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<img src="webkit-fake-url://4b082fea-62c1-49eb-8ee5-b991a55f3924/imagejpeg" />sportsmassagetherapyexeter#liamclarkehttp://www.blogger.com/profile/12302349240238365970noreply@blogger.com0tag:blogger.com,1999:blog-8698463819988691174.post-10839347112090419822017-02-07T16:05:00.002-08:002017-02-07T16:05:39.859-08:00ACL Blog " When can I return to sport after ACL surgery" <div class="prose" id="content" itemprop="articleBody" style="-webkit-hyphens: auto; -webkit-text-size-adjust: 100%; box-sizing: border-box; font-family: Georgia, serif; font-size: 10px; line-height: 1.5; word-break: break-word; word-wrap: break-word;">
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I wrote a blog recently called <a href="http://www.linkedin.com/pulse/when-can-i-return-sport-after-acl-surgery-mick-hughes?trk=mp-author-card" style="box-sizing: border-box; color: #008cc9; text-decoration: none;" target="_blank">When can I return to sport after ACL surgery?</a>. It summarised two recent articles by Grindem et al (2016) and Krytsis et al (2016) that both clearly showed a reduction in ACL re-injury risk in elite adult athletes who waited at least 9 months, and passed a battery of strength and functional tests prior to being cleared to return to sport (RTS). To reiterate the above literature; waiting at least 9 months, being within 10% of the uninjured limb on a number of different strength and hop tasks, performing an agility T-test under 11 seconds and performing sport-specific conditioning at training, significantly reduced the athlete's risk of re-injuring their ACL upon RTS.</div>
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This blog however will be a little different as I wanted to explore some worrying trends in the literature that suggest we should be more conservative with our RTS planning in our younger athletes who have had ACL reconstructive surgery – specifically those athletes under the age of 20.</div>
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I recently attended the annual Sports Medicine Australia (SMA) Conference here in Melbourne and was lucky enough to sit down and listen to some world experts in the field of sports medicine and sports physiotherapy. Two people in particular, Tim Hewett and Kate Webster, really grabbed my attention with their research and insight into the world of ACL injury.</div>
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<span style="box-sizing: border-box; font-weight: 700;">And unfortunately that world is very bleak...</span></div>
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I'll cut straight to the chase.</div>
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One study they discussed showed that 30% of young people (mean age 17) who RTS following ACL reconstruction will sustain a 2nd ACL injury within 2 years (<a href="http:/#_ENREF_1" rel="nofollow noopener" style="box-sizing: border-box; color: #008cc9; text-decoration: none;" target="_blank">1</a>). Of this 30%, females were 5x more likely to do so than males.</div>
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And before you say, <em style="box-sizing: border-box;">"C'mon Mick, don't jump at shadows. This is just one study". </em></div>
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<u style="box-sizing: border-box;"><span style="box-sizing: border-box; font-weight: 700;">This research wasn't alone...</span></u></div>
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In a further review of the literature I started to find a depressing trend:</div>
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<li style="box-sizing: border-box; margin: 1.2rem 0px; padding: 0px;">25% of subjects (n= 16, mean age 16 years) sustained a 2nd ACL injury within 12 months upon RTS following ACL surgery; with 14 (87%) being female and 12 (75%) sustaining a 2nd injury to the contra-lateral knee. The authors conclusion was that, in this cohort of young athletes, those that RTS were 15x more likely to sustain a 2nd ACL injury within 12 months (<a href="http:/#_ENREF_2" rel="nofollow noopener" style="box-sizing: border-box; color: #008cc9; text-decoration: none;" target="_blank">2</a>).</li>
<li style="box-sizing: border-box; margin: 1.2rem 0px; padding: 0px;">29% of patients under 20 years of age (32/110) sustained a 2nd ACL injury within 3 years (<a href="http:/#_ENREF_3" rel="nofollow noopener" style="box-sizing: border-box; color: #008cc9; text-decoration: none;" target="_blank">3</a>). To put this in perspective, only 8% (35/451) of the subjects aged over 20 years of age in this study sustained a 2nd ACL injury within the 3 year follow up period.</li>
<li style="box-sizing: border-box; margin: 1.2rem 0px; padding: 0px;">23% of subjects (13/56, mean age 16 years) sustained a 2nd ACL injury within 12 months following RTS (<a href="http:/#_ENREF_4" rel="nofollow noopener" style="box-sizing: border-box; color: #008cc9; text-decoration: none;" target="_blank">4</a>).</li>
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With such a concerning trend of 2nd ACL injuries within the first 2-3 years following a RTS, it has lead some researchers, including Tim Hewett (Nagelli & Hewett, 2016) (<a href="http:/#_ENREF_6" rel="nofollow noopener" style="box-sizing: border-box; color: #008cc9; text-decoration: none;" target="_blank">6</a>), to pose the question:</div>
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“Should we be waiting 2 years to allow our younger athletes (<20 years of age) to return to sport?”. </blockquote>
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Nagelli & Hewett wrote their paper based on the current ACL literature and make some very valid points. If we are to look purely at biological and physiological healing, the research is telling us that it can take up to 2 years to achieve baseline knee health (ie. full maturation of the ACL graft, resolution of bone bruises), restoration of knee joint position sense (proprioception/balance), restoration of neuromuscular control and restoration of knee strength following ACL reconstruction.</div>
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Although Nagelli & Hewett make a very good argument to delay sport for 2 years, we are all going to have a very difficult time explaining to a 17 year old, their coach and their parents that we need to wait 2 years before we allow them to RTS. This would be an even more difficult discussion, especially if the young athlete is at a critical stage of their early sporting career and the opportunity for a professional sporting contract is on the horizon.</div>
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But what I feel often goes missing in the literature on 2nd ACL injuries are the 3 things that are critical to a successful RTS following ACL reconstruction:</div>
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<span style="box-sizing: border-box; font-weight: 700;">1) Was the patient compliant to the </span><u style="box-sizing: border-box;"><span style="box-sizing: border-box; font-weight: 700;">ENTIRE</span></u><span style="box-sizing: border-box; font-weight: 700;"> rehab plan as set out by their physio, exercise physiologist or strength and conditioning coach? </span></div>
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<span style="box-sizing: border-box; font-weight: 700;">2) Did the rehabilitation plan include a period of supervised jumping, landing, pivoting, unanticipated change of direction, unanticipated landing and sports specific conditioning?</span></div>
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<span style="box-sizing: border-box; font-weight: 700;">3) Was the athlete cleared to RTS with strength tests and functional hop tests prior to stepping back on the field/court? And were these tests also passed in a fatigued state?</span></div>
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My gut instinct tells me that these 3 things are not frequently ticked off prior to the patient returning to sport, and I have no doubt that the absence of these 3 criteria plays a significantly role in the high rates of 2nd ACL injuries that we see in the literature.</div>
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And there was some preliminary research presented that supports my gut...</div>
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Jay Ebert and colleagues from Hollywood Functional Rehabilitation Clinic (Perth, WA) presented some nice (unpublished) data on post-op ACL rehabilitation in a community setting of non-elite athletes. They reported that of the 111 ACL reconstructed patients in their study, 9% <u style="box-sizing: border-box;"><span style="box-sizing: border-box; font-weight: 700;">DID NOT</span></u> attend <u style="box-sizing: border-box;"><span style="box-sizing: border-box; font-weight: 700;">ANY</span></u> supervised physiotherapy within 12 months, 45% did not attended supervised exercise after 3 months, and only 30% of patients actually performed jumping, landing and agility training as part of their rehab.</div>
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Furthermore, they also looked at the quality of rehab and it's influence on functional outcome measures (the same quads/hamstring strength and hop tests that Grindem et al & Krytsis et al used). </div>
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They found that of the 55% of patients who conducted <span style="box-sizing: border-box; font-weight: 700;">at least 6 months</span> of supervised rehabilitation/physiotherapy, they were all able to achieve 90% or greater limb symmetry on strength and hop tests at the 12 month follow-up mark. Furthermore those that completed supervised training <span style="box-sizing: border-box; font-weight: 700;">longer than 6 months</span> and/or <span style="box-sizing: border-box; font-weight: 700;">completed high level training drills such as jumping and landing</span>, were all close to achieving full limb symmetry between operated and non-operated limbs. This lead the authors to conclude that the higher quality of the rehabilitation, resulted in superior post-operative functional outcomes.</div>
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In conclusion, I think 2 years may be an ultra-conservative RTS timeframe for young athletes, but the evidence for biological healing is very hard to ignore. What us health professionals really need to be explaining to our young patients who wish to return to sports that involve hard landing, cutting and pivoting, are the follow key points:</div>
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<li style="box-sizing: border-box; margin: 1.2rem 0px; padding: 0px;">Up to 30% of people under the age of 20 will go on to sustain a 2nd ACL injury within 2 years upon to RTS. We can't shy away from the statistics, and we need to try as best as we can not to allow the patient sitting in front of us to become another statistic of 2nd ACL injury!!</li>
