Welcome To Physiowise
Registered with the Health Professionals Council (HPC)
Registered with Health Insurance Companies
Skilled and Very Experienced Physiotherapist
Continuity of Care
Thousands of Satisfied Patients
A Wide Variety of Treatment
HANDS ON APPROACH
Being ‘hands on’ helps identify where causes of pain or restricted movement may arise from.
By feeling the musculature for tightness, weakness, taut bands or trigger points helps build a more comprehensive picture.
Investigating further by palpating bony structures such as joints helps assess laxity or more commonly, loss of ‘play’ in the joint as well as stiffness.
Through touch it may be relevant to assess swelling, heat, coolness or thickening in the affected area.
Many of the techniques of assessment are also used for treatment. Commonly used modalitiesare: -
. Soft tissuemassage or manipulation
. Myofascial release
. Joint mobilisation which are repeated, prudent gliding movements within tolerance.
. Neural tension techniques
The manual treatment is part of a treatment session as the big picture is often a combination of musculoskeletal issues.
ERGONOMIC ASSESSMENT & ADVICE FOR PC & PORTABLE DEVICE USERS
It’s easy to assume that because we’re just sitting or standing, whether it’s with a portable device or PC, that we’re immune from any potentially disabling or debilitating problems, such as headaches, neck& shoulder & back pain or exercise injuries.
Prolonged or repeated use, whether with a hand held device or sitting or a desk can & does compromise your musculoskeletal system & your general health & wellbeing.
LAPTOP & PC USERS:
Office workers are in a high-risk category for musculoskeletal disorder – especially when you’re self-employed.
A 1 – 1 interview preferably on site for desk users is invaluable. It gives the opportunity to demonstrate how an improved desk set up can be of benefit. Minor adjustments to a chair can improve comfort and therefore the efficiency of the user. It also allows the user to appreciate why adjustments need to be made and user compliance is therefore more likely. It is not always possible to assess on site but I can go through the key points to address. I also discuss office health education, explaining the importance of good sitting posture & movement for general health & well being.
PORTABLE DEVICES: such as smart phones, I-pads or tablets are in common usage. They are convenient there’s no doubt about that and can make life much easier. However, just as with PCs and laptops it is possible to have a detrimental affect your neck, shoulders and wrists.
SOME TIPS TO REDUCE PAIN OR DISCOMFORT WHEN USING PORTABLE DEVICES:
. Avoid spending long periods of time using your device
. Bring your device closer towards you enabling you to reduce the strain on your neck.
. Increase the size of text, making it easier to read, reducing eye strain and neck pain or discomfort.
. Regularly look away from your screen allowing your eyes to alter their focus and reduce eye strain.
. Check whether your device is too large for your hands, as having to balance the device makes it more difficult to use comfortably. Placing the device or an alternative surface can ease strain on the wrist and fingers. Consider purchasing / leasing a slightly smaller device.
. Stretch your neck, shoulders and wrists gently, regularly during the day.
I am a trained DSE assessor who also offers Office Health Education talks to groups within a corporate setting.
PERSONALISED TREATMENT PLAN
An increase in self-awareness, advice regarding self-help & long-term self-management are all addressed as part of the ongoing treatment plan. Also included may be addressing any ergonomic issues, which may relate to work or home.
The aim is to encourage you to be an active participant in the rehabilitation process.
What is Acupuncture?
Acupuncture is a branch of Traditional Chinese Medicine (TCM) & is now practised worldwide. It is a means of working with the body’s energy system, rebalancing where energy doesn’t flow freely. The insertion of needles into the appropriate acupuncture points encourage a healing response enabling the restoration of the body’s natural equilibrium. The needles stimulate the flow of Qi (the body’s vital energy), which circulates in meridians or channels throughout the body.
How does Acupuncture work?
