News

Adversity to Triumph – Osteopathy treatment for Sports Injury

Osteopathy treatment for Sports Injury –  a total body approach

With London Marathon 2017 done and dusted – our thoughts turn to the many patients we have helped to achieve their sporting goals. Each case has been very satisfying for us to get involved with because our patients have been very much on board with our approach and have adhered to our rehab programs and training modifications. Osteopathy for sports injury has not always been the obvious choice – many default to the services of physiotherapists.  However – our reputation in sports therapy is growing as patients have benefited from an approach which integrates total body biomechanics.  At the Health in Motion clinic, we like nothing more than to see people thrive and achieve their goals.

Case examples of Osteopathy treatment for Sports Injury.

Our osteopaths have provided three case examples that illustrate the winning combination of patient determination and osteopathy treatment.

Sports Injury, Health in Motion Osteopaths
Lola Phillips, Practice Leader, and Registered Osteopath – Osteopathy treatment for Sport Injury

Triathlete

Chris, a very capable triathlete, visited me with a knee pain that was limiting his running distance and target speed.  The conclusion reached by his consultants and other professionals was that he should give up running.  As Chris was determined to continue in the sport I looked for other areas of his body that would provide scope to improve his running mechanics and therefore prevent irritation to the knee.  The main area for improvement was the ankle on the same side, which had been injured many years ago and was malfunctioning, unknown to Chris.  Chris now continues to compete in triathlon events.  Once I  had manipulated the ankle joint and the corresponding sacroiliac joint – Chris reported that the knee was gradually improving and he was soon back on track with training and competing.  Here are a few kind words from Chris

Sports Injury - Health in Motion Osteopaths
Triathlete Chris – Successful recovery from debilitating Knee Pain.  Osteopathy for Sports Injury.

“When I came to see Lola in February I had been suffering from a debilitating knee issue for a few months. I had been to see a physiotherapist and a surgeon and I was told that I should not run again. I was recommended to see Lola at that stage. After a couple of visits I started to lightly run again and within 2 months I was back doing triathlons. I think the different approach Lola took to the treatment and the open mind that she looked at my injury with meant that she was able to determine the correct treatment for me where others had misdiagnosed and written me off.  My treatment at Health in Motion was fantastic and I have felt great since! “

Sports Injury, Health in Motion Osteopaths
Eds Chesters, Practice Manager, and Registered Osteopath – Osteopathy treatment for Sports Injury

Marathon Runner

Rose has always been a good runner, sporty and active with no significant injuries in her 35 years. Having run a marathon in 4 hours a few years ago – and after having 2 beautiful babies – Rose had the good fortune to win a lottery place in the London Marathon 2017. Training was going well until 10 weeks before the event when she started getting worsening calf strains and pain after the longer runs.

We put together a treatment plan to address the calf pain and to work through other shortened muscle in posterior muscle group – the chain of muscles which develops power from the lower back down to the big toe.

A stiff right ankle, although not painful or even noticed by Rose, was contributing to a compensating right calf. A subtle lack of rotation through the lumbar spine would not cause any problems under normal circumstances, but when multiplied by 100,000 steps a week….

Rose was following a tried and tested marathon training program which I fully endorsed, however, I believe the “one-legged downward dog” achieved a powerful stretch through the Achilles tendon and prevented her calf muscle from repetitively straining. I also prescribed some core strengthening to improve efficiency in her running gait.

Sports Injury - Health in Motion Osteopathy
Jon Juviler, Associate Registered Osteopath with Patient Laura, Marathon 2017 runner, who received Osteopathy treatment for Sports Injury

Marathon Runner

So, after months of hard work and some blood, sweat, and tears Laura completed her first London Marathon in 2017!  I first met Laura in December 2015 when she presented with pain in her right knee which had come on during a half marathon. She was in the early stages of training for the 2016 London Marathon. Over a series of osteopathy treatments, the injury healed and Laura felt stronger.  However, for the sake of achieving complete recovery Laura was unable to keep on top of her training program we both decided to put the brakes on her training for the marathon. This was a tough decision to make but we thought the right one at the time.

