Preventing Back Pain

back painBack pain is something that affects millions of people all around the globe. It is an uncomfortable and annoying problem to have, affecting all aspects of your life. The back pain itself can be caused by a whole range of factors, including age, illness and injury. Sometimes back pain can last for the entire person’s life, whereas, other times, it may only last a few days or weeks.

Whatever be the case, you’re going to want to be able to prevent back pain whatever the cost. This will enable you to live a pain-free life in your later years. With back pain awareness week in full swing, we have decided to put together a collection of helpful tips to make sure you never encounter back pain at any point in your life.

There are a plenty of prevention techniques you use today, but, to keep things simple, we have listed our favourite 4. Continue reading to learn how you can stop back pain dead in its tracks!

See a Professional

One of the most important things we recommend you do is to see a professional about your risk of back pain. It may even be beneficial to schedule an appointment with an Ealing Chiropractor on a weekly basis. They will be able to assess and diagnose any issues you may be having that could result in back pain later down the line. They may be able to even perform some therapy to relax the muscles and relief any tension in the spine. With regular treatment and assessments, you’ll be able to prevent back pain very effectively.

Strengthen Your Back

As well receiving the required therapy from an Ealing Chiropractor, you can also help yourself by staying active. Exercising on a weekly basis can help strengthen the back and prevent any injury to it. You can receive even more benefit from yoga and Pilates classes, which will stretch the muscles and relieve any tension. However, it is important to check with your chiropractor or doctor to see which exercises are right for you, especially if you have any health-related issues.

Lifting the Right Way

One of the most common causes of back pain is from lifting a heavy object the wrong way. This is very much related to occupational hazards as well, and individuals will come into the clinic complaining that they’ve injured their back lifting something they probably needed help with. Learning how to lift objects is actually very important and is something that many people don’t take notice of. Read your company’s safety procedures and learn how to lift equipment and objects without causing too much strain on your back.

Promote Proper Posture

Throughout life, our parents are always telling us to sit up properly and sort out our posture. Who’d thought they were right all along? Correcting your posture when sitting and standing is incredibly important if you want to maintain a good back into later life. If you spend all your time slouching and hunched, your spine can become inflamed and damaged. Learn to sit properly at computers and never sit in the same place for too long. When you can, try to visit an Ealing Chiropractor on a regular basis.


Back pain affects so many people even though it can be easily prevented. In most cases, back pain arises either through sudden injury or through life-long habits that have slowly ruined the spin and surrounding muscles. With these simple tips, you should be able to combat back pain and stop it before it’s began. Correct your posture, lift objects correctly and remember to see a professional chiropractor at least once a week. If you’d like to know more about how we can help back pain, please call to arrange an appointment on 020 8566 3757 now.

Three Simple Ways to Prevent a Fall

prevent fallNobody likes to fall over. We can all agree on that, can’t we? However, for some people falling over may be a common event. Falling over is not only painful but can severely damage parts of your body if you happen to fall from a height or if you’re an older individual.

As Balance Awareness Week is on the way, which aims to educate individuals about vestibular disorders, we have decided to do our bit to help anyone with a tendency to fall. We have done our research and found some of the best ways you can use to prevent yourself from falling.

Home Prevention Techniques

These are some basic ways that you can prevent falling when you’re working around the house. Falling can happen when you are performing daily activities like cleaning and cooking. You tend to forget about certain things when you’re going through your daily routine.  Here are some basic tips to prevent any falls when you’re at home.

  • Cleaning any spillages when they’re made (don’t leave them for somebody else)
  • Don’t wear socks on slippery floors (like laminate flooring)
  • Use non-slip rugs and mats
  • Take care of your feet and see a doctor if you have any foot-related problems
  • Get help when you’re performing certain tasks

There are, of course, many more ways to prevent slips in the home, but these are the most basic and actionable ones you can do, today.

Vision Tests

This is more related to individuals of an older age or with a history of sight-related problems. It is very important that you get your eyes tested on a regular basis to see if you’re not suffering from any vision impairments. You could easily slip and hurt yourself if you were unable to see a trip wire or an extension lead. If you have bad eyes you should be wearing glasses. If you feel your vision is getting worse (even with glasses) it may be safer to invest in a stronger pair.

