As an Allied Health Professional the treatments that I provide are categorised as essential medical services.  I am therefore still able to see patients and the practice will remain open despite the most recent lockdown restrictions. Extra precautions are in operation to try an minimize the risk of viral transmission.

 

 

Miles Cowan Bsc (Hons) Ost Bsc (Hons) Pod MChS Dip FTST

State registered Osteopath & Podiatrist

 
Podiatry & Osteopathy in Shaftesbury, North Dorset:

Hi, welcome to my website.  My clinic is located on the outskirts of Shaftesbury on the Wincombe Business Park. I treat people of all ages and stages of life, mainly from around Shaftesbury, Gillingham, Mere and the surrounding areas of North Dorset and the Wiltshire border.

I am a dual qualified osteopath and podiatrist and have statutory registration with the HCPC and the GOSC. I have been in clinical practice for the past 18 years and I have an extensive experience working in private practice and in the National Health Service. I provide a comprehensive range of services, including chiropody, podiatry and osteopathy treatments.

I understand that when you are in pain, or you have any kind of problem that is effecting your body, you want to get it seen to quickly. I do therefore, make every effort to see you as soon as possible, to help resolve the problem swiftly.

Appointments:

There is an easy online booking system, where you can make an appointment at your convenience (see link at top of page). If you are unable to find a date and time that suits, please call me or send me an email. I will get back to you asap, to try and offer you a time that fits in better with your schedule. I can arrange later appointments for anyone who is unable to come between the hours of 9am- 5pm, due to work. I also offer a home visiting service.

Please note, that I will likely be treating patients during the day, so I may well not answer your call if you phone me. Please leave a message on my voicemail and I will phone you back.

 

High standards of hygiene are maintained within the clinic, in accord with official guidelines. All chiropody instruments are professionally cleaned in an ultrasonic bath, using a chemical cleaner that removes all particulate’s and residues, to clean down to the molecular level. The instruments are then vacuum packed into individual sterile pouches,  placed in an autoclave and steam cleaned at a high temperature to kill off any pathogens and virus’s.

 

Surfaces, such as door handles, treatment couches, tables and floors are cleaned with detergent in between patient visits, to maintain health and safety standards and to minimize risk of cross contamination with Corona virus.

 

shaftesbury-osteopathy

The use of medical grade PPE is also worn within the clinic.

available treatments

How can Miles help you?

Follow link on the main menu, at the top of the page, for details.

Podiatry & Chiropody:

There is a professional chiropody surgery in the practice, with all the latest technology and equipment, which I use to diagnose and treat a broad range of conditions effecting the feet. Here is a quick summary of the kind of treatments that I provide:

  • I carry out routine foot care such as nail cutting, corn, hard skin (callus) removal and treatment for cracked (fissured) heels.
  • I can help with painful ingrowing toenails, which can be treated under local anaesthesia, using minor surgical procedures, know as a partial nail avulsion or a total nail ablation.
  • I treat stubborn fungal nail infections through a highly effective method that get’s right to the source of the problem.
  •  I use a number of methods, including laser therapy, to initiate an immune response, that attacks the viral infection that causes verruca’s. 

  • I provide diabetic foot care, including treatment of plantar ulceration and diagnostic testing for neuropathy and circulatory issues associated with diabetes mellitus.
  • I offer expert advise and treatment for people suffering from heel pain and use shockwave therapy, tool assisted massage and foot manipulation to treat this condition.
  • I prescribe special insoles (orthotics) that provide support to the feet and help to make walking more comfortable.
  • I carry out in depth assessments or biomechanical analysis to diagnose the underlying causes of foot problems and dysfunction of the lower limb and the body as a whole.

 

Biomechanics & Gait Analysis:

 

 

 

 

 

Osteopathic clinic: 

The other main function of the clinic is to provide osteopathic treatment for patients with a wide spectrum of musculoskeletal (MSK) problems. This includes treatment for all the common aches and pains effecting spinal column, the muscles, tendons, ligaments and joints of the body. Osteopathy is a gentle ‘hands on’ approach, that views the patient from a holistic perspective, treating the body as a whole and not just a collection of isolated parts.

Here is a brief summary of some of the types of problems I can help with:

  • Lower back pain
  • Neck pain 
  • Sciatica and trapped nerves
  • Headaches & migraines
  • Peripheral joint problems, such as shoulder, elbow, hip & knee pain
  • Sports injuries
  • Pulled muscles, tendons and ligaments

 

 

 

 

I also use dry needling and laser acupuncture, to help resolve pain and tension in the muscles and connective tissues of the body. This is very effective in targeting specific areas in muscles that can develop acutely tender, taut bands of fibrotic tissue, otherwise known as ‘trigger points.’

 

Tool Assisted Massage

Another method I use to treat tight muscles is called ‘Tool Assisted Massage.’ These instruments are great for ironing out knots in muscles and for breaking down adhesions within fascia and other connective tissues. The tools act as useful diagnostic devices, similar in some ways to the needle on a record player, as they magnify the feeling of tension  and drag from the underlying tissues.

Patients often complain of  ‘knots’ in the muscle (Trapezius) that sits over the back of the shoulders and in between the shoulder blades (scapulae). This is an area of the body that is prone to ‘postural strain,’ due to sitting at a desk for long periods, with hunched up, rounded shoulders. This can lead to areas of hypertonicity in the Trapezius muscle, with very tender trigger points or knotted areas in the soft tissues. In fact the real cause of this problem is the myofascial tissues and the muscular tendinous junction the Levator Scapulae muscle, which inserts onto the top of the shoulder blade.

The fascia is connective tissue that runs throughout the body, a bit like a spiders web. It is a continuum of every structure within the body and envelopes muscles, bones and organs. When we think of the body, we tend to think of separate structures, such as bone, muscles or tendons but in reality it is all one interconnected structure and the fascia is the connecting tissue that binds and holds it all together. The network of myofascial tissues provide form to the whole body &  it is an excellent example of the osteopathic principle of ‘the body as one unit.’

 

 

Specific exercises can also be prescribed to help manage chronic back pain, to improve range of motion in the joints and to maintain flexibility throughout the body. However, very often the best medicine is rest, to allow the body to repair and clean. Most of us spend to much time rushing around, stressed out and with busy lives; the ‘fight or flight’ response is switched permanently on, with the Sympathetic nervous system on maximum overdrive. The stress hormone, Cortisol, which is realised from the top of the kidney, has the negative effect of suppressing vital functions such  as cleaning and repair. So in fact exercise can be detrimental to recovery and that is why it may well be best to rest…, something that busy people often struggle with!

 

 

 

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Where to find me

Shaftesbury, North Dorset

OSTEOPATHY & PODIATRY ARTICLES

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