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Service Focus: Exercise Rehabilitation

Posted on 13th January 2021 by

What is exercise Rehabilitation?

There are many definitions of exercise rehabilitation, however they all share the same common goal. This is to help restore optimal function within the shortest time possible
with minimal risk of re-injury. Absolute rest may relieve symptoms in the short-term, however this will lead to decreased tolerance to exercise and increased risk of future injury.
 
Benefits of Exercise Rehabilitation post-injury

 
When injuries occur to muscle, ligament or bone, the body is a great healer by laying down new tissue. However, the new tissue created is not as strong as it once was. This is one of the reasons people may have the same reoccurring injury. Not adequately rehabilitating a muscle strain is bit like putting duct tape over a crack. It will cover the area but it struggle to prevent further damage. The way to plaster over the cracks and actually remodel the injured area is through controlled progressive strengthening rehabilitation. 
 


How does Rehabilitation work?
 
Exercise rehabilitation follows a logical order and intensity. Starting with simple tasks such as working on flexibility before progressing onto areas such as strength, balance and functional activity. The intensity and dosage of the exercise is progressed to challenge the patient in order to make positive adaptions to their injury. This can only be done through observation and patient to therapist feedback. Every person is unique and will respond differently during the rehabilitation process, even with similar injuries. 

Find out more about or book an individual exercise based rehabilitation session by calling us on 023 8025 3317.


Returning to Physical Activity after COVID-19

Posted on 10th January 2021 by

The British Medical Journal (BMJ) has just published their latest research findings with advice about returning to physical activity after COVID-19.

The BMJ have produced very clear guidance for health professionals to use when advising how to safely return to physical activity.

Before embarking on any physical activity, you should be symptom free for 7 days.

If you suffered from any of the following issues during your COVID-19 illness, you should be referred to a local specialist COVID-19 rehab service and/or have further specialist support.

  • Required hospital treatment.
  • Had cardiac symptoms during your illness. These include chest pain, palpitations, severe breathlessness and/or episodes of fainting.
  • Suffered with psychological symptoms.
  • Other symptoms, such as respiratory, digestive or rheumatological, are enduring.

Once you’ve been symptom free for 7 days and as long as you don’t need referral to a specialist COVID-19 rehab service, you should take a phased approach to returning to physical activity.

Each phase should last at least 7 days, and you should use the Borg Rating of Perceived Exertion (RPE) to guide you.

These are the recommended phases:

Phase 1: Preparation for return to exercise

  • Breathing exercises
  • Flexibility, stretching & balance exercises
  • Gentle walking

Phase 2: Low intensity activity

  • Walking
  • Light household & gardening tasks
  • Low intensity exercise such as light Yoga

Phase 3: Moderate intensity activity

  • Gradual build up of strengthening and aerobic activity with interval training and rest days

Phase 4: Build on moderate intensity activity

  • Build strengthening and aerobic activity, add functional and co-ordination skills
  • Reduce intervals for training/rest

Phase 5: Return to baseline activity levels

Be realistic with your expectations and build up gradually. It may take at least 5 or 6 weeks to build back up to your pre-COVID activity levels.

How can goPhysio help?

Our team of sports & rehabilitation therapists are expertly placed to help you return to physical activity if you’ve had COVID-19. With our 1-2-1 rehab service, you can benefit from regular 1-2-1 practical sessions to help you return to your activity levels. You can read more details here.

This service is perfect for you if:

  • You’re feeling anxious or worried about returning to activity and you may want 1-2-1 guidance and support.
  • You are not sure what you should be doing or when or how to push yourself.
  • You don’t have access to equipment or facilities, as our Strong Room is fully equipped.
  • You want a programme created for you that will help you gradually return to sort or activity, in a safe way.
  • You’d like an assessment of where you are and a plan to return you to where you want to be.

If you have any concerns or difficulties, please contact your GP or 111 service.


goPhysio Focus: Exercise Rehabilitation

Posted on 1st October 2020 by

Exercise Rehab is such an important part of what we do here at goPhysio.

