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.

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.

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.

 1st  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 .)

2nd 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.

3rd 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”.

Bio Nuropulse in action

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.

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.

Transversus abdominal for instance supports your abdominal wall,

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. 

Pelvic pain can be divided into nineteen different pathological types . Patients often described Pelvic Pain as a nasty, vile pain that can halt quality of life on a mentally and physically scale. This is very true to life description . Dealing ,with the fascial /tissue and neurological is only part of the answer to gain a positive clinical outcome . We at Get Fit Stay Fit Norfolk can help you with the physical side of recovery. Cutting edge equipment, neuromuscular techniques

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 .

Back Injury Treatment For James a Dedicated Runner at Getfitstayfit Norfolk

Back Injury Treatment

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 24 years that I have been a Sports 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

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

Treatment For A Painful Back In Norwich

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.

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 “

Give your Achilles Tendon a Bit of a Lift? Part 2

Further Problems/ Injuries that occur Paratenonitis is an acute Achilles injury causing inflammation usually due to overuse, affecting the Tendon Sheath or Paratendo “In really acute cases, the tendon can be a sausage shape, because of the severity of the swelling. This is a common one for runners especially after a long run. They may also feel stiffness and discomfort at the beginning of the run, but as you guys always seem to try to push through the discomfort. a word of warning “This will typically aggravated the injury, when you need to relieve it by rest please do so If left untreated, Paratenonitis will progress to the point that any running becomes extremely difficult.”

Further Problems/ Injuries that occur 

Paratenonitis is an acute Achilles injury causing inflammation usually due to overuse, affecting the Tendon Sheath or Paratendo “In really acute cases, the tendon can be a sausage shape, because of the severity of the swelling. This is a common one for runners especially after a long run. They may also feel stiffness and discomfort at the beginning of the run, but as you guys always seem to try to push through the discomfort. a word of warning  “This will typically aggravated the injury, when you need to relieve it by rest please do so If left untreated, Paratenonitis will progress to the point that any running becomes extremely difficult.”

The area approximately two inches above the Calcaneus attachment is most susceptible. In this area, the Achilles tendon does not have good blood supply or cell activity, so injury can be slow to heal. The tendon receives nutrients from the tendon sheath or Paratendon. When an injury occurs to the tendon, cells from surrounding structures migrate into the tendon to assist in repair. Some of these cells come from blood vessels that enter the tendon to provide direct blood flow to increase healing. With the blood vessels you also get nerve fibres’.

It is believed, that these nerve fibres are the cause of the pain. So while it is healing it will cause you a lot more pain, some say “It is like having an Arrow in your heel” Not very fair but unlike Achilles painful fate, you’re not going to die from it and there are things you can do to help yourself, but recovery from an sever Achilles tendon injury can take anything up to 12 or even 16 months, a long time if you are a runner that is why I always say “Early Intervention is better than long recovery time’s”

So what is Tendinosis? Well the point is most pain within the Achilles tendon, may be classified as Tendinosis. This may be because it involves tendon degeneration, whether it has inflammation or not. In addition, the tendon may become weakened and lose its structure. Aging plays it own part in this process, repetitive injury, or a minor trauma, through occupation or sports. Whatever the reason, “Without proper treatment and healing time, of the area Tendinosis will eventually progress to partial or complete ruptures, if you continue to put high pressure on them, that are physically demanding.

So what is Tendinosis?

Well the point is most pain within the Achilles tendon, may be classified as Tendinosis.

This may be because it involves tendon degeneration, whether it has inflammation or not. In addition, the tendon may become weakened and lose its structure. Aging plays it own part in this process, repetitive injury, or a minor trauma, through occupation or sports. Whatever  the reason, “Without proper treatment and healing time, of the area  Tendinosis will eventually progress to partial or complete ruptures, if you continue to put high pressure on them, that are  physically demanding.

What Can You Do To Help or Prevent Achilles Problems?

