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Brian Did Not Want Cortisone injections.

Cortisone Injections are Not For Everyone

Brian, who is a very active mature gentleman, keeps fit with weight training and general house hold duties, suffered a shoulder injury nearly a month ago.

He was in great pain, his sleep was disturbed and everything was becoming very gruelling and hard just to get through the day, as his physical ability became more impaired, at the time he was looking after his partner after she had just come out of hospital after having had a hip replacement, The GP suggested a cortisone injection!. A discussion with his partner took place.

Brian then came to see me. I Treated him on the Bioneuro “Dry” Therapy (∑Q®) system and Neuromuscular and Sports Injury Therapy, as I have found they work so well together to achieve better results for clients.

We witnessed powerful results with Brian, his ability to move his shoulder increased and the pain decreased to the point of it being unnoticeable. His GP was impressed with the outcome. They were both happy about there no longer being a need for any injection!

Brian said about how he is feeling now “I feel great, pain free and I will strongly recommend the Bioneuro “Dry” Therapy (∑Q®) to anyone I know is in pain “

There are various issues and complications that can arise from cortisone injections such as, Atrophy and Depigmentation of the skin at the injection site.

Introduction of bacterial infection into the body, localized bleeding from broken blood vessels in the skin or muscle, soreness at the injection site, and aggravation of inflammation in the area injected because of reactions to the corticosteroid medication (post injection flare).

Increased pain after the injection is typically due to a post injection flare as a true allergic reaction to cortisone is very rare.

Tendons can be weakened by corticosteroid injections in or near tendons. Tendon ruptures as a result have been reported.(information from Internet ) This is not to say that Cortisone Injections don’t have their place, because that is wrong below are some facts about Cortisone Injections and we hope they may also alleviate some myths.

What is cortisone?
Cortisone is a type of steroid that is produced naturally by a gland in your body called the adrenal gland. Cortisone is released from the adrenal gland when your body is under stress. Natural cortisone is released into the blood stream and is relatively short-acting.

Injectable cortisone is synthetically produced and has many different trade names (e.g. Celestone, Kenalog, etc.), but is a close derivative of your body’s own product. The most significant differences are that synthetic cortisone is not injected into the blood stream, but into a particular area of inflammation. Also, the synthetic cortisone is designed to act more potently and for a longer period of time (days instead of minutes).

How does the cortisone injection help?
Cortisone is a powerful anti-inflammatory medication. Cortisone is not a pain relieving medication, it only treats the inflammation.

When pain is decreased from cortisone it is because the inflammation is diminished. By injecting the cortisone into a particular area of inflammation, very high concentrations of the medication can be given while keeping potential side-effects to a minimum. Cortisone injections usually work within a few days and the effects can last up to several weeks.

Lumbar Back Pain, Knee Pain Treatment, Shoulder Bursitis, Arthritis, Trigger Finger, Tennis Elbow, Carpal Tunnel Syndrome

Are there side effects? Yes. Probably the most common side effect is a ‘cortisone flare,’ a condition where the injected cortisone crystallizes and can cause a brief period of pain worse than before the shot.

This usually lasts a day or two and is best treated by icing the injected area. Another common side-effect is whitening of the skin where the injection is given.

This is only a concern in people with darker skin, and is not harmful, but patients should be aware of this.

Other Side effects of Cortisone Injections

Although rare, can be quite serious. The most concerning is infection, especially if the injection is given into a joint. The best prevention is careful injection technique, with sterilization of the skin using iodine and/or alcohol. Also, patients with diabetes may have a transient increase in their blood sugar which they should watch for closely.

Because cortisone is a naturally occurring substance, true allergic responses to the injected substance do not occur. However, it is possible to be allergic to other aspects of the injection, most commonly the betadine many physicians use to sterilize the skin.

Can I get a cortisone injection more than once?
Yes. There is no rule as to how many cortisone injection can be given. Often physicians do not want to give more than three, but there is not really a specific limit to the number of shots.

However, there are some practical limitations. If a cortisone injection wears off quickly or does not help the problem, then repeating it may not be worthwhile. Also, animal studies have shown effects of weakening of tendons and softening of cartilage with cortisone injections.

Repeated cortisone injections multiply these effects and increase the risk of potential problems. This is the reason many physicians limit the number of injections they offer to a patient.

