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

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.

“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,

 

Bio Nuropulse in action

 

Pain Free Movement is the Goal!

“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.

Bioneuro Sigma Steve Kirby in Use

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.

Own Goals can be Painful

Own Goals can be Painful

We have all done it at some point in our lives, we have  scored an own goal.

Quite often at a time when we are wanting to be at our best,  be it in our fitness and health ,doing the garden or in our exercise regime ,  even in our business working environment, we were trying our best then an injury occurs,

We hear these statements, from our patients quite frequently .

This it was not meant to happen, it was not in the plan, certainly don’t want it, can’t afford this to happen, I should never have  risked it .

We know  it’s always inconvenient,  often painful even if it is not a broken bone,  we know it will cause us a problem.

The Questions we get asked are.

How bad is it ?

Will I be off work ?

How long will it take to recover ?

Will there be long term damage ?

Can you sort it out?

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Our answer is, “We will do our best to help you get back to being the best you can as soon as you can”

Here at Getfitstayfit Norfolk it is all about “The Goals” we want you to score the right goals and to get them in the Back of the net

Our Goal is to to deliver

This is for all our patients,  we need to get you back to fitness, we score by giving good treatment , working with our  patients in their time ,

Getting  to an injury early is essential, the need to reduce pain, to achieve pain free  movement, to restore  the bodies  natural fluidity and balance , this can only  come with good core stability, our goal is to achieve this.

Shoulder Trauma in Norwich
You have had an injury, be it shoulder , back , hip ,or knee, it is your injury.Back Pain In Human Body You did not want it,no one wants’ it to happen, you did not expect it, so the question is. What are you going to do now ?
For those injured  muscles to be functional and well orchestrated again, by the nerves that are just sending, out of tune  pain messages, to calm them down and allow the body to be  working in harmony again, To reduce the need for painkilling medication and for the brain, to work at a better level again and not be fogged by the medication used to mask the pain.

How do we achieve this ?

With the use of  Neuro muscular injury techniques and manipulation, getting to the root of the problem , using the Bioneuro and its ability of  identifying the nerves that are not firing, therefore not getting the messages through to the muscle groups, that facilitate movement, we are then in a position to restore the damage area and get people back on track to healing.
This is for all our patients, we need to get you back to fitness, we score by giving good treatment , working with our patients in their time , Getting to an injury early is essential, the need to reduce pain, to achieve pain free movement, to restore the bodies natural fluidity and balance , this can only come with good core stability, our goal is to achieve this.

Our aim to activate those nerves , invigorate the muscles, to improve healing , a combination of treatment  designed to delver a good result, so that our patients , can go on to deliver the goals they want to achieve.

There is a time for Painkilling Relief and a Time to Manage Pain and Recovery.

There is a time for Painkilling Relief and a Time to Manage Pain and Recovery

Some of you may know that I have recently had to have major surgery, a bit of a traumatic time, in both mine and Jacqui’s life , we are grateful to all our family and friends, that have been with us through all this and for the Doctors and Nurses  that were there for me .

Being the patient rather than the therapist, helping others  recover has been odd, as any of my therapist fiends will tell you we are not the best of patients ourselves, I would like to share some of my journey with you in the hope that it can be of  help to others.

I have been  using the Sigma Q technology in my practice for over thirteen years, from early day to where it is today. 

During all this time I have witnessed excellent clinical outcomes, patients lifted out of chronic pain from long term trauma related  injuries,

Their depression lifted and fresh hope for quality of life that had eluded them for long periods of time , the joy of seeing them being able to cut down and eventually stop their need for pain killing pharmacological intervention.

For them to  enjoy pain free movement,  seeing them   return to their employment or sport and add value to society, For me it sometimes feels like it is beyond any words in the whole vocabulary.

Being a Neuromuscular Injury  Therapist for 30 years, I have always had the strong desire to study, to achieve greater knowledge of anatomy, physiology and neurology.

I have always felt the need to  further  my skills, so I may enhance good clinical interventions and outcomes for my patients.

Using  techniques in massage, Neuromuscular manipulation, along with the  combination of Bioneuro sigma Q technology  intervention,  aids motor neuron ,Neuropeptide and Neuroendocrine stimulation.

I aspire daily to work for all my patients to gain good clinical outcomes and restoration from the pathologies they present to me with.

Looking at my patient bank that has mounted over the years, evidence is what you can see and what you know to be true ,  people want quality of life , Bioneuro Sigma Q technology  is vital in my book for society in general, training, learning is continuous and it drives me to achieve  .