 

Let’s start with the obvious

Preventive exercises aimed at strengthening the gastrocnemius and soleus muscles,

This means,  repetitions of slowly raising and lowering the body while standing on the affected leg, (Calf Raises)   using the opposite arm to assist balance and support if necessary, starting with the heel in a hyperextended position. (Hyperextension is typically achieved by balancing the forefoot on the edge of a step, a thick book, or a barbell weight. so that the point of the heel is a couple of inches below the forefoot. You don’t have to wait till there is a problem to do this exercise use it in your regular stretches,

Don’t take on too much too fast, slowly Increase the intensity and the difficulty of an exercise and running program do not put strain on your Achilles.

An ultimate must here !

Always Use appropriate footwear. The more arch support, the less strain there is on the heel and associated muscles. Wearing heel pads to reduce the strain on the tendon, and remember, if you start to show signs that there is a problem occurring.

Don’t leave it and hope it goes away, you can’t run it off, and it won’t just go away.

Use Standard RICE Treatment with Ice, cold compression therapy then please seek help. Early intervention can save you from lots of problems later.

 If you have an injury and need more advice give us a call, but please don’t leave it.

A few weeks rest or less, from running is better than 12 months or not ever again. 

 

Painful shoulder injury then he came to Getfitstayfit Norfolk

Shoulder Trauma in Norwich

Norman had a very Painful Shoulder Injury.

He came to us after he had been struggling for 12 years, his body had adapted to his injury  and he tried to cope with it, compensating in things like turning his head , lifting his arm , putting on a shirt or jacket. “He believed he would just have to live with it”

Being a self employed man feeling he could not take time off work because he had a family to look after, Norman continued to work ,but was always in pain.

Don’t take it from us have a look at His Testimonial, how we helped him to get back to fitness, how he can turn his head again and how he now gets a good nights sleep something he had not had since the accident.

“Abuse of painkillers is putting the careers and long-term health of international footballers in jeopardy” say’s Fifa’s chief medical officer.

Painkillers

Dr Jiri Dvorak found that almost 40% of players at the 2010 World Cup were taking pain medication prior to every game. Ahead of Euro 2012, Dr Dvorak has urged football to wake up to the problem.

He told the BBC that younger players are imitating the seniors and taking painkillers far too frequently. Fifa’s medical team asked team doctors to provide a list of medications that players were taking ahead of each game in the 2010 World Cup.

Previous surveys at international tournaments established that many players were using large numbers of pain killing and non steroidal anti inflammatory drugs (nsaids).

“I think we can use the word abuse – because the dimension is just too much,” Dr Dvorak told the BBC.

Experts say that painkilling medication can be particularly dangerous in professional sport. In high-intensity exercise like football, a player’s kidneys are continuously working hard, making them more vulnerable to damage from strong drugs.

Dr Dvorak believes that a major factor in the growing use of painkillers in football is the pressure on team doctors to get injured players back on the pitch quickly.

“Unfortunately, there is the trend to increase the intake of medication. It is something that we have to really take seriously and ask what is behind it?”

Own Goals can be Painful

“The team doctors, most of them they are under pressure between the diagnosis and the appropriate treatment between the pressure to bring the player on the pitch, if they take them too long out they might be out of a job.”

This is  the report on Painkilling Drugs a worry to everyone, as they are prescribed on a regular basis to people who use them to MASK PAIN not to DEAL with it  and if you continue to use them they can be bad for you.

Yes there is a need for Pain Killing drugs that is not disputed, but if it is a Musculoskeletal problem that can be dealt with through Neuromuscular Release Techniques Sports Injury Therapy or Sports Massage  can help, then surely it is a better way to go. 

The unique advantage of the Bioneuro Dry Therapy System Sigma Q(ΣQ)® is that it can get to an area that may be difficult for Sports Therapy alone,  it penetrates Deeper unlike a Tens Machine that can only deal with surface issues.

Read more on our page about the Bioneuro Dry Therapy System Sigma Q(ΣQ)® and Testimonials from other clients, also listen what Fifa’s chief medical officer has to say about the “abuse” of painkillers on the BBC News Website.