The Bioneuro Dry Therapy (∑Q®) works on the central and peripheral nervous systems and aids quicker restoration to full health. Also non- invasive a good and non painful alternative with no needles either!

What we are saying is “Consider the Bioneuro Dry Therapy (∑Q®) system, before the cortisone injections. As it will, relieve the Pain at the same time as aiding the muscles to heal and disbursing the inflammation.”

Upper Back and Shoulder Injury In Norwich

How Neuromuscular Techniques Sports Injury Therapy And Bioneuro Dry Therapy system (∑Q®)

Can Help with Rehabilitation and Recovery

What is a rhomboid muscle rupture or spasm? The rhomboid muscles are in the upper back, connecting the inner edges of the shoulder blades to the spine. A rupture is an injury in which muscle fibres or tendons are stretched or torn. A muscle spasm is an involuntary contraction of the muscle.

Why does it happen A rhomboid muscle rupture or spasm is usually caused by overuse of the shoulder and arm, especially during overhead activities like serving a tennis ball and painting a ceiling. It also occur due to activities such as rowing, golf and poor posture e.g. carrying out computer work.

What are the symptoms? A rhomboid rupture causes serious pain in the upper back between the shoulder blades and the spine. A spasm feels like a knot or tightness in the muscle.

How is it treated? Ultrasound and electrotherapy are proven methods to speed recovery especially from the Bioneuro Dry Therapy system (∑Q®)invented by Dr Roberto Ciaff. Sports Injury Therapy along with Neuromuscular Techniques helps to restore full range of motion and elasticity of the damaged tissues, muscles, tendons and better blood flow. Bioneuro Dry Therapy system (∑Q®), Neuromuscular Techniques along with Sports Injury Therapy work so well together, to aid in recovery from painful rhomboid muscle rupture or spasm.

Recovery after Hip & Knee Surgery in Norwich

I had nearly ran out of ideas in what to try Hip and Knee surgery recovery, how the Bioneuro Dry System Sigma Q( ΣQ ®) can help, here in Norwich@ Getfitstayfit Norfolk The pioneer of knee replacement surgery was Leslie Gordon Percival Shiers (FRCS); his original papers were published in the Journal of Bone and Joint Surgery in 1954. Shiers refused to patent his invention and demonstrated the operation throughout the world, inviting other surgeons to improve upon his original idea. The first knee replacement was in 1968 and the first hip replacement was in 1960. Previously other attempts on Joint replacement surgery had been made on injured soldiers. And not with any real success. How Far we have come from those days and how many Hip or Knee replacements have taken place since then Following John Charnley‘s success with hip replacement in the 1960’s attempts were made to design knee replacements.

Hip and Knee surgery recovery, how the Bioneuro System Sigma Q( ΣQ ®) can help, here in Norwich@ Getfitstayfit Norfolk

The pioneer of knee replacement surgery was Leslie Gordon Percival Shiers (FRCS); his original papers were published in the Journal of Bone and Joint Surgery in 1954. Shiers refused to patent his invention and demonstrated the operation throughout the world, inviting other surgeons to improve upon his original idea.

The first knee replacement was in 1968 and the first hip replacement was in 1960. Previously other attempts on Joint replacement surgery had been made on injured soldiers. And not with any real success.

How Far we have come from those days and how many Hip or Knee replacements have taken place since then

Following John Charnley‘s success with hip replacement in the 1960’s attempts were made to design knee replacements.

Frank H. Gunston and Leonard Marmor were pioneers, in North America. Marmor’s design allowed for uni-compartmental operations, but did not always last well. In the 1970s the “Geometric” design and John Install’s Condylar Knee design, found favour.

Hinged knee replacements for salvage date back to GUEPAR, but did not stand up to wear.

The history of knee replacement is the story of continued innovation to try to limit the problems of wear, loosening and loss of range of motion

The Guepar Valgus Hinged prosthesis was first used at Vancouver General Hospital in 1975 – In April of 1977 a local modification was introduced in an attempt to reduce the indecent of patellar subluxation.

The modification eliminated the several degree angles between the femoral and tibula components.

We have come a long way from those days and hips and knee replacements are now common place and recovery from such surgery is quite dramatic, from knowledge of patients the general consensus is it is a quicker recovery from a hip replacement than a knee replacement and although hip replacement are mainly Titanium knees these days are mostly a lighter carbon.

