Osteomyology

Our hectic lifestyles ask a lot of our bodies so it should come as no surprise when, our bodies protest!

An Osteomyologist may well be able to help you. Increasingly, they are becoming an indispensable part of an integrated medical service that complements, supports and augments traditional health care practice.

Although treatment is not yet available on the NHS, it is widely available throughout the U.K., with home visits and 24 hour emergency cover sometimes available. However, most treatments take place within the privacy of a clinic or private treatment room.

Osteomyology, breaks down to Osteo (bone) myo (muscle) ology (study of) so, taken literally, it is the study (and specialisation) of bones and muscles.

The application of this knowledge of the body gives rise to a wide range of physical therapy techniques which are utilised and refined constantly by the Osteomyologist.

Osteomyologists are often already qualified experts in their own field which may be Osteopathy, Chiropractics, Manipulative Science, Kinesiology, Physiotherapy or indeed any one of a number of manually based medical disciplines.

When the practitioner feels restricted by the constraints of his/her chosen field, and find they are lacking the tools to achieve a satisfactory improvement in their client, the natural progression is to widen their knowledge beyond the limitations of their society and training – This is the most common reason for joining the ever expanding ranks of Osteomyologists.

What can an Osteomyologist treat?
1. Joint pain and neurological symptoms.
2. Back and neck pain including whiplash.
3. Pregnancy related symptoms including sciatic pain.
4. Sports injuries.
5. Chronic conditions such as arthritis.
6. Repetitive strain injury.
7. Posture problems.
8. Musculoskeletal dysfunction including reduced flexibility of the joints and spine.

Treatment has also been shown to be effective for the following conditions:
1. Migraine and headaches.
2. Period pains.
3. Behaviour problems in children.
4. Diabetes.
5. Stress.
6. Asthma.
7. Glue ear.
8. Colic in babies.
9. Sleep disturbance.
10. Strokes and other neurological problems.

Recent legislation has made it imperative that ALL employers have a duty of care towards their employees. Osteomyologists are often consulted by Health and Safety managers and Occupational Health Nurses to advise on the suitability of furniture and equipment etc. Many practitioners have experience of legal work, advising and preparing relevant documents to support accident and injury claims.

The Association of Osteomyologists

The Association of Osteomyologists foresaw this requirement for the advancement of experienced professional manual practitioners and sustains this progress through a training program of C.P.D. (Continuing Professional Development). Their logo shows the coming together of different bodies, meeting as one in the centre, and this is the whole concept of an Osteomyologist. He or she has decided that in order to treat their patients successfully, they have joined a group that believes in sharing each others expertise to the benefit of the patient.

Back Trouble UK

Degenerative Joint Disease.

Alternative Names: Hypertrophic osteoarthritis; Osteoarthrosis; Degenerative joint disease; DJD; OA; Arthritis-Osteoarthritis.

Causes
Unfortunately most of the time, the cause of OA is unknown. It is mainly related to aging, but metabolic, genetic, chemical, and mechanical factors can also lead to OA.
The symptoms of osteoarthritis usually appear in middle age and almost everyone has them by age 70. Before age 55, the condition occurs equally in both sexes. However, after 55 it is more common in women.

The disease causes the cushioning (cartilage) between the bone joints to wear away, leading to pain and stiffness. As the disease gets worse, the cartilage disappears and the bone rubs on bone. Bony spurs usually form around the joint.

OA can be primary or secondary.
Primary OA occurs without any type of injury or obvious cause.
Secondary OA is osteoarthritis due to another disease or condition. The most common causes of secondary OA are metabolic conditions, such as acromegaly, problems with anatomy (for example, being bow-legged), injury, or inflammatory disorders such as septic arthritis.

Symptoms
The symptoms of osteoarthritis include:
Deep aching joint pain that gets worse after exercise or putting weight on it and is relieved by rest
Grating of the joint with motion
Joint pain in rainy weather
Joint swelling
Limited movement
Morning stiffness
Of course some people might not have symptoms.
Examination and Tests
A physical exam can show limited range of motion, grating of a joint with motion, joint swelling, and tenderness.
An x-ray of affected joints will show loss of the joint space, and in advanced cases, wearing down of the ends of the bone and bone spurs.

Treatment
The goals of treatment are to relieve pain, maintain or improve joint movement, increase the strength of the joints, and reduce the disabling affects of the disease. The treatment depends on which joints are involved.

MEDICATIONS
The most common medications used to treat osteoarthritis are nonsteroidal anti-inflammatory drugs (NSAIDs). They are pain relievers that reduce pain and swelling. Types include aspirin, ibuprofen, and naproxen.
Although NSAIDs work well, long-term use of these drugs can cause stomach problems, such as ulcers and bleeding. Manufacturers of NSAIDs include a warning label on their products that alerts users to an increased risk for cardiovascular events (heart attacks and strokes) and gastrointestinal bleeding.

Other medications used to treat OA include:
COX-2 inhibitors (coxibs). Coxibs block a substance called COX-2 that causes swelling. This class of drugs was first thought to work as well as other NSAIDs, but with fewer stomach problems. However, reports of heart attacks and stroke have led the Drug Licensing Authorities to re-evaluate the risks and benefits of the COX-2s. Ask your doctor whether the drug is 1. Still available and if so 2. Right and safe for you.
Steroids. These medications are injected right into the joint. They can also be used to reduce inflammation and pain.

Supplements. Many people are helped by over-the-counter remedies such as glucosamine and chondroitin sulfate. There is some evidence that these supplements can help control pain, although they do not seem to grow new cartilage.
Artificial joint fluid (Synvisc, Hyalgan). These medications can be injected into the knee. They may relieve pain for up to 6 months.

LIFESTYLE CHANGES
Exercise helps maintain joint and overall movement. Ask your health care provider to recommend an appropriate home exercise routine. Water exercises, such as swimming, are especially helpful.
Applying heat and cold, protecting the joints, using self-help devices, and rest are all recommended.
Good nutrition and careful weight control are also important. If you're overweight, losing weight will reduce the strain on the knee and ankle joints.

PHYSICAL THERAPY
Physical therapy can help improve muscle strength and the motion at stiff joints. Therapists have many techniques for treating osteoarthritis. If therapy does not make you feel better after 3-6 weeks, then it likely will not work at all.

BRACES
Splints and braces can sometimes support weakened joints. Some prevent the joint from moving; others allow some movement. You should use a brace only when your doctor or therapist recommends one. Using a brace the wrong way can cause joint damage, stiffness, and pain.

SURGERY
Severe cases of osteoarthritis might need surgery to replace or repair damaged joints. Surgical options include:
Total or partial replacement of the damaged joint with an artificial joint (knee arthroplasty, hip arthroplasty )
Arthroscopic surgery to trim torn and damaged cartilage and wash out the joint
Cartilage restoration to replace the damaged or missing cartilage in some younger patents with arthritis
Change in the alignment of a bone to relieve stress on the bone or joint (osteotomy)
Surgical fusion of bones, usually in the spine (arthodesis)

Outlook (Prognosis)
Your movement may become very limited. However Treatment generally improves function.
Possible Complications
Decreased ability to walk
Decreased ability to perform everyday activities, such as personal hygiene, household chores, or cooking
Adverse reactions to drugs used for treatment
Surgical complications
When to Contact a Medical Professional
Do contact your health care provider if you have symptoms of osteoarthritis.

Prevention
*Weight loss can certainly help in the management of DJD and reduce the risk of knee osteoarthritis in overweight women.