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Running injury? When to get help and who to see!

Posted on 18th January 2018 by

Injuries are part and parcel of sport, exercise and running. But when is it OK to manage the injury yourself and when do you need to get help?

Firstly, our bodies are designed to heal naturally from injury over a period of a few weeks, depending on the severity of the injury and nature of the condition.

However, being sensible is the key. If we fall and suddenly we have a swollen, painful, red/bruised limb, then we should seek immediate attention in A&E or a walk in centre. If you’re unsure which to use, calling 111 to get a healthcare professional to help you with all your enquiries.

However, if you’re suffering with a less severe or ongoing overuse injury in your soft tissues (muscle, tendon, ligaments) or joints, which is taking a long time to settle i.e. lower back pain, knee pain, or a sports injury,  then seeing your G.P. or a Physiotherapist, is your best option.

Unfortunately, the reality waiting to see your GP if you’ve got an injury only serves to delay your recovery. Most will advise rest in the first instance and maybe painkillers, and ask you to come back in 6 weeks if it isn’t better (sound familiar?). Have a look at a previous blog post we wrote ‘The magic 6 weeks‘.

Eventually they may refer you to an NHS physio, and there’ll be more waiting for an appointment, which can be up to 18 weeks or more locally! That’s 6 months plus of potential pain, suffering and not doing some of the things you enjoy.

However, most private Physio’s accept direct referrals, minimising any hold ups in your treatment, giving you peace of mind and a positive action plan, without any delays. Clinically, physiotherapy is justified from day 1 of an injury – competitive and elite sports men and women will have immediate physio.

However, for the general population, the ideal time to see a physiotherapist will depend on the severity and nature of your condition and your aims and goals.

If you have a severe painful injury that stops you from running (or exercising) and you’re due to run a marathon event in 4 weeks – immediate Physio is crucial.

If an injury stops you from going to work and you’re self employed – immediate physio is highly cost effective! We see so many people that can’t work because of an injury and if they aren’t getting paid, the cost of private treatment to get them back to work quicker is actually very cost effective.

If you have minor injury that is improving steadily, you can avoid the aggravating factors and don’t mind not being so active for a while, then you could attempt to self treat your injury. However, with this comes the potential risk of re-injury when you return to the causative activities.

If your injury isn’t improving and you want to get back to a high level of activity, i.e. golf x 2 weekly or gardening, then Physio is important to help you return to your activities and prevent re-injury.

There’s an old, well known saying “time is the best healer”, but where injury is concerned, this is a myth!

Essentially, if your injury is not improving within 5-7 days, you need to see an adequately qualified and experienced physiotherapist. The longer you delay seeing someone, taking the ‘wait & see approach’, the longer it will take you to get better and the more it will cost you in pain, effort, time, money and frustration at not doing the things you enjoy.

Who to see?

We understand there’s an overwhelming choice of healthcare providers and it can be a stressful experience choosing which therapy or clinic is best for you. The lines between different therapies are merging, making your choice of therapy and clinic more complex as Chiropractor’s give exercises, Physio’s do manipulations and Personal Trainers do rehabilitation.

From your perspective we’re all the same – you just want to see someone who can get you better! A good clue when deciding which profession to see, is to consider who the professionals use to look after their bodies? In professional sports, from cycling to football, rugby to the Olympics, it’s a Chartered Physiotherapist that is trusted to sort out injuries, they’re the ones you’ll see run out onto the pitch. There’s obviously a good reason for this. Physiotherapy is also the 3rd largest health profession in the UK after Doctors and Nurses.

Physiotherapy is a proven strategy for in the first instance, easing the worries and concerns of people suffering from aches, pain and stiffness. And then helping that person move freely again, bending further, stretching easier, feeling healthier and stronger and living an active, fulfilled lifestyle into their 40’s, 50’s, 60’s, 70’s and beyond.

Here at goPhysio we will offer you an appointment within 24 hours of you getting in touch. It’s YOU that matters and for that reason our care is focused on listening to you, solving your injury problems and achieving your goals.

The sooner you take the time and effort to invest in your health and wellbeing with physiotherapy, you’ll be back doing all the things you enjoy.

If you need a solution to your running injury, don’t delay – you can book your appointment online here now.


 


Hot OR cold?

