Our Treatments

Many people are surprised at the range of conditions that chiropractors can treat. The explanation is that many of these conditions have the same root cause: misalignment or stiffness of a joint pinching or irritating nerves. For example, pinched nerves from joint problems in the upper neck may cause headaches; in the lower neck, they may cause pain in the arms; in the lower back they may cause pain in the legs- also known as sciatica.

Headaches and Migraines

Headaches and Migraines

A frequent and often overlooked cause is problems with the joints in the neck and upper back.

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Although Headaches are common, they are not normal. Pain killers numb your nervous system so that the pain doesn’t register but they don’t correct the underlying cause of the headache.

There are many types and causes of headache and migraine. A frequent and often overlooked cause is problems with the joints in the neck and upper back. When the bones of the spine lose their normal position or movement this can affect nerves, muscles and even the blood supply to the head.

The Chiropractic approach to headaches is to check if the spine is moving properly. We notice if the spine is shaped normally, look at your posture and your ability to turn and bend. We test the nerves that come out through holes in the base of the skull (the cranial nerves) and the neck to make sure they are functioning properly. These and many other examinations help us to determine if you are likely to benefit from chiropractic care.

If we think you can we will suggest a schedule of chiropractic treatments. Treatment improves the alignment of the bones in the neck so that they can support the head properly without excessive muscle tension. It also improves circulation and reduces nerve irritation. In this way it can reduce the frequency and severity of the patients headaches.

Neck pain

Neck pain

The chiropractic approach to neck pain is to find its underlying cause

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The chiropractic approach to neck pain is to find it’s underlying cause. This begins with a complete case history and thorough examination. Special attention is given to the structure and function of the spine and it’s effect on the nervous system.

Is the normal curve in the neck present? Are the nerve openings between each pair of spinal bones free and clear? Is the head balanced? Are the shoulders level? These and other considerations are used to create a plan of specific chiropractic adjustments to help improve the movement and position of the spinal vertebrae.

Here at the Portobello Chiropractic Clinic we treat neck pain with a combination of chiropractic adjustments and specific muscle relaxation techniques. We also give strengthening exercises, postural and ergonomic advice. We have found this combination to be the most effective at improving the function and stability of the neck.

Scientific studies support this view and have found it effective at treating both chronic and acute neck pain both in terms of improved mobility and reduction in pain.

Shoulder pain

Shoulder pain

We are experienced at determining the cause of shoulder pain

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While other joints are limited in their motion and therefore more stable, the shoulder is a freely moving joint, leaving it vulnerable to injury. There are many different soft tissues in the shoulder including ligaments, tendons and muscles. All of which can be injured by improper movement, trauma or overuse. These structures work together to create the coordination and strength required for proper pain free function of the shoulder. The shoulder is also a place where pain can be referred – from the neck, the heart and the gallbladder for example. We are experienced at determining the cause of shoulder pain. Our training enables us to make a diagnosis using the information we gather in the medical history, examination and from imaging if it is necessary (x-ray, MRI, ultrasound).

If the pain is due to a medical illness we will refer the patient to a medical doctor with an accompanying letter or phone call explaining what we have found. More often than not the cause of the pain is something we can treat however, and below is a list of common problems that benefit from chiropractic treatment. For all of them we use a combination of chiropractic adjustments, muscle stretching and relaxing techniques to reduce pain, improve the range of motion and coordination. We also prescribe home exercises and stretches and give postural advice to improve stability and speed the healing process.

Referred Pain from the neck and thoracic spine

Problems in the neck and upper back can put pressure on or ‘pinch’ the nerves that control the shoulder. This is a common cause of pain and muscle tension in the shoulder. Chiropractic treatment by improving the function of the spine in these areas can remove the pressure on the nerves so allowing the pain and muscle spasm to subside.

