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Emma James Physio Blog

Chartered Physiotherapy and Clinical Pilates

Knee Injury and risk of Osteoarthritis

A recent study published in the BMJ analysing the risk of developing knee osteoarthritis (OA) after knee trauma analysed over 1 million patients.

The risk of developing knee OA after ACL injury was 4 x higher compared to the non- injured knee or non- injured knee.

A meniscal (cartilage) injury and combined ACL/ meniscal injury as associated with 6x higher risk of developing OA.

Key messages:
1. The IMPORTANCE OF KNEE INJURY PREVENTION PROGRAMMES (strengthening).

2. The IMPORTANCE OF STRENGTHENING AFTER INJURY TO PREVENT or DELAY KNEE OA DEVELOPING.

apos therapy boots

If conventional physiotherapy alone is not being effective at reducing pain and improving function apos therapy is the next non- surgical option- customised and calibrated footwear to reduce pain and improve muscle control.

You can also book a free consultation, to see if Apos Therapy could work for you.

EJP_Book_your-Appointment-with-us-today

More Information:

lisa

Lisa
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Blog post by Lisa
Senior Physiotherapist
MSc MACP MHCPC MCSP 

Emma James Physio

 

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Looking after your mental health

MENTAL HEALTH AWARENESS WEEK 13- 19TH MAY 2019

Mental health in numbers….

1 in 6 adults will have experienced a common mental health disorder in the last week.
Severe mental health illnesss affects about half a million adults in England and these individuals will have a life expectancy of up to 20 years shorter than the general population. (Public Health England).

improving mental health with exercise

Pain can limit a person’s ability to exercise. The loss of exercise as part of a person’s mental wellbeing can be devastating- benefits of exercise include stress relief, positive affect on body image, improved mood, improved sleep and increased confidence.

Come and see our team of experts at Emma James Physio to help diagnose, treat and manage your pain, to get you back to exercising for your mental and physical wellbeing.

lisa

Lisa
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Blog post by Lisa
Senior Physiotherapist
Emma James Physio

 

Falling off a horse – my road to recovery (Part 2)

In my last post I spoke about my Injuries but today I want to share with you my road to recovery.

I tried many techniques to help speed up my healing process and strengthen my body for example:

The Bowen technique

  • Bowen is a holistic remedial body technique that works on the soft connective tissue (fascia) of the body. Bowen therapy can be used to treat musculoskeletal or related neurological problems including acute sports injuries and chronic or organic conditions. Bowen therapy is performed on the superficial and deep fascia.
  • Bowen Therapy may offer relief from pain, long-term injuries and illnesses, improved health and flexibility, improved sporting performance, relaxation, and emotional and mental well-being

Magnet therapy

magnet-therapy

  • Magnets have been used in alternative medicine for conditions ranging from systemic illnesses to joint pain. Some have proposed using magnets to help heal bone fractures. The idea is that magnets might improve circulation and increase blood flow, and thus the delivery of nutrients, to the fractured bone.
  • General rule to follow is black side of magnet on injury and red on the kidney

 

Floatation Therapy at Emma James Physio


The floatation tank is like a giant Epsom bath, heated to body temperature. It creates an environment similar to the Dead Sea. The are many benefits to a float, here are just a few:

  • Improve heart and circulatory health
  • Stimulate Lymphatic Draining – easing muscle pain
  • Lower blood pressure
  • Relieve stress

 

Physiotherapy

  • Relieving and manipulating the muscles in my back.
  • Stretching exercise specifically for my lower back/lumbar region and my quads and hamstrings which have become very tight due to the tension in my back.

 

Strength and Conditioning

  • Pilates work – building up the muscles in my back and core
  • Lots of body weight exercises and using resistance bands.


It has now been 4 months since my injury and pretty much back to full health. I still focus heavily on building up more core by doing Pilates work and I also stretch loads as I still get stiff down the right side of body and through my lower back. On the positive side I have learnt so much about my body and what I am capable of, I have also learnt my limitations and sometimes it’s ok not to push yourself to 100% max!

pippaThe human body is amazing.

Pippa
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Blog Post by Pippa
FCO Gym Manager & Personal Trainer
Emma James Physio

 

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Falling off a horse – from injury to recovery (part 1)

In October 2018 I was involved in a horse related accident, I was un-taking the horse, the horse pulled back and I got my right hand stuck in the reins and was dragged across the yard. Fortunately, with the force of me falling, my hand came free, but I got trampled on in the process, resulting with me being left in a heap on the floor in pain and winded.