Strength and Balance Training

If you are in need of professional help, our Ealing Chiropractors are able to use what is known as strength and balance training to perfect your balance and reduce the risk of falling. There are many different strength and balance programs you can perform and all will provide significant fall reduction. Even simple tasks like walking or dancing are excellent for perfecting your balance and have seen to provide great results.

Some people require what is known as vestibular rehabilitation to improve their balance.  We can provide these exercises for you.  You’re free to call us on 020 8566 3757 if you’re looking for professional help and are interested in what’s available.


Falling over hurts and can be a serious risk –  there’s no doubt about that. However, with a number of easy, simple techniques you can greatly reduce your likelihood of falling. In some cases, you can even improve your balance through strength and balance training with expert chiropractors. Through taking a few actionable steps, you can be on your way to a fall-free life.

If you’re interested in finding out about what Ealing chiropractors can do to improve your balance, please call to arrange an appointment on 020 8566 3757 now. With us, you’ll be in safer hands.

Vestibular Rehabilitation for Ménière’s Disease

menieres diseaseMénière’s disease is a chronic disorder of the inner ear that produces a group of recurring symptoms. These include attacks of vertigo, disturbances in balance with feelings of dizziness and light-headedness, hearing loss, sensitivity to sound, headaches and increased pressure within the ear.

There is no cure for Ménière’s disease so treatment is, most usually, to relieve the symptoms with prescription medication to help control the build-up of endolymph fluid within the inner ear. In some cases, changing to a low sodium diet and taking prescribed diuretics can also bring relief of symptoms for some patients.

Ealing Chiropractors, Johan C. Jeronimus and Jake Cooke offers a third treatment option at his Neuroworks practice, Vestibular Rehabilitation. This is an exercise-based program, designed to improve balance and to reduce the problems associated with dizziness in Ménière’s disease and other conditions affecting the inner ear (the Vestibular region).

The holistic approach at Neuroworks is to tailor any treatment program to the specific needs of the individual and aims to produce the best possible results for each patient. The benefits of this, individual approach, are borne out by the Ménière’s Society, who say on their website that with regard to Vestibular rehabilitation,

“The more customised this balance training is to the individual, the better the results.” (1)

Johan and Jake also strongly agrees with their statement that:

Although the medication is essential in treating acute episodes of vertigo, they are not for long term use.” (1)

To find out more about Vestibular rehabilitation and to make an initial appointment, please call your Ealing Chiropractor at the Neuroworks practice on 020 8566 3757 today.

What Can Vestibular rehabilitation do for me?

Your Ealing Chiropractor will work with you to create a customized exercise programme. The specific exercises prescribed for each patient are those identified as making them dizzy. By performing these exercises and retraining their balance system, patients are able to cope with these feelings of dizziness.

As the patient improves, the exercises no longer provoke dizziness, so harder exercises will be prescribed to enable further improvement. It has been shown that those who are able to undergo a personally customised Vestibular rehabilitation program, do better than those who undertake more generic exercises.

In a downloadable PDF on Balance Retraining, published by the Ménière’s Society, they state that four out of five people who learned and performed the balance retraining exercises reported they felt better within just a few months. However, by comparison, those who did not learn these exercises did not experience any improvement in their dizziness. (2)

How Can Your Ealing Chiropractor Help?

It is important to understand that the exercises cannot prevent the attacks of vertigo associated with Ménière’s, but they can help with the long-lasting problems of dizziness and imbalance. Ménière’s disease causes changes in the inner ear that result in vertigo and changes in the signals sent to the brain.

For those with Ménière’s disease, the exercises help the brain to adjust to these changed signals, giving patients confidence that they will be able to recover from attacks of vertigo more quickly by using the exercises to clear up the persisting symptoms of dizziness and imbalance

Vestibular rehabilitation exercises take persistence and dedication to achieve results, your Ealing Chiropractor can help by teaching you exercises that will be of specific benefit to you, helping you to progress to harder exercises as your dizziness improves and to help you with the motivation you need to achieve the best possible result.