Posted on 16th January 2018 by

It’s a common dilemma, you’ve picked up an injury but aren’t sure whether to put ice on it or use heat? Both can be great at relieving pain from an injury, but in some instances it’s better to use heat and in others cold.

So, take a look at our quick reference to guide you!

Hot or cold for injury

This article provides general advice and does not replace individual medical advice. Before you treat an injury yourself, if you are concerned about your symptoms or have specific questions, please seek appropriate medical attention.

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Top Festive Tips From Our Team

Posted on 12th December 2017 by

We’ve got our team together and are sharing our top tips for you this festive season. To help keep you healthy and happy in the build up to Christmas.

Sports Massage Therapist, Cameron, kicks off with a little joke (we’ll let you watch that to find out what it is!!)

Fiona – a Physio by training, Fiona now focuses her time co-ordinating ‘behind the scenes’ at goPhysio. Fiona’s top tip is to try not to be tempted to do all your Christmas shopping online. Getting out into towns or Christmas markets can help build some great activity into your day, you’d be amazed at the number of steps you can clock up. Carrying bags, loading parcels in and out of the car and house are all fantastic strength building activities too!

Physio Hugo, reminds us to think about your core when you’re lifting (especially those supersize bars of Toblerone!). Sometimes over Christmas we have to lift heavy or awkward items that our body isn’t used to doing (Christmas trees or big gifts), so activating those tummy muscles can help support your back a little when doing these sorts of activities.

Sports Therapist, Francesca, advises us to stay hydrated (with water!) – something many people overlook. Lot’s of sips throughout the day is the best way. Our team like these bottles from Hydratem8 that remind you to drink plenty and regularly (a great Christmas gift too).

Physio Kim has a great tip, that whilst you’re standing around over the festive period, be it in queues, cooking, washing up, at carol services……..try some balance exercises. Simply standing on one leg is a great way to build up your balance and make use of standing time. You could also do simple heel raises (going up onto you’re tip toes) on both or one leg, to strengthen your calf muscles, or little knee bend squats to work your leg muscles.

Our Clinical Director, Paul, advises you to put yourself first. We can be so busy at this time of year that we overlook our own needs. As Paul says, we get so many panicked phone calls at the last minute with people wanting help with pain or an injury urgently. If you have an ongoing niggle or injury and want to get it sorted before Christmas, then give us a call. Equally, many people find themselves with extra time off over the Christmas period, so this is an excellent opportunity to invest in yourself and see one of our Physio’s, Sports Therapists or Massage Practitioners to see how they might be able to help you.

Physio Roz advises to make sure you don’t skip your sleep! Sleep is so important to health and wellbeing. The festive season often brings with it much socialising and late nights, so if you’ve got a night in, make the most of it and recharge your batteries by getting an early night!

And finally, Sports Therapist Tom recommends that if you’re sitting for extended, lengthy periods of time – be it in the car travelling to see people or lounging on the sofa, look after your posture. You can use a cushion, towel or specialist lumbar roll to provide some extra support in your lower back if you need it. Even better still, try not to stay in one position for too long, change position regularly, get up and move about and get out in the crisp winter air for a walk.

All of us at goPhysio wish you a very happy and healthy Christmas. If you need our help over this time, we’ll be open apart from the bank holidays or you can make a booking online here.

goPhysio Christmas opening hours 2017

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Breaking the injury cycle: Calf Tear in a Runner

Posted on 3rd November 2017 by

We were recently asked some advice from a regular recreational runner. It’s a story that we hear a lot of here at goPhysio (not always calf related, but the same principles apply), so we thought it warranted a little blog post!

The runner in question was concerned, as they’d picked up a calf injury when out for a run a few weeks previously. Nothing major, but felt a bit of a tug on the calf when they had to move suddenly during the run. The calf was painful, so they did what they thought they should and rested for a week from running. The calf then felt fine, so they went back to running. Since then, the calf pain comes and goes. They don’t only feel it when they try and run but can feel it driving, going up & down stairs and first thing in the morning.

The dilemma is……….what is the best thing to do? Carry on running (because they love it and it they were progressing so well!)? Stop running (because it’s making the injury potentially worse)? Exercise? Ice? Heat? Strapping? New trainers? Taping? See their GP? Have a sports massage? Ask a friend? Use a foam roller????????? So many questions?