Pain killers

Some months ago I was diagnosed with a cancerous tumour on my right kidney, at this stage I would like to thank once again the surgeons, nurses and staff at the Norfolk and Norwich Hospital, first for finding it and acting on it so quickly and the care I was given while being treated there,  I underwent excessively invasive surgery and had 20% of my right kidney removed.

Following surgery I was given morphine for pain relief as it seemed at the time that it  was intense and horrific. I had Robotic surgery, although it is more precise,  the bruising was considerable, when I was able to start my slow and steady rehabilitation program, I started to get back to enjoying the benefits of The Bioneuro.

Bio Nuropulse in action

To aid with forming of the deep  scar tissue that affects the Fascia, although the outer  scars are still very evident , the inner scar tissue is pliable,  healing has had it’s own  related issues  and the journey has had its ups and downs, trigger points have been an evident  problem to deal with.

 

As the muscles have been recovering  the  multifidus, psoas and minimal gluteal muscles have been the  to say the least uncooperative in their functional ability at times , thankfully I have been in the position, with the help form Jacqui and using the Bioneuro Sigma Q to deal with them effectively.

The positive news is, I am cancer free they managed to remove all the tumor  as it was what they called Encapsulated so it had not had any chance to spread.

I am not on painkillers, I have improved pain free movement, able to work and look after my patients,  I am a an Injury Therapist, it is my passion and I love my work,  the human bodies ability to heal itself with the right sort of help  has been more of an eye opener for me alter becoming the patient myself  needing the aid of the  Bioneuro Sigma Q ,  in combination with manipulation and massage.

I now more than ever understand, why it has become an integral part of what I do, Yes the Morphine and painkilling relief had it’s place at the beginning of my journey and was right for that time , but to be on that sort of medication for long period surely can not be right, the body needs to heal and it needs help to do this, for me Bioneuro Sigma Q and Neuromuscular manipulation helped to move my body further along in that journey and physical recovery, without the need to have constant medication, being able to get out and enjoy time with friends and family without being in pain, My prayer is the best is yet to come .

I now  more than ever understand,  why it has become an integral part of what I do,  Yes the  Morphine and painkilling relief had it’s place at the beginning   of my journey and was right for that time , but to be on that sort of medication for  long period surely can not be right, the body needs to heal and it needs help to do this, for me  Bioneuro Sigma Q  and Neuromuscular manipulation helped to move my body further along in that journey and physical recovery,  without the  need to have constant medication, being able to get out and enjoy time with friends and family without being in pain, My prayer is the best is yet to come .

What A Year, but we are back in business to help our clients be the best they can be!!

What A Year, But We Are Back In Business

Folks we are pleased to say that after a difficult year for everyone .

WE ARE BACK

We are here for our clients, ready to roll and get them being

THE BEST THEY CAN BE

During this difficult time we have all had to make changes, for us it was adapting to all the new Covid Rules.

So what better way than to strip out the Treatment Room give it a deep clean, walls, ceiling, floor, if it was there it was cleaned, then a face lift new cabinets and painting bookshelves . things we could not do while we were busy.

During this difficult time we have all had to make changes, for us it was adapting to all the New Covid Rules. It was hard work, as the standards Broadland Council set are very high, but it is worth it we will keep up these standards knowing we will be keeping our clients safe while they are in our care. Making everything COVID SAFE was the most important thing so our clients could come to us with the confidence and knowledge, that we were taking all the steps we could to protect them. It was logical to work with Broadland council to make sure that we were getting it right

During this difficult time we have all had to make changes, for us it was adapting to all the New Covid Rules.

It was hard work, as the standards Broadland Council set are very high, but it is worth it we will keep up these standards knowing we will be keeping our clients safe while they are in our care.

Making everything  COVID SAFE was the most important thing so our clients could come to us with the confidence and knowledge, that we were  taking all the steps we could to protect them.

It was logical to work with Broadland council to make sure that we were getting it right.

 

AND WE DID

We are pleased to say we have passed our Broadland Council Covid Safety Checks with Flying Colours and Awarded our Covid Safety Certificate .

During this last year we know how hard it has been for some of our clients, we do understand the difficulties, even more so we empathise with them.

Steve had to go into hospital for surgery himself,  understanding how surgery affects a person physically, physiologically and psychologically are  subjects  we will be talking about, along with  the need for the right  support and care to have a better recovery  outcome.

It was logical to work with Broadland council to make sure that we were getting it right. AND WE DID We are pleased to say we have passed our Broadland Council Covid Safety Checks with Flying Colours and Awarded our Covid Safety Certificate .

Manual Therapy Adaptions, for the greater intervention of the Bioneuro Sigma Q Technology.