Lack of Sleep Can Seriously Damage Your Health

lack of sleepFor most of us, the day begins with an alarm clock! Many of us wake, still feeling tired after a restless, disturbed, wakeful night.

Sleep is vital for our well being and a subject that at Neuroworks, your Ealing Chiropractor is very passionate about since it is one of the most important functions of the brain. Neuroworks Chiropractors Johan and Jake are both Chiropractors with an interest in neurology. They point out that NHS figures suggest that one-third of us here in the UK suffer from insomnia that is affecting their health.

Johan adds that the Sleep Council’s ‘Great British Bedtime Report(1) highlights physical health problems as a major cause of poor quality sleep and insufficient sleep, these problems include Obesity, affecting 11%, Arthritis, affecting 10%, Back pain, affecting 9%, Diabetes, affecting 9% and Asthma, affecting 9%.

However, the worst culprit seems to be stress, with an astonishing 47% of us saying that stress or worry is preventing them from sleeping at night.

Our Tips For A Good Night’s Sleep

Your Ealing Chiropractor has put together this helpful five-point checklist for a better night’s sleep.

  1. If pain is keeping you awake

The Sleep Council figures make it clear that physical health problems can be a major cause of sleep problems. If you have pain with a biomechanical cause, whether this is back pain, arthritis, headache or another problem, please call to arrange an appointment on 020 8566 3757 now.

  1. Develop your own bedtime ritual

Having a regular bed time and wake up time can help to regulate the body clock making it easier to fall asleep and stay asleep.

A relaxing bedtime routine should not involve using computer, laptop, mobile phone, etc., not only can these cause stress or excitement that can make it harder to fall asleep, but the bright ‘blue’ light they emit can interfere with our circadian rhythm and prevent our bodies from producing melatonin, the so called ‘sleep hormone’.

Although TV is less likely to have this effect, sleep experts advise not having a TV set in the bedroom.

  1. Avoid daytime napping

While a short ‘power nap’ can help you get through a demanding day, for those with trouble getting to sleep at night, daytime napping, especially afternoon napping should be avoided.

  1. Exercise regularly

Sleep experts advise that daily exercise is good for sleep. Those who exercise five or six times a week are the least likely to be taking any form of medication to help with sleep. Any exercise is good, vigorous exercise is the best and it does not seem to matter what time of day a person exercises.

  1. Evaluate your bedroom

  • Is your bedroom clean, calming and uncluttered?
  • Do you have a comfortable bed of the right size for you?
  • Is your bedroom dark – can you eliminate all light at night?
  • Is your room cool? The optimum temperature for sleeping is between 60-67oF (approx 15-20oC).
  • Can you eliminate all noise? If your partner snores, this could be a problem so ear plugs may be a solution.

To help with the above, consider decluttering your bedroom – making it easier to clean as well as more restful. Use a sleep eye mask or blackout curtains to eliminate light and regulate the temperature with a humidifier or fan.

Your bed is very important and a poor sleeping position using the wrong type of pillow or mattress can lead to health problems such as neck pain, lower back and hip pain as well as headaches. If any of these problems affect you, it would be a good idea to consult your Ealing Chiropractor before investing in a new bed.

To Sum Up

The evidence suggests getting sufficient sleep can reduce stress levels, improve memory, creativity and even athletic performance. Following the tips suggested by Johan and Jake really can help to improve your sleep. Prioritise getting the right amount of sleep at night for the sake of your health.


Belly Fat: Why Men Need To Lose It

belly fatBelly Fat is the big issue highlighted in this year’s, Men’s Health Week (June 12th-18th). Their attention-grabbing headline – ‘Do you have a hazardous waist?’ is aimed at getting men to think about the major health risk posed by belly fat and, in particular, the deeper, visceral fat that wraps itself around vital organs.