This is a really common story that we hear a lot in physio. A simple calf tear should take 3-6 weeks to repair itself, however its easy to get stuck in a cycle of tear, rest, repair, tear again, making the recovery much longer and much more frustrating.

How do we break this cycle?

Whilst rest is important it is not enough to adequately repair our damaged muscle to take the strain of running again, which is why it keeps being re-irritated. If we continue to do this we cause a lot of scar tissue to form in the healing muscle. Scar tissue is neither as strong nor as flexible as normal muscle fibres which make it easy to re-tear when stressed by anything more than day to day activities.

In the early stages of recovery from an injury, relative rest is important to help with healing. What that means is avoiding any activity which aggravates the injury, but trying to do alternative activities or modified activities so that you aren’t resting totally.

However, the important thing is to rehabilitate the calf muscle during the ‘rest’ period – gently stressing it with progressive strengthening exercises and stretches to regain its normal strength and elasticity. Ready to run again!

Physiotherapists are experts at guiding you through this process, making sure you are exercising at the optimal level for your stage of healing. They will make sure you are doing the right exercises (technique, loading, reps etc. all carefully worked out) and that you progress them at the right stage – all tailored to you individually and your own goals.

A programme for a minor calf tear for an ultra marathon runner would look very different to a programme for a severe tear in a Saturday morning Park Runner. There isn’t a one size fits all approach and although ‘Dr Google’ or Joe Bloggs at running club who also had a calf injury can be useful resources, relying on such information won’t always give the best long term outcome!

In addition to a specific exercise programme, Physio’s can also carry out a range of other treatments such as hands-on therapy, ultrasound and taping which can help to speed up your recovery. They an also advise on treatments you can do at home, such as foam rolling. A crucial part of your recovery is obviously returning to running at the right time. We know taking time out of running can be very frustrating, so we limit this as much as possible, guiding you with your return programme so you don’t do too much too soon and risk re-injury. If you have a specific event or race coming up, this is factored in.

So, if you love running and are worried about a calf injury, don’t hang about, book in to see an expert to guide you out of the injury cycle and back to running!

Here are two great simple exercises for a calf tear

Calf raise exercise Heel raises – standing on both feet, slowly rise up onto your tip toes then lower back to the ground. If you can manage 20 or more of these try doing it just on the injured leg, holding onto a support for a little balance, remember slow and controlled is key!


Calf stretch – stand in a long stride position with the injured Calf stretch exercise leg behind. Bend the front knee and gently press the back heel down towards the ground until you feel a stretch in your calf. Take it to where you feel a mild to moderate stretch (but not pain!) then hold for 30secs.


More information

Treatment of calf pain in runners

Top Pilates exercises for runners

Top tips for injured runners

Get your running back on track

How to warm up for running 

 


Osteoarthritis

Posted on 12th October 2017 by

What is Osteoarthritis?

Osteoarthritis is a condition that affects your joints, causing pain and stiffness. It’s by far the most common form of joint disease, affecting people all over the world and at least 8 million people in the UK.

What causes Osteoarthritis?

Almost anyone can get osteoarthritis but certain factors can increase your risk, for example if you’re in your late 40’s or older, you’re overweight or you’re female (for most joints, especially the knees and hands, osteoarthritis is more common and more severe in women).

What might Osteoarthritis feel like?

The main symptoms of osteoarthritis are:

Pain – The pain tends to be worse when you move your joint or at the end of the day. If you have severe osteoarthritis, you may feel pain more often.

Stiffness – Your joints may feel stiff after rest, but this usually wears off as you get moving.

A grating or grinding sensation (crepitus) – Your joint may creak or crunch as you move.

Swelling – The swelling may be hard (caused by osteophytes) or soft (caused by synovial thickening and extra fluid), and the muscles around your joint may look thin or wasted.

Not being able to use your joint normally – Your joint may not move as freely or as far as normal. Sometimes it may give way because your muscles have weakened or your joint has become less stable. Exercises to strengthen your muscles can help to prevent this.

Your symptoms will often vary for no clear reason. Some people find that changes in the weather make the pain worse, especially damp weather along with falling atmospheric pressure. Others find the pain varies depending on how active they’ve been. In more severe cases, the pain might not go away. It might stop you sleeping and cause difficulties in your daily activities.

