FOOT PAIN BY NERVE COMPRESSION: HOW TO TACKLE TARSAL TUNNEL SYNDROME: THE EFFECTIVENESS OF SPORTS PHYSIOTHERAPY TREATMENT & PREVENTIONA SPORTS PHYSIOTHERAPY BASED APPROACH ON LOWER LIMBINJURY & REHABILITATION. Sports injuries occur whenyou practice a sport or perform some type of physical exercise under highintensity, extended durations of competition or extreme speeds of movement,such acute injuries or overuse injuries can stem into more complex lower limbconditions. The most common body parts which sustain acute injuries are thepelvis, groin, and legAthletes are usually morelikely to experience these types of injuries, most commonly are Abductorsstrains, Plantar Fasciitis, Shin Splints, AnteriorAnkle Impingement, Hamstrings, Rectus Abdominal Muscle strain, Hipdislocation amongst others. “Muscles strains injuries are the principal ones amid sportspractitioners, representing up to 31% of patients who attend seeking help,and the Adductor muscle injuries represented the second mostcommonly injury sustained by European football players reaching up to 23% soletting the top spot to Hamstrings injuries which reach up to 37%of prevalence, in other study the results found were that adductor strain/pain accounted9% to 18% of whole lower limb injuries in pro footballers” John Kiel;Kimberly Kaiser(2020). In which sportsare more likely to go through those kinds of injuries?Cross fit, Rugby, Soccer, Martial Arts, Running,Basketball and Hockey. Although itis common for lower limb injuries to be sustained in these sports, injury canoccur whether by practicing such activities or by doing regular day-to-daytasks during normal lifestyle, it’s completely usual to get injured withouthaving practiced sporting activities too.Gürhan Dönmez, Savaş Kudaş ET la (2016) stated outon their article about Posterior AnkleImpingement in professional footballers that “Conservativemanagement i.e Physical therapy modalities were greatly efficacious over 2/3 of this (PAI)syndrome among elite footballers, which means 69.2% (18 footballplayers of 26) of reduced complaints treated by non-surgical process whilstthe rest 8 individuals (five chronic cases and three acute cases) did notrecover completely and surgical management was performed, in as much asposterior ankle arthroscopy is a gold standard procedure when a conservativemanagement does not meet the expectations, every athlete put back to theirprior level of proficiency” In this Case Onward referrals to orthopaedicsurgeons or musculoskeletal joint specialist are essential inreducing the athletes return to sport.Lower limb pain within sports can be unbearable anddebilitating, you always wonder how the extent of damage caused by such blow /tackle it makes you hesitate to decide what to do next? MY sportsInjury | Manchester cityMY SPORTS INJURY | SportsPhysiotherapy clinic is an established clinic Located in ManchesterCity Centre, our Sports Injury Clinic offers highend Manual physical therapy, soft tissue massage, sports injuryrehabilitation and myofascial active release therapy.This blog manu encompasses all the follow-upsteps and insights you need as with regards to nerve compressioninjuries in this particular case the tarsal tunnel syndrome.When the patients show up at MY Sports Injury | Manchester, have teamof qualified sports injury professionals and experts in musculoskeletal disorders, efficientand capable sports physiotherapist & sports Therapist practitioners at your assistance to help get the pain away and impairments out to a manageable state in order to live a pain free unrestricted lifestyle and move around with ease.What's thestructure of the tarsal tunnel? –This looks to be very interesting, let meexplain to you briefly.The tarsal tunnel is a narrowspace located within the ankle next to the ankle bones. The tunnel isoverlaid by a thick ligament known as (flexor retinaculum) that protects andholds back the structures (nerves, arteries, tendons, and veins) inside thetunnel. One of those elements is the posterior tibial nerve, a primary focus to tarsal tunnel syndrome.To put itanother way, what’s a tarsal tunnel syndrome about? – What does it appear like?Tarsal tunnel syndrome is thecompression or the pinching of the posterior tibial nerve that producessymptoms anywhere to all the way down the nerve. The tibial nerve rear runsinside the ankle towards the foot. Tarsal tunnel syndrome issimilar to carpal tunnel syndrome presented on the wrist. Bothof these disorders arise from compression of a nerve in a limited space. Eventhough tunnel syndrome tarsal is not as well-known as the carpal tunnelsyndrome, it is still a cause of foot and ankle pain in adults or eliteathletes.“When the CarpalTunnel Syndrome is tackled and diagnosed ere it becomes an advancedstage, a conservative management as an approach procedurewould be prescribed and recommended becauseits effectiveness, at first moment, the patient has to be aware tostop wrist movements that caused symptoms pain, for example, to place thekeyboard height on a sustainable and reasonable elevation and dodge theflexion, abduction, adduction and extension of the damaged hand at typing. Therecommendation is to avoid unnecessary motion as much as possible, the use awrist night-splint can be suggested as well, these advices and recommendationsgot to be attached to a hand therapist specialist counselling,besides turn up to manual physical therapy sessions, in the otherhand in cases were the pain is not being eased a short string doses ofnon-steroidal anti-inflammatory drugs will be referred, last shot to getrid carpal tunnel syndrome off is surgical management whichit’s effective, too” Cited from Matthew Varacallo, Justin O. Sevy (2020).What are the signs and symptoms of TTS? – How torecognise them.Patientssuffering from the syndrome tarsal tunnel sustain one or more of the followingsymptoms: •Burning, • Tingling, a sensation alike an electric shock. •Numbness. • Pain,even stabbing pain.Symptoms aregenerally perceived inside the ankle and / or on the sole of the foot. In somepeople the symptoms can be isolated and appear only in one place. In others,they can extend to the heel, arch, toes, and even the calf. Sometimes thesymptoms of the syndrome come on suddenly. They are often caused or aggravatedby abusive use of the foot, such as standing, walking or exercising for a longtime, or starting a new exercise program.It is essentialto start treatment early on at your local Manchester sportsphysiotherapy clinic if it occurs any of the symptoms of tarsal tunnelsyndrome. If not treated, the condition progresses and can result in permanentnerve damage. Additionally, since the symptoms of (TTS) can be confounded withother conditions, an adequate evaluation is key to make a correct diagnosis.Accordingto D L Jackson and B L Haglund (1992) “(TTS in runners) diagnosis method needs tobe extremely accurate in order to stand out and evidence the difference fromother similar conditions symptoms presented such as Achilles Tendinitis and PlantarFasciitis, its treatment generally is a conservative management whichnormally is acutely successful and effective”What to know about the causes of TTS? – There’s alarge variety of causes, such as:TTS isproduced by anything that causes tightness of the posterior tibial nerve, forexamples:· An injury,such as a sprain, a tackle, a blow can cause inflammation and swelling in ornear the tunnel, resulting in compression of the nerve.·An overweightperson is prone to experience pressure on the posterior tibial nerve.·Systemicdiseases such as diabetes or arthritis can cause inflammation and thus compressthe nerve.MY sports Injury | Manchester city provides ahigh quality level of expertise and experience within professional sports,allowing the sports player / patient to get an accurate clinicaldiagnosis. MY Sports Injury & physiotherapy clinic allowsyou to assist your tarsal tunnel syndrome to finally have afull sports recovery, enabling the patient to recover efficiently and safely inaccordance to self-management protocols post tarsal tunnelsyndrome condition.Can TARSAL TUNNEL SYNDROME go away on its own?Compression of the tibial nerve canoccur when the ankle is fractured, due to rheumatoid arthritis, footdeformities or demanding physical exercise such as football, basketball,running, rugby and others. Same as Plantar fasciitis whichis the inflammation of the fibrous tissue (plantar fascia), which coversthe sole of the foot, from the heel to the toes. Prolonged standing, running,and excessive weight can damage the fascia. According to the (FHSQ) Foot HealthStatus Questionnaire a study was made about what is Plantar Fasciitis’effect on the lifestyle’s quality of female and male patients, presentedby Patricia Palomo-López, Ricardo Becerro-de-Bengoa-Vallejo ET la (2018) “Onehundred patients were recruited 49 males and 51 females with (PF) inflammation,the results of the female patients showed greater vulnerability and worsequality of life than the results shown by the male patients related to footfunction, foot pain, general foot health, physical activity, vigor and socialcapacity”.Rheumatic syndromes of thesoft tissues of the lower limbs (tarsal tunnel syndrome andplantar fasciitis) are very common in people who are rather healthy. Sometimesthey go away on their own over time. In most cases, the sportsphysiotherapy specialist practitioner can treat these types ofdisorders. Some athletes / patients will need to see a rheumatologist (a specialistin arthritis, rheumatic conditions, and related musculoskeletal conditions)for treatment.So What are itstreatment choices? – Treatment options for TTSWhen it’s assessed, diagnosed and tackled at anearly stage the treatment options for excellence indicated to this syndromeare rest, ice, compression, and elevation known by its acronym(RICE).Medicine without a preion such as (NSAID)non-steroidal anti-inflammatory drugs, ibuprofen and acetaminophen can beadministered to decrease the pain and the symptoms will be more handle-able. In some chronic pain severe cases, there are otherways to tackle the tarsal tunnel syndrome such as, corrective devices,physical therapy, sports physiotherapy in Manchester or sports massage clinics andin the worst cases must be an onward referral to an orthopaedic  surgeonfellow which will continue to perform a  non-conservative management. “Tarsal tunnel syndrome incidence is undefined.This is an often undiagnosed and rare affection with a higher rate ofprevalence amid female patients and could be sustained at any age. The non-conservativeprocess success ranking varies from 46% to 96% of the cases and it’sindicated when the non-operatively management such as physical therapy,sports massage. Corrective devices shown to be less effective, it was proven thatthe outcomes were better in younger individuals who underwent minor symptomsand had a clear etiology and in those when the condition was treated at anearly phase, and no prior ankle pathologies, so an early and accuratelydiagnosis is key” quoted from John Kiel; Kimberly Kaiser (2020).How long does TARSAL TUNNEL SYNDROME take to heal?– Shall be I back on the sports field /work soon? It’s a frequent question thatour patients have in their mind.Non-severe cases can be treated with (RICE) andwithout preion medicine, (OTC) also known as over-the-counter medicine.These minor cases of Tarsal Tunnel Syndrome can get betterwithin 48 hours meaningfully with the previous treatment options touched on. Meanwhile, if you do not seek assistance when thereare symptoms at a premature phase and let the time pass by then the nervedamage will be permanent. “108 ankles distributed 72 patients were assessed;the rate age was forty-nine years. The symptoms of the previous surgicalprocess had a 31 months recurrence.  Average time for return to an utterlyand painless level of capacity was 9 months, every individual had a twelvemonths follow up” Pointed out by G James Sammarco, Laurette Changon(2003) Outcome, Follow-up and Outlook of Tarsal Tunnel Syndromeapproached by surgical management.Tarsal Neuropathy and how is it caused? – Is thereany difference between TTS and Anterior Tarsal Tunnel Syndrome?Anterior Tarsal Tunnel Syndrome is anuncommon and seldom entrapment neuropathy dysfunction of deep peroneal nervesituated beneath the extensor retinaculum of the ankle. Also called as (DPN) deepperoneal nerve entrapment brought about by the tight fascia bandlocated in the anterior ankle. “Yassin and others notified that twelve out ofthirteen patients (92.31%) presented a greatly amelioration of DPN conditionafter carrying out the surgery” Michael D. Gibboney and Mark A. Deyer (2020).How do you fix TARSAL TUNNEL WITH SELF MANAGEMENTTIPS?As we mentioned it before the most common optionsto fix TTS are: RICE, OTC, Full immobilization as self-managementtips but when pain starts to worsen you should be able to look forother possible treatments such as Injection therapy, PhysicalTherapy, Corrective shoes and Orthopaedic devices, UltrasoundTherapy, Reducing Foot Pressure, Acupuncture sessions atphysical therapy centre, Taping or Bracing, Manual Therapy, sportsmassage / deep tissue massage.  Moreover, you can include someexercises to your self-management routine to enhance your TTS and relieve painsuch as ankle pumps, eversion or inversion circles, balance exercises, penciltoe lifts, plantar fascia strength, and many more which will be explained indetail by sports physiotherapy specialist / physicianpractitioner at the moment you attend to your medical consultationat sports physiotherapy clinic in Manchester City Centre.“Achilles tendinopathy (AT) hasa tremendous prognosis with an early initial driving, its management can bedivided into two options: conservative and non-conservative. One of thesechances must take into account depending of the pain scale whether acute orchronic, but when it’s whole torn there is not another way except for surgerymanagement, conservative therapy is indicated in first line of management andadd in the next recommendations: shortening of physical activity levels,preion of (NSAID), eccentric stretching exercises as acomplementary tool of physiotherapy can reach up to 40% ofpain reduction” Usker Naqvi and Miguel A. Medina Pabón (2020).How to identify nerve damage within the foot? –What are the tests to run in order to diagnose correctly TTS? A meticulous assessment will be performed by yourhealthcare team providers such as manual therapy givers, sport massagepractitioners, physical therapy clinicians and acupuncture practitioners atManchester city physical therapy centre. MY sports Injury which team can assist in a clinical diagnose without any doubt your condition and to assess the nervedamage inner your foot. diagnostic tests will run, those are; nerveconduction velocity (EMG/NCV), magnetic resonance imaging or MRI, X-ray andelectromyography which require an onward referral.REFERENCES·Calvo-LoboC, Painceira-Villar R, López-López D, García-Paz V, Becerro-de-Bengoa-VallejoR, Losa-Iglesias ME, Palomo-López P. Tarsal Tunnel Mechanosensitivity IsIncreased in Patients with Asthma: A Case-Control Study. J Clin Med. 2018 Dec12;7(12) ·     Stødle AH,Molund M, Nilsen F, Hellund JC, Hvaal K. Tibial Nerve Palsy After LateralizingCalcaneal Osteotomy. Foot Ankle Spec. 2019 Oct;12(5):426-431.·     ZuckermanSL, Kerr ZY, Pierpoint L, Kirby P, Than KD, Wilson TJ. An 11-year analysis ofperipheral nerve injuries in high school sports. Phys Sportsmed. 2019May;47(2):167-173. ·     Rinkel WD, Castro Cabezas M, vanNeck JW, Birnie E, Hovius SER, Coert JH. Validity of the Tinel Sign and Prevalence of Tibial Nerve Entrapment atthe Tarsal Tunnel in Both Diabetic and Nondiabetic Subjects: A Cross-SectionalStudy. Plast Reconstr Surg. 2018 Nov;142(5):1258-1266. ·     Hong CH,Lee YK, Won SH, Lee DW, Moon SI, Kim WJ. Tarsal tunnel syndrome caused by anuncommon ossicle of the talus: A case report. Medicine (Baltimore). 2018Jun;97(25):e11008. ·     KomagamineJ. Bilateral Tarsal Tunnel Syndrome. Am J Med. 2018 Jul;131(7):e319. ·     Schuh A,Handschu R, Eibl T, Janka M, Hönle W. [Tarsal tunnel syndrome]. MMW FortschrMed. 2018 Apr;160(6):58-59.·     MansfieldCJ, Bleacher J, Tadak P, Briggs MS. Differential examination, diagnosis andmanagement for tingling in toes: fellow's case problem. J Man Manip Ther. 2017Dec;25(5):294-299. ·     Tu P. HeelPain: Diagnosis and Management. Am Fam Physician. 2018 Jan 15;97(2):86-93.