Thankfully being at neighbours they were around to rescue me walk me slowly back to the house give me paracetamol and ibuprofen and to feed me. I was very insistent I wanted to go home and have a shower.

horse-injury2a

My dad came and collected me and took me home, at this point I was in a lot of pain, but I think my body was in shock, so I had no idea the injuries I had incurred.

By the time I had got out the shower my mum had got home and I had no option I was going to hospital. We went straight to Hemel urgent care, and got seen pretty quickly by a doctor.

 

hand1After a quick examination she was convinced I had broken my hand and ribs and was also concerned about my abdomen as I was very tender on the right hand side below my ribs. I was blue lighted in an ambulance across to Watford General were I received a further examination followed by a CT scan and X- Ray. After waiting for a couple of hours I finally got my results. No broken hand but 3 displace fractures of the right transverse process L2, L3 and L4 (lower lumbar), a liver laceration and a displace fracture of my right 9th rib on my back. I spent 2 nights in hospital with my blood pressure and heart rate constantly being monitored and regular blood tests to make sure there was no further internal bleeding from my liver.

I was discharged on the 1st November in the evening after getting my bloods finally checked; making sure I had my pain managed and that I could cough and take a deep breath! As anyone who knows who has broken a rib this is very painful but a necessity to stop fluid build in the lungs. My amazing supportive sister who had sat with me all that day drove me home. I spent 1 week pretty much bed bound, had to change simple things like which side of the bed I got in, I had to use my parents shower as I could not step over the bath in my bathroom, constant baggy clothes, no bra and I had to get help putting on my socks!

The main thing to focus on was pain management, I was incredibly lucky with my injuries as we all know horses are a lot stronger than humans and can be unpredictable and no it has not put me off riding!

hand2After 2 weeks of limited movement I started to become more mobile, I was walking more upright and managing to get through the day with only one or two naps and I was sleeping though the night and stopped taking morphine!

By week 3 I was more mobile still, I started cutting back on my painkillers still taking paracetamol, ibuprofen and cut back on the tramadol, to 2 a day as it made me incredibly sleepy. I would take more depending on what I was doing. This included taking walks; I was very pleased to be able to get out walking as I felt as I was a. being more active b. I could get fresh air and clear my mind.
I try to walk at least once a day, making sure it is flat ground and not too far.

In my next post I’ll share with you my techniques for recovery.

pippaPippa
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Blog Post by Pippa
FCO Gym Manager & Personal Trainer
Emma James Physio

 

>>> Useful Info:

Megaboost IV – Vitamin Infusion

IMG_7131A month or so ago I was feeling frazzled.. Rushing about attempting to balance work, kids and home life had left me catching cold after cold, constantly drained, irritable and generally frazzled.

Emma James suggested I try a megaboost vitamin infusion at Champneys. Now, to be honest, the lure of being alone in a room in peace for 45 minutes relaxing on a bed (you can sit if you prefer) for 45 minutes had me signed up! Let alone the benefits of such a vitamin infusion; top restore hydration, replenish vital vitamins and minerals, boost the immune system and deliver a (much needed) energy boost.

The qualified Nurse administering the infusion was lovely and informative and took me through a range of checks, including a health questionnaire and blood pressure measurement. Once I had the all clear, we were all set to go. Inserting the needle into my arm was no more than a sharp scratch- like having blood taken. Then I just relaxed for the time it took for the infusion to be administered and that was it, infusion done.

The benefit of a vitamin infusion over oral vitamins is that the abdomen (where up to 50% of the benefit of the ingested vitamin can be lost) is bypassed so the benefits are greater.

I left Champneys with a spring in my step looking forward to the benefits of the vitamin infusion and signed up for my next one in a few months time. Give it a go!

More information can also be found on our website.

lisa

Lisa
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Blog post by Lisa
Senior Physiotherapist
Emma James Physio

Fundraising to help Pitipana Mahavidyalay School in Sri Lanka

We feel very passionate about helping this school in Sri Lanka. The learning environment for the school is very poor and we want to help provide better working conditions for them. When we were in Sri Lanka at Christmas we spoke to the principal at the School and one of their wishes is to have more toilets for the children. I am pleased to say this project is now underway.

I am going over to Sri Lanka in July and August to go and help the School. We will be painting the classrooms, sourcing equipment and materials to improve their learning conditions.

Any help financially would be amazing. We are also looking for old lap tops, sporting equipment or clothing would be very much appreciated.