No matter how we have changed the design of the replacements and the speed of the recovery we still have the problem of pain, this is still something we have to overcome and people heal a lot quicker when they are not in so much pain and can start to move about.

A major concern for all parties is the control of pain.

Pain in these areas comes from HYPER-TONIC /TIGHT STIFF MUSCLE .This presents itself in several ways. It is caused by an interruption of nerve feedback systems between the effected muscle area and the brain.

Here at Getfitstayfit Norfolk, we can help pre and post surgery to help keep the muscles supple before surgery and to aid in the recovery with the reduction of internal scar tissue forming that reduces blood flow to the muscle, after surgery, thus aiding more movement, but with less pain than conventional stretches, that can prove to be very painful, this how the Bioneuro Dry System Sigma Q( ΣQ ®) along with Neuromuscular Techniques can help.

Testimonial from Marcus & Rachel

Steve,

Marcus and I wanted to drop you a testimonial about our experiences with our treatment/therapy.

I have known Steve for over a year now and haven’t had to require your services – so to speak! However, the moment came about 1 month ago when I managed to pick up a horrid cold which led to me coughing and sneezing and unfortunately putting my back out.

The real worrying issue being I was due to go away for the weekend in London with Marcus and the pain was causing me to be in so much pain, even in bed laying still it would be excruciating.

I called Steve up on the Friday morning and he fitted me in 8pm that evening so I could have some therapy before going to London the next day.

Although Steve provides Sports Injury Therapy to clients – he was unable to massage me due to my cold – which would have moved the germ around my body and made me feel worse.

So, he hooked me up to his Bioneuro Dry Therapy System which is essentially some pads which he applies to the affected area and the equipment gently manipulates the area to stimulate blood flow again – thereby easing pain.

I did feel better and managed to enjoy my trip to London. I went back to Steve the following week and had the Sports Injury Therapy to back up the treatment I had already had and I have to say, I feel incredible now.

Steve’s always thinking about the best way forward for his clients and is interested in the individual and supporting their treatment and good health after therapy, with suggestions of exercises at home to strengthen the weaker areas treated.

It is fair to say years of carrying a laptop and various heavy bags for work have not led to a particularly strong back.

As a result this has led to weakness in my lower back, also sitting on a desk job all day has not helped either.

Going forward I feel I have the tools to help me get back on track and if I do have any issues in future, Steve will be the first person I consult regarding the health of my back and joints.

Whilst visiting Steve for treatment my husband Marcus has had a poorly neck for about 6-8 weeks following a whiplash injury.

Marcus initially had Sports Injury therapy followed a week later with Bioneuro Therapy System.

Movement is much freer now and as a result he is able to move his neck with much more flexibility and very little stiffness/pain now. Once again, exercises to back up the treatment have certainly helped too.

Marcus runs his own Garage business which as a mechanical engineer means most of his work is on cold floors or in a pit looking up at the bottom of cars, vans and trucks.

Hence, the neck injury was not only causing him pain on a daily basis but was affecting his ability to do his day to day work

Which when you work for yourself is very difficult – as you know Steve!

We cannot thank you enough for the treatment and care you have given us both over the past month.

Everyone we meet who happen to mention twinges in their back, legs, neck have been recommended to you, I hope you gain business from these introductions.

Rach & Marcus. x

The dreaded DOMs or delayed on-set Muscle Soreness

Following returning home from being in charge of the Sports Massage at the London Marathon, I felt I should blog about DOMS or its other name “muscle fever”.

DOMS felt most often 24/7 2 hours after strenuous exercise.

Even though DOMS is relatively common, very little is known about the mechanism of the injury. The damage caused by muscle-lengthening—the kind that happens in downhill running, when your arm descends during a bicep curl, or during the lowering phase of a push-up, for example whilst in the gym.Continue reading

Calf Muscle Tips

We may find that neither he, or his other party ministers understand the difference, and that we have been categorising ourselves unnecessarily, because of a word. Please do not misunderstand me, I have agreed and adhered to the rules, but I do feel that this is now a matter of confusion, because of how we define our businesses. I am not a Massage Therapist, I use massage as part of the treatment process for my patients, I am a Neuromuscular Injury Therapist and I have worked hard to achieve this. I work with and Consultants, GPs Neurologist, Orthopaedic Consultants, I have had the privilege of being trained by an incredible Anatomist , I am able to discuss and receive advice in what I am achieving for my patients, with some very well respected consultants , I deal with injuries and long term rehabilitation, I have worked with people across the social spectrum from elite athletes to elderly folk, that have had hip or knee surgery and find they struggled with the exercises given to them by the physiotherapist and they need a more hands on approach and support, People Do Not come to me, for a Relaxing Massage or a Happy Ending, I do not run that kind of establishment, I treat patients that need my help with trauma related pathologies and injury prevention.