Fast forward a year – Laura was determined to try again! To prevent injury and keep Laura on track with her demanding training program, Laura attended regular osteopathy session for joint and muscle conditioning and followed my prescriptions of strength training exercises. Laura’s story sums up how a person’s determination will do whatever it takes to get over the finish line.  Here are a few kind words from Laura –

“I started seeing Jon a year ago for a running related injury and had to drop out of my plan to run the marathon. With Jon’s help, I finally managed to cross the finish line of the London Marathon this year. I’d seen a variety of Physio’s and osteopaths and knew instantly with Jon I was in good hands. His warm nature and great advice has got me to where I am today.”

Mattress Choice – Are you sleeping with the enemy? Osteopathy may help with your next choice.

Osteopathy-Mattress-Choice
Lola Phillips, Registered Osteopath, shares her thoughts on Mattresses choice

What type of Mattress should I buy?

Many of my osteopathy patients ask me “What type of mattress do you recommend”.  My usual answer is… “the type of mattress you buy needs to match the type of body you have”.   My advice will also depend on whether the person asking has recurrent issues with their back, neck, shoulders, hips and so on, which is often the case due to my occupation.

Even if you spend 30 mins on each mattress you try in the shop – you will never be sure you have selected the correct choice.  Some very expensive brands offer 30 days (or longer) no quibble return after your purchase.  However, if the bed turns out to be unsatisfactory how do you know whether or not the mattress is not suited to you or whether or not you (in your current state) are not suited to the mattress.

Body type.

My advice is going to be based on your weight, and your weight relative to your partner.  I will also be considering if you have a strong or a softer build.  Are you tall or are you short.  If you are sharing the bed I will need to know the same about your partner.  Generally speaking a very light person may be suited to a soft to medium mattress.  However, a heavier person is going to need a firmer supportive one.  For example – I just replaced my daughter’s single bed mattress as she has doubled in weight and strength since I bought it 5 years ago.  The softer mattress she had previously was no longer suited to her frame.  The firm mattress I bought feels a lot more comfortable for her.

But what do you do if your partner is significantly lighter or heavier than you.  You should consider getting a split mattress so that you can both have the mattress that suits your different body type.

Structural Issues

Structural issues include

  • your inherent ligament strength in your spine and peripheral joints – some people have benign ligament hyper-mobility.
  • Pregnancy – if you are planning to have one or more pregnancies over the 10 or 20 year of your mattress life then you need to take the long view on your mattress choice.  You are also going to have little children gate crashing your bed – so this is going to be an important decision  for the sake of your back.
  • History of trauma or surgery – anything that has compromised the strength of your body can dictate how much support you need at night.  This includes neck, head and face trauma.  I made some suggestions regarding this in a previous article regarding pillows.
  • Skeletal Moulding – this would include structural scoliosis (side to side curvature of the back) and Scheuemann’s (back to front contour of the upper back).  There may also be issue regarding bone density.
  • Recurrent back, neck and hip problems.  50% of our patients see us for back, neck and hip pain.  Often these problems trigger patient’s to change their mattress.  If you have ever felt this way then please speak to us before making your purchase as a new mattress may not be necessary, and if it is we can help you make an informed choice.   Also, we can help you optimise the condition of your body so that your bed choice is not based on what could be a transient problem.

Preferred sleeping position.

Your choice will not be dependent on your sleeping position but sleeping position may impact on how comfortable you feel during the night and when you wake up.  My previous article on pillows discusses sleeping position in more detail.

Firm v Moulding mattress

Generally I recommend a firm, non moulding mattress because of the support needed for a body in it’s relaxed state.  When joints are placed awkwardly or  without support, the ligaments (fibrous structures that attach bone to bone to form joints) and tendons (terminal sections of muscle that joint muscle to bone) are held in a stretch position, which can weaken them over time.  If you are unlucky, on occasion the surrounding  muscles can react with a protective spasm if the ligaments or tendons become irritated over night.  A firmer mattress is likely to hold you and your joints in a more neutral position.  A very athletic person with strong ligaments and tendons may be suited to a moulding (usually memory foam) mattress but the majority of the population are not build that way and I would advise against them for a lot of the people I meet.  Taller people may have more flexible ligaments and laxity to other connective tissues in the body – therefore they really need more support at night.

Osteopathy may help with your choice.

