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The Elephant In The Room – MSK Conditions

Posted on 17th October 2018 by

Musculoskeletal conditions: the elephant in the room?MSK Conditions

Conditions of the bones, joints and muscles are a big problem in the UK; with over 17 million people living with a musculoskeletal condition, more people suffer with disability from musculoskeletal conditions than anything else.

Good health of bones, joints and muscles underpins living life well. Musculoskeletal conditions affect nearly everyone at some point in their life. They can cause pain, fatigue, restricted mobility and activities of daily living. They impact people’s lives, their work and even people’s other health conditions. Conditions of the bones, joints and muscles represent a significant cost to the individual, the economy and health and social care.

Acknowledging the problem

Everyone knows conditions like arthritis and back pain are common. But they are often misunderstood and ignored, like the figurative elephant in the room. The solution begins in acknowledging the problem. That’s why we need to shift our mindset and start planning and acting nationally, locally and individually for healthy bones, joints and muscles throughout life.

Large rewards

If we’re brave enough to tackle this big and growing problem, to champion lifelong good musculoskeletal health, there are large rewards! We see it day in day out here at goPhysio – poor MSK health has a huge impact on quality of life. If you invest in your MSK health, like in other areas of your health and wellbeing, you can get more out of life!

Why are MSK conditions the elephant in the room?

From our years of experience, there are many factors!

  • Firstly, MSK conditions often occur gradually or creep up on you. It starts as a niggle or minor ache or pain, that you accept as part of life. You manage it yourself or make small adjustments in your life to compensate. Over time, your pain, stiffness and limited mobility gets worse, but the impact on your life has been so gradual, you don’t really notice until the effects are huge. Suddenly you’re not walking so far, aren’t exercising, avoiding certain activities and you take a look and are shocked what affect it’s had on you.
  • MSK conditions aren’t immediately life threatening. Let’s face it, no matter how painful the condition is, there is nothing immediately at stake aside from quality of life. Subsequently, they aren’t always a high priority. However, this view is very short sighted – because over time, the impact of long standing MSK conditions can have a huge impact. Being less active and living with a painful MSK condition can cause many other issues as there will be knock on effects with mental health, cardiovascular health, maintaining a healthy weight and all the complexities that come with health.
  • Culturally, we’ve been lead to believe the ‘wait and see’ approach is OK! How many times have you heard ‘rest’, ‘take painkillers’ ‘it’ll get better in time’? Funding cuts in the NHS has bread this culture! The truth is, if people had the support, education and correct personalised, professional advice from the early onset of an MSK condition, the issues could be reduced massively.
  • Preventing MSK conditions and the solutions aren’t easy! Everyone now wants the easy option, the quick fix! But preventing and addressing MSK conditions need investment in time and effort. If you could take a magic pill that would solve it – great. But tackling these conditions takes time, there often isn’t a miracle miracle cure. e.g. If you have back pain, there is overwhelming evidence that exercise is the best management. But what do most G.P.s do if you go and see them with back pain? They’ll often advise painkillers and rest as the first step. Take osteoarthritis of the knee. Again, exercise is a highly effective treatment for this condition. But shockingly, many people would rather have a risky operation with no guarantee of a positive outcome than commit time and effort to doing regular, prescribed, specific exercises that would help them.

This week is officially Bone and Joint Week. Hopefully, getting the message out there will help filter out awareness of these conditions, the impact they have on so many people.

World Spine Day

Physio for MSK Conditions

physio for MSK conditions hampshire

#BoneJointWeek


World Physical Therapy Day – What Inspires goPhysio’s Physios?

Posted on 8th September 2018 by

For this years World Physical Therapy Day we asked our team of Physiotherapists, what inspires them? 

World Physical Therapy Day 2018

First up, our Clinical Director and founder of goPhysio, Paul Baker

1. Why did you decide to become a Physio?

I was really interested in biology at school, fascinated in injuries and was relatively sporty. I wanted a practical job, to work with my hands and help people. I never fancied  working in an office or hospital, and I wanted the opportunity to have my own business, like my Dad did! So, Physio and having my own practice ticked all the boxes for me and it still does 23 yrs later!

2. What do you love the most about your job as a Physio?

Helping a wide variety of different people solve their injury problems and getting them backto their hobbies and goals!

3. What’s your proudest moment as a Physio?

Opening our new modern bespoke physiotherapy clinic in 2017! that was some journey!! 

Paul graduated from The University of the West of England, Bristol in 1997.

