Symphysis Pubis Dysfunction


SPD, also known as pelvic girdle pain (PGP), is defined as mild to severe pain over the pubic symphysis (a small midline joint connecting the two pubic bones), which sometimes radiates into the groin and inner thighs.

In pregnancy normal physiological changes occur to allow your baby to grow. The pubic symphysis that is normally 4-5mm increases in size by 2-3mm and the ligaments surrounding the joint become lax due to the surge of relaxin in the first trimester.

It is important to acknowledge that although pain in pregnancy is common, it is not normal! For a lot of women who experience SPD there is likely to be an undetected predisposing problem such as weak ‘core stability’ or pelvic floor muscles, previous injuries, muscle tensions or other structural imbalances. These underlying conditions combined with the increasing weight of the growing baby and softening of ligaments can affect the normal transference of weight and movement through the pelvis and hips.

How does osteopathic treatment help?

At Kane and Ross we believe from our many years of experience treating musculoskeletal pain in pregnancy that SPD can generally be treated effectively with osteopathic treatment and management.  If a patient is seen early enough within 16-22 weeks, we can normally get symptomatic relief after 4-5 treatments.

Using osteopathic techniques, we can…

  • Correct the imbalances that exist in the pelvis and lumbar spine (normally pre-existing dysfunctions and asymmetries)
  • Release any tension in the muscles and joints
  • Give advice about posture and exercise
  • Give advice on pelvic supports

PELVIC AND BACK PAIN IS NOT NORMAL DURING PREGNANCY. If you are experiencing pain, consult with an osteopath or manual therapist as soon as you can for treatment and further advice. Please do consider booking an appointment at Kane & Ross Clinics to discuss how we can help you:

For more information on SPD and advice on self-help strategies see the following article written by Simone Ross a specialist in musculoskeletal pain in pregnancy:

Anyone For Tennis? Osteopathy and Common Tennis Injuries

With Wimbledon now in fulshoes-614177_1280l swing, tennis courts are the busiest they have been all year. Whether you play avidly all year round or dust off your racket only for the summer months, all tennis players have similarities and susceptibility to injury.

It is not just the direct strain that the body goes through when serving, spinning, smashing and sledgehammering the ball that causes musculoskeletal pathology. There are many factors that are often overlooked that may predispose injury and contribute to the manifestation of pain. Osteopathic management offers a full assessment of your biomechanics to find the underlying cause for pain that you are experiencing. Using a range of manual techniques such as soft tissue and articulation we treat acute injuries and acute and chronic pain. We also offer advice on self management and how to prevent recurrent injury.

In tennis and other racket sports our joints and the soft tissues surrounding them are particularly prone to overuse injuries due to the repetitive motions required when playing. Tennis players are also prone to traumatic injury due to the fast pace of a game, changing direction quickly and stopping and starting.

As osteopaths we commonly see traumatic injuries to the lower limb and repetitive strain injuries to the upper limb associated with racket sports. In the lower limb ankle strains and sprains and knee injuries are among the most prevalent. In the upper limb overuse injuries are seen in the wrist, elbow and in the shoulder. The most notorious repetitive strain injury is ‘tennis elbow’ or Lateral epicondylitis as it is more formally known, with the overall incidence of this injury in tennis players reported to be between 35 – 51%. Other common injuries associated with tennis are carpal tunnel syndrome, rotator cuff tendonitis, achilles tendonitis and back pain.

If anything is holding you back this season, please don’t hesitate to contact us. Find more information on how we can help you at

What is “tennis elbow”?tennis-ball-984611_640

In the forearm there are many small muscles. Most of these attach to the bony prominences of the elbow (the epicondyles), these are at the end of the humerus also known as the funny bone!  These small muscles act to flex and extend the wrist as well as to stabilise it.  Lateral epicondylitis is the inflammation of the tendons of these small extensor muscles causing pain at their attachment point on the lateral epicondyle of the elbow.  Particularly the tendon of the extensor carpi radials brevis muscle. Pain is experienced due to both inflammation and periosteal irritation, where the surface of the bone is irritated.

Tennis Elbow can arise from the repetitive movement of the wrists causing weakening to the extensor muscles and subsequent damage and inflammation as described above. There is a high incidence of lateral epicondylitis in tennis players due to the repetitive movement and increased contraction of the extensor muscles when performing the backhand stroke.

