thoracic nerves, which can usually be relieved with appropriate physical therapy.
Sudden pins and needles in the arm can also be a sign of a heart attack. If you are in any doubt call 999 immediately.
Waking Up at Night and Trouble Sleeping
A frequent symptom of frozen shoulder, TOS and related conditions is that the pain can wake you up at night. This may also be accompanied by numbness, etc.
In addition to physical therapy, heat treatment is often used to alleviate symptoms at night, and also finding the right pillow and mattress. Many people suffering from these conditions tend to start using higher pillows as it initially causes relief from the problem and makes it easier to sleep. Over time however, the less natural sleeping position can further exacerbate problems with the nerves in the thorax and upper arm, causing the pain to worsen.
Your osteopath will be able to advise you on the best pillow and mattress, and help you not only sleep better but ensure your sleeping position is most conducive to a full recovery.
How Are These Conditions Typically Treated?
Unfortunately many treatments for shoulder pain and related conditions provide a “one-size-fits-all” approach to treatment. Painkillers are often prescribed, providing temporary relief but no improvement in the underlying problem, or in more extreme cases steroid injections may be used, which again whilst relieving symptoms on a short-term basis do nothing to help on the longer term if the cause is nerve-related rather than simple swelling. Similarly, patients may also be given generic exercises to do which have not been designed specifically for their unique problem and can serve to make the underlying problem worse. In some cases these treatments may continue to be given for months or even years with little or no improvement.
Understanding the underlying causes of your condition and dealing with them directly is essential in effective treatment for frozen shoulder or similar conditions. An accurate diagnosis and appropriate physical therapy, combined with any necessary lifestyle changes, allows treatment to get to the root of your problem, relaxing muscles or addressing joint misalignment which may be the fundamental cause of your pain and stiffness.
Osteopathic Treatment for Shoulder and Thorax Conditions
Osteopathy is a hands-on therapy that uses a variety of techniques including spinal manipulation and soft tissue work, such as massage and myofascial release. Many osteopaths also use dry needling. The aim is to improve strength, flexibility, and alignment of the musculoskeletal system. Osteopathy is a holistic treatment, meaning it looks at the functioning of the body as a whole rather than only looking at individual parts. This is crucial when diagnosing nerve-related thorax and arm pain, as the source of the problem is frequently not where the pain or numbness is felt.
At your first appointment your osteopath will listen to you explain your symptoms and proceed to a full examination of both any affected areas and your general body biomechanics. Your osteopath will then be able to give you an accurate diagnosis of the causes of your shoulder, neck or arm pain, explaining whether it is caused by problems with thoracic nerves, simple muscular tension, or any other reason. They will also explain an appropriate treatment plan of physical therapy, which will typically include manipulation, mobilisation and stretching of the affected areas, soft tissue work, and exercises to do at home.
Osteopaths are experts in posture and overall body mechanics, so we will also be able to identify whether your problem is leading to negative compensatory reactions elsewhere in the body, for example leading to neck pain, back pain or headaches, and work to address these also.
Osteopaths are Allied Health Professionals who also work in musculoskeletal departments of the NHS, and First Contact Practitioners, able to refer you to another service when osteopathy is not the most appropriate method of treatment.
You might also want to take a look at our first visit expectations to see what to expect on your first visit to an osteopath.
Treatment at Body Back-Up for Frozen Shoulder and TOS
We have clinics in West Hampstead and Maidenhead and our osteopaths have many years experience in treating frozen shoulder, TOS and related conditions. We are registered with the General Osteopathic Council, and offer treatment in accordance with NICE guidelines.
We pride ourselves on our 6-step treatment process and ensuring that you are listened-to and involved at every step of your treatment, that you understand the treatments you are being given, and are informed as to your progress and how long your recovery is likely to take. We also offer diagnostic appointments via online video consultations, offering a quick and easy way to obtain a professional diagnosis.
Your lifestyle and comfort during your recovery is also important, and we will advise you on factors like how to sleep with your condition, whether and when to take painkillers or use things like heat pads, whether activities like yoga and pilates can help, and the best mattress, chair and so on. We will also give you specialised exercises and stretches for your unique case.
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Read Our Testimonials
Back Pain Playing Golf
Treating the root cause rather than the symptom
I have visited Robin Lansman and his team for several years after suffering since my late teens with lower back problems. Robin quickly pointed out other areas that could bring on the problems and in actual fact, all the other treatments I had gone through in the past were treating the symptoms rather than the root cause. With a bit of work, and following the exercises, I have reduced my pain to minimal levels, know when things are getting out of balance again and, importantly, know how I can help myself to stop the pain from spiralling out of control.
I cannot recommend Body Back-Up highly enough and have sent several members of my family to Robin so that they can also benefit from his expertise and knowledge.
Robin Lansman was recommended to me by a skiing friend of mine who was watching me struggling with a Locked Back in Klosters. I had been to a sports doctor who, fancy on paper, prodded me, but didn’t actually tell me what to do.
Anyway, I pitched up at Maida Vale and 6 sessions later I am a lot better and my next skiing session was in a different league. Highly recommended!
I emailed Robin Lansman digital photographs of my desk at work and he has tweaked how I sit. Also my bike, which was rejected out of hand as being totally unsuitable such a good idea. As a result my back is miles better.
Body Backup really are very helpful and are highly recommended they will sort you out.
Sports Injury Care
Thank you so much for all your advice and the work you did on my knee and back before the Rome half marathon on Sunday. I completed the race without stopping to walk in 1:54:57, a time I would have been aiming for if I had not been injured, and had the month before the race to train! I really think you helped me achieve this and I am thrilled. Thank you so much.
Spinal Damage – Slipped Vertebrae
Had a long journey so far, with an injury from 2004. Spinal damage – slipped vertebrae (spondy) and torn hip ligament. Had an operation (after 3 years of chiropractic, physio and personal trainer), screws and spacer for my spine. My recovery has been progressing slowly since 2007, but grew frustrated more recently that I still cannot sit, stand or walk comfortably, let alone run.
After 3 sessions with Robin, and maintaining a regular daily schedule of the simple but effective exercises he gave me, my hip pain has greatly reduced, and I am now able to sit, stand, walk and even run comfortably.
I cannot believe the difference these three sessions have made to my mobility and comfort levels. I have known for some time that I needed to retrain muscles to support correct joint movement, but hadn’t found anyone who could help me to achieve this efficiently. Until now. So Happy.
Long Term Back Pain Resolved
I have suffered with back pain for 20 years and seen Consultants, Physio’s & Doctors and none of the advice or treatments helped. Pain relief worked but only to mask the underlying issue. I have probably spent “Thousand of pounds” on medication, private appointments, orthopaedic devices and time off work. AFTER just ONE £45 session my back felt like a “million dollars”. PROPER advice and diagnosis has helped along with my own research. I was not “Power Sold” further treatments, but will be making another appointment next month.
Treatment is a two way responsibility and I am so glad I had finally found a healthcare professional in Karen Phillips, who understood and diagnosed me immediately. Am still waiting for the good effects to wear off! Great nights sleep, drive into work good. Posture issue also identified. The rest is up to me now to maintain and exercise. MANY MANY THANKS I now no longer live in pain or FEAR of back spasm’s.
I was recommended to come to Body Back-Up by my GP. The difference it has made in my life has been tremendous! I have had about six treatments now and whereas I could barely get in or out of the car or stand for any great length of time I now find that my life has changed and I have my fitness back. I have got my life back and my mobility is just so much better now that it was when I first came here to see Robin Lansman. I have got my life back and am able to do all the things I couldn’t do before and in fact have probably never been able to. Thank you!