What I treat

Desk and posture pain

A badly set up screen can leave the neck, shoulders and back aching, and the cause is not always obvious. Most of the people I see in Canary Wharf sit for a living.

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Ioannis A Rafailidis assessing a patient

What it is

A poorly set up workstation can lead to pain in the neck, shoulders, back, arms, wrists and hands. Sitting at a desk for a long time with bad posture is one of the most common causes of neck pain. Back pain is less clear-cut: it is not always obvious what causes it, and it often gets better on its own. What I usually find is not one bad habit but a whole day of small ones.

Your first assessment

I take a case history and examine you, and I explain what I am doing before I do it. I ask you to make simple movements and stretches so I can see how you hold yourself and how you move. Along with hands-on treatment, you get advice on posture, lifting and how your workstation is set up.

What a plan usually involves

Treatment is hands-on, with self-help advice and exercises to support recovery, and every plan I build combines hands-on treatment with movement-based rehabilitation and education. Most neck pain only lasts a few weeks, and back pain usually improves within a few weeks; the work is stopping it coming back. After your first appointment I give you a realistic estimate of how many sessions you may need.

When a doctor needs to be involved

If something about your symptoms worries you, see a GP or call 111 first.

No GP referral needed. If your assessment shows you need imaging, an injection or a specialist opinion, I refer you directly to a sports and exercise medicine doctor, and your osteopathic care continues with me.

For employers

I also run posture and movement workshops and workstation assessments for teams in Canary Wharf and Marylebone. Details are on the Corporate wellness page.

Good to know

Top of the screen level with your eyes, about an arm's length away; keyboard just below elbow height; mouse in line with your elbow; screen and keyboard straight in front, so you do not twist. The seat should support your thighs evenly and the backrest your lower back. On a laptop for long spells, use a separate keyboard and mouse so the screen can go up on a stand.

Short breaks often beat long breaks rarely. Five to ten minutes every hour is a good guide, and a break should get you up, stretching and changing posture.

If you use a screen daily for an hour or more at a stretch, the HSE's display screen equipment regulations apply to you, and a worker reporting pain or discomfort is one of the things that calls for an assessment. Ask for one.

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Choose a time that suits you

Early and late appointments around the working day.

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