“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.

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.

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.

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.

Chronic pain in my back till I went to Getfitstayfit Norfolk

Chronic pain in my back

Our Clients are very important to us, seeing them recovering from injury, watching them improve with Rehabilitation Massage, Neuromuscular Techniques and improving in a shorter period of time with the use of The Bioneuro, reducing the need for pharmacological input, in other words seeing them Get Better.

Its great to achieve this and it is our goal with all our clients, I know it does not work out for a few people, but not many and I know we do have some great results, so when we received this email from Christine, a lovely lady and pleased to be have as one of our clients, she was not in a great way when she first came to us, we asked her if we could share the email.

Previous shoulder issues treated only with rest and medication will not properly rehabilitate and are prone to re-injury until properly conditioned by corrective exercise, therapy treatment, Sports Massage and Neuromuscular Therapy and manipulation . Exercises alone will not gain full pain free restoration and quality of life.

Because this is what we are all about to try to do the best we can for our clients so they can be the best they can, her words say it all

Dear Steve

Just to let you know how everyone is amazed at the difference in me since I began my treatment with you about six weeks ago. 

I have suffered with chronic pain for 39 years following a hysterectomy,  and having opiates of varying kinds for all this time with injections into the spine and nerves being burnt out, all under the Pain Clinic.

Five years ago after having lots of treatment by a Rheumatologist for treatments in my shoulders, hands etc, he finally sent me to a spinal surgeon for the continuing chronic pain in my back and legs and a Trendelburg gait which made we walk like an old woman. An MRI shew  severe spinal stenosis and an operation was performed to remove excess bone down my spine.

This made no difference so a lumbar decompression with instrumentation was performed to stabilise my spine. unfortunately this was unsuccessful in alleviating my pain and life just continued to deteriorate with myself being unable to walk any distance  and feeling life was virtually finished for me – I was desperate, at times wishing I did not have to wake up. 

A friend told me about you and I was reluctant to consider seeing you as I had seen physios, chiropractors and acupuncturists and masseurs ,  all to no avail. 

Well, I am this week walking my dog, going to the city and feeling so much better. I am now on half dose of my Tramadol, decreasing to 25.% next week. I cannot wait to see the difference with more treatments. I am so thankful to God for using you to help me start living again.

I know that I cannot be cured and will always have an element of pain,  but to know that I can begin now to see some light at the end of the long dark tunnel I have been in, fills me with hope for the future. It is indeed wonderful not to be in excruciating pain and muscle spasms. 

Once again Steve, a big thank you for the wonderful care you have shown  to me.

God Bless

Christine

Professional Dancing can take it’s toll

Professional Dancing

A lot of us like musicals and lets face it there are some brilliant ones out there.

 

Here at Getfitstayfit Norfolk we have had the pleasure of looking after a few Professional Dancers, but one young man, that has played the lead, in that of  Grease ,Top Hat and Singing In The  Rain, came to us with an injury that needed quite  a bit of treatment, but had a great positive clinical outcome.

 

All the parts he has been  playing were very physical parts, as a dancer these parts drew on all of Alex’s physical strength,  he could not afford to be in pain or have an injury, to do Top Hat he had to be in Top Condition.

 

Alex came to us back in 2017 after an injury causing Muscle Damage, to his lower back , sustained while playing his other passion, but due to his work commitments,  was going to be  his last game of Rugby.

 

Alex responded very well to treatment with the Bioneuro massage and Neuromuscular therapy techniques,  he was soon back on form and taking on his lead part in Grease.

 

Also he wanted to know how he could help himself and his body more, he needed to be able to sustain Fluid Motion, he was a very good student and has been working hard to keep himself in great condition.

Unfortunately  Alex had a bit of a set back at the beginning of 2018, after a very busy year, but we dealt with it quickly and Alex was back on course again, this time the lead in, Singing In The Rain.

 

In my years of treating Musculoskeletal injuries, I have learnt, that one size does not fit all, I adapt what I do so I can do the best for the patient and the injury.

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.

It would be no use giving just standard exercises to someone like Alex, dancers are already very fit and exercise all their muscles, you have to have a different approach to their  injuries, it has to be targeted, by using Neuromuscular techniques along with the Bioneuro, allowed me to get into the deep muscle tissue/ fascia in the area that the injury had occurred, concentrating on the rehabilitation after the recovery and using Alex’s own ability as a dancer, to teach him to target his own muscles groups, allows him to keep on top of things and to avoid further injury.

Please have a look at Alex’s video to find out a lot more.

 Alex 

His first words to me were” Can we do this ? I work off shore and want to get back”

work off shore

I don’t  think I will ever regret what I do for a living, I love my job seeing people, Getting Back to Fitness And Being The Best They Can 

Then you see some people that are just incredible, their determination, drive and need to Get Back to how they were is  overpowering.

Charlie is one such person he came to me Mid March after receiving a phone call from his brother, explaining the situation.

Charlie had a very bad accident the previous December, seeing the X-rays of his injury I thought how much work his surgeon, had done to get this far And the effort,. Charlie had put in to even be able to stand let alone shuffle.