MY SPORTS INJURY | Sports Physiotherapy clinic is an established clinic Located in Manchester City Centre, our Sports Injury Clinic offers high end Manual physical therapy, soft tissue massage, sports injury rehabilitation and myo-fascial active release therapy.   HOW MY SPORTS INJURY CAN IMPROVE PHYSIOTHERAPY BASED OUTCOMES - KNOW WHAT IT IS ABOUT   Sports physiotherapy can improve the performance of athletes through rehabilitation after suffering an injury or by strengthening muscles and joints that prevent possible reoccurrence of injury.   Athlete sports physiotherapy develops its activity in three different phases: MY Sports Injury & Physiotherapy provides the fundamental framework to excel athlete sports recovery & performance.·         Postural Correction approach to Rehabilitation of Soft Tissue Injuries: such as sprains, Joint mis-alignment, muscle tears, overloads, muscular imbalances etc.   ·         Rehabilitation Post operation: Through sports physiotherapy, a rehabilitation plan is designed based on the characteristics of the injury, the athlete and their particular needs.   ·         Injury prevention: The analysis of the athlete and their discipline allows us to detect possible improvements in their physical sports performance and enhance them through personalised exercises in accordance to their physiology and performance test indicators.   “The findings gathered from the studies made, have helped to guide variety of athletes and coaches concerning the benefits and advantages of sports physiotherapy , a study revealed that it was more specific to have sports massage and including this kind of therapy into competition and training” Holly Louisa Davis, Timothy James Ainsley Chico and Samer Alabed (2020) published: Effects of sports massage on recovery and performance sporting events. "In order to improve your sports injury you’ve got to build sustainable habits through gradual progression"   How does physical Manual therapy at My Sports Massages Injury Clinic in Manchester City Centre prevent future injuries?   Many injuries are caused by involuntary habits or gestures that damage our body biomechanics and we have not even noticed it.   ..But, Can we injure ourselves just by doing sports practice?   Sports activities, due to their physical demands, are one of the factors that most influence when suffering an injury; but in our day-to-day life, it is true that there are many occasions when it is easy to damage our body.   For a few years we can already say that a computer, a laptop or a smartphone are elements that are not lacking in many jobs, and that they are found in practically every home.   Some out of obligation, and others for fun, the truth is that we end up spending hours in front of these devices, and this can take its toll on our body. Some of the Most Common non-sporting injuries are: Back and neck injuries.Carpal tunnel syndrome. Repetitive Strain Injuries from the Mouse / keyboard / LaptopSports physiotherapy can find the factors that can lead us to suffer certain injuries and correct them to ensure good physical condition and improve sports performance.   Is physical Manual therapy job only to improve your contractures and overloads?   Sports physiotherapy is responsible for analysing what are the specific needs of each athlete and individual within their discipline to optimize their physical condition and prevent injuries or minor discomfort that may affect their performance. In this sense, physical manual therapy does much more than relieve contractures and overloads. Your sports physiotherapist or / Sports Injury Therapist in Manchester City Sports Massage Centre can help you correct postures, optimize movements and strengthen the muscle areas that the athlete needs to perform as well as possible.“Hamstring injuries often impact elite sports practitioners such as professional footballers and have high-rise reappearances rate. Through a thorough workup and comprehending its risk factors and how the injury works, physicians and physiotherapist specialists in the case would be able to make the decision how manage it with the most adequate and customised treatment approach. Appropriate rehab must tackle muscular strength, neuromuscular control, physical manual therapy, flexibility, sports physiotherapy, eccentric strengthening, lumbopelvic stability and neuromuscular control. These procedures have displayed to be essential therapeutic target to get back an athlete’s successful return, with a significant low risk of reappearance” stated by Gabriel Amorim Ramos, Moises Cohen, Diego Acosta Astur, Alberto de Castro Pochini, Gustavo Goncalves Arliani and Benno Ejnisman (2017).What do you need to do to prevent injuries?   There are rehabilitation and re-education treatments so that the athlete understands how his body works and how it needs to work so that his performance is optimal. This involves muscle power exercises, stretching, movements, and postures. Each element has its influence on the final result.   According to Bruno T. Saragiotto, Alexandre D. Lopes and Carla Di Pierro (2014)“ The principal factors notified by the athletes tied in to how often they injure were improper sport technique, improper nutrition, overtraining and aspects related to athletes’ behaviour. The principal strategies about injury prevention insights informed by the participants were, pre and post sporting event sports physiotherapy assessment, strengthening exercises, nutritional and orientation session counselling”   What are the most common causes of injuries in sports?   The most common causes of sports injuries are: lack of rest, not doing a good warm-up, bad posture for sports, overexertion and the use of inappropriate material such as footwear, clothing or protectors, for these reasons it is indispensable to attend to your physio sports injury or sports injury specialist so you can obtain correct guidance and recovery.HOW SPORTS MASSAGE CAN COMPLIMENT SPORTS PHYSIOTHERAPY TREATMENT   Sports massage is one more tool used by Sports physiotherapists to complement the treatment of certain pathologies.The use of Sports massage can be very useful to recover, rehabilitate or even prevent and combined with other techniques it will be the perfect ally for the elite athlete and the amateur.   This type of massage has purposes such as preparing and recovering the muscles, through this massage it is possible to increase sports performance considerably.   What are the main objectives?   To prevent possible future injuries by improving physical condition. To maintain proper body function. To treat muscle-type alterations and pathologies.   THE 5 KEY BENEFITS OF SPORT PHYSIOTHERAPY FOR ELITE ATHLETES   Whatever sport you play, a physical therapist will help to improve the toughness and robustness of your body.   Prevents injuries; at MY SPORTS INJURY CLINIC we offer personalised services according to the sport you practice. At first, the sports physiotherapy expert will study your strength, flexibility and joint flexion. We will use this information to design a routine that will help improve all your physical aspects. Sessions help reduce your chances of experiencing stress, tension, torn ligaments, and cramps.Improve the physical strength of the athlete; athletes use their physical strength while working. Sometimes they must tolerate punches like boxing, basketball, rugby and football. These activities tighten your muscles. Your bones, joints, muscles and ligaments will be strengthened, which will allow them to withstand the high physical stress that sport requires.   Helps the body relax; after a long day on the field or in training, athletes have to find their time to relax. Sport Physiotherapy helps you regain the energy in your body and thus perform efficiently the next day.   Sports injury treatment and rehabilitation; regardless of the amount of care and caution you may take when playing your sport, some accidents can happen. If you have suffered an injury or blow, we will evaluate your case and carry out a specific treatment for your injury or ailment. The recovery time for injuries as common as a sprain or dislocation is drastically reduced if they are treated with physical therapy for at least 30 minutes. Improves joint and muscle flexibility; athletes require a flexible and agile body to practice their sport. For example, swimming, football and tennis require a good flexibility of the bodies. Thanks to the physiotherapeutic treatment, we will gain flexibility and you will be guaranteed optimal performance to continue practicing your sport.   A very common injury sustained by young athletes and pro-football players is Chondromalacia patellae, in preparation to reach and facilitate a full recovery, what’s necessary.What’s the most effective treatment approach to address Chondromalacia patellar in athletes according to trials outcomes, Conservative vs non-conservative?   “An in-depth study and a controlled trial have been carrying through to determine the effective of chondromalacia patella injury conservative management over one-hundred successive athletes. 82% of athletes reached a success outcome and 18% of them needed a surgical management. It should be noted that eight of one-hundred athletes called for non-conservative treatment. The conclusion was that a non-surgical management like sports physiotherapy, physical manual therapy is highly effective in the majority of the cases” Indicated by P J Mayer, W A Dolan and K E Dehaven (1979).   " Every sport is different, so treatment and rehabilitation are different too! "     PHYSIOTHERAPY OR SPORTS THERAPY: WHAT'S THE KEY DIFFERENCE AND WHEN DO I NEED TO SEE ONE? WHAT IS BEST FOR YOU?   The key difference is that sports therapy focuses on if the athlete has gotten back or maintained the necessary physical level required for any sporting practice they perform. While, on the other hand physiotherapy tries to permit that patients feel and live pain free through their day to day lifestyle.   Their concepts are often mistaken because they usually overlap on their treatment practices and approaches based on their medical knowledge and sports backgrounds. Which one to attend?   If you are having some diseases, illnesses and respiratory or neurological problems, you better be willing to be assisted by a sports physiotherapy practitioner. Meanwhile, sports therapy practitioners can treat physical impairements related to musculoskeletal rehab and seek for preventing future injuries. Elite athletes usually look to sports therapy to prepare their body before every competition to enhance overall sports performance pre-competition or match. HOW PHYSICAL MANUAL THERAPY CAN IMPROVE SPORTS RELATED INJURIES   Manual therapy known as a “hands-on” approach used by physical therapy clinicians, has been employed to improve sports injuries in a greatly and satisfying way due to its managements by which may be utilised in several conditions, including sports related injuries because manual therapy purposes try to bring about the next effects: Modulate pain. Change muscle function. Reduce soft tissue swelling. Induce relaxation; and many others.   What are the manual therapy techniques used to get better sports related injuries?   Stretches (joints, muscle, neural tissue, fascia) Trigger Point Therapy. Active releases techniques.   Massages. Peripheral Joint Traction. Assisted active and passive range of motion. Joint mobilisation and manipulation.   MY SPORTS INJURY | Sports Physiotherapy clinic is easily accessible for the array of business people working in the city centre and also offers corporate partners direct Sports therapy treatment into businesses and premises in and around Manchester. The reputation of our clinicians is such that they often treat calling on bands/ teams/ casts and production crews for the harmonic mix of entertainment & sporting venues in the city.        REFERENCES·      Malliaropoulos N., Isinkaye T., Tsitas K., Maffulli N. Reinjury after acute posterior thigh muscle injuries in elite track and field athletes. Am J Sports Med. 2011;39(2):304–310. ·      Ekstrand J., Hägglund M., Waldén M. Epidemiology of muscle injuries in professional football (soccer) Am J Sports Med. 2011;39(6):1226–1232. ·      Sherry M.A., Best T.M. A comparison of 2 rehabilitation programs in the treatment of acute hamstring strains. J Orthop Sports Phys Ther. 2004;34(3):116–125. ·      Meeuwisse WH, Tyreman H, Hagel B, Emery C. A dynamic model of etiology in sport injury: the recursive nature of risk and causation. Clin J Sport Med. 2007;17(3):215–219. ·      Van Tiggelen D, Wickes S, Stevens V, Roosen P, Witvrouw E. Effective prevention of sports injuries: a model integrating efficacy, efficiency, compliance and risk-taking behaviour. Br J Sports Med. 2008;42(8):648–652. ·      Silva AA, Bittencourt NF, Mendonça LM, Tirado MG, Sampaio RF, Fonseca ST. Analysis of the profile, areas of action and abilities of Brazilian Sports Physical Therapists working with soccer and volleyball. Rev Bras Fisioter. 2011;15(3):219–226. ·      Alonso JM, Junge A, Renstrom P, Engebretsen L, Mountjoy M, Dvorak J. Sports injuries surveillance during the 2007 IAAF World Athletics Championships. Clin J Sport Med. 2009;19(1):26–32. ·      Hughston JC: Subluxation of the patella. J Bone Joint Surg 50A: 1003-1026, 1968.·      Crosby E., Insall J.: Recurrent dislocation of the patella. Relation of treatment to osteoarthritis. J Bone Joint Surg 58A: 9-13, 1976.·      Dimon JH III: Apprehension test for subluxation of the patella. Clin Orthop 103: 39, 1974.

Neck Pain and symptoms associated with Cervical Radiculopathy Ask Yourself Why do we you get neck pain? A sports physiotherapy based management of Injury. Neck pain can be related with so many differential causes but in this informative article you will learn what is neck pain and how its associated by cervical radiculopathy. At MY Sports Injury Clinic in Manchester our clinical team of Sports Physiotherapy experts, provide you great knowledge and insight into this condition and how Sports Physiotherapy can improve acute neck trauma and pain management. What science says about Cervical Radiculopathy? What Exactly is it? Radiculopathy is linked up to symptoms that you are likely to bear when there is a spinal nerve root compression. The Nerve roots becomes irritated and inflamed resulting in neurological dysfunction for example the sensation of numbness, tingling, weakness or change in motor reflexes; this can radiate from the neck into the shoulders or forearm as far as the fingertips!  Let’s Dive a little a bit further into cervical radiculopathy The Are two common types of Cervical Radiculopathy which include: 1.    Cervical foraminal stenosis.   This is where the nerve root canal exits the vertebral spine and becomes narrower reducing the space between the vertebrae joint and nerve exit which irritates and inflames the joint. This can lead to cervical disc degeneration or osteoarthritis. 2.    Cervical herniated disc.    Cervical discs can also leak out fluid like substance which can further irritate and inflame Neighbouring nerves resulting in cervical radiculopathy. Disc herniations in the neck most commonly occur from a direct Injury i.e road traffic incidents, high intensity rugby tackles, boxing punch to the neck / head leading to cervical radiculopathy of pain down the forearm.Nerve compression is tied in to degenerative changes in the spine also known as Spondylosis or disc herniation may take place after a trauma or without a previous one. Our Sports Injury specialists will let you know one thing very clear and it is that not every disc herniation can yield pain or nerve compression.     Nerves in your neck give strength and sensation to your arms. On the other hand, nerves in your lower back give strength and sensation to your legs. Remember these takeaways.Indeed, some people have neck pain that can radiate to the shoulder and arm. This kind of pain is often generated by an injury near the root of a nerve in the spinal cord (spinal nerve). An injury to the nerve root is sometimes called a "pinched" nerve. How can we know that our neck pain is related to Cervical Radiculopathy?  What are the symptoms?In general radiculopathy is described as a condition in which the nerve is compressed as we mentioned it before. However the symptoms caused by this condition can be overlooked and be confounded with another neck aches and conditions, for this reason it is appropriately necessary to attend to a private healthcare Sports Injury Clinic. MY Sports Injury Clinic | Manchester provides free phone consultations to complex Injuries and can be treated by our team of professional health practitioners. Sports Physiotherapy treatment and intervention can help tackle this to firstly understand what are the symptoms and causes of cervical radiculopathy precisely, or further explore Neck Pain Acupuncture to obtain pain relief and self management aftercare.Acupuncture's Effectiveness for Cervical Radiculopathy?“Great outcomes were viewed over 90% of the cases; the prognosis is quite good on applying acupuncture treatment as a conservative management to relieve upper limbs and neck pain caused by Cervical Spondylotic Radiculopathy (CSR)” Motohiro Inoue, Hiroshi Kitakoji, Megumi Itoi and Miwa Nakajima (2013).What are the Cervical Radiculopathy symptoms and causes ins and outs? Tingling or numbness displaying leg/foot or arm/hand sensory changes.Bowel and bladder changes displaying incontinence and missing control of bowel and bladder function caused by the nerve compressed itself or for other anatomy structure.Pain that radiates down the arm, sometimes back to the scapula and definitely the neck area.Individuals who happen to have such symptoms, treatments such as sports massage, deep tissue treatments, physical manual therapy can be beneficial in reducing these on-going symptoms. Is it possible to have both sides (bilateral) pain over my neck? Yes, it is possible. In the setting, you may have bilateral pain but it is seldom when you are in bilateral neck pain. Overall, it is unilateral. It can aggravate sitting for long periods of time, sneezing or coughing. Do not wait anymore to take control over your condition and make the right choices which will impact your lifestyle. Attend Sports Injury Specialist Clinic in Manchester, what are you waiting for?How Sports massage can benefit your Recovery? Is it really effective? Warren Magnus; Omar Viswanath; Fassil B. Mesfin pointed out that “You can accomplish extraordinary results treating your Cervical Radiculopathy condition by non-surgical process such as sport massages in Manchester; studies have shown that closely to 85% of acute C.R patients can be addressed with unspecific and non-surgical process during a period of time nearby of 8-12weeks. In order to set a stepwise sports massage approach to acute cervical radiculopathy it is imperative to take into account anti-inflammatory drugs, Sports physical therapy and complementing sports massages treatments amongst further certisone steroid injections for more comples cases of injury” (2020) per source.What types of sports massage services are offered at MY Sports Injury Clinic Manchester? Here are some of your options: Deep tissue massage therapy or also called sports massage. Sports massage in Manchester city centre focuses deep tissue techniques to prime the soft tissues in their recovery process. This enhances the physiological state of the muscles tissues and help to prevent future injuries or symptom regressions.What are the physiological effects of sports massage on the human body? Creates favorable conditions for optimal recovery of sports injuries. Relaxes and removes tension from the muscular system. Sports massage favors the increase in the level of preparation, increases the development of physical qualities.  Recovers and increases the general and special work capacity for each part of the body and the entire organism. ·      Eliminate pain sensations caused by sports injuries. Prepare the athlete as well as possible for competition. Increases work capacity due to increased exchange in muscle. Calms discomfort and improves joint mobility. Muscle relaxation, all these physiological effects of sports massage are due to the implementation of based management sports injuries.Do you know the difference between sports massage and swedish massage? While Swedish massage focuses on improving lymphatic blood circulation and relaxing superficial muscles; deep tissue massage focuses on connective tissue, and the goal is to produce changes in freedom of movement and posture, that is the main difference. Do you prefer surgical treatment plus physiotherapy or only physical therapy to treat your cervical radiculopathy? Which is more effective?“A random study was made in a period of time from 5 to 8 years; results of surgical treatment against conservative treatment in patients sustaining cervical radiculopathy were that the anterior cervical decompression and fusion surgery compounded with sports massage and physical therapy reduced and improved neck disability and pain comparing to physical therapy and just sports massages the first one procedure showed effectively outcomes. Patient self-assessment about treatment results was higher in the surgery group, too. There were not significant discrepancies between both groups of patients regarding to health outcomes and aches related” (2017) study published by Bengt Lind, Markus Engquist, Ludek Vavruch, Håkan Löfgren, Anne Söderlund, Birgitta Öberg, Anneli Peolsson,  Anders Holtz. How can sports or deep tissue massage help with post recovery? A post recovery deep tissue massage or sports massage right after sports competition or training is designed to: ·      Help you recover from physical effort. ·      Eliminate lactic acid build-up. ·      Reduce pain after exercise. ·      Restore range of motion and blood flow to tight muscles. ·      It can also give the athlete a great psychological boost. ·      A post-event massage is administered on site during the end of the event for approximately 10-15 minutes.Why should you take sports massages sessions? Whether you are a professional athlete or an amateur athlete and you are looking to improve your physical condition, as well as improve your athletic performance, the ideal would be to include a deep tissue sports massage as part of your weekly training plan as a preventive measure against injuries and for rehabilitation and sports recovery.What is the frequency of sports massage treatment? How long should sports massages last? This type of massage lasts approximately one hour and a quarter when it comes to maintenance sports massage that has the purpose of maintaining or improving movement and muscle flexibility, the preparatory one lasts 30 minutes, which seeks to improve performance during the sporting event, and the recovery one that lasts approximately one hour, its primary function is to reduce muscle spasms and the metabolic increase that occurs with rigorous exercise, helping the athlete to recover to be able to return to training as soon as possible or to compete.How many days should you wait between every sports massages session at sports injury clinic Manchester?In the case of sports massages, it is highly recommended to do one massage at least every week, fore more active individuals who compete may require twice per week for pre-or-post recovery. The stress on the body during the training can be very strong. In addition, it is very beneficial because it relieves all muscle tension, prevents possible injuries, eliminates adhesions, helps in the recovery phase and increases physical performance.  REFERENCES ·     ·  Peolsson A, Peterson G, Hermansen A, Ludvigsson ML, Dedering Å, Löfgren H. Physiotherapy after anterior cervical spine surgery for cervical disc disease: study protocol of a prospective randomised study to compare internet-based neck-specific exercise with prescribed physical activity. BMJ Open. 2019 Feb 19;9(2):e027387.·      Hassan KZ, Sherman Al. StatPearls [Internet]. StatPearls Publishing; Treasure Island (FL): Jul 20, 2020. Epidural Steroids.·      Doughty CT, Bowley MP. Entrapment Neuropathies of the Upper Extremity. Med Clin North Am. 2019 Mar;103(2):357-370.·      Carlesso LC, Macdermid JC, Gross AR, Walton DM, Santaguida PL. Treatment preferences amongst physical therapists and chiropractors for the management of neck pain: results of an international survey. Chiropr Man Therap. 2014 Mar 24;22(1):11.·      Zhu LG, Wei X, Wang SQ. Does cervical spine manipulation reduce pain in people with degenerative cervical radiculopathy? A systematic review of the evidence, and a meta-analysis. Clin Rehabilit 2016;30:145–55.·      Cui XJ, Yao M, Ye XL, et al. Shi-style cervical manipulations for cervical radiculopathy: a multicenter randomized-controlled clinical trial. Medicine 2017;96:72–6.·      Fong Seong K. Clinical study on non-operative composite therapy for cervical spondylotic radiculopathy. J Nanjing Univ Chin Med 2013.

