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Top 10K Recovery Tips from goPhysio

Posted on 16th March 2018 by

Well done! You’ve completed your 10k race! If you’re a 10k regular, you may have learnt the bast way to tackle post race recovery. But for some, it may be your first 10k event. What you do after an event can really help or hinder your recovery and set you on the right path for continuing your running journey!

Not sure what is best to do to help your recovery. Well don’t worry, here are goPhysio’s top tips for your recovery:

  1. Cool Down – you cross the finish line and the last thing you want to do is keep moving, but a gentle jog or walk will help to steadily slow down your heart rate and allow the build up of waste products in the muscles to be flushed out.
  2. Hydration – Keeping hydrated is essential to allow the muscle to stay elastic and malleable; after all your muscle are made up of up to 70% water.
  3. Refuel – within 30 mins of your race it is important to refuel with a small meal high in carbohydrates and protein. This will help to prevent the onset of muscle soreness as this is the optimal time that the body will use the carbohydrates to rebuild glycogen stores.
  4. Rest– after you have celebrated running your 1st,5th,15th 10km race, get an early night. Sleep is when our body heals, so it is important to give your body the best chance of healing those sore muscles and giving you the best recovery.
  5. Active Recovery – The day after your 10k race try to get your body moving, go for a walk, swim, cycle or even a light jog. This will get you heart pumping increasing circulation around the body continuing to flush out any waste products (lactic acid).
  6. Massage – Book yourself a sports massage. You have trained hard and reached your goal of running the 10km so why not treat yourself to a recovery massage the day after the race. This will help relax those tight muscles, increase the blood flow to the muscle and help prevent DOMS. Don’t forget to take advantage of our race day offers, you can get 20% off your sports massage until 30th April.
  7. Listen to your body – if your feeling sore a day or two after your run then try to listen to your body and what it needs. Take your time to get back into your running routine.
  8. Celebrate – you’ve done it, what a great achievement! Be proud of yourself and celebrate what you’ve achieved. Whether it’s your first 10k or one of many, well done from us all at goPhysio!

How might orthotics help me?

Posted on 10th March 2018 by

Orthotics are prescribed and worn for a variety of reasons. They are also known as insoles, shoe inserts or orthoses.

The most common reasons orthotics are recommended are:

  • Arch and heel pain (Plantar Fasciitis)
  • Lower leg tendonitis (Achilles tendonitis and posterior tibial tendon dysfunction)
  • Shin splints
  • Knee pain, such as chondromalacia patellae, iliotibial band syndrome (Runners knee)
  • Leg length discrepancy
  • Low back pain

Orthotics work by improving foot efficiency, lower limb alignment, therefore reducing stress on the problem area resulting in pain relief.

Although some people adapt to orthotics very quickly, you should gradually adjust to them by wearing them for a few hours more each day. You should avoid using them for extended activity, including sports, until you feel fully comfortable.

They should be comfortable and used whenever you are doing the activity that would normally aggravate your condition. If you need orthotics, they can improve your overall comfort in your lower limbs and feet.

We are able tosses whether you’d benefit from orthotics by combining our knowledge & expertise of injury and how the foot and ankle works with a dynamic computerised foot scan. Following this we can make appropriate recommendations based on your individual case and circumstances.

Read More

What are orthotics?

Overuse injuries

Top 5 Running Injuries and How To Manage Them

 

 


Eastleigh 10k – 10 day countdown with Next Step Running & goPhysio

Posted on 9th March 2018 by

After a somewhat unexpected and disruptive week of snow, it has been nice to see a return to the normality of early spring…lovely to see the sun and of course rain and near impossible to do a run without thinking you have too many / too few layers on!

The run up to the Eastleigh 10k always includes a daily weather watch and such is our British weather in March there is no guessing what the weather will be on the day. Hint of summer sun…or return to biting winds and rain?? We will see.

Last night, we were joined by Running Coach, Mike Chambers from Next Step Running and 13 keen runners who have signed up for the 2018 installment of the ever growing and popular Eastleigh 10k road race, to talk through their last 10 days preparation…and yes this included the weather!

Mike has kindly written this guest blog post for us.

The evening began with introductions with a mixed audience of first time 10k runners through to the more experienced runners in the hunt for a new PB. But what unites all us runners is the thirst for information to improve your running and the mind games that go on in your head in those final few days.

