“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.

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

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

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

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

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

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

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

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

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

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

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

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

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

Pain killers

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

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

Bio Nuropulse in action

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

 

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

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

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

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

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

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

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

 

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

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

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

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

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

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

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

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

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

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

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

We may find that neither he, or his other party ministers  understand the difference, and that we have been categorising ourselves unnecessarily, because of a word.

Please do not misunderstand me, I have agreed and adhered to the rules,  but I do feel that this is now a matter of confusion, because of how we define our businesses.

I am not a Massage Therapist, I use massage as part of the treatment process for my patients,  I am a Neuromuscular Injury Therapist and I have worked hard to achieve this.

I work with and Consultants, GPs Neurologist, Orthopaedic Consultants, I have had the privilege of being trained by an incredible Anatomist , I am able to discuss and receive advice in what I am achieving for my patients, with some very well respected consultants ,  I deal with injuries and long term rehabilitation, I have worked with  people across the social spectrum from  elite athletes to elderly folk, that have had hip or knee surgery and find they struggled with the exercises given to them by the physiotherapist and they need a more hands on approach and support, People Do Not come to me, for  a Relaxing Massage or a Happy Ending, I do not run that kind of establishment, I treat patients that need my help with trauma related pathologies and injury prevention.

We may find that neither he, or his other party ministers understand the difference, and that we have been categorising ourselves unnecessarily, because of a word. Please do not misunderstand me, I have agreed and adhered to the rules, but I do feel that this is now a matter of confusion, because of how we define our businesses. I am not a Massage Therapist, I use massage as part of the treatment process for my patients, I am a Neuromuscular Injury Therapist and I have worked hard to achieve this. I work with and Consultants, GPs Neurologist, Orthopaedic Consultants, I have had the privilege of being trained by an incredible Anatomist , I am able to discuss and receive advice in what I am achieving for my patients, with some very well respected consultants , I deal with injuries and long term rehabilitation, I have worked with people across the social spectrum from elite athletes to elderly folk, that have had hip or knee surgery and find they struggled with the exercises given to them by the physiotherapist and they need a more hands on approach and support, People Do Not come to me, for a Relaxing Massage or a Happy Ending, I do not run that kind of establishment, I treat patients that need my help with trauma related pathologies and injury prevention.

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

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

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

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

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

 

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

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

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

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

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

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

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

 

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

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

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

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

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

 

Ivan Buttock Muscle

 

 

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

 

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

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

Steve and Jacqui Kirby

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

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

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

effective , while waiting for surgery you still need to stay active , but mobility becomes excessively difficult, you may end up or stronger medication that comes with it’s own side effects .

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

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

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

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

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

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

Bioneuro Sigma Steve Kirby in Use

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

 

 

 

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

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

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

Diagnostic Roller & The Pain Pathways

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

Bioneuro Sigma Steve Kirby in Use

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

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

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

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

The answer It is all about targeting those NOCICEPTIVE PAIN  POINTS

We know

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

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

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

Neuromodulation technique

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

 

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

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

When you are given the Diagnosis of Diabetes type 2. it has not just happened on that day, otherwise they would not be diagnosing it.

Diagnosis of Diabetes type 2

When you are given the Diagnosis of Diabetes type 2. it has not just happened on that day, otherwise they would not be diagnosing it.

The damage is already taking place, it is not the 1st day of the disease, it is the “wake up call that something is very wrong”  it is not the Starting point, what it needs to be “is the point where intervention will stop or reduce the acceleration”. 

Where you take control of it and your body, so that Diabetes does not take control of you .

You have to take charge, you have to look at your diet, health and your exercise plan, I am not saying that you have suddenly start running, going to the gym and take on the world.

Talk to and take the advice of the Diabetic Nurse have a look at   Diabetes Uk for advice in regards to your diet  lots of information, charts and answers yes there is a lot to take in, so take your time, but if you set a Goal to get ahead of this, then you will.

 

“In other words no matter what advice you are given. in the end it is going to be up to you so try to do the right thing for you”

Exercise is good but the right type , you need to look at the cardiovascular, start easy go swimming, walking you need to get the muscles relaxed not tighten them up , there are reasons for this.

The things that you need to be aware of you have to reduce your sugar intake, smoking and excessive alcohol use can contribute to Diabetic Neuropathy, also pure fruit juice in fact forget the sugary drinks and high in sugar fruits, leaf vegetables are your friend, but read up on things. You do need to make sure you are looking at both your nutrition and movement.

Exercise is good but the right type , you need to look at the cardiovascular, start easy go swimming, walking you need to get the muscles relaxed not tighten them up , there are reasons for this.