PHYSIOTHERAPEUTIC APPROACH TO LOW BACK AND LEG PAIN ORIGINATED BY SACROILIAC JOINT DYSFUNCTION (HIP PAINS) Whether you are undergoing and going through low back and lower limbs pain, this article is made up for you. There could be many causes of leg and low back ailment but in here you are about to read Sacroiliac joint dysfunction looking at the relationships and physiological function, the so called Sacroiliac joint pain, and how it can be assessed, diagnosed, and treated by your Sports physiotherapist at “MY sports Injury Clinic” based in Manchester City, sports massages centre.  At first instance, you must know. What is a Sacroiliac joint and how it works? The sacroiliac joints are located between the sacrum and iliac crest or the pelvis; both of them together perform as shock absorbers settled as a fundamental function, it is usually described as a slightly motion joint, strengthen by powerful ligaments and muscles like the piriformis muscle and the gluteus maximus which provide support and help to have a suitable function of the joint, and it is a true diarthrodial joint.You must be asking yourself, what is a diarthrodial (synovial) joint, right? They are connections between skeletal components in which the elements implicated are separated by a narrow joint cavity. Both ends of bone are covered with thin layers of cartilage & joint synovial capsules which secrete fluid to lubricate the joints. Keeping these concepts in mind, let's follow the order of ideas. When there is pain in these joints, it is due to hyper-mobility, which means there is excess movement in the joints, or hypo-mobility, which means there is limited movement in the joints; we can say there are two main sources of the low back and leg pain originated by sacroiliac joint dysfunction. Such as: Ø  Instability or Hyper-mobility. Ø  Fixation or Hypo-mobility. Now that you know a little bit about anatomy, function and sources of the pain having a thorough assessment and examination at your local Physio / Sports Injury Therapy Centre; physical testing of this issue can be provided through sports physiotherapy sessions following the recommendations and “to do list” “ Rehabilitation Programs “given by certified physio Musculo-skeletal practitioners and Strength & Conditioning experts in Manchester. (SI Joint) is a term used to describe the place where the sacrum and the iliac bones meet and Sacroiliitis is the inflammation of one or both sacroiliac joints, This Results in Hip Pains. it is very important to be clear with these terms. How does inflammation of the joints affect our body? Sacroiliitis can yield pain in the buttocks or lower back, which can spread to one or both legs. Climbing stairs or standing for a long while can worsen the pain. Sacroiliitis can be tough to diagnose because it can be mistaken for other reasons of lower back pain. It has been linked to a group of diseases that cause inflammatory arthritis in the spine. Treatment may imply medications and physical Manual therapy or specific Joint Mobilisations. Moreover, it is not just the inflammation of the joints (SACROILIITIS) which can be mistaken with other diseases, sacroiliac joint dysfunction (SI JOINT DYSFUNCTION) as well; remember there are two main sources of (SI JOINT DYSFUNCTION).Moreover, it is not just the inflammation of the joints (SACROILIITIS) which can be mistaken with other diseases, sacroiliac joint dysfunction (SI JOINT DYSFUNCTION) as well; remember there are two main sources of (SI JOINT DYSFUNCTION). Let’s get inside the sources of sacroiliac joint dysfunction, which are they? Ø  Hyper-mobility in the sacroiliac joint can yield unsteady pelvis sensation which generates pain, whenever there is pain due to a lot of movement it is overall experimented as a low back pain or hip pain. Also felt over the groin area.   Ø  Hypo-mobility in the sacroiliac joint can yield strong pain, muscle tension and most of the time impedes mobility, whenever there is pain due to little movement it is generally experienced over buttocks and just one side of the low back. Also felt down the back of the leg too alike to sciatic pain, this one of the reasons why so many times it is kind of difficult to diagnose the source of the pain. “There are many similar pains related to lower back and leg pain and it is essential an accurate diagnosis of your Injury by a Physical Therapy practitioner that will assist you with a diagnostic physio-    therapeutic approach.” Do you happen to know, which are the symptoms of sacroiliac joint dysfunction? Do you happen to know, which are the symptoms of sacroiliac joint dysfunction? According to Steven Yeomans’ release (2018) “The most common symptoms include: Ø  Lower back pain can be rank up from mild to acute, felt on one side or both sides. Ø  Pain that spreads to several zones like the groin, buttocks and the hips. The buttocks, upper back and side of the thigh are highly known as recurring areas of sacroiliac joint pain. Felt it either one side or both sides. Ø  Worsened pain; jogging or running, lying or putting excessive weight on one side and climbing stairs can worsen the pain by adding great effort and pressure on the sacroiliac joint. Ø  Sciatic-like pain in the backs of the thigh and buttocks also can include numbness and tingling.  Ø  Instability; in the pelvis or lower back makes it feel like it's going to fade and can cause discomfort in simple movements like standing and walking. Ø  Stiffness; this means that there is a limited ability to specifically move the lower back, groin, hips, and pelvis. This makes it difficult to perform ordinary actions like bending over and climbing stairs.”There are several risk factors and causes that can increase the chances of sacroiliac joint pain.  The following are examples of these risk factors: Ø  Aging the older a person is, the more likely they are to develop sacroiliac joint pain due to the degeneration that comes with aging. Over time, ligaments and muscles will deteriorate, and movement can easily cause joint swelling and pain. Ø  Obesity is simply unhealthy for the body, and even for the sacroiliac joints. The sacroiliac joints are joints that support the weight of the upper body. Weight gain can result in increased pressure on the joints, which can eventually cause inflammation and degeneration. Ø  High impact sports athletes who participate in contact sports are more likely to develop sacroiliac joint pain due to trauma. If you are a high impact sports athlete keep reading this, it gets more interesting. The following are examples of causes: Ø  Pregnancy, it is a common cause due to weight gain, hormonal changes, and pelvic changes. After pregnancy, ligaments sometimes remain loose and can cause pain in the sacroiliac joint.Ø  Injury, the injury that causes torn ligaments can cause pain in the sacroiliac joint. It can be a one-hit spinal trauma, such as high-impact sports, in which an athlete falls on their buttocks or due to repetitive stress on the joints from labor-intensive jobs, such as sitting for a long time. Ø  Previous lumbar surgery, sacroiliac joint pains have been shown to be more likely after lumbar spinal fusion surgeries due to limited movement in the lumbar spine and therefore increased movement in the joints. Ø  Aging as a person gets old, the joints deteriorate. In fact, in a 30- or 40-year-old person, joint changes occur such as the formation of cracks and clumping of cells in the ligaments. Eventually, later in the years, there will be erosions. These changes can yield limited movement in the joints, which can produce pain in the lower back and lower limbs. Ø  Overweight; obesity can put more pressure on the joints because the sacroiliac joints are responsible for supporting all the weight of the upper body. The increased pressure can cause inflammation and degeneration. This will also cause limited movement in the joints due to degeneration.In order to get an accurate diagnosis there are multiple tests that must be taken into account. What are they? As we already know (SI joint pain) acts pretty similar to other conditions, such as lumbar herniated disc (leg pain) along with others. During the physical exam, your physio may try to identify the cause of the pain by pressing on different parts of the hips and buttocks. You could move your legs in different positions to put light pressure on the sacroiliac joints. Also a thorough physical examination includes questions that will be made by your physiotherapist in Manchester like: ·      How is your diet based on? How are your sports/physical habits?      Do you sleep tight at night?       Have you been through any recent surgeries? The necessary physiotherapy maneuvers to diagnose (SI joint pain) are: Got to look back on that every individual is neither the same nor has the same symptoms or pain level (could be mild or acute), some of the procedures used by your physio to find the source of the pain are: ·      Sacral thrust test. ·      Distraction test. ·      FABER test. ·      Palpation test. Gold standard process to diagnose sacroiliac joint dysfunction is a sacroiliac joint injection.What is a sacroiliac joint injection? Named sacroiliac joint block as well, overall it is an injection of lidocaine that goes directly into the joint; if the pain fades away we will be talking about a sacroiliac joint dysfunction confirmed as diagnosis. Although the diagnosis may be accompanied with imaging tests like MRI, CT scans and X-ray to rule out other causes of the pain.   Backgrounds encountered of sacroiliac joint dysfunction in cases reported by Shuji Hamauchi and others (2010) “Three patients, 38 years old and 24 years old men and 32 years female were diagnosed with (SJD) by using sacroiliac joint injection, MRI scans and one finger test. All of them were presenting slightly degenerated lumbar lesions in their MRI scans. They were having leg pain and two of them were showing tenderness over the groin area specifically the iliac muscle right after the application of the injection, it was an improvement symptom. The men got back to work and have not recurred pain, on the other hand the female patient has been recurring pain every 2-3 months requesting regular sacroiliac joint injections to relieve the pain, it is important to know that she has a daily lifestyle as a housewife. Around 10% of low back pain is the prevalence of (SIJ) dysfunction.”Options treatments “best scenarios”, what are the effectiveness of these therapies? You have to know that most of the sacroiliac joint pain cases are effectively treated without using unnecessary surgical procedures and the primary goal is to relieve pain and get back normal function of the joint.  When you are being treated of (SIJD) you may experience many procedures at therapy sessions like a trial to try to find the best treatment options for your condition because there is not just a single way to manage it. Which are the most effectiveness non-surgical treatments to tackle sacroiliac joint pain? Established treatments to approach it are:  ·      Short rest period. ·      Applying heat or ice. ·      Pain medication. ·      Manual medication. You can view on this blog info about it (add link). ·      Braces or supports. ·      Sacroiliac joint injections.What Modalities are indicated to treat (SIJ) dysfunction/pain by Physical therapy approach? Every patient is different so the physical therapy has to be customized to their pain, the assignments are: ·      Stretching, to reduce muscle tension on the affected areas. ·      Stretching exercises, to get a better support of the sacroiliac joint and low back.  ·      Aerobic exercise, includes water aerobics, stationary cycling and running on an elliptical. “Surgical and nonsurgical treatments to manage the pain sacroiliac joint dysfunction incorporate osteopathic manipulation, physical therapy, nonsteroidal anti-inflammatory drugs, corti costeroid injections and surgery in the worst scenarios. Individuals may respond to a combination of them or just one is good enough to relieve pain” aforementioned from Phys Sportsmed (2008) authors Robert E Poley, James R Borchers.         References ·       Cohen SP, Chen Y, Neufeld NJ. Sacroiliac joint pain: a comprehensive review of epidemiology, diagnosis and treatment. Expert Rev Neurother. 2013 Jan; 13(1):99-116. McGrath C. Clinical considerations of sacroiliac joint anatomy: a review of function, motion and pain. Journal Osteopathic Medicine 2004; 7(1):16-24.   ·      Guan F, Sun Y, Zhu L, et al. Risk Factors of Postoperative Sacroiliac Joint Pain for Posterior Lumbar Surgery: ≥2-Year Follow-up Retrospective Study. World Neurosurg. 2017.  Bise CG, Piva SR, Erhard R. Manual Therapy. In: Orthopaedic Physical Therapy Secrets. Elsevier; 2017:85-94. doi:10.1016/b978-0-323-28683-1.00012-6.Frontera WR. Sacroiliac joint dysfunction: Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation.  Navallas M, et al. Sacroiliitis associated with axial spondyloarthritis: New concepts and latest trends.Ledonio CG, Polly DW, Swiontkowski MF, Cummings JT. Comparative effectiveness of open versus minimally invasive sacroiliac joint fusion. Med Devices (Auckl). 2014;7:187 93.   Kube RA, Muir JM. Sacroiliac Joint Fusion: One Year Clinical and Radiographic. Results Following Minimally Invasive Sacroiliac Joint Fusion Surgery. Open Orthop J. 2016;10:679-689.    

