Hamstring Injury Treatment In Norwich, When You Need Help Fast.

Jonathan came to us with very tight Hamstrings, as someone who plays a lot of Rugby, he needed this to be dealt with quickly, leaving it and waiting for it to recover on its own was not an option.

Hamstring Injury can cause further Muscular Issues in the Body.

Jonathan’s Testimonial

Thank you for the treatment I received last week on my hamstrings. Since starting back, pre season rugby training my hamstrings have really suffered. So I thought it best to get some help, I have had treatment from Steve Kirby of Getfitstayfit Norfolk for other injuries I have suffered, but decided I needed to be on top off this from the beginning.

Steve used Bioneuro therapy system Sigma Q(ΣQ)® which really got deep into the affected area marking a huge and lasting difference.

Then using Sports and Neuromuscular Injury Techniques treatment on the Hydrotherm Massage bed, was a great way to finish the treatment. The warm bed is fantastic, making me feel very relaxed and comfortable.

All together the whole treatment was great.

Many thanks

and I look forward to future treatments that I may need

Regards

Jonathan

Large Items to Move Getfitstayfit Norfolk Say’s GET HELP DO NOT MOVE IT BY YOUR SELF

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.

A client, came to us in so much PAIN her back was injured when she tried to move a Sofa BY HERSELF

Large items to move GET HELP. if it is a big item to move, Do Not do it by yourself !!!!

Lot’s of folks have done this , tried to move a sofa or a bed by themselves and the next thing , they have hurt their Back badly.

Folks there is so much damage you can do by trying to move things that are frankly just to heavy for one person, you have to stop and think of yourself and the consequences.

Thankfully for this client , a lovely lady we were able to get her Back problems dealt with very quickly, using the Bioneuro Sigma Q and The Hydrothem Massage System, for others, they are not so fortunate.

Here is her message to us after she had been on a visit to family, after treatment with us.

Just a quick bulletin to let you know that the back is so much better now and also that I am making sure I don’t lose any more battles with heavy sofa’s!

It was so good to go and visit the grandchildren which I am sure I would not have been able to do without your fantastic care and assistance. Travelling 200 miles was a daunting thought but in the end was no problem at all. Thank you for all your kindness and help in enabling me to get back on my feet so quickly.

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Help with Muscle Pain and Recovery after Surgery in Norwich Part 3

The Bioneuro Therapy System Sigma Q (ΣQ®)

Prior to surgery I received treatment on The Bioneuro Therapy System Sigma Q (ΣQ®) I knew that if my Abdominal muscles were flexible this would make the surgery easier to perform.

The Bioneuro Therapy system Sigma Q (ΣQ®) with its patented technology is capable of deep penetration to areas of the body not normally accessible with other superficially similar systems it works deeply into your Central and Peripheral nervous systems. So it can deliver its effective energy direct to the injured area increasing nerve and blood supply, waking up moribund nerves, regenerating nerve pathways, thereby accelerating recovery.

After allowing time for the wound to heal in my case as is with most people the outer scar tissue is about 10- 11 days

I used the Bioneuro Therapy System Sigma Q (ΣQ®) again, this then opened up of nerve pathways and allowing a steady increase in blood flow, bringing the abdominal muscle back into a functional state quickly.

The muscles as I spoke about in the 1^st part of my Blog were the “Multifidus” and the “Transversus abdominal muscles “, I also explained the “Multifidus” and the “Transversus abdominal muscles are very deep muscles and vital to maintain the pelvic stability, rotate and stabilize the spinal structure.

Ref Spinal Stability, we worked the area from the T9 working downward to finish at L1, The Posterior Ramus of the spinal nerves.

Please take a look at the photo, in which we have shown how we placed the pads of the Bioneuro , in the appropriate area to maximise effect, we have shown this with the client lying down on their front , this is only to make it easier to view .

