Stress awareness month

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Stress awareness month, held every year since 1992. It aims to raise awareness about stress and the knock effects such as anxiety and mental health problems.

Pre conceptual care

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What can I do to secure a successful pregnancy? A successful and healthy pregnancy is all about creating balance in your body and nurturing and environment for a new life to grow. A study conducted by the university of Surrey in England showed that 83% of couples, with previous history of miscarriage, who made changes […]

The trouble with the NHS

NHS physio

Should I wait for NHS physiotherapy? The NHS has been in the news a lot recently with many of the political parties pledging more money to fund service improvements. This additional funding is badly needed and I want to share my experience of working in the NHS. When I started back in 2005 at Croydon […]

Pain, it’s all in your head. Part 6.

Chronic pain in Wandsworth

Take control of chronic pain What should now be obvious about chronic pain is that it does not always equate to tissue damage. So we need to know how to manage this pain to enable us to move on in life. If you feel that all this makes sense to you but you still feel […]

Pain, it’s all in your head. Part 5

Chronic pain in Wandsworth

Stress and chronic pain The brain is constantly receiving sensory information, not only from the tissues but also in the form of sight, hearing, smell and taste. It is also important to remember that thoughts, emotions and beliefs are nerve impulses too, which are processed by the brain and contribute to the output of neurotags. […]

Pain, it’s all in your head part 4!

Chronic pain in Wandsworth

The Neuromatrix approach to chronic pain Once the danger signals reach the brain they are processed by the neuromatrix. This is a term that Ronald Melzack used to describe the combination of cortical mechanisms involved in processing sensory information. Imaging studies have demonstrated that there is no single pain centre; instead multiple brain areas are […]

Pain, it’s all in your head part 3

Chronic pain in Wandsworth

Central changes that contribute to chronic pain We have discussed how danger signals from nociceptors reach the dorsal horn and how they are passed on to secondary order neurones, which transmit the signals on to the brain. However there are structural changes that can happen in the nervous system that cause faulty signalling of sensory […]

Pain, It’s All in Your Head! Part 2

Chronic pain in Wandsworth

Pain in the brain Nociception Nociception is a term that describes the sensation of noxious stimulation that may be interpreted as pain. Nociceptors are nerve cells that reside in the dorsal root ganglion with free nerve endings in the skin, muscles, tendons, ligaments and viscera that relay noxious input to the spinal cord. The predominant […]