 In a new report we have more information, Folks have a listen to this please This shows that Pain Killers do not help with Back Pain, so why do we still use them.? BBC World Service @bbcworldservice 2h2 hours ago, Easy access to powerful painkillers could be creating a hidden problem of addiction http://bbc.in/15ocAQL

This shows that Pain Killers do not help with Back Pain, so why do we still use them.? BBC World Service @bbcworldservice 2h2 hours ago, Easy access to powerful painkillers could be creating a hidden problem of addiction http://bbc.in/15ocAQL

David’s Testimonial For Getfitstayfit Norfolk

Injury Will Prevent The Fluid Golf Swing

Having struggled in my retirement from damaged ligaments in my shoulders, lower back.


I had pain and cramp in my thighs, at night there seem to be no rest from being in Pain.

I went to see Steve after reading about him in the EDP Norfolk magazine.

I have had four visits to date, two of which involved the use of the Bioneuro Therapy System Sigma Q(∑Q)®

The difference that the treatment I have been having, with Steve has made has been amazing.

I feel pain free, more agile and have a more positive outlook.

I can enjoy playing golf again something I thought I would not be able to do  and gardening without suffering afterwards.

I wanted to be able to do things , that I had not been able to do in my working life because of time ,but then to be unable to do them because of pain was so unfair , seeing Steve has changed all that.

I am out and about seeing friends not having to take painkilling medication, enjoying my life I am just so glad that Steve has turned my retirement round for me .

Returning To Work Fit, Healthy And No Back Pain! Thanks To Getfitstayfit Norfolk

Back Injury Treatment

Dear Steve,

Thank you so much for helping me to get my back better.

I had suffered for a few weeks, the pain and lack of ability to move was getting worse.

 

I went to the GP. They gave me Pain Killers and signed me off sick for a month.

Then I saw your advert and called you, thankfully you were able to see me very quickly.

You assessed me and told me the muscles in my lower back were causing the pain. You put me on the Bioneuro Dry Therapy System Sigma Q(∑Q)® and also used Neuromuscular Injury Therapy Techniques and Sports Injury Therapy on my legs.

Then the day after I was able to move a lot better. I came to see you again, the same process took place and I felt great the best I had been in months. 

I have been back to see the GP and they are very pleased.

I’m also now returning to work fit, healthy and no back pain!

Many Thanks

Rob

Blofield, Norfolk

PAIN Was My Constant Companion, Till Helped By Getfitstayfit Norfolk

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.

Pain, I Suffer with it all the time, so do 4 million people aged 30 suffer from work related injury,

 

Some pain is so severe that they must live on a cocktail of medication in order to cope. 

My PAIN started in 1982 after an accident at work. I was a serving member of the British armed forces. I had hurt myself a number of times over a 10 year period but the last fall did damage to my spine.

PAIN was my constant companion (you know what I’m saying) you learn to live with it because you need to work to pay the bills I drove a cab in London and then ran an employment agency. I wanted to live as normal a life as I could. I rode a motorbike a Yamaha fz750 then a Kawasaki.

I moved up to Great Yarmouth in 2010. I was on my bike one morning when a white van man from came out of a side turning and hit me.

My arm was knocked so far out of the socket it severed all the nerves; this resulted in massive muscle loss in my left arm. James Paget gave me 20 minutes physiotherapy every 5 weeks. It was PAIN, on top of more pain. I was looking for more physiotherapy.

Then I was introduced to Steve Kirby.

Steve gave me a 2 hour workout on the Bioneuro Therapy System Sigma Q(∑Q)® and that same day I came off my pain killers.

I get twinges now and then but it soon dies down to a slight throb. NO PAIN

I want people to know that PAIN is real and it will stop you from doing so much in life, please don’t let PAIN win.

Steve Kirby and his wife Jacqui, have changed my life and continue to do so, I have feeling in my fingers where I had none before.

Mr Cutts my orthopaedic consultant sent me to Mr Shields the Neuro consultant at Norfolk & Norwich who was pleased at the improvement I have made but all thanks to Steve Kirby.

So if you’re in PAIN give Steve a ring it will change your life for the better.

Steve