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Best Care for Musculoskeletal Pain

Posted on 28th August 2019 by

What does best practice care for musculoskeletal pain look like? A recent review was published by The British Medical Journal, that came up with 11 consistent recommendations to help form ‘best practice’ in the care of musculoskeletal pain.

In today’s blog, we explore these recommendations, how we implement them at goPhysio and what it means to you guys, the people with the pain or injury.

11 Best Practice Recommendations for care in musculoskeletal care.

#1 Care should be patient centred This goes without saying, but you’re the one and only person that matters to us. We take time to get to know you, learn how your injury is impacting you, and work with you to understand your lifestyle, so we know what we are aiming for. Everyone and everyone’s circumstances are SO different and individual, so it’s crucial our approach to each and every person we see is individualised too.

#2 Screen for serious conditions We take this incredibly seriously and although it may go un-noticed by you, we make sure that there is nothing serious going on. If we are in any way concerned, we’ll make sure we point you in the right direction and will provide any letters, phone calls or support that you need.

#3 Assess psychological factors The body and the mind are inextricably linked. The power of the mind is incredible. You need to feel reassured, informed and have an appropriate understanding of your injury. Any doubts, fears, worries or misconceptions will really impact on your recovery. We make sure we consider any psychological factors that may be impacting you and address them appropriately.

#4 Only refer for imaging if specifically indicated It’s a commonly held myth, that a scan or an X-Ray is needed in order to diagnose an injury. In fact, referrals for imaging (X-Rays or scans) are only needed in very specific cases. Why? Because all too often, symptoms do not relate to imaging results. So, an image may not show any damage or injury, but you may be getting symptoms. Equally, you may have damage on imaging, but be symptom free and seeing the damage on imagery can cause issues in itself! If we think that there is indication for a scan or X-Ray we will make sure we assist you with this. We can even refer directly to low cost, quick, private scanning – so you don’t have to get referred by a Dr, saving you even more time.

#5 Physical examination This is our bread and butter. Using all our senses – looking, feeling, testing, questioning and putting it all together with our evaluation skills in order to explain to you exactly what’s going on.

#6 Evaluate progress Together, we will set your goals, what you want to achieve through coming to see us. That’s the most important bit. However, we will also take measurements and document certain testing, so that we can measure your progress and ensure we’re on the right track.

#7 Education We want to make sure that you fully understand what’s going on in as much detail as you need. Some people only want the basics, some want an in depth explanation. But if you can understand what’s going on and what you can do to help yourself with your recovery, you’re much more likely to succeed in achieving your goal. This may include modifying your activity or lifestyle slightly, changing a routine, adapting a training programme or work activity.

#8 Address physical activity / exercise As a team go health professionals, it’s important that we support everyone in living a healthy and active life. As part of this, we can provide the necessary support and advice you may need to start or increase your physical activity. Some people find having an injury a bit of a wake up call to make some changes and often, getting more active is one.

#9 Apply ‘manual therapy’ as an adjunct We use a huge range of treatments to help you with your recovery. Using our hands (manual therapy) is just one tool, and can be very beneficial in many ways for lot’s of different injuries and to help ease pain. It is very important though that it is used as an adjunct to more active approaches, such as exercise and education/advice. Manual therapy alone is unlikely to be a solution to your recovery, as it’s effects are often short lived – it’s the strengthening, stretching, confidence and education that makes the most impact on recovery.

#10 Discuss non-surgical approaches (unless surgery indicated) Unfortunately, people still remain entrenched in the ‘medical model’ of belief, thinking that medicine and/or surgery are the only answer. They often want quick fixes and magic cures! Much of the evidence is now very clear on when surgery is indicated and it’s not as often as you may think! Physiotherapy and physical treatments are often much more effective than surgery when given the chance in many conditions. Obviously, there are cases when surgery is absolutely the right decision. In these cases, our Clinicians will help with referrals and work very closely with many local Consultants to ensure you receive the most appropriate care. We can also closely liaise with your GP to facilitate this.

#11 Facilitate continuation or return to work Staying at work or returning to work ASAP when you’ve had an injury is crucially important for your recovery. We can help advise on modifying your activities so this is possible. It may seem a bit daunting, especially if you’ve had to take time off work because of your injury. But remaining in work helps in so many ways.

If you’ve got an injury and want the best possible care, then do give us a call on 023 8025 3317 and see if we can help you.

Helping local people live a healthy, active, positive life, pain and injury free.

goPhysio


Meet Your Team – Hello Rosie!

Posted on 12th August 2019 by

As our team has grown over the last year or so, we thought it would be a great time to introduce you to the team that we have to help you, re-introducing the more familiar faces and welcoming the new ones!

Today we meet Graduate Sports Therapist & Pilates Instructor, Rosie.

What are your clinical qualifications?