Next up, Roz Brawn

1. Why did you decide to become a Physio?

Having been a gymnast I’ve always been interested in how the human body works from a musculoskeletal perspective and what the human body is capable of achieving.

2. What do you love the most about your job as a Physio?

No two days are the same and you never know how each day is going to develop.  Being able to work each day with people, making a difference and helping them achieve their goals.

3. What’s your proudest moment as a Physio?

Being part of the Great Britain Olympic Team and watching the athletes I have worked with, through all the hours of training and sacrifice, realise their dreams.

Hugo Carvalheiro

1. Why did you decide to become a Physio?

I wanted a profession where I could help people and see the results, a profession where every day would be different, a profession where I would meet and communicate with different people, a profession where I would need to update my knowledge frequently.

2. What do you love the most about your job as a Physio?

I can help people achieve their goals and change their lives.

3. What’s your proudest moment as a Physio?

The moment I helped a paraplegic stand on his feet and walk with lower limb orthotics and crutches.

Chris Tiley

1. Why did you decide to become a physio?

When I was doing my GCSE’s I started to think about potential careers that I would like to pursue.  Physiotherapy was suggested to me and the more I looked into it the more it appealed to me.  I liked the idea that I would be helping people and make a difference to their lives.  I liked how varied the different jobs are within physiotherapy, ranging from the acute hospital setting up to dealing with elite athletes and everything in between.

2. What do you love most about your job as a physiotherapist?

I love being able to interact with lots of different people throughout my day and the challenges that brings with adapting my approach to each person’s different situations.  No two patients present the same, even if they are coming in with the same condition. This makes each day different and varied and makes it even more rewarding when helping people achieve each of their goals.

3. What is your proudest moment as a physiotherapist?

My proudest moment as a physiotherapist is being involved with British ParaSnowsport for 2 seasons.  Although I did not go with them to the Paralympics, I am proud to have treated 2 Paralympic gold medallists as well as silver and bronze medallists in the run up to the games.

Kim Leith

1. Why did you decide to become a Physio?

My Uncle has Multiple Sclerosis and has been in a wheelchair as long as I can remember. I always found it amazing to see how much more mobility and function he had after his Physiotherapy sessions. I also wanted to do something medical as a job, but I’m far too squeamish to be a Nurse or a Doctor!

2. What do you love the most about your job as a Physio?

The problem solving aspect – each patient is like a puzzle when they first arrive and through the assessment you can identify the cause for their pain or problem. Being able to give someone an answer and a reason for why they feel like they do is often the first big step on the road to recovery.

3. What’s your proudest moment as a Physio?

Helping people achieve their goals, no matter how big or small.

All of our team of Physiotherapists are members of The Chartered Society of Physiotherapists and registered with The Health Care Professions Council, ensuring regulation, high quality standards of care and professionalism.

HCPC goPhysio The Chartered Society of physiotherapists

 

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World Physical Therapy Day 2018

Posted on 8th September 2018 by

World Physical Therapy Day takes place every year on 8th September. The day is an opportunity for Physiotherapists (physical therapists) from all over the world to raise awareness about the crucial contribution the profession makes to keeping people well, mobile and independent.

Get Active. Stay Active. Talk to one of our Physiotherapists today.

The campaign message of World Physical Therapy Day 2018 is “Physical therapy and mental health”, demonstrating the role that physical therapy and physical activity has in mental health.

The campaign is focused around the following key messages:

  • Exercise as an evidence-based treatment for depression.
  • The role of physical therapists working with patients who may have mental health issues.
  • The benefits of physical activity in protecting against the emergence of depression.
  • How better outcomes are experienced when exercise is delivered by a qualified healthcare professional, such as a physiotherapist.
  • How people with mental health issues are more at risk of having poor physical health.

Here are some great infographics that summarise how mental health can be improved with exercise and the crucial role physiotherapists can have in supporting this.

World Physio Day 2018

World Physio Day mental health

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Hospital Open Day: Inspire Young Minds

Posted on 4th September 2018 by

SUHT Open Day 2018

I absolutely love taking my children to the Southampton General Hospital Open Day. I still remember being taken there by my Mum when I was very young and it was my experiences at the open days that sowed the seed of curiosity about working in a health care profession. My dreams were realised as I became a physiotherapist and even though my role now at goPhysio isn’t directly clinically based, my times spent working in many hospitals and different healthcare settings have left a significant imprint in my memory.

