Simon Crompton
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WHAT are we to make of this week's news that the complementary therapy Alexander Technique is an effective treatment for long-term back pain, better than painkillers, physiotherapy, massage or exercise alone? The findings came in an authoritative study in the British Medical Journal.
Chronic back pain can be soul-destroying. With pain researchers increasingly convinced of the importance of psychological, as well as physical, factors in producing pain, what's also becoming evident is that approaches that address only the physical aren't as effective as those that influence our feelings too.
It seems amazing that little more than a decade ago, rest and painkillers were still standard treatment for back pain. In the past 20 years research has consistently shown that active approaches - when the patient takes responsibility for exercise - are far more effective than passive ones.
It has gone on to show that approaches that give detailed attention to an individual and tailored treatment - such as osteopathy and physiotherapy - are more effective than off-the-peg approaches.
But more recently, as good-quality research studies have been conducted into complementary techniques, the possibility has arisen that yoga and the Alexander Technique hold benefits beyond manipulation and exercise. It has something to do with our minds.
The theory behind the Alexander Technique may be hard for medics to take because it revolves around simultaneously releasing emotional and physical stresses by improving posture. But it may be in this difficult mind-body link that its success lies. This means that, for all the benefits shown by research, it may be a while before it is available on the NHS.
So what are you to do if you want to try the technique? Since the report came out, the organisation for Alexander Technique training has reported a huge public demand for details of teachers (Society of Teachers of the Alexander Technique www.stat.org.uk). There are only 900 in England, and most of these are in the SouthEast.
Another problem is cost. One 45-minute session costs £30 to £40 and about six are needed to get lasting benefits. For those who live with the agonies of back pain, the prospect of relief may be worth selling the telly for.
Or, if you have private health insurance, check whether your policy will pay out for the technique. Some do. If your policy does, you should ask your GP to recommend a practitioner.
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I had back pain and headaches that started in childhood, and started seeing a chiropractor when I was 20. This kept the pain in check, but I had to go regularly or suffer. Then at age 41 I did Alexander technique lessons, and I have had NO PAIN since. Fully recommend it!
Brownie, Melbourne, Australia
Since learning Alexanders work with an ITM trained teacher in Bristol I now no longer have a back problem. These teachers are the best. You wouldn't believe how much they can help you
Jane Reynolds, Bristol, avon
All the holistic-oriented movement systems -such as Alexander, Feldenkrais, Neuromuscular Approach to Human Movement® deal in different ways with the physiology - the essential link between mind & body - and the different aspects of each.
Sheila Cozens, Gloucester, UK
Physiotherapists are definately not in a position either professionally or from their knowledge base to teach the Alexander Technique. It is a real and distinct skill to be an Alexander teacher, the quality of hand contact is highly
specialised and takes years of training.
Helen Mulvaney, Bath
Hellie , Bath, Somerset
Just so you know......Physiotherapists in the NHS are NOT trained to teach the Alexander Technique unless they have also undergone the three-year, full-time training it takes to qualify as an Alexander teacher. See www.stat.org.uk for more info about real AT teachers.
Joe Searby, Oxford,
Forget the pain, would it help my sex life ?
ian payne, WALSALL,
Just so you know - the technique is actually practiced by many physiotherapists in the NHS. Just ask your clinician and I'm sure that they will gladly advise you. If not the exact principal then one very close that the practitioner has adapted to suit his patients.
NTS, Manchester, England
PAAT (Professional Association of Alexander Teachers) has a really good website: www.paat.org.uk
Matthew Weller, Birmingham, United Kingdom
Besides STAT, there is also an organization in England called ITM, the Interactive Teaching Method for the Alexander Technique. Their teachers are outstanding and have completed a very rigorous training. Check out www.alexandertechnique-itm.org
Alice, Toronto, Canada
Another great resource is www.alexandertechnique-itm.org. These teachers are fantastic!
Alex Bollag, Toronto, Canada
I've just had a course of Alexander Technique sessions (actually as a result of another article in the Times), which I found very helpful. It's not mumbo-jumbo but simple biomechanics. I'd recommend it to anyone.
K John, London, UK
I suspect that if you get rid of the mumbo-jumbo surrounding the Alexander technique, there are some basic and very sensible ideas about posture that can be very helpful.
Alan Henness, Glasgow,
Alexander Technique is slowly gaining the credibility it deserves. With practitioners finally getting a recognised regulator, The General Regulatory Council for Complementary Therapies (GRCCT), we will see much more research and a much stronger argument for the use of these therapies on the NHS.
Peter Carter, London, UK
I am glad to read that scientists are taking it seriously. The Alexander technique is more than just a mind-body process. I found that it centred on using your skeleton properly, correcting bad posture and freeing up the ribcage. This directly helps your breathing, strength and muscle alignment.
Andrew Richardson, London, London
I had a wonderful experience with my Alexander Technique classes. My husband suggested it - it had helped his low-back pain - and thought it might help with my neck and shoulder pain.
They have a wonderful website at http://alexandertechnique.com which does a good job of answering common questions
Sue Benson, Paris, France