We talked through dealing with nerves, trying to get the whole thing in some perspective compared with the really important things in our lives….and could we all run a little bit more like Eluid Kipchoge…not as fast but at least with a smile on our face!

Tapering

One of the hot topics of debate for this evening (and every evening you spend with a group of runners) was focused on the last week of training and tapering before a key race. The greatest fear among many new runners is getting to the start line tired from training in the last week, but in my experience, backing off too much is more likely to leave you feeling flat come the big day. Our bodies crave routine, so just take out some of the volume (30%), just tweak the intensity down a notch and keep the same number of running days….and don’t go to Ikea the day before race day! Easy runs with ‘race pace’ strides (4 or 5 x 30 second bursts) or even ‘pick up’ miles at the end on your easy runs is a simple taper for new runners over a 10k distance. This will keep your body in tune with the pace needed on the day, without digging too deep.

Food

And of course we talked about food! In a world of super foods and diet programmes and get fit quick solutions, I like to keep things simple. As long as you are eating a sensible balanced diet, keep to it, no major changes and no major carb load! The small taper in your training in the last week will act as a carb load if you maintain your usual diet. Yes, to a carb based meal the night before, but more importantly, graze through Saturday with little and often approach to snacks. And we tried to dispel myths and one claim on the night that new research suggested you don’t need any carbs at all!

Hydration

Make sure your body is hydrated through those last few days, and don’t go chugging water Sunday morning…you will feel heavy…and be in a long queue for the toilet. Keep up some electrolyte in take through a sports drink on the day. Gels – realistically unless running over 70-80 minutes for the 10k, you wont need fueling during the race, your body will have all the glycogen stores you need to fire you to the finish.

Race Day Prep

Most runners I know are creatures of habit and getting the timetable right on the day is critical to avoid a full meltdown! This works best by working backwards from the race start time, breakfast around 2 hours before this. Thinking through travel and parking on the day. Kit laid out day before (OK, I will be honest, I have laid my kit out at least 3 days before!!). Race number pinned on and check and double check have everything you need…..remember the weather…this could be vest or t shirt, but equally we may be looking at base layer, hat and gloves. A layer to keep on to the very last minute also worth having.

Race day is about trusting in your training and committing to what you set out to do, be it just get round or chasing that PB. Visualise achieving your goal, crossing the line and getting the medal and t-shirt will help you to make that your reality.

Next Step Running LogoSo, to all of you doing your first 10k, chasing a new PB or whatever your motivation for getting out there on race day, smile, commit to your pace and the very best of luck.

Mike Chambers, Running Coach

Next Step Running 

 


Alternatives To Foam Rolling

Posted on 7th March 2018 by

Foam rolling or self myo-fascial release, is a great addition to your exercise schedule. It’s a fantastic way to help your body ward of injuries. But there are a number of alternatives to the traditional foam roller, and here’s a few we love!

MB1 Trigger Point Massage Ball 

MB1 MB5 Trigger Point Roller Ball
A great alternative to a foam roller is the MB1 or MB5 ball
  • Great for targeting smaller areas such as feet, calves, hip flexors, piriformis, pecs, shoulders, forearms and the back of the neck.
  • The foam surface allows it to ‘grip’ the areas that need attention whilst the different densities of foam allow it to target deep muscles whilst remaining comfortable.
  • Extremely convenient for travel and portability.
  • Swap the foam roller out for this small, effective myofascial tool!

MB5 Trigger Point Massage Ball

  • This larger massage ball can be applied to muscles in a very similar way to that of a foam roller.
  • Target large muscle groups such as quadriceps, glutes, hip flexors, lats, QL, pecs and the upper back.
  • The layered construction offers varying levels of pressure, making sure you’re hitting the right spots but remaining in a comfortable zone.
TrP Foot roller
Nano Foot Roller

Nano Foot Roller

  • Excellent at relieving tension throughout the forearms or the bottom of the foot, where the size of a foam roller would produce less effective results.
  • The small, portable tool will help channel blood to the right areas and get rid of those aches and pains, as well as give you the ability to treat minor injuries such as plantar fasciitis.
  • Also very useful for acute pain along the bottom of the foot; a frozen water bottle. You get the hardness of a roller with the pain relieving effects of ice.