Manual Physical therapy has been a widely used Treatment Method to treat patients with back and neck problems such as disc pathology, hypomobility, muscle spasms arthritic post-surgical pain’s Individuals looking to turn up a physical manual therapy consultation may experience a series of physical assessments or joint examinations leading to soft tissue or joint mobilizations  in order to relieve muscles ailments. These are usually carried out by certified sports physiotherapists; in numerous instances there is something that sports therapists totally agree alongside treatment; thus, exercise is wholly and deeply necessary to bring back natural function movement of the muscles and live a pain free, unrestricted day - to - day lifestyle.   Nevertheless, Sports Injury therapists working alongside Physiotherapists currently tackle the restoration of proper function from many different points of view. Thus, their concerns would be why muscles are working improperly and take a look back on exercises not as a way to do it but as Manual therapy's complement, physical therapy goes beyond just stretching and working out.   Manual physical therapy is a specialised way to perform neither device nor machine physical therapy. This means just manual hand-work. The Manual therapy consists that the practitioners make only use of their upper limbs like hands to put on pressure over muscle tissue and handle joints to give it a try to reduce back pain induced by joint dysfunction, muscle tension and muscle spasm. Manual Physical therapy is not a gold standard benchmark procedure for back pain Meanwhile any and every physiotherapist might have the opportunity to draw on manual therapy in their praxis most of them do not expend the suitable time to do the research to become a hard-core in this area. It is highly known that physical manual therapy technique is not as familiar as other techniques among patients, and it's not pretty much considered by doctors, that's the reason it is not mainly prescribed. Moreover, a lot of conditions treated by physios making use of Manual physical therapy may not be reimbursed because it is not diagnosed running tests or imaging studies it is most likely to be diagnosed by treatment and motion testing. Effectiveness of manual physical therapy in UK research   Likewise, manual therapy procedures and techniques carry through to assist patients soreness performed by healthcare people such as physiotherapists for treating some illnesses like chronic, subacute and acute low back pain in grown up which are treated by making use of spinal manipulation, acute and subacute neck pain is indicated to tackle by thoracic spinal manipulation, when exercise is compounded with cervical spinal manipulation turns out highly effective at treating  chronic neck pain and acute whiplash associated disorders.   Outcomes of the effectiveness application of manual physical therapy have made evident that massages according to the techniques by professional physios can really ease chronic back pain and chronic neck pain. On the other hand, the evidence established that results were not as effective as expected for myosfacial pain syndrome, fibromyalgia and knee osteoarthritis. Research made and published by Gert Bronfort, Mitch Haas, Roni Evans, Brent Leininger and Jay Triano (2010). The benefits of making use of Manual physical therapy Manual physical therapy is known as a manual handwork used to approach the treatments of dysfunction and musculoskeletal pain in afflictions such as joint stiffness, bad posture, soft tissue and muscles pain in order to reach the mainly aim what it is to relieve patients pain and regain total motion, at Manchester city physio centre these procedures are made by using specialised and customized techniques for each individual. It is good to know, Manual therapist includes manual therapy to help patients thrive out and restore mobility, reducing pain, and improving efficacy of motion. If you are having issues with these abilities better you should try on Manual therapist and start to request an appointment. This is the reason why passive and assisted functional movement, lymphatic drainage, joint mobilization and manipulation, and soft tissue massage are some of the specialised techniques of manual physical therapy implemented by hand therapists.  It is not only about the specialised treatment skills but the capabilities of connections and physical touch by the physiotherapist also make it counts at the moment of healing. Consequently, the blend between physical touch and skilled techniques is the best way overall to boost a quality lifestyle of a patient. Previously at starting any kind of physical therapy, physio generally runs a completely appreciation of the nerve and blood supply of the area, and a muscle and bone assessment as well, so, it assists to make a decision whether or not there is any hazard by enforcing any manual physical therapy practice techniques. Relying on the outcomes of the previous assessments will be provided the procedure and techniques to follow-up. Next, manual physical therapy types will be indicated to perform according the patient needs, such as. Robert Daul (2006) pointed it out. Soft Tissue Mobilization. Strain-Counterstrain. Joint Mobilization. Muscle Energy Techniques. High Velocity, Low Amplitude Thrusting. Maintaining Back Pain Relief Long-Term. Do you happen to know to be interested about learning more of manual physical therapy? Hit us up and get further information.

You may be wondering what is scoliosis about? Well you might find all the answers to your concerns and doubts about this condition, including, diagnosis, treatment, Manchester Sports Injury & osteopathy the types of scoliosis, and more, after read this article it is important that you take action looking for professional assistance, better if you make a call and book an appointment with a Sports physiotherapist in Manchester or Postural specialist. Direct bookings can be made online or visiting MY Sports Injury | massage Manchester City Centre. What happens with my body when I am suffering scoliosis? Scoliosis is an abnormality that occurs when the spine is curved sideways and becomes rotated; it is an unknown cause condition, as well as it is called idiopathic scoliosis. Meanwhile idiopathic scoliosis tends to run amid relatives. Although, genes have not been identified yet and there could be others factors besides genetics. People think that sleeping on the side or carrying heavyweight backpacks are reasons to suffer scoliosis, and that is not the case here. Studies have been made and almost 3% of the population around the world has idiopathic scoliosis, some more severe cases and other more acute cases; reference Ali Baaj (2017). Therefore, Scoliosis involves a deviation of the spine. Our vertebrae are arranged around the spine forming a curved structure from the neck to the pelvis. This vertical curvature is natural. But when the spine deviates laterally in the shape of an "S" or "C" it is very possible that we suffer scoliosis.   Is scoliosis an asymptomatic or a symptomatic condition? Scoliosis involves an alteration in the arrangement of the spine. Even though it is perceived as a symptomatic pathology, it usually is not. As a general rule, it does not cause pain in patients. The most visible symptom is observed from outside. The shoulders and hips are often not at the same height, and the back is lopsided. However, it can lead to more serious conditions, reducing our mobility or impairing the functions of organs such as the heart or lungs. Candidates for conservative treatment with osteopathyare those that do not exceed 30 degrees of deviation. The best recommendation is to attend a Sports Physiotherapist in Manchester where you will be treated with professionals. From these degrees, the generally recommended treatment is the use of a corset and if it exceeds 45 degrees, the orthopedic surgeon can evaluate the surgery. Which are the types of scoliosis? There are several types of scoliosis: ·     Congenital scoliosis. ·     Neurogenic scoliosis. ·      Myogenic scoliosis. ·      Scoliosis based on metabolic or systemic diseases. ·      Idiopathic scoliosis. According to Sergio Vazquez (2018) the most common of all is idiopathic scoliosis (85%), which is of unknown cause, hence we will refer to it. Accordingly to the age at which it is diagnosed, it is classified into three types: ·      Childhood idiopathic scoliosis (0 to 3 years). ·      Juvenile idiopathic scoliosis (4 to 9 years). ·      Idiopathic scoliosis in adolescence (10 years to the end of adolescence). How is determined the severity of scoliosis? The severity of scoliosis is determined by the angulation of its curves (Cobb angle): ·      Mild scoliosis 0º to 25º (Sports Physiotherapy and Postural Re-education treatment Program / Pilates) ·      Moderate Scoliosis 25º to 50º (Sports Physiotherapy treatment + Corset + Pilates) ·      Severe Scoliosis> 50º (surgical treatment + Orthopedic Spinal Review ) Considering the symptoms, at first scoliosis does not cause pain, but it predisposes to suffer back pain, lumbar pain, etc. In moderate and severe cases, it can generate other types of complications, such as respiratory problems. How can scoliosis be diagnosed? The first imaging study we need to diagnose scoliosis is an X-ray of the spine. With it, the specialist will tell us the degree of scoliosis according to the angle formed by the terminal vertebrae of each curve; the diagnostic evaluation includes dynamic and static imaging, also invasive diagnostic procedures like facet blocks, immobilization tests, epidural and root blocks, and discograms. Those tests can have correlation with the pathomorphological findings and the clinical may also offer the most rational and the least invasive treatment for the individual. By M Aebi - European spine journal, (2005). Can osteopathy help to treat scoliosis? Indeed, Osteopathy can help to treat scoliosis and it is the best procedure to follow up if you are in early stages of scoliosis.  It is very important to diagnose scoliosis early, and start a Physiotherapy treatment at sports Physiotherapy Manchester as soon as possible to slow its progress and even manage to correct it, totally or partially, avoiding surgical treatment. We put into practice manual therapies on the spine. Depending on the type of curvature, our osteopaths Sports Therapists, sports physio's, medical doctors in Manchester will act on a specific area to reduce the deviations of each patient. This can be combined with physical activities such as Pilates, completing the physiotherapeutic and osteopathic treatments. Sports physio Manchester puts at your disposal a wide range of disciplines and therapies to alleviate the effects of scoliosis. If you are looking for a physiotherapy centre where you can take care of your back. How can osteopathy help? Osteopathy treatment for scoliosis helps by mobilizing the thoracic and lumbar spine, to increase the range of motion in those areas. Giving the pelvis mobility helps equalize the length of the legs, while seeking to straighten the lower back of the spine. The main goal of osteopathy for scoliosis is to help maintain the facet joints (connections between the vertebrae in the spine), providing relief from the pain experienced by patients with scoliosis; in accordance to Wolfgang Gilliar (2001). The holistic approach used in osteopathic therapies, releases the restrictions of the spine and surrounding tissues, improving posture and regulating the direction and range of movements of the patient. The use of osteopathy has shown significant and essentials improvements in patients with scoliosis. The best ways of scoliosis treatment Physiotherapy offers several types of treatments, which will be combined with orthopedic treatment (corset) in some cases: ·      Global Postural Reeducation: it is possibly the most effective Sports Physiotherapy treatment for scoliosis. It consists of global stretching poses. The treatment is gentle, progressive and active.   ·      MYofascial Induction: It can be defined as a combination of sustained pressures, specific positioning and very gentle stretching. ·      Orthopedic and Osteopathic Manual Therapy: Set of methods and acts with therapeutic and preventive purposes, which is applied manually on the muscular, bone, connective, nervous and visceral tissues in order to succeed with Manchester deep tissue massage and sports massage Manchester that will obtain directly or reflexively, physiological reactions that will balance and normalize the alterations that the individual presents. ·      Klapp method: It is based on the belief that scoliosis is pathology of standing. For this reason, it develops a work system to unload the spine; it is made up of a series of quadrupedic postures and movements. ·      Classic physiotherapy: Stretches and exercises that will try to make the spine more flexible and strengthen by increasing its proprioception.·      Exercise in the pool. Therapeutic Swimming.   Some Osteopathic techniques may help to improve your lumbar strength and posture. ·      Positional release technique, It is a therapeutic technique that relies on a comfortable position of the body, its appendages and its tissues to resolve alterations in vertebral alignment.As a result of scoliosis, tissues often kink or knot, resulting in pain, involuntary spasm, and a loss of range of motion. The positional release technique unties the tissues like a knotted cord would, gently twisting and pushing the tissues in order to remove the tension from the knot, producing profound pain relief.   ·      Myofascial release technique, the myofascial release technique focuses on releasing muscle shortness and stiffness. Many patients seek myofascial treatment when they begin to lose flexibility and experience back pain from scoliosis.The myofascial release technique can help prepare scoliosis patients for more aggressive musculoskeletal strengthening therapies, or provide pain relief for those with restricted flexibility and movement, allowing a return to normal movement.   ·      Muscle power technique, is a treatment used by physiotherapists and osteopaths, which includes alternating periods of muscle contractions and assisted stretching.Basically the joint of the affected area with scoliosis is bent, a little beyond the point where the muscular resistance to movement begins and is supported by forcing the patient to resist gently. After a few seconds the pressure is released. The osteopathic will insist once again by taking the joint even further in order to improve mobility. Ron Miller (2019) indicates that exercise is an outstanding way to keep your back flexible, strong and a healthy posture. Some of these exercises are: ·       Arm/leg raise, strengthen your core and lower back muscles, which support your spine. ·       Pelvic tilt, aids to strengthen your abdominal muscles.   ·       Cat/cow, this exercise stretches the tendons and muscles that support your spine.                       REFERENCES Mistovich RJ, Spiegel DA. The spine. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 699. Negrini S, Di Felice F, Donzelli S, Zaina F. Scoliosis and kyphosis. In: Frontera WR, Silver JK, Rizzo TD Jr, eds. Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation. 4th ed. Philadelphia, PA: Elsevier; 2019:chap 153. Sure DR, LaBagnara M, Smith JS, Shaffrey CI. Pediatric spinal deformities and deformity correction. In: Steinmetz MP, Benzel EC, eds. Benzel's Spine Surgery. 4th ed. Philadelphia, PA: Elsevier; 2017:chap 158. Scoliosis in children and adolescents. National Institute of Arthritis and Musculoskeletal and Skin Diseases. https://www.niams.nih.gov/health-topics/scoliosis. Accessed May 3, 2019. Introduction to scoliosis. American Academy of Orthopaedic Surgeons. https://orthoinfo.aaos.org/en/diseases--conditions/introduction-to-scoliosis. Accessed May 3, 2019. Kliegman RM, et al. The spine. In: Nelson Textbook of Pediatrics. 21st ed. Philadelphia, Pa.: Elsevier; 2020. https://www.clinicalkey.com. Accessed May 3, 2019. Scherl SA. Adolescent idiopathic scoliosis: Clinical features, evaluation and diagnosis. https://www.uptodate.com/contents/search. Accessed May 3, 2019. Ferri FF. Scoliosis. In: Ferri's Clinical Advisor 2019. Philadelphia, Pa.: Elsevier; 2019. https://www.clinicalkey.com. Accessed May 3, 2019. Scherl SA. Adolescent idiopathic scoliosis: Management and prognosis. https://www.uptodate.com/contents/search. Accessed May 3, 2019. Shaughnessy WJ (expert opinion). Mayo Clinic, Rochester, Minn. June 5, 2019. Shands AR. End result of the treatment of idiopathic scoliosis. Journal of Bone and Joint Surgery. 1941;23:963. Morrow ES Jr. Alls EPSi. Mayo Clinic, Rochester, Minn. Jan. 21, 2019.