Scientific research into pain has demonstrated that Acupuncture stimulates the body’s own pain & stress relieving chemicals known as endorphins & oxytocin. Serotonin is a chemical produced by the nerve cells affecting mood. When serotonin is stimulated by acupuncture it produces a sense of increased wellbeing. Often patients describe a better quality of sleep. This is due to the stimulation of melatonin.
When do I use acupuncture?
. If a patient is in too much pain to treat manually. Once symptoms start to settle, I will gradually introduce gentle exercise before manual treatment if appropriate.
. When a patient has not responded to conventional treatment.
. In combination with manual treatment.
Most commonly I use acupuncture for pain relief, for headaches, neck, back &shoulder pain, sciatica, arthritic hips, knees, ankles, hands & feet.
Most patient have a positive response – some dramatically so & others having a slow but steady improvement in their symptoms. If there is no improvement after 4 sessions I tend not to continue.
If you feel unsure about whether acupuncture can help, please feel free to contact me.
‘TENSION is who you think you are. RELAXATION is who you are.’ – Chinese proverb
An increasing number of physiotherapists are using Mindfulness as part of their treatment, especially with persistent pain & chronic illness. It is also used where a person simply wishes to address mild anxiety & promote a sense of wellbeing.
Many of us, particularly in this increasing technological age have become slaves to our computers & phones. We are also slaves to our work & even if we’re not working or have retired, life seems to move at an ever-increasing speed. More & more demands are placed on our time. Trying to keep up, multitasking, rushing & over analysing brings with it fear, pressure, anxiety, frustration & restlessness. The impact can be strained relationships at work &/or at home affecting our physical, emotional & mental health. Rarely, if at all, do we stop & do nothing & rest for even a short period without beating ourselves up for taking time out.
MFN is another word for noticing or observing, becoming more aware of our bodies, ourselves, & others by using meditative practices. The aim isn’t to achieve a blissful or exalted state (though this can happen) or to empty the mind (impossible). The aim is to become more attentive to ourselves, how we live our lives (without judgement) & recognize that we do have choices &there are changes we can make.
Neuroscience over the last 25 years or so has highlighted the interactivity between the areas of the brain which affect mood & reaction to stressful events. In turn, these translate into the physical body affecting heart rate, muscular tension plus adversely affecting the respiratory& immune systems.
Secular MFN practices are a form of taming the mind.
MFN is a simple concept but is difficult to appreciate the full meaning without practice. The medative practices help to settle our over stimulated minds & restless bodies. We learn to see thoughts & unpleasant feelings or sensations more objectively & not become drawn into them so easily. We come to recognise our fears – whether they are real, over the top or even imaginary. Understanding MFN is to experience it.
MFN has many practical applications:
- Benefits in the workplace:
- The ability to stay focussed.
- Positive relationships in teams.
- Ability to counteract stress.
- Enjoyment of work.
- Learning to listen to your body, hearing what it says to you
- Awareness of muscular tightness through MFN stretching
- Awareness of mental & emotional aspects of training & competing & how to change – recognising thought patterns.
- Awareness of posture whilst exercising or generally active
- Improved performance in competition by being more mentally & emotionally aware.
- Providing headspace
- Helps prioritise & focus
- Recognise past habitual patterns of behaviour
- Filtering out unhelpful mental distraction & thoughts.
- Recognising procrastination
- Distilling complex situations into manageable chunks.
- Recognising how we experience anxiety & other unwelcome feelings we wish to address
- Becoming more aware of triggers of anxiety & other unpleasant sensations
- Learning to respond rather than react
- Increasing ability to prioritise
- More positivity
- Slowing down yet increasing efficiency
- Helps improve our relationship with food
- Rather than impose external changes MFN helps bring about changes from within
- Slowing down to eat
- Learning how to really taste food.
- Becoming more appreciative of food.
- Recognising why we eat, & what we eat when we’re stressed
The Mindfulness course has a practical approach & is applied to the events of everyday life. It is approximately 12 hours over 6-8 weeks. To accompany the course is a resource hand book & CD. The groups are small with a maximum of 5 participants. I also run the course on a 1:1 basis.