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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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Physiotherapist or Sports Therapist?

Posted on 29th September 2017 by

Being able to offer a range of services and solutions to your injury problems all under one roof, is The Chartered Society of physiotherapists something we’re very proud to offer here at goPhysio in Chandlers Ford.

This means a range of professionals who are best placed to help you with your injury concerns. We have a great team on board here and we often get asked;

“Who’s there best person to see? A Physiotherapist or Sports Therapist?

The short answer is, that both professionals are highly trained and experienced to treat your injury. The types of injuries people come to see us for here at goPhysio are called musculoskeletal (MSK) problems. So those issues affecting bones, joints, muscles, tendons, ligaments etc. such as back pain, sports injuries, whiplash, overuse injuries and such. There are some key similarities and differences in their training and approach.

In this article we aim to explain more about these 2 professions, to help guide you to seeing the most appropriate person to get you back doing what you love.

Physio’s and Sports Therapists have both had to complete a degree or masters qualification at University, so are highly educated in assessing MSK problems and applying a wide range of treatments to effectively resolve your pain and injury. Both focus on restoring, maintaining and maximising movement alongside relieving the pain of your injury and optimising your quality of life.

Both Physiotherapists and Sports Therapists have the skills and knowledge to:

  • Assess and diagnose your MSK injury
  • Formulate and deliver customised and effective treatment and rehabilitation plans to optimise your recovery from injury
  • Use a variety of treatment techniques to relieve your pain and help resolve your injury
  • Educate and advise people on management of long term MSK conditions
  • Support you with getting active and staying fit and well
  • Get you back doing what you love, free from pain or injury
  • Help you improve physical performance
  • Prevent injury or recurring injuries

Physiotherapy

Physiotherapy is a healthcare profession, regulated by the Health and Care Professions Council (HCPC). Physiotherapy and Physical Therapy are both protected titles, so individuals have to have completed an approved degree or masters course and meet and maintain strict standards set out by the HCPC in order to use this title.

Physiotherapy helps restore movement and function when someone is affected by injury, illness or disability. Physiotherapists help people of all ages affected by injury, illness or disability through movement and exercise, manual therapy, education and advice. The Chartered Society of Physiotherapists

During their training, Physiotherapists will learn how to manage a variety of different conditions associated with different systems of the body and different client groups. This includes orthopaedics, neurology, cardiovascular, respiratory, elderly, children and women’s health. Once they are qualified, they may choose to specialise in any one of these areas and work in a variety of settings such as hospitals, schools, sports clubs, private clinics and industry. Subsequently, they have a very wide and varied knowledge base and experience.

Sports Therapy

Sports Therapists are experts in musculoskeletal disorders. Their degree course focuses on the musculoskeletal system and treating pain and injury throughs hands on treatments and rehabilitation.

Sports Therapy is an aspect of healthcare that is specifically concerned with the prevention of injury and the rehabilitation of the patient back to optimum levels of functional, occupational and sports specific fitness, regardless of age and ability. It utilises the principles of sport and exercise sciences incorporating physiological and pathological processes to prepare the participant for training, competition and where applicable, work. The Society of Sports Therapists 

Despite the name, Sports Therapists don’t just see people with sports injuries. At the end of the day, an injury is an injury, however you’ve suffered it. Whether you’ve sprained your ankle out shopping or playing football, a Sports Therapist is well equipped to help you.

In Summary

  • Both Physiotherapists and Sports Therapists are trained to a high level to expertly assess, diagnose and help with your injury recovery.
  • Physiotherapists have a broad based training, so if you have a more complex history or other medical conditions, that need to be considered, they may be the better person to see.
  • Sports Therapists will be well equipped to support your full return to sport, focusing very much on rehabilitation and high level exercise if this is your goal.

Both professions will have taken different paths after graduating, so you may find a Sports Therapist who’s taken a less ‘sporty’ path in their profession, just as you may find a Physio who’s specialised in sports. So, be guided by your needs and the individual experience of the clinicians available to see.

The important thing is, that your form a good relationship with your Clinician, you can communicate with them well and you feel the benefit from their treatment programme and plan.

If you’d like further advice who to see for your injury, then please do get in touch.

 

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Treatment of Calf Pain in Runners

Posted on 11th August 2017 by

Calf pain for runners is common complaint. Your calf muscles are used extensively and repeatedly during running, so it’s no surprise that sometimes they can become overloaded and develop pain. Here’s a great infographic from Tom Goom from the PhysioEdge series of podcasts, that highlights the recommendations for the treatment of calf pain.

So, what does it mean for you if you’re a runner with calf pain?

  1. Exercise Therapy is a crucial part of the treatment of calf pain. Exercises should be specifically targeted to increase your calf’s capacity for the demands of running. There are some great examples below. Your Physio would be able to identify exactly where any weakness may lie and subsequently advise on the most effective exercises for you. It may not only be your calf muscles that are weak, muscles around your hip and knee support the work of the calves during running, so strengthening these muscles is crucial too. Pilates is great for this! And don’t forget your feet. Working on the static strength of the muscles in your feet that bend your toes can help your running technique.
  2. Neural Mobility is how well your nerves ‘slide’ or move in your body. We all know that our joints and muscles move and stretch but our nerves also have to be able to move freely. When they don’t, this itself can cause pain and restricted flexibility. Reduced neural mobility may not be local to your calf, it could be originating from a more central source (your back/spine). Your Physio would be able to identify whether you have reduced neural mobility and advise on the best exercises to improve neural mobility. It may be that some manual therapy would help too.
  3. Training Loads, so distance, time, speed, terrain, will all have an impact on calf pain. Our aim is to always try and keep you running wherever we can (always keeps runners happy!). So, we offer customised advice in modifying your load to keep you running whilst your calf pain is addressed. This is not always possible though and there are cases where resting from running and doing some specific rehabilitation is essential to your recovery.
  4. Gait Retraining can have a massive impact on recovery and prevention of calf pain. Your running technique and style can improve your efficiency of your running and reduce demands on the structures involved in running. Here at goPhysio we offer a specialist Running Rehab service, where a biomechanical and video running analysis is carried out to guide any beneficial changes to your running technique. Small adjustments to technique can often have a massive impact on your running.

Treatment of calf pain in runners

The trap many runners fall into when they get calf pain is to stop running, rest completely until their pain is gone and then go straight back to their normal running routine. Then they’re frustrated when the pain comes back again and they repeat the cycle. When you pick up an injury, particularly an overuse injury like calf pain, it is crucial to identify and address the cause to prevent the potential long term cycle of injury.

Read More

What’s physiotherapy got do with a dripping tap? Overuse injuries explained.

Top 6 Pilates Exercises for Runners

Top Tips for Injured Runners

Running Rehab Service