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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
x

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
x

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

 

>>> Useful Info:

Tips for running

Here are my 9 essential top tips you will need to get up and running!

Is my:

  1. Face and jaw relaxed
  2. Head upright, slight lean looking forwards to a point 20-40 metres away
  3. Shoulders in a relaxed and comfortable position
  4. Natural curves of the spine
  5. Arms move in a pendulum – like movement close into the side of the body, with the movement coming from the shoulder joint
  6. Elbows bent at 90 degrees
  7. Fingers and thumbs relaxed
  8. Hips and shoulders facing forwards, with a minimum rotation
  9. Focus on keeping core strong

 

Happy Running!
Kerry
Personal Trainer & Gym Manager at Emma James Physio

Types of Muscle Contraction

There are two types of muscle contraction; these are Isometric and Isotonic Contractions.
A muscle will contract upon stimulation, in an attempt to bring its attachments closer together, but this does not necessarily result in the muscle shortening. If the contraction of muscle results in the muscle creating movement of some sort, the contraction is called isotonic. If no movement results in contraction then this is called isometric.

Isometric Contraction:

An Isometric contraction occurs when a muscle increases its tension, but the length of the muscle is not changed at all. For example if you were to hold a heavy weight in the hand with the elbow held stationary and bent at 90 degrees. You will find that some of our postural muscles are consistently working in an isometric contraction, such as our calf’s which stop us from falling forwards at the ankle.

Isotonic Contraction:

It is the isotonic contractions of muscle that enable us to move about. There are two types of this contraction.

Concentric Contraction:

In concentric contractions, the muscle attachments move closer together, causing movement at the joint which causes the muscle to shorten. A good example of this is when you’re holding an object in your hand, if the biceps muscle contracts concentrically (shortening), the elbow joint will flex and the hand will move towards the shoulder.

Eccentric Contraction:

An eccentric muscle contraction is a type of muscle activation that increases tension on a muscle as it lengthens. Eccentric contractions typically occur when a muscle opposes a stronger force which causes the muscle to lengthen as it contracts. Examples of this are actions such as going down stairs, running downhill, lowering weights and the downward motion of squats, push ups or pull ups. Eccentric contractions are common to many sports in which you need controlled or resisted types of movements.

Eccentric contractions are associated with the delayed onset muscle soreness (DOMS). Eccentric muscle contractions also appear to be associated with greater muscle strengthening than when using concentric contractions.

 

How we can help

massagePhysiotherapists have a vast medical and anatomical knowledge of massage and other manual techniques and these can be used to restore muscle length, reduce friction between structures and relieve pain and muscle spasm.  All of this allows normal function to be restored in the maximum time. To see how we can help, click the links below for further information and to book your place.

EJP_Book_your-Appointment-with-us-today

 

Post by Emma James – April 2016

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

Back Pain

Back Pain

back-painBack pain is a very common musculoskeletal complaint affecting 80% of adults at some point in their lifetime, although the symptoms and severity will vary greatly. Many factors may contribute to your condition including injury and diseases, but for some cases there is no specific cause and clinicians refer to this type of pain as ‘non-specific’ or ‘mechanical low back pain’.
There are some signs and symptoms that must not be ignored. You should always seek urgent medical advice if you have back pain and:

  • A loss of control of your bladder or bowel
  • Numbness around your genitals, buttocks or surrounding area
  • Chest pain
  • Unexplained weight loss

 

How can I lower my risk of developing back pain?

  • Carrying extra weight, especially around your belly, puts added stress on the muscles in the lower back and can affect your posture and position of your pelvis; in turn leading to lower back pain
  • Weak muscles and abdominals are unable to support your posture and trunk when you move, which can lead to overloading the small muscles in the back which are not designed to do this job and lead to injury
  • Your occupation could also affect your back. Those with manual jobs are at risk due to heavy lifting and repetitive bending, whilst those with sedentary jobs are at risk due to the amount of time they sit, particularly if they tend to slouch

 

How can I treat my back pain?

Try to keep mobile. It may be tempting to remain on bed rest until the pain subsides however evidence suggests that remaining mobile may actually help reduce the intensity and duration of your back pain as well as prevent it from returning. Start off with low impact exercise first such as walking or swimming

Take pain relief. People often worry that taking painkillers will make the symptoms worse by masking the pain, however by taking painkillers while you are in pain it will allow usually you to continue with your daily routine which in turn will often speed up your recovery

Try physiotherapy. A physiotherapist can help identify the root cause of your back pain and use a variety of techniques including massage, acupuncture and home exercises to reduce your pain and prevent it recurring

Pilates. There is lots of evidence to support the idea that a weakened core puts pressure on the little muscles and supporting structures in the lower back. Therefore by strengthening the muscles which support our trunk and core, it will minimise your risk of developing back pain as well as help to ease the pain if you are already suffering.

 

What is Pilates?
pilatesPilates is a low impact form of exercise aimed at strengthening the whole body, especially the core. Whether a beginner or an elite athlete and regardless of age and gender, Pilates could be beneficial for you. Practioners argue there is a wide array of benefits to practicing Pilates including improving muscles strength, balance, joint mobility and even stress relief.
Here at Emma James Physio, we offer a range of different classes including Clinical Pilates which are led by highly qualified instructors. View our Pilates timetable here >>>

Where can I go for help?

If you have back pain and would like to see how we can help, please call us 01442 870686 or visit our website www.ejphysio.co.uk

Tennis Elbow

What is TENNIS ELBOW?
Tennis elbow, known clinically as lateral epicondylitis, is a condition that causes pain on the outside of the elbow. It is a very common musculoskeletal condition, usually affecting adults between the ages of 40-60 years.

 

What causes TENNIS ELBOW?

elbow-painTennis elbow is usually an overuse condition, caused by stressing the muscles which attach to the bony part of the elbow (lateral epicondyle) leading to inflammation and tiny tears. The muscles and tendons which are strained are responsible for straightening the wrist and fingers so activities which involve straightening the wrist can lead to tennis elbow, particularly if you are not used to doing them or have suddenly increased the amount of time you spend doing them.

 

I don’t play tennis, how can I have TENNIS ELBOW?

Although tennis (and other racquet sports such as squash and badminton) are linked to tennis elbow, there are many other activities which involve overusing your forearm muscles which may lead to the condition. These include:

  • Manual work such as bricklaying or plumbing
  • Gardening
  • Decorating or DIY
  • Activities involving repetitive movements at the wrist and hands such as typing

 

How can I treat my TENNIS ELBOW?

Tennis elbow will usually get better with or without treatment, however research suggests that this could take up to two years. There are many things that you can do to help speed up the healing process

  • REST – avoid the activities which aggravate or caused your initial symptoms
  • ICE – apply ice or something cool to the bony bit of your elbow to reduce pain and inflammation
  • PAINKILLERS – taking medication to control the pain and inflammation. If you are unsure what to take, consult your GP or pharmacist
  • PHYSIOTHERAPY – a physiotherapist will conduct a thorough assessment to diagnose the condition and identify any underlying issues. They will then use a variety of treatments including, but not limited to, massage, acupuncture, manipulation and stretches and strengthening exercises to treat the symptoms

 

Where can I go to get more information about TENNIS ELBOW?

Call Emma James Physio on 01442 870686 or visit our website www.ejphysio.co.uk where our Chartered Physiotherapists will be happy to help you.

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