Ealing Chiropractor Johan Jeronimus says that belly fat is a problem that can creep up on us over time for several reasons, including:

  • Drinking a little more alcohol and sugary drinks than we should
  • Consuming too many ‘fast food’ meals
  • Having a hectic, stressful lifestyle
  • Having a demanding, but largely sedentary job
  • Not including physical activity in the daily routine

You could be at risk of developing any of the following health problems if your waist measurement is 37″ or above and at serious risk if it is 40″ or above.

  • Diabetes
  • Heart and circulatory system disease
  • Hypertension (elevated blood pressure)
  • Erectile dysfunction (difficulty getting, or maintaining an erection)
  • Some types of cancer, including Colorectal cancer
  • Sleep Apnoea (where normal breathing is interrupted during sleep, leading to daytime exhaustion and other problems)

You Can Lose That Belly Fat!

The risk of the health problems highlighted above should be reason enough to do something about your expanding waistline. Your Ealing Chiropractor adds to these, the sobering thought, that ‘having a hazardous waist’ raises the risk of premature death from any cause.

So, what can you do about it?

Make Diet and Nutrition Changes

  • Choose good quality, lean protein sources such as fish, white meat and lower fat dairy options.
  • Increase your intake of plant-based food sources including fruits, vegetables, tree nuts and whole grains.
  • Cut back on processed meats such as bacon and sausages
  • Cut down on the amount of saturated fat in your diet particularly, red meat, full fat cheeses and butter, cakes, biscuits and pastries.
  • Check pack labelling to avoid trans-fats and foods with high levels of free (added) sugars – cooking from fresh is best!
  • Add in some ‘healthy’ monounsaturated and polyunsaturated fats such as those found in olive oil, tree nuts and fish
  • Watch your portion control, often just using a smaller dinner plate will help with this!
  • Drink plenty of water to remain hydrated throughout the day
  • Make sure that your diet includes sufficient soluble and insoluble fibre for digestive health.
  • Talk to your Ealing Chiropractor who can advise on optimum nutrition and on meeting any nutritional shortfalls with appropriate supplementation if necessary.

Add Some Physical Exercise to Your Daily Routine

Begin slowly and gently – particularly if you have not exercised for a long time.

Get a GP check-up to ensure there are no health issues that could cause problems and to get advice on how to begin if you do have a pre-existing condition.

Many of us have developed poor posture and biomechanical problems over a long period of time, without realising – so even if you don’t have any aches or pains, get checked out by your Ealing Chiropractor before you embark on your new fitness regime.

Incorporate several activities into your routine so that it does not become boring. For example, you may not want to pound the treadmill at the gym but a walking group could provide motivation. If you do not have a friend or colleague to exercise with, a regular fitness class could help keep you on track. Climbing stairs instead of taking the lift or taking a brisk walk around the block at lunchtime are good ways of improving your cardiovascular health.

Do Not Delay!

Please call your Ealing Chiropractors, Johan & Jake today to arrange an appointment on 020 8566 3757 to discuss the exercises that are appropriate for you to improve your fitness.

Johan Jeronimus and his colleagues at Neuroworks would like to make clear that they are not affiliated with, or endorsed by Men’s Health Week organizers, Men’s Health Forum.

Arthritis Care Awareness Week

.arthritis care awareness weekThe Charity, Arthritis Care says, in its published leaflet on Complementary Therapies that Chiropractic adjustments of affected joints in the spine and elsewhere may be of benefit to Arthritis sufferers because it can improve mobility and relieve pain. They say – “regular adjustment may keep joints healthier and more mobile, while also reducing pain and slowing down further damage.”¹

Ealing Chiropractors Johan C. Jeronimus DC DACNB and Jake Cooke MChiro DACNB points out that during the annual Arthritis Care Awareness Week, during May this year, Arthritis Care are focusing on raising awareness about the symptoms of pain, inflammation and joint stiffness that afflicts sufferers and can lead to depression and social isolation.

Many patients of Johan and Jake’s Neuroworks Chiropractic practice have Arthritis and find that regular treatments and exercises to do at home that increase mobility, along with advice on lifestyle, diet and nutrition are immensely beneficial in improving mobility and decreasing pain symptoms, helping them to continue with the daily activities they enjoy.