Take precautions to minimize calf muscle problems from running

Calf Muscles you need to be on to your exercises by now and Take precautions to minimize calf muscle problems from running. Your drinking water before, during and after your run to avoid dehydrationContinue reading

Tip’s For Feet For Runner’s

Tips for Runners Photo COG media Martyn Oakley

Runners need to make sure their feet are in good condition some basic advice may help.

First tip. Your feet these are the things that are going to be carrying you through this, so they need to be looked after, keep them clean make sure that your toenails are trimmed.Continue reading

Shoulder Injury For Year’s Now Recovered, With Help From Getfitstayfit Norfolk

Chris, a plumber of had carried a serious shoulder injury for number of years during his working life.

He had searched all different avenues, to find relief and try and regain full physical ability again, for his shoulder.

The effects of a long term chronic physical pain brought special challenges to Chris in his working and social life.

Chronic rotator cuff tear begins with a small injury, which causes inflammation of the sacks which lubricate the shoulder joint (bursitis).

With repeated injury, this may progress to inflammation of the tendon component of the rotator cuff (rotator cuff tendinitis).

Eventually to a tear in the rotator cuff itself, which is associated with pain, decreased range of motion of the shoulder and arm, and resulting weakness and a withering away of the shoulder muscle, he had suffered from a neuropathology/deep somatic/nociceptive pain.

This had turned a memory of the pain being formed.

“This is was pain! Dull, aching, sickening poorly-localized pain on a daily basis.”

Chris came for a treatment ,to Getfitstayfit , via a present from his wife, after telling me the full story ,I told him how I could help.

I told him about the “Bioneuro Therapy System “how it works deep within the peripheral nervous system.

Working in conjunction with Neuromuscular Injury Techniques, Sports Massage we have seen powerful restoration and how it could help him.

His shoulder area was “Ischemic” (Decreased blood supply to tissue,) we made steady progressive improvement circulation to this area.

Pain free movement has seen a tremendous increase.

One major sign of this was recently Chris had to use a “Club Hammer”. Normally this would have caused considerable pain but no pain felt at all.

My last session with this his shoulder movement was back to normal with no issues what so ever.

Chris and his wife have had a passion for golf. This Easter they are going to peruse that passion with new increased vigour!.

Chris left this message

” I have had a serious shoulder injury for the last 35 years that no one could fix.

I have just found the man who can! Steve really knows his stuff.

I would recommend him to anyone who desires a thoroughly professional and sensitive approach to relieving pain and injury”.

Chris B

Brett a 3rd Dan international Ju-Jitsu instructor Testimonial

Steve has helped me to restore confidence in my knee.

“I had to have reconstructive surgery on my ACL and have had physiotherapy supplied to me by the NHS. I have found this to be good and helpful but have still found myself to be lacking in my ability to return to what I love and do best”

This is where Steve comes in. He has helped to build muscle back up and around my knee in all areas. I have feeling in places on my knee that had been absent for a long time.

As I am a 3rd Dan international Ju-Jitsu instructor I need to have full confidence in my knee’s

Steve has helped to re-build this and has supported me in every aspect. If have had a problem or slight pain where there should not be, he is only a phone call away, and will help.

His kind manner and the way he cares, shows just how important each client is. I trust this man and trust his wisdom.

Without his support and help I would never have made it back to full fitness and doing so much more.

Whiplash Injury “Wryneck”. Recovery Helped By Getfitstayfit Norfolk.

“Please can you help me I’ve got a pain in the neck and could do with your help “

We had a phone call from Michael saying. ”Please can you help me I’ve got a pain in the neck and could do with your help “. This was certainly a Slight understatement! as we found out to our surprise a day or so later we met Michael.

There was this tall man, with his head on his left hand shoulder, a position he had be forced to get use too.

