Dealing with injuries sucks. In fact, it sucks big time.
I’m currently dealing with 4 minor niggles handily spread evenly across my body.
I could have soldiered on and got by keeping them at bay but I decided that a bit of deferred gratification was required. Continue reading “Serving two masters – dealing with injuries”
It is not unusual to see people who have been informed that they have changes in a joint related to osteoarthritis. Two cases I have come across recently were handled completely differently.
The first was informed that, yes there were signs of osteoarthritis but don’t worry you don’t need to stop running. The second was similarly told that there were signs of arthritis but that was about it. No other advice was given or suggestions made.
Not surprisingly their point of view about the pain they were suffering was a bit different Continue reading “Osteoarthritis – The End Of The Road?”
During an appointment at Performance Sports Therapy we are able to make meaningful changes in how you move and feel. Unfortunately these changes do not always ‘stick’. It isn’t that unusual to get told by people that they felt great for 2 to 3 days and then they stiffened up again. This is completely normal and nothing to worry about because of the reasons why you are feeling tight are not what you might think.
Continue reading “Why do I stiffen up a few days after treatment?”
Should I stop exercising when injured?
It’s a question asked regularly in the clinic and a common misconception that you need or should have a complete rest when injured. The simple answer is NO, DO NOT stop exercising but there is a bit more to it than that. Continue reading “Should I stop exercising when injured?”
The term Trigger Points (TrPs) is often used by therapists to describe localised tender spots that may refer pain to other areas when stimulated. Whilst there seems to be less argument about whether they exist or not there is more about what they might be and there are major issues with being able to find them, perhaps 50/50 at best, and the reproducibility of actually being able to find them, 18%. In fact in 1992 a, admittedly small, blind study was carried out on them using using both those with Myofascial TrP’s and fibromyalgia. Yet the best of the best of Trigger Point specialists including Simons, of Travell and Simons writers of the Trigger Point bible, and 3 others couldn’t find or agree on any where they were given as much time as required to find them.
For myself they were never a good fit in any treatment I was trying to carry out as the treatment of them seemed to be the polar opposite of what I was trying to do otherwise, that is relieve pain not cause more pain. The treatment of TrP’s for most manual therapists seems to revolve around pressing hard on something that is already sore and use the symptoms to help understand what the underlying problem may be and treat that not the symptoms, I’ve always felt that they were symptoms of an issue elsewhere rather than a problem in and of themselves.
There is certainly more evidence to suggest that TrP’s may be a sensitization of the nervous system, possibly centrally. This carries even more weight when you consider that the areas that the referred pain cover are very similar to the path of the peripheral nerves. There is a great short piece over at the HumanAntiGravitySuit giving a couple of lovely diagrams of how the idea of TrP’s may be more about nerves. Continue reading “Trigger points and reasons why I don’t bother.”