Bed sales personnel are not well informed on muscular and skeletal issues and conditions – so may not be best placed to provide all the advice you need regarding mattress choice.  If you are a patient at one of our clinics then we will be aware of your issues and can offer more information about mattress choice.  If you are not a patient – then you are welcome to seek our advice.  If you have recently bought a mattress but not sure about your choice then talk to us and we may be able to offer advice about customisation or some treatment that may allow your body to settle better at night.

As a start point – I can provide the following generic guidance – which I can customise once I speak with you individually

  • Try a medium to firm mattress depending on your weight and strength of your frame.  I do not generally recommend memory foam as the base mattress.
  • If either a medium or firm mattress feels too hard for you then you can use a 5cm to 10cm topper (made from either memory foam or natural fibre ) soften the feel of it.  This way you get softness on contact and most importantly – support underneath.
  • If you follow the above suggestions but cannot get comfortable – you may need body adjustment to help your body relax at night.
  • Do not break the bank!  I usually get my matressess from an online store.  I pay about £150 for a single and no more than £340 for a double.  They tend to be pocket sprung, firm and super comfortable.
  • You can buy mattresses designed so that they do not need to be turned over.  Can you imagine the potential hazards of turning a heavy double or kingsize mattress.

 

We look forward to helping you make your mattress choice.

 

 

 

Marathon Training and FAQ’s about Running Injuries

Marathon Training and FAQs about Running Injuries

January is when you might be about to start your training for the spring Marathon season. Whether it’s your first or you’re an experienced marathon runner, it’s generally recommended that you train for between 15 and 20 weeks to prepare yourself properly. In this article we answer some of the most frequently asked questions from our many running enthusiasts.

Here are some frequently asked questions from runners that visit Health in Motion Osteopaths

  • “Which running conditions can osteopaths help with?”

As your body adapts to running you may find that muscles ache after a run. This is normal and should resolve during rest days. Pain serves a useful purpose and should not be feared. However, any pain that seems uncharacteristic, of a sharp or burning quality; and increases while running, or is preventing you from running, needs to be investigated by a professional such as an osteopath. There are lots of conditions associated with running. These include achilles tendonitis, plantar fasciitis, shin splints, ankle and knee pain and hip strains. Don’t ignore uncharateristic pain! Come and speak to us at Health in Motion Osteopaths for advice. We can diagnose the issue properly and suggest ways of adapting your training to get you back on track.

  • “Which treatments are likely to benefit me as I train for a Marathon?”

Treatments like osteopathy and sports massage offered at Health in Motion, can help to reduce the chance of injury during training. With proactively scheduled treatment sessions we can make adjustments to improve your biomechanics so that the risk of repetitive injuries are minimised.

  • “Do you see a lot of marathon runners at your clinic?”

Before and after a high profile race is when we are introduced to new patients who are runners, there is broad mix of running experience within this group. Existing patients who are runners are usually seeing us throughout the year and are “tactically” programming treatment into their training and event schedules.

  • “If I get a ‘niggle’ should I run through it or will I do myself permanent damage?”

In the absence of meeting the person, asking this question and diagnosing the cause of their symptoms, the best answer we can give is as follows. Keep an open mind. If it continues; or changes in behaviour; and/or it is undermining your confidence, then get it checked out by us or by a similar professional. Chances are you are developing a repetitive strain as your training intensifies and your body may need some adjustment to cope with the increased mileage and frequency of training. These symptoms are much more straightforward to deal with if we have at least 6 weeks before the event.  So do not delay if your getting any warning signs of running injury.

  • “I have injured my hip / calf / back / etc! I really want to do the race. Will I be able to run?”

We will only be able to advise on this if we have examined and diagnosed your injury at the clinic. The most frequent injury that we see in the 2 to 3 weeks before a race is either a calf injury or a hip injury. Most runners are concerned about whether or not they are doing lasting damage. Again, we can provide treatment and advice to make sure that no lasting damage is being done.

  • “Will I have to stop running to recover from my injury?”

That depends on the injury but it is our intention to keep you active during your recovery. We can do this by making any of the following recommendations which are applicable to your case.

Regress your training plan / reduce mileage to recommended level for a recommended period
Rest but continue with non-weight bearing CVS and conditioning exercise for a recommended period

  • “How will I know I am safe to push my injured body after recovery?”