I qualified in 2019 from University of Chichester with a Bsc (Hons) Sports Therpay degree. I have completed my APPI Pilates Level 1 and am currently working towards Level 2.

What areas have you previously worked in?

I’ve done alot of pitch side work alongside local football and rugby teams, as well as working at some running events providing pre and post event massages. I’ve been lucky enough to start my career here at goPhysio 

Do you have any special areas of interest in injury management?

Being a keen sports woman myself, my interest lies in and around treating sporting injuries and the huge variety of musculoskeletal conditions, utilising my knowledge in sports massage, soft tissue mobilisation and exercise rehabilitation. I really enjoy being part of each patients journey, seeing the progression when helping them return to their healthy, active lifestyle and sports.

What you’re most proud of?

Finishing my degree!

What’s the best thing about being part of the goPhysio team? 

Being around therapists with all different interests and backgrounds, with a variety of skills and knowledge that they are willing to expand and share with the rest of the team.

Everyone is so friendly and not to mention we all like cake!!

We asked………

If you could invite any 3 people in the world round for dinner, who would they be?

  • Ryan Reynolds
  • Jimmy Carr
  • Jessica Alba

Where in the world is top of your list to visit?

Singapore

If you were going to space and could only take 1 thing, what would it be?

A colouring book and pencils.

What’s the 1 thing that may surprise people about you? 

I used to complete in Hammer Throw for Hampshire


Rosie works at goPhysio on a Monday – Saturday. She provides sports massage, rehabilitation & teaches our clinical Pilates classes. If you’d like to book an appointment to see Rosie, you can give us a call on 023 8025 3317 or book an appointment online here.


Lower Limb Tendon Pain – What shouldn’t you be doing?

Posted on 28th November 2018 by

We love a good Infographic here at goPhysio, and recently came across this great one from @YLMSportsScience10 Things NOT To Do If You Have Lower Limb Tendon Pain.

Lower Limb Tendon Pain

Tendon pain in the lower limb, aka tendinopathy, tnodionitis, tendonopathies……like achilles tendinopathy or patella tendinopathy, are one of the most common type of injuries we see at our clinic in Chandlers Ford. It’s a side effect of having a pretty active, local population who regularly take part in exercise to help keep them healthy!

Tendon pain can be pretty frustrating to have. Firstly, because it often affects those that are naturally more active or sporty, so has a huge impact on being able to do what you love to do. And secondly, it can be difficult to know what to do for the best. There’s lot’s of conflicting information out there and can be a bit of trial and error to find the right solution and have a successful recovery.

So, this infographic, which illustrates some great, evidence based principles on managing lower limb tendon issues, offers some extremely useful guidance.

  1. Do not rest completely – we prefer the term ‘relative rest’. So advise that you avoid activities that directly aggravate your pain, but keep going with others or find alternatives. It’s important to carry on ‘loading’ (so getting your tendon to work) to help your recovery.
  2. Do not rely on ‘passive’ treatments – there is overwhelming evidence that passive treatments (so something that’s just done to you, whilst you lay there happily!) alone will not help with tendon problems. They can be useful in relieving your pain in the short term, enabling you to do some more specific exercises though.
  3. Do not have injection therapy – this advice refers to having an injection as the first line of treatment. If you’ve tried a consistent, high quality, exercise based treatment plan and it hasn’t worked, then injection therapy may be indicated or Shockwave Therapy is also a good alternative to consider for certain conditions.
  4. Do not ignore your pain – just like #1, use your pain level as a guide for your activity. Pain in your tendon is your body’s way of telling you it can’t really cope and you need to listen to it!
  5. Do not stretch your tendon – when you place your tendon on stretch, the lengthening action also compresses the tendon and this has been shown to affect recovery. There are alternative exercises to stretching that are significantly more beneficial to you.
  6. Do not massage your tendon – if it’s painful, it’s irritated. Massaging directly on the tendon is likely to cause further irritation and make the pain worse.
  7. Do not be worried about images of your tendon – try not to have a picture in your mind of what your painful tendon might look like on an ultrasound or MRI scan. Visions of or words like ‘degeneration’ or ‘tears’ can make you afraid of using your tendon, when actually, gradually building up what you do and with guided, appropriate rehabilitation is the best way of recovering.
  8. Do not be worried about rupture – reassuringly, most people who rupture their tendon have not had any pain. Because you have pain, you are naturally easing off what you do (if you’re listening to your body and respecting your tendon!), so you really don’t need to worry about the risk of rupturing your tendon.
  9. Don’t take short cuts with rehabilitation – it takes time for an injured tendon to build strength and capacity (ability to cope with the demands you place upon it). There are no quick, easy fixes unfortunately! With the right rehab, outcomes are excellent. That’s exactly why we now have supervised, exercise based rehabilitation at the clinic. So you can work on a customised, specific, evidence based rehabilitation programme that will give you the best outcomes.
  10. Do not have a lack of understanding of what loads are right for your tendon – this is crucial but not an easy concept for non-Therapist to understand fully. Gradually loading your tendon to optimise recovery is fundamental. What you should be doing and when can take careful management. Sometimes the internet or ‘Bob‘ at the Running Club, or @RunningLover on Twitter aren’t fully qualified or experienced enough to help you with this. You need to call in the experts, and that’ where we come in!

