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Profession: Chiropractic. Registered : UK General Chiropractic Council - GCC.
Clinic: Sayer Clinic: Kensington - London, UK
Address: 8 Sunningdale Gardens, Stratford Road, Kensington
City: London
ZIP: W8 6px
Country: United Kingdom
Telephone: +44207 937 8978
Fax: +44207 937 3720
Email: enquiries@sayerclinics.co.uk
Website: www.sayerclinics.com
Phrase: Sayer Pelvic Pain Clinic Kensington London UK
Submit: Submit
Date: 09 Mar 2009
Neuro-musculo-skeletal disorders causing chronic & acute pelvic pain treatable by manipulation, physical therapy acupuncture and exercise : Musculo-ligamentous Pelvic pain, pudendal neuralgia, vulvodynia and coccyx pain. Abdominal wall myofascial pain . Spondylolisthesis – forward slippage of one lumbar vertebra –effectively treated by regaining mobility/normal function of surrounding joints and muscles to minimize strain on spondylolisthetic joints. Poor posture – associated with caesarian section, weak abdominals, overweight/obesity, sedentary occupation. Fibromyalgia – physical therapy, nutrition, acupuncture and a gradual return to specific exercise is the best approach to regaining health. Mechanical low back pain – lumbar facet or sacro-iliac joint dysfunction, sciatica, athrosis, arthritis or locking. Chronic coccygeal pain – coccydynia, dislocation or arthrosis causing coccygeus muscle spasm & fibrosis. Pelvic neuralgias, pudendal neuralgia (PNE) and vulvodynia, Muscular strains and injuries Pelvic floor neuralgia, myalgia. Piriformis syndrome Rectus tendon strain. Disc - bulge / herniation / prolapse. Compensatory Scoliosis. A thorough history and a detailed examination of the areas of pain and neurological, orthopaedic and postural assessment is essential. I take digital computed (erect - standing or sitting ) x-rays, when necessary, which are very closely collimated ( angled, narrowed down and lead shielded ) to minimise x-ray dosage. X-rays are not taken if there is any chance of pregnancy. Help with infertility; Myofascial restrictions or adhesions of the ovaries, uterus and Fallopian tubes can contribute to infertility. Pelvic, sacrum, coccyx, and/or spinal joint misalignment may compromise normal physiological processes necessary to facilitate pregnancy. Comprehensive evaluation helps diagnose myofascial adhesions or joint dysfunctions. Scientists from the USA and Holland in 2008 analysed seven clinical trials, involving a total of 1,366 women, and showed that women trying to get pregnant using IVF treatment could significantly improve their chances with fertility acupuncture. Myofascial assessment and release of pelvic and abdominal structures can also improve fertility and successful IVF outcomes. Specific and careful abdominal massage and acupuncture helps achieve successful pregnancy.
I treat these conditions using combinations of specific joint and muscle/ligamentous manipulation - chiropractic and osteopathic techniques - trigger point physical-therapy, Laser or Ultrasound and Medical Acupuncture aimed at restoring function to pelvic and spinal joints, releasing nerve pressure and reducing muscular and ligamentous compression of pelvic nerve pathways. I see many cases of vulvar and vaginal pain caused by pudendal nerve irritation within pelvic muscles or associated with coccydynia and which respond well to pelvic/sacro-iliac or coccyx joint manipulation and physical therapy or acupuncture to coccygeus and deep pelvic muscles.
Registered Chiropractor. Founder & Chairman of Sayer Clinics. Established 1983. UK (AECC)Diplomate: Doctor of Chiropractic USA & Canadian National Boards of Examiners Diplomate. Visiting Consultant to the Saad Specialist Hospital: Al Khobar and Royal Family: Kingdom of Saudi Arabia. Specialises in computed digital xray diagnosis, spinal nerve compressions, headaches, sciatic neuralgia, coccyx and pelvic pain, postural rehabilitation, sports and dance injuries and medical acupuncture. Listed Specialist : Dance UK http://www.danceuk.org/ and http://www.coccyx.org/ and http://www.pelvicpain.org/ Listed in TATLER'S 2008 guide to 'Britain's 250 Best Private Doctors' Membership : British Medical Acupuncture Society BMAS British Chiropractic Association BCA International Pelvic Pain Society IPPS Royal Society of Medicine RSM Registered with the General Chiropractic Council GCC Registered with Bupa, Axa / PPP and most UK and most international insurers. Seminars, courses, workshops: 6th Interdisciplinary World Congress on Low Back and Pelvic Pain. November 2007 Catalonia Palace of Congresses, Barcelona, Spain. Workshop: Clinical Reasoning and Pelvic Girdle Pain - "Show Me the Patient!" Workshop: Multidisciplinary Management of Female Pelvic Pain. Acupuncture and Women's Health, Geological Society, London W1, March 2009. Acupuncture and fertility/gynaecology. Topics: anovulation and polycystic ovary syndrome; vasomotor symptoms; pelvic pain during pregnancy; acupuncture and assisted reproduction therapy. Lectures headed by Dr Elisabet Stener-Victorin.
