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“I’ve got that Plantar Fa…something”

At some point, we’ve all experienced some kind of pain in the foot, or know of someone who is currently experiencing/complaining about persistent foot pain. Perhaps it was around the time we decided to get back to the gym for six weeks. Perhaps it was after a major hike up in the Lake District. Perhaps it is just the nature of our job has a bartender. Quite often, we then get told – or even self diagnose – that it’s something called Plantar fasciitis. But what exactly is Plantar fasciitis?

The Plantar Fascia is a thick, strong band of connective tissue in the base of the foot, roughly spanning from the heel to just before our toes. Because of its structure, it acts as a shock absorber, provides structural supports for our arches; and mechanically acts as a spring when we walk and run. Plantar Fasci-itis is the name of the condition when this structure is irritated and inflammed, thus causing the persistent, and often flagrant pain.

What causes plantar fasciitis?

Plantar fasciitis often occurs with a combination of physical, environmental, and social/work factors all impacting on the structure of the foot. Some of these are listed below:

  • Altered/poor gait (walking) biomechanics
  • Weakness in hip, knee, and/or foot muscles
  • Repetitive strain on the soft tissue
  • Recent change in physical workload (Predominantly overloading)
  • Poor/uncomfortable footwear

Treatment and Management

shutterstock_57382018The initial goal in managing plantar fasciitis is to reduce pain and inflammation. Your physiotherapist would be able to provide some manual treatment to help begin the recovery process. But it is also important to then assess and examine all these factors mentioned above in order to get to the root of the issue, and being able to prescribe the most appropriate management plan. This may include some stretching/strengthening exercises, modifications to your activities/daily schedule, and in some cases recommending extra assistance, such as an orthotic.

gait-scanAll our physiotherapists at Emma James are trained to assess any biomechanical issues, whilst the clinic is also equipped with purpose-specific pressure pads to perform a detailed gait analysis.

If this is something that you needed help with to get back to your work, your training, or even just to be pain-free, come and see our team of experts at Emma James Physio and we would love to help you!

kelvinKelvin

Kelvin Leung, Sports 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

 

>>> Useful Info:

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

The benefits of exercise to reduce stress

 

Stress Management and Exercise

We all have those days where we feel stressed.  It can be from various different sources, but one thing is for certain exercise is a great way to help deal with that stress! It can be hard to always find time but making exercise part of your lifestyle/routine makes it easier to incorporate it and then becomes less of a chore.

Exercise is a great method of stress management as it realises endorphins in our body which are ‘happy hormones’ and it can also distract our mind from what ever is stressing us out.

All forms of exercise can help with relieving stress from yoga to running, both very different but can have the same desired effect. Not only is it good for the realise of endorphins but exercise is also great for your overall health and wellbeing.

At Emma James Physio we provide a variety of different classes which could help and motivate you to exercise more. Pilates, spin, circuits and 1-2-1 Personal Training are just a few examples of what we have on offer. Classes are a great way to push yourself as you can bring a friend or make friends, having someone next to you can really help motivate.

  • Pilates is great overall toning and core strength class which can help contribute to other physical activities or everyday posture and mobility.
  • Spin will really get your heart rate up and get a sweat on, a great way to forget what’s on your mind and burn lots of calories.
  • Circuits includes a mixture of toning and cardio exercises giving you a full body work out.
  • 1-2-1 Personal Training is specialised to the individual to help them reach their overall goal including strength & conditioning and cardio moves.

Regular exercise can increase self-confidence, it can relax you, and it can lower the symptoms associated with mild depression and anxiety. Exercise can also improve your sleep, which is often disrupted by stress, depression and anxiety. All of these exercise benefits can ease your stress levels and give you a sense of command over your body and your life.

The most important thing is to find something you enjoy doing as you are more likely to stick to it and fit it into your busy day to day schedule.
Stress Awareness Month ( 1st-30th April 2019)

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

Fighting the Fear

We all have fear, I have fear daily about many things. The question is do we let our fear paralyse us or do we harness its energy and let it drive us forward.

There are so many reasons to be fearful. Fear of failure, fear of injury, fear of embarrassment, fear of poor decisions. However, nothing changes if nothing changes, often I’m fearful going into new situations or even when I meet a new patient for the first time, what I am asking is what do we do with that fear.

A prime example has been skiing this week with my children. I haven’t skied for ten years as I have been either having IVF, or pregnant or bringing up small children.

I’m heavier than I was, I’m more tired and there was a degree of doubt as to whether I would be able to do the black runs as before. I did however do what I always do and grabbed a metaphorical straw, sucked up the fear and did it anyway.
My daughters on the other hand have no concept of fear and like bullets they shot down the slope tucked in tight, with varying degrees of control.

My best friend on the other hand was also new to skiing and being naturally extremely athletic and strong surely she would take to it like a duck to water?
However this was not the case, her biggest barrier to success was her FEAR, fear of falling, fear of heights, fear of getting it wrong.

We all have our demons and we are all scared everyday, my advice would be f*** it and move on.

You are going to be scared, however the choice is yours, be fearful and do it anyway, or be fearful and allow this sense to paralyse you and halt your progress.
The choice of course is always yours.

I would highly recommend the book below .
Feel the Fear and Do it Anyway (Quick Reads 2017) Paperback – 2 Feb 2017
by Susan Jeffers (Author)

emma-james-2014Emma
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Blog Post by Emma
MD, Owner & Senior Clinical Director
Emma James Physio

 

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.

norm-acltorn-acl

 

 

 

 

 

 

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

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