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Emma James Physio Blog

Chartered Physiotherapy and Clinical Pilates

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champneys

A look at sports injuries – Cycling – Iliotibial Band Syndrome (ITBS)

The most common cause of lateral knee pain is ITBS (Iliotibial Band Syndrome).

Iliotibial-bandThe Iliotibial Band (ITB) is a thick band of tissue on the outside of the thigh. The ITB begins at the upper hip extending down the outside of the thigh connecting with the tibia (shin bone) at just below the knee. It is crucial in stabilizing the knee during excess activities and is common in runners and cyclists in the age group of 15-50.

The ITB is aggravated and irritated through excess repeated motion causing pain and inflammation. Bony anatomical prominences located on the outside of the thigh rub against this band causing friction. Often a clicking sound can result from the tight band moving over the surfaces. ITBS is aggravated during activities such as running up hills or on slanted surfaces.

Pain is typically described as on the outside of the knee or hip, exacerbated by motion and relieved during rest. ITBS can be relatively easy to treat following correct examination, such as with stretching, strengthening, reduced strenuous activity and ice.

 

Five top ways to promote quicker healing (including services at Champneys)

By creating an optimal psychological, nutritional and physiological environment, the body is able to focus purely on the job in hand – healing the particular injury/ailment.

The services provided through the Regenerate programme at Champneys Tring in Hertfordshire can help to create this ideal environment in the following ways:

  • nutritionDecrease emotional stress and distractions and ensure you are having the correct amount of rest and sleep
  • Decrease environmental stress
  • Ensure best and optimal circulation (acupuncture, kriotherapy)
  • Optimal and appropriate nutrition (nutritionist)
  • Exercising within the pain-free range and at an appropriate level for maximising healing potential (hydrotherapy, physiotherapy)

image004

Regenerate is the UK’s leading residential medical centre based within the world class Champneys Tring Health Resort in Hertfordshire. Offering a bespoke professional service for injury rehabilitation, Regenerate provides the ultimate medical expertise and treatments required to recover physically, mentally and emotionally from all aspects of injury. Clients also benefit from using Champneys many services, as well as their luxury spa facilities and treatments.

Regenerate provides the highest standards and employs leading professionals in the medical fields under the Directorate of Champneys Medical Director, Dr Michael Curtin MB ChB Dip Med Ac. MF HOM. Regenerates multidisciplinary team includes: Doctor, Acupuncturists, Physiotherapists, Exercise Physiologists, Movement Therapists, Nutritionists, Personal Trainers, and Motivational and Mental Skills Coaches. They will conduct comprehensive examinations and diagnostic testing, and provide appropriate treatment which may include physiotherapy, acupuncture, clinical pilates, kriotherapy, nutritional therapy, exercise and rehabilitation programmes, sports massage, vibrogym therapy and altitude training, amongst others.

More Information

Blog Post by Emma James March 2016

A look at sports injuries – Football – Anterior Cruciate Ligament (ACL) Tear

The ACL is one of four main ligaments in the knee and the most common to be injured of the four. The ACL gives stability during motion preventing the Tibia (shin bone) moving too far forward on the Femur (thigh bone). Most ACL tears occur during athletic activity. Activities which make fast cut movements such as planting the foot and twisting the body above, changing direction, or straight knee landing such as in football, gymnastics or basketball are common.

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Symptoms following an injury can include pain along the joint line, swelling, loss of movement and pain on weight bearing. A tear to the ACL primarily results in an unstable knee, and a common complaint is of the knee giving way. Damage can also occur to the two menisci cartilages which act as shock absorbers between the Femur and Tibia, or on the smooth articular cartilage lining the bones in the joint. Luckily an ACL injury is not necessarily career threatening. Rehabilitation is dependent on the extent of the injury, whether there is a partial or complete tear and does not require always require surgery.

 

Five top ways to promote quicker healing (including services at Champneys)

By creating an optimal psychological, nutritional and physiological environment, the body is able to focus purely on the job in hand – healing the particular injury/ailment.

The services provided through the Regenerate programme at Champneys Tring in Hertfordshire can help to create this ideal environment in the following ways:

 

  • nutritionDecrease emotional stress and distractions and ensure you are having the correct amount of rest and sleep
  • Decrease environmental stress
  • Ensure best and optimal circulation (acupuncture, kriotherapy)
  • Optimal and appropriate nutrition (nutritionist)
  • Exercising within the pain-free range and at an appropriate level for maximising healing potential (hydrotherapy, physiotherapy)

image004

Regenerate is the UK’s leading residential medical centre based within the world class Champneys Tring Health Resort in Hertfordshire. Offering a bespoke professional service for injury rehabilitation, Regenerate provides the ultimate medical expertise and treatments required to recover physically, mentally and emotionally from all aspects of injury. Clients also benefit from using Champneys many services, as well as their luxury spa facilities and treatments.

