Dr Sunil Rama

03 Jul 0 Comment


How common? A bit too common for my liking and many present to the practice with pain, bruising and fear WHY DID THIS HAPPEN? Standing up too quick from a lying down or seated position. Here the blood pressure falls and has to accommodate the sudden standing position so there's an increased demand of bloodflow to the brain, thus this change causes dizziness and a FALL. Incorrect footwear such as barefeet or poor quality slippers with no rubber grip, wet floors, bad rugs/mats at home, loose stools, unsteady step ladders. Fluctuating levels of glucose in diabetics. Pain in the hip, knee or spine

03 Jul 0 Comment


You go to bed, all seemed well, you wake up the next morning and there is an excruciating pain in the neck and shoulder. You cant turn, you cant lift your head up and often cant get out of bed either. WHAT DO YOU HAVE? Spasmodic torticollis is a high possibility. WHAT DO YOU FEEL? Turning (looking towards) to the side of pain is almost impossible and turning to the opposite side of pain is often doable but with pain. Looking upward and ear to shoulder is painful and restricted too WHY DID I GET THIS? Change of pillow, bed, couch Draft of wind of the neck from an air-con, fan, car window Viral

03 Jul 0 Comment


Levine is credited with coining that mantra — “sitting is the new smoking” — but he’s not the only one who believes it. Researchers have found and continue to find evidence that prolonged sitting increases the risk of developing several serious illnesses like various types of cancer, heart disease and type 2 diabetes. Another reason the smoking analogy is relevant is that studies have repeatedly shown the effects of long-term sitting are not reversible through exercise or other good habits. Sitting, like smoking, is very clearly bad for our health and the only way to minimi

03 Jul 0 Comment


Use longer vacuum cleaner handles, this allows less strain on the lower back and a longer reach - Avoid sitting on low stools, couches and stools - Avoid prolonged knee flexion positions (gardening, prayers and chores) - Monitor ergonomics at the workstation and at home, ensure your back is always supported and that the neck is kept at eye level to the computer screen -Use good footwear, pillows and a firmer bed - Avoid sleeping in too much, this MAY cause more fatigue and pain - Exercise for at least 20 mins/4 x a week to start with (brisk walk, run, cycle, row, gym or box the air in the loun

13 Jul 0 Comment

5 Things Your Chiropractor Wishes You Would Stop Doing

Sometimes you want to go where everybody knows your pain. The chiropractor isn’t just a place to get your back popped or worked on anymore. Sports chiropractors are sprinters, marathoners, and runners just like you, specialising in all types of athletic endeavors. Most importantly, they know how to help diagnose a problem and get you back on the road. To figure out what these professionals don’t want you to do before making an appointment, Runner’s World asked two chiropractors who specialise in running about what common training flaws are leading to patients ending up in their o

09 Jun 0 Comment


The year 2016, has been one for change for many patients and friends, including myself. I have managed to complete the Two Oceans Ultra marathon and the grueling Comrades marathon. I can only thank the Gods for ensuring I was spiritually capable of  enduring the strain of the constant mind games and Chiropractic healing for optimising my physical  well being for the 89.2 km

09 Feb 0 Comment


The patient typically calls it "a sharp pain beneath my wings" or a pain that is centred to the thoracic spine (mid to upper back) often having pain with deep breathing. The essential diagnosis must be made as the cause may be multifactorial depending on age, activity and lifestyle of patient. History of trauma or a motor vehicle accident can typically make the symptoms persist even with the use of anti inflammatories (NSAIDs). Simple tests like palpation and getting the patient to move to assess where and when pain is felt can assist in making a diagnosis. Cardiovascular causes must be

04 Sep 0 Comment


At my practice, I always advocate ergonomic and lifestyle changes to allow the patient quicker recovery and less pain by changing their habitual patterns that have initially caused the current dysfunction However, patients do find that their sexual activity becomes compromised as a result of their painful condition and are often too embarrassed to ask, thus I posted this blog, for you get research based advice on which sex positions are less strenuous on the spinal joints and discs In several research studies, it has been shown that approximately 34% of men and 55% of women reported decr

27 Jul 0 Comment

10 Things Most People Don’t Know About Chiropractic

10 Things Most People Don’t Know About Chiropractic 1. Pain is the last symptom of dysfunction. A patient’s back is often restricted or unstable for months or years before it presents as a problem and they show up in a chiropractor’s office. In addition, the absence of pain is not health. While medication may be needed, if you take a pill and the pain goes away, the dysfunction that caused it still persists. Muscle, ligament and joint injuries often occur as a result of long-term biomechanical dysfunction, sometimes from past injuries, making the area more susceptible to fu

25 Jun 0 Comment

A numbness on the front of my leg-MERALGIA PARESTHETICA

A common finding in practice. The chief presenting complaint here is a numbess or a funny feeling on the front and side of the quadriceps muscle (the front thigh muscle). The discomfort is usually constant and does seem worsen when the patient walks but is common upon sitting too The nerve roots from the lumbar plexus/lumbar spine at L2/L3 branch off a sensory nerve called the lateral femoral cutaneous nerve  which lies on the hip flexor in the groin area that supplies sensation to the front of the thigh (see attached image). We see this condition in cyclists, pregnancy, sudden weigh

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