Following treatment on the Bioneuro Therapy System Sigma Q (ΣQ®) combined with the massage, and the use of Neuromuscular Release Techniques

I felt totally pain free and was able to move without pain or restriction what so ever.

This process has strongly aided my rehabilitation to this point. Speaking as a, Sports and Neuromuscular Injury Therapist, undergoing surgery, experiencing the pain and knowing the release from pain, after the treatment, the ability to heal quicker and move more freely has made a big difference.

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Help with Muscle Pain and Recovery after Surgery in Norwich Part 2

The Road to Recovery Starts here!

ICE has helped

I was told by my surgeon that there would be some bruising in the area. Obviously you can’t ICE on the scar area, but it was the muscles that needed to calm down, so I iced my back for 10 mins every two hours in the Multifidus region. This I believe has aided my recovery in the early days following surgery.

Diet and Fibre

Essential that you realise you are going to have to go to the loo to evacuate your bowels, your natural instinct, is to hold back as you don’t want to push and one thing you don’t want to do is strain, unfortunately tables such as painkillers can bung you up a bit and make it harder to go, you need to be prepared for this, so think fruit and fibre, and whole grain fibre cereals they will help , and yes the fruit and berries do make a big difference, orange juice , and drink plenty of water. If you know you are going into hospital, then help yourself by getting into a routine of eating in this way and have your body prepared having a smooth conclusion to this matter, will help you to feel so much better.

The Exercises I used and found most helpful

Clenching your Gluteus muscles, supports your lower back on movement and lifting

As I said Stability and support of your lower back are vital .Your Gluteus Maximus being the largest muscle is great for aiding movement such as sitting ,standing and stretching and co-ordination of actions to reduce pain when clenched. ‎

Get those muscles back in action gently.

The area will be bruised, but the ICE will help with that, as soon as you feel able they need to start being worked. This is done by “lifting your tummy button up towards your back”. Yes, it does take practice! When you are proficient, you can then work up to four sets of ten, holding this for four seconds at a time.

1^st Sitting upright in a chair, back straight legs slightly apart breath in through your nose take a deep breath and clench your glutes at the same time, you will feel your bottom rise slightly and your tummy lift towards your back .)

2^nd Again sitting upright in chair legs slightly apart lift hands towards forehead each side, while holding forehead, breath in clench glutes and then slowly rotate your body from the central position to your right, then back to the central, then to the left, the back to central, repeat this again in four sets of ten, holding this for four seconds at a time. Please remember to do this slowly if at any point you feel pain then stop. One thing I did find with this was it got rid of the build of wind that you seem to have after the abdominal surgery which in its self can be very painful.

3^rd Walking a short distance is also greatly beneficial try starting with about 10 minutes a day, then building steadily from there; take it steady it is not a race

“I would love to have a massage”, but you think you can’t, you feel it could and it would help greatly, but “Normal Orthodox massage would not in my professional opinion be appropriate as lying in a Prone position The area of surgery is a local contra-indication”.

The massage benefits of Post Operative Massage, we have found are the relief of pain, increase blood circulation, nutrients being transported to aid restoration of the injured area The major benefit that I can evidence is vasio dilation ( Size of blood vessels increasing).Thus helping to relax the muscle and making it less tight /hypo-tonic. The Neuromuscular techniques used in treatments, enable the release and breakdown of Adhesions that may have formed due to the excessive release of collagen while our body was building up the Granulation tissue/ scar tissue necessary , to repair the injured area, we all realise that, after tissue injury we all develop scarring to some extent, this is the bodies way of healing the damaged area, it is when it this Granulation tissue continues to be produced that problems can occur.

By working with the patient laying supine, the area of surgery being a local contra indication is avoided. Also this reduces the need of reliance on pain reducing pharmacological input, “I was prescribed painkillers at the hospital, as I am sure everyone is, but they did not agree with me as is the case for a few people.

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Help with Muscle Pain and Recovery after Surgery in Norwich Part 1

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

I had to undergo an “Inguinal Hernia Repair “ambulatory surgery.”

