Welcome to TotalMSK's website.
TotalMSK Ltd specialises in the treatment of musculoskeletal-related work and sports injuries with our focus on identifying and treating the cause of the problem, not just the symptom. Injuries often create pain, affect how we move and our enjoyment of day to day life. Our Chiropractor's use multiple effective techniques to assess and treat you the individual patient and your Musculoskeletal pain/symptoms. Treatments include Chiropractic (McTimoney) and soft tissue therapies such as Remedial Massage, Sports Massage, Gua Sha/IASTM and Myofascial Dry Needling. Each type of technique and therapist is usually different regarding methods of assessment and treatment philosophy. The majority of treatments involve the use of a combination of therapy modalities. TotalMSK currently operates two types of mobile service based in Reading, Berkshire (UK). The first is a mobile service for private patients, which covers up to 20 miles from Caversham in Reading plus 20 miles from Cambridge in Cambridgeshire.
The second mobile service provides specialist, on-site, Pop-Up, Corporate Wellness Clinics covering, Berkshire, Buckinghamshire, Cambridgeshire, Hampshire, and Oxfordshire. Patients can be seen either in the comfort of their own home or within the workplace. The specialist, wellbeing clinics can be run weekly, bi-weekly or monthly, can be arranged via your company and can run over mornings, afternoons or entire days, even into the evening if required.
Commonly treated Work & Sports Injuries / conditions:-
- Musculoskeletal pain affecting the:-
- Neck, Shoulders, Back, Ribs, Elbows, Arms, Hands, Hips, Knees and Feet.
- Joint stiffness & discomfort.
- Pubic Symphysis, Coccyx, Sacroiliac Joint (SIJ) syndrome.
- Stiffness or reduced range of motion.
- Migraine or tension headaches.
- TMJ or Jaw Pain.
- Neurological conditions.
- Disc related pain, Nerve impingements, Sciatica, Thoracic outlet syndrome, Carpal tunnel syndrome
- Sports injuries
- Tennis elbow, Golfer's elbow, Plantar fasciitis, Achilles Tendinopathy, Rotator cuff injuries, Patella tracking, Bursitis, Runners/Snapping Hip/ ITB issues.
Tailored Chiropractic & Soft Tissue Therapies
Each of us is unique, biologically, socially and psychologically so this needs considering when assessing and treating. Such factors affect who we are and the sorts of forces our bodies are subjected to when we are working, resting and even sleeping. Tissues within the body change or adapt based on what happens to them. Some types of loading may prove beneficial, such as certain types of exercise. That said, too much load, force or overuse can damage tissues and often lead to other problems. Musculoskeletal problems in one area often lead to issues elsewhere, as each part affects the next due to Biotensegrity and concepts such as kinetic chain theory (one can read more by following the link).
Much like anything mechanical, when everything is working correctly, there are no issues. Most people think nothing of car maintenance and know that all the parts need to work together. If the parts are not working efficiently, there is a tendency for early wear and tear or even breakage. It can then be expensive to fix the car, as each part can affect the next. Our bodies are not too dissimilar to a car in that respect, but unlike a car, the body adapts, and movement patterns become subconsciously learnt. Generally, the human body will try to avoid pain, and so after an injury, we usually will move differently which then becomes learnt. These post-injury learnt movements then need addressing as part of any comprehensive treatment plan. The article on Running / Sports Injury prevention covers many aspects of the way the body adapts and many of the principles apply to any activity, not just running.
When treating the body, one needs to consider a large number of factors. As a result, all new patients undergo a thorough assessment before any form of intervention. There are three aspects of the assessment and treatment process, which aid with better patient outcomes:-
- Patient health history (Physical, Environmental, Social, Emotional, Mental and Spiritual)
- Structure and Function (Anatomy, Physiology, Biomechanics, Pathology)
- Movement Patterns (Neurological, Brain)
An initial consultation will include the majority of these factors. Treatment and aftercare advice covers the other part of structure and function. Structure refers to the bones and joint complexes (components), including Fascia (one can read more by following the link). The functional element relates to how each piece moves and how that affects the other parts of the Kinetic Chain, though this is an oversimplification. Movement patterns are more subconscious and learned behaviour, and these adapt or change to minimise pain at the time of injury. There are lots of different therapy types which may be applied to affect structure and function positively. For therapy to be effective, the most appropriate kind or 'tool' for the job needs selecting. A therapist who has trained in multiple areas has more 'tools' in the 'toolbox'. Having more 'tools' often means that it is possible to treat a wider variety of patients, much more effectively. However, the practitioner needs to know how to assess and then apply the most suitable 'tools' correctly.
Training and experience teaches that some 'tools' are better for structural changes. McTimoney Chiropractors tend to treat the whole body, and the method works well on the structure. Functional issues involve soft tissues and respond well to an appropriate remedy such as Sports Massage therapy and types of Advanced Remedial Massage. Other such soft tissue techniques include, Gua Sha, IASTM, Dry Needling (medical acupuncture) and Myofascial Release, Neuromuscular Technique (NMT), Muscle Energy Technique (MET) and Positional Release Technique (PRT). Function and structure are both related, as one part affects the next and vice versa. Correct movements subsequently then need to be relearnt after an intervention, to help prevent further problems. It is normal to give a patient prescriptive exercises to do as part of the aftercare advice. Patients need to follow any aftercare advice to gain the best results. As a general rule, patients should see or feel some benefit within the first three or fewer treatments. If there is no improvement in this time, the therapist is probably not right for you. No two professionals are the same, due to individual interests, training, experience and skills.
Chiropractic and Massage Registrations
All of our practitioner's hold relevant professional industry registrations and or memberships. Our principal practitioner Terry Davis MSMA holds additional memberships and registrations for Massage Therapy with the Complementary & Natural Health Council (CHNC) and is BTEC Level 5 Clinical Sports and Remedial Massage Therapy qualified and holds professional membership with the Sports Massage Association (SMA):-