Massage Stick

  • Great if you don’t enjoy lying on the ground or having to change positions with a foam roller.
  • This massage still allows you to roll large muscle groups with varying degrees of pressure.
  • Applied most frequently to the lower limb, this massage stick is both highly effective and easily transported.
Spikey ball
Spiky balls

Spiky Ball 

  • Very similar to the Trigger Point massage ball, these spiky balls allow for a diverse range of rolling techniques whilst also offering a larger amount of tactile feedback (which helps to wake muscles up).
  • They come in a range of sizes and are a cost effective way to achieve the desired results (although may not last quite as long assume of the more hard wearing alternatives).
  • Apply to the same small areas such as the foot, calves, hip flexors, piriformis, pecs, shoulders, forearms and the back of the neck.

Roller Ball

  • This smooth roller ball features a hand-held base which allows the user to accurately target painful areas and perform soft tissue release with a self-prescribed amount of pressure.

    massage roller
    Omni Massager Rollers
  • Excellent for targeting hard-to-reach spots with a foam roller, this massager can be used on the peroneals, tibalias anterior, quadriceps, hip flexors, groin, glutes, piriformis, lower back muscles, pecs, shoulders, neck and arms.

MB 2 Trigger Point Massage Ball

  • This adjustable massage ball is perfect for finding those sore spots in the neck and back. Use this ball to help with posture and back mobility.
  • When closed the ball targets the muscles attaching directly to the spine. When open it will target the larger muscles of the back.
  • Very small, light and extremely portable.
MB2 Trigger point roller
MB2 Trigger Point Roller

Read more about the art of foam rolling.


We sell a range of these products from our clinic in Chandlers Ford, Hampshire. So if you want to find out more or have a demo, pop in and have a chat!

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To tape or not to tape?

Posted on 26th February 2018 by

When it comes to tape, taping and strapping, things can get a little confusing due to the shear number of different tapes on the market, application methods, reported effects, when to use them, etc.

This blog aims to shed some light on four of the most common tapes out there by describing what they are, why you’d use each them and at what times to use them.

First up, Leukotape Leukotape at goPhysio Taping

  • Used for stabilising joints following injury or during rehabilitation to prevent reoccurrences.
  • Also used to offload painful structures such as irritate knees or hips.
  • This is a non-stretchy, 100% rigid tape that will cause a decrease in range of motion when applied correctly.
  • It has a high adhesive strength which allows it to stick well to skin, and even better to hyperfix (white underlay).
  • It’s 100% cotton which makes it skin-friendly, handy for hikers or runners looking to avoid blisters.
  • Drawbacks: non-elastic and range limiting.

Zinc Oxide Tape Zinc Oxide Tape goPhysio Taping

  • Similar to Leukotape, this white tape offers a little more comfort but with the same rigid properties.
  • Used to protect and stabilise joints for injury prevention.
  • Lighter and less bulky than a brace, this tape will conform to the shape of a joint to provide support.
  • Very popular in climbers to protect the joints of the hand and fingers.
  • Drawbacks: restrictive, range limiting and ineffective if used on oily or sweaty skin.

Kinesiology Tape (K Tape)

  • A popular cotton-based, water-resistant tape with various effects on the applied tissues.
  • This is the colourful tape you often see on athletes or sports people. K Tape goPhysio Taping
  • Lymphatic effects: creates a vertical lift from underlying tissues which decompresses the space between the skin and the muscles. This facilitates blood flow, fluid drainage (management of bruising) and the removal of pain-provoking chemicals from injured tissues.
  • Mechanical effects: longitudinal stretch of up to 180% provides stability and elastic resistance to muscles, ligaments and tendons.
  • Neurological effects: creates a stimulus on the skin that reduces pain signals received by the brain (pain-relief). The vertical lift will also reduce pressure on free nerve endings to help reduce pain levels.
  • Drawbacks: can cause skin irritation if applied incorrectly. Can occasionally cause allergic skin reactions. Application can be complex. Research on the effectiveness of this tape is inconclusive.