Tightened or shortened muscles, do not have  good blood flow and nerve supply and Good Blood Flow and Nerve supply is essential if you have Diabetes.

In that exercise plan please consider Massage, for many reasons apart from helping with blood flow and lymphatic system’s it will also help with lifting mood and depression, so it aids both your Psychological and the Physiological systems. It will help keep the muscles supple, the blood flow will increase, more important you will get blood flow to your muscles and your nerve supply will increase  one won’t work with out the other to create movement , the muscles facilitate the movement the nerves orchestrate  it.

You have to look after your extremities, I.E your hands and feet, this is not something to  take with a pinch of salt it is one of the more worrying things about Diabetes, the problem is Many people with diabetes have Peripheral Arterial Disease (PAD).

PAD’s will reduce Blood flow to the feet, the other part of the problem is that  many people with diabetes also have nerve disease, this then  reduces sensation.

Some facts that you should consider

Our Blood vessels are vital for the body and play a key role in diabetes helping to transport glucose and insulin, But they can become  damaged by the effects of high blood glucose levels , so there is going to be a knock on effect , it can cause damage to organs, such as the heart and eyes, if significant blood vessel damage is sustained, the reason being Damaged blood vessels can’t do their job, they are meant  too such as  bringing oxygen and nutrients to the nerves,  if they are damaged , eventually it will lead to nerve damage.

Diabetic neuropathy, you will more than likely hear it called ” Diabetic Nerve Pain”, this is diabetes related nerve damage. It will develop over time; unfortunately  the longer you have diabetes, the more at risk you are for diabetic neuropathy to become a reality, so the sooner you start to look after you the better things will be.

I always believe strongly  as a Therapist everyday is a learning opportunity . Especially with  pathologies  such as diabetes.

Every one is made the same, but in some way we are all different . I have been using cutting edge technology in the form of The Bioneuro System Sigma Q, along with massage and manipulations to  aid my  clients, are noticing great results.

it was great to receive this from one of my patients Darren in feed back, it is great to see his improvement at each session.

Dear Steve

In September of 2018 I underwent a second operation to remove a large kidney stone – after the operation I was suffering from a pain in the right hip and the front of the right thigh was painful to the touch – after some visits to the doctors, then a physio I was referred to neurology – a wait of some 16 weeks

At this time I could not walk (even on a smooth flat surface) without a stick – and anything other than a perfectly flat surface would lead to the leg collapsing and I ended up lying on the floor –  leading to several embarrassing moment at potential customers properties and a more serious incident where I fell down a flight of 12 concrete steps

I could not negotiate slopes – uphill was painful to the front of the leg and downhill resulted in loss of feeling 

I couldn’t carry anything heavier than 1 kg as I would lose balance 

I always felt fatigued – dropping off to sleep in the afternoon and retiring to bed as early as 8 pm in the evening

I could not lift the right leg into the air if lying on my back – climbing and depending stairs was extremely difficult – getting in/out of cars was hard and in/out of vans impossible 

After finally seeing a consultant and undertaking a nerve test I was informed that basically I was to live with this condition as its diabetes related

Moving forward and on recommendation I have now had 4 treatments with Steve  on his Bioneuro Sigma Q system and the  improvements are remarkable:

 

I walk unaided on the majority of surfaces – with or without shopping 

I can step-up and down kerbs without fear 

I can raise my leg from the lying down position 

I have reduced the amount of painkillers to just 1 every other day (from 2 per day)

I am less fatigued

I can descend stairs almost normally 

I can with effort, climb stairs normally 

I can rise from the sitting position without help and cross my legs 

I have now started to take the children 10 pin bowling – although not as fluid in delivery as I want to be I can deliver a 12 pound ball down the lane pain free

Darren

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

Could Massage Boost Your Immune System? “Of Course It Can”

Could Massage Boost Your Immune System

While watching the TV program Trust Me I’m A Doctor” my ears pricked up and really wanted to know about one of the sections in the program.

Could massage boost your immune system?

He went on to say “Massage is one of the oldest therapies in existence.

Well we already knew that one , but guess what,  they should have replaced the words.

 “Could Massage with the words Massage does “

Bio Nuropulse in action

It seems that General Medicine has taken it’s time to catch up with us Massage Therapist.

When you have a patient that comes to you after an injury and you work on them using massage, you notice the difference, you are spending time with them, you notice them healing.

 We know that restoring them back to fitness is the aim.

We know Massage releases the “feel good factor” and there is a reason for that  it is not all about just relaxing, massage helps release Endorphins and  Dopamine, it is the physical input that the therapist applies to the patient  and how it is applied that makes the difference.