<li style="box-sizing: border-box; margin: 1.2rem 0px; padding: 0px;">Surgery is only 50% of the rehabilitation plan. Surgery only restores mechanical/anatomical stability of the knee. It does not restore functional deficits of the knee; some of which may have been present prior to the primary injury (ie. dynamic knee valgus, poor trunk control, abnormal quad to hamstrings ratio).</li>
<li style="box-sizing: border-box; margin: 1.2rem 0px; padding: 0px;">The better the quality rehabilitation (ie. one that includes regular jump, landing, agility training), the more likely the patient will achieve post-operative limb symmetry on strength, hop and agility tests. As a result, the patient will have a significantly reduced chance of 2nd ACL injury.</li>
<li style="box-sizing: border-box; margin: 1.2rem 0px; padding: 0px;">The decision to allow unrestricted training and RTS should be based on an orthopedic assessment, time (at least 9 months post-op) AND a battery of strength and functional tests. The tests must include quads and hamstrings strength tests, hop tests and agility tests and the athlete must achieve at least 90% symmetry between limbs on all tests prior to RTS clearance. In my very humble opinion, we should be aiming to get close to 100% on all tests in both fresh and fatigued states.</li>
<li style="box-sizing: border-box; margin: 1.2rem 0px; padding: 0px;">With the very high rates of contra-lateral injuries, as much as possible, single leg rehabilitation drills need to be performed on BOTH legs.</li>
<li style="box-sizing: border-box; margin: 1.2rem 0px; padding: 0px;">For better functional outcomes in non-professional athletes, a supervised physiotherapy/strength and conditioning/sports-specific training plan needs to be conducted for at least 12 months prior to returning to sport.</li>
<li style="box-sizing: border-box; margin: 1.2rem 0px; padding: 0px;">Once back playing sport, the patient should be conducting at least 2x per week ACL injury prevention drills (ie. PEP, FIFA 11, KNEE) for the remainder of their sporting career to reduce the risk of 2nd ACL injury.</li>
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I hope you have enjoyed this summary of recent evidence. As always, please share this blog with colleagues, other health professionals, patients, coaches, parents, family and friends. The more people are on board with this evidence, I firmly believe that we will start to see declining ACL injury rates, 2nd ACL injury rates and an overall improvement in individual and team performances on the field.</div>
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<u style="box-sizing: border-box;"><span style="box-sizing: border-box; font-weight: 700;">References:</span></u></div>
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1. Paterno MV, Rauh MJ, Schmitt LC, Ford KR, Hewett TE. Incidence of Second ACL Injuries 2 Years After Primary ACL Reconstruction and Return to Sport. The American journal of sports medicine. 2014 Jul;42(7):1567-73. PubMed PMID: 24753238. Pubmed Central PMCID: PMC4205204. Epub 2014/04/23. Eng.</div>
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2. Paterno MV, Rauh MJ, Schmitt LC, Ford KR, Hewett TE. Incidence of contralateral and ipsilateral anterior cruciate ligament (ACL) injury after primary ACL reconstruction and return to sport. Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine. 2012 Mar;22(2):116-21. PubMed PMID: 22343967. Pubmed Central PMCID: PMC4168893. Epub 2012/02/22. Eng.</div>
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3. Webster KE, Feller JA, Leigh WB, Richmond AK. Younger Patients Are at Increased Risk for Graft Rupture and Contralateral Injury After Anterior Cruciate Ligament Reconstruction. The American journal of sports medicine. 2014 March 1, 2014;42(3):641-7.</div>
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4. Paterno MV, Schmitt LC, Ford KR, Rauh MJ, Myer GD, Huang B, et al. Biomechanical Measures During Landing and Postural Stability Predict Second Anterior Cruciate Ligament Injury After Anterior Cruciate Ligament Reconstruction and Return to Sport. The American journal of sports medicine. 2010 08/11;38(10):1968-78. PubMed PMID: PMC4920967.</div>
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5. Wright RW, Magnussen RA, Dunn WR, Spindler KP. Ipsilateral graft and contralateral ACL rupture at five years or more following ACL reconstruction: a systematic review. J Bone Joint Surg Am. 2011 Jun 15;93(12):1159-65. PubMed PMID: 21776554. Pubmed Central PMCID: PMC3110421. Epub 2011/07/22. Eng.</div>
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6. Nagelli CV, Hewett TE. Should Return to Sport be Delayed Until 2 Years After Anterior Cruciate Ligament Reconstruction? Biological and Functional Considerations. Sports medicine (Auckland, NZ). 2016 Jul 11. PubMed PMID: 27402457. Epub 2016/07/13. Eng.</div>
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What is Carpal Tunnel Syndrome?</h3>
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<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Simply put, carpal tunnel syndrome is the inflammation </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">or entrapment of nerves within the carpal </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">tunnel of the anterior wrist, which can cause </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">pain and numbness. “Most of my clients see me </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">presenting with the classic symptoms,” explains </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Richard Garcia, a massage therapist in private </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">practice in Peyton, Colorado. “These symptoms </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">include numbness and tingling in the hand, </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">difficulty grasping or carrying objects and, </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">sometimes, hand pain.” Some clients, too, report </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">the pain is worse in the evening, and sleep can </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">be interrupted.</span></div>
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<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">The causes of carpal tunnel syndrome are often associated with repetitive </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">motion, such as working at a computer all day, </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">for example, though other factors can come into play, as </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">well. “Carpal tunnel is most often considered a repetitive </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">strain or overuse injury, but genetics and disease </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">processes can contribute to the symptoms, too,” explains </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Mary Bennett, owner of Alleviate LLC in Bloomington, </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Indiana. “Excessive flexion and extension of the </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">wrist seem to be the most popular theory as to cause of </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">carpal tunnel syndrome. However, heredity, those with </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">smaller carpal tunnels, diabetes and rheumatoid arthritis, </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">to name a few, can all play a part.”</span></div>
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What You Need to Know</h3>
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<strong style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Necessary knowledge.</strong> Everyone we talked to agreed <span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">that a better-than-average understanding of anatomy </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">and physiology was necessary when working with clients </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">with carpal tunnel syndrome. “You must know the </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">anatomy of the area,” Bennett explains. “There are specifi</span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">c structures involved; you should know what they are </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">so you help your client and not hurt them.”</span></div>
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<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Also, according to Kanoa General, owner of Blue Turtle </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Healing in New York, having sound critical thinking </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">skills is a must, as well as knowing how to apply current </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">massage therapy techniques to help resolve the problem. “Having a strong </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">professional relationship </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">with a variety of health care professionals should be a </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">given,” adds Garcia. “This gives the massage therapist </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">the opportunity to use the health care professionals as a </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">‘sounding board’ to privately confirm their assessments, </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">and it shows the health care professionals that you take </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">your work seriously and are actively striving to improve </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">your own knowledge.”</span></div>
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<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">One other critical skill mentioned by the massage </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">therapists we spoke with: know your own limitations. </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Whether you need to consult with other massage therapy </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">colleagues or refer the client to another health care </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">professional, understanding what you can and cannot </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">do for the client is imperative, especially if there are additional </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">underlying health conditions. “Don’t be afraid </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">to reach out to colleagues or therapists who know more </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">than you and ask for help,” General says. “Also, don’t be </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">afraid to refer out to other health care providers.”</span></div>