Dynamic Tape 

  • A synthetic material (nylon and lyrca) with 4-way stretch.
  • Strong elastic properties make this the ultimate biomechanical tape, with stretch capabilities of up to 200% of it’s resting length.
  • Great adhesion means it will last longer, even when worn during vigorous exercise or in the shower.Dynamic Tape goPhysio Taping
  • When applied correctly this tape will offload injured tissues and offer elastic resistance when performing exercise.
  • This purely biomechanical, load-absorbing tape reduces the force on injured tissues, assists weak muscles, provides support during eccentric loading and improves movement patterns.
  • This tape can also lift the skin if applied accordingly, to facilitate the removal of bruises or relieve tension on underlying structures.
  • Drawbacks: can cause skin irritation and the stronger dynamic tape (eco tape) can reduce mobility quite considerably.

So, in a nutshell……

  • Opt for Leukotape or Zinc Oxide to immobilise and protect joints, the latter offering slightly more comfort but being less durable.
  • Choose K Tape for its range of potential effects, but remember that it lacks strong elastic properties to facilitate movement with any real support.
  • If you need strong, elastic support choose Dynamic Tape. It can be applied in a number of ways to work just as muscles do, which supports tissues and improves movement patterns.

If you have any doubt on the application or desired effects of taping, make an appointment to see one of our team at our clinic in Chandlers Ford, Hampshire. Just give us a call on 023 8025 3317.

 

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Overuse Injuries

Posted on 12th February 2018 by

What is an overuse injury?

An overuse injury is normally a chronic injury that gradually occurs over a period of time, rather than a sudden acute traumatic injury. Repetitive trauma to a muscle, joint, ligament or tendon such as a tendinopathy or stress fracture are just a couple of examples of overuse injuries.

What causes overuse injuries?

Overuse injuries are often linked to training overload in athletes, or sudden changes in activities that put stress through the body which they are not used to and therefore overload the soft tissue or bone. When we take up a new hobby, sport or activity or increase training levels/load this will put increased stress onto our body, this will lead the body having to adapt. However, if the body is not given time to adapt and the body is overloaded then this can, in some cases, lead to repetitive ‘microtrauma’ to the tissues. This can be unnoticed for a long time, or thought to be just a muscle ache. Some causes of this include:

  • Poor Technique
  • Muscle imbalances
  • Training overload/level
  • Biomechanics of your foot

What might it feel like?

Depending on the affected tissue or body part will depend on how it will feel. Common symptoms include:

  • Pain that starts initially during a warm up that then eases of and returns at the end of your sport or activity
  • Consistent pinching or sharp pain on specific movements
  • Constant dull ache

How do the symptoms progress?

Overuse injuries can be slow in developing and last a long time. The longer the problem is ignored the worse or more frequent the symptoms can become. This may lead to pain every time you engage in your sport or activity and may also lead to pain/swelling afterwards.

How is it diagnosed?

If you think you may be suffering with an overuse injury, it is important to get an assessment by a physiotherapist or sports therapist. The key to effective management of an overuse injury is accurately identifying exactly what’s causing it and addressing this. This will help to prevent any of those niggles turning into a bigger problem and possibly preventing you doing the sport of activity that you love.

What is the best treatment for overuse injuries?

There are lots of treatments that can be used to help, depending on the injury. Treatment will often start with easing the symptoms of the injury, such as pain and inflammation. In parallel to this, addressing the underlying cause and working on strength and stability to prevent reoccurence is key. Treatments may include:

Outlook

When the underlying issue is addressed and appropriate changes are made, overuse injuries can be solved. They can often be a very frustrating injury, as they inevitably need a bit of rest and trial and error to work out exactly what’s causing the issue. That’s where we come in, seeing an expert can guide you through the puzzle of injury and help get you back doing what you love as quickly and painlessly as possible.

Read More 

Achilles Injuries

Running injuries – The basic principles

Treatment of calf pain in runners

Runners knee (patellofemoral pain)

What’s physiotherapy got to do with a dripping tap?


 


Charity Support

Posted on 7th February 2018 by

As a local small business, we get inundated throughout the year with requests for support for charity The Brain Tumour Charityand fundraising events. To date, we have provided much support to these very worthwhile causes and efforts, as and when we have been approached.

However, we have now decided that we are going to support a single charity for the year and focus all our fundraising efforts on this single charity.