I am a listed specialist on www.pelvicpain.org and coccyx.org and I have practised for 30 years in central London and treated many hundreds of cases of pelvic pain, pudendal neuralgia, vulvodynia and coccyx pain with approximately 70% of these patients reporting improvement of 75-100%. A thorough history and a detailed examination of the areas of pain and neurological, orthopaedic and postural assessment is essential. I take digital computed (standing or sitting ) x-rays, if necessary, which are very closely collimated (angled, narrowed and lead shielded ) to minimise x-ray dosage. X-rays are not taken if there is any chance of pregnancy. I treat these conditions using specific joint and muscle/ligamentous chiropractic and osteopathic manipulation, trigger point physical-therapy and medical acupuncture aimed at restoring function to pelvic and spinal joints, releasing nerve pressure and reducing muscular and ligamentous compression of pelvic nerve pathways. I see many cases of vulvar and vaginal pain caused by pudendal nerve irritation within pelvic muscles or associated with coccydynia and which respond well to pelvic/sacro-iliac or coccyx joint manipulation and physical therapy or acupuncture to coccygeus and deep pelvic muscles. Medical acupuncture is designed to overwhelm the relevant hypersensitive brain-areas linked to chronic pelvic pain - which are readily triggered by emotional upset and stress and which potentiate the onset and perception of acute pain. Core stability exercises may be appropriate and postural rehabilitation can be a vital aspect of full resolution of symptoms. Pelvic and Coccyx Pain I specialise in Chiropractic , Acupuncture and Physical Therapy at Sayer Clinic : Kensington and I am listed under 'Doctors & Specialists' at www.coccyx.org/treatmen/docsuk.htm and I am an http://www.pelvicpain.org/ listed specialist for the diagnosis and treatment of coccyx & pelvic pain. Read the http://www.coccyx.org/ personal experiences of Lee, Becky,Mel, Monica, Kim (1) , Chris, Kim (2), Pauline, Adam Pymble, Debbie Dale, Vijay, Alan, Amanda, Nicole, Katy. Maureen, Mary, Caroline, Justin, Mary, Duncan, Lorette, Caroline, Bethan, Caroline, Margaret, Sue, Eileen, Hunter. Causes of chronic & acute pelvic pain treatable by manipulation, physical therapy, acupuncture and exercise : Neuro-musculo-skeletal disorders treated: Abdominal wall myofascial pain. Spondylolisthesis – forward slippage of one lumbar vertebra –effectively treated by regaining mobility/normal function of surrounding joints and muscles to minimize strain on spondylolisthetic joint. Poor posture – associated with caesarian section, weak abdominals, overweight/obesity, sedentary occupation especially with IT and computers. Fibromyalgia – physical therapy, nutrition, acupuncture and a gradual return to specific exercise is the best approach to regaining health. Mechanical low back pain – lumbar facet or sacro-iliac joint dysfunction, sciatica, athrosis, arthritis or locking. Chronic coccygeal pain – coccydynia, coccyx fracture, dislocation or arthrosis causing coccygeus muscle spasm & fibrosis. pelvic neuralgias, pudendal neuralgia (PNE) and vulvodynia, Muscular strains and injuries Pelvic floor neuralgia, myalgia. Piriformis syndrome Rectus tendon strain. Hernias - obturator, inguinal, femoral, perineal, umbilical. Disc – bulge / herniation / prolapse. Scoliosis. Help with infertility Myofascial restrictions or adhesions of the ovaries, uterus and Fallopian tubes can contribute to infertility. Pelvic, sacrum, coccyx, and/or spinal joint misalignment may compromise normal physiological processes necessary to facilitate pregnancy. Comprehensive evaluation helps diagnose myofascial adhesions or joint dysfunctions. Studies have shown that myofascial assessment and release of pelvic and abdominal structures improves fertility and successful IVF outcomes. Specific and careful abdominal massage and acupuncture helps achieve successful pregnancy. Scientists from the USA and Holland analysed seven clinical trials, involving a total of 1,366 women, and showed that women trying to get pregnant using IVF treatment could significantly improve their chances by 65% with fertility acupuncture. I have helped patients using acupuncture and abdominal massage achieve a successful pregnancy rate of over 65% . Fertility Testimonials: I was first treated by Dr Michael Durtnall in 1998 for headaches and severe low back pain. Michael was the only medical professional who found the rare diagnosis and treated the source of my problem. Naturally I have developed a very trusting relationship with Michael over the years and I shared with him that my husband and I had been thinking about starting a family. We were preparing ourselves for some challenges getting pregnant as I have Polycystic Ovarian Syndrome (PCOS). However