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<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><strong style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Assessment.</strong> Some of your clients will come to you </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">with a diagnosis from their health care provider—and </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">some won’t—making your initial assessment critical. </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">“The initial assessment includes a detailed health history </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">form and an interview,” explains Bennett. “I ask </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">about their medications, general health issues and specific information about the </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">carpal tunnel syndrome, </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">such as the location of the pain and/or numbness, the </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">initial onset and duration of symptoms, activities that </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">exacerbate the symptoms and prior treatment.”</span></div>
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<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Along with medical history, evaluative tests like Phalen’s </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">or Tinel’s for the wrist can be helpful in developing </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">a comprehensive treatment plan, says General. “I also </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">assess the pronator teres, the shoulder and cervical region </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">for compression along the median nerve, especially </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">if they have a history of neck or shoulder injuries or perform </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">repetitive movements on a daily basis,” he adds.</span></div>
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<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Because these clients are going to likely need a series </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">of massages to get real relief, reassessing how massage </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">therapy sessions are working is also going to be important. </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">“I assess before and after treatment and ask questions </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">related to the clients activities of daily living,” </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">General says. “For example, were they able to sleep at </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">night with less pain or have they been able to lift and </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">drink a glass of water without feeling like they were going </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">to drop the glass.”</span></div>
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<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Garcia, too, asks general questions about the client’s </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">condition, as well as if they are seeing any relief from </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">their symptoms or have experienced any changes in </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">lifestyle or stress levels, for example. “I also ask them </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">if they feel we need to make any changes to how the </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">massage is carried out,” he adds. “Do they want or need more or less pressure, </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">more or less oil, as well as what </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">stretches worked, what stretches didn’t, and if there </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">was any discomfort or soreness afterwards.”</span></div>
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<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><strong style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Communicate clearly.</strong> The same can be said of any </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">consumer demographic you’re working with, but you </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">need to be able to tell your clients what they can expect. </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">First, says Bennett, develop a treatment plan </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">yourself. “Ask yourself ‘what is my objective and how </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">am I going to accomplish that?’” she explains.</span></div>
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<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">From here, make sure you can properly explain the </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">treatment plan to the client in a way that is easily understandable. </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">“The client should know your plan,” she </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">says. “They should know what to expect as far as discomfort </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">and expected results.” </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Also, be sure you don’t promise results you can’t deliver. </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Be very clear about the benefits massage therapy </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">will provide so your clients aren’t expecting results you </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">might not be able to achieve.</span></div>
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How Massage Can Help</h3>
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<strong style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Techniques used.</strong> There are a variety of ways you can <span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">work with clients who have carpal tunnel syndrome. Though </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">much of the focus may be on the wrist area, as with </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">other problems, more than one structure may be involved. </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Garcia does a full-body session with a concentration </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">on the wrist, believing that carpal tunnel is very </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">rarely strictly a wrist problem. “My opinion is that if </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">the client has carpal tunnel syndrome, the probability </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">of other muscles being out of balance is approximately </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">100 percent,” he says.</span></div>
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<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Bennett agrees. “The arm is usually in a torsion pattern </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">that is present in the rest of the body,” says Bennett. </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">“Typically carpal tunnel syndrome clients will </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">present with an internal rotation of shoulder and arm. </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Because the nerve that supplies the sensation in the </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">carpal tunnel originates in the neck and shoulder area, </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">I feel it is important to release possible ‘kinks’ along the </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">entire nerve pathway.”</span></div>
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<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Using detailed deep tissue work that releases tension, </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">adhesions and trigger points in the soft tissue of the </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">shoulder, full arm and hand, Bennett works to bring the </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">shoulder and arm out of internal rotation. General uses </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">orthopedic massage techniques like myofascial release </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">through stripping, compression and active engagement.</span></div>
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<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><strong style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Typical session.</strong> Bennet begins by releasing the internal </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">rotation of the shoulder, specifically the pectoral </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">muscles and subscapularis. “Then, starting at the upper </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">arm, down to the elbow, forearm and hand, I feel for </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">adhesions and fibrous tissue, especially along the nerve </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">pathways, releasing them systematically,” he says.</span></div>
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<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">General typically works on clients for an hour, using </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">heat and compression to reduce hypertonicity in the </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">flexor muscles. “This is followed by myofascial release </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">techniques and stretching of the muscle tissue,” he </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">says. “The entirety of the session is not devoted to releasing </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">the forearm but the whole arm, shoulder girdle </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">and cervical region."</span></div>
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<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><strong style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Time it takes.</strong> The number of sessions a client needs to </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">find relief will vary of course, and most often is dependent </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">on how severe the problem is. “I’ve had clients improve </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">in one 60-minute session,” General says. “Others </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">have improved in six, 60-minute sessions, after addressing </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">primary, secondary and tertiary reasons for carpal </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">tunnel syndrome.”</span></div>