For 2018, we have decided to support The Brain Tumour Charity. At the beginning of this year, the 11 year old son of a very dear friend of goPhysio’s founders was diagnosed with a brain tumour. Brain tumours only receive 1% of government research funds, yet it is the second most prevalent of childhood cancers. So, we have decided to focus our fundraising efforts on this charity for 2018.

As part of our role with the Eastleigh 10k event next month, we will be providing pre and post race massages. In exchange we will be taking donations towards our chosen charity.

We hope to have some additional fund raising events planned for the year.

If you would like to make a donation to The Brain Tumour Charity, you can do so here.

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Selective Rest – When to rest and when to keep running?

Posted on 6th February 2018 by

“Should I keep running or not?” is a question we get asked a lot by runners here at goPhysio.

There are many factors that can lead to injury from excessive training loads, running technique, poor foot mechanics and muscle imbalances, to name a few. But, whatever the cause of your pain or injury total rest is rarely advocated, as this will, in general, only slow down your progress and can cause many more secondary, longer term issues.

At goPhysio, we prefer the term ‘selective rest’

This means to selectively rest from the aggravating (pain causing) activities. So, if you’ve got an ankle injury and you’re a keen runner, it is usually better to rest from running until you’re recovering but gentle walking and alternative non-aggravating activities such as swimming or cycling to maintain movement and fitness can be really helpful.

Essentially, your body’s tissues (muscle, tendon, ligaments and bone) will adapt to the demands you place upon them. When you rest the muscles may tighten and weaken, joints will stiffen and your whole body will also de-condition. The long term effects of complete rest will often prolong injuries, with you suffering unnecessary secondary complications and time off running due to inactivity. We’re designed to move, hence movement and exercise is therapeutic.

So, if you’re feeling the odd niggle or pain when you run, our top tips to help keep you running are:

  • Pain during a run? If you feel pain during your run and it is getting worse throughout your run then stop. Make a mental note of the distance or duration at which the pain started (that becomes the point you’ll use to gauge progress on your next run). Avoid running for the next 48 hours, use ice and anti-inflammatories to help settle any inflammation. Then attempt another run within 2-3 days, running to the point at which you felt your pain on your previous run. If you make it to that point and beyond great, just gently progress your running over the next few weeks, ensuring you don’t progress more than 10% distance or mileage in any one run.
    However, if the pain and distance is the same or worse than you experienced on your previous run, it will be indicative of an overuse injury. So, stop and seek an expert physiotherapy assessment to identify, modify and remove all the predisposing factors, to get you back to running quickly.
  • Rest days are training days If your training/distance has been increasing and you feel your legs are finding it hard to reach your planned distance it may be time to rest to allow your body to recover and repair. This selective rest will allow yourself to continue progressing whilst also preventing injury. Intersperse running with other activities such as swimming, cycling, Pilates, yoga or strength training. These activities will allow your body to recover from the repetitive, high loading forces of running but will still help with your running training in other ways.
  • Listen to your body It’s important to use common sense and listen to your body. We all experience natural aches and pains during running, due to the natural high loading forces of the activity. These symptoms are often one-off red-herrings, that subside within 24hrs. However if the pain is sharp in nature and doesn’t feel quite right, or persist’s for a few runs, it’s your body warning you that something is wrong and you need help.
  • If in doubt, see a specialist By seeing a specialist like a Physiotherapist or graduate Sports Therapist when you have an injury, we’ll be able to reassure you what you should and shouldn’t be doing to help your recovery. We spend a long time with you 1-2-1 to fully understand your problem and answer all your questions. You’ll go away knowing exactly what is wrong with you and exactly how to help it get better. There’s nothing worse than sitting around worrying about what may be wrong and whether you’re doing the right thing. We’ll help alleviate your fears and the result is a speedier recovery, getting back to running pain-free quicker, without the worry of the unknown.

Good Luck & Enjoy your Running!

The Injured Runner Project
We are trying to find out more about what injured runners do to get back to pain-free running, and would love to hear from you! If you’re interested in helping us out, please take a few moments to answer a couple of questions by clicking on this image. Many thanks.

Change just 1 thing to boost your running performance

Posted on 4th February 2018 by

Learn from the expert’s – here’s 5 great short cuts to rapidly improving your running performance, it’s not cheating honest! Just focus on 1 and see if it helps. From our Clinical Director, Paul.