I was acutely aware of physical, muscular nerve related (Myalgia) pain, in my lower back when I came round from the operation.

As a Sports Injury Therapist, I realised that the muscular pain could be dealt with, but because of the surgery. It had to be done in the right way as to not jeopardise my recovery.

Drugs I believe only treat the symptoms they do not treat the cause, but after surgery we do need pain relief, some cannot take medication or find they have a bad reaction to it, we all heal at different rates, some people a lot shorter time than others, I do however believe that by helping ourselves, being proactive in our recovery and rehabilitation, in this sort of situation, it can reduce the healing time considerably for everyone undergoing this sort of surgery.

So here is my short account, in the hope that it will help others who have to go through this sort of surgery.

Stability is the name of the game.

The complexity of physical motion is exchanged for stability as the body ages .We want Pain free ability to move.

Here is the how and the why!

The two muscle s that had been affected; during the operation were the “Multifidus” and the “Transversus abdominis”. It was essential to get these working again, these muscles are vital; the Transversus abdominis for instance supports your abdominal wall, aids in forced expiration,

Intra abdominal pressure, as all abdominal muscles work moment to moment as we move, they provide the tension required to translate forces from the lower limbs to the upper limbs. The Transversus abdominal is the deepest of these muscles and each one from right to left wraps up the organs horizontally and its fascial attachments include lumbar vertebrae rib cage iliac crest and the inguinal ligament. It also provides support of internal organs and tension support for lift for L2 and L3 of the lumber vertebra. The Multifidus extends laterally, it also flexes and rotates the vertebrae column and it also extends laterally to rotate the pelvis.

As you can see they do a lot of work, Spinal integrity relies on the combined ability of both of the Transversus abdominis and the Multifidus muscles to maintain the pelvic stability and rotate and stabilize the spinal structure .

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Back Injury Treatment For James a Dedicated Runner at Getfitstayfit Norfolk

During the years that I have been a Sports Neuromuscular Injury Therapist I have treated many Runners with various injuries ,getting them back to fitness as soon as I can so they can achieve their goals is one of the things I enjoy the most.

Over the years there have also been some great advancements in treatments and I have always kept informed and on top of them.

I have worked with the Bioneuro Sigma Q Therapy system and the Hydrotherm Massage System, as tools for a therapist to use, along with their most important tools their hands, they have proved to be incredibly affective for me at getting my patients back to fitness quicker

Meaning I don’t have to see them as often as some therapist do and they are back doing what they want to do with “Pain Free Movement”

James is a runner I had seen him in the past due to a work related injury.

I had not needed to see him since, he had continued to run, but just recently after a couple of weeks heavy going, he came to see me again.

This is the email he sent me after treatment

Good Evening Steve

May I first thank you for arranging an appointment to see me so quickly.

I think the best way to sum up the success of yesterdays treatment is to say that having struggled with my jogging in recent weeks (and I know this was against your advice) I successfully completed 10 miles this morning with very little discomfort. I can highly recommend the Bioneuro sigma Q and Hydrotherm massage treatment and am very grateful for your assistance.

I will contact you again after next Sunday with an update.

Kind regards and thank you for your assistance

James

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Back injury in Norwich was preventing a young Athlete achieve her Goal

K came to us with real Problems with her Back, she is a very athletic young lady, with her sailing, her Duke of Edinburgh award and her goal of being in the County Tournament, having a problem with her back, was becoming a trial for her and making it difficult for her to do all the things she wanted to do.

She has great determination and will go far, but she needed help ,we are so pleased we were able to help her and knowing she is now able to achieve her goals, is what we are all about , we are also so pleased to have received this email to let us know.

This is the email she sent us.

Hi Steve,

You may remember me from a couple of months ago, I was just writing to inform you that my back has been holding up pretty well since I last saw you. I have just had some very good news that I would like to share with you, In that I have been selected as part of the under 17 Norfolk county team to go to Nottingham and compete in the big Inter County Tournament, as you may remember it had been my aim since the start of the season.