THORACIC OUTLET SYNDROME AND FROZEN SHOULDER A frequent reason to visit MY SPORTS INJURY CLINIC is shoulder pain, generally referred as a shoulder injury. There are many different types of shoulder injuries such as frozen shoulder, scapula dysfunction, dislocated shoulder, shoulder labral tears and thoracic outlet syndrome, the last one is accompanied with neck pain as well. Others common shoulder injuries are rotator cuff injury and shoulder impingement. When you feel pain it's essential to attend a professional specialist consultation with our team at MY sports physio in Manchester. Common shoulder injuries are treated at MY Sport Injury & Osteopathy in Manchester City Centre with certified and trained specialists. Sports Injury physiotherapists in Manchester can solve your needs, Using the Online Booking platform to book an appointment to treat and heal your shoulder injury once and for all! In this article you can know, How to treat a shoulder injury when you attend Sport Massage Manchester? ·  Sports Physiotherapy Manchester sessions : We can suggest some kind of suitable yet specific stretches and exercises to carry out at home in order to speed up the treatment and healing process. They may also offer viable advice about a patient’s lifestyle and Nutrition within their diet. ·  Yoga For Shoulder injuries : Coral García Travesí (2014) indicates that yoga postures help athletes' shoulder injuries, Such as: Cow Face Pose, variation (Gomukhasana) sitting in a comfortable position with crossed legs, raise the right arm to the right, parallel to the ground. With palm up, rotate the arm and bring it behind the torso so that the forearm rests on the lower back; move your forearm up. Raise your left arm to the left with the palm of your hand facing up. Bend your elbow and try to reach out and take your right hand. You can do this pose with the help of a towel or a rope behind your back if you cannot hold your hands. Lateral Plank Pose, variation (Vasisthasana) stand on your forearms with your elbows below your shoulders and your feet together. Roll onto the ball of your right foot and rotate your right forearm 45 degrees inward. Raise your torso and stretch your left arm up. Hold for 30 to 60 seconds and repeat on the other side. ·Mental Health services coping with a Shoulder Injury. The role of MY Sports Injury & Physiotherapy Manchester in improving mental health, not all of the physical therapists believe that mental health is the whole thing about physical therapy. Good mental health is fundamental to the well-being of families, communities and individuals, poor mental health is related as one of the significant causes of disability, poor quality of life and reduced productivity, it has been documented that physical activity can improve quality of life for people with serious mental illness. The Physio Manchester experts always say “NO HEALTH WITHOUT MENTAL HEALTH”. A condition that causes neck and shoulder pain is thoracic outlet syndrome (TOS), it occurs when the nerves or blood vessels just below the neck are compressed or tight. Compression can occur between the neck and shoulder muscles. Treatment includes physical therapy as shoulder injury exercises, pain relievers and in severe cases, surgery. In accordance with Michael Rubin (2019) its pathogenesis is often unknown, but it sometimes involves compression of the lower trunk of the brachial plexus (and perhaps the subclavian vessels) but this condition is unclear. Thoracic outlet syndromes are more common among women and usually develop between age 35 and 55. Compression can be caused by: ·      A cervical rib. ·      Abnormal first thoracic vertebra. ·      Abnormal position or insertion of the scalene muscles. ·      Poorly consolidated clavicle fracture Signs and symptoms Michael Rubin (2019) also says “Pain and paresthesias usually begin in the neck or shoulder and extend to the medial aspect of the arm and hand and sometimes to the adjacent anterior chest wall. Many patients have mild to moderate sensory impairment in the C8 to T1 distribution on the painful side; a few have prominent vascular-autonomic changes in the hand (cyanosis, swelling). In even fewer, the entire affected hand is weak. Rare complications include Raynaud syndrome localized to the affected arm and distal gangrene.”   There are several types of thoracic outlet syndrome, including the following: ·      Neurogenic (neurological) thoracic outlet syndrome. This most common type of thoracic outlet syndrome is brought about by compression of the brachial plexus.   ·      Vascular thoracic outlet syndrome. This type of thoracic outlet syndrome occurs when one or more of the veins (thoracic venous outlet syndrome) or arteries (thoracic arterial outlet syndrome) below the clavicle become compressed.   ·      Nonspecific thoracic outlet syndrome. This kind of injury is also called disputed thoracic outlet syndrome. Some doctors do not believe it exists, while others say it is a common disorder. Symptoms of thoracic outlet syndrome can vary depending on which structures are compressed. When the nerves are compressed, the signs and symptoms of neurological thoracic outlet syndrome include: ·      Numbness or tingling in the arm or fingers. ·      Pain or discomfort in the neck, shoulder, or hand. ·      Weakening of grip. Signs and symptoms of vascular thoracic outlet syndrome may include: ·      Discoloration of the hand (bluish color). ·      Swelling and arm pain, possibly due to blood clots. ·      Weak pulse in the affected arm. ·      Cold fingers, hands or arms. ·      Arm fatigue with activity. Causes of (TOS) The causes of compression vary and can include the following: ·      Anatomical defects. ·      Bad posture. ·      Trauma injury. ·      Repetitive activity, doing the same thing repeatedly can, over time, wear down body tissue. ·      Pressure exerted on the joints, obesity can put too much pressure on your joints. ·      Pregnancy, because joints loosen during pregnancy, the signs of thoracic outlet syndrome may first appear while you are pregnant.   Diagnosis of thoracic outlet syndrome (TOS) Diagnosing thoracic outlet syndrome can be difficult because symptoms and their intensity can vary greatly between people who have this disorder. ·      Imaging studies and nerve studies, X-rays, ultrasound, CT scan, magnetic resonance imaging (MRI), angiography,arteriography and venography, electromyography,nerve conduction study. To diagnose thoracic outlet syndrome, your doctor or physical therapist can review your symptoms and medical history and perform a physical exam. ·      Physical exploration, a physical examination will be done to look for external signs of thoracic outlet syndrome, such as slumped shoulders, swelling or paleness in the arm, abnormal pulses, or reduced range of motion. Among the most characteristic tests for (TOS) pathology are those who put in compromise the different gorges through which neurovascular bundle runs.Adson test, costoclavicular maneuver or Falconer and Weddell test and Wright hyper abduction, according to J. A. Pujante Guirado (2009). Treatment of (TOS) How to heal a shoulder injury like Thoracic Outlet syndrome, in most cases, a conservative treatment modality is effective if your condition is diagnosed early. Shoulder injury treatment may include: ·      Physiotherapy, if you have neurogenic thoracic outlet syndrome, physical therapy at sports massage Manchester city Centre may be the treatment service of choice. You will learn with your Sports physio in Manchester how to perform exercises to strengthen and stretch the shoulder muscles, thereby, opening the thoracic outlet and improving range of motion and body posture. These exercises, over time, can relieve pressure on the blood vessels and nerves at the (TOS).Medication, prescribed by your doctor such as anti-inflammatory pain relievers, or muscle relaxants to decrease inflammation and promote muscle relaxation. If you are diagnosed with thoracic outlet syndrome, your doctor or physical therapist will instruct you to do exercises at home, such as practice relaxation exercises, deep breathing, meditation, gently massage the shoulders and thoracic outlet, yoga for shoulder injury stretching to strengthen and support the muscles around the thoracic outlet and also help to have a good mental health and an acceptable mental health statistics, to finally get a full shoulder injury recovery. In general, to avoid unnecessary stress on your shoulders and the muscles around the thoracic outlet, you should do the following: ·      Maintain good posture. ·      Take often breaks at work to move and stretch. ·      Avoid mental health crisis. Wait, surely you must be thinking, what is mental health? Mental health includes the emotional, psychological and social well-being of people. It affects the way we think, feel, and interact. Understanding this, mental health in UK is an extremely important point; we must keep in mind mental health and become aware of. ·      Keep a healthy weight. ·      Avoid carrying heavy bags over your shoulder. ·   Avoid activities that make symptoms worse or find ways to adapt activities so they don't cause symptoms. ·    Create a work area that allows you to maintain good posture and does not make symptoms worse. ·      Apply a heating pad to the area of Injury to relax surrounding muscles. As a result of shoulder pain and loss of motion due to inflammation, we are talking about a condition that it is called frozen shoulder. In order to Pietro Tonino (2016) people who have frozen shoulder often experience shoulder pain, stiffness, and decreased range of motion. Everyday activities such as getting dressed or reaching for something can be challenging. The shoulder joint is a ball and socket joint, made up of three bones: the humerus, the shoulder blade, and the clavicle. Signs and symptoms ·       Pain; a dull, fixed and continuous pain that occurs more at night and causes decreased arm movements. More is produced in the first stage. ·       Stiffness; greatly limiting arm movements such as fastening the bra or combing hair. ·       Decreased mobility of the arm; there is decrease in both active and passive arm mobility. Causes of frozen shoulder The capsule of the shoulder joint has ligaments that attach the shoulder bones to each other. When capsule inflammation occurs, these bones are unable to move freely in the joint. Most of the time, there is no cause for the inflammation. Risk factors include:   ·      Diabetes. ·      Thyroid problems. ·      Changes in your hormones, such as those what happen during menopause. ·      Shoulder injury. ·      Mental health problems. ·      Shoulder surgery. ·      Open heart surgery. ·      Cervical disc disease of the neck. Diagnosis of Frozen shoulder It is usually done with a good medical history and physical examination. On physical examination, the patient is asked to raise the arms with the palms of the hands up, arms forward (wanting to push something forward), spread the arms to the sides, and bring the hands behind the back. If any of these movements present difficulty, you should think of frozen shoulder. Sometimes doctors and physio Manchester ask for additional studies such as an X-ray or an MRI, this serves to rule out other types of injuries. Treatment of frozen shoulder The main treatment is non-steroidal anti-inflammatory drugs, steroid injections and physical therapy.   When the treatment is not effective, surgery is performed. Physiotherapeutic treatment should always be carried out after surgery; recovery varies from 6 weeks to 3 months. Physiotherapy Manchester ·      Heat; the heat applied at the beginning of the treatment helps to loosen the shoulder before mobilizations and stretches. ·      Shoulder mobilizations; your physio Manchester must perform gentle mobilizations. ·      Stretching. ·      Gentle massages of all the muscles. ·      Acupuncture. ·      Cryotherapy at the end of the therapies. Physio exercises for the frozen shoulder patient. ·      “Spiderlings”, facing a wall with your hands extended on it, climb with your fingers up as if it were a spider, go up until you feel tension in your shoulder, lower and rest your arm, do this 10 times.   ·      Codman exercises; recommended at the beginning of therapy and at the end of it. Perform circles with the arm hanging on the table.     ·      With a stick lying down and seated, perform the movements of flexion, rotation, abduction and adduction of the arm, helping you with the good arm.   ·      In the frame of a door, place the arm at 90º of flexion and put the hand on the edge of the door, turn the body to cause external rotation at the shoulder.     ·      Self-assisted arm lift. Positioned supine on the table, bring the arm up and from below the elbow; help with the hand of the good arm to force the movement.   ·      Cross the outstretched affected arm to the other side passing under the chin and increase the stretch with the hand of the good arm. This can be done on the back with the help of a towel grasped by the ends with both hands and pulling to the right or left to search for internal or external rotation. References American Academy of Orthopaedic Surgeons website. Frozen shoulder. Orthoinfo.aaos.org/en/diseases—conditions/frozen-shoulder. Update March 2018. Accessed December 10, 2018. Finnoff JT. Upper limb pain and dysfunction. In: Cifu DX, ed. Braddom’s Physical Medicine and Rehabilitation. 5th ed. Philadelphia, PA: Elseveir; 2016: chap 35. Harris JD, Griesser MJ, Jones GL. Stiff shoulder. In: Miller MD, Thompson SR, eds. Delee and Drez’s Orthopaedic Sports Medicine: Principles and Practice. 4th ed. Philadelphia, PA: Elsevier Saunders; 2015: chap 55. Miller RH, Azar FM, Throckmorton TW. Shoulder and elbow injuries. In: Azar FM, Beaty JH, Canale ST, eds. Campbell’s Operative Orthopaedics, 13th ed. Philadelphia, PA: Elsevier; 2017: chap 46. Ferri FF. Thoracic outlet syndrome. In: Ferri's Clinical Advisor 2020. Philadelphia, Pa.: Elsevier; 2020. https://www.clinicalkey.com. Accessed July 19, 2019. Frozen Shoulder. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=a00071. Last reviewed January 2011. Accessed May 19, 2016. Manske RC, Prohaska D. Diagnosis and management of adhesive capsulitis. Curr Rev Musculoskelet Med. 2008;1(3-4):180-9. Adhesions in the Shoulder. PubMed Health website. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0025850/. Accessed May 22, 2016. Page P, Labbe A. Adhesive capsulitis: use the evidence to integrate your interventions. N Am J Sports Phys Ther. 2010;5(4):266-73. Andary J.L, Petersen S.A.The vascular anatomy of the glenohumeral capsule and ligaments: an anatomic study. J Bone Joint Surg Am. 2002; 84-A: 2258-2265. Buller LT, et al. Thoracic outlet syndrome: Current concepts, imaging features, and therapeutic strategies. The American Journal of Orthopedics. 2015;44:376. AskMayoExpert. Thoracic outlet syndrome. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2019. Grunebach H, et al. Thoracic outlet syndrome. Vascular Medicine. 2015;20:493.          

