Treatment will be based on what is presented. I do a lot of soft tissue work to release trigger points (knots) that may be causing pain at the site of injury/discomfort. I will use osteopathic techniques where appropriate, which may include a form of manipulation and mobilisation of a joint. I also use acupuncture for more specific areas where mobilisation or soft tissue work may not be appropriate, but needling may be more effective.
Once I have treated you, we will then work through a comprehensive programme of rehabilitation exercises for you to carry out at home. This will allow you to maintain what has been achieved during your initial treatment. As progress is made between treatments we will then work toward a reintroduction to your usual lifestyle.
My aim is to help you return to full day to day function and recreational activities.
Below you will find a brief outline of the basis for the different techniques that may be considered for you.
A physiotherapist is trained over 4 years to degree level. Therapists are trained to assess, diagnose and treat many different joint, nerve, soft tissue (muscle ligament, tendon) injuries. They are also trained in the use of rehabilitation to address muscular imbalances which can be the cause of reoccurring injury.
A Physiotherapist can treat a range of conditions including:
Most physiotherapists are trained in various techniques used to improve joint mobility, break down scar tissue, and improve soft tissue elasticity. These include joint mobilisation and manipulation Myofascial release technique, trigger point therapy, and acupuncture.
Joint mobilisation and manipulation techniques are used if I feel that during a treatment session there is a bony structure ‘stuck’. i.e. unable to move through its given range of movement. This manipulation/mobilisation is normally applied at the end of a treatment session and only if soft tissue work has not resolved a limitation.
The purpose of sports massage is to help alleviate stress and tension which builds up in the body’s soft tissues during physical activity. Where minor injuries and lesions occur due to overexertion and/or overuse, massage can break these down quickly and effectively. Sports massage can help prevent niggling injuries whether you are a recreational athlete or not.
Sports massage is not just for the sporty. Anyone can benefit; people in physically and/or mentally demanding jobs, those with poor posture, people under emotional stress. All these stressors of modern life can present similar characteristics to sports injuries.
Traditional acupuncture is based on the Chinese belief that the human body is controlled by a life force known as Qi that circulates the body along channels called meridians. In order to remain healthy, traditional theory dictates that qi must flow correctly along these meridians. Acupuncture theory suggests that the flow of Qi can be affected and restored to balance by stimulation of acupuncture points along these channels. Stimulation is usually in the form of insertion of very fine needles into these points.
Acupuncture is considered alternative medicine in the western world and commonly used to treat pain complaints of the muscle and joints including back and headaches.
My Rehabilitation process is based around the principles of the Function Movement Systems (www.functionalmovement.com/fms).
The most significant factor for re-injury is a previous injury. Let’s say you are playing golf or out for a walk or a run and you feel a slight twinge or niggle, and you notice that these things tend to be on the same side. How or why this happens, in most cases, is due to muscular imbalance through the left or right side. The muscular structures may be weak and inhibited, or tight and facilitated thus creating issues with how you move.
The rehabilitation process I use means that after treating the injury and getting you back to being pain-free, I would then carry out a screening process. The three screening methods I use are the SFMA FMS and Y Balance. These highlights where your areas of asymmetry, restriction and weakness are. From this point I can design an individual rehabilitation programme which will, over time, return your body back to symmetry and balance. Using drills within the programme as part of a pre-cursor to exercise you should be able to limit the risk of re-injury.
I offer Physio lead one to one training. As Strongfirst Certified Strength Coach (www.strongfirst.com), and the only one in Fife fully understand the benefits of the Russian Kettlebell style of training and advocate it as a fantastic training method for producing an improved strength and cardiovascular fitness.
The Kettlebell is a traditional Russian cast iron weight that looks like a cannonball with a handle and has been around for centuries. Kettlebell training delivers extreme all-round fitness and this single device can replace barbells, dumbbells, pull-ups, dips, medicine balls and cardio equipment. They are compact, inexpensive, virtually indestructible and can be used anywhere.
The correct use of the Kettlebell requires the proper technique, and I believe this is not something that can or should be, in the early stages, learnt in a class situation.
It’s about the individual, not your activity. And to quote Gray Cook “Move well, and move often”. This is something I have built my philosophy around and why I feel that moving St Andrews Osteopaths to Fairmont is in the best interest of you.