“Life Ain’t Easy: Train Anyway”


As an osteopath we can diagnose each patient’s problem, relieve acute pain and help with chronic problems.  We will teach you how to do specific exercises, focus your exercises to prevent pain and make you stronger. However… as I keep reminding my patients…you need to actually do your exercises.   Sometimes we all need a little encouragement…

I loved the following article written by an athlete Pete Hitzeman. It gave me motivation that I should be more focused and work a little harder….on my own exercise!  It is highly motivational and I hope it will give many of you the same sense of determination and uplift that I felt after reading it.



Children and Headaches



Headaches are common in children from toddler age through to adolescence. There are many causes for chronic headaches in children, most commonly they are due to postural problems or they are the result of minor accidents during sport or a fall.

Teenagers frequently suffer headaches and migraines may also start at this time. Postural issues are very common due to their speedy growth and their many hours of screen use! Orthodontic work may also cause headaches especially after braces are tightened.

In younger children causes of headaches that are common are problems with vision, blocked paranasal sinuses or Eustachian tube in the middle ear often caused by a common cold.

Diet and fluid intake must also be taken into consideration especially if your child is particularly active.

What to look out for

In toddlerhood and early childhood it may be difficult for your child to communicate how they are feeling. Look for signs that are out of character such as excessive crying and holding their head or head banging. Children will often become withdrawn when they are suffering and they may display reluctance to interact or socialise. Fatigue, nausea and inclination to be in a darkened room are also signs of head pain and may indicate a migraine headache.

How can Osteopathy help? 

If your child is complaining of headaches or eliciting signs they may be suffering, examination and diagnosis is important to find out why your child is experiencing pain. Osteopathic treatment for headaches in children is similar to that of an adult but more gentle. A full case history is taken and examination is carried out to assess your child’s posture, muscle tone and joint movement. A combination of cranial, articulatory and soft tissue techniques are used to encourage the release of stresses and strains that may be causing your child’s pain. Osteopathic techniques can be used to reduce muscular tone in the neck and base of the skull. It can also help drain sinuses and unblock the eustachian tube (the small tube that connects the back of the nose to the middle ear). Treatment of the jaw and the surrounding muscles can also be effective in helping to alleviate pain and postural advice will be given. Postural and exercise advice should give some long term relief.

If your child needs to be assessed please contact the practice to make an appointment.


St Mary’s needs some help

Simone and Mark and the rest of the team have worked for many years with babies and children who have been born at St. Mary’s or who have needed their expert care.

Over the last 20 years we have excellent working relationships with many of the doctors and consultants there.    They really need your help with increasing the size of the intensive care unit so that more families and children can be helped and that existing families have more privacy.   Please have a look at the following video:

Simone Ross article on Plagiocephaly published by MyBaba

MyBaba is a website blog that parents often mention to us. It carries articles from experts in their field and when Simone was asked to contribute, she decided to write about Plagiocephaly. It’s still a subject that should draw far more attention and one that Simone feels many parents should know far more about. You can read her article here:
More information can be found about how we can help you at

SafeHands for Mothers – The Radio 4 Appeal

We are very supportive of this appeal – please take a look and share the link with friends.

SafeHands for Mothers aims to reduce the number of deaths caused by pregnancy and childbirth.

SafeHands for Mothers has so far reached an audience of one million across sub-Saharan Africa, so it’s working already – please help if you can.

Baroness Helena Kennedy QC

News coverage on Tongue Tie

Recently tongue tie was brought to widespread attention by an article on the BBC News website. It is something that we commonly see and treat babies for in the practice. Mothers often bring their babies in for other symptoms and have been unable to diagnose tongue tie.

Symptoms may often include:

–  A baby who is crying a lot

–  Sore nipples

–  A baby who wants to feed all the time and never feels satisfied at the breast

–  Distension of the gut from wind

–  Poor weight gain

–  Clicking when feeding

–  A baby unable to stick its tongue over the bottom lip

–  When the baby is crying the tongue is often in a boat shape

Symptoms such as these are very distressing for a new mother and her new baby

To diagnose tongue tie, wash your hands and make sure your nails are short. Put your finger in the baby’s mouth and slide your finger under the baby’s tongue. You should be able get your finger at least 1.5cm back under the tongue and slide it across to the other side.  Your baby should also be able to stick their tongue out over their bottom lip.

The tongue is a group of muscles and the babies with less severe tongue ties can be treated in the clinic with osteopathic techniques.  Treatment involves exercises for the carers to do at home and hands on osteopathic treatment to treat the musculature of the tongue itself.   Mothers say that after a couple of treatments the symptoms of sore nipples, colic and clicking are often reduced.  The more severe ones may need a frenulectomy (cutting).   We do not do this at our clinic but can refer you to a suitable physician for a frenulectomy.

Babies with tongue tie may also have a restricted neck movement and always sleep to one side.  Please await our next blog….