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<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Most agree, however, that clients should see some relief </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">after the first session. “Most clients experience some relief after the first session,” explains Bennett. “Typically <span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">it takes three to five sessions to get long-term results, </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">sometimes more, sometimes less.”</span></span></div>
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<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Garcia uses deep tissue and neuromuscular therapy, </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">saying clients usually begin to see relief almost immediately. </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">He’s careful to temper this statement, however. </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">“Note that relief does not mean complete resolution of </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">symptoms,” he cautions.</span></div>
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<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">One of the biggest factors concerning the time it takes </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">for clients to find relief revolves around the time they’ve </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">spent suffering from the symptoms. According to Bennett, </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">the longer a person goes without treatment, the </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">longer it takes for them to recover, generally speaking.</span></div>
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sportsmassagetherapyexeter#liamclarkehttp://www.blogger.com/profile/12302349240238365970noreply@blogger.com0tag:blogger.com,1999:blog-8698463819988691174.post-24351495913850945512017-02-07T15:44:00.001-08:002017-02-07T15:44:54.014-08:00Sciatica <h2 style="-webkit-text-size-adjust: 100%; box-sizing: border-box; color: #515151; font-family: 'Open Sans', Arial, sans-serif; font-size: 24px; letter-spacing: -0.3199999928474426px; line-height: 32px; margin: 0.75rem 0px;">
Sciatica Nerve Pain</h2>
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Sciatica is often characterized by one or more of the following symptoms:</div>
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<li style="box-sizing: border-box;">Constant pain in only one side of the buttock or leg (rarely in both legs)</li>
<li style="box-sizing: border-box;">Pain that is worse when sitting</li>
<li style="box-sizing: border-box;">Leg pain that is often described as burning, tingling, or searing (versus a dull ache)</li>
<li style="box-sizing: border-box;">Weakness, numbness, or difficulty moving the leg, foot, and/or toes</li>
<li style="box-sizing: border-box;">A sharp pain that may make it difficult to stand up or walk</li>
<li style="box-sizing: border-box;">Pain that radiates down the leg and possibly into the foot and toes</li>
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Sciatic pain can vary from infrequent and irritating to constant and incapacitating. Symptoms are usually based on the location of the pinched nerve. </div>
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While symptoms can be painful and potentially debilitating, it is rare that permanent sciatic nerve damage (tissue damage) will result, and spinal cord involvement is possible but rare.</div>
sportsmassagetherapyexeter#liamclarkehttp://www.blogger.com/profile/12302349240238365970noreply@blogger.com0tag:blogger.com,1999:blog-8698463819988691174.post-20808380512308989542016-04-14T13:26:00.000-07:002016-04-14T13:26:04.086-07:00Kinesiology taping for acute low back pain<h1 class="title" style="font-weight: normal; margin-top: 0px;">
<span style="font-size: small;"><span style="background-color: rgba(255, 255, 255, 0);">Kinesiology tape shown to help acute low back pain</span></span></h1>
<span style="background-color: rgba(255, 255, 255, 0);">Acute low back pain is very common, and a condition that affects a large proportion of the population at some stage throughout their life. Kinesiology tape has been shown to be an effective early intervention in a recent study from Turkey.</span><br />
<span style="background-color: rgba(255, 255, 255, 0);">In this study, 109 subjects with acute low back pain were allocated into two groups. Both groups received the same intervention consisting of information regarding lumbar pain, correct lifting techniques and advice re sleeping positions. They were also given reassurance about the benign nature of their pain, and advice re keeping active within pain limits. Both groups were allowed to take paracetamol as required. The intervention group also had kinesiology tape applied to their low backs in a star, or “zapper” formation. (See our website for a video on how the “zapper” is applied). The tape was applied three times, and left in place for four days each time. This gave a total taped duration of 12 days.</span><br />
<span style="background-color: rgba(255, 255, 255, 0);">The researchers measured pain on a VAS, determining a priori that their MCID (minimal clinically important difference) would be a reduction in this score of 3.5cm. They also utilised the Oswestry score as a measure of disability, and also the number of paracetamol tablets consumed.</span><br />
<span style="background-color: rgba(255, 255, 255, 0);">The study found that the VAS had reduced by the pre-determined 3.5cm by day six in the taped group, compared with day twelve in the control group. The Oswestry score was significantly reduced in the taped group at twelve days when compared with the control group, and it was still better four weeks later but this was not quite at a statistically significant level. The taped group consumed significantly less paracetamol in days one to four, and five to eight, compared with the control group, once again reaffirming the potential pain relieving properties of kinesiology tape.</span><br />
<span style="background-color: rgba(255, 255, 255, 0);">This study demonstrates that kinesiology tape could be a good treatment option for those with acute low back pain, adding to the body of knowledge that kinesiology tape can be a useful modality in chronic low back pain. It also demonstrates that taping could be a promising intervention for pain relief, and perhaps lead to less medication use, which would generally be regarded as a desirable outcome.</span><br />
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sportsmassagetherapyexeter#liamclarkehttp://www.blogger.com/profile/12302349240238365970noreply@blogger.com0tag:blogger.com,1999:blog-8698463819988691174.post-38035925066718630582015-09-08T16:20:00.000-07:002015-09-08T16:20:06.649-07:00Ankle Sprains (SPORTS MASSAGE THERAPY EXETER) <h1 style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); -webkit-text-size-adjust: 100%; border-bottom-color: rgb(0, 0, 0); border-bottom-style: solid; border-bottom-width: 1px; box-sizing: border-box; color: rgb(39, 136, 52) !important; font-family: Helvetica, Arial, sans-serif; line-height: 1.1; margin: 0px 0px 10px; padding-bottom: 10px;">
Ankle Sprain</h1>
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Ankle sprains are some of the most common sports injuries, and can be recurrent. In most cases the ankle is rolled outwards, resulting in damage to the ligaments on the outside of the ankle.</div>
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Here you will find everything you need to know about treating and recovering from a sprained ankle. Alongside a comprehensive view of rehabilitation options, we also provide preventative measures to ensure the sprain does not reoccur.</div>
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Symptoms may vary from being very mild to very severe. With a mild sprain the athlete will likely be able to continue with training or competition. A very sever injury could result in hospital treatment and take longer to heal than a broken ankle.</div>
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Symptoms may vary from being very mild to very severe. With a mild sprain the athlete will likely be able to continue with training or competition. A very sever injury could result in hospital treatment and take longer to heal than a broken ankle.</div>
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The injury usually occurs from a sudden trauma, twisting or turning over of the ankle. Pain will be felt in the ankle joint itself although will specifically be felt on the outside of the ankle when pressing in on the damaged ligaments. Swelling or bruising may be present but not always in the more mild cases. Pain can also be felt on the inside of the ankle from compression of bones and soft tissue.</div>
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Sprains are graded 1,2 or 3 depending on severity and a professional therapist will carry out a full diagnosis and <a href="http://www.sportsinjuryclinic.net/sport-injuries/ankle-achilles-shin-pain/sprained-ankle/assessment-ankle-sprain" style="box-sizing: border-box; color: #0000ee; text-decoration: none;">assessment</a> which will include range of motion tests and resisted movement tests to determine the structures injured and extent of the damage.</div>
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<a href="" name="howbad" style="box-sizing: border-box; color: #0000ee;"></a>How bad is my ankle sprain?</h2>
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<strong style="box-sizing: border-box;">Grade 1 </strong>symptoms will cause only mild pain with little or no instability. There may be some joint stiffness with difficulty walking or running but the athlete is likely to be able to play on. Some stretching or perhaps minor tearing of the lateral ankle ligaments may have happened resulting in mild swelling around the bone on the outside of the ankle.</div>
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<strong style="box-sizing: border-box;">Grade 2</strong> symptoms will result in moderate to severe pain with difficulty walking. The athlete is unlikely to be able to play on and will limp. Minor bruising may be evident along with swelling and stiffness in the ankle joint. There is likely to be some instability of the joint resulting from moderate tearing of some of the ligament fibres.</div>
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<strong style="box-sizing: border-box;">Grade 3</strong> usually results in a total or almost complete rupture of a ligament. Severe pain will be felt initially with lots of swelling and extensive bruising. The athlete will experience gross instability of the joint.</div>
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<a href="" name="anat" style="box-sizing: border-box; color: #0000ee;"></a>Anatomy</h2>
