Question: I’m new to the list and would very much appreciate any recommendations for Osteopaths. My doctor thinks I have Carpal Tunnel Syndrome but I also have problems with my knees, back and neck (just about everything clicks!). Of course, I have to wait for 6 weeks before I can see a neurologist for confirmation of CTS but in the meantime am in quite a lot of pain and the numbness is driving me mad, not to mention clumsy fingers.

I work at a computer for 98% of my time but my doctor does not seem to think I should take a break. Didn’t really even seem to consider CTS as a form of RSI? Unfortunately, I’m a contractor and taking time off has financial consequences, however I am trying to alter my work methods to reduce mouse & keyboard work and I am looking into voice software. I have made an appointment to see an osteopath. It was a tad worrisome that he could fit me in the same day…perhaps someone has used him, Torben Hersborg D.O. M.R.O. or even knows what the letters mean?! If anyone can recommend any specialists in the area or knows of some city based yoga classes I’d love to hear from you.

Answer 1: You don’t say where you are? I’ve just found a very good one in Aberdeen!
Seriously, good luck. I am definitely feeling positive about my own experience with osteopathy so far.

Answer 2: Clicking joints are quite normal. To check for CTS the neurologist will (should) get a nerve conduction test done on you. This will find out if there is compression or damage to the nerves. The nerve compression or damage could be anywhere between the hand and the neck, not necessarily at the wrist. If the nerve conduction test does not show problems at the wrist then make sure you get some ANT physiotherapy as this will relieve nerve compression elsewhere in the arms and might help with CTS if you have it. Quite a few people in the medical profession, normally the ones who know what they are talking about, only class the diffuse muscle pains and the nerve pain due to ‘minor’ nerve damage as RSI, all the other conditions (e.g. CTS, tendinitis etc) are not considered to be RSI but are treated as separate conditions. Mind you the term RSI is rather contentious!

  • D.O. = Doctor of osteopathy (not a medical Doctor btw)
  • M.R.O = member of the register of osteopaths, I think

All osteopaths are supposed to be regulated by law, from what I last read. Get him to explain, if he won’t. I would find someone else. Get in contact with the RSIA and the London based support groups (I assume you are in London.) 01895 431134 as they will know the London specialists. If you are going in for Yoga avoid the more ‘aggressive’ forms as they could make you worse.

Answer 3: I have De Quervain‘s tenosynovitis and that and carpal tunnel are 2 of the main types of RSI – but terminology is changing. Whatever, you shouldn’t be at a computer that much. People on this list can help you and recommend a more specialist list (I think there’s a link to it on the RSI page on Demon, but I’ve forgotten the address of that!). I know you won’t want to do extra typing now but unfortunately it’s one of the best ways of finding things out. Well, mine normally can’t and he deliberately doesn’t book in too many patients (_true_!).

  1. If you’re in London, follow Doug’s advice, or if it would be quicker, I can recommend a very good London one.
  2. A magazine called _Here’s Health_ lists all the letters people should have after their names; it also lists the national associations to write to about that.

I have never had actual problems with osteopathy but then I’ve never gone to one who wasn’t highly recommended by several people and/or employed by a medically-based Health Farm. There are lots of yoga classes; again it might be best to check out – same way – the teacher. Take care. People are a bit too ready to take up yoga. If the teacher belongs to one of the main groups and emphasizes that yoga isn’t competitive and you should only do what you feel like doing, fine. And go for Hatha Yoga.

Answer 4: Sounds like you need a better doctor.

Answer 5: I think D.O. actually stands for Diploma of Osteopathy. The osteopath may call themselves a Doctor if he has done a PhD. Answer 6: Maybe this shows my ignorance but could someone explain what an Osteopath is and what they do? “Life’s more fun with the top down!”


Osteopathy — 1 Comment

  1. I just saw my name metioned above and thaought I should respond although the post might be old as the letters behind our names are no longer in use since only registered osteopaths are legally allowed to use the title.
    As with any profession you will have some practitioners that do the trick for you and some that do the trick for others but not yourself.
    I would also go for recommendations first of all.
    You might be lucky that a patient has cancelled and left a free slot for you to have but most will be able to see you within a matter of days or so, which is good as we see many patients in acute pain -- or as in my case Olympic athletes who need to be helped instantly more or less.
    RSI can be a terrible thing to have but with rest and treatment it usually gets better.
    I wish you all the best -- and did we see eachother in the end?
    Yours Torben Hersborg

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