Manual Therapy Adaptions

As a therapist I have been in the business since my 20’s things have changed over the years, learning to adapt and use the knowledge that I had gained with the treatment of each and every patient  I grew in confidence, taking lots of courses, but I will say only the ones that I considered were right for the direction I was going and that would truly benefit myself and my business.

I found that my thirst for knowledge was going to increase, for me  in 2007 things changed for me and I had a few decisions to make,  one was to build my business to the point that I could be solely committed  to my business and of course my patients, for me it was a no brainier, but to do this I had to be taken seriously by other medical professionals.

Knowing the anatomy, the muscles the nerves how the system’s work together,  I had been given a couple of books while in my 20’s by a radiologist, to read,  those  books set me on my path, they were  by Andrew Biel  The Trail Guide to The Body and Muscle Energy Techniques Leon Chaitow,   Leon became my hero, I bought my own copies of those  book and still have  them today and yes I still use it,  I got to meet  Leon,  now they say you should never meet your heroes as you will be disappointed, but that was not the case, he inspired me even  more , I then had the opportunity to take  a training course with John Sharkey a fantastic anatomist and Leon, that was time and money  on a course that were  the best and well spent , I thank John for taking me under his wing and  all his valued information, any of you that are considering taking a course John  is the person to go to, it will truly open your eyes .

For me  and how I treat my patients has always been, the holistic treatment of a patient, the path and affect of an injury on a patient, the network of soft tissue wrapped and protected by Fascia, how the breakdown of this incredible material can affect people how it can transport the messages around the body, how it interacts and it’s  Biotensegrity ,This is  the  structural principle that describes a relationship between every part of the organism and the mechanical system that integrates it  into a complete functional unit.

By Repairing the injured muscle, working into the superficial and deep Fascia , we can move on to Recovery, by this I mean getting the muscles working for themselves again gently coxing them back in to functional ability, getting the blood flowing back into them and releasing the tension in the muscles .getting all the body systems to work in a cohesive order .

How the body  adapts, all these things count  and it made me question  about how It could affect a patients recovery , in 2009 I bought my first Bioneuro Sigma Q  and along with the tools such as the roller and the ultrasound additions I have found it a useful tool, once again I found I had to adapt and change how I worked, I could no longer use mainly massage, it was to much of a scatter gun approach, I had to change my  techniques and adapt them to get the best out of the Sigma Q technology ,  I found I had to use a more targeted approach and use massage at the end of treatment to relax and recover for a patient, I had to use more Neuromuscular pin point targeted  techniques.

Manual Therapy Adaptions

I found  the main advantages of Sigma Q when combined with Hands on  Neuromuscular targeted techniques are.

To aid in  the  activation and restoration of a muscular skeletal injury.

By using a targeted manual compression technique  you can activate stimulation of the peripheral nerve pathways, but with the aid of the Sigma Q technology this can be achieved to a deeper level that will accelerate recovery of the inquired tissue.

Working to aid the Efferent and Afferent Neurons 

Efferent Motor Neurons will be promoted in their journey towards the muscle, therefore  allowing better and increased  muscle movement and function, while the  Afferent neurons these  are  our sensory neurons, will be promoted in their journey to  carry nerve the impulses from sensory stimuli towards our central nervous system and to the  brain,

While the  patient  is recovering  from a trauma injury, the fascinating process of  Phagocytosis takes place , again with the use of Sigma Q technology  the advantage becomes clear as it enables this process to take place faster giving the patient  quicker ability to heal, more so than would take place with manual therapy intervention alone .

In sports therapy  getting into deep tissue is difficult and a lot of muscles are hard to manipulate, especially when your working on a elite spots person,  we know there are aids to help us out there, I use a Neuromuscular activation system, to give me an advantage, but the need to really follow that injury pathway is not always open to us, that track and how things  have got held up, to unravel the damage that has been caused, you need a guide through it.

Our body provides that guide  we just need to know how to follow it how to use it and how to make it count and most of all how to enhance that connection between our hands that are our greatest tools, to  our guide, with out getting  distracted by all the other issues and mixed messages that happen when a person has an injury.

Adrian had also suffered a major trauma, in which he had been being kicked in the hip by a race horse

Adrian had also suffered a major trauma

Being kicked by a horse is like being hit by a ton weight moving at about 20 miles an hour

Here at our Neuromuscular and Skeletal  Injury Clinic we treat patients  with both chronic and acute injuries, caused by either  sudden mild muscular trauma, repetitive muscular injury or in quite a few cases a long term muscular injury due to a very traumatic related incident.

I have always believed that when you treat a patient you are treating the whole  of the patient, to do that you have to ask questions and listen to the answers give them time to think about and discuss with you how they are feeling, what had happened, how they are adapting what has being going on since the incident.