I am still moved by the differences we make to people’s every day lives through physiotherapy and am proud to be part of the profession.

The hands on activities and behind the scenes glimpses at the open day can really inspire young minds. The human body is truly fascinating and the people who do so much when it isn’t working right, for whatever reason, are amazing. Whether or not you have children to entertain, I’d thoroughly recommend adding this event to your diary.

The 2018 Hospital Open Day will be taking place on Saturday, 8 September 2018 from 10.30am to 3.30pm at Southampton General Hospital with hundreds of activities and stalls on offer throughout the day.

The Open Day is a fantastic day for all the family to find out more about the hospital and UHS, the services they provide, the amazing opportunities available and ground-breaking work taking place.

The theme this year will be Health Hero Academy through the years and give visitors the chance to not only pick up new skills and have fun, but find out more about the history of University Hospital Southampton NHS Foundation Trust, as well as their plans for the future.

Post by Fiona, goPhysio’s Non-Clinical Director

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Migraine Awareness Week

Posted on 1st September 2018 by

Migraine Awareness Week 2018

Each September, The Migraine Trust dedicate a week to raise general awareness of migraine as a serious public health issue and to reduce stigma.

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.

This year, Migraine Awareness Week is focusing on the impact of migraine in the workplace. 

Being mindful of migraines means that employers should try:

  • to be aware of the high numbers of people who get migraine, that it is very common and that there is a strong possibility that someone they employ might get migraine.
  • to have an understanding that it is a complex neurological condition and that people can experience migraine very differently.
  • to make reasonable adjustments once they become aware that they have an employee who gets migraine, such as considering flexible working practices and looking at how their physical environment can be adjusted to help prevent the triggering of a migraine.

Workplaces being mindful of migraine won’t mean that people with migraine never struggle at work again or that they won’t encounter issues at work because of migraine, but we believe it is an important step in helping people work with migraine.

How Physiotherapy can help people with migraine

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 around the neck and back areas if this is contributing to your migraines
  • 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

The impact of migraine to the economy

#letsbeatmigraine #migraineawarenessweek

Migraine Awareness Week 2018

Migraine Awareness Week 2018

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goPhysio FAQs: What conditions can you help?

Posted on 31st August 2018 by

goPhysio FAQHere at goPhysio we understand that choosing to see a someone if you’re injured or in pain may be a bit daunting? Lots of questions may go through your mind before you decide to make an appointment……….“What will they ask me? Will it hurt? Will I have to get undressed? How do I know it’s going to help?”

We aim to provide a very caring, comfortable and professional environment for you to come and get your problem resolved.

To help answer some of the thoughts you may have if you’re unsure about picking up the phone to make an appointment, we’d like to address some of the questions you may want to ask.


What conditions can you help?

As Physiotherapists and Sports Therapists at goPhysio, our  specialist area of expertise is in assessing, diagnosing and resolving musculoskeletal issues. Musculo = muscles, Skeletal = skeleton (bones, joints, nerves, ligaments, tendons). So, most conditions affecting those areas, we can help.

Here’s a (not exhaustive) list of some of the most common conditions we help resolve here at goPhysio in Chandlers Ford.

Back

Neck

Hip Problems

  • Osteoarthritis
  • Hip impingement
  • Gilmore’s groin
  • Groin strain
  • Total hip replacement
  • ITB issues
  • Piriformis syndrome

Knee Problems

  • Anterior knee pain
  • Ligament injuries (Anterior, posterior, medial & lateral cruciate ligaments)
  • Cartilage (meniscus) injuries
  • Hamstring strain
  • Runners knee
  • Muscle strain or tear (quadriceps, hamstrings)
  • Osteoarthritis
  • Osgoods Schlatters 
  • ITB syndrome

Ankle & Foot

Shoulder

Elbow, Wrist & Hand

And not forgetting……..

If you are suffering with an injury and want help to guide you through the frustrating maze, please get in touch. We aim to offer you an appointment within 24 hours, often the same day.

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Live Well For Longer – Focus on Back Pain

Posted on 2nd August 2018 by

Channel 4’s Live Well For Longer programme on Channel 4 this week looked at one of the most common injuries we see and British people experience – Back Pain. Live well for longer back pain

Back pain is thought to cause 30 million days of sick leave a year, costing our economy an estimated £40 billion. It is thought that up to 80% of us will suffer with back pain at some point in our lives.