We will teach you how to “stress test” the injured area after we have confirmed that you are ready to resume running or increase your distances. Stress testing is low risk loading of the injured area to give the runner confidence that they are safe to proceed with training.

  • “How much treatment will I need?”

This recommendation varies according to each individual and the nature of this injury.  We will give your our estimate of the amount of treatment required once we have assessed your injury

  • “What exercises can I do to help recovery or prevent injury?”

This is very individualised advice, because it is based on full evaluation of your case. We will produce a bespoke exercise plan to suit your condition. The exercises will include stress testing, once we judge you are recovered enough to do them yourself. Do not be surprised if we give you exercises that do not seem related to the symptomatic area. We are giving you these because we have judged other areas to be linked to your current complaint. This is all explained in your consultation.

  • “When would it be considered too late to get help?”

Although early assessment and intervention is recommended, it is never too late to seek osteopathic advice and treatment in the last weeks leading up to the event.

  • “Should I get an X-Ray or MRI?”

This depends on whether your practitioner feels it is necessary to do so.  We can advise on this when we assess your injury.

  • “Is it beneficial to get osteopathic treatment after the race and maybe for proactive treatment to assist my running throughout the year?”

Absolutely, post-event osteopathy can provide restorative treatment after an endurance event. Osteopathy is hugely beneficial for prevention of any potential injuries. For example, if you have suffered from a knee injury after your event, we will be able to work to relax and strengthen the structures supporting your knee and hence retain mobility of the joint. This will then prevent any further injuries throughout the year and allow you to continue running!

Why Osteopaths Recommend Regular Hydration

Why Osteopaths Recommend Regular Hydration

Kemmy Gichaba – Osteopath at Health in Motion Ealing and Maidenhead clinics

I have always had an interest in nutrition and I considered becoming a dietitian before I discovered Osteopathy. My interest and curiosity turned into a passion when I met Marcus, my husband, who is a type 1 diabetic. Living with Marcus and his condition helped me gain a better understanding of the body and made me see how osteopathy and nutrition can work together.

In this article I will be discussing the benefits of drinking pure water at regular intervals and how to remind yourself to keep hydrated during your busy day with the help of useful apps.

Provide material for cell activity

Up to 60% of our body is made up of water. Water is made up of 2 parts Hydrogen and 1 part Oxygen which are vital materials for cell activity. Hydration is only possible with pure water, juices and other drinks, although they are wet, do not provide hydration for the body.

To sustain daily activities

Water helps us to perform better during exercise as water is lost through sweat during exertion. Hydration improves endurance and can reduce oxidative stress put on the muscles during high intensity workouts.  Hydrate your body before a physical workout.

Avoid Soreness after osteopathic treatment

It is also important to drink water after an osteopathic treatment because you may experience soreness in the muscles that have been worked on during your session. Keeping your muscles hydrated will help to reduce the achiness. I would advice drinking a glass of water before you leave the clinic. There is no excuse, its right by the front door!

Avoid side effects of dehydration

Studies have shown that fluid loss of up to 2% due to exercise, daily activities, sedentary living or high temperatures can affect your mood and your concentration. If you experience headaches at work or after exercise, dehydration may be the cause of it. It is important to note that there are many different types of headaches. Water may help to alleviate the headache and reduce the episodes if its caused by a lack of adequate water intake.  If you have trouble performing tasks or often experience the feeling of being tired this could be a sign of your body telling you that you need to drink more water.

Constipation is commonly linked to a lack of fibre as one of the main causes but water has also been proven to help with bowel movements too. The intestines use peristalsis (muscular contraction) to get things moving. Water will assist with this and in turn may help the symptoms of constipation. Whenever patients consult us regarding constipation we will usually recommend increasing fibre into their diet and to try drinking more water.

Joint stiffness and alcohol

A benefit of drinking water especially before bed can be to help reduce the effects of early morning joint stiffness. If you’ve consumed alcohol, drinking a glass of water before bed may also minimise its dehydrating effects and help reduce your hangover!