You need all the information and it is amazing how much people do not tell you at first, but as time passes more is revealed to help you put things into perspective.

This is what has been happening with one of our Long term patients .

Adrian presented at our clinic in the summer of 2019.

Blinded with fear of the future due to the view and consensus, it was possible, that he was suffering from  Cerebellar ataxia (Cerebellar ataxia can occur as a result of many diseases and may present with symptoms of an inability to coordinate balance, gait, extremity and eye movement). This man used to swim for his county ,be very fit and had quality of life .

Knowing  that specialised treatment with  ( Transcranial direct current stimulation TDCS) was being trialled I felt strongly we could help with Bioneuro Sigma Q treatment .

Further investigations found Adrian had also suffered a major trauma, in which he had been being kicked in the hip by a race horse, being kicked by a horse is like being hit by a ton weight moving at about 20 miles an hour, this in anyone’s book is major impact injury, then stamping on his foot,  let’s not kid ourselves here, we are not just talking shattered bones, but nerve and muscle damage all of a serious degree in truth it could kill you.

For Adrian  it had caused dramatic physical deterioration, The impact for him  being kicked by the race horse had caused Femoral Acetabular Impingement  (FAI ).

Then to add to that, he then had to have  abdominal prostate surgical intervention, this also caused numerous issues, his core stability was by no means in anyway in a good condition, leaving him  with, very poor  coordinated motions of his hip ,lower spinal column and femur  life for this man was not great.

Bioneuro sigma Q intervention has aided the return of good Pelvifemoral rhythmic motion to aid this physical abilities in every fashion.

So what clinical outcomes have we seen with Bioneuro, Sigma Q  .

Here are a few ,

Walking ability/posture,  Has improved greatly now 95 % unaided .

Hip and knee function that had degenerated greatly, Muscle tone improved  and natural proprioception ,all three types  (  perception or awareness of the position and movement of the body)  dramatically improved .

All Physiological natural everyday bodily functions are working well with ,Medication no longer required to aid in these functions.

Adrian’s Neurologist had seen him when we first commenced  treatment, seeing him since treatment started, he  is deeply impressed , due to the fact that the physical degeneration had ceased and he was now seeing  marked improvement

We are  pleased that on each appointment, Adrian has shown a positive response and that at his next appointment,  he will be showing much further improvement and he is moving forward.

There is much more to write as we take this journey with Adrian , this is such a good news story of a life being restored and a person having quality of life in every sense again.

The bigger and more powerful overriding goal for Adrian and his partner Haley, is a (WWW. one), no not the World Wide Web .

This is closer to home for them both, a home they are  wanting to build together starting with.

A Walk (Totally unaided  down an Aisle)  , Adrian said to me when we first met this was one of his main hopes he wanted walk his future wife Haley, down the aisle at their Wedding, to a future together building their lives again, then back to  Work ,to return to his job, this can now be looked at and seriously considered.

All Physiological natural everyday bodily functions are working well with ,Medication no longer required to aid in these functions. Adrian’s Neurologist had seen him when we first commenced treatment, seeing him since treatment started, he is deeply impressed , due to the fact that the physical degeneration had ceased and he was now seeing marked improvement We are pleased that on each appointment, Adrian has shown a positive response and that at his next appointment, he will be showing much further improvement .

That’s the future clinical outcome that  I want to work towards for him, with the aid of Bioneuro Sigma Q, the same as I want for all my patients ,so they can have quality of life to the full.

Do Sports Massage Therapist, or Soft Tissue Therapist get the credit they deserve ?

Folks I have read a lot of comments in reference to Sports Massage Therapist, or Soft Tissue Therapist not being able to open just yet . In all my 30 years of being a therapist I have never known so many of my colleague’s to be so despondent and under valued and it saddens me, because I know how much work they do

 

Folks I have read a lot of comments in reference to Sports Massage Therapist, or Soft Tissue Therapist not being able to open just yet .

In all my 30 years of being a therapist I have never known so many of my colleague’s to be so despondent and under valued and it saddens me, because I know how much work they do.

As the re-opening is starting after Covid 19 ,a Soft Tissue Therapist  said “If we are waiting for them to say the words Sports Massage or Soft Tissue Therapist can re-open , then forget it they won’t “ .

The reason being they NEVER said that Sports Massage or Soft Tissue Therapist should close,  please bear with me on this , as I would like you to think back to 2012 and the Olympic Games in London, when a considerable number of Massage Therapist and such were helping out by looking after the athletes, at the end they were thanked for their work.

in fact I do think it was, Boris that thanked them, but what did he call them ? “It was Physio’s” he  like most event organisers and a lot of athletes,  just think of all therapist, that are looking after them as Physio’s.