In other news, I have almost completed my dinghy instructors course, whilst on the course I met the team selector for the Norfolk junior team, they are keen to have myself and my friend in the team, so we will be heading down to Deal in Dover this year!

This is a sign of my progress since I last saw you. Thank you for all you have done to help me.

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Ski Injury Recovery And Rehabilitation In Norwich

I was reminded by one of my clients that it was, Skiing time.

With all the rain we have had and the mildness of the weather it had not occurred to me,

but now with I feel it is time to talk to folks about Skiing Injuries

like any other sporting injury they can vary, but lets face it broken arms legs seem to be the usual suspects, as for your muscle’s, strains and sprains are very prominent , lets not forget you are in cold conditions, so if muscles don’t have time to warm up they will pull and more than likely to tear.

Although sometimes disasters happen like the incident that has affected Michael Schumacher, these are rare these days and we are thankful he is in a stable condition, also the German Chancellor Angela Merkel has injured her pelvis on a cross-country skiing trip during her Christmas vacation although she is still working, but is now having to cancel some of her engagements.

I deal with recovery and rehabilitation of injuries, Sprains, Strains and recovery after all broken bones are a regular occurrence and in all my years in business, I have had to deal with quite a few, dealing with them using Neuromuscular Injury Techniques, massage on the and with The Bioneuro Therapy System Sigma Q (ΣQ®)

We all know that prevention is better that cure and preparation is always better, unless you are to prepared to fail.

It is the same with suppleness and conditioning , if you have regular massage, you muscles are more supple and flexible therefore they will allow you to become more flexible, less prone to injury, no matter what sport or exercise you do.

Ice, snow are unstable surfaces, so it is more important that you counteract that with stability in your body.

Here are some of the Common injuries, and how it may be possible to avoid them.

Skier’s thumb. ( A nice name for also known as Gamekeepers Thumb)

This is a upper extremity injury, affecting the stabilizing ligaments on the sides of the thumb joints – usually the inside or ulnar collateral ligament (UCL).

How does it happen

It often occurs when a skier falls and they do not release the ski pole, causing over-bending and stressing of the thumb. The first thing is the pain, you will feel it, do not ignore this it is a signal to see a Doctor or therapist , It could be a partial tear of the ligament, possibly treated with a splint; a Therapist would be able to advise you because if it is a complete tear it will need surgery, you will need to see a therapist for rehabilitation work after surgery to get you back on track.

Tips on prevention of this injury

Your reaction is to hold on to the Ski pole, Don’t you have to let go of your ski poles the moment you fall. There are certain poles because of the type of handles, as a beginner you should avoid talk to the Ski shop advisers for information on this to help decrease risk

Knee injuries

As I said the main problem, 40% of all skiing injuries, are either ACL (Anterior Cruciate Ligament) or MCL (Medial Collateral Ligament) sprains or tears of these ligament and muscle groups, being the most common.

How does it happen

Knee injuries usually occur as the result of the something Skiers call the Snow Plough Position, ( Imagine you are doing a squat with your knees to far forward, past your toes, your body is not stable and the most extreme point is your knees), so when a skier is falling in this position they will hit the knee joint with excessive force. Another injury caused to the knees, can be because of Skis crossing or stance widening too far . Again, we may be looking at splinting as it may resolve the injury, but again there is a possibility of more ruptures occurring, you may require surgery. Therapy will defiantly be needed after this and the sooner the better, early intervention, will defiantly speed up recovery.

Tip on prevention of this injury

The best prevention here is pre-conditioning of your quads, Massage and the correct sort of workout building steadily, should help considerably. Proper maintenances is so important. Avoid an overly-wide stance, and if you do start to fall, don’t resist, go with it. ( one other tip is why not go to a Jujitsu class and ask for a few lessons in learning how to fall you will be in a safe environment with guys who specialise in that sort of teaching )

Head injury

As with any head injury it is a must that you get it checked out Straight away DO NOT leave it under any circumstances.