What is load?

If you read anything ‘rehab’ based about tendons, you will often hear the term LOAD and may be thinking what exactly does that mean?

Load can be simplified as the demands that you place upon your body. So, if you take your achilles tendon, when you walk you are loading it, running you are loading it even more, jumping loading it even more! If you go on your tip toes, you’ll be loading it; if you’re holding a weight whilst going up and down on your tip toes, you’ll be loading it even more.

So loading can be varied by weight, duration, number of times or how long you do something for, how high impact you are working at……….there’s lot’s or variations.

What next?

If you are suffering with a tendon problem, don’t waste any more time or prolong your frustration. Seek expert advise from us at goPhysio. We are able to offer you a full package of support, with as little or as much ‘hand holding’ as you need. Give us a call on 023 8025 3317 to book your first appointment.


Introducing goPhysio UNLIMITED

Posted on 21st November 2018 by

goPhysio Unlimited

Are you totally fed up and frustrated by an injury that’s slowing you down and stopping you enjoying life? Do you want to finally get on top of it, fully understand what’s going on and follow a plan to get you where you want to be with the right support and guidance? 

We understand all your pains & frustrations.

That’s why, for a limited time, we’re offering a fixed price, unlimited, recovery package.

Register your interest here to be the first to find out when this special package price is launched!

For a one off payment of £549, you will have UNLIMITED* access to:

Until Saturday 5th January 2019.

We only have 10 of these packages available!

If you’re interested in purchasing this package, just enter your details here and as soon as we launch it, you’ll be the first to know!

*The following terms and conditions apply: 

  • Unlimited access to services is subject to fair usage and based on clinical need. The services, frequency of treatment and duration of treatment will be guided by your individual Clinician to provide the best possible clinical outcome for your individual case. 
  • Your Clinician will guide your treatments based on evidence based, clinical reasoning. 
  • Advanced booking is required for all services and classes. 
  • Services and classes are subject to availability, spaces can not be guaranteed with individual clinicians for specific services at specific times. 
  • Our usual cancellation policy will apply and you will be required to provide 24 hours notice if you need to cancel or move an appointment. Repeated non-attendance at appointments will result in our normal cancellation fees being charged. 
  • The goPhysio Unlimited package is not transferable or refundable under any circumstances. Payment is final.
  • All packages purchased will expire on Saturday 5th January. Any treatment or services that are continued after this date will be charged at our standard rates.
  • Offer open to new customers, not currently undergoing active treatment.

 


6 Great Rehab Exercises For Runners

Posted on 14th November 2018 by

How much movement control do you have when you’re running? And why does it matter? 

There’s a really quick little test you can do to quickly screen stability and control in your leg – just take a look at the video below.

If it looks familiar to you, give the 6 great exercises demonstrated by Sports & Rehabilitation Therapist, Tom, a go.

Why is it important to have good movement control if you’re a runner? 

Many runners lack some crucial areas of control in the key leg muscle groups. Given the repetitive nature of running, often over great distances and with demands of endurance, lack of muscle control can put you at risk of picking up many common overuse injuries.

You can easily do all these exercises at home with a few simple pieces of equipment such as resistive band and a small step.

If you’d like more help or support, we offer a specialised Running Rehab service.

The aim of Running Rehabilitation is to help you:

  • Identify any potential issues with your running style, technique or training schedule.
  • Reduce risk of running related injuries.
  • Improve your running enjoyment and performance.

It’s a completely customised service, focused on you and your running to help you get the most benefit and enjoyment and a long term love for running!

Being pro-active about preventing injuries for runners is well worth the investment! When you’ve seen hundreds of frustrated runners who can’t run because of an injury, the disappointment is awful. So, investing some time doing a few simple exercises like those above is well worth it.

Other related pages that may be of interest to you

Running Injuries – The Basics

Achilles tendon injuries

Runners Knee – Patellofemoral Pain

Common Triathlon Injuries

Plantar Fasciitis

Running Rehab at goPhysio


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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Science & Exercise – getting you the best results!

Posted on 28th March 2018 by

When we are putting together an exercise based rehab programme for you as part of your recovery, there’s a lot that goes on behind it. To get you the best possible results and outcome, we want you to be working on the right things in the right way, not only helping you recover from your injury but helloing you building term, physical durability.