If Arthritis is becoming a real pain – and preventing you from enjoying life as you should, please call your Ealing Chiropractor today on 020 8566 3757 to arrange an initial appointment.

Arthritis in the UK

Surprisingly, around 9 million of us here in the UK suffer from Arthritis and although it is true that older people are more likely to be affected by the most common form, Osteoarthritis, the autoimmune types, including Ankylosing Spondylitis, Psoriatic Arthritis and Rheumatoid Arthritis, are more likely to affect children and younger adults.

Symptoms vary but commonly include joint stiffness and inflammation, reduced mobility, and pain. These symptoms can seriously restrict a person’s working life and social activities and can lead to isolation and depression.

There is no cure for Arthritis, it is a life-long condition, so management with anti-inflammatory medications and close monitoring of symptoms is vital to ensure that further joint degeneration is minimised as far as possible.

How Can Chiropractic Benefit Arthritis Sufferers?

Your Ealing Chiropractor points out that while Chiropractic treatment is entirely drug free, it will never be suggested that you stop taking any medication prescribed for you – although it is definitely the case that some patients are able to reduce pain relief and anti-inflammatory medications in conjunction with their GPs, due to an improvement in their symptoms.

At your initial, assessment appointment, a comprehensive health check and physical exam will ascertain whether Chiropractic is appropriate in your case as treatment is not recommended for Rheumatoid Arthritis patients during a ‘flare up’, or for patients with active inflammation or infection (for example).

At Neuroworks, if Chiropractic is appropriate for you, at your first appointment your treatment plan and full details of costs are explained and any other questions you may have will be answered.

If you are an Arthritis sufferer or have a friend or family member who is, you can contact the Arthritis Care charity, via their website ( or on their freephone helpline 0808 800 4050. This is available all year round, not just during Arthritis Care Week and is a free and confidential service. ²

Please do not delay seeking help for this painful condition – there may not be a cure (yet), but your  Ealing Chiropractor can help you to improve your mobility, reduce symptoms of pain and continue to be more mobile with exercises you can do at home.




Take a Stand With ‘On Your Feet Britain’

painful jointsAccording to the ‘Get Britain Standing’ campaign, in Britain, we sit for an astonishing 8.9 hours every day on average. This ‘sedentary epidemic’, is leading to a number of serious health problems. To highlight the dangers of a sedentary lifestyle and to encourage all of us to sit less and move more,, in association with Active Working, is organising an ‘On Your Feet Britain’ day, on Friday, April 28th this year.

However, as Ealing Chiropractor, Johan C Jeronimus DC DACNB, points out, there are many reasons why a person is less active than they could or should be. These include painful joints and muscles, reduced mobility and range of movement.

All of these factors can lead to sitting for much longer than we should each day, but Chiropractic can help with the biomechanical causes of pain and reduced mobility. So if you feel that these problems are holding you back from being more active – and putting you at risk of major health problems, as a result, it is time to talk to your Ealing Chiropractor! So call us today on 0208 566 3757 and arrange your initial appointment.

The holistic approach offered by the Chiropractic team at Neuroworks uses a number of techniques, including gentle, Chiropractic adjustments to get you out of pain and restore your mobility.

Health Risks of a Sedentary Lifestyle

Research has provided compelling evidence of the health risks of sitting for more than four hours a day. These include, a reduction in metabolic rate, weight gain leading to obesity, disruption in blood sugar levels, Type 2 Diabetes, elevated blood pressure, circulation problems, heart disease, back pain, (particularly lower back pain and neck pain), an increased susceptibility to some types of cancer, reduced muscle tone, core strength and balance. For women, in particular, a lack of weight-bearing exercise can lead to an increased risk of developing Osteoporosis.

In addition, lack of physical activity and sitting for long periods each day can be contributory factors in mental health problems such as depression and increase the risk of developing a degenerative condition, such as Dementia.