They do not concern themselves with all the different organisations that are involved,  they just want someone to do the job, to help fix them when they are injured.

After all the term  Physiotherapist according to the Oxford dictionary is “A person qualified to treat disease, injury, or deformity by physical methods such as massage, heat treatment, and exercise,  be it after a hip replacement or injury”, there is no definition for either a Soft Tissue Therapist or Sports Massage Therapist in the dictionary, so no wonder they get confused as to what we do .

It is our own bureaucracy that has created the divisions and the discrimination, we have one word that causes us problems and that word is, MASSAGE  it is not considered by some insurance companies as a treatment, even if you are dealing with rehabilitation massage after injury, they consider massage as a preventative just for relaxing, they do not consider the beneficial out comes for a client .

The word holds so many connotations, “a massage” is considered  a source of pleasure,  ” A relaxing massage” we have all heard the term, we also know that when you add the word PARLOUR,  then bells ring in any professional therapist head.

As it has very seedy connotations and a word we need to stop using to define our business’s,  as the definition in Collins Dictionary  states “A Massage Parlour is a place where people go and pay for a massage, some places that are called Massage Parlours, are in fact places where people pay to have sex.

As Boris is the type of person that would and does very often refer to the Dictionary Meaning, is it possible that therapist are asking the wrong question ? First should we ask “What sort of establishment  is Boris referring to when he  states Massage Parlours, are to remain closed, does he know the difference between Physiotherapists and Soft Tissue Therapist.?

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.

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.

Ivan, Chronic injuries can still be helped just may take a little longer

Ivan Chronic injuries can still be helped just may take a little longer

Over the past few months the vital need to show good clinical outcomes has become more important than ever to lift people up .

“We first met Ivan at the end of 2014 . He presented with a number of chronic trauma pathologies which had occurred in 2003″

He lives quite a distance away, he had continued to work and sail with his injuries, unable to come for regular treatment having quite a few other commitments, but when he did manage to get a clear week, so he could come  for treatment, we made the most of it and it truly has been paying off, yes it has been a slow and steady journey.

 

He presented initially with chronic hip ,lower back pathologies, his foot was rotated out of line and his right leg artificially shortened  so it was not much more than a crutch,  a number of muscles had atrophied greatly (wasted nearly away ) in his Gluteal and Lateral Rotator’s muscles his Gluteus Maximus had  atrophied so much, to the point that his hip bone was very evident and in truth he had no buttock on his right hand side, Deeper lateral Rotators had practically seized and were atrophied,  Spinal Rotator muscles and their ability to function correctly were very inhibited,   with no functional lateral Rotator,  his ability to walk (gait) was excessively limited .

He presented initially with chronic hip ,lower back pathologies, his foot was rotated out of line and his right leg artificially shortened so it was not much more than a crutch, a number of muscles had atrophied greatly (wasted nearly away ) in his Gluteal and Lateral Rotator’s muscles his Gluteus Maximus had atrophied so much, to the point that his hip bone was very evident and in truth he had no buttock on his right hand side, Deeper lateral Rotators had practically seized and were atrophied, Spinal Rotator muscles and their ability to function correctly were very inhibited, with no functional lateral Rotator, his ability to walk (gait) was excessively limited .

His upper torso had pulled over to the right hand side to about 75 degrees,  quality of life was  very limited .

This man loved and still loves sailing and yacht racing on an international level,  to which he has a great deal of knowledge and also about  boat building his other passion.

Ivan had received numerous other interventions prior to attending our clinic with no positive  constructiveness in their outcomes

Working very hard on these muscle and nerve  pathologies, with the use of a Neuromuscular Activation system, sending frequency deep into  the body to activate nerve messengers, Motor Neurons  and Neuropeptides, has aided greatly to enhance my ability to target strategic nerves to help restore semi morbid fascia, therefore helping  to achieve a very positive clinical outcome,  allowing  activation of  the deep nerve pathways, therefore  allowing much greater muscle function ability, this is not something that could be achieved  with manual therapy  alone.

Ivan had a solid determination  to achieve, so that when we were not able to have treatment sessions, he kept up with the exercise plan, that between us we had decided was the best way for him to go.

 

Along with Ivan’s Physiological factors that have improved greatly and he is able to achieve a great deal more and will continue to do so. Psychologically, Ivan feels more confident and assured in his ability to move forward  with his life.

Please see the video , yes we know  Ivan is still using sticks, but in most circumstances he is down to one stick.