Rotator Cuff Strain or Tendonitis

The Rotator cuff muscles are responsible for keeping the shoulder in it’s socket and correctly coordinating it’s movement as the arm is raised. These muscles are vulnerable to injury when a sudden strain is put on the shoulder. They are commonly injured by athletes whose sports involve repeated sudden over arm movements like bowlers in cricket or tennis players. When they are injured these muscles can cause weakness and pain radiating from the shoulder down the front of the arm as the shoulder is moved and rotated.

Biceps Tendonitis

The biceps muscle flexes your arm at the elbow and lifts the arm, one of it’s tendons runs through a groove and attaches to the shoulder. This tendon can commonly become inflamed through injury or repetitive strain.

Adhesive Capsulitis

This is also a common disorder of the shoulder, where scar tissue forms around the shoulder. The cause of adhesive capsulitis is unknown but it is often preceded by a period of shoulder immobility –like placing the arm in a sling. It usually starts with a period of severe pain in the shoulder, the pain then often subsides a little as the shoulder becomes extremely stiff. The course of the condition is usually about 18 months if left untreated. Chiropractic treatment can significantly shorten this.

Shoulder Impingement Syndrome

This gives pain particularly with overhead activities. It is due to incorrect positioning of the shoulder and poor coordination causing trapping and irritation of the soft tissues of the shoulder as the arm moves.

Whiplash

Whiplash

As doctors of chiropractic, we are trained for proper examination

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Injuries to the spine caused by a sudden movement of the head backwards, forwards or sideways are commonly referred to as ‘whiplash’ injuries. Most whiplash injuries occur while sitting in a stationary car: for example being driven into the back of at a round-about. Serious whiplash injuries can occur even at low speeds when there is little or no damage to the cars involved. The resulting injury to the spine can result in headaches, blurred vision, dizziness, pain in the shoulders, arms and hands, reduced ability to turn and bend, and low back problems. As the body attempts to adapt, symptoms may not appear until weeks or even months later.

At worst, whiplash injuries can cause fractures and dislocations – this is why it is important that you are examined properly, as Doctors of chiropractic, we are trained to do this. On your first visit, we will take a full history and give you a thorough examination including neurological and orthopaedic tests to assess the extent of the damage. We can also take and read x-rays here in the clinic if they are required.

How can chiropractic treatment help?

Specific chiropractic spinal adjustments, because they can help restore proper motion and position of individual spinal bones, reduce muscle tension and the build up of scar tissue and help assure proper healing. Chiropractic treatment can help you get well and stay well after the trauma of a whiplash injury. How can a whiplash injury cause pain in my arms and hands?

Because the nerves to the arms and hands exit the spine through the injured area of the neck, numbness and tingling are common. Even lower back pain can result directly from the trauma or as a reaction to the altered positioning of the head and neck afterwards.

Why did the pain start more than a week after the accident?

The spine constantly adapts to injuries it sustains whether from a traumatic injury like a whiplash, or from smaller every day strains like poor posture, sitting bent over a desk, lifting or bending awkwardly. Symptoms only appear once your capacity to adapt is exhausted. This can take days, weeks, months or years to occur.

Back pain

Back pain

Chiropractors are experts at diagnosing the cause of your low back pain

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Back pain results in millions of pounds of lost work and untold suffering every day. Many factors can be responsible for low back pain. Improper sitting or lifting, poor posture, trauma or inherited spinal abnormalities are common causes of back problems.

Chiropractors are experts at diagnosing the cause of your low back pain. Scientific research has shown that chiropractic treatment is more effective and longer lasting than hospital out-patient treatment (painkillers and physiotherapy).

Dr Lamond conducted a study looking at sick leave taken by bus drivers suffering Low Back Pain. The study found that bus drivers given chiropractic care for their low back pain took significantly less time off work. The study demonstrated that providing chiropractic care to their employees saved the bus company money.

This was because the cost of providing chiropractic treatment was significantly less than the money they saved in sick leave payments. It was dwarfed by the cost of sick leave, paying the replacement drivers and administrative costs together.