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<img alt="Ankle ligaments" src="http://www.sportsinjuryclinic.net/images/ankle-anatomy/thumb2.jpg" style="border: 0px; box-sizing: border-box; float: right; margin: 2px; vertical-align: middle;" />The most common is an inversion sprain or lateral ligament sprain where the ankle turns over so the sole of the foot faces inwards, damaging the ligaments and other soft tissues on the outside of the ankle. The ankle can turn inwards, called an inversion sprain although this is much less common and will usually coincide with a fracture of the fibula bone in the lower leg.</div>
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The two main ligaments involved are the talofibular ligament which connects the talus bone in the ankle to the fibula bone and the calcaneofibular ligament which connects the calcaneus or heel bone to the fibula. A less severe ankle sprain will most likely result in damage to the talofibular ligament. However, more severe injuries cause stretching or tearing to the calcaneofibular ligament lower down as well.</div>
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<a href="" name="comp" style="box-sizing: border-box; color: #0000ee;"></a>Complications</h2>
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In addition to the ligament damage there may also be damage to tendons, joint capsule, bone, cartilage and other tissues. Severely sprained ankles may result in complete ruptures of the ligaments along with dislocation and fractures of the ankle bones.</div>
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<li style="box-sizing: border-box; float: left; margin: 0px; padding: 0px; width: 450px;">An <a href="http://www.sportsinjuryclinic.net/sport-injuries/ankle-achilles-shin-pain/avulsion-fracture" style="box-sizing: border-box; color: #0000ee; text-decoration: none;">avulsion sprain</a> or fracture occurs when the ligament pulls a small piece of bone away with it. This is not always obvious initially but can be suspected if the injury fails to heal.</li>
<li style="box-sizing: border-box; float: left; margin: 0px; padding: 0px; width: 450px;"><a href="http://www.sportsinjuryclinic.net/sport-injuries/ankle-achilles-shin-pain/osteochondral-legions-talus" style="box-sizing: border-box; color: #0000ee; text-decoration: none;">Osteochondral lesions</a> which are tears of the cartilage lining the top of the talus bone are also complications of moderate to severe injuries.</li>
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If possible an <a href="http://www.sportsinjuryclinic.net/treatments-therapies/medical-imaging/x-rays" style="box-sizing: border-box; color: #0000ee; text-decoration: none;">X-ray</a> should be done, particularly if the patient is unable to put weight on the foot, or it fails to heal properly over time.</div>
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<a href="" name="treat" style="box-sizing: border-box; color: #0000ee;"></a>Ankle sprain treatment</h2>
<div style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); -webkit-text-size-adjust: 100%; box-sizing: border-box; color: #333333; float: left; font-family: Helvetica, Arial, sans-serif; font-size: 16px; margin-bottom: 10px; width: 470px;">
<img alt="Cold pack on foot" height="134" src="http://www.sportsinjuryclinic.net/media/Foot/cold-pack-foot150.jpg" style="border: 0px; box-sizing: border-box; float: right; margin: 2px; vertical-align: middle;" width="132" />Immediate first aid for a sprained ankle is <a href="http://www.sportsinjuryclinic.net/treatments-therapies/cryotherapy-cold-therapy/rice" style="box-sizing: border-box; color: #0000ee; text-decoration: none;">RICE</a> (Rest, Ice, Compression, Elevation) as soon as possible. Cold therapy or ice should be applied for 10 to 15 minutes every hour for the first 24 to 48 hours. Often pitch side therapists will bind the ankle tightly in a compression bandage as soon as the injury has occurred to restrict swelling, although this must be done with caution for only 10 minutes at a time to prevent starving the area of blood resulting in further injury. Do not apply ice directly to the skin as it may burn. Treatment with ice may continue for some time during the rehabilitation process.</div>
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<a href="" name="rehab" style="box-sizing: border-box; color: #0000ee;"></a>Rehabilitation program</h2>
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<a href="http://www.sportsinjuryclinic.net/sport-injuries/ankle-achilles-shin-pain/sprained-ankle/rehabilitation-ankle-sprain" style="box-sizing: border-box; color: #0000ee; text-decoration: none;"><img alt="Ankle strengthening" src="http://www.sportsinjuryclinic.net/media/Foot/isometric-ankle150.jpg" style="border: 0px; box-sizing: border-box; float: right; margin: 2px; vertical-align: middle;" width="140" /></a>Our step by step ankle sprain rehabilitation program takes you from injury to full fitness. After the initial acute stage which is usually 24 to 48 hours (but could be longer with a bad sprain) rehabilitation and exercises may begin although only if pain allows. The program is based around three phases of reducing pain and inflammation, restoring normal mobility and building up strength and proprioception (or coordination of the ankle joint).</div>
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See <a href="http://www.sportsinjuryclinic.net/sport-injuries/ankle-achilles-shin-pain/sprained-ankle/rehabilitation-ankle-sprain" style="box-sizing: border-box; color: #0000ee; text-decoration: none;">ankle sprain rehabilitation program</a>.</div>
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<a href="" name="tape" style="box-sizing: border-box; color: #0000ee;"></a>Ankle sprain taping</h2>
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Taping the ankle can provide support and compression post injury and later in the rehabilitation process can give support when returning to full training. Taping can also be helpful if the ankle ligaments have suffered permanent stretching resulting in ankle instability. Professional Football Physiotherapist Neal Reynolds demonstrates how to build up a simple ankle taping technique in four parts. Part 1 is a simple figure of 8 taping and depending on the level of support required builds up to a full basketweave ankle taping.</div>
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See <a href="http://www.sportsinjuryclinic.net/sport-injuries/ankle-achilles-shin-pain/sprained-ankle/simple-ankle-support-taping" style="box-sizing: border-box; color: #0000ee; text-decoration: none;">ankle taping techniques</a>.</div>
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<a href="" name="exer" style="box-sizing: border-box; color: #0000ee;"></a>Ankle sprain exercises</h2>
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<a href="http://www.sportsinjuryclinic.net/sport-injuries/ankle-achilles-shin-pain/sprained-ankle/ankle-sprain-exercises" style="box-sizing: border-box; color: #0000ee; text-decoration: none;"><img alt="Resisted eccentric inversion exercise for ankle sprains" src="http://www.sportsinjuryclinic.net/media/Foot/resisted-eccentric-inversion150.jpg" style="border: 0px; box-sizing: border-box; float: right; margin: 2px; vertical-align: middle;" width="140" /></a>Mobility exercises help restore full, pain free range of movement. In the early stages it is important not to stress the ligaments which have been injured so up and down movements of the foot are done as opposed to lateral movements.</div>
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Strengthening exercises build up gradually from isometric or static exercises through dynamic exercises involving movement. Some exercises target specific muscles which are important in helping prevent future ankle sprains. It is essential that the proprioception or coordination of the ankle is developed as this is likely to have been damaged at the time of injury making recurrence more likely. Wobble balance board exercises can be beneficial.</div>
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Finally functional exercises are more sports specific or activity related to bridge the gap between rehabilitation and full fitness. Functional exercises include hopping, bouncing changing direction and activities more specific to sports training and competitive games.</div>
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See <a href="http://www.sportsinjuryclinic.net/sport-injuries/ankle-achilles-shin-pain/sprained-ankle/ankle-sprain-exercises" style="box-sizing: border-box; color: #0000ee; text-decoration: none;">ankle sprain exercises</a>.</div>
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<a href="" name="exp" style="box-sizing: border-box; color: #0000ee;"></a>Expert interviews</h2>
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We have interviewed professional football physiotherapist Neal Reynolds about how he treats a player with a sprained ankle. We have broken it down into three sections. The first talks about early stage treatment and exercises, the second looks at late stage rehabilitation and the third focuses on future prevention of ankle injuries.</div>
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<li style="box-sizing: border-box; float: left; margin: 0px; padding: 0px; width: 450px;"><a href="http://www.sportsinjuryclinic.net/sport-injuries/ankle-achilles-shin-pain/sprained-ankle/expert-physio-ankle-sprains" style="box-sizing: border-box; color: #0000ee; text-decoration: none;">Exercises and rehabilitation</a></li>
<li style="box-sizing: border-box; float: left; margin: 0px; padding: 0px; width: 450px;"><a href="http://www.sportsinjuryclinic.net/sport-injuries/ankle-achilles-shin-pain/sprained-ankle/expert-interview-late-stage-ankle" style="box-sizing: border-box; color: #0000ee; text-decoration: none;">Late stage and return to sport</a></li>
<li style="box-sizing: border-box; float: left; margin: 0px; padding: 0px; width: 450px;"><a href="http://www.sportsinjuryclinic.net/sport-injuries/ankle-achilles-shin-pain/sprained-ankle/physio-prevention" style="box-sizing: border-box; color: #0000ee; text-decoration: none;">Ankle sprain prevention</a></li>
</ul>
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<a href="" name="mass" style="box-sizing: border-box; color: #0000ee;"></a>Sports massage</h2>
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Massage can be beneficial in treating a sprained ankle, particularly in the later stages or with a particularly stubborn injury. We demonstrate some simple cross friction massage techniques to help align scar tissue on the ligaments and interview a teacher of sports massage.</div>
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The injury usually occurs from a sudden trauma, twisting or turning over of the ankle. Pain will be felt in the ankle joint itself although will specifically be felt on the outside of the ankle when pressing in on the damaged ligaments. Swelling or bruising may be present but not always in the more mild cases. Pain can also be felt on the inside of the ankle from compression of bones and soft tissue.</div>