Regenerate provides the highest standards and employs leading professionals in the medical fields under the Directorate of Champneys Medical Director, Dr Michael Curtin MB ChB Dip Med Ac. MF HOM. Regenerates multidisciplinary team includes: Doctor, Acupuncturists, Physiotherapists, Exercise Physiologists, Movement Therapists, Nutritionists, Personal Trainers, and Motivational and Mental Skills Coaches. They will conduct comprehensive examinations and diagnostic testing, and provide appropriate treatment which may include physiotherapy, acupuncture, clinical pilates, kriotherapy, nutritional therapy, exercise and rehabilitation programmes, sports massage, vibrogym therapy and altitude training, amongst others.

More Information

Blog Post by Emma James Feb 2016

A look at sports injuries – Basketball (Jumpers Knee)

Patella tendinopathy or ‘jumpers knee’ is one of the more common tendinopathies affecting skeletally mature athletes, occurring in as many as 20% of jumping athletes. Jumper’s knee is believed to be caused by repetitive stress placed on the patella tendon during jumping, and therefore is specific to athletes participating in jumping sports such as basketball.

 

Description of condition in laymans terms

shutterstock_75045415The patella tendon is a structure that attaches the quadriceps muscle group to the tibia (shin bone) via the patella. This tendon comes under a large amount of stress with repeated jumping movements. With repeated strain, micro-tears as well as collagen degeneration may occur in the tendon, causing pain and dysfunction. The main symptoms of ‘jumpers knee’ are: pain at the bottom and front of the kneecap, especially on palpation; aching and stiffness after exertion; pain when you contract the quadriceps muscle; and the affected tendon may appear thickened in comparison to the unaffected side. The key to fully recovering from Patellar Tendinopathy is in trying to elicit a healing response without overloading the tendon.

 

Five top ways to promote quicker healing (including services at Champneys)

By creating an optimal psychological, nutritional and physiological environment, the body is able to focus purely on the job in hand – healing the particular injury/ailment.

The services provided through the Regenerate programme at Champneys Tring in Hertfordshire can help to create this ideal environment in the following ways:

  • Decrease emotional stress and distractions and ensure you are having the correct amount of rest and sleep
  • Decrease environmental stress
  • Ensure best and optimal circulation (acupuncture, kriotherapy)
  • Optimal and appropriate nutrition (nutritionist)
  • Exercising within the pain-free range and at an appropriate level for maximising healing potential (hydrotherapy, physiotherapy)

image004

Regenerate is the UK’s leading residential medical centre based within the world class Champneys Tring Health Resort in Hertfordshire. Offering a bespoke professional service for injury rehabilitation, Regenerate provides the ultimate medical expertise and treatments required to recover physically, mentally and emotionally from all aspects of injury. Clients also benefit from using Champneys many services, as well as their luxury spa facilities and treatments.

Regenerate provides the highest standards and employs leading professionals in the medical fields under the Directorate of Champneys Medical Director, Dr Michael Curtin MB ChB Dip Med Ac. MF HOM. Regenerates multidisciplinary team includes: Doctor, Acupuncturists, Physiotherapists, Exercise Physiologists, Movement Therapists, Nutritionists, Personal Trainers, and Motivational and Mental Skills Coaches. They will conduct comprehensive examinations and diagnostic testing, and provide appropriate treatment which may include physiotherapy, acupuncture, clinical pilates, kriotherapy, nutritional therapy, exercise and rehabilitation programmes, sports massage, vibrogym therapy and altitude training, amongst others.

More Information

Blog Post by Emma James Feb 2016

A look at sports injuries – Spondylolisthesis in gymnasts

Spondylolisthesis is the slipping of all or part of one vertebra forward on another vertebra. It is most common in children 5-8 years old and it occurs in about 5% of the population. For gymnasts, it is thought that the slippage occurs as a result of repetitive hyperextension activities (bending backwards).

Description of condition in laymans terms

Spondylolisthesis is a forward shift of one vertebrae on the other, usually L5-S1, which is towards the bottom of the spine. The typical presentation is one of mild low back pain that occasionally radiates into the buttocks and posterior thighs, especially during high levels of activity.

Five top ways to promote quicker healing (including services at Champneys)

By creating an optimal psychological, nutritional and physiological environment, the body is able to focus purely on the job in hand – healing the particular injury/ailment.

 

The services provided through the Regenerate programme at Champneys Tring in Hertfordshire can help to create this ideal environment in the following ways:

acupuncture-enews

  • Decrease emotional stress and distractions and ensure you are having the correct amount of rest and sleep
  • Decrease environmental stress
  • Ensure best and optimal circulation (acupuncture, kriotherapy)
  • Optimal and appropriate nutrition (nutritionist)
  • Exercising within the pain-free range and at an appropriate level for maximising healing potential (hydrotherapy, physiotherapy)

 

image004

Regenerate is the UK’s leading residential medical centre based within the world class Champneys Tring Health Resort in Hertfordshire. Offering a bespoke professional service for injury rehabilitation, Regenerate provides the ultimate medical expertise and treatments required to recover physically, mentally and emotionally from all aspects of injury. Clients also benefit from using Champneys many services, as well as their luxury spa facilities and treatments.