Rehabilitation, by definition, means “To make fit again” – and that’s exactly what our rehab service helps you with!

From our dedicated Strong Room, our team of graduate Sports & Rehabilitation Therapists, will take you beyond the treatment room and help you recover stronger and more confident.

Many people might be a bit wary of exercise rehab, going into an equipped exercise space, with weights and lot’s of equipment and being pushed a little outside the comfort zone. So, we thought we’d answer a few questions or concerns that might be on your mind!

Why would I need to do exercise rehabilitation?

Gone are the days of lying on a treatment couch and being a passive recipient of ‘treatment’ for weeks on end. Getting active and getting moving is such an important part of recovery from an injury. Yes, the treatment room has a part to play, but to fully recover from most injuries, you need to get stronger, more mobile and more flexible. It takes hard work and investment but it’s not easy. Where do you start? What do you do? That’s where we come in!

Our team of sports and exercise rehab therapists will put together a bespoke exercise program just for you, your injury and your lifestyle. They take into account all the important factors in your life and work with you, making sure we carefully balance the challenge and support we offer. We then guide you through your rehab journey, ‘holding your hand’ as little or as much as you need, giving you the confidence and tools to progress.

I’ve never been in a ‘gym’ before, surely it’s not for me?

Don’t worry – that’s the benefit of what we offer! Whether you’re a regular gym goer or have never even stepped foot inside a gym, because it’s a bespoke and 1-2-1 service, you’ll feel at ease.

It’s almost like ‘Clinical Personal Training’ so you get the results of exercise based training, but with the Clinical expertise, taking into account your injury, the stage of healing and what you realistically need to achieve.

The fact it’s 1-2-1 means you get the some attention of the Therapist.

I don’t think I’d be able to do the exercises!

Our team at goPhysio work closely together. It’s often the case that treatment with your Physio or Sports Therapist will reach a point when it’s really important to focus more on exercise based therapy. If that’s the direction you’d like to take, your Physio or Sports Therapist will complete a comprehensive referral into the rehab service, so your injury and where you are in your recovery path is established. This provides a great starting point for your rehab.

Your program will be fully bespoke and can be adjusted at any time.

I’ve got an injury, won’t it make it worse?

The latest scientific evidence supports and advocates the use of exercise as one of the best ways to manage and recover from most injuries. It really is magic! But you need to do the right exercises at the right time, too much, too soon can make an injury worse, too little or targeting the wrong areas won’t help your recovery. That’s where our expertise comes in.

Can’t I just do the exercises myself?

As part of all our Physio and Sports Therapy appointments, we’ll always provide a bespoke exercise programme for you to do in between appointments. This will be emailed to you with pictures and videos and full instructions, so you can carry on progress in your own time. Many people struggle with doing exercises themselves. It may be you don’t have time, don’t feel confident or are wary of what to do.

Having that 1-2-1 support and a session scheduled, this is a great way to build your confidence and make progress. We also have lot’s of equipment to hand so we can do a wider range of exercises and push you with your recovery a little more.

How much does rehab cost and how do I book in?

Sessions can be booked at any time. Each 1-2-1 session lasts 45 minutes and costs £59. You can purchase a block of 6 for a reduced cost of £295, so you get 1 session free. To book your session, just call us on 023 8025 3317 or speak to your Physio or Sports Therapist.


Behind The Mask: Will

Posted on 18th September 2020 by

Behind The Mask Will

Hi, I’m Will. I work as a Sports & Rehabilitation Therapist at goPhysio. Now we’re out of lockdown I’m starting to appreciate the little things in life; like leaving the house! Being back at work has given me purpose and structure to day-to-day life so I feel a lot more productive. At goPhysio I am helping people to get back or continue the exercise that they love doing.


Post COVID Recovery

Posted on 3rd July 2020 by

We’re staring to see (albeit online only if appropriate), a number of people who have had and are recovering from Coronavirus.

It certainly seems to have a really significant impact on people longer term, even those who may have had milder symptoms. We’ve put together some useful tips and advice, to help you be realistic about and optimise your recovery.

Why is rehabilitation important?