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Sprains are graded 1,2 or 3 depending on severity and a professional therapist will carry out a full diagnosis and <a href="http://www.sportsinjuryclinic.net/sport-injuries/ankle-achilles-shin-pain/sprained-ankle/assessment-ankle-sprain" style="box-sizing: border-box; color: #0000ee; text-decoration: none;">assessment</a> which will include range of motion tests and resisted movement tests to determine the structures injured and extent of the damage.</div>
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<a href="" name="howbad" style="box-sizing: border-box; color: #0000ee;"></a>How bad is my ankle sprain?</h2>
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<strong style="box-sizing: border-box;">Grade 1 </strong>symptoms will cause only mild pain with little or no instability. There may be some joint stiffness with difficulty walking or running but the athlete is likely to be able to play on. Some stretching or perhaps minor tearing of the lateral ankle ligaments may have happened resulting in mild swelling around the bone on the outside of the ankle.</div>
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<strong style="box-sizing: border-box;">Grade 2</strong> symptoms will result in moderate to severe pain with difficulty walking. The athlete is unlikely to be able to play on and will limp. Minor bruising may be evident along with swelling and stiffness in the ankle joint. There is likely to be some instability of the joint resulting from moderate tearing of some of the ligament fibres.</div>
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<strong style="box-sizing: border-box;">Grade 3</strong> usually results in a total or almost complete rupture of a ligament. Severe pain will be felt initially with lots of swelling and extensive bruising. The athlete will experience gross instability of the joint.</div>
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<a href="" name="anat" style="box-sizing: border-box; color: #0000ee;"></a>Anatomy</h2>
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<img alt="Ankle ligaments" src="http://www.sportsinjuryclinic.net/images/ankle-anatomy/thumb2.jpg" style="border: 0px; box-sizing: border-box; float: right; margin: 2px; vertical-align: middle;" />The most common is an inversion sprain or lateral ligament sprain where the ankle turns over so the sole of the foot faces inwards, damaging the ligaments and other soft tissues on the outside of the ankle. The ankle can turn inwards, called an inversion sprain although this is much less common and will usually coincide with a fracture of the fibula bone in the lower leg.</div>
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The two main ligaments involved are the talofibular ligament which connects the talus bone in the ankle to the fibula bone and the calcaneofibular ligament which connects the calcaneus or heel bone to the fibula. A less severe ankle sprain will most likely result in damage to the talofibular ligament. However, more severe injuries cause stretching or tearing to the calcaneofibular ligament lower down as well.</div>
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<a href="" name="comp" style="box-sizing: border-box; color: #0000ee;"></a>Complications</h2>
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In addition to the ligament damage there may also be damage to tendons, joint capsule, bone, cartilage and other tissues. Severely sprained ankles may result in complete ruptures of the ligaments along with dislocation and fractures of the ankle bones.</div>
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<li style="box-sizing: border-box; float: left; margin: 0px; padding: 0px; width: 450px;">An <a href="http://www.sportsinjuryclinic.net/sport-injuries/ankle-achilles-shin-pain/avulsion-fracture" style="box-sizing: border-box; color: #0000ee; text-decoration: none;">avulsion sprain</a> or fracture occurs when the ligament pulls a small piece of bone away with it. This is not always obvious initially but can be suspected if the injury fails to heal.</li>
<li style="box-sizing: border-box; float: left; margin: 0px; padding: 0px; width: 450px;"><a href="http://www.sportsinjuryclinic.net/sport-injuries/ankle-achilles-shin-pain/osteochondral-legions-talus" style="box-sizing: border-box; color: #0000ee; text-decoration: none;">Osteochondral lesions</a> which are tears of the cartilage lining the top of the talus bone are also complications of moderate to severe injuries.</li>
</ul>
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If possible an <a href="http://www.sportsinjuryclinic.net/treatments-therapies/medical-imaging/x-rays" style="box-sizing: border-box; color: #0000ee; text-decoration: none;">X-ray</a> should be done, particularly if the patient is unable to put weight on the foot, or it fails to heal properly over time.</div>
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<a href="" name="treat" style="box-sizing: border-box; color: #0000ee;"></a>Ankle sprain treatment</h2>
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<img alt="Cold pack on foot" height="134" src="http://www.sportsinjuryclinic.net/media/Foot/cold-pack-foot150.jpg" style="border: 0px; box-sizing: border-box; float: right; margin: 2px; vertical-align: middle;" width="132" />Immediate first aid for a sprained ankle is <a href="http://www.sportsinjuryclinic.net/treatments-therapies/cryotherapy-cold-therapy/rice" style="box-sizing: border-box; color: #0000ee; text-decoration: none;">RICE</a> (Rest, Ice, Compression, Elevation) as soon as possible. Cold therapy or ice should be applied for 10 to 15 minutes every hour for the first 24 to 48 hours. Often pitch side therapists will bind the ankle tightly in a compression bandage as soon as the injury has occurred to restrict swelling, although this must be done with caution for only 10 minutes at a time to prevent starving the area of blood resulting in further injury. Do not apply ice directly to the skin as it may burn. Treatment with ice may continue for some time during the rehabilitation process.</div>
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<a href="" name="rehab" style="box-sizing: border-box; color: #0000ee;"></a>Rehabilitation program</h2>
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<a href="http://www.sportsinjuryclinic.net/sport-injuries/ankle-achilles-shin-pain/sprained-ankle/rehabilitation-ankle-sprain" style="box-sizing: border-box; color: #0000ee; text-decoration: none;"><img alt="Ankle strengthening" src="http://www.sportsinjuryclinic.net/media/Foot/isometric-ankle150.jpg" style="border: 0px; box-sizing: border-box; float: right; margin: 2px; vertical-align: middle;" width="140" /></a>Our step by step ankle sprain rehabilitation program takes you from injury to full fitness. After the initial acute stage which is usually 24 to 48 hours (but could be longer with a bad sprain) rehabilitation and exercises may begin although only if pain allows. The program is based around three phases of reducing pain and inflammation, restoring normal mobility and building up strength and proprioception (or coordination of the ankle joint).</div>
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See <a href="http://www.sportsinjuryclinic.net/sport-injuries/ankle-achilles-shin-pain/sprained-ankle/rehabilitation-ankle-sprain" style="box-sizing: border-box; color: #0000ee; text-decoration: none;">ankle sprain rehabilitation program</a>.</div>
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<a href="" name="tape" style="box-sizing: border-box; color: #0000ee;"></a>Ankle sprain taping</h2>
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Taping the ankle can provide support and compression post injury and later in the rehabilitation process can give support when returning to full training. Taping can also be helpful if the ankle ligaments have suffered permanent stretching resulting in ankle instability. Professional Football Physiotherapist Neal Reynolds demonstrates how to build up a simple ankle taping technique in four parts. Part 1 is a simple figure of 8 taping and depending on the level of support required builds up to a full basketweave ankle taping.</div>
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See <a href="http://www.sportsinjuryclinic.net/sport-injuries/ankle-achilles-shin-pain/sprained-ankle/simple-ankle-support-taping" style="box-sizing: border-box; color: #0000ee; text-decoration: none;">ankle taping techniques</a>.</div>
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<a href="" name="exer" style="box-sizing: border-box; color: #0000ee;"></a>Ankle sprain exercises</h2>
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<a href="http://www.sportsinjuryclinic.net/sport-injuries/ankle-achilles-shin-pain/sprained-ankle/ankle-sprain-exercises" style="box-sizing: border-box; color: #0000ee; text-decoration: none;"><img alt="Resisted eccentric inversion exercise for ankle sprains" src="http://www.sportsinjuryclinic.net/media/Foot/resisted-eccentric-inversion150.jpg" style="border: 0px; box-sizing: border-box; float: right; margin: 2px; vertical-align: middle;" width="140" /></a>Mobility exercises help restore full, pain free range of movement. In the early stages it is important not to stress the ligaments which have been injured so up and down movements of the foot are done as opposed to lateral movements.</div>
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Strengthening exercises build up gradually from isometric or static exercises through dynamic exercises involving movement. Some exercises target specific muscles which are important in helping prevent future ankle sprains. It is essential that the proprioception or coordination of the ankle is developed as this is likely to have been damaged at the time of injury making recurrence more likely. Wobble balance board exercises can be beneficial.</div>
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Finally functional exercises are more sports specific or activity related to bridge the gap between rehabilitation and full fitness. Functional exercises include hopping, bouncing changing direction and activities more specific to sports training and competitive games.</div>
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See <a href="http://www.sportsinjuryclinic.net/sport-injuries/ankle-achilles-shin-pain/sprained-ankle/ankle-sprain-exercises" style="box-sizing: border-box; color: #0000ee; text-decoration: none;">ankle sprain exercises</a>.</div>
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<a href="" name="exp" style="box-sizing: border-box; color: #0000ee;"></a>Expert interviews</h2>
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We have interviewed professional football physiotherapist Neal Reynolds about how he treats a player with a sprained ankle. We have broken it down into three sections. The first talks about early stage treatment and exercises, the second looks at late stage rehabilitation and the third focuses on future prevention of ankle injuries.</div>
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<li style="box-sizing: border-box; float: left; margin: 0px; padding: 0px; width: 450px;"><a href="http://www.sportsinjuryclinic.net/sport-injuries/ankle-achilles-shin-pain/sprained-ankle/expert-physio-ankle-sprains" style="box-sizing: border-box; color: #0000ee; text-decoration: none;">Exercises and rehabilitation</a></li>