Useful Apps

I have listed my favourite apps for reminders during the day. I will be the first to admit that drinking water is something I easily forget and that is why apps are so handy. If this is something you struggle with try one of these apps that you can find for free in the Apple or Android stores and see if they help you stay hydrated. If any of the conditions mentioned in the article are something you are dealing with or a family member or friend, feel free to pop in to the Health in Motion clinic to discuss it with us or book an appointment with one of the osteopaths. Happy New year!

 

1. Water log- Daily reminder and health tracker

 

 

 

 

2. Daily water balance tracker – Hydration app log

 

 

 

 

3. Daily water free – Water reminder and counter

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vitamin D deficient or not? – Osteopathy sheds some light!

Jon Juviler at Health in Motion Osteopaths discusses Tennis Injury
Jon Juviler at Health in Motion Osteopaths discusses Vitamin D Deficiency.

Experience of patients with suspected vitamin D deficiency

In case you haven’t noticed it’s winter! Other than the cold weather, which some like and some don’t, we find ourselves with an issue that is less obvious, and that is a lack of sunlight.

Many of us get up nice and early in the morning (when it’s still dark), commute into work using various forms of transport, sit in an office all day and then head home in the dark. Some of us may not see the sunlight for more than a few minutes if at all on an average day.

Why could this be a problem? Don’t be left in the dark!

One major result of a lack of sunlight can be a vitamin D deficiency. Vitamin D is very important to us as it helps with the absorption of calcium, iron, zinc and magnesium in our guts. Unfortunately the types of vitamin D we require aren’t found in abundance in foods and are only really created by our skin being exposed to UVB rays from the sun.

In our osteopathy clinic we see patients all year round who may present with signs of vitamin D deficiency and not realize it. These signs include; tiredness, general aches and pains, more frequent infections and in severe cases bone pain and difficulty getting around.

As osteopaths we offer our patients longer appointment times than your GP may be able to. This gives us the opportunity to ask more questions that may make us suspicious of a vitamin deficiency. It is common for people to assume physical pain or discomfort is only linked to musculoskeletal issues.

Although osteopaths can’t directly treat vitamin D deficiencies we can offer advice regarding lifestyle and exercise and also when necessary refer you back to your GP for further investigation. Vitamin deficiencies are normally diagnosed with a simple blood test.

Pre-diagnosed Vitamin D deficiency – can Osteopathy help?

If you’re coming into the Health in Motion clinic with a pre-diagnosed vitamin D deficiency and are in pain we can help to differentiate between a bio-mechanical cause and a possible link with the deficiency. As osteopaths we are trained to ask very specific questions about your presenting symptoms that may lead us in the right direction. The sort of clues that can aid our diagnosis are; if you find your pain is made worse by certain activities or by rest or if it’s worse in the morning or the evening.

Please come and speak to us at Health in Motion osteopaths in Ealing and Maidenhead for more info and advice or to have a chat about any of the information in this article.

Light up the Lane

2015-11-29-16-00-14Light up the Lane (Pitshanger Lane, W5 1NP)

The clinic will be open during the event and offering our signature Mulled Cider and Chilli Con Carne or veg version. The event is on Sunday 27th November. Come and visit us if you’re in the area!

 

Fire Cupping – A Wonderful Winter Treat

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Teresa O’Connor gives her opinion on Fire Cupping and its positive effect against respiratory ailments.

Fire Cupping – a Wonderful Winter Treat

As part of (TCM) traditional Chinese medicine Fire Cupping is a method of creating a vacuum on the patient’s skin to dispel stagnation, stagnant blood and lymph, thereby improving qi ( our vital energy) flow.

Cupping can help improve some of the symptoms of respiratory conditions such as the common cold, pneumonia and bronchitis.  The treatment is valuable for the lungs, and may be able to help clear congestion from a common cold or help to control some of the symptoms of asthma. In fact, respiratory conditions are some of the most common conditions that Fire Cupping is used to help relieve. It can also help with general physical and psychological well-being.

How Fire Cupping is applied

Cupping is used on the back, neck and shoulders and can treat some of the symptoms of musculoskeletal conditions. The suction and negative pressure provided by cupping may help loosen muscles, encourage blood flow, and sedate the nervous system. Fire Cupping is used to help relieve some symptoms of back and neck pain, stiff muscles, anxiety, fatigue and migraines.

