Big congratulations, we have a NEW Physiotherapist!

A small synopsis about our new Chartered Physiotherapist Philip.

Philip qualified as a chartered physiotherapist from UWE, Bristol in
2008 and has since gained wide experience as a physiotherapist in the
NHS and private sector. This has included orthopaedics, elderly
rehabilitation and musculoskeletal outpatients. He has also helped to
take back pain classes and is qualified in 1-1 Pilates. Philip is a
keen runner and has won Kent county medals on the road, track and
cross-country and has a specialist interest in running injuries and
training principles. He has taken courses with Vivobarefoot and with
The Running Clinic, Quebec, Canada.

Philip is also a REPS Level 3 qualified personal trainer and is a keen
advocate of exercise rehabilitation and functional exercise. Philip is
next hoping to add acupuncture to his treatment repertoire.

 

To book with Philip or another member of the team, click on the contact us and we can guarantee an appointment on the same day! 

TEAM GB! TEAM GB! TEAM GB!

So today our Senior Physiotherapist David met the the Team GB Psychologist and Strength and Conditioning Coach. Safe to say it was a memorable experience and he has learnt so much from the very best in the business! 

The best thing is, these tips and tricks used with the top athletes will now be used and integrated into all of his future treatment plans.

Book in now to experience the next step of Physiotherapy care!

Running, what to avoid, what to look for?

It's coming to that time of year when people yearn to purchase a pair of running shoes and train for upcoming events, through all of the traditional British weathers, which can only be described as joyful.

Running provides many benefits to the human body, providing positive effects physically and psychologically. But among these benefits, are some associated common issues to look out for, such as 'shin splints' and knee pain.... Plus a few more!

There are a few things you can do which will prepare your body to give you the best chance of avoiding some of these common issues.

Firstly, purchase the correct running shoes for your running style and standing foot position. Personally I always recommend high arched shoes such as the Asics Kayanos, due to their advanced arch support and cushioning. Shoes such as these can be purchased from local running shops, which should include a running scan to assess for appropriate shoe types.

Secondly, build your training up slowly, allow your body time to adapt to its demands. Musclular changes can take up to 6-8 weeks in some cases, so be patient.

Thirdly, compliment your running training with an exercise programme, focusing on the muscles predominantly used when running. This is one of the most beneficial ways of avoiding injury! Areas to focus on include your quadriceps, hamstrings, gluteals, core and lower back. For specific gym programmes, seek advise from a qualified personal trainer or Chartered Physiotherapist.

Over the next few weeks I will be posting information regarding common running injuries, detailing basic pathology and recommended management.

Plantar Fasciitis... What's up with that?

Plantar Fasciitis is inflammation of the plantar fascia. The plantar fascia is a band of non-tensile tissue that originates from the heel and inserts in to the toes. The discomfort that people experience from plantar fasciitis is due to microscopic tears and the associated inflammatory processes that irritate the damaged area.

Plantar fasciitis is commonly associated with long periods of weight bearing and an increased body mass index. In the more athletic population subtle changes such as altering your footwear, improper running biomechanics and a recent change in training intensity or training surface can lead to plantar fasciitis.

Plantar fasciitis is typically described as a pain in the on the bottom of the foot, either in the mid portion or at the origin by heel. It is commonly most painful in the morning or after long periods of rest, this is due to the micro tears slowly repairing and tightening up, and therefore the first few steps can irritate these areas.

Your GP or Physiotherapist can normally diagnose plantar fasciitis with a good subjective and physical examination. In some cases we will use ultrasound scans or X-rays to confirm a diagnosis.

Due to the poor blood supply to the plantar fascia it can take up to 12 months to heal. Initial treatment would consist of soft tissue release work in to your gastrocnemius, soleus and the plantar fascia. We would also give you stretches to lengthen out these tissues to complement our release work. Finally we would give you exercises to strengthen your Tibialis Posterior muscle and the intrinsic foot flexor muscle group to aid offloading the plantar fascia.

What can you do at home? 
➢ Don’t walk barefooted on hard, non-forgiving surfaces. 
➢ Anti-inflammatory medication
➢ Rest your foot
➢ Arch support and heel cups

Does any of this sound familiar? If so contact our team for an initial consultation now!

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Medial tibial stress syndrome, or as we all know, SHIN SPLINTS

Medial tibial stress syndrone, or MTSS is a pathology that is presented as pain down the front of the shinbone, otherwise known as the tibia. The reason we experience pain along here is due to inflammation of the periosteum, this being connective tissue covering the surface of the tibia.

MTSS is associated with a multitude of factors, such as:

> ‘Flat’ feet or over pronation .
> A recent change in footwear.
> Training in poorly supportive footwear.
> Increased body weight.
> Changing your normal training environment, for example from cross-country running to road running. 
> An increase in training frequency and intensity.

MTSS is normally associated with an initial dull ache, followed by a more sharp and acute pain if activity isn’t ceased. It is vital to not run through the pain, as this will just increase the body response to inflame the area.

Your GP or Physiotherapist can normally diagnose MTSS with a good subjective and physical examination. In some cases we will use ultrasound scans to confirm a diagnosis.

Management of MTSS consists of modifying the activities that lead to inflammation of the periosteum. This is normally a combined approach of soft tissue massage, altering biomechanics, strength training vital areas, foot correction, strapping/taping and a gradual assisted return to activity. An estimated time for getting back to activity can range from 3-8 weeks dependent on the severity.

What can you do at home?
==> Purchase supportive trainers as recommended by your Physiotherapist
==> Ice regularly 
==> Anti-inflammatory medication
==> Stretching of your gastrocnemius and soleus
==> Avoid high impact activity such as running.

Does any of this sound familiar? If so contact our team for an initial consultation now!