Tip on prevention of this injury

I will pull no punches here. These can be fatal when skiing at high speeds. So it is important that helmets are worn they are vital protection, you may find your self in a situation of travelling down the slope 2-3 times faster than the recommended range, for even the best helmet protection, so if your new to the sport please stay in the designated areas advised and listen to your instructors.

There is no if’s or maybes about this one, You should always wear a helmet, you should also monitor your speed to stay within a safe zones. Also, be aware of others around you and your surroundings, use your common sense to avoid collisions, remember you are on a slope of a mountain, there will be people above you so look uphill as well as down, and give way when you need to as they may not be able too , Always follow directions on the signs it could well save your life.

Neck and Shoulder Injury

These can occur from a sudden fall, damage may be to the Clavicle or Scapular also injury to the Humerus because of impact due to the fall, these injuries seem to be more prevalent with Snowboarders, than Skiers. In this case it may be a hospital trip to put things back in order, you may also have damage to muscle groups from the Trapezius, Rotator Cuff muscles, to Rhomboids if these muscles are tight, this can be the case especially if you are in a sedentary working environment and not use to a rigorous activity, then these muscles are suddenly having to do a lot of stretching and work.

Tip on prevention of this injury

Try to stay flexible with shoulder and neck muscles, lots of exercises you can do keep supple, massage can be essential for these muscles, as we do seem to not use them as much as we should. When you feel tired, relax these muscles and a hot soak in the bath or a session in a steam room can always be good for them.

If you are New to skiing some quick tips to help:

1. Don’t overdo it, trying to impress your friends, we all need to start out somewhere and if you want to continue with the sport do it sensibly . Start out on easier terrain, improve your skills gradually take your time enjoy it, you are not in a race you are on a steep learning curve . Before you even start on the real thing , get in shape prepare those muscles, have proper training, try a dry slope.

2. There is a skier’s “code of conduct” – these are common-sense rules, you will see them posted on the slopes, don’t ignore them, They are for your benefit, your protection, and for the safety and of others, don’t become and injury statistic.

3. We have not mentioned the Ski lifts .You must Pay attention to them and others when getting on and off the lift, this can be a prime time for injury, and you don’t want that, on your first time out.

4.You have to take breaks. I know in the excitement you will want spend your Ski time challenging yourself . Injury rates do increase with fatigue, when you are tired you are not focused, pace your self , rest when you feel you need to take it sensibly and steady , as with any exercise you will need to stay hydrated so you still need to drink plenty of water.

5. Learn to take the fall; Don’t fight it , as I have already stated fighting it is how ligaments get torn and damaged. Your bottom can is your best friend If you can, sit down to break the momentum Also this will naturally bring you down into a foetal shape. Tucking every thing in. Less area to damage.

6. Take lesson from a professional, that is what they are there for, to improve your technique you skill and to help you avoid any bad habits , don’t take short-cuts , they will not do you any favours .

If you do sustain an injury

You should see the doctor, don’t be a hero, whenever you sustain any type of injury. Skiing injuries should always be evaluated to avoid the possibility of long term damage, most can usually be treated without operative intervention and can be stabilized and treated by a therapist with excellent results.

Before you venture out on the slopes, get in shape!

Skiing will put heavy demand on some major muscle groups, so lets get them prepared. I will say this again regular massage is a preventative measurement as well as a recovery and rehabilitation measure.

Quadriceps are the main muscle group used for skiing; they maintain your stance and protect your knees. You need to get them in shape, try squats and remember your knees should not go over your toes.

Glutes & Hamstrings: These allow you to flex, forward into the leaning position needed for downhill skiing, it requires great strength and a lot of work from your hamstrings and glutes.

Thighs: Your inner thighs keep the skis together, while outer thighs are the main provider of stability and steering.