GROIN PAIN WHAT YOU NEED TO KNOW  / FEMORAL HIP IMPINGMENT The groin pain requires the common medical consultation, both at the level of general medicine, specialties physicians, professional Sports physiotherapists and sports therapists in Manchester. When the hip impingement causes the first symptoms, it might be announced as a hip impingement syndrome, the principal symptoms are pain in the groin zone, particularly at the moment when you flexing the hip or walking and it’s reduced the range of movement in the hip. Meanwhile, at first time you can just feel the pain when you move the hip close to its limits. (Jack Grealish: Aston Villa Midfielder – Copyright) There are different kinds of hip impingement CAM, PINCER AND FAI, they can also be treated at MY Sport Injury & Osteopathy | Manchester City Centre with the assistance of certified professionals, guaranteed specialists on www.mysportsinjury.co.uk The Team can assist in providing specialized treatment from a sports physio Manchester through conducting full medical assessment and customized approach to rehabilitation in the elite field of sports.   How could I know or suspect if I am suffering of a hip impingement? ·      Pain in the groin or gluteal region. ·      Sciatic and knee pain after sports. ·      Cracks in the hip with movement. ·      Limitation of hip movements. If you are feeling these symptoms first of all you may attend to a professional medical consultation, after a medical examination the procedure to follow and the treatment will be indicated with a customized sports injury rehabilitation program.   One of these plans of action could be to have direct sports therapy with a professional Sports physiotherapist including a sports therapy or sports massage in Manchester.         What happens with my body when a hip impingement occurs? Actually, hip impingement occurs when the ball and socket of the hip joint do not fit properly. Limited movement damages the cartilage and can lead to pain and arthritis in young adults. Furthermore, femoro-acetabular or hip impingement is an anatomical disturbances or hassle of the hip, brought about by a deformity or an abnormality of the femur bone, acetabulum or both that causes an unnatural contact between both structures during  motion and gliding of the joints.     Which other causes can inguinal pain be confused with?    It can be mistaken with several other causes such as facet syndromes, renal colic, hernias, etc. Patients at MY sport Injury & Osteopathy Manchester with this condition are generally young people or sports athletes with groin pain that may show up after a minor trauma.     Types of hip impingement PINCER It is the result of a linear contact between the acetabular rim and the femoral head-neck junction. The first structure to fail in these cases is the acetabular labrum. The continuous impact leads to degeneration of the labrum, and ganglions or ossification of the rim leading to a deepening of the acetabulum, worsening the over-coverage. Pinching "in pincers" has a frequency of 9% and is more common in middle-aged women with some degree of sports activity. CAM It is caused by entrapment of an abnormal femoral head with an increasing radius in extreme motion, especially flexion. The underlying cause for the abnormal morphology in cam pinching (cam) is not clearly understood. The resulting frictional forces lead to an outside-to-inside abrasion of the acetabular cartilage or avulsion of the labrum and subchondral bone in a relatively constant anterior superior area. Cam pinching, with a frequency of about 6%, is more common in young, athletic males. How to diagnose a hip impingement? Advances in recent years, especially in the study of images, have made it possible to identify anatomical abnormalities that until now had been underdiagnosed or unknown, such as those found in femoroacetabular impingement syndrome. Imaging studies The complementary study of images is very important for the identification of anatomical abnormalities associated with impingement and to rule out other pathologies. Plain radiographs remain the most accessible and widespread method for the diagnosis of this pathology and should always be the initial examination. Magnetic resonance imaging is very useful to evaluate the acetabular labrum and articular cartilage. Treatment of hip impingement In a palliative way, anti-inflammatories and kinesiotherapy at sports therapy Manchester can be prescribed with emphasis on exercises to strengthen the periarticular muscles. In the first instance, a kinesiotherapy program is recommended based on sports physio Manchester, especially in acute cases where there is no advanced damage. Having a Sports Massage is highly recommended to loosen the gluteal muscles around the hip joint which can be effective in treating the overall symptoms of the Hip. (Mykonos Performance: Kyle Walker Peters: Southampton Footballer Strength & Conditoning) Copyright   Rehabilitation focuses on improving hip stability and muscle management of the segment characterized by the presence of contractures or altered patterns. It is accompanied with activation exercises and stretching that seek to improve hip mobility.    In those cases where there is not response to the kinesiological treatment at MY sports therapy | Manchester or in those patients where there is an advanced pathological process, surgical resolution is indicated by means of a hip arthroscopy that seeks to restore normal morphology in the hip with an opinion by an orthopedic hip consultant. Physiotherapy treatment pre-medical operation The rehabilitation program must be developed in a specific and comprehensive way for each patient, and from a very complete analysis of the history, the operation, the clinical charts and evolution, all this to define the approach with appropriate methods and techniques by a Sports physiotherapist at MY Sports Injury & Osteopathy | Manchester city Centre. Kinesiotherapy Program ·      Isometric exercises, both quadriceps and glutes, the patient in a supine position with a towel in the popliteal region, the physiotherapist will ask the patient to press the towel and the tip of the foot upwards, so that they perform exercises isometric quadriceps holding a contraction for 6 seconds and relaxation for 3 seconds.                 ·      Isometric adductor exercises with a ball between the knees, the patient is asked to press the ball for 8 seconds, repeating the exercise 10 times, leaving 10 seconds of rest between contractions, the physiotherapist checks that there are no compensations.   ·      Likewise, it is important to know that there are certain devices to perform aerobic physical activity that imply greater stress on the hip and knee joints, being the cases of the stationary bicycle.   (Deli Ali & Kyle Walker Peters: Footballers Mykonos Performance Elite Sports)   ·      Patient in a standing position leaning on the stretcher will perform hip extension with resistance from the theraband, while the physiotherapist stabilizes hips avoiding compensations for medius gluteus (3 series of 10 repetitions each).   ·      Active ankle mobilizations both flexion-extension, abduction-adduction and inversion-eversion, the physiotherapist at sports massage Manchester city Centre applies resistance to each movement respectively. In addition, the patient will perform circumduction movements. Perform 3 sets of 10 repetitions each.   ·      Accelerate the learning process of rehabilitation, for a correct preoperative education consists of: carrying out functional activities, going up and down stairs, moving from your chair to the bathroom, transfers and independent ambulation. Physiotherapy treatment post-medical operation Kinesiotherapy Program ·      In a sitting position we will perform progressive quadriceps toning exercises, requesting the patient to perform knee flexion-extensions, hip elevation with knee in extension, triple reflection to tone anterior tibialis and psoas, with the placement of manual resistances by the physiotherapist.   ·      Isometric ankle exercises (no adduction and internal rotation).   ·      Isometric hip abduction-adduction exercises. It is considered the most important type of exercise (especially abduction), since they help the patient to walk without lameness, however, they should be avoided if the patient has undergone a trochanteric osteotomy.   ·      It is recommended to start doing them in supine position, with a ball between the knees, performing adductor isometrics and maintaining a contraction of the same for 3 seconds and relaxation for 3 seconds, while the physiotherapist controls that there are no compensations.   ·      Both active and assisted hip abduction exercises will be performed.   ·      Advanced training, specificity for return to sport.   High demand single limb dynamic lumbo-pelvic stability and optimize functional strength, endurance and power within the lower kinetic chain.           References Leunig M, Ganz R. Femoroacetabular impingement: a common cause of hip complaints leading to arthrosis. Unfallchirurg 2005; 108: 9-17.  Kassarjian A, Yoon L, Belzile E, Connolly S, Millis M, Palmer W.Triad of MR arthrographic findings in patients with Cam type femoroacetabular impingement. Radiology 2005; 236: 588-92.       Ganz R, Gill TI, Gautier E, Ganz K, Krugel L, Berlemann U. Surgical Dislocation of the adult hip: a technique with full access to femoral head and acetabulum, without the risk of avascular necrosis. J Bone Joint Surg Am 2001; 83: 1119-24.    Beall Dp, Sweet CF, Martin HD. Imaging finding of femoroacetabular impingement syndrome. Skeletal Radiol 2005; 34:691-701.      Jager M, Wild A, Westhoff B, KrauspeR. Femoroacetabular impingement cause by a femoral osseous head-neck bump deformity: clinical, radiological and experimental results. J Orthop Sci 2004, 9:256-263. Notzli HP, Wyss TF, Stoecklin CH, Schmid MR, Treiber K, Hodler J: The contour of the femoral head-neck junction as a predictor for the risk of anterior impingement. J Bone Joint Surg Br 2002; 84: 556-560. Blankenbaker DG, Tuite MJ. The painful hip: new concepts. Skeletal Radiol. 2006; 35 (6): 352-70. Schmid MR, Notzli HP, Zanetti M, Wyss TF, Hodler J. Cartilage lesions in the hip: diagnostic effectiveness of MR arthrography. Radiology. 2003; 226(2):382-6. Byrd JWT. Physical examination. In: Byrd JWT, editor. Operative hip arthroscopy. 2nd edition. New York: Springer; 2005. p. 36-50.              

There are many benefits to allowing your children to play sports. They learn discipline, perseverance, how to work as part of a team and how to become leaders. Along with these benefits come serious risks and it is important that you know how best to reduce the chances your child will suffer long term consequences from a sports injury. While prevention is the most effective means of addressing this issue, it is impossible to prevent all sports injuries, so you need to be able to know how to reduce the severity of those injuries that are inevitable and how to respond when your child has been hurt.Sports Injuries Among Children are a Growing ConcernOver 38 million children are enrolled in sports programs every year, and almost 3.5 million children under fifteen years of age will receive medical treatment for an injury suffered while practicing or playing. While many parents believe that their children are most at risk during games, the reality is that children suffer more injuries during practice than when they are performing in a game. It is for this reason, children need to learn safe practices while on the field.While sprains are the most common injury reported among young athletes, traumatic brain injuries are the cause of the most casualties. For a long time, we did not fully understand the impact of repeated blows to the head on the function of the brain, but recent discoveries have brought the topics of concussions and chronic traumatic encephalopathy to the forefront.How to Prevent Sports InjuriesThere are a number of things that you can do to make sure your child has the best chance of avoiding serious injury during practice and play. Regular physical examinations are key to making sure that your child is physically fit to play and may reveal any problems that may increase the risk of an injury. In addition, you should make sure that your child is equipped with adequate safety equipment such as pads, a helmet and other equipment specific to his or her sport.Keeping children hydrated during physical activity is also key, as dehydration can be the cause of a number of sports injuries. Poor form is often attributed to the cause of many injuries, so it is important that children are taught how to make contact with other players while avoiding head to head contact or lowering their head into the hit. This kind of contact may result in concussions or traumatic injuries to the brain or spine.What is Chronic Traumatic Encephalopathy?CTE is a disease discovered among retired athletes that endured regular blows to the head over their careers. Research has found that amateur athletes can also suffer from this condition, which can result in the gradual loss of neurological function. There are four stages that an athlete may progress through when he or she suffers from CTE.The first stage may result from one of more concussions and carries with it many of the common concussion symptoms— headache, dizziness, confusion and mild memory loss.The second stage is exhibited through changes in the person’s behavior and social interactions. It is common for sufferers of CTE to show poor decision making skills, to experience mood swings and to suffer from memory loss.The third and fourth stages of CTE result in the loss of motor function, speech impairment, deafness, vertigo, dementia and mental illnesses such as depression, mania or anxiety.The sports that place children at greatest risk of CTE are those where players make direct physical contact, such as football, hockey, boxing and wrestling. If your child suffers one or more concussions, it is important to have a discussion with your doctor on whether it is safe for him or her to continue playing contact sports.Make Sure Coaches Promote Safe PracticesA number of the injuries children suffer while playing sports can be linked to the very practices their coaches teach. It is important that you know what it is that your child’s coach teaches and whether or not coaching staff is properly trained in first aid, CPR and sports safety. There is also a fine line between developing endurance and pushing children too far, so you should consider whether your child’s coach knows when it is appropriate to provide players with the rest that they need during practice and games.This article written by Jonathan Rosenfled is lifted from Rosenfeld Injury Lawyers. Published by MY Sports Injury & physiotherapy Ltd 

 Introduction to rowing Rowing is a very popular sport, however people seem to either know nothing at all or everything about it. Here are some of the basic facts: rowing is one of the oldest Olympic sports and is one of Team Great Britain most successful disciplines at the Olympics, winning a gold medal every year since 1984. Rowing is GB’s third most successful Olympic sport, after Athletics and Cycling, with 58 medals in total. A misconception about rowing is that it is “all in the arms”, quite the contrary is true with the arm muscles contributing very little. If done properly most of your power comes from your legs. When you put your blade into the water you squeeze your abdominal muscles and set your back muscles in a static contraction to connect the handle to your footplate. You then plantar flex your ankle and extend your knee joint using your quadriceps. When your knee is coming to the end of extension you use your lower back muscles and glutes to swing your torso backwards, finishing off the stroke by pulling the handle into your chest. There are two classes of rowing boat, a sculling boat in which the rowers have two blades each or a sweep boat where rowers use one oar each. Sweep boats can range in size from an eight to a pair and sculling boats range from a quad to a single. We also have two seasons: a head season which runs through the winter. These races usually range from 3 km to 8 km, boats start one after another and classic examples are the Oxford Cambridge Boat Race or The Head of the River Race. Regatta seasons generally runs from May to August, and the races are normally 2 km (the same as the Olympic distance) with multi-lane racing. The most famous regatta is Henley Royal Regatta in July where Olympians, students and amateurs from all over the world race each other.  Manchester University Boat Club (MUBC) is one of the oldest and largest sport clubs at UoM, with around 200 members every year. Founded in 1932, the Boat Club has since grown into a thriving group for both novice and senior athletes. We have an ergometer training room at the Armitage Sports Centre and our boat house is on the Bridgewater Canal in Sale. We train and compete throughout the whole of the academic year all over the country. A usual training week is 8 to 10 sessions, consisting of water outings, ergometer sessions, weights and circuits.Common rowing injuries The most common rowing injury is a rib stress fracture. This usually occurs in the lead up to head season when we are doing long distances on the water and ergometer to build our aerobic base. A normal session would be a 18km paddle or an hour on the ergometer. We try to combat this injury by training our cores often. The second most common area to injure in rowing is your lower back. As fatigue sets in a rower’s posture slumps and the back becomes more rounded, which puts more strain through the lower back. Teaching proper technique, increasing flexibility and core strength are important to prevent this injury, as well as many other injuries in our sport. The use of sports massage and sports physiotherapy also helps keep on top of all the aches and pains accumulated during our intense training. For this reason, we are looking forward to our new partnership with My Sports Injury Manchester. Our athletes are always in need of a sports rehabilitation clinic and we know their injury specialists will help us to keep achieving a high level of training and racing.

The intervertebral discs. The scapegoat of many a spinal dysfunction. I have heard many a patient, athlete, and fellow health professional refer to the infamous ‘slipped disc’, which to me always seemed misleading as, well, you cannot slip a vertebral disc. The implication that a vertebral disc can easily be slipped out of place has led to the popular misconception that they are easily mobile and fragile structures that are susceptible to injuries. This is simply not true. It is frustrating that an accurate idea of the anatomy, function and how these structures elicit pain is seemingly not yet entirely clear, or at least is not portrayed to patients. What is equally frustrating is the continued use of the term ‘slipped disc’ by health professionals who should know better, as this only adds to the problem and helps cement the inaccurate and wildly believed perception of intervertebral disks among the general public. Hopefully, I can quickly clear a few things up. So, firstly, let us talk anatomy. The spinal column is typically divided into four main regions: The Cervical (Neck), the Thoracic (Upper Back), the Lumbar (Lower Back) and the Sacral (Sacrum) regions of the spine. Each region is made up of various joined segments known singularly as vertebra and plurally as vertebrae. Intervertebral discs, as suggested by their name, lie between each vertebra. Every vertebra in the spine (except for C1 and C2) has an intervertebral disc. Each disc is made up of an outer fibrous ring called the Anulus Fibrosis and an inner gel like centre called the Nucleus Pulposus. The annulus fibrosus consists of fibrocartilaginous layers, or laminae, made of both type I and type II collagen. The type I is concentrated towards the edge of the ring, providing it with greater strength. The Nucleus Pulposus is made up of loose fibres suspended in a mucoprotein gel. Together the Annulus Fibrosis and the Nucleus Pulposus form a fibrocartilaginous joint, known as a symphysis. Symphysis fusions are extremely strong and robust joints that can withstand enormous amounts of force. Ok, so what do they do? The intervertebral discs separate the vertebrae, act as ligaments holding the vertebrae together and act as shock absorbers for the spine. How do they achieve this? Well, as discussed in the previous paragraph, the Nucleus Pulposus is made up of a mucoprotein gel. This allows for even distribution of pressure across the disc, preventing overly excessive forces on the vertebral endplates, while the endplates themselves hold the discs in place and provide an anchorage for the Annulus Fibrosis. Meanwhile, the stiff laminae allow for increased ability to withstand compressive forces. Combining all of this makes it PRACTICALLY IMPOSSIBLE for the disc to just “slip” out of place like a bar of soap! This does not mean however, that it is impossible to injure a disc! So, intervertebral discs do get injured? Of course. If they do will they heal? 100%. Ok, but why is it called a ‘slipped’ disk if you cannot slip a disk? For that I have no answer, the bottom line is, it shouldn’t. Well what should it be called? When medical professionals refer to a slipped disk, they are likely referring to a HERNIATED disk. This is not a herniation of the entire disk, but of just a small section. Herniations can happen when unbalanced mechanical pressures substantially deform the Annulus Fibrosus, causing part of the Nucleus Pulposus to obtrude either laterally or posteriorly. This reduces local muscle groups’ ability to function properly, putting pressure on nearby nerves. So, the disc does not ‘slip’, it BULGES. Such injuries can occur due to trauma through physical activity, mainly caused by shearing forces, or chronic deterioration typically accompanied with poor posture and can elicit symptoms typical of nerve root entrapment. Such symptoms include: Paraesthesia, numbness, acute or chronic pain, decreased muscle tone and decreased functional performance. These symptoms can occur either locally or anywhere along the dermatome served by the entrapped nerve. Therefore, we sometimes feel the referral of symptoms in other areas of the body such as our legs. Well then, there we have it. A summary of why you do not, nor ever will, have a ‘slipped’ disk. For any members of the public reading this, I hope I have helped you understand intervertebral discs a little better. For any fellow health professionals, I implore you, please, ban the term ‘slipped disc’ from your vocabulary. Continuing the use of inaccurate terms when describing pathologies only furthers misinformation. As we know, the language we use is proven to have lasting effects on patients. Therefore, it is our duty to paint accurate pictures of these lesions to our patients, who are less enlightened on the inner workings of the human body. If you are suffering from a herniated disc, any other spinal problems or non specific lower back pain, then come and visit the MY Sports Injury Clinic in Manchester. We have many health professionals including Sports Injury Specialists, Strength and Conditioning Coaches and Massage Therapists to help answer your questions and provide specialist treatment to improve way of life!