<li style="box-sizing: border-box; float: left; margin: 0px; padding: 0px; width: 450px;"><a href="http://www.sportsinjuryclinic.net/sport-injuries/ankle-achilles-shin-pain/sprained-ankle/expert-interview-late-stage-ankle" style="box-sizing: border-box; color: #0000ee; text-decoration: none;">Late stage and return to sport</a></li>
<li style="box-sizing: border-box; float: left; margin: 0px; padding: 0px; width: 450px;"><a href="http://www.sportsinjuryclinic.net/sport-injuries/ankle-achilles-shin-pain/sprained-ankle/physio-prevention" style="box-sizing: border-box; color: #0000ee; text-decoration: none;">Ankle sprain prevention</a></li>
</ul>
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<a href="" name="mass" style="box-sizing: border-box; color: #0000ee;"></a>Sports massage</h2>
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Massage can be beneficial in treating a sprained ankle, particularly in the later stages or with a particularly stubborn injury. We demonstrate some simple cross friction massage techniques to help align scar tissue on the ligaments and interview a teacher of sports massage.</div>
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sportsmassagetherapyexeter#liamclarkehttp://www.blogger.com/profile/12302349240238365970noreply@blogger.com0tag:blogger.com,1999:blog-8698463819988691174.post-65359846061629909742015-09-08T16:13:00.002-07:002019-04-01T03:39:09.156-07:00<div class="container" style="box-sizing: border-box; margin-left: auto; margin-right: auto; padding-left: 15px; padding-right: 15px; width: 970px;">
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<span class="green_header_underlined" style="box-sizing: border-box; display: block; padding-bottom: 8px;"><span style="font-size: small;"><span style="background-color: rgba(255, 255, 255, 0);">Sports Massage for Ankle Sprains</span></span></span></h1>
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<span style="background-color: rgba(255, 255, 255, 0);"><iframe frameborder="0" height="300" src="http://www.youtube.com/embed/fpjIrC4ig4A?rel=0" style="box-sizing: border-box;" width="100%"></iframe></span><div style="box-sizing: border-box; font-weight: bold; margin-bottom: 10px;">
<span style="background-color: rgba(255, 255, 255, 0);">Simple sports massage techniques for treatment and rehabilitation of ankle sprains.</span></div>
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<span style="font-size: small;"><span style="background-color: rgba(255, 255, 255, 0);">Sports massage for ankle sprains</span></span></h2>
<div style="box-sizing: border-box; margin-bottom: 10px;">
<span style="background-color: rgba(255, 255, 255, 0);">Sports massage can be effective in treating a sprained ankle in a number of ways. Initially, light massage around the ankle, calf and shin muscles can be used to help reduce swelling from around 3 days after injury. As pain subsides, deeper techniques can be incorporated to help loosen the calf and shin muscles and improve range of motion. See sports <a href="http://www.sportsinjuryclinic.net/treatments-therapies/sports-massage/sports-massage-calf-strain" style="box-sizing: border-box; text-decoration: none;">massage for calf muscles</a></span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">After the acute phase, cross friction massage directly to the ligament can help in preventing scar tissue formation. This type of deep massage can be commenced from around 7 days after injury, or as pain allows.</span></div>
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<span style="font-size: small;"><span style="background-color: rgba(255, 255, 255, 0);">Cross friction massage</span></span></h2>
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<span style="background-color: rgba(255, 255, 255, 0);">Oil or any other lubricant should not be used as you need to get a good feel of the ligament. Oil reduces the control you have over your movements.</span></div>
<div style="box-sizing: border-box; margin-bottom: 10px;">
<span style="background-color: rgba(255, 255, 255, 0);">Cross friction massage should be applied with the ligament in the stretched position. Apply direct pressure with a single finger to the tendon and massage deeply (but within the limits of pain) backwards and forwards across the tendon - not along its length. The ligament should be felt under the skin. This is why it is important to have a knowledge of the anatomy involved and where the ligament attaches to.</span></div>
<div style="box-sizing: border-box; margin-bottom: 10px;">
<span style="background-color: rgba(255, 255, 255, 0);">Gradually massage deeper but within the limits of pain. This technique is likely to be a little painful but not so much that the athlete tightens up with pain. It might be easier to start treatment slightly away from the point of injury and gradually work in towards it.</span></div>
<div style="box-sizing: border-box; margin-bottom: 10px;">
<span style="background-color: rgba(255, 255, 255, 0);">The duration of treatment can be for around five to ten minutes. It is a good idea to use massage techniques every other day rather than every day. This gives you a chance to assess how the injury responds. If swelling increases of pain is worse the next day then refrain from massage until the acute stage has passed.</span></div>
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<span class="green_header_underlined" style="box-sizing: border-box; display: block; padding-bottom: 8px;"><span style="font-size: small;"><span style="background-color: rgba(255, 255, 255, 0);">Sports Massage for Ankle Sprains</span></span></span></h1>
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<span style="background-color: rgba(255, 255, 255, 0);"><iframe frameborder="0" height="300" src="http://www.youtube.com/embed/fpjIrC4ig4A?rel=0" style="box-sizing: border-box;" width="100%"></iframe></span><div style="box-sizing: border-box; font-weight: bold; margin-bottom: 10px;">
<span style="background-color: rgba(255, 255, 255, 0);">Simple sports massage techniques for treatment and rehabilitation of ankle sprains.</span></div>
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<span style="font-size: small;"><span style="background-color: rgba(255, 255, 255, 0);">Sports massage for ankle sprains</span></span></h2>
<div style="box-sizing: border-box; margin-bottom: 10px;">
<span style="background-color: rgba(255, 255, 255, 0);">Sports massage can be effective in treating a sprained ankle in a number of ways. Initially, light massage around the ankle, calf and shin muscles can be used to help reduce swelling from around 3 days after injury. As pain subsides, deeper techniques can be incorporated to help loosen the calf and shin muscles and improve range of motion. See sports <a href="http://www.sportsinjuryclinic.net/treatments-therapies/sports-massage/sports-massage-calf-strain" style="box-sizing: border-box; text-decoration: none;">massage for calf muscles</a></span></div>
<div style="box-sizing: border-box; margin-bottom: 10px;">
<span style="background-color: rgba(255, 255, 255, 0);">After the acute phase, cross friction massage directly to the ligament can help in preventing scar tissue formation. This type of deep massage can be commenced from around 7 days after injury, or as pain allows.</span></div>
<h2 class="" style="border-bottom-color: black; border-bottom-style: solid; border-bottom-width: 1px; box-sizing: border-box; margin-bottom: 10px; margin-top: 20px; padding-bottom: 10px;">
<span style="font-size: small;"><span style="background-color: rgba(255, 255, 255, 0);">Cross friction massage</span></span></h2>
<div style="box-sizing: border-box; margin-bottom: 10px;">
<span style="background-color: rgba(255, 255, 255, 0);">Oil or any other lubricant should not be used as you need to get a good feel of the ligament. Oil reduces the control you have over your movements.</span></div>
<div style="box-sizing: border-box; margin-bottom: 10px;">
<span style="background-color: rgba(255, 255, 255, 0);">Cross friction massage should be applied with the ligament in the stretched position. Apply direct pressure with a single finger to the tendon and massage deeply (but within the limits of pain) backwards and forwards across the tendon - not along its length. The ligament should be felt under the skin. This is why it is important to have a knowledge of the anatomy involved and where the ligament attaches to.</span></div>
<div style="box-sizing: border-box; margin-bottom: 10px;">
<span style="background-color: rgba(255, 255, 255, 0);">Gradually massage deeper but within the limits of pain. This technique is likely to be a little painful but not so much that the athlete tightens up with pain. It might be easier to start treatment slightly away from the point of injury and gradually work in towards it.</span></div>
<div style="box-sizing: border-box; margin-bottom: 10px;">
<span style="background-color: rgba(255, 255, 255, 0);">The duration of treatment can be for around five to ten minutes. It is a good idea to use massage techniques every other day rather than every day. This gives you a chance to assess how the injury responds. If swelling increases of pain is worse the next day then refrain from massage until the acute stage has passed.</span></div>
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<li style="box-sizing: border-box; float: none; margin: 0px; padding: 0px; width: auto;"><a href="http://www.sportsinjuryclinic.net/sport-injuries/ankle-achilles-shin-pain/sprained-ankle/ankle-taping-part-3" style="background-image: url(http://www.sportsinjuryclinic.net/templates/sportsinjuryclinic/css/aero.png); background-position: 7px 7px; background-repeat: no-repeat no-repeat; box-sizing: border-box; display: block; float: none; font-weight: bold; margin: 0px 0px 6px; padding: 4px 0px 4px 20px; text-decoration: none;"><span style="color: black;"><span style="background-color: rgba(255, 255, 255, 0);">Ankle Taping Part 3<span style="box-sizing: border-box;"></span></span></span></a></li>
<li style="box-sizing: border-box; float: none; margin: 0px; padding: 0px; width: auto;"><a href="http://www.sportsinjuryclinic.net/sport-injuries/ankle-achilles-shin-pain/sprained-ankle/ankle-taping-part-4" style="background-image: url(http://www.sportsinjuryclinic.net/templates/sportsinjuryclinic/css/aero.png); background-position: 7px 7px; background-repeat: no-repeat no-repeat; box-sizing: border-box; display: block; float: none; font-weight: bold; margin: 0px 0px 6px; padding: 4px 0px 4px 20px; text-decoration: none;"><span style="color: black;"><span style="background-color: rgba(255, 255, 255, 0);">Ankle Taping Part 4<span style="box-sizing: border-box;"></span></span></span></a></li>
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sportsmassagetherapyexeter#liamclarkehttp://www.blogger.com/profile/12302349240238365970noreply@blogger.com0tag:blogger.com,1999:blog-8698463819988691174.post-72135574859938726412015-08-23T15:37:00.002-07:002015-08-23T15:37:58.579-07:00FROZEN SHOULDER <div class="articleTitle" style="margin: 0px; padding: 20px 0px 0px;">