There are some great resources on the Arthritis UK website, where these images are from. 

How do the symptoms of Osteoarthritis progress?

Symptoms of OA can vary. That may start severe but settle down or pain and stiffness can progress and worsen. What you do and how you manage your OA can really impact on the progression of symptoms. Keeping active and taking part in regular exercise is one of the best ways of helping your OA.

Possible complications of osteoarthritis include an increased risk of developing gout and chondrocalcinosis.

Gout is a common type of inflammatory arthritis, which is caused by high levels of urate that lead to sodium urate crystals forming in and around your joints. The changes that osteoarthritis causes in cartilage can encourage crystals to form within your joint. If you have both osteoarthritis and a high level of urate in your blood, you’re at an increased risk of developing gout.

Chondrocalcinosis or calcification is the formation of calcium pyrophosphate crystals in your cartilage. It can happen in any joint, with or without osteoarthritis, but it’s most likely to occur in a knee already affected by osteoarthritis, especially in older people.

How is Osteoarthritis diagnosed?

Osteoarthritis is usually diagnosed based on your symptoms and the physical signs that your doctor finds when examining your joints. this can include:

  • joint tenderness
  • creaking or grating (crepitus) sounds
  • bony swelling
  • excess fluid
  • reduced movement
  • joint instability
  • muscle thinning

X-rays are the most useful test to confirm osteoarthritis, although you probably won’t need one. They can’t really show how much pain or disability osteoarthritis is likely to cause. Some people have a lot of pain from fairly minor joint damage, while others have little pain from more severe damage.

Rarely, an MRI scan of your knee can be helpful. This will show the soft tissues (cartilage, tendons, muscles) and changes in your bone that can’t be seen on a standard x-ray

What is the best treatment for Osteoarthritis

Besides painkillers, steroid injections or surgery (when causing severe pain or mobility problems), the best treatment, according to the National Institute for Health and Care Excellence (NICE), is exercise.

NICE recommendations include:

  • advising patients to participate in exercise as a ‘core treatment’
  • offering weight loss interventions for patients who are obese or overweight
  • providing patients with holistic assessments

Exercise can help to manage some of the symptoms of arthritis. As Physiotherapists we provide advice and education on exercise, pain relief and ways to manage your condition. We can teach you how to improve your joint movement and your walking, as well as how to strengthen your muscles.

When you see us at goPhysio, we will assess your problem and give you tailored advice and a treatment programme. This may include some hands on treatments, an exercise programme and modifications to your lifestyle.

Prognosis for Osteoarthritis

It’s impossible to predict how osteoarthritis will develop for any one person. It can sometimes develop over just a year or two and cause a lot of damage to your joint, which may then cause some deformity or disability. But more often osteoarthritis is a slow process that develops over many years and results in fairly small changes in just part of your joint. This doesn’t mean it won’t be painful, but it’s less likely to cause severe deformity or disability. Sometimes the condition reaches a peak a few years after the symptoms start and then remains the same, or it may even improve.

Read more

6 Arthritis myths

Arthritis – an overview

New exercise guide for people with arthritis

How can physiotherapy help arthritis?

 


Open Day Success!

Posted on 19th September 2017 by

We had a fantastic day on Saturday, as we welcomed so many people through our doors to experience many of the different services we have on offer here at goPhysio in Chandlers Ford, meet our team and find out more about our lifesaving defibrillator.

Visitors on the day took part in Pilates classes, our Active Backs classes for people who want to gain confidence again exercising with back pain, Positive Steps classes for the later years of life and Yoga with Marianne.

We were also delighted to offer free sports massage taster sessions, free injury advice clinics with our Physiotherapists & Sports Therapists and carried out lots of computerised foot analyses.

Linda, a local community first responder, kindly offered some basic CPR training and dispelled many myths about using a public access defibrillator.

It was wonderful meeting so many local people. Thank you for your support!

goPhysio Chandlers Ford Open Day goPhysio Chandlers Ford Open Day

goPhysio Chandlers Ford Open Day goPhysio Chandlers Ford Open Day

goPhysio Chandlers Ford Open DaygoPhysio Chandlers Ford Open Day

goPhysio Chandlers Ford Open Day

goPhysio Chandlers Ford Open Day

 

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Be Well

Posted on 15th September 2017 by

Be well goPhysioMany of us reach a point where we no longer feel so ‘young’. We start to feel aches and pains, we start to gain weight more easily, exercising becomes more challenging and energy levels can be harder to maintain.