He can stand up  straight without dragging his right leg behind him , his posture has improved greatly, we have activated very deep muscle groups in his body, to achieve this clinical outcome so  far.

“We know there is more work to be done and will continue to work hard to improved the clinical outcome.”

Please see the video , yes we know  Ivan is still using sticks, but in most circumstances he is down to one stick.

 

Ivan Buttock Muscle

 

 

He can stand up  straight without dragging his right leg behind him , his posture has improved greatly, we have activated very deep muscle groups in his body, to achieve this clinical outcome so  far.

 

“We know there is more work to be done and will continue to work hard to improved the clinical outcome.”

Knee and Hips we all have them, but the unfortunate thing is we use them and abuse them.

Steve and Jacqui Kirby

Knee and Hips we all have them, but the unfortunate thing is we use them and abuse them , we take them for granted, we work them, sometimes when we should be resting them .

Our joints work hard for us and when they fail us we need to deal with reasons for this, sometimes our joints have got to the point that we need surgery in the form of a Hip or knee replacement, the waiting times for such surgery is long and it is getting longer.

During that waiting time the injury can get worse the pain can escalate the painkilling medication is no longer

effective , 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 .

When we are less mobile and in pain it affects our well being overall, our mental health, we can get depressed, one of the main things is the lack of muscle use, when we are less mobile and use our muscles less they tighten or shorten we feel stiff this makes us fell less like moving , but we need to keep those muscles active, we need the blood and oxygen to  move through our muscles, all in all we make it more difficult for ourselves if we don’t.

Supple Muscles make life a whole lot better, while you are Pre-Op, during Surgery and Post Op.

Before I met my wife Jacqui, she had been involved in a very bad car crash, one of her injuries resulted in her needing a Hip replacement, on her Right hand side, one of the other injuries on her Left hand side was her Patella, it was dislocated and had to be put back into position she also had  shoulder,wrist and foot injuries.

I treated Jacqui after her Hip surgery getting her back walking again, but a couple of years later her knee, that had never been fully right after her accident, started to give her real problems, we found out she had a Patella Fracture  she needed a knee replacement, when you have a knee replacement it is never the same, your knee does a lot of work and a replacement knee can not move in the same natural flexible way a your own knee can, so it was a daunting and worrying time for Jacqui.

For me it was time to find out more and more, what would be the best treatment for her to aid with recovery, I hit the books big time talked to a knee surgeon,  I was determined to make sure she had a great recovery , during that time I found out so much more about knee injury,  I was determined to  use it to my advantage , I have since put all that information and learning into the treatment of my clients, to specialise in Hip and Knee Pre-op and Post-op recovery and rehabilitation, for them to have as quicker recovery with the need for less medication and while they are waiting for surgery to help make their time more bearable keeping them flexible and more prepared for surgery.

We used the Bioneuro along with massage and Neuro manipulation techniques to keep Jacqui’s muscles supple during that time she did not need painkilling medication, and she was mobile, when it got closer to the surgery unfortunately there had been a delay of 2 months for  surgery, things did get a little more difficult with mobility so we did use the Bioneuro a little more , it did the job even the surgeon was pleased at how good a condition her muscles were in as it made his job easier and the recovery time would be less.

Bioneuro Sigma Steve Kirby in Use

Using the Bioneuro after surgery and again gentle massage helped with a speedy recovery , she did well getting a good bend on her knee and walking up and down stairs, one of the best things was that during that recovery time Jacqui did not need lots of medication she had good blood flow and good muscle movement, healing was far quicker and she got back to doing what she loved doing taking our dog for a walk and she still does.

 

 

 

We can help with pre-op while you are waiting for that hip or knee surgery to keep those muscles supple and help with mobility meaning less medication and more movement, or Post op as sometimes after surgery people find it difficult to get going again and need that bit of hands on treatment to get them on a good recovery path.

We can help with pre-op while you are waiting for that hip or knee surgery to keep those muscles supple and help with mobility meaning less medication and more movement, or Post op as sometimes after surgery people find it difficult to get going again and need that bit of hands on treatment to get them on a good recovery path. 

The Bioneuro Therapy System Sigma Q (ΣQ®) Diagnostic Roller & The Pain Pathways

Diagnostic Roller & The Pain Pathways

The Bioneuro Therapy System Sigma Q (ΣQ®) Diagnostic Roller, is a very valuable Diagnostic tool it is used  to locate the areas of nerve dysfunction in the muscle groups of the body,  where for what ever reason the muscle group is not  firing, people call them” Hot spots,  trigger points, knots,”  what ever they are called the fact is that the Neuro messages /signals are not getting through and for muscles to function correctly, these messages need to get through.