I don’t think I will ever regret what I do for a living, I love my job seeing people, Getting Back to Fitness And Being The Best They Can Then you see some people that are just incredible, their determination, drive and need to Get Back to how they were is overpowering. Charlie is one such person he came to me Mid March after receiving a phone call from his brother, explaining the situation. Charlie had a very bad accident the previous December, seeing the X-rays of his injury I thought how much work his surgeon, had done to get this far And the effort,. Charlie had put in to even be able to stand let alone shuffle.

His first words to me were” Can we do this I work off shore and want to get back”

I went on to treat Charlie with the Bioneuro and massage, getting him prepared for his back to work interview with his employers, whom did not expect him back possibly till December 2019, only then the possibility of light duties certainty not back to off shore work .

Well just recently Charlie had an interview with his employers, we still have some work to do but the progress has been amazing and with no need for painkilling medication.

“The Multifidus is a very deep muscle in the human body and an excessively hard muscle to work on manually, but with treating Trevor with The Bioneuro Sigma Q, a piece of equipment that uses electrical frequency and can reach into deep muscles without being invasive, at the same time aiding neurotransmitters and blood supply to the area.”

Charlie sent me an email, with outcome.

Hi Steve

While working on a ship early December 2017 in the North Sea in extremely rough weather, I was thrown across the deck.

I had to be taken into hospital with a bad back injury, turns out  I had crushed vertebrae, I had to have spinal compression surgery (my nerves were trapped between the discs ) I was told there was every possibility, I may not walk again.

After the surgery I had very limited movement in my Legs, feet and toes,  I was put onto a course of physiotherapy, it was working, but very slowly but it got me up onto a frame walking, but it was hard and  really slow, in January I was still in a wheel chair.

February came and I had progressed to a walking frame by mid March I had advanced to two sticks, but with the shuffle and hard to put one foot in front of the other and still wobbly.

While talking to my brother he told me about, him having treatment with Getfitstayfit Norfolk and a thing called Bioneuro therapy, which I had never heard of.

I spoke to my physiotherapist and she had not heard of it,  I then spoke to my consultant,  at the Norfolk and Norwich hospital and he had not heard about it either.

My brother convinced me to make an appointment  to meet Steve and have a consultation with him, to see if this Bioneuro therapy would work.

I first arrived on the 21st March still on two sticks, by mid April I was on one stick

Here we are  two months down the road I am not using the sticks, I am going back to work on light duties towards Mid June .

Then hopefully within a short period  I will be back to work full time and back off shore, this treatment has really made a difference, the possibilities for anyone who’s had spinal compression surgery or suffered with similar problem as myself.

I can’t thank Steve and his Bioneuro and massage treatment, enough for what he’s done for me.

Many Thanks

Charlie.

Low Back Pain and what it means to you

Chronic pain in my back

A series of papers, due to a long term trial and study have been published in the Lancet.

They make interesting and worrying reading, asking the worldwide medical profession to stop offering ineffective and potentially harmful treatments and NICE is agreeing with them

Such as Strong drugs, injections and surgery they are generally overkill, they say, with limited evidence that they help.

People may have seen the article on the BBC  “Many back pain patients are ‘getting wrong care”  if you want to have a look

The truth of the matter is, in a lot of cases they are getting the wrong care.

What we need to look at is.

Most back pain is best managed by keeping active Remember that good exercise and activity, choose the right sort of activity for you and build on it, this can reduce and prevent back pain. In most cases people have strained muscles in the back, that in itself is painful, the lower back muscles, consisting of your Extensor, Flexor and your Oblique muscles , Low back pain can feel very debilitating, when you feel in pain, you do not want to keep active and do exercise, but you need to Avoid bed rest and get moving but keep it gentle, at the same time please avoid aggravating activities, no digging the garden you need to use the principles of kinetic movement when bending or lifting, in a way that is comfortable for you, using the hips and knees. People talk about “Slipped Discs” this terminology is BAD, your discs Do not slip, they can however Herniate and there is treatment that can help with that. The thoracic spine is the longest region of the spine, it is also the most comple

“Painkillers mask pain they do not heal the damaged area, also Painkillers WILL NOT speed up your recovery

In most cases they don’t help as we think they should, but because the Doctors give them to you and the advertisers say they do,  then we believe that it is the right thing to do, when your in pain with your back you may not want to hear that, Your back is stronger than you may imagine , your spine is very strong and it is not easily damaged.

Most back pain is best managed by keeping active 

Remember that good exercise and activity, choose the right sort of activity for you and build on it, this can reduce and prevent back pain.

In most cases people have strained muscles in the back, that in itself is painful, the lower back muscles, consisting of your Extensor, Flexor and your Oblique muscles ,

Low back pain can feel very debilitating, when you feel in pain, you do not want to keep active and do exercise, but you need to Avoid bed rest and get moving but keep it gentle, at the same time please avoid aggravating activities, no digging the garden  you need to use the principles of  kinetic movement when bending or lifting,  in a way that is comfortable for you, using the hips and knees.