At goPhysio your bespoke programme will be constructed and tailored specifically to you using evidence-based research.

Here you can see an example of the top five exercises proven to target the glutes and hamstrings most effectively.

Hamstring Muscle activation

Gluteus Medius muscle activation

Gluteus maximus muscle activation

So, if you want an effective recovery plan from your injury, read more about our bespoke small group rehabilitation here.


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

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1 Year In Our New Home – Celebratory Offers!

Posted on 11th December 2017 by

Celebrating 1 year at goPhysio Chandlers Ford

On the 19th December, it’ll be a year since we opened the doors to our new Physiotherapy, Health & Wellbeing Clinic in Chandlers Ford. What a year it’s been!

We dreamed for so long of having a space designed around our years of experience, knowing exactly what we needed to support people to recover from and prevent pains and injuries, helping people live a healthy, active, positive life, pain and injury free. The clinic has certainly provided this space and some.

To celebrate this milestone, we have a special raffle giveaway, with a chance to win some great prizes!

You have 2 ways to enter into our raffle with the chance to WIN one of the following Vouchers:

  • Three x 1 hour sports massages worth £165!
  • An initial Sports Therapy assessment and 1 follow up session worth £116!
  • A small group Pilates session for you and up to 3 friends worth £100!
  • An Initial Physiotherapy injury assessment worth £68!
  • A place in our new foam roller workshop worth £25!

First Way – If you’re on Facebook, all YOU need to do is:
1. LIKE our goPhysio Facebook page
2. LIKE the giveaway post
3. SHARE the giveaway post
4. COMMENT on the post – telling us why you’d love one of these vouchers  or tag someone you think does!

You’ll need to do all 4 things to be entered into our raffle.

Alternative Way – If you’re not on Facebook, you can also enter by leaving us a Google Review here. Just click on ‘Write a Review‘ on the right box, towards the bottom of the box, and leave us a review about your experiences at goPhysio. All reviews submitted by midnight on 18th December will be entered into the raffle.

5 LUCKY winners will be drawn on our 1 year anniversary, Tuesday 19th December and announced over on Facebook! The winners will need to come into the clinic to collect their voucher.

GOOD LUCK!


T&Cs

  1. The promoter is: goPhysio Ltd.
  2. The competition is open to residents of the United Kingdom aged 18 years or over except employees of goPhysio and their close relatives and anyone otherwise connected with the organisation or judging of the competition.
  3. There is no entry fee and no purchase necessary to enter this competition.
  4. By entering this competition, an entrant is indicating his/her agreement to be bound by these terms and conditions.
  5. Route to entry for the competition and details of how to enter are outlined above.
  6. Only one entry will be accepted per person. Multiple entries from the same person will be disqualified.
  7. Closing date for entry will be 18th December 2017. After this date the no further entries to the competition will be permitted.
  8. No responsibility can be accepted for entries not received for whatever reason.
  9. The promoter reserves the right to cancel or amend the competition and these terms and conditions without notice in the event of a catastrophe, war, civil or military disturbance, act of God or any actual or anticipated breach of any applicable law or regulation or any other event outside of the promoter’s control. Any changes to the competition will be notified to entrants as soon as possible by the promoter.
  10. The promoter is not responsible for inaccurate prize details supplied to any entrant by any third party connected with this competition.
  11. The prizes are outlined above.
  12. The prize is as stated and no cash or other alternatives will be offered. The prizes are not transferable. Prizes are subject to availability and we reserve the right to substitute any prize with another of equivalent value without giving notice.
  13. Winners will be chosen at random from all entries received and verified by Promoter.
  14. The winners will be notified on Facebook and/or letter within 28 days of the closing date. If the winner cannot be contacted or do not claim the prize within 14 days of notification, we reserve the right to withdraw the prize from the winner and pick a replacement winner.
  15. The prize can be collected from goPhysio’s clinic.
  16. The promoter’s decision in respect of all matters to do with the competition will be final and no correspondence will be entered into.
  17. By entering this competition, an entrant is indicating his/her agreement to be bound by these terms and conditions.
  18. The competition and these terms and conditions will be governed by [English] law and any disputes will be subject to the exclusive jurisdiction of the courts of [England].
  19. The winner agrees to the use of his/her name and image in any publicity material, as well as their entry. Any personal data relating to the winner or any other entrants will be used solely in accordance with current [UK] data protection legislation and will not be disclosed to a third party without the entrant’s prior consent.
  20. This promotion is in no way sponsored, endorsed or administered by, or associated with, Facebook, Twitter or any other Social Network.
  21. goPhysio shall have the right, at its sole discretion and at any time, to change or modify these terms and conditions, such change shall be effective immediately upon posting to this webpage.
  22. goPhysio also reserves the right to cancel the competition if circumstances arise outside of its control.

 

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