Calf muscles the Gastrocnemius and the Soleus. keep you upright over your bent knees. These are your power house you need to strengthen them.

Abs and Back: When Skiing you need to be in the proper flexed, bent position but this will put stress on your back. You need to strengthen your core stability to prevent spinal injury.

Arms: You need to be able to push-off with power and stability, so work on the shoulder joints, biceps and triceps need to be part of your preparation routine.

Look at the whole package and work it out with your trainer, don’t miss out the massage it is a must to keep all those muscles in top working order.

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Quicker Recovery, from Knee replacement surgery or injury, in Norwich Norfolk, With Getfitstayfit Norfolk

A patient now back in action, due to the Aid of The Bioneuro Therapy System Sigma Q (ΣQ®)

Jackie from Brundall had been suffering with excessive knee pain and her movement was restricted, following her visits to her GP then to an Orthopaedic Surgeon, a date was planned for a knee replacement. For Jackie the pain became debilitating, not being a lady who regularly took pain killers.

She came to Getfitstayfit Norfolk to see if we could help.

“When my knee started giving me a considerable amount of pain I when to my GP and was told a knee replacement was necessary, as an active person I knew I had to keep on top of this as I try to avoid pain killers as much as possible.

I knew of Steve Kirby and Getfitstayfit Norfolk as it is a local business in our area and had treated a friend, very successfully, I contacted him to see if he could help. Steve started treating me on The Bioneuro Therapy System Sigma Q (ΣQ®), I found the pain was greatly reduced and I was able move with a lot more ease, and a lot less pain, my muscles where in a good state of health following treatment and I was ready for the surgery.

The operation went well and I was quickly back having The Bioneuro Therapy System Sigma Q (ΣQ®) treatment with Steve, about three times a week. I had to attend physiotherapy at the hospital, which I did not feel happy with at all, pushing and forcing the knee, made it very painful.

So I decided I would stick with the treatment from Steve, with the Bioneuro, some gentle exercise this did the trick, with no pain regular monitoring and all in my time, a lot quicker I feel, than I would have achieved with just the painful exercises.”

The Bioneuro Therapy System Sigma Q (ΣQ®) is fully medically tested and approved to help aid in the recovery from knee injuries and in Pre and Post knee replacement surgery, quicker than you can ever imagine. The system works deeply into the deep nerves and muscle’s, helping to take away swelling, improve blood flow and aid mobility.

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Treatment For A Painful Back In Norwich, Getfitstayfit Norfolk Says “We All Need Good Treatment”

One of my clients recently, told me that prior to coming to my clinic, she had been told.

“Everyone has back problems and you’ve just got to live with it”.

I believe that is a almost criminal comment. My question is why is this the case and why do we accept it.?

When someone has a Painful Back they should have treatment for it.

Pain comes in several different forms, from the dull nagging ,sharp and sudden, to the pain we have with Osteo and Rheumatoid Arthritis .

There are many reasons,but not dealing with muscular pathologies, surely is not the right way to go.

We should not just be expected to accept it and live with it. This is the field in which we work at Getfitstayfit Norfolk.

If a joint is out of out of alignment it will easily cause multiple issues, one being the lack of good blood supply, then concerns with the nervous system creating pain. Hyperirritable area’s in taut muscle are never a good thing.

Trigger points often appear, also known as trigger sites or muscle knots,( just for the record although called muscle knots a muscle can not knot as it has an origin and an insertion ) are described as hyperirritable spots sarcomeres in skeletal muscle that are associated with palpable nodules in taunt bands of muscle fibres

Research has improved considerably in the knowledge of what a Trigger Point Formation is, this is when a dysfunctional endplate occurs, commonly associated with a strain or the over building of muscle tissue that can then be damaged, stored calcium is realised at the site that creates a oxygen nutrient deficit.

Adenosine triphosphate (ATP) is needed in order to remove the excessive calcium the problem is that ATP is decreased by the tightening of the tissue this then restricts the blood supply . The persistence’s of high calcium level resumes causing Acetylcholine (ACh), release creating a viscous cycle.