What is Fire Cupping

It is an ancient form of alternative medicine in which a local suction is created on the skin; which mobilizes blood flow in order to promote healing. Suction is created using heat (fire) or mechanical devices (hand pump). Through either heat or suction, the skin is gently drawn upwards by creating a vacuum in a cup over the target area of the skin. The cup stays in place for five to fifteen minutes. Depending on the specific treatment, pink or red rings on the skin are common after the cups are removed which can last for a few days. Usually treatments are not painful.

Like acupuncture, Fire Cupping follows the lines of meridians or channels. There are meridians or channels on the back, these are where the cups are usually placed. Using these points, Fire Cupping can help to align and relax qi, as well as target more specific conditions. By targeting the meridian/channels, cupping strives to ‘open’ these channels – the paths through which life energy flows freely throughout the body, through all tissues and organs, thus providing a smoother and more free-flowing qi (life force).

Fire Cupping can be combined with acupuncture or it can be used as a lone treatment. So if you feel like you are getting the symptoms of a cold or congestion or even want a relaxing, therapeutic cupping session do not hesitate to book an appointment.

Pre-Christmas Gift Voucher Sale – ends 18/12/2016

Pre-Christmas Gift Voucher Sale
Pre-Christmas gift Voucher Sale

Pre Christmas Gift Voucher Sale Now On!

Are you struggling to find a special something for a special someone or perhaps you want to treat yourself?! Our gift vouchers are the ideal stocking filler or main present. Osteopathy, Deep Tissue and Sports Massage, and Acupuncture treatments are available. Our voucher sale ends on 18th December 2016 so be quick to purchase a memorable therapeutic experience for someone special. Shop online or in the clinic

 

 

 

 

  • Vouchers can be ordered and paid for online or purchased at either our Ealing and Maidenhead clinics.
  • They can be redeemed at either clinic.
  • Vouchers have a 12 month expiry date.
  • Treatment can be upgraded when redeemed
  • Vouchers Purchased online can either be printed and presented to the recipient or they can be emailed to them directly.

Click here to see all available voucher options

See our product range for other gift ideas.

Osteopathy can help you prepare for the Ealing Half Marathon.

Are you thinking of Running a half marathon for the first time?

Jon Juviler at Health in Motion Osteopaths discusses Tennis Injury
Jon Juviler at Health in Motion Osteopaths provides encouraging tips for the Ealing Half Marathon

If so, it will be too late to sign up for the Ealing Half on Sunday 25th September.  However there is plenty of time to prepare for the Ealing Half or similar events next year as  you will need at least a 15 week preparation program.

Here are some ideas on how to get yourself in shape and hopefully without injury in preparation for such events.  There are a wealth of online resources to check out and you could always join a running club to get motivated and educated on preparation.

Preparation Ideas

Running 13 miles may seem like a daunting challenge especially if you’re new to running but fear not, laying down some good foundations when preparing for it, can give you the confidence you need.

To begin with here are some tips to get you going:

  • Make sure you have a good pair of running shoes. At Health in Motion Osteopaths we can help advise you on the sort of shoe to look for that is appropriate for your feet and body type.
  • Make sure you warm up properly before your runs. Five minutes of walking, then building up to a brisk walk before you start running is a good way to approach it.
  • If you can, try and have a rest day between your running days. This is very important for recovery and to allow your muscles and tissues time to repair properly before the next run.
  • You should be running about three times per week to get things started. These don’t have to be long runs, maybe about 30 minutes each.
  • At the weekend consider doing a slightly longer run than you do during the week. Aim for about three miles to start with and gradually build on this as you go adding around 1.5 miles every two weeks. On alternate weekends go back to the three mile run.
  • Make time for conditioning work, such as swimming, static cycling, yoga or pilates.  We will also be able to produce a conditioning  program for your rest days.
  • Plan to take about 15 weeks to prepare for the Ealing Half Marathon doing your longest run 2 weeks before the race.

Running Injury

As your body adapts to running you may find that muscles ache after a run.  This is normal and should be resolved during rest days.  Pain serves a useful purpose and should not be feared.  However, any pain that seems uncharacteristic, of a sharp or burning quality; and increases while running, or is preventing you from running, needs to be investigated by a professional such as an osteopath.  There are lots of conditions associated with running. These include achilles tendonitis, plantar fasciitis, shin splints and ankle and knee pain; hip strain. Don’t ignore uncharateristic pain! Come and speak to us at Health in Motion Osteopaths for advice. We can help to diagnose the issue properly and suggest ways of adapting your training to get you back on track.