The programme compared 3 ‘non-medical’ ways to manage long standing back pain; yoga, physiotherapy and osteopathy. They used a well known, standardised tool to measure levels of pain before and after 2 months of each of the interventions in groups of people who had been suffering with back pain for over a year.

In the Physiotherapy group, the physiotherapist helped to facilitate the return of normal movement and worked on strengthening the spine. It was great to see that the ethos of the physiotherapist is teaching people and giving people information and knowledge that they need to help themselves. This is absolutely fundamental in successful treatment of painful conditions such as back pain.

After 2 months, it was found that Yoga and physiotherapy both helped improve people’s pain by 30-50%. Osteopathy reduced pain by a third on average. All 3 groups of people experienced a decrease in their back pain, demonstrating that with time, investment and commitment, there can be huge improvements in pain. The programme obviously only looked at very small sample sizes, but what it demonstrated that there is a positive way to tackle back pain.

The ket message to take away for people with long term back pain, is that you can’t expect short term fixes. People looking for help with back pain need to be realistic – if you’ve had back pain for a long time, there isn’t a quick and easy fix (that so many people seek!). As the Physiotherapist said, retraining muscles can take at least 6 weeks. It’s the dedication, positive attitude and consistency in investing in your body and finding something that works for you that will often be the success!

Read More

Low Back Pain & Sciatica, the latest NICE Guidelines

Help, I’ve got back pain. What should I do?

Back pain Myths: Moving will make my back pain worse, I should avoid exercise if I have back pain, I need a scan to tell me what’s going on


 


Introducing goPhysio’s Newest Team Member

Posted on 13th July 2018 by

Chris Tiley Glasgow 2014 Commonwealth Games
Chris at the Glasgow 2014 Commonwealth Games

goPhysio are delighted to welcome the 12th member of the team, our 5th Physiotherapist, Chris Tiley MCSP.

Chris has joined the Physo and Pilates team on a full time basis, working Monday, Tuesday, Thursday, Friday and every other Saturday. Here’s a little introduction to Chris.

“After graduating from Coventry University in 2008, I started practicing physiotherapy in Canada. For 18 months I worked initially in the ski resort of Whistler Blackcomb and then in Vancouver before heading back to the UK.  Since my return I have worked in the Berkshire area within private hospitals and private practices and then more recently in a private practice in Bournemouth.

Throughout my career I have had a keen interest in sport and pursued this within physiotherapy and personally.  I have worked with Reading FC academy for 6 seasons which has given me invaluable experience within a large sporting organisation.  This lead to an amazing experience volunteering at the Commonwealth Games in Glasgow where I spent the majority of my time working within Rugby 7’s as well as covering some of the table tennis events.

I then spent 2 seasons as one of the physiotherapists for British Parasnowsport, working and travelling with elite skiers and snowboarders with varying disabilities.  This has involved travelling abroad for the training camps and competitions. One of the highlights was being part of the Winter X-Games in Aspen, Colorado with one of our athletes who competed in the adaptive boarder cross race.

My experiences through my various roles have given me invaluable assessment and treatment skills throughout many areas of physiotherapy including: sports injuries, back/neck pain, chronic pain and post operative physiotherapy to name a few. I have also completed level 1 and 2 APPI Pilates matwork training.

Outside of work I enjoy participating in several sports and activities.  I regularly run and have completed the London Marathon twice and multiple half marathons.  I like to cycle and have taken part in several Sportive’s including the Prudential Ride 100.  I enjoy playing racquet sports, indoor climbing and have recently taken up golf.

For further information about myself or the treatments on offer at the clinic please contact me on: chris@gophysiotherapy.co.uk or call the clinic on 023 8025 3317.”

Chris with the Parasnowsport Snowboard Team
Chris with the Parasnowsport Snowboard Team

 

Chris with the British Parasnowsport Alpine Ski Team at the 2015 IPC Alpine Skiing World Championships
Chris with the British Parasnowsport Alpine Ski Team at the 2015 IPC Alpine Skiing World Championships

 

Chris at the Glasgow 2014 Commonwealth Games with the Papua New Guinea Rugby Sevens Team
Chris at the Glasgow 2014 Commonwealth Games with the Papua New Guinea Rugby Sevens Team

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National Health Research Review

Posted on 13th July 2018 by

A new report from the National Institute for Health Research (NIHR), titled Moving Forward: Physiotherapy for Musculoskeletal Health and Wellbeing, has NHR Moving Forward Physio highlighted how effective physiotherapy is at improving outcomes for MSK conditions.