People talk about “Slipped Discs” this terminology is BAD, your discs Do not slip, they can however Herniate and there is treatment that can help with that.

The thoracic spine is the longest region of the spine, it is also the most complex.

It connects your cervical spine above to the lumbar spine below, the thoracic spine runs from the base of your neck down to your abdomen and It is the only spinal region that is attached to your rib cage. The type of pain in this region, is upper back pain, it is most commonly caused by muscle irritation or tension, a lot of you may have heard the term myofascial pain, in most cases this is caused mainly by poor posture, often bad workplace seating affecting , forward head posture, or any type of irritation of the large back and shoulder muscles, again muscle strain or spasms are an issue.

It connects your cervical spine above to the lumbar spine below, the thoracic spine runs from the base of your neck down to your abdomen and It is the only spinal region that is attached to your  rib cage.  The type of pain in this region,  is upper back pain, it is most commonly caused by muscle irritation or tension, a lot of you may have heard the term myofascial pain, in most cases this is  caused mainly by poor posture, often bad workplace seating affecting , forward head posture, or any type of irritation of the large back and shoulder muscles, again muscle strain or spasms are an issue.

Then we have to consider Joint dysfunction. In the  Thoracic spinal joints, this can become very painful in various ways, from cartilage tears and disc degeneration , developing in the facet joints where adjacent thoracic vertebrae articulate with each other.

It is also possible for a rib to become misaligned or displaced from the vertebrae, this is a case of a tissues muscular injury becoming a structural injury, or even  facet joint degeneration (osteoarthritis) and degenerative disc disease can happen at the same time, for these sorts of issues you would need to talk to your Doctor who would more than likely need further confirmation with a scan.

It is that step between being in pain and feeling terrible, to feeling that you can cope, then going on to feeling better.

This is the area that we here at Getfitstayfit Norfolk aim to address , getting from that point of being in so much pain, that you do not want to do anything and feeling that you need to take pain killers, only to find either none or minimal sort term relief,  so you take more pain killers and do less.

 

The cycle starts and that is the cycle we need to break or even prevent. You need to be able to get good quality sleep, if you can, because it will help you feel better overall one of the main things most of our patient’s tell us is that they have not been able to sleep, one thing they also tell us after treatment is that they have slept, this means a lot as it is the first stage of recovery.

We know that Massage  can help with low back pain, along with spinal manipulation , here at Getfitstayfit Norfolk we also use the Bioneuro, unlike a  Transcutaneous Electrical Nerve Simulation (TENS) that is digital. the Bioneuro is Analogue and  works with the bodies natural ability to heal.  it is none invasive, but can get into those muscles quicker and deeper to aid in recovery .

You also need to look at the root cause of the injury.

 

Accidents, Injury and Physical Trauma how Getfitstayfit Norfolk can help with recovery in Norwich

Any of these things can be the cause , there are also other factors that we can look at, like a herniated disc or in some cases disc degeneration, we can work with your Doctor on a plan to help with these issues.

 What ever the reason, getting you to pain free movement, is the first step and in some cases it is all about baby steps, we work with you at your pace.

To Get You To Be The Best You Can Be.  

Don’t wait, as a Soft Tissue Injury can be as debilitating as a broken bone.

A soft tissue injury can be as debilitating as a broken bone

We have all done it,  twisted funny and hurt our back or shoulder or even the  neck.  I have heard so many times people say,

” I thought if I just took some pain killers and rested it would go away I have been too busy to deal with it “ or “I didn’t want to make a fuss, you just get on with it after all, the worst  I have done is pulled a muscle, but it is just getting worse.

I have also heard the statement  ” I have done exercises, but they make it worse”.   The Fact Is Yes you CAN make it worse, if you have trigger points through tension on an injury point, exercise will aggravate  it Trigger Points need to be dealt with. So you can exercise productively

A Soft Tissue Injury can be as debilitating as a broken bone, So Please Do Not Underestimate The Damage that you may have done.

“As a Taxi Driver My Back was totally immobile, Steve has made such a difference , but don’t wait till your in agony “

Then  after a week  or so, it is not getting better and more things hurt,  you can’t lift something without it hurting, it is affecting your sleep and if it’s you shoulder or neck you are staring getting headaches.

 

You need to deal with it “THE LONGER YOU WAIT THE LONGER IT TAKES TO HEAL” 

I am a great believer in helping my clients to get back to fitness ASAP , having a good clinical outcome for them , not having them in pain and it dragging on and on.

Diary of a Golfer

A message from Dawn

“As a Taxi Driver My Back was totally immobile, Steve has made such a difference , but don’t wait till your in agony “

And From Jerry

Myself and my family are indebted to Steve, I have to work long hours for my business and this wouldn’t be possible without Steve’s treatments help and support ,  also love my Golf, when I do get some spare time I love to play, back issues were making this so difficult, I could not get a good swing, so not a good round of Golf it was  frustrating , being pain free was so important to my work, home and relaxation, I can now enjoy the game again and get on with my work also enjoy time with the family .

Thank you Steve

Jerry