Treatments like osteopathy and sports massage that we offer at Health in Motion, can help to reduce the chance of injury during training. With proactively scheduled treatment sessions we can make adjustments to improve your biomechanics so that the risk of repetitive injury are minimised. In many cases prevention is much better than cure!

Here are some frequently asked questions from the many runners that visit our clinic.

Do you see a lot of marathon runners at your clinic?

Before and after a high profile race is when we are introduced to new patients who are runners – and there is broad mix of running experience within this group.  Existing patients who are runners are usually seeing us throughout the year and are “tactically”  programming treatment into their training and event schedules.

If I get a “niggle” should I run through it or will I do myself permanent damage?

In the absence of meeting the person asking this question and diagnosing the cause of their symptoms, the best answer we can give is as follows.  Keep an open mind.  If it continues; or changes in behaviour; and/or it is undermining your confidence, then get it checked out by us or a similar professional.  Chances are you developing a repetitive strain as your training intensifies and your body needs some adjustment to cope with the increased mileage and frequency of training.  These symptoms are much more straightforward to deal with if we have at least 3 weeks before the event.

I have injured my hip / calf / back / etc!  I really want to do the race. Will I be able to run?

We will only be able to advise on this if we have examined and diagnosed your injury at the clinic.  The most frequent injury that I see in the 2 to 3 weeks before a race is either a calf injury or a hip injury.  So far all runners that I have seen, bar one, have been able to overcome injury to enter the race.  Most runners are concerned about whether or not they are doing lasting damage.  Again, we can provide treatment and advice to make sure that no lasting damage is being done.

Will I have to stop running to recover from my injury?

That depends on the injury but it is our intention to keep you active during your recovery  We can do this by making any of the following recommendations which are applicable to your case.

  • Regress your training plan / reduce mileage to recommended level for a recommended period
  • Rest but continue with non-weight bearing CVS and conditioning exercise for a recommended period

How will I know I am safe to push my injured body after recovery?

We will teach you how to do your stress test on the injured area after, we have confirmed that you are ready to resume running or increase your distances.  Stress testing is low risk loading of the injured area to give the runner confidence that they are safe to proceed with training.

How much treatment will I need?

This recommendation varies according to each individual and the nature of this injury.

What exercises can I do to help recovery or prevent injury?

This is very individualised advice, because it is based on full evaluation of your case. We will produce a bespoke exercise plan to suit your condition.  The exercises will include stress testing, once we judge you are recovered enough to do them yourself.  Do not be surprised if we give you exercises that do not seem related to the symptomatic area.  We are giving you these because we have judged other areas to be linked to your current complaint. This is all explained in your consultation.

 When would it be considered too late to get help?

Although early assessment and intervention is recommended, it is never too late to seek osteopathic advice and treatment in the last weeks leading up to the event.

Should I get an X-Ray or MRI?

This depends on whether your practitioner feels it is necessary to do so.

Is it beneficial to see you after the race and maybe for proactive treatment to assist my running throughout the year?

Absolutely, post-event osteopathy can help in many ways. Osteopathy is hugely beneficial for prevention of any further potential injuries. For example, if you have suffered from a knee injury after your event, we will be able to work to relax and strengthen the structures supporting your knee and hence retain mobility of the joint. This will then prevent any further injuries throughout the year and allow you to continue running!

 

 

2nd Birthday Special Offers

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At last the summer has arrived and with it brings the 2nd anniversary (August 1st) for the opening of the Ealing clinic and shop on Pitshanger Lane, Ealing W5. Without our wonderful patients at both the Ealing and Maidenhead branches we would not have anything to celebrate. So please join us in our celebrations by taking advantage of our special offers!  For August only, you will be able to purchase these special offers online, which include gift vouchers and appointments booked via the website.  The whole team  at Health in Motion thank all our patients and referrers for your continued support.

Shop Special Offers on Gift Vouchers here

Shop Special Offers on immediate or future appointments here