MSK or musculoskeletal conditions, are those that affect the bones, joints and muscles of the body, like back pain, arthritis, sprains, strains and overuse injuries. These conditions have a huge impact on our daily lives and it’s what our team at goPhysio specialise in managing. Musculoskeletal conditions are the leading cause of pain and disability in the UK, affecting more than one in four people. The evidence coming out of Moving Forward: Physiotherapy for Musculoskeletal Health and Wellbeing highlights the importance of physiotherapy for treating these conditions.

This review presents evidence from a range of physiotherapy-related studies. Data from these studies shows the beneficial impact physiotherapy has on a range of MSK conditions, including rheumatoid arthritis, chronic knee joint pain and low back pain.

The key findings show that:

  • There is overwhelming evidence that exercise and activity are effective and should be a core treatment in musculoskeletal pain.
  • A rehabilitation programme including targeted exercise, is effective at reducing knee joint pain.
  • Investment in high quality rehabilitation adapted to individual patient needs, leads to better outcomes, reduces the need for further investigations and treatment, such as surgery or joint injections.
  • Work absences can be reduced by an average of five days when people receive advice on low back pain from physios.
  • Stretching and strengthening hand exercises can improve function for people with rheumatoid arthritis.

Make exercise a core treatment

The key message from the review is that there is overwhelming evidence that exercise and activity are effective for musculoskeletal pain. This is something that is fully integrated into our care at goPhysio.

  • When you see one of our Physio’s or Sports Therapists, you will always be given a customised exercise programme to help support your recovery. This will be emailed to you along with explanatory videos and/or pictures, so that you have access to the exercises and are confident what you should be doing in between your appointments.
  • We aim to keep you as active as possible whilst you recover from your injury. We offer solutions and alternatives to balance your recovery with staying active wherever possible. We rarely advocate complete rest!
  • We offer a comprehensive, specialist rehab service. Led by our Sports Therapy team, you will have the option to come along to supervised small group rehab sessions, where evidence based exercise is used to optimise your recovery and prevent long term issues. Read more about our rehab service here.
  • We also offer a range of specialist Clinical Pilates classes, which help build long term strength, flexibility and durability. A fantastic way to help recovery, manage long term MSK conditions and ward off injuries.

Our whole ethos here at goPhysio is “Helping local people live a healthy, active, positive life, free from pain & injury”, so it’s great to hear what we are doing and the way we work is supported by the last research.

Download the full report here.

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Love activity, Hate exercise? Do more of what you love with Physio!

Posted on 12th June 2018 by

The Chartered Society of Physiotherapists has launched a new campaign, Love activity, Hate Love activity hate exercsie posterexercise?

It is well documented that physical inactivity is a major public health problem. This campaign sets about to help identify barriers that prevent people from being more active. It also highlights what a positive influence as Physio’s can have in promoting and supporting physical activity at every touch point.

As a team of Physiotherapists, Pilates Instructors, Sports Therapists & Sports Massage Practitioners, we all have an important role to play in promoting physical activity. We want to maximise the opportunities to discuss the benefits of physical activity and any barriers to it with our patients, and make exercise more accessible to a wider range of people.

goPhysio’s Clinical Director, Paul, says “It doesn’t have to be ‘exercise’ per se, ‘activity’ is what is great! It’s about keeping it simple, finding things that you enjoy doing that get you moving and challenge you physically. So, gardening, walking, playing tennis with friends, marathon running, taking the stairs instead of the lift, even pushing a trolley round the supermarket, they all count! That’s what’s great about this campaign, even if the term ‘exercise’ frightens you, you don’t need to be afraid of being active!”

Do more of what you love with physio is such a great term. It’s exactly what we do – help make sure you can do more of what you love doing!

So whether that’s physio or sports therapy treatment to help you recover from an injury, Pilates to help improve and maintain your physical wellbeing or Positive Steps elderly exercise classes, we run a host of services from our clinic in Chandlers Ford, Hampshire, that  help you do more of what you love.

So, what are the tips to getting started if you love activity but hate exercise?

  1. Find something you enjoy so that you’ll keep going.
  2. Set goals for yourself – big or small – to keep you motivated.
  3. Pace yourself – start slowly and gradually build up.
  4. It’s OK to ache but if pain persists, ease back and go slower.
  5. Need more motivation and support? Find someone join you!

If you need any help or support or just don’t know where to start, just get in touch. Our friendly and supportive team are here to help you.