Some Ideas for Reducing Your Sitting Time

See your Ealing Chiropractor! Feeling good, being comfortable in your body, able to move freely and without pain, is a great incentive to be more active. In addition to the comprehensive assessment of your physical health at your initial appointment and an agreed treatment plan designed specifically for your needs to get you out of pain and back to full mobility, we can advise on simple lifestyle changes that can make a big difference.

You can make some very simple changes right away that will make a big reduction in your overall ‘sitting time’ during the course of the day.

At work, for example, take your phone calls standing up, go for a walk at lunchtime and use the stairs instead of the lift. You might like to consider standing at the back of the room during meetings or presentations and having an informal colleague meeting or discussion during a walk around the park instead of at a desk!

At home, it might be practical to walk the children to school instead of driving, or walking to a local shop for that one ingredient you have forgotten – instead of taking the car to the supermarket. Other jobs could be done while standing instead of sitting, like the ironing, washing up or vegetable preparation. Even watching TV could become an exercise opportunity with a portable treadmill or exercise bike – but perhaps that is a bridge too far!

So, do not wait until ‘On Your Feet Britain’ day on Friday 28th April 2017 to take your first steps to getting up off your seat and onto your feet! If you are reading this after the event – you definitely do not have to wait for the 2018 ‘On Your Feet Britain’ day either!

Make an appointment with your Ealing Chiropractor today and get those niggling biomechanical aches, pains and mobility problems sorted out. Do your bit for the Get Britain Standing campaign and encourage your friends, family and work colleagues to see how much sitting time you can reduce, and take a stand for a healthier, fitter and happier you!

Three Steps To Safeguard Your Brain Health

brain healthWe can all look forward to longer lives thanks to advances in modern science. However, with degenerative brain disorders on the increase, Brain Awareness Week (BAW), a global event which, this year, runs from the 13th to 19th March aims to spread the word about progress in brain research and in the prevention, diagnosis and treatment of degenerative brain disorders and other health issues affecting the brain.

To coincide with BAW, Ealing Chiropractor, Johan C Jeronimus DC DACNB of the Neuroworks Chiropractic Clinic has compiled three simple steps to help each of us take care of our brain health throughout our lives.

  1. Exercise

Exercise improves memory and thinking.

  • The direct effects of exercise come from the reduction of insulin resistance and inflammation and the stimulation of the release of chemicals (growth factors), that benefit the health of brain cells and affect the abundance and survival of new brain cells and the growth of new blood vessels within the brain.
  • The indirect brain health benefits come from reduction of stress and anxiety and an improvement in sleep and overall mood – all of these areas are ones that can cause or be a contributory factor in cognitive impairment.

To help you stick to your goals and keep you motivated, consider joining a class, partnering with a ‘gym buddy’ or hiring a personal trainer.(1)

Take care when participating in sport or other physical activity. It is important to protect your brain from injury with appropriate headgear. If you do pick up a head injury, no matter how minor it may seem, take it seriously and get it checked out promptly.

  1. Nourish Your Brain

Eating a healthy diet, drinking alcohol in moderation and considering some supplements to help make up any shortfall in nutrition can help to keep both the body and the brain healthy into old age.

  • Antioxidant foods such as blueberries help to protect our brains against oxidative stress.
  • Deep-water fish such as wild salmon are rich in Omega-3. These essential fatty acids are anti-inflammatory and are definitely essential for normal, healthy function of the brain.
  • Consume Vitamin E. Nuts and seeds provide a good source of this essential vitamin and just one ounce per day can help to reduce the cognitive decline that can come with ageing.
  • Eat healthy monounsaturated fats, such as those found in Avocados. These fats promote healthy blood flow and lower blood pressure.
  • Eat whole grains that provide healthy fibre that can reduce the risk of heart disease. Having a healthy circulatory system helps to ensure that the brain has an adequate blood supply to remain healthy.
  • Beans and pulses help to stabilize blood sugar levels. The brain needs glucose for ‘fuel’ and needs a steady stream throughout the day, stable blood sugar levels will help to ensure it gets what it needs.
  • A modest amount of caffeine can help to improve memory, mood and focus. The best way to get this is from freshly brewed coffee or tea. Two or three cups daily is sufficient.
  • Eat some chocolate! It has to be the darks stuff though as this has the most powerful antioxidant effect and can help with concentration and improve the mood.(2)
  1. Sleep

Sufficient, good quality sleep, has a very positive effect on brain health and benefits for our mood, stress and anxiety levels too. When we sleep soundly, neurotransmitters within the brain are ‘topped up’ including Serotonin, vital for a feeling of wellbeing and in reducing feelings of anxiety and stress during the day to day activities of our lives.