People can reach that point at different times, some whilst still young, some not until they are much older, some maybe never or when it’s almost too late and our body can’t cope anymore.

I watched the BBC’s How to stay young programme this week. In this series, Angela Rippon and Dr Chris van Tulleken team up with scientists to turn back the clock on a group of volunteers, showing what can be done to reverse the ageing process. Over the course of three months, the volunteers are put through a variety of tests and placed on a lifestyle plan to turn back the clock on ageing, but will it work? Can they reverse their body age?

The answer is, yes! 

And it really is quite simple. There are 4 basic pillars to keeping well……….

  • Eat well
  • Move well
  • Relax well
  • Sleep well

Easier said than done, but if you can follow those 4 pillars above most of the time, you’ll be giving yourself a fighting chance of living a long, healthy life!

Here at goPhysio, we help play a key part in the moving pillar. ‘Move well’ can mean both exercising regularly to optimise physical health but also dealing with pain and injury so you can keep moving. Research suggests that the more we move, the better. So it doesn’t have to be about hard core exercise (although high intensity exercise has many benefits), integrating moving regularly throughout the day is essential.

Quality of movement is also an important consideration. You can easily develop habits or weaknesses that affect your quality of movement. Over time your body can compensate and areas can start to complain – one of the reasons you can pick up injuries or feel pain.

As a team of movement experts, our Physiotherapists and Sports Therapists are well versed in making sure you can move your body well. That can mean assessing your movement to find out what may not be moving as it should, re-educating how you move to address any issues, utilising movement as a way of recovering from injury and teaching your body to move effectively and efficiently, through exercises such as Pilates.

If you need some help and guidance on how to move well, give us a call to book in and see one of our experts.

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A Busy, Active Weekend Ahead?

Posted on 8th September 2017 by

There’s loads going on this weekend, although getting back into normal routine now the holidays have ended may have you feeling you just want to relax on the sofa!

Tomorrow is Southampton General Hospital’s Annual Open Day, always a fascinating event and in fact, attending this every year as a youngster was one of the things that inspired me to become a Physiotherapist. We wrote a short blog about last year’s event here.

We also have The Romsey Show this Saturday in Romsey, Hampshire. ‘Where town and country meet’, a lovely chance to get on your feet, take a browse around. You can really rack up the steps on days like this. So, particularly if you’re not used to being on your feet all day and if the ground is uneven or wet and slippy from the intermittent rain we’ve been having, make sure you wear appropriate footwear and take plenty of breaks.

On Sunday, Hampshire see’s the fantastic New Forest Marathon events. There are 7 race options for 2017; Full Marathon, Advertiser and Times Half Marathon, New Forest Health & Leisure 10k , ExxonMobil 5k, Junior 1k and 200m Race, SES Autoparts Team Challenge, Nordic Walk and Woodland Walk. So, even if running isn’t your thing, there is a challenge that may suit you whatever your age. Nearly all the New Forest Marathon Events are fully booked now, but entries for next year will open on September 10th.

Simply Health are aiming to get #MillionsMoving by launching their ‘Great Run Day’ on Sunday. This kicks off with the Great North Run on Sunday. Although this may be a bit further afield, they’re in the area in continuing their Great Run Series in October for the Great South Run, which I know many local runners are signed up for.

If you are taking part in the New Forest Marathon, have the Great South Run or Winchester Half Marathon coming up or any other running event, why not come in for a professional Sports Massage. A great adjunct to your training programme to help with recovery between runs or a perfect treat after an event to help ease post race soreness. We have appointments 6 days a week, including every evening and you can even book online!

Whatever your plans for the weekend,

New Forest Marathon 2017  Great Run Day


World Physical Therapy Day 2017

Posted on 8th September 2017 by

Today, 8th September is World Physical Therapy Day. The day is an opportunity for Physiotherapists from all over the world to raise awareness about the crucial contribution the profession makes to keeping people well, mobile and independent.

The overarching theme for World Physical Therapy Day each year is ‘Movement for Health’. This year, the message is “Physical activity for life”, highlighting the important role that physiotherapists play in healthy ageing.

