Trends in Healthcare

Today I attended the Employee Benefits Connect event to find out about the latest trends in employee benefits.  Quite a few speakers identified the growth of onsite well-being services like the Vitality Breaks services I provide, as the number one healthcare issue in companies right now and for the next few years.

The key conditions that are driving the growth of well-being services are:

  1. Diabetes
  2. Heart Disease
  3. High Blood Pressure
  4. Back Pain

We all know that back pains is common, episodic, often recurrent and generally self limiting.  Long term absence form work is greatest amongst the minority of employees whose conditions is chronic (if the pains lasts for more than 12 weeks) or is recurrent (if there are several episodes of pain in one year lasting less than 6 months).  Most people who are effected by back pain either remain in work or return to work promptly.  About 85% of people with back pain take less than seven days off work.

In a survey reported by the London Work Foundation it identified that 9.6 million workers are regularly affected by back pain.  In addition the London Work Foundation has identified that musculoskeletal conditions comprise about 55 %of all work-related illness throughout the UK compared to stress being responsible for 30 per cent of work-related illness, that figure drops to 31% when you focus only non-manual workers.    This makes musculoskeletal conditions the top reason for long term absence from work in the UK for non-manual workers.

So why am I quoting all these statistics, because despite speakers talking about trends in healthcare being driven by amongst other things back pain and clear evidence that musculoskeletal conditions are the number one reason for absence there was no mention of solutions.  Go figure!!!!

Related Posts

  • Massage Therapy and Neck Pain

    Painful neckOne of the most common conditions we treat is neck pain which can range from a simple stiff neck, to inability to turn your head to either the right or left. So in this blog post I wanted to discuss the recent scientific research regarding massage therapy for neck pain in people with neck arthritis.

    Background

    • 1 in 5 people who visit a massage therapist do so because of neck pain
    • 28% of people with neck pain due to neck arthritis are likely to book a massage

    Until the most recent research the scientific literature on the effects of massage therapy on neck arthritis pain was mixed.  In this study an attempt was made to enhance the effects of weekly massage therapy by having the participants massage themselves daily.

    Methods

    Forth eight participants from a medical school, suffering from neck arthritis pain, were randomly split into two groups, one that received massage treatments and a wait list control group. The first group received a course of four 30 minutes weekly moderate pressure massages and supplemented this with 15 minute daily self-massage.  The control group started the same course of treatments after four weeks without massages.

    The effectiveness of the treatments were measured through self-reports and range of motion assessments, completed after massage treatments on the first and last days of the monthly study period.

    Results

    The group that received the monthly course of weekly massage treatments, showed significant reductions in pain and improvements in range of motion.  These ROM changes occurred specifically for nodding your head (flexion) and right and left lateral flexion motions.  Between the first and last day of the course of treatments showed on average a 50% decrease in pain during flexion.  Conversely the control group reported increases in pain and reductions in range of movement while waiting for massage treatments.

    The study Field T, Diego M, Gonzalez G and Funk C G (2014) Neck arthritis pain is reduced and range of motion is increased by massage therapy, Complementary Therapies in Clinical Practice 20(4): 219 - 223 supports my subjective experience that massage therapy helps reduced neck pain and increase clients range of movement when it has been compromised.

  • Oops I did it again?

    In clinic we frequently see clients who had an issue with either their neck or shoulder or their lower back that was resolved then a few weeks or months later they are back with the same issue.  So why does this happen?  First, it depends upon the client, as human body is unique and the issue. What I want to explain below are some influencing factors: Posture – Because lots of clients come to us in pain, when they walk out of clinic they are very vigilant about their posture.  When they start to feel like the issue has been resolved good posture becomes less of a priority.  More importantly bad posture creeps up on us slowly – particularly slumping at you desk when you have a tight deadline! Over training – One of the most common questions we get asked, is when “will I be able to go to the gym again?” – clients are always very eager to get back training.  If you are unable to train for a while, you need to gentle easy yourself back into training.  Over training is when the physical trauma from exercising occurs faster than the body can repair the damage. Overuse – An overuse injury typically stems from: training errors. Training errors can occur when you take on too much physical activity too quickly i.e. when you are training for a marathon you build up your distance and speed too quickly.

  • Why do your muscles hurt?

    The most common reason for booking a treatment with Vitality Therapy is muscle pain due to your"knots". So what do we mean by "knots"?  Technically speaking they are either  Trigger points (or Myofascial Trigger Points to give them their correct name) or hypertonic muscles. There are six key elements that cause acute or chronic muscle pain:

    1. Ischemia: the lack of blood flow to soft tissues that causes hypersensitivity to touch.
    2. Hypertonic muscles: very tense muscles or muscle spasms.
    3. Trigger points: highly irritated points and bands in the muscles that refer pain to other parts of the body.
    4. Nerve entrapment/compression: pressure on a never by soft tissue, cartilage or bone.
    5. Postural distortions: imbalance of the musculoskeletal system resulting from poor posture while siting at a desk.
    6. Bio-mechanical distortions: imbalance of the musculoskeletal system resulting in faulty movement patterns e.g. poor sports techniques.
    A massage therapist has a wide variety of techniques in their toolkit to help release muscle pain including NMT.