STRENGTH & CONDITONING IN SPORTS ELITE PERFORMANCEEarly on in our history, it became an evolutionary necessity for humans to be able to travel from A to B quickly. It became essential for survival, whether it was for chasing down prey or outrunning predators. Fast forward a couple of hundred thousand years however, this is no longer the case. We can simply shop for our food and the likelihood of needing to outrun potential predators has somewhat dwindled. That does not mean, however, that sprinting no longer bears any benefits. As a society we are unconsciously obsessed with the notion that the longer the distance we can run then the fitter we are. Think about it, whenever we aim to improve our fitness, we tend to go on long runs rather than complete a series of short, intense sprints. Though this notion may be true to an extent, fitness is about far more than just the distance you can run! I promise you, just because you can run mile after mile at a steady state does not for a second mean you will be able to breeze through a sprint endurance session!  Sprinting can result in various physiological and other health-related benefits when performed properly and regularly. So, here are a few such benefits… 1. You can do it anywhere! The financial benefit of sprinting is that you do not need to pay for specialist equipment or a gym membership to complete a sprint session. It can be done anywhere from your local park, your local street, your own back garden if it is big enough or you can even, if you have no other option, sprint on the spot in your home. It’s that easy. 2. It improves body composition. Body composition is our body’s fat-muscle ratio. Various studies have concluded that sprinting is far superior than steady state running in burning fat and building muscle. It causes adaptions at a cellular level. Such adaptions include improved protein and oxygen synthesis in the muscles, helping to build muscle, and a metabolic ‘afterburn effect’. This ‘afterburn effect’ is known as excess post-exercise oxygen consumption or EPOC. Simply put, our bodies continue burning calories even after we have finished the sprint session. 3. It improves cardiovascular fitness. Sprinting is considered to have many cardiovascular advantages over steady state running. This is because repeated high intensity intervals lead to an increase in glycogen stores of up to 20%, increase oxygen uptake and increases the body’s ability to remove waste products during exercise, leading to a 50% increase in muscle buffering capacity. 4. Improves glucose control. Research published in BMC Endocrine Disorders suggested that sprinting reduces the risk of high blood sugar levels and high blood pressure, as well as improves cholesterol levels, cut abdominal fat, and improves sugar metabolism; this reduces the risk of dangerous glucose build-ups which can lead to Type 2 Diabetes. 5. It improves speed. Muscle fibres are classified into three types: type 1 (slow-twitch) and types 2a and 2b (fast-twitch). Sprint training increases the volume and strength of the fast-twitch fibres thus increasing overall sprint speed. 6. It reduces risk of cognitive decline. Sprinting helps with mental quickness and reaction time: which, evidence suggests, reduces the risks of cognitive decline and conditions such as Alzheimer’s and dementia as we age. 7. It reduces stress. After a sprint session, Endorphins are released, causing adrenaline and cortisol levels to drop, and reducing stress and anxiety, subsequently leading to a decreased risk of mental problems such as depression.For more information about the benefits of sprinting and other forms of high intensity interval training, or to see how you can introduce sprinting into your fitness routine, get in touch with one of our strength and conditioning coaches at the MY Sports Injury Clinic in Manchester!

What Is Rounded Shoulders Posture?If you are one of the people who spend a lot of time sitting in front of a desk in a hunched posture, you are surely looking for a more long term sustainable solution to your rounded back & shoulders. This puts undue strain on the neck muscles to hole up the craning head peering into the computer.What causes Rounded Shoulder? At the structural level the head and neck need support from the body to keep their movements fluid and effortless. The rounding of the shoulder and back cause over-straining of the neck muscles trying to support the head. My Sports Injury & Physiotherapy Clinic offers a sustainable solution to improve postural alignment and muscle imbalance amongst common desk workers.The position of rounded shoulders is that these are forwardly protruded and the back arched leading to excessive lumbar spine lordosis (hyper-lordosis) . In addition to this, the position of rounded shoulders is usually accompanied by the forward head posture, which makes it very important to work all these postural corrections together.The shoulder is composed of a set of joints, muscles, and ligaments that provide great mobility and stability. Occasionally, we maintain inadequate postures that put these structures in excessive tension, creating postural patterns such as rounded shoulders and forward head.Occasionally, rounded shoulders can cause pain in the shoulder or neck. Sunisa Chaiklieng and Maytinee Krusun (2015) found that a large number of office workers are exposed to the risk of ergonomics, which can trigger the position of rounded shoulders.To counteract the effects caused by this sustained posture, we compile some exercises recommended by physiotherapy experts to perform at home or in a gym. However, the best solution to improve this situation is to assist a physical health professional at MY Sports Injury Clinic | Manchester  Best exercises to fix rounded shoulders:Mobility ExercisesFor the first exercise, we must place ourselves in four points. Then, we place a hand behind our head and direct our elbow towards the ceiling so that we rotate our trunk. We perform 10 slow and controlled repetitions and make the same movement with the opposite hand.For the next exercise, you just need a chair. You put yourself back in four points, put your elbows on the chair and bring your buttocks towards your feet. You must repeat this movement at least 10 times.Strengthening exercisesFor the following exercises we must place ourselves face down on the floor (they can put a yoga mattress or a towel) we stretch our arms above the head. From this position, we should only take off the full arms and feet from the ground and stay for 3 seconds.We must repeat this movement at least 8 times.For the next exercise, we should lie on our stomachs just like the previous exercise. The difference in this exercise is that we must keep our arms at our sides. We must take off the arms from the ground and keep them off 3 seconds. Like the previous exercise, we must perform at least 8 repetitions.In the following exercise, we must place ourselves in a position of four points. From this position, we will lift one arm and the opposite leg of that arm, keeping them fully stretched we will hold that position for 3 seconds.We must perform at least 8 repetitions per side of this exercise.To these exercises, a training plan for core strengthening and postural reeducation exercises should be added. We recommend that these exercises must be supervised by a health professional / Physiotherapist. Get in touch with one of our health professionals at MY Sports Injury Manchester physiotherapy clinic, to verify that they are done correctly under the right supervision

Shoulder Pain Injury in the gym is common amongst weight lifters in the gym. When performing heavy lifting aching pain and discomfort in the shoulder occurs? There are many people who due to bad execution of an exercise or a shoulder injury suffer from pain. A very popular exercise is the Flat Bench Press.This exercise is focused on working the muscles of the chest, but activates in an accessory and stabilizing way the muscles of the arm and shoulder.2. Main causes of shoulder injuries when exercising.Have you ever suffered any shoulder pain while doing bench press?When the Bench Press is performed incorrectly, using an inappropriate technique, it causes tension in areas of the shoulder that is susceptible to injury to the Acromio-clavicular Joint (ACJ). Cervical neck nerve roots can also become compressed or irritated causing pain and numbness into the shoulder / forearm.3. Best Exercises to prevent shoulder injuries when working out.To improve the painful shoulder situation during the Bench Press, we have created together alongside some experts in sports physiotherapy a series of mobility, stretching and strengthening exercises. You can do them in the comfort of your home or in a training center.3.1. Stretching shoulder exercisesPlace your hand on the top of the back of a chair and take a step or two back, the arm should be fully stretched and you feel the tension in the biceps and chest. If you feel any discomfort during this exercise, keep stretching to where it does not cause pain.Place your hand on the elbow of your opposite arm and lift it up to the level of your face, then exert pressure towards the side. So that you feel that the lateral part of your shoulder is stretched.You must place your hand on the back of your neck and try to take your elbows as far back as you can, hold this position for 7 seconds and relax your arms. Each stretching exercise you should repeat between 5 to 7 times.3.2. Strengthening and Mobility Shoulder Exercises 3.2.1. Vertical flexionPush-ups on the floor can be complicated or impossible to perform because of shoulder pain, this option is a little softer and allows us to start with a strengthening routine where we gain strength progressively.Stand in front of a wall and support your hands on it leaving your arms fully stretched. In this position, you should only bring the torso forward by flexing the elbows and returning to the starting position.The experts of  Sports Injury Clinic recommend performing 4 sets of 8 to 12 repetitions during this exercise.3.2.1. Wall AngelsPlace your back fully against the wall, raise the arms so that the elbows are at shoulder height, the elbows and the back of the hand must be fully glued to the wall. From this position, you will slide your hands and elbows upwards without taking them off the wall and return to the starting position.credit image to: bostonbodyworkers.comDo 10 repetitions of this exercise. Remember that if you feel any discomfort during this exercise you should do it to a height that does not bother you.Lie on a bed or a mat on your back. Raise your hands so that they are shoulder height. Once you are in this position you must bring your hands up as if you wanted to touch the ceiling, hold this position for 5 seconds and then return to the starting position.You can do 12 repetitions of this exercise and gradually add weight.3.3. Mobility exercises with sticksFor the following exercises, it is necessary that you have a broomstick or a cane at hand.For the first, you must stand while keeping your back straight and your legs spread to the width of your shoulders. Take the ends of the stick with both hands and move it to the sides and stretch your arms as much as you can without feeling any pain.credit image by gymstick.com You can also make circles with the arms, always having the stick taken by the ends and passing it over the head.As you progress and the mobility of your shoulder improves, you can carry the club from front to back by passing it over the head.Each of these exercises you must repeat between 8 to 12 times. In addition to this series of exercises, you must take into account the technique when performing the Bench Press, in order to prevent a painful shoulder injury. Always go to a professional, be a qualified trainer or sports injury therapist at  Manchester MY Sports Injury Clinic so that you have an opinion and help from someone who has knowledge based on proven evidence based science journals. 

Football is the most popular sports watched across the world. This sport is full of high intensity exercise and aerobic endurance, it requires development of  coordination, agility, balance and a sense of teamwork.However, football players should be aware of the risk of soft tissue and bone injuries which can be sustained. A brief knowledge of most common football injuries is not only necessary for injury prevention, but also for the early diagnosis and prompt treatment of the affected area.According to a detailed study, researchers have determined the most common injuries in men’s soccer by reviewing injury surveillance data from the National Collegiate Athletic Association (NCAA). Over several years of the study, more than six thousand injuries from 62 ,000 practices and 6,281injuries from at least 22 ,000 football games were reported.Some general findings of the study include;The risk of injuries was 4 times higher during games than during practices.Injuries occurred during practice sessions were often non-contacted (25%), while 75% of the game injuries were often as a result of close contact between players (1).During both practices and games, more than 60% of injuries involve lower extremities.Game injuries often occurred during the last 15-20 minutes of the session2. What are the most common football injuries?, according to the percentage.Ankle SprainSprains and strains in the lower extremities are the most common football injuries, according to the study conducted by orthopedics and rehabilitation department of the University Of Rochester Medical Center (2).More specifically, an injury involving the ankle is by far the most common injury in football players according to the surveillance data from a study (3). It accounts for 17% of all injuries in both practices and games.Ankle sprain commonly occurs when you suddenly change your direction or make a sudden stop while running - causing ankle joint to twist in an unnatural position. This type of injury can be serious if not treated properly but can be effectively managed following the RICE protocol (rest, ice, compression, elevate) along with self management advice from a professional sports injury therapist.Ankles are vulnerable to re-sprains that have not healed properly. This study also reveals that the percentage of recurrent ankle sprains is quite high and may account for 24% of the total sprain injuries.It’s safe to start with some light exercise when the symptoms such as pain and inflammation have subsided. Riding a resistance bike, light jogging on a treadmill and aqua jogging are good physical activities, to begin with. You should not make the mistake of resuming football as soon as you are symptom-free. A lack of ankle stability, as you can expect after an ankle sprain injury, can lead to recurrent ankle sprains and chronic foot problems.A remedial massage therapist can improve swelling in the joint. It’s important to consult with a professional after an ankle sprain as he will be able to give you the best recommendations and support throughout your recovery. Our MY sports Injury clinic in Manchester provides a fully tailored rehabilitation program to ensure ankle stability is maintained throughout the season and a smooth recovery back to normal activities reducing any setbacks.Hamstring StrainAlso called pulled hamstring, it is one of the most common injuries across all sports, including football. Hamstrings are the group of three muscles that originate from the hip bone and run down the back of the thigh to be attached to the knee joint. Hamstring strain injuries account for 7.5 percent of all football injuries, according to data from the 2004/05-2008/09 seasons collected by the National Collegiate Athletic Association (NCAA). (4)Sudden sharp pain at the back of the thigh is the commonest symptom of a hamstring strain. It usually occurs whilst sprinting, kicking a football or performing a fast stretching movement. During such physical activities, the hamstrings muscle tissue may suffer a tear/s because of the forceful stretch beyond their limits.A tear in any muscle or group of muscles is referred to as a strain. Strains are generally classified as a grade I, II or III, depending on the severity. Minor tears in the muscles are categorized under Grade I strains, partial tears in the muscles are categorized under Grade II strains, and grade III strains are severe tears or complete rupture of the muscle. Depending on the grade of tears, you may experience local pain, muscle weakness, muscle tightness, bruising, swelling or difficulty walking and running.Consulting a physiotherapist can be helpful. Their expert opinion can help you heal and rehabilitate faster. He might use ultrasound, massage, and taping to boost recovery, and may also advise you a rehabilitation program, consisting of muscles strengthening and stretching exercises.ConcussionA concussion is classified under mild traumatic brain injuries. It commonly occurs after a whiplash-type injury or a solid impact on your head. The strong impact causes your head and brain to move swiftly back and forth.Although it can occur during a fall or a car accident, you have an increased risk of getting a concussion if you participate in impact sports such as boxing or football. They are usually not serious, but a strong impact is proportional to serious symptoms that may require immediate medical attention.A concussion injury affects your brain and its signs and symptoms are different from a contusion that results from bruises. Of note, a contusion (or bruise) can also occur on your head, however, it is not typically life-threatening and may resolve itself within several days.Depending on its severity, the symptoms of a concussion may vary from person to person. The common signs of a football impact on your head that may indicate an underlying concussion injury include:Drowsiness or feeling sluggishLoss of consciousnessBalance problemsConfusionDizzinessHeadacheNausea or vomitingDouble vision or blurred visionSensitivity to light or noiseMemory problemsGroin strainAfter ankle sprains and hamstring sprains, both concussions and groin strain injuries share similar percentage, i.e., 5.5% of all football injuries, according to the same study by the NCAA. (4)   A groin strain is also known as the pulled groin. It is less common than hamstring strains and occurs after the appearance of a tear in one of the groin muscles (adductor brevis, longus, magnus, pectineus, and gracilis). The first and typical symptom of a groin strain is a pain in the inner thigh. Other common symptoms may include sudden, sharp pain in the groin area and along the length of the groin muscles. A tear in the groin muscle occurs when kicking a football, rapidly changing direction or sprinting.If you experience a sharp and sudden pain in inner thigh after a forceful kick, you should stop the game and visit a nearby sports injury clinic for evaluation. Neglecting the symptoms may increase the tear length and can even exacerbate the condition.ConclusionSprains and strains of the lower extremities and concussion impact on the brain are the most common injuries in football players. They usually occur as a result of close player-to-player contact during practices or games. Depending on the severity, some of them are further categorized into grades.Although some minor football injuries can be treated by conventional treatment methods, consulting chartered physiotherapists for their expert advice is usually recommended. A physiotherapist is a sports injury specialist that might use various therapeutic and healing methods to speed up recovery and restore mobility.If you are in Manchester and experiencing one of these commonest football injuries, consult our sports injury Manchester team of professional Sports Injury Specialists, Manual therapists, Acupuncturists and chiropractors for a full injury diagnosis and custom treatment program, consisting of soft tissue massage therapy, sports taping, and stretching exercises along with educational advice on self recovery and maintance www.mysportsinjury.co.ukReferences1. Soccer Injuries - Sports Medicine Program - UR Medicine, University of Rochester Medical Center - Rochester, NY https://www.urmc.rochester.edu/orthopaedics/sports-medicine/soccer-injuries.cfm2. Soccer Injuries - Sports Medicine Program - UR Medicine, University of Rochester Medical Center - Rochester, NY https://www.urmc.rochester.edu/orthopaedics/sports-medicine/soccer-injuries.cfm3. Deive Epidemiology of Collegiate Women's Softball Injuries: National Collegiate Athletic Association Injury Surveillance System, 1988–1989 Through 2003–2004 B Morrey, 20084. Ncaa.orghttps://www.ncaa.org/sites/default/files/NCAA_M_Soccer_Injuries_WEB.pdf