Michael assured me that he could assist me in getting pregnant using fertility acupuncture to help prepare the body for conception. Also the success rate of acupuncture has been closely researched recently and is achieving favourable results. Since I had everything to gain by trying acupuncture I underwent a few sessions performed by Michael. Shortly thereafter I became pregnant and we have just had a beautiful baby girl. The acupuncture was certainly a substantial contributing factor to my successful pregnancy and I will certainly be employing Michael’s services when we are trying for more children. Thank you, Sarah ---------------------------------------------------------- I went to see Dr Michael Durtnall after suffering from severe coccyx pain. After regular treatment I am now pain free. Before I visited Michael I went to see numerous chiropractors and osteopaths, none of whom could help me. Having tried to get pregnant for many months, I succeeded after starting fertility acupuncture with Michael. As a result of Michael's treatment I no longer suffer from coccyx pain and I have a wonderful baby boy. I would recommend anyone to visit him based on my experience. Ali ---------------------------------------------------------- I had been seeing Dr. Durtnall for my back when I told him my husband and I were trying for a baby. Michael got out his needles and we never looked back. I had acupuncture as part of my weekly treatments and was soon pregnant. I'm a firm believer in acupuncture and truly credit the ancient medicinal art as having helped me conceive. While I was pregnant I continued to see Michael and I never suffered any back aches, niggles, sciatica. I am constantly referring friends to him and have nothing but the utmost respect for his talent and his compassion for his patients. Mommy in London -------------------------------------------------------- Help during Pregnancy Pregnant women have unique demands placed on the body throughout pregnancy with increases in blood volume and hormonal changes which impact soft tissue structures. Many pregnant women experience low back pain and "sciatica", which are usually caused by postural changes and sacroiliac joint dysfunction. Neck pain, headaches, pelvic pain, back pain and leg pain are effectively treated. Specialised treatment tables have adjustable abdominal sections for maximum comfort during treatment allowing the patient to lie prone comfortably. Treatment with manual therapy eases painful muscles, decreases edema and swelling and increases joint motion and flexibility and is key to a successful outcome. Core stabilisation, pelvic floor exercises and postural re-education are addressed when appropriate. To prepare for labour, we optimise mobility of the pelvis and coccyx. Help with Pudendal Nerve Entrapment (PNE): The Pudendal nerve can become compressed or inflamed as it passes through the inside part of the ischium or "sits bones" area of the pelvis. Chronic pain can be felt in the perineum, abdomen and buttock. Many patients have increased pain on sitting and is usually one-sided but both sides can be involved. Symptoms can be pain, burning, numbness, and parasthesia in the pelvis and can radiate elsewhere. After a thorough evaluation to confirm your diagnosis we use specific connective tissue techniques, acupuncture or myofascial release to reduce nerve compression and inflammation. Specific techniques called 'nerve tissue tension releases' and neural mobilisation may help decrease or alleviate symptoms. Misalignment or fixation of the pelvis, sacroiliac joints, spine, or coccyx can be a causative or perpetuating factor and are treated using expert manipulative corrective techniques. Exercises are prescribed with instruction. We can determine if there are other potential causes of pain besides pudendal nerve entrapment Treatment for Vulvodynia Vulvodynia nerve pain can be burning, aching, stinging, irritation or discomfort which can be generalised or specifically localised . Vulvar pain can occur at rest or be provoked by touch or sitting pressure. Vulvar pain can be related to infection, inflammation or skin conditions which need to be ruled out prior to coming for examination for neurologic or musculoskeletal disorders. Our comprehensive evaluation of your musculoskeletal system can determine if there is a muscle, joint or nerve problem contributing to or causing the pain. Vulvodynia may have associated pelvic floor muscle dysfunction, hip, sacroiliac, coccyx or low back problems. Nerves that may be involved include the sciatic, posterior femoral cutaneous, ilioinguinal, obturator, genitofemoral, and pudendal. Treatment may include Laser, Ultrasound, Chiropractic or Osteopathic joint manipulation, Medical Acupuncture, manual therapy, pelvic floor muscle exercises and core stabilization training.