Being sleep deprived, has many negative effects including negative thoughts and emotions and the risk of developing serious depression.

Sleep has another, surprising benefit too – it gives the brain a ‘spring-clean’ every night by flushing out the toxins that build up in the brain during our waking hours.(3)

Neuroworks Can Help

  • Do you have a niggling biomechanical problem that is preventing you from enjoying exercise?
  • Do you need advice on diet, nutrition or supplementation?
  • Are you stressed and finding it difficult to get a good night’s sleep?

If you can answer “yes” to one or more on the list above, do not delay getting help! For the sake of your brain health, call your Ealing Chiropractor today to arrange an appointment on 020 8566 3757.

Note: Neuroworks wholeheartedly supports the aims of Brain Awareness Week but is not affiliated with, or endorsed by the organisers, The DANA Foundation.




BPPV Vertigo Treatment

bppvBPPV or Benign Paroxysmal Positional Vertigo is a condition that causes patients to experience recurrent attacks of vertigo often lasting for only a few moments and which are triggered by particular head movements. Although the problem can affect people of any age, it is most common in the over 50s.

If you are experiencing symptoms of dizziness or vertigo, it is important to rule out other causes that can include blood pressure changes, infection, trauma or a problem within the brain and/or spinal cord itself. BPPV is the most common cause of Vertigo seen by us at Neuroworks Chiropractic practice – and for most patients, is quite easy to remedy.

If the symptoms described sound familiar, please call to arrange an appointment on 020 8566 3757 and we can assess your problem. If it is BPPV, we can begin appropriate treatment, if it is something that we feel, requires further assessment, we can refer to you another health care professional.

The Causes Of BPPV

Ealing Chiropractor, Johan C Jeronimus, founder of the Neuroworks Chiropractic Clinic, explains that the distressing symptoms of BPPV, that can involve nausea and, less frequently, vomiting, are usually due to a build-up of tiny calcium carbonate crystals floating freely in the fluid of the inner ear. This type of BPPV is referred to as, Geotropic. Particular head movements or positions can result in crystals sending confusing, random messages to the brain as they brush against the sensory, hair-like filaments that, in normal circumstances help us to maintain balance.

Apogeotropic is the name for the type of BPPV where the tiny particles of calcium have attached themselves to a domed structure called the Cupula in the ear.

There are other causes of BPPV and these include an imbalance in the structure of the inner ear and changes in the Cupula that may include a decrease in density due to excess intake of alcohol.

How Do We Assess BPPV?

Because different types of BPPV are characterised by particular head positions that trigger them, the diagnosis of a specific type of BPPV will usually involve placing our patient in different positions and monitoring which cause symptoms. Characteristic, uncontrolled eye movements or nystagmus are also an indicator, so observing these and other signs enable us to determine the type of BPPV a patient is suffering from. This is important, as each type requires a different treatment method.


When the cause is free-floating calcium carbonate crystals within the inner ear, a series of positioning manoeuvres can move the particles into the back of the ear canal and deposit them within a ‘pocket’ there – where they are less likely to cause problems triggered by movement.

After repositioning, your Ealing Chiropractor will often suggest that patients remain as still and upright as possible to ensure that the treatment is as effective as possible.

In some cases, Vestibular Rehabilitation Therapy or VRT can be effective, although a follow-up course of treatment may be necessary for BPPV sufferers who are still experiencing symptoms.

We may also suggest that patients avoid salt and caffeinated drinks for a week after treatment and consider cutting down on both, thereafter as a reduction in the intake of these chemicals has been shown to reduce the formation of the calcium carbonate crystals within the inner ear that trigger BPPV – thus reducing the likelihood of further episodes.