Disc problems

Disc problems

Chiropractic treatment corrects the way the spine moves

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The intervertebral discs connect the bones of your spinal column. Each disc attaches to the vertebra above and below it. This provides the proper spacing for the nerves to exit the spine. Intervertebral discs can thin, wedge, bulge, protrude, tear or herniate, but they cannot slip. Healthy discs give you flexibility, allowing normal turning and bending.

When discs are injured they can put pressure on the spinal nerves that exit the spine through small holes adjacent to the discs. Damage to the nerves can cause pain, muscle spasms, numbness and pins and needles both in the back and where the nerve travels. In the low back, pressure on the nerves can cause these symptoms in the leg (also known as sciatica), in the neck and upper back it can cause symptoms in the arms.

Chiropractic treatment corrects the way the spine moves. Getting you moving correctly stops you irritating the damaged areas and the pressure is taken off the nerves so that they too can heal and function properly.

Pregnancy back/pubic pain

Pregnancy back/pubic pain

Chiropractic treatment can help keep your spine and pelvis balanced and pain free throughout pregnancy

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During this period of rapid growth, hormonal changes, the laxity of connective ligaments and shifting of weight women are more vulnerable to low back and pelvic girdle problems. Misalignments of the joints that can be compensated for and coped with prior to pregnancy often start to cause symptoms as pregnancy progresses due to the shift in weight and the increased strain placed on the back, hips and pelvis.

However, pain in these areas are not a normal or necessary part of pregnancy, they indicate that there are problems in the joints which can be treated by chiropractic treatment. Chiropractic treatment can help keep your spine and pelvis balanced and pain free throughout pregnancy.

We have a specially designed treatment table that allows us to comfortably and safely treat women even at advanced stages of pregnancy. Treatment is specific to pregnancy – taking to account the laxity of the ligaments and the position of the baby.

It is safe and beneficial for both the mother and her baby: ensuring the pelvis and low back are moving properly not only makes pregnancy more comfortable for the mother, it reduces the amount of muscle spasm in the pelvis allowing more room for the baby and making it easier for him or her to descend into the pelvis and assume the best position for labour.

Pubic pain or Symphysis Pubis Disorder in pregnancy

The Symphysis Pubis is the joint between your pubic bones at the front of the pelvic girdle. It can become sprained during pregnancy causing SPD (symphysis pubis disorder). SPD is a common problem encountered by pregnant women. SPD causes pain and difficulty when walking. Some women describe the feeling of their pelvis coming apart. The pain is made worse when turning in bed or doing something that involves standing on one leg, such as climbing up stairs, getting dressed and getting in and out of a car. The pain is generally felt in the pubis and/or the sacro-iliac joints (the joints between the lower spine and the pelvis), but can also be experienced in the groin, the inner side of the thighs, the hips and in one or both buttocks.

Most people are told that SPD is just an inevitable consequence of premature laxity of the ligaments allowing the pubic bones to separate. In my experience (10 years of successfully treating women with this condition) SPD is nearly always caused by stiffness and misalignment of the sacroiliac joints (the joints with the spine at the back of the pelvis). Chiropractic treatment gets the joints of the pelvis moving correctly and realigns them. This takes the strain off the symphysis pubis and relieves this condition.

Midwives, Gynaecologists and orthopaedic surgeons now regularly refer women suffering from this condition to our practice.

Trapped/pinched nerves

Trapped/pinched nerves

Chiropractors are specialists in the diagnosis and treatment of problems in the muscles and joints

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Chiropractors are specialists in the diagnosis and treatment of problems in the muscles and joints. These problems can irritate or pinch nerves, causing pain and muscle spasm in the spine or other parts of the body, often in the neck, shoulders and back. Pressure on the nerves can also result in dizziness, and in pain or sensory impairment of the face, arms or legs.

Chiropractic treatment aims to restore the normal movement of the joints thereby taking pressure off the nerves. The aim of treatment is therefore not only to relieve pain but to allow the nerves to function properly, so allowing the body to balance and heal itself.

Could you benefit from seeing a Chiropractor?

If you are suffering from any of the above, give us a ring.