Regenerate provides the highest standards and employs leading professionals in the medical fields under the Directorate of Champneys Medical Director, Dr Michael Curtin MB ChB Dip Med Ac. MF HOM. Regenerates multidisciplinary team includes: Doctor, Acupuncturists, Physiotherapists, Exercise Physiologists, Movement Therapists, Nutritionists, Personal Trainers, and Motivational and Mental Skills Coaches. They will conduct comprehensive examinations and diagnostic testing, and provide appropriate treatment which may include physiotherapy, acupuncture, clinical pilates, kriotherapy, nutritional therapy, exercise and rehabilitation programmes, sports massage, vibrogym therapy and altitude training, amongst others.

More Information

Blog Post by Emma James Feb 2016

Holistic Treatments

At Emma James Physio we have managed to build a very successful partnership with Champneys Tring over the last 15 years, providing the highest quality of care to their day and long term guests. Recently, we have expanded our collaboration within the area by opening a private clinic based in the New Court which is open to non- Champneys residents, also located in Champneys Tring.

With more than 18 years’ experience, I believe that holistic treatments enable the body to heal more quickly and more effectively. I address all aspects of an injury, including the emotional, nutritional and of course the physical.

Far too often, only the physical symptoms of a person’s pain are treated without any consideration for the emotional or nutritional side of the presentation. How often has you felt your shoulders or jaw tighten up when stressed or anxious. What you feel on the inside will manifest itself on the outside in the form of body tension or stress. Without recognising and treating this underlying cause, only short term benefits of physical treatment can be expected.

The same can be said of one’s nutrition. We live in a society with not only so much false media information regarding nutrition, but also a lack of following the basics of human needs. A large portion of our body is merely water. Yet the majority of the population do not drink enough during the day and are dehydrated. This leads to severely decreases many areas of bodily functioning, including healing.

We are also at risk due to the foods, or lack thereof, that we put into our bodies. A large majority of the population go for the quick fix, the ready made meals, the snacks and or course the chocolates. We are serial under eaters of protein, the building blocks for good muscle, ligament and joint tissue. Without adequate protein intake for your body weight, tissue production and healing is at risk.

Millions of people in the UK live with persistent pain in joints and muscles. Almost 31 million days of work were lost last year due to back, neck and muscle problems, according to the Office for National Statistics (ONS). In fact, the Work Foundation estimates that employees suffering from bone and joint pain cost the EU’s economies 240bn euros (£200bn) each year
Recurrent muscle and joint injuries account for 60% of permanent work incapacity in the EU. Far too often people are looking for the quick fix to their pain so their first port of call is the GP. We’ve heard the story a million times that “the only gave me painkillers and nothing else”. However, this is slightly unfair on GPs.

Unfortunately, the medical degree and career of a person who has become a GP is not concentrated on injuries, but rather medial conditions for the most part. Unlike GPs, Physiotherapy degrees are concentrated solely on muscle and joint injuries and are therefore more qualified than the GP in this area. Physiotherapists should always be the first port of call when it comes to pain. If they feel there is something deeper going on, they have been trained to see the signs and refer to a doctor. This allows each patient to get the appropriate care.
At Emma James Physiotherapy, we see and treat a wide variety of conditions ranging from traumatic incidents such as falls or injuries on the sport field, to gradual onsets of pain that can be down to compensation. We find a lot of knee, back and neck pains in patients due to the load bearing nature of the joints, but also as they sit between the more mobility joints such as the ankle, hip and mid back that can sometimes be dysfunctional.

Unfortunately, pain does not play favourites. We see a wide range of ages groups in our clinic; anywhere between 5 years old and 95 years old. Pain is dictated by your posture, your hobbies, your strength, your flexibly, and as mentioned before your emotional and nutritional state.
Femoroacetabular impingement (FAI), discomfort in the hip, is a common complaint for young adults. Keen sports persons can get sharp stabbing pains in one of their hips, often when moving in a certain way.

Common symptoms include: deep groin pain, pain when going from a sitting position to a standing one, pain from prolonged walking and pivoting on a single leg.

What is it?
The hip is a “ball and socket” joint. The “ball” is the top of the thigh bone (femur) and the “socket” is the hollow that the ball sits in. FAI is when the ball does not glide smoothly in the socket due to the shape of the “ball” or “socket” or both.

What can you do?
First and foremost avoid the aggravating activity and rest the hip. If symptoms persist you should consult your Doctor or Physiotherapist who will be able to assess and treat you with a range of flexibility and strengthening exercises to help stretch and strengthen the required muscles and improve the overall dynamic and functional control of the hip.

There are no one exercise which will be able to cure this condition. Each patient is assessed and treated on an individual basis. As we use a holistic approach, a number of factors will need be taken into consideration when treating this condition. How does the ankle, knee and lower back move? What are your daily postures? What are your daily hobbies? Once all this has been taken into consideration, a personalised rehabilitation programme can be specifically designed for you to follow to get out of pain and back to the things you love.

Blog Post by Emma James

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