Facebook fund raising page:
https://www.facebook.com/donate/362707071013890/

kerry-gym-manager
Thank You & All the best!
Kerry
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Blog Post by Kerry
Group Gym Manager & Personal Trainer
Emma James Physio

Stability and posture of the upper back

It is important to have a good stability and posture of the upper back. No matter if you are a runner, swimmer, cyclist or use the gym it is key to incorporate these exercises into your daily routine. If you have a weakness in your upper body, you will learn to compensate through unwanted stress of the lower back, shoulders, hips and knees.

These easy exercises will enhance:

  • Shoulder stability
  • Rotator cuff strength
  • Increase scapular (upper back strength)

back-postureThe scapular area consists of:

Shoulder blades, rhomboids, rotator cuff, middle trapezius, posterior deltoid and subscapularis, These are all stabilizing muscles of the upper back.

Lacking strength in these stabilizing muscles will cause our posture to suffer and will result in stress and pain in other areas.

 

Exercises:

Prone Y over stability ball
Keep thumbs pointed upward and gently bring arms to parallel to the floor. Slowly and controlled.

Prone T over stability ball
Focus on initiating the movement with the muscles between the shoulder blades versus the shoulder being driven forward.

Prone W over stability ball
Squeeze shoulder blades as close together and downwards as you can. Hold this position for 5-10 seconds and then relax.

kerry-gym-managerLook after those backs buddies!
Kerry
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Blog Post by Kerry
Group Gym Manager & Personal Trainer
Emma James Physio

Lower Back Pain – What works best?

Non- Pharmacological (medication) treatment for chronic low back pain- what works best?

A recent pre print article in The Lancet looking at 77 research randomized control trials (which are deemed a high quality of research trial) concluded that best treatments include massage and exercise. A combination is often the most successful approach- massage to reduce pain then exercise to increase movement and strength.
Resistance training in children

It is a common misconception that resistance training stunts growth and is damaging to children.
In fact, research shows that resistance training increases bone strength which decreases the risk of future sports related injuries (Alan Bishop, Director of Sports Performance, Men’s basketball, Uni of Houston)

Resistance training in children must be done under the expert guidance of a trained professional though with an emphasis on technique.

 

Weight bearing exercise in osteoporosis treatment

The addition of weight- bearing exercise (45- 60 minutes 2/ week for 6 months) to medical treatment of osteoporosis increases bone mineral density more than non weight- bearing exercise and significantly improved the quality of life of patients with osteoporosis.
Achilles tendon pain
Often the curse of the runner, especially this time of year as runners increase their distances in training for the Spring Marathons.

The issue is often:

  • Training errors- increasing training distance/ frequency too quickly
  • Weakness in the calf muscles
  • A combination of both

Research suggests that eccentric calf training is more effective than natural history (‘wait and see’/ rest) or traditional physiotherapy (massage, ultrasound, stretching) in improving pain and function.
This programme should always be supervised by a trained physiotherapist

 

More Information:
Chartered Physiotherapy
lisaPaediatric Physiotherapy

I hope that helps shed some light on lower back pain.
Lisa
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Blog post by Lisa
Senior Physiotherapist
Emma James Physio

The importance of rest and recovery when training

This should be the easy part of our training but it tends to be the most neglected part. Rest is just as important as the actual training itself.

In order to see an improvement in performance, our body needs to be exposed to stresses, the body then needs time to adapt to the stresses and this is the period of recovery. Rest and recovery are vital in the prevention of injuries.

7 Important guidelines to consider after training which will improve recovery:

stretching-rest-and-recovery

1. Cool Down and Stretch
After exercise it is important to cool down to bring your body temperature back down and also to stretch the muscles that you have worked.

2. Replace fluids
It is important to replace your fluids after training as you lose a lot of salts whist training.

3. Nutrition
It is important to make sure you eat properly after training because this will boost your recovery.

4. Rest
It is essential to put your feet up and rest!!

5. Massage or self-massage
I would recommend a regular massage when you are in training however another option is to use a foam roller or tiger tail and do it yourself.

6. Sleep
Sleep is essential for recovery. When we are sleeping our bodies produce a growth hormone which plays an important part in our tissue growth and muscle repair.

7. Listen to your body
Most importantly!!! If you are tired your body is telling you to rest, so do it.

kerry-gym-manager
More Information:
Personal Training
Massage
Sports Massage
Nutrition
Happy Training & Resting Buddies!
Kerry
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Blog Post by Kerry
Group Gym Manager & Personal Trainer

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