The Spine Team was started in 2004 by Gordon and Annette Linscott to develop a patient centred approach to the treatment and management of back pain
Welcome to The Spine Team
This website will provide you with information about us, our clinic and our approach.
Musculoskeletal (MSK) conditions account for 30 per cent of GP consultations in England. Low back and neck pain are the greatest cause of years lost to disability in the UK, with chronic joint pain or osteoarthritis affecting more than 8.75 million people in the UK (NHS England).
At The Spine Team we specialise in diagnosing, treating, rehabilitating and preventing low back and neck pain and other musculoskeletal disorders using the Patient Centred Model.
The Patient Centred Model makes the patient rather than the problem the most important part of the process. Sometimes the problem stands alone it is a first episode and the reason is obvious. However most problems appear for no obvious reason, either suddenly or gradually or have a tendency to re-occur.
Understanding why and how the problem has occurred rather than just what it is essential to solving these problems. To get the best response the patient also needs understand, this is our speciality and helps recovery and reduces future problems.
Although this approach is supported by the latest research it is rarely used. Many patients being given ‘labels’ for their problem, such as ‘slipped disc’, ‘crumbling vertebra’, ‘arthritis’ or ‘sciatica’, frequently without explanation or evidence.
The Spine Team has a multi-disciplinary approach considering not just what happened when the pain occurred but also why you were vulnerable at that time and what you need to do about it. We put you in control; this is called the patient centred model.
Together Gordon and Annette bring a wealth of experience, expertise and enthusiasm to the treatment and management of back pain, a problem that causes so much pain and disability.
Gordon graduated in 1983 going back to complete a post graduate Masters Degree in 2002, he is a Fellow of the Royal Chiropractic College, the highest level of membership.
Annette graduated in 1996 and has undertaken a number of post graduate courses including a Post Graduate Certificate, she is a Licentiate of the Royal College of Chiropractic, a level of membership recognising her specialist qualifications.
Musculo-skeletal disorders keep more people off work than anything else, it is the most common reason to consult a GP, and Back Pain is the biggest group.
The Spine Team approach focuses on those problems that either do not settle quickly or re-occur. To solve these problems the patient must understand their problem: What has gone wrong? How can it hurt so much? Why has it happened?
Some back pain occurs with injury, clearly an event of over-doing it or an accident, this should recover on its own as the injury heals. However most problems occur either on a normal action or spontaneously, it may ‘feel like’ an injury but there was no injury, so why does that happen?
There usually is a reason, possibly something exceptional that had been done earlier which on reflection you may realise, however it can be a build up of actions that are quite routine or indeed a lowering of tolerance to actions that normally would cause no problems. Some of these can still recover spontaneously but others do not, that is when we can help.
Mechanical Back Pain
Most Back Pain, around 98%, is ‘mechanical’, that is a failure in how the usual mechanisms work. However severe your pain it is still likely that you have mechanical pain rather than something sinister. In all these cases there will be no evidence of anatomic change that has occurred at the time of the onset of the pain and is causing the pain.
Terms such as ‘lumbago’, ‘slipped disc’ and ‘sciatica’ are widely used, often incorrectly, and not necessarily helpful. At The Spine Team we try to clear these muddy waters with the aim of helping the back pain sufferer understand the problem and help themselves.
Serious Causes of Back Pain
A very small percentage of back pain is serious, not just painful but due to an anatomic change that will not just recover. This can include things that are traumatic such as disc prolapse which may or may not recover on their own, this should not be confused with the ‘lay term’ slipped disc often used to describe painful back pain.
Serious causes of back pain can include other illnesses such as cancer or infection or be due to organic pain referred to the back such as kidney, gall bladder or ovarian problems.
Chiropractic has been described as the ‘ultimate model for alternative care’ as it combines a clear scientific and philosophical model with the recognition of the patient as an individual whose unique life has a significant effect on their well being, thus it is the patient who is treated not the ‘problem’.
Biomechanics is understanding how forces are transmitted through the body. There are two main principles, firstly forces should go through joints optimally in the neutral position (posture when standing still), secondly that the structure is stable under force in a range of motion (when being active). Injury occurs when one of these parameters is undermined or exceeded either gradually on repetition or on a single event.