While you are recovering, focusing on taking some time for your recovery and rehabilitation is really important. Rehabilitation will improve your exercise tolerance, muscle strength and help manage any breathlessness and fatigue.

You should focus on breathing, functional and physical exercises. Here at goPhysio, we can help guide you on the best types of exercises either through our online service or face to face, if it’s appropriate. We will help to put together a rehabilitation programme that is tailored exactly to you and where you are and where you want to be.

Making sure you’re suitably hydrated and nourished play a really important role in your body’s response to and recovery from the COVID-19 virus. Eating well (together with the exercises) will help to rebuild your muscle strength and function.

REHABILITATION: The action of restoring someone to health or normal life through training and therapy.

What can I do to help myself?

Making sure you resume some ‘normality’ and routine is a great way to boost your recovery. Here’s a few tips:

  • Get up at a normal hour
  • Try and restart a regular morning routine e.g. wash, brush teeth, get dressed
  • Sit in a chair for meals
  • Follow advice on eating and drinking well
  • Think about keeping an exercise and activity diary

Why do I feel breathless?

Breathlessness is a very common symptom in some people with COVID-19. The lungs can become inflamed and the effort of breathing can increase. You may be breathing quicker and shallower, however it is important to try and stay calm. Anxiety can increase your heart rate and make your breathing rate increase further. This should improve over time. You can try some breathing control exercises to help.

Breathing control – something to help you relax

  1. Get in a comfortable position
  2. Close your eyes and bring your attention to your breathing
  3. Breathe in and out through your nose (or mouth if you are unable to do this)
  4. Try to breathe in for the count of one, and out for count of two, working towards a longer breath out than in, to slow your breathing rate down
  5. Notice areas of tension in the body and try to release this with each breath out
  6. Gradually try to make your breaths slower and deeper

You can try various positions if you[re feeling breathless, that you may find help ease the breathlessness. Try:

  1. Lying on your side, propped up with pillows with your knees bent a little
  2. Sit upright and lean forwards over a table onto some pillow and relax
  3. Stand and lean onto a windowsill or forwards onto a wall

Mobility & Exercise

Moving little and often will help with your breathing and get your muscles working again, easing stiffness, achey joints and improve your strength and flexibility. All of this will help you get back to doing the things you’ve missed. There are different levels of mobility you should slowly work towards.

  1. Sitting on the edge of your bed
  2. Standing up from sitting
  3. Getting out of your bed and sitting in a chair
  4. Walk within a small space
  5. Walk around your home
  6. Walk around your garden
  7. Climb stairs or steps
  8. Getting outside

Exercises

It is really important to do some regular exercises that will help with:

  • Building up your muscle strength
  • Improving your muscle flexibility
  • Working on exercise stamina and endurance
  • Regaining balance
  • Improving functional activities

Exercise Diary: you may find using an exercise diary helpful. You can track your exercises and score how hard you are working using the Rating of Perceived Exertion Scale (RPE Chart).

As you progress, you can increase the number of repetitions of exercises you are doing and increase the number of exercise sessions each day. Exercises should feel ‘light’ to between ‘somewhat hard’ and ‘hard’ (RPE 3 – 5), and your breathing should allow you to maintain uninterrupted conversation throughout.

“Little and often” is the best approach.

Managing Fatigue

You may notice that your energy levels are low and and that doing simple daily activities suddenly feel like you’re doing a marathon. Fatigue is a common symptom of COVID-19. Although rest is important in recovery, unlike normal tiredness it does not improve with rest alone.

Feelings of fatigue can be made worse if you’re still experiencing episodes of breathlessness, muscle de-conditioning from having spent long periods inactive and in bed and also from stress that you may be feeling after a period of illness.

What can I do about fatigue? Fatigue can make managing your usual daily tasks more difficult. All daily tasks require the body to use energy through moving and thinking. Fatigue management can help you to understand how to make the most of your body’s available energy. This can help you to find ways to balance your physical, social and emotional needs when your energy levels are reduced.