There are well evidenced guidelines for the amount of recommended physical activity for adults aged 18–64. Physical activity includes leisure time physical activity (for example: walking, dancing, gardening, hiking, swimming), transportation (e.g. walking or cycling), occupational (i.e. work), household chores, play, games, sports or planned exercise, in the context of daily, family, and community activities.

In order to improve cardiorespiratory and muscular fitness, bone health, reduce the risk of NCDs and depression:

  • Adults aged 18–64 should do at least 150 minutes of moderate-intensity aerobic physical activity throughout the week or do at least 75 minutes of vigorous-intensity aerobic physical activity throughout the week or an equivalent combination of moderate- and vigorous-intensity activity.
  • Aerobic activity should be performed in bouts of at least 10 minutes duration.
  • For additional health benefits, adults should increase their moderate-intensity aerobic physical activity to 300 minutes per week, or engage in 150 minutes of vigorous-intensity aerobic physical activity per week, or an equivalent combination of moderate- and vigorous-intensity activity.
  • Muscle-strengthening activities should be done involving major muscle groups on 2 or more days a week.

Why do Physiotherapists play such an important role in supporting physical activity?

We play a crucial role in both keeping and improving people’s activity levels. “If you’re injured or in pain, the first thing people tend to do is rest” says goPhysio’s Clinical Director, Paul Baker. “GP’s often use this as their first line of advice. But rest isn’t always the best way to recover from an injury. We aim to help people stay as active as they can whilst they recover – be it alternative activities or modifications.”

“People often get scared to move if they’re in pain, so we reassure people and give them the confidence that movement is OK. When this is done early on, it prevents so many potential secondary issues evolving.”

“We also help and encourage people to try things that they may not think possible, particularly the older section of patients we see.”

Our Positive Steps classes for example are specifically designed for over 60’s, so they can gain confidence exercising in a friendly, supportive environment. We also offer a range of Clinical Pilates classes, great for improving strength and balance. Everything we offer at goPhysio is led by clinical experts, so they are in the unique position of bering able to focus not only on fitness and wellbeing but also combining this with knowledge and expertise in injury and health conditions.Physical activity guide

 

If you’d like to improve your physical activities, but are limited by pain, injury or confidence, then please do get in touch to find out how we could help you.

#Worldptday

 


Migraine Awareness Week

Posted on 4th September 2017 by

This week is Migraine Awareness Week, a time to raise general awareness of migraine as a serious public health issue and to reduce the associated stigma. migraine awareness week

Migraine is the third most common disease in the world, with an estimated global prevalence of one in seven people. Despite being recognised as one of the most disabling lifetime conditions, awareness and understanding is low.

Headaches and migraines can have many different causes. You can read more about some of the common types on a previous blog. Physiotherapy techniques can be very effective at successfully relieving and preventing headaches and migraines. One such technique we use at goPhysio is acupuncture.

Traditional Chinese Medicine (TCM) Acupuncture works as preventative method for treating headaches and migraines – it works to resolve the cause of the issue by addressing imbalances and then continues to maintain that equilibrium to prevent any further re-occurrence of migraines.

Migraines often have a systemic cause involving reduced or compromised blood supply to the brain – TCM Acupuncture aims to improve the blood supply and circulation to help reduce the symptoms of a migraine.

It can also help with the following:

  • Pain relief – by stimulating nerves located in the surrounding muscles, neuro-chemicals are released that alter how the brain processes pain signals.
  • Reducing inflammation – by promoting the release of vascular and immune system altering factors.
  • Regulating extra- and intra-cranial blood flow.
  • Reducing the degree of cortical spreading depression, which is an electrical wave in the brain common in migraines.
  • Affecting the serotonin levels within the brain, which can halt an acute migraine attack

Read more about the evidence and safety of using acupuncture to treat migraines.

At goPhysio, we will use an integrated approach to help you manage your migraines. We will look at all the factors involved and tend to use acupuncture as a part of your treatment programme, which may also include:

  • Exercises to address muscle strength, flexibility and stability
  • Education and advice to address any lifestyle factors or habits
  • Addressing any other areas that may be contributing to your problems, commonly neck, thoracic spine or shoulder regions

Read more

Tension headaches

Cervicogenic headaches

The prevalence of headaches

 

#letsbeatmigraine #migraineawarenessweek

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