If you are suffering from the symptoms of BPPV, the good news is that the conservative treatment methods offered by your Ealing Chiropractor can often bring relief from symptoms after a single treatment.

Osteoarthritic Changes of the Hip

hip painOsteoarthritic changes of the hip can cause pain, swelling and deformity of the joint. Many people are unaware that Chiropractors can play a key role in the conservative management of hip Osteoarthritis.

Ealing Chiropractor at Neuroworks Chiropractic, Johan C Jeronimus DC DACNB, explains that Chiropractors are healthcare professionals who focus on the diagnosis and treatment and even prevention of a number of biomechanical problems. At Neuroworks, Johan and his colleague, Jake Cooke MChiro DACNB, use their expertise in joint and soft tissue work, combined with counselling on appropriate changes to lifestyle and diet, and advice on beneficial, appropriate exercises that patients can do at home.

Their ongoing support provides a holistic approach that can be a standalone or an adjunct to treatments and/or medications prescribed by GPs or Specialists. Should surgery be necessary, it can help with pre-op preparations and post-op rehabilitation. If you have a diagnosis of Hip Osteoarthritis, please call to arrange an appointment on 020 8566 3757 at your Ealing Chiropractor today.

What Is Hip Osteoarthritis?

Osteoarthritis is a condition that usually worsens over many years. Inflammation or an injury to the hip joint causes the cartilage, a rubbery material that forms a protective coating over the ends of bones, to break down. This erodes the protective function of the cartilage, causing it to be less effective at reducing friction and acting as a ‘shock absorber’. The result is joint stiffness, pain that can range from a dull ache to a sharp, stabbing and localised swelling. All this can be very debilitating, causing problems in walking.

What Causes Osteoarthritis Of The Hip Joint?

Factors that can increase the potential for developing hip Osteoarthritis include growing older or having had an injury to the joint. However, highlighted during the recent Obesity Awareness Week (9th-15th January here in the UK)¹ is the fact that being overweight can be a major factor too, causing additional stress on all weight-bearing joints, including the hip.

Hip Arthritis Symptoms

Hip Osteoarthritis can develop slowly, over time. Symptoms you might notice include:

  • Stiffness in the joint when getting out of bed, or after sitting for long periods (after a long car journey, for example)
  • A reduction in the range of movement of one or both hip joints
  • Pain, ranging from a dull ache to a sharp stabbing in the hip area
  • Swelling or a feeling of tenderness in the joint
  • Crunching or grinding sounds from the hip area during activity that might indicate cartilage degeneration

Diagnosis and Treatment

Often, a GP referral for an X-ray will show the telltale signs of hip Osteoarthritis that can include bone spurs developing on the margins of the joint and narrowing of the joint itself. However, there is no single, definitive test for diagnosis of the condition and often a combination of physical examination and X-rays will provide the answers.

Surgery for Hip Arthritis

Hip resurfacing is an interim surgical option that replaces the affected hip joint surfaces – but by covering the ball joint of the thigh bone of the thigh bone rather than replacing it. The thigh bone is preserved in its entirety so that hip replacement could be carried out in future, should this prove necessary.

In hip replacement surgery, the head of the femur is replaced with a metal ball and the socket part of the joint is resurfaced and lined.

How Can Chiropractic Help?

At your Ealing Chiropractor, Neuroworks Chiropractic, our holistic approach aims to improve the mobility of each patient and to help with the reduction of pain. We can provide nutritional advice including suggested dietary changes and supplementation. We can also teach safe and appropriate strengthening and stretching exercises.

Our conservative and drug-free treatments can be hugely beneficial, especially when excess weight is a contributory factor. These conservative measures may delay or even prevent the need for invasive surgical intervention. Please call us today and arrange an appointment to discuss the treatment options and alternatives available to you.

¹ Neuroworks Chiropractic wholeheartedly supports the aims of National Obesity Week but is not affiliated with, nor endorsed by The National Obesity Forum.