Bioneuro Sigma Steve Kirby in Use

These messengers or for their correct name  Neurotransmitters react to aid functions of muscle,  these are a type of chemical messenger which transmit signals across a chemical Synapse  (this is the Junctions between two nerve cells, such as a Neuromuscular junction, from one Motor neuron (or nerve cell to another nerve cell ) or another Motor neuron, or to a target neuron in the muscle cell, or gland cell.

When this process is disrupted and the signals do not get through, function, and ability of muscles to work  with pain free movement becomes difficult.

These messengers or for their correct name Neurotransmitters react to aid functions of muscle, these are a type of chemical messenger which transmit signals across a chemical Synapse (this is the Junctions between two nerve cells, such as a Neuromuscular junction, from one Motor neuron (or nerve cell to another nerve cell ) or another Motor neuron, or to a target neuron in the muscle cell, or gland cell. When this process is disrupted and the signals do not get through, function, and ability of muscles to work with pain free movement becomes difficult.

So how does the Roller do its job to such a degree ?

The answer It is all about targeting those NOCICEPTIVE PAIN  POINTS

We know

that Neuropathic pain is caused by damage to the neurons that are involved in the pain signalling pathways in the nervous system and nerves react to static when they are not firing correctly,

Nociceptors are the sensors of the Pain Pathway, these receptors are in every tissue of the body except the brain, when injury occurs Nociceptors are activated  and chemical are released such as  prostaglandins kinins and potassium ions , these then stimulate the Nociceptors,

Pain can persist even after these pain producing stimulus have been removed, because these chemicals linger and the Nociceptors do not adapt very quickly once activated.

Neuromodulation technique

This can cause prolonged muscle contraction muscle spasms even Ischaemia ( this is inadequate blood flow to muscles or organs.)

 

So by using  Nociception, to follow the Pain Pathway back, through the sensory nerve cells called Nociceptors, that in turn produce the signal that travels along a chain of nerve fibres via the spinal cord to the brain and the Nociceptors that are affecting  the nerves, that are creating the obstructions, which sense and respond to parts of the body which have suffered from damage.

With the aid of the Roller tool and the ability of the Bioneuro Sigma Q, we can find the exact location of the dysfunction created by the trauma pathology.

7 Marathons in 7 Days, helping the Guys that did it, Going Beyond

7 Marathons in 7 Days

This early May bank holiday was the start of an incredible week for me, I had the pleasure to be part of a team that helped two fantastic guys, that were doing,

7 in 7, Going Beyond, I mean 7 Marathons in 7 Days, these two men, I have come to admire and  truly proud to have been of help to them.

First what they were doing , this was a major challenge, some would say impossible, but they were intent on doing it so they needed to have support, their challenge was to run 7 marathons in 7 days staring on the Bank holiday Monday

The reason to raise funds, for a Community project here in Norwich, you may ask why  ? If you had met these two guys you would understand it just had to be done.

The  original building for Soul church was at Heartsease Lane it had been burnt down 13 years ago,  the intention is to rebuild and build it better, to offer more for the community of Norwich, to help with our homeless and the people that need us most in the community, it is not just about a building.

This early May bank holiday was the start of an incredible week for me, I had the pleasure to be part of a team that helped two fantastic guys,that were doing, 7 in 7, Going Beyond, I mean 7 Marathons in 7 Days, these two men, I have come to admire and truly proud to have been of help to them. First what they were doing , this was a major challenge, some would say impossible, but they were intent on doing it so they needed to have support, their challenge was to run 7 marathons in 7 days staring on the Bank holiday Monday

As a member of Soul Church Norwich, a very proactive church and with our pastor Jon Norman also a  Chaplin for Norwich City  being a very much a hands on get the job done type of guy,  when he decided that he was going to do this, his enthusiasm alone made you want to be on board with it, so Jon then got together with his fellow Chaplin for Norwich City, Lewis Blois to undertake the challenge.

We had some great people involved all brought together and under the watchful eye of Nathan French, he took on the role of coordinator arranging the route to the venues the guys were going to visit like Carrow Road on the 6th day of the challenge also the day that Norwich City, went up to Premier League , also on board, Neil Featherby  of Sports Link, Neil is know for the challenges he takes on and running is his passion, so who better to set out the target’s and regime for the guys, also the team of support staff for the guys.

The guys had to stay focused and keep ahead the goal in their mind, they had to stay positive and that alone is a challenge as any runner could tell you. My job was to keep their muscles working to the best of their ability allowing them to push through each day knowing it would be a little bit harder every day for them keeping the muscles supple, we could not afford any aches pains or niggles.