In the program they next , teamed up with Professor Fulvio D’Acquisto, an immunologist from the University of Roehampton and the Bodyology Massage School, to show a basic trial

Professor Fulvio had come across research which had found that massage boosted the number of white blood cells, the main interest in this case  being in the  “cells,  a certain  type of white blood cell” and the reaction and results to massage,  for  patients suffering from HIV, this a disease that causes a reduction in the white blood cells known as T Lymphocytes.(I have added the link to the HIV Study.) there is so much to look at and take in that the links are worth a read to put things in perspective.

Professor Fulvio had come across research which had found that massage boosted the number of white blood cells, the main interest in this case being in the “T cells, a certain type of white blood cell” and the reaction and results to massage, for patients suffering from HIV, this a disease that causes a reduction in the white blood cells known as T Lymphocytes.(I have added the link to the HIV Study.) there is so much to look at and take in that the links are worth a read to put things in perspective.

There were  two different types of T Cells, helper cells (CD4 T Cells and Cytotoxic or CD8 killer cells, that they were mainly of interested  in the study. 

T cells are matured in the Thymus,(Hence the name T Cells) this is an organ situated under the breastbone, that does most of it’s work when we are children, before puberty it  then turns into fatty tissue, but  T cells are originally produced in the bone marrow, they later move to the Thymus, then when they have matured and the Thymus changes, they are on the move again, they then migrate to the lymph nodes (these are groups of immune system cells) throughout the body, where they work to aid the immune system in fighting disease, clever hardworking little guys these T Cells.

There are also Effector cells and Memory T cells these  may be either CD4+ or CD8 but work differently ( I have also added a link on T Cells to give a bit more information)

Taking blood samples from  Volunteers, before and after massage, so they could do a  cell count this is a blood test that measures the number of T cells in your bodyA T cell is a type of white blood cell they  then  analysed the blood test, for the number of T Lymphocytes present, this  became the  baseline reading, they  then checked them again,  comparing  the baseline results, to the results after an hour’s massage.

This  showed a 70 per cent boost in white blood cells after massage.

We all love to have good results

This was also a higher reading than they had from the volunteers simply relaxing, the other factor evident, was that in the group that had the massage, their T Cells remained higher after the test.

As T-lymphocytes  perform a wide array of functions in the body involved with growth and repair, both the Killer and Helper  Cells, when   “Thymosin: The Hormone of the Thymus is released,”  this will  help the killer Cells to destroy any bugs in the system, while the helper cells will then go on to then build up the immune system.

This has been of great interest to both myself when using the Bioneuro because of it’s ability to be used during massage and how it effectively  preforms  in boosting recovery, along with its ability to enhance Massage and Neuromuscular Therapy techniques used when treating a patient and the team at Biosysco in further developments of The Bioneuro.

Runners Preparation for Marathon

We all love to have good results

Then from a clients wife a message he is a Iron-man competitor and triathlete she just wanted to say “Thanks for fixing her husband. He completed Vichy iron-man in 12:32:58 his best iron-man time so far. Then just to top it all a client that had been trying to get a MRI scan with not much success asked me to send a letter to her GP to see if would help, I explained in the letter my finding with the “Bioneuro Assessment tool”, they have now agreed with letting her have the MRI It is great to achieve goals, especially when it means that someone else also is, recovering or finally getting the help that they nee

I know we all love good results and not just our team on the football field, I mean in our business and a good result can make your week

The day started off with a client that I have had for a while they came to me with a sever  back injury, having gone back for their  NHS assessment to be told by the Physiotherapist that.

” The treatment they were getting with myself and the use of the Bioneuro has made a significant difference to their  recovery in an incredibly short space of time “.

 

Then from a clients wife a message he is a Iron-man competitor and triathlete she just wanted to say “Thanks for fixing her husband. He completed Vichy iron-man in 12:32:58 his best iron-man time so far. Then just to top it all a client that had been trying to get a MRI scan with not much success asked me to send a letter to her GP to see if would help, I explained in the letter my finding with the “Bioneuro Assessment tool”, they have now agreed with letting her have the MRI

Then from a clients wife a message he is a Iron-man competitor and triathlete

she just wanted to say “Thanks for fixing her husband. He completed Vichy iron-man in 12:32:58 his best iron-man time so far.

Then just to top it all a client that had been trying to get a MRI scan with not much success asked me to send a letter to her GP to see if would help, I explained in the letter my finding with the “Bioneuro Assessment tool”, they have now agreed with letting her have the MRI

It is great to achieve goals, especially when it means that someone else also is,

recovering or finally getting the help that they need.

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