1. The HOKA Difference: I regularly and happily recommend HOKA trainers to all my patients that require improved shock absorption and reduced tissue loading when running. They involve marshmallow, rocking chair and bucket seat technology!

To me, a clinician, they’re a unique mash up of styles, designed to simply and easily improve your shock absorption, comfort, running gait and foot stability. They are designed with only a 4mm rise from heel-to- toe, with a slight rocker shaped sole, to help with midfoot strike and smooth propulsion. Think ‘barefoot running’ style with comfy shock absorbent trainers on. The best of both world’s! So get down to your local running store and test drive a pair today. Read more about Hoka’s here. You can read more about the importance of running footwear here.

You’ll feel 10 years younger & 20kg lighter – I know I did!

2. Heel to Buttocks: Essentially it’s about improving the efficiency of your running style, by spending as much of your energy as possible in the propulsion phase. Avoiding long strides in-front of your body and the increased ground reaction forces, in this inefficient deceleration phase of running.

It’s about switching on your large propulsion muscles (gluteals and hamstring) at the end of your long levers (legs) and pushing off optimally through your big toe. It’s easier done, then you may think, just think of the cue “heel to buttocks”. So as you jog along bring your heels up towards your buttocks, and lean your trunk forwards, be prepared to getting faster as you go!

3. Pump with the arms & the legs will follow: To improve speed for that sprint finish, if you pump fast with your arms, your legs will automatically move faster. It’s the way we’re neurologically wired for reciprocal movement and the pro’s have been using it for years.

4. Sleep Better: Ensure you get approx at least 7-8 hours of sleep each night especially in the midst of a running training programme, to allow your body to recover and achieve the full benefits of training. Walker (2017), in his book ‘Why we sleep’ explains that there is a significant increase in the risk of injury with a lack of sleep.

There is no better insurance policy to mitigate the risk of injury than sleep!

Walker also explains that If your consistently not getting adequate sleep, less than 6 hour per night, you will not gain the full benefits from a healthy lifestyle, regular exercise and good nutrition. He concludes that “Sleep is one of the most sophisticated, potent and powerful – not to mention legal – performance enhancer’s everyone should be using fully”. So do yourself a favour a ensure you get – 8 hours of sleep each night!. Read more about the ‘Magic Elixir’ of sleep for runners here.

5. Maintain a Healthy Weight: A shortcut to making the most of what you’ve got is to maintain a healthy weight. For middle aged, social, fun runners it is by far the biggest contributor to easily increasing speed, distance, enjoyment whilst reducing the risk of injury. An average rule is that for every 2-3 kg lost you’ll easily improve your mile pace by a minute.


Principles To Managing Running Injuries

Posted on 2nd February 2018 by

This is a great infographic, summarising the key principles that play a part in running injuries, from Physio Edge.

Running Injuries Recommendations

What is load tolerance?

In running terms, a load can be defined as a demand placed upon your body – so this can be training intensity, frequency, distance, duration, terrain etc. All of these parameters, in varying combinations, demand your body to be able to cope with them. These are all external factors.

Tissue capacity is your body’s ability to cope with the demands placed upon it. So that’s how well your muscles, ligaments, tendons and joints can tolerate the running loads. This is dependant on your own natural physicality, your biomechanics, strength, flexibility, movement efficiency etc. These are all internal factors.

Load tolerance is the interplay between these 2 factors. So, if your tissue capacity matches the loading, no worries! However, if the loads that you are subjecting your body to in terms of your training exceed your tissue capacity, this is when your body starts to complain. It basically can’t cope with the demands.

So, what can you do to manage running injuries?

Manage your load well

  • Train appropriately for your level
  • Progress loads gradually
  • Vary your training
  • Be realistic
  • Have rest days

Optimise your tissue capacity

  • Incorporate strength and conditioning work into your training
  • Cross train – swimming, cycling and Pilates are great examples
  • Have your running style analysed and take professional advice
  • Get adequate sleep
  • Have a biomechanics assessment if you think that there may be issues with your foot position
The Injured Runner Project
We are trying to find out more about what injured runners do to get back to pain-free running, and would love to hear from you! If you’re interested in helping us out, please take a few moments to answer a couple of questions by clicking on this image. Many thanks.

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