Why we can help You.!

The need is to stop the cycle. We specialise in Neuromuscular injury, with cutting edge equipment Neuromuscular Injury Techniques.

The equipment we us is the Bioneuro Therapy System Sigma Q (ΣQ®) designed to deal with, Trigger points, muscle injury and recovery.

It works into deep muscles and nerves which are difficult for a traditional massage therapist to manipulate to enable quicker recovery and “Pain Free Movement “

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Runners Knee How Bad IS IT, Advice in Norwich Norfolk.

It always amazes me how a type of injury or condition can become synonyms with certain types of activities or people. My concern is by simplifying the name of the injury , are we simplifying the injury itself.

For instance Policeman’s Heel, Athletes’ Foot, Golfers Elbow, Tennis Elbow or Housewives/ Housemaids Knee, (this affects roofers more than any one else), Builders Back and of course Runners Knee, really are these things a diagnosis ?

The answer is No they are not, in some case’s it is what we would call an coverall for a few problems, used because the exact problem has not been fully diagnosed for what ever reason.

With muscular injuries this can be the case, because of transferred pain or more than one group of muscles being affected, it should not however take away the serious of the injury, or the treatment needed just because it has a simple name.

Take Runners Knee for instance. The real name is Chondromalacia patellae (CMP)

This is what Wikipedia has to say about it

While the term Chondromalacia sometimes refers to abnormal-appearing cartilage anywhere in the body,it most commonly denotes irritation of the underside of the kneecap (or “patella”). The patella’s posterior surface is covered with a layer of smooth cartilage, which the base of the femur normally glides effortlessly against when the knee is bent. However, in some individuals the kneecap tends to rub against one side of the knee joint, irritating the cartilage and causing knee pain.

The condition may result from acute injury to the patella or chronic friction between the patella and a groove in the femur through which it passes during knee flexion. Possible causes include a tight iliotibial band, Neuromas, bursitis, overuse, malalignment, core instability, and patellar maltracking.

Pain at the front or inner side of the knee is common in both young adults and those of more advanced years, especially when engaging in football gymnastics cycling rowing tennis ballet basketball, horseback riding, volleyball, running, figure skating, snowboarding, skateboarding, and even swimming. The pain is typically felt after prolonged sitting.” Skateboarders most commonly experience this injury in their non-dominant foot due to the constant kicking and twisting required of it. Swimmers acquire it doing the breaststroke, which demands an unusual motion of the knee

See what I mean it is not so simple and it is not restricted to Runners,

One thing that is apparent, there is pain and you need to rest it and get treatment, or it will not get better, just categorising the problem as Runners Knee, will by itself not sort out the problem, you still need to put a treatment package in place with your Doctor so ask the question ” What sort of Runners Knee is it”. Don’t just assume, and don’t let your Doctor just assume you know what it is, you need to have answers you need the right treatment, mainly because you don’t want to make it worse, you may need to wear a knee brace or you may be on your way to a meniscus problem and surgery.

You need an idea of recovery time, don’t forget, when a professional athlete has an injury they have down time to recover, you may not have that time period, you have to work, what you do in work may irritate the injury. All these factors have to be taken in to consideration. Something that some one with knee problems needs to be aware of they are nearly always degenerative, don’t assume it will go away it may settle down for a time, but things can trigger it off again and you can be your own worse enemy.

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Piriformis Syndrome Suffered For 23 Years Restored To Fitness In A Few Weeks By Getfitstayfit Norfolk For This Norwich Lady

J came to our Clinic a couple of months ago, first time on meeting it was clear this was a lady who was so stressed, because she was in great pain, and felt that she had never been listened too about her injury, she needed help so Steve was determined to get to the root of the problem and sort it out.

“I started to get a sore hip about 23 years ago, it’s on set coincided with starting to drive. It hurt on and off for about 16 years, it was inconvenient at times, but not too bad. Then just over 7 years ago my whole lower back and hamstrings became very tight and sore pretty much all the time.

