“Joint and Muscular Injury is not all about the, Recovery Rehabilitation”

“Joint and Muscular Injury is not all about the, Recovery and Rehabilitation,” this may seem a strange statement from me , as a lot of my patients will state, to them I am all about the wellbeing, the recovery, rehabilitation and helping them get back to being the best that they can be.

Steve Kirby says "Joint and Muscular Injury is not all about the, Recovery and Rehabilitation," this may seem a strange statement from me , as a lot of my patients will state, to them I am all about the wellbeing, the recovery, rehabilitation and helping them get back to being the best that they can be.“Times have changed,  as we have all found out, for a lot of people the concerns of longer waiting lists for surgery for Hip and knee replacements has not been the greatest of news some waiting as long as 35weeks and in some cases longer.”

 

This creates additional concerns and problems for the patient , the main being how to keep  MOBILE,  how to cope with further PAIN , how to deal with further DETERIATION . A combination of these factors can have a serious impact on the Physical Physiological and Psychological wellbeing of the individual.

 

So lets break down these :

 

Physical

 

How will this present itself to you  ?

This means the functions, that go on in your body  aided by nerve and blood function to your muscles the brain, that affect your Proprioception, you may find an inability to move smoothly or as I explain to my patients ” They are unable  to have Pain Free Fluid Movement” muscles shorten (tighten) so less flexibility , this can cause problems while sleeping or in a lot of cases lack of sleeping , pain and stiffness on waking making it difficult to get moving in the mornings, getting in and out of chairs putting on shoes, all these things are because the muscles are not supple , the need to keep muscles supple is clear. If muscles are supple then you have a better range of motion, less pain and better function, by keeping muscles supple it makes for a better outcome for surgery, a better outcome for surgery means a better outcome for recovery so it is a Win Win situation. You have to look after you while waiting for surgery.

 

Physiological

How will this present itself to you ?

What is physiologic stress? Physiological stress can be defined as any external or internal condition that challenges the homeostasis of a cell or an organism. in this case you,  It can be divided into three different aspects: environmental stress, intrinsic developmental stress, and aging.

You may find  your heart rate will increase, for a short and initial reaction, you may find swelling around the injured  area,  you may have a sharp stabbing, burning  or tingling pain, this being nerve related . Movement may become restricted , also discoloration of skin in the area e.g. . Bruising, this is the first part, then it is about the after affects, the injury may need surgery, while waiting for surgery you may need to have medication, this has to be considered, though you have to work with your body to keep healthy, you may have an injury that causes difficulty in getting around, so you have to make changes in how you do things, we also have to consider aging, some injuries can have a worse affect the older you are , the need to keep bones in good order and ladies be aware after menopause bone density , is just as important as muscles being kept supple, we all need to try to age well, injuries in your youth can come back to haunt you as you get older.

 

Psychological.

How will this present itself to you ?

When I first, started to write this section, I thought about how people react to an injury, at first and it is basically, The Fight Flight or Freeze reaction, the adrenalin kicks in and we go onto Auto mode,  then the realisation kicks in once we know the outcome of the injury, from the acute stage to the chronic stage it will all take a toll on you in so many ways because of the inability to do what you were able to do before , there is doubt,  there is fear, also guilt, this can all lead to depression.

By now you may be wondering where do  I go from here and the impact of extended  time  , waiting for treatment , in the form of NHS surgery, your muscle still need to work, but if you are not giving them chance, then the longer term issues can come into play.

Forced movement may rupture  muscles, thus creating further issues, during that waiting time the injury can get worse the pain can escalate the painkilling medication is no longer effective so may be increased, while waiting for surgery you still need to stay active, but mobility becomes excessively difficult, you may end up or stronger medication that comes with it’s own side effects , this is when you may feel like it is all spiralling downward and out of your control, you have to be able to function for your own mental and physical health  therefore,

 Pain Free Movement is the Goal!Getfitstayfit Norfolk, also have the privilege of being able to offer our clients treatment with the “The Bioneuro Therapy System Sigma Q (ΣQ®)” We are the only clinic, in Norwich Norfolk to have this unique and cutting edge piece of technology equipment. To aid clients with immediate, early intervention, when they have suffered the trauma of a Musculoskeletal injury. To help alleviate the pain and allowing the client to be treated straight away instead of waiting for the swelling to go down, we can get rid of the swelling at the same time of treatment offering the client Pain free treatment.

 

“I know it all sounds a bit doom and gloom, but that need not be the case, the need to keep supple to keep the  endorphins working especially the,  Beta endorphin (this is a great hormone we all love this hormone even if we don’t know it’s name if you are a runner this is the hormone that gives you that great rush, I know a lot of runners that say running becomes addictive because of that feeling they get, well this is the hormone that gives you that feeling, it is a endogenous opioid and a peptide hormone , it is produced in certain  neurons within both the Central and Peripheral Nervous System it helps in the modulation of pain perception, both in the central nervous system and the peripheral nervous system. When pain is perceived, within the pain receptors, ( Nociceptors.)”

The Beta Endorphin main job is to  decrease bodily stress and maintaining homeostasis resulting in pain management, it also plays a main part in the  reward effects, and behavioural stability.

 

This is why I use the Bioneuro Sigma Q  in my treatment of patients  it is able to work through the Central and Peripheral Nervous System working on all three types of receptors that regulate the neurotransmission of pain signals.This is why I use the Bioneuro Sigma Q in my treatment of patients it is able to work through the Central and Peripheral Nervous System working on all three types of receptors that regulate the neurotransmission of pain signals.

 

These receptors are called Mu, Delta, and Kappa Opioid Receptors., these are the guys that control  the release of the Beta Endorphin allowing activation of the muscle tissue and nerves, in response to stimulation, relaxation and  reinvigoration of the muscle tissue.  all to improve healing.

With a combination of treatment  designed to delver a good clinical outcome, both pre and post surgery, the main point being with any treatment for my patients, is that  gentle persuasion of a muscle tissue after injury works a lot better than forcing it  working with the patient in their time, baby steps if need be gives more confidence than making them push themselves before they feel able, a patient is a person not a statistic, for me it is the same be it pre or post op a  patient needs to reach their goals and for that it takes time care and understanding.

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