1. What are the main symptoms ?The shoulder is a set of joints, muscles, and tendons called scapular waist. These sets of structures allow a wide range of movement in the shoulder. However, this mobility has its price. Sometimes, instability, compression of soft tissues, or bone structures produces loss of mobility and pain. There are some places to go when you have an injury like this, if you have severe pain you can go to a to a doctor or you can go to a sports injury & Physiotherapy clinic like MY sports injury in Manchester. According to Meislin RJ, Sperling JW, 2005. The persistent pain in the shoulder is a consequence of one or several underlying pathologies, the most common being rotator cuff disorders in 10%, adhesive capsulitis in 6%, and glenohumeral osteoarthritis from 2% to 5%.As mentioned previously, the shoulder is formed by a set of structures, mainly, the humerus, the scapula, and the clavicle. The head of the humerus coapts into a rounded cavity of the scapula, called the glenoid cavity. In addition, a combination of muscles, tendons, and ligaments keep the humerus centered in that cavity and provide the stability and mobility necessary to perform the activities of daily life without injury.2. What causes shoulder pain?In many occasions, the constant use of the shoulder required in some activities causes the structures to rub against each other and become inflamed. One of the structures that suffer most due to this are synovial bursas, these are small sacs filled with liquid located between the structures to prevent them from rubbing against each other or to separate compartments.In addition, excessive use with incorrect mechanics causes micro-ruptures in the tendons, thus creating tendonitis. The tendons that are commonly affected are the tendons of the rotator cuff and one of the tendons of the biceps. Altering thus, shoulder mobility and stability. One of the best treatments for this injury is the massage; some physiotherapist offers a great sports massage Manchester, if you’re looking for a good Sports physiotherapist Manchester MY Sports Injury Clinic.Another one of the injuries that causes a strong pain of shoulder are the tears of tendons. These are caused by acute injuries or degenerative changes. In the most extreme cases, the tendon is completely torn from the bone.According to Kibler, Ben W. 2003. Scapular dyskinesia increases the functional deficit in shoulder injuries. It alters the movements of the scapula during the movements of elevation of the arm, caused by the disorganisation or inhibition of the activation patterns of the muscles that stabilise the movements of the scapula.Also, compression injuries produce great pain and functional disability. In the shoulder, this injury occurs due to the pressure exerted by the acromion on the soft tissues that lie beneath it. This causes bursitis and tendinitis, causing pain and limitation of movement. Even with the pass of time, this compression can cause a tear of the rotator cuff, specifically of the supraspinatus muscle.3. How to treat a shoulder injury?On many occasions, shoulder pain is caused by inadequate postures or inadequate mechanical during our daily activities. We recommend that if you spend a lot of time sitting down, doing activities where you have to keep your arm above your head, or repetitive movements that require shoulder strength, you must do break intervals every hour or go to physiotherapy Manchester. This in order to relax the area of ​​the neck and shoulder, relax the muscles of the arms and prevent muscle spasms.On the other hand, if the pain is minimal, you don’t have to ask yourself, how to heal shoulder injury? Because in this case, it’s very simple, you should let the shoulder rest a little, and then you should make gentle movements to promote blood circulation and stimulate the relaxation of the shoulder muscles. It is not advisable to immobilise the shoulder completely because of the lack of movement weakens the muscles and causes the shoulder to become stiffer.If you have severe pain, you can apply ice to the painful area for 10 minutes (wrap the ice on a piece of cloth) or if you are in Manchester you can go to the nearest sports massage clinic in Manchester clinic to help you diagnose and fix this problem.We would suggest you to go to a physiotherapist or go to a sports injury & Physiotherapy clinic. A physiotherapist is a health professional that has the necessary knowledge of anatomy, physiology, and rehabilitation. He will perform an evaluation in which he will diagnose the exact cause of your shoulder pain. After this, it will determine the treatment that will be effective for you. Among them, massage, heat, cold, acupuncture, stretching, yoga or physio led pilates for shoulder injury, and exercises.We hope this information is valuable to you.If you need some support and you would like to check your shoulder injury

1. What is shin splints? and how to treat them?Are you a runner or maybe a triathlete and your shins hurt after day to day at the office? Well This could be the known cause of Shin Splints. The cause of this injury is the stress produced in the tibia (shin bone) and adjacent connective tissues, producing inflammation, pain, and inability to continue running or even walking! If you want an optimal recovery, a Sports Physio in Manchester is what you need. Shin Splints refer to the inflammation of the periosteum. The periosteum is a vascular layer of connective tissue that covers the bone and serves as an insertion for some tendons and fascial connections. The pain has been described as burning in the tibia when starting to run and decreases when the activity ceases.In addition, the pain occurs on the inside of the tibia and sometimes radiates throughout the front part of the leg. This injury does not have a specific recovery time; it can vary depending on its cause. However, the attention of a professional on time will have an important role in the recovery time. Sports physiotherapy is an excellent therapeutic alternative to reduce the time of return to activities in optimal conditions.According to Don E. Detmer in 1986, there are three types of chronic Shin Splints, which can be diagnosed by imaging. These are:Type I: Tibial microfracture, which is a reaction to repetitive bone stress.Type II: Tibial periostitis, this is produced by chronic avulsion of the periosteum, specifically in the periosteum-fascial junction, in the same way as a consequence of repetitive stress.Type III: Chronic compartment syndrome.   2. What causes shin splints?This classification of Detmer is accurate for chronic cases. In the most acute cases, this injury can occur for various reasons, such as:Muscle rigidity or shortening of the muscles of the leg.Traction of the fascia and tendons in its insertion area due to inadequate plantar support.Increased external tibial torsion and excessive rotation of the hip.Direct trauma in a constant way in the anterior part of the tibia.Changes in the surfaces on which it runs, such as hard surfaces, surfaces with high inclination or uneven terrain.Excessive training and lack of rest between workouts.In few occasions this injury requires surgery; generally the shin splints injury has a quick recovery if an appropriate sports therapy treatment is applied. That is why in MySportsInjury Clinic provides a thorough evaluation and assessment of such injury, with an individualised treatment plan aimed at correcting the problems that caused the injury.3. How to treat the Shin Splints Injury? There are some methods to relieve pain and try to improve the situation of this injury without going to a Manchester Sports Physio, however, we recommend assisting a health professional to assess the damage in your leg and plan an appropriate intervention.The intensity and load of training should be reduced as the pain appears, in some cases, the activity must be completely stopped in order to avoid further damage.To reduce the pain you can place ice for 10-15 minutes at the end of training and during the night.Similarly, many experienced doctors recommend the use of anti-inflammatories in the first week that you begin to experience pain.Sports massage, to unload the muscles of the leg and relax all adjacent tissues.Use silicone heel cups, they cushion the blows at the moment of running and adequately transmit the forces towards the tibia. These sills should be made to order, to avoid other foot injuries such as plantar fasciitis.During the visit to a specialist in musculoskeletal physiotherapy, you will get the attention of a body movement specialist, who will perform an analysis of your biomechanics, in order to improve any movement in your body that may cause an imbalance and cause an injury.In addition to this, a Sports injury clinic  will plan a training according to your injury, and will increase the demand of it progressively and as the condition of the injury improves.Also, you will receive a deep tissue massage, which aims to improve the elasticity of the tissues through the viscoelastic properties of the muscles.On the other hand, you will receive information and education about the movement, so that you can carry out your training and your daily activities in an appropriate way and, thus, reduce the incidence of injuries such as Shin Splints and other injuries.If you are suffering from any injury, our team of professionals from our Manchester sports injury clinic will be very happy to assess you and treat you to recover from it to be back to your best soon!

4 Simple At-Home Exercises to Relieve Your Neck Pain.1- Understanding Neck Pain and how to fix it.Whether you go out for work or you work from home, whether you are 25 years old or 65 years young- neck pain is something that we all have experienced at some point or another. There can be many reasons to trigger a neck pain, for instance- a poor sleeping posture or your neck being left at pause in the same posture for an hour at length or a more serious medical condition as Spondylosis. As a matter of fact, excessive mental stress can also be a reason causing pain in your neck and back. Neck pain, if not taken care at the right time, can aggravate and spread to your shoulders and spine too.2- the top 4  Exercises to relieve your Neck pain.Below are 4 simple at home exercises to help in loosening your muscles and alleviate you neck pain. A word of caution- practice these only if you have a heads-up from your doctor and as you do it, be gentle with yourself (/don’t be too aggressive) –Neck Tilt- From a sitting position looking straight ahead, tilt your head down slowly so that your chin touches your chest. Hold this position for five seconds then return to the starting position and repeat. Do this five times.Side-to-Side Neck Tilt- From the same sitting position as above, tilt you neck toward one shoulder, leading with your ear. Again, hold this position five seconds. Return to the starting position and repeat. Do this five times on each side.Neck Turn- Look straight at eye-level while being in sitting position. Next, turn your head to one side keeping your chin at the same level and hold for five seconds. Do this five times on each side.Neck Stretch- While holding the rest of your body straight, push your chin forward. You should be feeling a stretch in your throat as you do this. Hold this position for five seconds. Next, from the same starting position, push your chin backward and again hold for five seconds. Do the forward and backward stretch five times each.3- How to get rid of the neck pain in 6-8 weeks?You can modulate doing the above exercises anywhere between 5-8 times each, depending upon your comfort and ease. If you are just getting started, it is highly recommended that you start slow and go easy. Doing these simple exercises has shown proven results in loosening muscle stress and causing pain relief.Practising these exercises for two weeks can lead to significant relief in neck pain. With time, most likely within 6-8 weeks time, you will witness that the pain has subsided largely or has gone completely. But even after the pain leaves, you should not stop exercising as it will help in keeping your neck flexible and give those neck muscles, a much-needed regular stretch.A few points to note before you begin- firstly, you should not do these exercises if you have severe neck pain or weakness in your hands/ arms. Instead, you should visit a doctor for a medical check-up. Secondly, in case any of these exercises cause severe pain or weakness in your hands, arms or any other body part, stop right away and talk with your doctor.For a more elaborate guidance or any questions on this, you can contact us directly here4- Who can support you with your sports injuries in Manchester?Ray Ho, Sports Injury Specialist, Chinese Acupuncture for Neck / Back Problems 

What´s physiotherapy? The concept of Physiotherapy is unfamiliar to most due to their lack of exposure to it. Those who do understand it more than likely have experienced it first-hand. Physiotherapy may be warranted in a variety of situations such as different sports injuries, chronic diseases, trauma related injuries, etc. The list goes on and on. In a nutshell, physical therapy helps people maximize their functional capacity via different rehabilitative practices (restoring everyday life).What does a  physiotherapy do?In addition to understanding the purpose of physiotherapy, the next step is to understand why it works. In general, if one doesn’t have faith in something, he or she will never be able to receive the maximum benefit from it.1 In order for Physiotherapy to be effective, the patient must without a doubt believe it will be helpful. A negative mindset will yield negative results. Positivity is very important.5 Main Benefits of  Physiotherapy Treatment:  It helps  improve your motivation and health- As cliché as it may sound, a little bit of encouragement goes a long way. Physical therapists motivate their patients to overcome their current conditions, and to persevere despite the many obstacles they may face.2 Oftentimes patients believe they are capable of performing their own physical therapy, but usually fail to do so. Physical therapists are professionally trained motivators, and expert encouragers. Having a skilled motivator at your side will encourage you to continue on, though you may feel like throwing in the towel, especially when results occur slowly.Getting professional medical advice- Nothing beats receiving advice from someone who’s knowledgeable. Physical therapists are clinically trained and specialize in physical restoration and rehabilitation. The current educational requirement for a physical therapist is either a Masters or Doctorate of Physical Therapy. Physiotherapists spend years researching evidence-based treatment, interning for long periods of time, and studying their craft diligently. They are more than adequately equipped to provide patients with the care they require to improve their lives. No other profession is capable of rehabilitating the body the way a physical therapist can (occupational and speech therapists are also included in this category).Professional Supervision and support- If you want to ensure you’re performing a particular exercise properly with minimal risk for harm, you’ll want the supervision of a physical therapist nearby. After experiencing a major injury or status post-surgery, you’ll want to ensure you’re treating your body fairly. Nothing’s worse than performing aggressive activity too soon. You’ll harming or re-injuring yourself, and it’s not worth it. Be fair to your body and allow a physical therapist to ensure your safety. You won’t regret it.Research Based- Physiotherapists are trained to treat patients based upon factual evidence and clinical reasoning. Evidence/research-based practice minimises the potential for error, and maximizes results for patients. Besides, it’s considered unethical for a physical therapist to administer treatment without supporting evidence. It’s actually considered a form of malpractice. Therefore, most physical therapists aim to treat their patients based upon truth, and effective treatment approaches. Who wouldn’t want to treat in the best way? check out our team of physiotherapists in Manchester hereExperienced Professionals- Physical therapists are experienced in a variety of different treatment settings. They’ve also worked with a diverse patient population with various injuries, diagnoses, and ailments. From ankle and knee injuries, to strokes and leg amputations, they’ve witnessed it all. With such diverse experience, physical therapists are able to provide their patients with the best care possible. They know what works, and what doesn’t work. Patients don’t generally know the most effective way to treat their situation, therefore an experienced physical therapist is a must have!So, after reading the benefits of physiotherapy you might be wondering if you really need some support or not to improve your physical health.At Mysports injury our main mission is to hail you and make you live a healthier life, that why all our team of physiotherapists in our Manchester clinic are more than welcome to diagnose you first and then give you the best treatment that suits your needs

Everything you need to know about Sports Physical Therapy1.What's Physical Therapy?Manual physical therapy is a specialised form of physiotherapy conducted manually with a hands on approach opposed to a medical devices or machines. Manual hand therapy, techniques used by our clinical practitioners at MY Sports injury apply pressure through the hands towards muscle tissue and manipulate joints in an attempt to reduce back pains caused by muscle spasm, muscle tension, and joint dysfunction.2. How physical therapy works?Manual Physical Therapy provides Pain Relief for Acute / Chronic Back PainsManual therapy can be highly beneficial for the treatment of joints that lack adequate mobility and range of motion in Musculo-skeletal type conditions. This limitation can cause discomfort, pain, and an alteration in function, posture, and movement. Manual physical therapy involves restoring the human bodies mobility to stiff joints and reducing muscle tension in order to return the patient to normal activities of daily living and normal movement without pain to a pain free active lifestyle.Manual therapy may provide back pain relief both for patients with chronic back pain involving joint problems, such as Sacroiliac Joint dysfunction and also acute back pain from soft tissue injuries such as a back muscle strain or nerve root dysfunction.3. Which are the main physical therapy techniques?Physical therapy techniques are focused on relaxing tense back muscles and restriction in joints in order to decrease back or neck pains and increase flexibility in the soft tissues. In general, manual physical therapy techniques are used in the following types of movement:Soft tissue work, including massage, which applies pressure to the soft tissues of the body such as the muscles. This pressure can help relax muscles, increase circulation, break up scar tissue, and ease pain in the soft tissues.Mobilisation/Manipulation, which uses measured movements of varying speeds and oscillations (slow to fast), force pressure of hand (gentle to forceful), and distances (called 'amplitude') to twist, pull, or push bones and joints into position. This can help to loosen tight tissues around a joint as a distraction type technique and reduce pain in a joint and surrounding tissue, and help with flexibility and alignment. 4. How does physiotherapy works? Physiotherapy aims to reduce & eliminate physical forms of pain, and dysfunction in the body. More importantly it can help to reduce the possibility of pain or injuries becoming deep rooted & more severe. It also helps to prevent any re-occurrence of symptoms for longer term pain management.

At MY Sports injury & Osteopathy we focus on the physiological changes to tissues in the body during sports massage, these are important to influence longer lasting effects to your body.   Cellular soft tissue effects: focused on long lasting tissue changes. A deeper more firmer massage will help alter the tissue tone and improve elastic capabilities with physiological changes in tissue and cells.   Circulatory blood flow effects: Massage helps to improve the circulation of blood flow to increase oxygen to the cells, improving body temperature, and capillary blood vessels opening through increased blood flow whilst also helping to excrete toxin by-products clearing the body and removing any waste and tissue debris through lymphatic drainage system of the body. MY Sports Injury & Osteopathy is highly effective to speed up recovery rates and return back to playing sports.   Hormonal effects: Our Specialist Pain Practitioners combine Massage techniques to improve mental health and mood. Massage can release serotonin hormones in the brainhelpingto regulate mood improving mental state of well-being. This will benefit you overall making the body feel relaxed and put the mind in a better functioning mood throughout the day. Cortisol is another stress hormones which is reduced by having regular Massage by our massage therapists at MY Sports Injury.   Mechanical Effects: create changes in the body through firming massage techniques this helps push fluids throughout the body, improving tissue elasticity and helping breakdown of dense collagen fibres and trigger points which occur when damaged tissues repair itself Massage can reduce the overall symptoms of pain in the body resulting in improving range of movement and relaxation whilst working from home.