There were periods when my Piriformis muscle was so painful I could not stand still for more than 2 minutes.

Sometimes when my whole lower back would lock up so it would take about 5 minutes to bend myself into a chair and to straighten out again when I wanted to get up. The flare up’s were awful, my back used to take about 3 months to calm down.

When it was really bad, I certainly couldn’t do everyday things like bend down to look in a draw or pick something off the floor. The worse thing was I never knew what was going to set it off, I got so paranoid at trying to prevent a flare up I kept diaries to try and second guess what might aggravate it. I took a cushion everywhere with me as hard chairs were a big no no. It was a really miserable existence.

When I explained these limitations to my doctor, rather than being concerned that an otherwise very healthy 38 year old, that until recently used to play rugby and run regularly, was unable to bend over due to extreme muscle tightness and lower back pain, she suggested that I stop trying to bend down! That was it, that was all she had to offer. Oh, that and some drugs to dull the pain.

Eventually I left the job I loved so that I could work part time as I thought sitting at a desk all week might have been part of the problem. It didn’t really make much difference.

Over the years I have seen all manner of back people, chiropractors, physios, osteopaths, sports masseurs, occupational health specialists, you name it, I just wish they were on performance related pay because none of them managed to make much of a difference and I have spent a fortune. It wasn’t just the odd appointment either, I saw one guy regularly at the Spire hospital for over a year.

I think it would be fair to say most of them just wanted to know which bit hurt at the time and they would then work on that area. No one seemed interested in the underlying problem i.e. the cause of my tight leg and back muscles that I knew was causing all the problems.

I asked many times, believe me, I just never got an answer.

Then during the summer holidays this year, after struggling to walk the half mile to the local park with my sons so they could practice a bit of rugby, I decided enough was enough.

At the time it was my Piriformis muscle that was really bad so I Googled ‘Piriformis/Norfolk’ (as not all specialists even believe in Piriformis syndrome, let alone know what to do with it) and Steve’s details were top of the search list. Piriformis Syndrome

Steve agreed to fit me in that night at his home clinic. Rather than doing the usual massage on the area that I was used to from other physios, he put my feet in a bucket of water and then connected me to the mains. To be honest I thought at best he was a bit eccentric and at worst he was going to kill me. I was actually quite disheartened. After reading his web site earlier, I had felt more positive about seeing Steve than I had most of the other specialists I had seen over the years. It was that old cliché of ‘could he be the one?’

I was clinging on for Hope.

After the appointment, I didn’t feel much better and was feeling really down, but the next morning I woke up and I just knew something was different. Not just better, but different. I have been seeing Steve for about two months now and for the first time in 23 years I feel nearly normal and I know he is going to make me pain free. When Steve first started treating me he promised he would make me pain free and although that promised cheered me up no end, I didn’t really believe him. Not deep down.

Steve’s view is that if a back hurts, there is a problem that needs fixing. Find the source of the problem and fix it – for good.

So many so called professionals have told me to expect to have back pain, that everyone has back pain, that it’s normal. To get on with it, to accept it, to live with it, accommodate it.

And the really sad thing is, I was actually starting to listen to them! I gave up a job I loved and was bracing myself for an old age blighted by a back that was surely only going to get worse.

Well now I feel fantastic. I have got a new job – full time again – I feel like I did when I was 20. I feel so ‘normal’ I still can’t believe it. It’s been so long I can hardly remember what normal is.

Every time I bend down to get something out of a cupboard, I notice that I don’t hurt or have to do the task by kneeling on the floor. Every morning when I first get out of bed and don’t have to walk to the bathroom semi bent because I can’t straighten up for a while, I notice it. I think I will be noticing it for a long time.

Steve is amazing. He uses his ‘fizzy’ machine to sort you out. It really works miracles. And it feels fab, bit like a spa session!

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