Rating your fatigue from 1-10 will help you identify patterns of fatigue. You can discuss this with your Occupational Therapist who will support you to identify strategies to manage your fatigue.

Completing a fatigue diary and rating your fatigue before and after an activity (e.g. having a wash and dressing) can help you to understand how different activities can affect your energy levels.

How to use a fatigue diary

  • Start at the beginning of each day
  • Write down each activity including rest period you havetaken in each three hour interval
  • Use a scale of 0 – 10 (0 = no fatigue, 10 = extreme fatigue) to score how you felt at the end of this three hour period
  • Record any other factors you feel are relevant e.g. stressful events, skipping meals, over-exertion
  • Use the diary to track your progress and work out any patterns and record how you’re progressing

If you need any support or help, we are here for you. Our range of skills and services, with both online and face to face options, provides a host of ways to support your recovery.

The best place to start would be on online or face to face assessment with one of our Physio’s so we can establish where you are in your recovery journey, find out what your goals are and put together a realistic and gradual way for you to achieve this.

Our support can include a specific and progressive exercise programme, which we can monitor and develop as you recover, ways to help any areas of pain, discomfort, stiffness or tension, advice on pacing and returning to work, hobbies and sport, whatever it is you’d like to do.

Just call us on 023 8025 3317 to find out more and boost your recovery.


2019 – A Review of the Year at goPhysio

Posted on 18th December 2019 by

December has become a great time for us to review the year, not only because it’s the end of they year, but it also marks the anniversary of our move to our great new clinic space in Chandlers Ford (3 years on and we’re still calling it ‘The New Clinic’!!).

What a fantastic 3 years it’s been. The clinic has got busier and busier and we’re helping more and more people enjoy an active, healthy positive life, free from pain and injury.

Despite being a place where we are frequently helping people who are in pain, may have been suffering for some time and are often frustrated and confused, the positive, friendly and buzzing environment is palpable. As you walk round the clinic, there’ll often be sounds of laughter and happy chatter. It really does make me feel proud and content at what we’ve built.

In economically challenging times, that we’ve now been experiencing for a number of years, the journey as a small business owner isn’t always easy. But, we stay focused and as business owners, make sure we really look after and invest in our team so that they can do what they’re best at – looking after you guys, our patients & customers!

goPhysio Team Christmas 2019

So, what did 2019 look like at goPhysio?

We’ve helped LOT’S of people…….This year, so far, we’ve…..

  • Provided just over 9,800 physio, massage & sports therapy appointments
  • Run over 1000 specialist Pilates classes
  • Registered over 1,100 new patients to the clinic

Brought you Reformer Pilates We have expanded our services here at goPhysio, introducing Reformer Pilates. Having Reformer Pilates in the clinic is such a valuable service and we’re looking forward to expanding this in 2020.

Introduced online booking for our classes. Pilates and Small Group Rehab attendees can now use our super easy online booking tool to book and manage all their classes. Take a look and register on the new system here.


5* Google Reviews We’ve now received 91 5* Google Reviews, something we’re extremely proud of. If you’d like to leave us your thoughts, you can do so here.

I always used to fear the prices of having physio done so avoided it forever but when I read recently required some treatment I bit the bullet and chose goPhysio and I’m glad I did because without sounding like a terrible TV commercial “it was worth every penny” and I was able to walk miles every day on my holiday! Thanks

Truthful Existance

Award Recognition In August, we were delighted to be awarded the Best Holistic Physiotherapy Clinic 2019 – Hampshire in the SME News UK Enterprise Awards. SME News carefully analyses everything from products/services, dedication to your industry and client testimonials to determine the winners’ selection, so we were delighted to receive this award.

Best UK Physical Therapy Blog This year, we were again delighted to be recognised as one of the top 10 Physiotherapy blogs to follow in the UK for 2019, in the number 3 spot no less! The Best UK Physical Therapy Blogs are chosen from thousands of UK Physical Therapy blogs on the web using search and social metrics. The blogs are recognised because they are actively working to educate, inspire, and empower their readers with frequent updates and high-quality information, so this is quite an achievement. Read more.