Joint pain: Osteoarthritis

Joint pain: Osteoarthritis

We aid restoration of proper bone motion

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The chiropractic approach that works so well with the spine can be applied to other joints of the body. Other joints of the body can lose their normal motion and position as well.

When chiropractic techniques are applied, range of motion can be improved and painful inflammation reduced. Without drugs or surgery. Chiropractic works by restoring proper motion of bones and reducing nerve irritation.

Osteoarthritis or joint ‘wear and tear’ can stiffen joints and make them more likely to become misaligned but in most cases people with this condition can still benefit from chiropractic treatment.

Knee pain

Knee pain

The chiropractic approach to knee pain is to find it’s underlying cause

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The chiropractic approach that works so well with the spine can be applied to the knee. When chiropractic techniques are applied, range of motion can be improved and painful inflammation reduced, without drugs or surgery.

Chiropractic works by restoring proper motion of bones and reducing nerve irritation so the knee is controlled correctly. We also teach you the rehabilitation exercises and stretches to strengthen and stabilize the knee after treatment.

Ankle pain

Ankle pain

Restore motion and strengthen with exercise

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The chiropractic approach that works so well with the spine can be applied to other joints of the body. The joints in the foot and ankle can lose their normal motion and position as well.

When chiropractic techniques are applied, range of motion can be improved and painful inflammation reduced. Without drugs or surgery. Chiropractic works by restoring proper motion of bones and reducing nerve irritation.

We also give strengthening exercises and stretches to help maintain the correct position and stability of these joints.

Foot pain

Foot pain

Chiropractic treatment can correct the way the joints of the foot and ankle move

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The chiropractic approach that works so well with the spine can be applied to other joints of the body. The joints of the foot can lose their normal motion and position as well.

When chiropractic techniques are applied, range of motion can be improved and painful inflammation reduced. Without drugs or surgery. Chiropractic works by restoring proper motion of bones and reducing nerve irritation.

Plantar fascitis

The plantar fascia is name of the connective tissue that runs along the sole of the foot from heel to ball of the foot. This connective tissue can be over stretched if the joints of the foot and ankle aren’t moving correctly.

Over stretching of the plantar fascia leads to pain and inflammation particularly in the areas where it connects to the bones at the heel and balls of the feet. Chiropractic treatment can correct the way the joints of the foot and ankle move and so stop the over-stretching that causes the pain and inflammation in plantar fascitis.

Sports injuries

Sports injuries

Groin strain; achilles tendonitis; tennis/golf elbow

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The chiropractic approach that works so well with the spine can be applied to other joints of the body. Other joints of the body can lose their normal motion and position as well.

When chiropractic techniques are applied, range of motion can be improved and painful inflammation reduced. Without drugs or surgery. Chiropractic works by restoring proper motion of bones and reducing nerve irritation.

Jaw pain/clicking/locking

Jaw pain/clicking/locking

Skilled chiropractic care can restore proper movement of the jaw

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The temporo-mandibular joint (TMJ) is the joint between your jaw and your skull that allows you to open and close your mouth. (You can feel the joints move by placing your fingers in front of your ears and opening your mouth.) Problems with these joints commonly result from trauma to the jaw, teeth grinding and from spinal problems.

Skilled chiropractic care can restore proper movement of the jaw and correct the balance of the muscles that move these joints, reducing pain, stiffness, clicking sounds or locked jaw.

How we've helped others...

“Portobello Chiropractic did amazing things for me. I was a mother of a young toddler when my old back problems resurfaced, at times rendering me literally unable to stand. Having tried various osteopaths, physios, etc, a friend recommended Nick Lamond.

Despite expecting nothing more than anyone else had managed, treatment-wise, Nick totally sorted me out, and was actually able to tell me exactly what was wrong with my back, which no-one else had seemed able to do. I felt like an individual with an individual problem, not just someone approaching 40 with a bad back!

Also, importantly, I was able to bring my toddler along to appointments. I have, and would, totally recommend Nick Lamond and all at Portobello Chiropractic for their professionalism, thoroughness, friendliness and for actually sorting my problem out!”

Jessica