“His neck was locked in this position.”

Michael explained that 15yrs ago he had suffered a serious road accident, resulting in whiplash, a condition known as “Wryneck”.

His GP had referred him for physiotherapy, but the treatment he received had no positive effect and he was discharged after a short period of time, he had suffered discomfort all these years.

Being a builder this also caused problems with physical abilities, he was not able to do all the work he needed to do and was in constant pain.

We started work with The Bioneuro Dry system SigmaQ (∑Q)® to try some release techniques .

Because it works deeply into the peripheral nervous system opening up blocked pathways helping better nerve function and blood supply to muscles increases quicker repair of injuries .allowing me to begin, working on the upper back muscles leading into the neck.

Combining Neuromuscular Techniques with Sports Injury Therapy Massage. we began to see results.

Injury of any type can make people inward looking. Seeing this man rise and his self worth increase is always a part of my job satisfaction.

No pain killer medication needed. Michael can now hold his head high. His dad is so pleased he can see his son back to normal.

Michael said.

“This has been the best year I’ve had in years, since the accident “.

Testimonial from a Norwich Post lady

I was born with scoliosis and had a Spinal Fusion at three years old. The operation worked very well up until the age of around 20 when I started to notice lower back pain. This increased over the years leaving me struggling with chronic pain. I tried various things like epidural and nerve root injections but nothing seemed to work. In June 2016 I underwent surgery to correct the curve in my spine, taking a piece out and replacing it with a metal cage as well as two metal rods either side for support. Unfortunately during the operation The surgeon caught my spinal cord leaving me in Spinal Shock and temporally paralysed from the waist down, but within days I started being able to move my legs very slightly but I was unable to move my toes or my feet.

I’m a post lady and an active sports lady which I have never not once had a problem with my back.

To my surprise I woke up about a month ago with aches and pains where my muscles just went into a spasm.

I did not knows what to do so I went to the doctor, he recommended me to go and see a Sports therapist.

”I thought to myself if I don’t do something about it now then I will have problems for the rest of my life”

So I searched that day ,Steve came up so I rang straight away and spoke to his lovely wife who made an appointment to see him the next day.

”I must admit I didn’t know what to expect, but that was the best decision I had done.”

I have seen Steve now twice in a month which I have had the Bioneuro Sigma Q Therapy Sigma Q (∑Q)® System put on my back muscles.

All I can say is that my back is ten times better now and I will keep seeing Steve because of my job! as he says Maintaining myself will always be the best way.

I would highly recommended Steve now to anyone that needs help .

THANKS STEVE!

4 March, 2012 – 08:26 — Alex B Testimonial

As well as being a web developer, I’m also a Special Constable for my local force. A few years back I injured my back on duty, and went to see Steve Kirby of Getfitstayfit Norfolk about it.

Steve treated me with Neuromuscular Techniques Sports Injury and Sports massages, but also with the Bioneuro Therapy System Sigma Q (∑Q)® .

This basically wakes up your muscles and encourages them into a workout as well as getting deeper than a normal massage can.

After I had been on this a few times I could feel the difference quite significantly!

Being sat at a computer most the day building websites, did start to cause a bit of a nuisance to my lower back again, especially the Latissimus Dorsi muscle which was where I caused the injury.

I decided on keeping active by going to the gym nearly everyday, sometimes before starting work, lunchtime or in the evenings.

As well as this I started personal training sessions (8 a month). Since taking on all this exercise, I have lost a lot of weight (12KG) and gained lots of strength and muscle, but in doing this I have caused more strain on my lower back again.

After I finished my training session on Thursday evening, I could certainly feel a twinge again in my lower back, and didn’t want to cause any more lower back issues or injure myself any more;

The previous night I had been out with friends clubbing, and I felt pain in my lower back as well as my hamstring feeling tight, which got worse during my personal training session.

I was concerned about this I thought that I had to been seen to by my Sports Therapist and friend Steve Kirby.

I made the 3 hour drive to Norfolk, “I live in Surrey” he put me on the system which really worked on my lower back, and I could really feel it working deep on the muscle, as well as this my hamstring was loosening up as it was really tight, and after the session I felt lighter on my feet and able to move more easily.

I would highly recommend Steve and his services to anyone; some of the people and their problems he has treated is beyond amazing.