Click & Book Online Now

Call us now: 023 8025 3317

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

 

SaveSave

SaveSave

SaveSave

SaveSaveSaveSave

SaveSave

SaveSave

SaveSave


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.

SaveSave

SaveSave

SaveSave

SaveSaveSaveSave


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

SaveSave

SaveSave

SaveSave


Everybody’s Free To Wear Sunscreen

Posted on 21st June 2017 by

Anyone familiar with music from the 1990s must remember ‘Everybody’s Free To Wear Sunscreen’ – Baz Luhrmann’s adaptation of an article originally written by Mary Schmich for a column in the Chicago Tribune.

As I was driving earlier this morning, the song was playing on the radio. Almost a decade and a half since I first listened to the song, the words all seemed to be more poignant and have much more significance in my life. There was a particular line in the song that struck a chord with me (around 2 minutes 48 into the song):

“Enjoy your body. Use it every way you can. Don’t be afraid of it, or what other people think of it. It’s the greatest instrument you’ll ever own.”

Having recently been spending a lot of time working on what our core values are at goPhysio, this line really encompasses everything we are & everything we do.

Enjoy your body – we are here to help make sure you can enjoy the amazing things your body is engineered to do. Walk, run, jump, ski, sit & move, whatever it is we help to make sure you can do these things without pain or injury, in the best way physically possible.

Use it every way you can – make the most of your physical abilities by staying pain & injury free. Have the confidence to try new things and push your body to find your own limitations.

It is the greatest instrument you’ll ever own – the daily advances in technology really do blow me away. But stop & think just for a moment how amazing the human body is and what we rely on it to do for us day in, day out! I know it’s a bit of a cliche, but having heard that line, it really did make me think how precious & great the body is and how privileged we are every day to be able to help people take care of their most precious instrument! You can buy the latest iPod or computer, replace & update it, but we really do need to take care of our body and appreciate what it can and does do for us every day.

If you want a little trip down memory lane (or if you’ve never heard the song & words before) you can watch the video here on You Tube – enjoy!

p.s. Don’t forget your sunscreen!

The featured image was part of some work completed by Coventry University.

 

SaveSave

SaveSave

SaveSaveSaveSave


Rehabilitation: Why it is Crucial to You and Your Performance!

Posted on 24th May 2017 by

By definition, rehabilitation is the restoration of optimal form (anatomy) and function goPhysio Rehabilitation(physiology). It is a structured process, designed and delivered by your therapist, to reduce time-loss from injury, promote recovery, and maximise your functional capacity, fitness and performance.

After sustaining an injury,  the rehabilitation process should start as soon as safely possible. It can run in parallel with the therapeutic interventions that your physiotherapist will deliver.

Should an injury require surgery, rehabilitation can also start before or immediately after to enhance your outcomes. This is well evidenced with research showing people who engaged in rehab prior to undergoing their surgery had much better outcomes than patients who only had rehab after surgery.

There is also evidence to show rehab is as beneficial as some surgeries for various shoulder, hip, knee and lower back conditions.

Rehab Planning

At the centre of the rehabilitation plan is you! Planning starts at the first appointment, and during our appointments, we will be gathering lots information about you and your activities to ensure we prepare you to return safely to the same environment in which the injury occurred. This is the perfect time to focus on not just your injury, but other aspects of your performance to ensure your ability to perform will be better than before!

When planning rehabilitation, it’s crucial to consider the injured structure involved and where you sit in relation to the body’s natural phases of healing. There are 5 overlapping stages to consider and doing so allows the appropriate load to be applied at all times to promote tissue healing. This is where our experience, training and knowledge really come into their own. If you’ve suffered an injury and just rest until it feels better and then go straight back to what you were doing before, you can really increase your risk of re-injury or other problems. If you’re serious about looking after your body, investing in long term durability so you can keeping what you love, rehabilitation is crucial.

On a more detailed level, as your body heals, controlled therapeutic stress is necessary to optimise collagen matrix formation, but too much stress can damage new structures.

So, choosing the level of load that neither overloads nor underlaps the healing tissue is therefore crucial to a successful rehabilitation process, and your therapist will be able to use their expert knowledge to prescribe suitable exercises throughout the process.

To do this, we ensure rehabilitation is delivered in sequential phases that has specific therapeutic and rehabilitative objectives for each phase; as well as measurable, objective criteria for progression to each subsequent phase.

Overall this acts to promote:

  • Healing of injured tissues
  • Preparation of these tissues for return to function
  • Use of proper techniques to maximise rehabilitation & re-conditioning

With all this in mind, to supplement our existing and well established physiotherapy service, we are now adding a dedicated rehabilitation service at goPhysio. Rehabilitation has always been a key part of what we do here at goPhysio. However, this has often been on an advisory basis, giving you programmes that you can take away and do at home or in your gym. The ultimate outcome of such self administered programmes can be dependent on your adherence, how well you are doing the exercises and the frequency of the programme.

With our new Rehabilitation service, you will be given the support and opportunity to take part in supervised rehabilitation sessions, either as small groups or on an individual basis. This can be done in conjunction with physiotherapy treatment or when you reach a point in your recovery when rehabilitation is all you need.

In summary, the ultimate goal of the rehabilitation process that goPhysio delivers is to limit the extent of your injury, reduce or reverse the functional loss, and prevent, correct or eliminate the problem altogether. This process is crucial to preventing re-injury and improving YOUR overall performance. We look forward to seeing you in our newly developed ‘strong room’ for your rehab sessions!

We’re very excited to be able to offer this service at goPhysio – we’ll be launching it in a few weeks, so watch this space!


Welcome to the team Jack!

Posted on 20th April 2017 by

Jack Hughes Physiotherapist Following on from his work in professional football, Jack moved to the south of England in April 2017 to join the team at goPhysio.

Since graduating from Cardiff University with a degree in Physiotherapy, Jack has placed a huge emphasis on the prevention of injury and re-injury, using sound medical, sports science and strength & conditioning principles that are specific to the individual.

In doing so, he has helped to rehabilitate an array of musculoskeletal conditions in a variety of settings.

Jack likes to practise what he preaches by throwing weights around a gym and playing a number of sports.

 


Joint Focus: Wrist and Hand Injuries

Posted on 8th February 2017 by

With 27 bones, 29 joints, 123 ligaments and 34 muscles, our hands are an incredible feat of biological engineering. As physiotherapists, our hands are one of the tools
of our trade. We have been taught how to take care of them and we’d like to teach you!

Hands are one of the most used parts of our body, so is it any wonder they sometimes become injured? Common injuries, including strains and sprains, can affect the joints, ligaments, muscles and tendons.

Common hand & wrist injuries

Injuries we often see at goPhysio in the hand & wrist include:

  • Rehabilitation after fractures
  • DeQuervains tenosynovitis
  • Repetitive strains or ‘Work Related Upper Limb Disorders’
  • Overuse injuries
  • Carpal tunnel syndrome
  • Stress fractures
  • Wrist strains

Such injuries can often be common in musicians, office based workers and those people who play sports such as golf, tennis, badminton or other racquet sports. They are becoming even more commonplace with the evolution of technology and the use of tablets and smartphones.

With an accurate diagnosis, physiotherapy treatment for hand and wrist injuries can be very effective.

If you’re suffering with hand or wrist pain and it’s stopping you doing what you love or being as active as you need to be, our team can help you. We offer a range of services from our clinic in Chandlers Ford, which can help identify & resolve your shoulder or arm problems and also address the prevention of such injuries.

If you want any advice, please do give us a call on 023 8025 3317 or you can book an appointment online.

Be assured that at goPhysio you are in good hands!