Another recognition we received was being recognised by 3 Best Rated as being in the top 3 best Physiotherapists in Southampton. 3 Best Rated use a 50-Point Inspection which includes local reviews, history, trading standards, ratings, satisfaction, trust, price and general excellence, so we were delighted to feature in their top 3!


The Eastleigh 10k This year, we were delighted to be asked to be the Official Health Partner of the Eastleigh 10k again. It was a fantastic event and our team worked tirelessly to massage over 170 runners before and after the event. It was such a fantastic experience for all involved and we are delighted to be part of the 2020 event next year.

We have a host of great events, masterclasses and workshops planned. Take a look here at what’s going on and to book any places. 

goPhysio Team Eastleigh 10k

Our Team This year we’ve be joined by our fantastic new Sports & Rehabilitation Therapist Rosie. Rosie is multi-skilled and works in our fantastic (and unique in the area) rehabilitation service, and provides sports and soft tissue massage, sports therapy, Pilates and Positive Steps classes.

We said a fond farewell to Physio Chris, who relocated with his family to The Midlands and a temporary goodbye to Kim, as she welcomed her gorgeous new baby Harriet to the world!

Our Physiotherapy team expanded as we welcomed Physiotherapists Charlotte and Jose and we are delighted that we will be joined by a new Physio early in 2020, Maddie.

Our 4th new team member this year is Katie. You may have seen Katie behind the desk or spoken to her about your appointment or Pilates classes. She’s been an absolutely crucial new member of the team and works tirelessly behind the scenes as our new business administrator.

As demand for our services grows, we are always seeking great new people to join us, so if you know of any Physiotherapists, ask them to give us a shout so we can chat about opportunities.

goPhysio becomes a local ‘Beauty Spot’, a drop off point for unwanted and unused beauty gifts, toiletries or general hygiene products to be distributed to those in need.

What does 2020 have in store?

We are very excited to be planning on expanding our Reformer Pilates service. We’re hoping that this year we’ll be able to introduce Reformer Pilates classes in our studio, offering cost effective, small group sessions on the Reformers!

If you’d like to start 2020 feeling great, looking forward to taking on new challenges and taking care of your body so that you can actually do what you want to do, get in touch. You can drop us an emailbook a consultation online or give us a call on 023 8025 3317. 


Meet Your Team – Hello Francesca!

Posted on 28th October 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, Francesca.

Francesca Wicker - Sports and Rehabilitation Therapist & APPI Level 3 Pilates Instructor
Francesca Wicker – Sports and Rehabilitation Therapist & APPI Level 3 Pilates Instructor

What are your clinical qualifications?

I studied BSc Sports Therapy at the University of Worcester and graduated in 2013. 

What areas have you previously worked in?

Since graduating I was given the opportunity to work with the GB Bobsleigh team in a voluntary Soft Tissue Therapist position . I have then worked in private injury clinics. 

I have also done lots of voluntary sports massage and first aid at different sporting events, which I always enjoy seeing people achieve their goals. 

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

My biggest interest is with sports injuries and returning people to their sport or activity through hands on work alongside exercise rehab. 

Over the last couple of years, I have attended several different course based on strength and conditioning / exercise rehab, including Tom Goom’s Running Repairs and Nick Grantham’s S&C workshop. I love incorporating new knowledge into helping my patients!

I enjoy teaching classes and seeing people improve and increase their body awareness and confidence in what they can do.  I have done my APPI Pilates qualifications up to Matwork Level 3 and Reformer Pilates Level 3. 

What you’re most proud of?

Graduating and buying my first home.

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

To have such a varied role, and the supportive environment to help me grow and learn as a person and as a Sports Therapist.

We asked………

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

  • David Attenborough
  • Barack Obama
  • Jessica Ennis-Hill

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

Bali

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

A Kindle, so I could read.

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

I am a keen baker and love baking cakes and would love to be able to make wedding/special occasion cakes.


Francesca works at goPhysio on a Monday – Thursday and Saturday. If you’d like to book an appointment to see Francesca, you can give us a call on 023 8025 3317 or book an appointment online here.


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.