The guys had to stay focused and keep ahead the goal in their mind, they had to stay positive and that alone is a challenge as any runner could tell you.

 

My job was to keep their muscles working to the best of their ability allowing them to push through each day knowing it would be a little bit harder every day for them  keeping the muscles supple, we could not afford any aches pains or niggles.

Using Neuromuscular Techniques , Massage and when needed the input of The Bioneuro System,  the guys had been making sure they were working to a build up regime warming up before they did any runs, keeping hydrated.

Muscles will get damaged if allowed to shorten, also they risked the high possibility of Lactic acidosis build up, this is when  your body doesn’t have enough available oxygen to break down glucose in the blood,  although Lactic acid does not cause soreness in muscles and massage does not remove lactic acid, what massage does do is to allow better blood flow that will help the muscles to be  oxygenated by blood flow.

Lactic acidosi  is the condition that was so important for us to avoid , this is a condition that is caused by a build up of Lactate in the body due to the amount of exercise the guys were going to be doing the risk of build up of L-Lactate in the bloodstream was extremely high  along with the formation of an  excessively low pH in the bloodstream.

Creating  a form of metabolic acidosis,  this is when the excessive acid accumulates go on to create a problem with the body’s oxidative metabolism ,causing a burning feeling in the muscle groups they were using the most, also nausea and weakness.

Massage and hydration  allowed  their bodies to replenish their  fluids rid them of lactic acid

allow nutrients to create the  energy  they  needed, therefore , relieving  sore muscles. preventing muscle cramps and keeping  their  bodies performing at optimal levels, massage  also helped  prevent the onset of DOM’s keeping the muscles flexible .

 

The guys handled the whole 7 in 7 really well, no major issues just very tired by the end of it all, If you would like to know more about how they did and what they raised please have a look at some of the highlights 

Accidents and Trauma Happen !!!

Accidents and Trauma Happen

Accidents and trauma happen, but with a deep  soft tissue injury,  it can take in some cases, as long as a broken bone to heal.

When a client comes to our clinic, getting into the deep tissue to help with restoration and recovery is the most important thing, to help reduce the healing time and need for medication, so they can get back to their lives.

Jess had taken a rather bad fall down a flight of steps, thankfully nothing was broken, but the soft tissue damage was so great both A&E and her own GP said she would be looking at a good 3 months before getting back to normal. as a nursing assistant Jess was so upset because of the impact this would have on her job.

Steve had already been treating her brother for a back injury, he advised her to come to see Steve  in the hope that Steve could help.

He did and while having treatment with Steve Jess reduced the need for pain medication and she is off the crutches, 3 weeks into the treatment sessions and Jess was looking to start back at work.

We use the Bioneuro along with Neuromuscular Techniques to achieve a good clinical outcome.

When a client comes to our clinic, getting into the deep tissue to help with restoration and recovery is the most important thing, to help reduce the healing time and need for medication, so they can get back to their lives. Jess had taken a rather bad fall down a flight of steps, thankfully nothing was broken, but the soft tissue damage was so great both A&E and her own GP said she would be looking at a good 3 months before getting back to normal. as a nursing assistant Jess was so upset because of the impact this would have on her job.

Jess sent us some before and  after photos after her last treatment, along with this message

“Steve is incredible, I fell over a few weeks ago causing trauma to my foot and ankle and I was left on crutches, after a couple sessions Steve got the swelling down and more movement in my toes, where I could weight bare and only use one crutch. A couple more sessions and I just know I’ll finally be able to go back to work as a nursing assistant. Not only does he help people get better, he’s just a really lovely and friendly guy which makes the experience all that much better and relaxing.

I would recommend Steve to anyone!!!”

Jess sent us some before and after photos after her last treatment, along with this message “Steve is incredible, I fell over a few weeks ago causing trauma to my foot and ankle and I was left on crutches, after a couple sessions Steve got the swelling down and more movement in my toes, where I could weight bare and only use one crutch. A couple more sessions and I just know I’ll finally be able to go back to work as a nursing assistant. Not only does he help people get better, he’s just a really lovely and friendly guy which makes the experience all that much better and relaxing. I would recommend Steve to anyone!!!”
Jess had taken a rather bad fall down a flight of steps, thankfully nothing was broken, but the soft tissue damage was so great both A&E and her own GP said she would be looking at a good 3 months before getting back to normal. as a nursing assistant Jess was so upset because of the impact this would have on her job. Steve had already been treating her brother for a back injury, he advised her to come to see Steve in the hope that Steve could help. He did and while having treatment with Steve Jess reduced the need for pain medication and she is off the crutches, 3 weeks into the treatment sessions and Jess was looking to start back at work.