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August 23rd 2015</div>
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<b><span style="color: purple;">SPORTS MASSAGE THERAPY EXETER</span></b></div>
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<span style="background-color: rgba(255, 255, 255, 0);">If you are experiencing shoulder pain it could be caused frozen shoulder. Find out how to recognise frozen shoulder symptoms and what the treatment options are with our useful guide.</span></div>
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<img alt="Shoulder pain" src="http://www.saga.co.uk/saga/media/Content%20Editors%20Library/Health/Editorial%20Pages/Body/shoulder%20pain/shoulder_pain001_260x175.jpg" style="border: 0px; clear: both; float: right; margin: 0px 0px 10px 10px; max-width: 260px;" /><span style="clear: both; display: block; font-weight: bold; padding-left: 10px; width: 225px;"><span style="background-color: rgba(255, 255, 255, 0);">Frozen shoulder syndrome occurs when ligaments around the shoulder joint swell and stiffen</span></span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">If you're over 50, it's quite likely you know of someone who's had frozen shoulder – and that’s because, according to a survey,* 72% of patients are over the age of 50.</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">Frozen shoulder syndrome, or adhesive capsulitis as it’s medically termed, occurs when ligaments around the shoulder joint swell and stiffen to such an extent that normal healing doesn't take place. This makes it difficult to move the shoulder, making everyday activities such as getting dressed or reaching for a cup from a shelf painful. As the condition progresses, the stiffness may continue to the point where range of motion can be severely limited.</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">Research has shown that diabetes patients are more than twice as likely to suffer with condition, and other risk factors include recent surgery, having a stroke, overactive or underactive thyroid and heart disease.</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">If you suspect that you have frozen shoulder, see your GP for a diagnosis. Your doctor should also rule out shoulder arthritis via a scan or X-ray, as it produces similar symptoms. With frozen shoulder the surfaces of your shoulder joint are normal and motion is limited because the tissues surrounding the joint have become tight, preventing you from moving your arm and shoulder as you usually would. With shoulder arthritis the joint surface is damaged.</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">Possible causes of frozen shoulder</span></h4>
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<span style="background-color: rgba(255, 255, 255, 0);">Because frozen shoulder is a catch-all term, one person's symptoms and causes might be slightly different from another's, making it difficult to say what has caused the problem.</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">Frozen shoulder does, however, seem linked to certain activities. For example, any activity that involves you having to rotate your arm, such as freestyle swimming or throwing a ball overarm (for cricket, for example). Also, overhead weight lifting and sudden stress to the shoulder muscles via injury.</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">It's thought that frozen shoulder is caused by inflammation in the joint - this inflammation could arise after an injury but also as a side effect of other illnesses, such as diabetes, a known risk factor for frozen shoulder.</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">Early symptoms of frozen shoulder</span></h4>
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<li style="float: none !important; height: auto !important; margin: 0px !important; overflow: visible !important; padding: 0px; width: auto !important;"><span style="background-color: rgba(255, 255, 255, 0);">A feeling of pain and tightness in the shoulder area.</span></li>
<li style="float: none !important; height: auto !important; margin: 0px !important; overflow: visible !important; padding: 0px; width: auto !important;"><span style="background-color: rgba(255, 255, 255, 0);">A feeling of tightness especially when putting the arm up and back, as you would do it you were throwing a ball overarm.</span></li>
<li style="float: none !important; height: auto !important; margin: 0px !important; overflow: visible !important; padding: 0px; width: auto !important;"><span style="background-color: rgba(255, 255, 255, 0);">Pain on the back of the wrist. (This specifically relates to frozen shoulder caused by subscapularis trigger points.)</span></li>
<li style="float: none !important; height: auto !important; margin: 0px !important; overflow: visible !important; padding: 0px; width: auto !important;"><span style="background-color: rgba(255, 255, 255, 0);">As time goes on, the symptoms will worsen although the pain may be reduced.</span></li>
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sportsmassagetherapyexeter#liamclarkehttp://www.blogger.com/profile/12302349240238365970noreply@blogger.com1tag:blogger.com,1999:blog-8698463819988691174.post-32839492247907673252015-08-06T15:36:00.001-07:002015-08-06T15:36:23.724-07:00Rehabilitation and Strength work post knee injury/op<h3 class="post-title" style="border: 0px; box-sizing: border-box; font-weight: normal; margin: 0px 0px 10px; padding: 0px; vertical-align: baseline;">
<span style="font-size: small;"><span style="background-color: rgba(255, 255, 255, 0);">Restoration Of Functional Muscle Strength After Knee Injury Or Surgery</span></span></h3>
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<span style="background-color: rgba(255, 255, 255, 0);">Functional muscle strength refers to whole limb force expression during multi-joint, multi-muscle group movements specific to a person’s unique activity or purpose. <br style="box-sizing: border-box;" /><br style="box-sizing: border-box;" />With regard to the lower limb, force production predominantly occurs in a closed kinetic chain (CKC), and functional muscle strength of the lower limb is expressed during the concentric phase of CKC activities such as sit-to-stand, stair ascent, and taking off from a jump. Conversely, force absorption also predominantly occurs in a CKC, and so functional muscle strength of the lower limb is also expressed during the eccentric phase of stand-to-sit, stair descent, and landing from a jump. <br style="box-sizing: border-box;" /><br style="box-sizing: border-box;" />Relative to the simple functional observations just described, it is not surprising that CKC muscle performance tests such as one repetition maximum (1RM) squat or leg press demonstrate a stronger relationship to lower limb function defined by hopping, jumping, and running tasks than open kinetic chain (OKC) muscle performance tests such as a 1RM knee extension. This, in turn, indicates that CKC training methods (e.g. squats) should eventually be the dominant method of strength training if enhanced performance in hopping, jumping, and running tasks is desired. <br style="box-sizing: border-box;" /><br style="box-sizing: border-box;" />Soon after knee injury or surgery, however, OKC strength training should first be used as the dominant training method in order to reverse isolated knee muscle weakness and prepare the knee for functional training, after which CKC strength training should become the dominant training method to optimize whole lower limb function. Thus, both OKC and CKC training methods should be used throughout the rehabilitation process. The key is to implement the correct training method at the correct time. <br style="box-sizing: border-box;" /><br style="box-sizing: border-box;" />Here are some links for you that look at some of the above further: <br style="box-sizing: border-box;" /><br style="box-sizing: border-box;" />1. <br style="box-sizing: border-box;" /><a href="http://www.linkedin.com/redir/redirect?url=http%3A%2F%2Fbjsm%2Ebmj%2Ecom%2Fcontent%2F38%2F3%2F285%2Efull%2Epdf%2Bhtml&urlhash=9U2P&_t=tracking_anet" rel="nofollow" style="border: 0px; box-sizing: border-box; cursor: pointer; font-style: inherit; font-variant: inherit; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" target="blank">http://bjsm.bmj.com/content/38/3/285.full.pdf+html</a> <br style="box-sizing: border-box;" /><br style="box-sizing: border-box;" />2. <br style="box-sizing: border-box;" /><a href="http://www.linkedin.com/redir/redirect?url=http%3A%2F%2Fwww%2Encbi%2Enlm%2Enih%2Egov%2Fpubmed%2F9440034&urlhash=cKkx&_t=tracking_anet" rel="nofollow" style="border: 0px; box-sizing: border-box; cursor: pointer; font-style: inherit; font-variant: inherit; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" target="blank">http://www.ncbi.nlm.nih.gov/pubmed/9440034</a> <br style="box-sizing: border-box;" /><br style="box-sizing: border-box;" />3. <br style="box-sizing: border-box;" /><a href="http://www.linkedin.com/redir/redirect?url=http%3A%2F%2Fwww%2Encbi%2Enlm%2Enih%2Egov%2Fpubmed%2F9617729&urlhash=KaLM&_t=tracking_anet" rel="nofollow" style="border: 0px; box-sizing: border-box; cursor: pointer; font-style: inherit; font-variant: inherit; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" target="blank">http://www.ncbi.nlm.nih.gov/pubmed/9617729</a> <br style="box-sizing: border-box;" /><br style="box-sizing: border-box;" /><br style="box-sizing: border-box;" /><br style="box-sizing: border-box;" />Regards, <br style="box-sizing: border-box;" /><br style="box-sizing: border-box;" />Nick. <br style="box-sizing: border-box;" /><br style="box-sizing: border-box;" />Nicholas Clark. <br style="box-sizing: border-box;" />Knee Consultant Physiotherapist. <br style="box-sizing: border-box;" />SKS Group Moderator. <br style="box-sizing: border-box;" /><br style="box-sizing: border-box;" />Business Website: <br style="box-sizing: border-box;" /><a href="http://www.linkedin.com/redir/redirect?url=http%3A%2F%2Fintegratedphysiotherapy%2Ecom%2F&urlhash=XJIn&_t=tracking_anet" rel="nofollow" style="border: 0px; box-sizing: border-box; cursor: pointer; font-style: inherit; font-variant: inherit; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" target="blank">http://integratedphysiotherapy.com/</a> <br style="box-sizing: border-box;" /><br style="box-sizing: border-box;" />Business Facebook Page: <br style="box-sizing: border-box;" /><a href="http://www.linkedin.com/redir/redirect?url=http%3A%2F%2Fwww%2Efacebook%2Ecom%2Fpages%2FIntegrated-Physiotherapy-and-Conditioning%2F245721042146590%3Fsk%3Dwall&urlhash=ZDYn&_t=tracking_anet" rel="nofollow" style="border: 0px; box-sizing: border-box; cursor: pointer; font-style: inherit; font-variant: inherit; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" target="blank">http://www.facebook.com/pages/Integrated-Physiotherapy-and-Conditioning/245721042146590?sk=wall</a> </span></div>
sportsmassagetherapyexeter#liamclarkehttp://www.blogger.com/profile/12302349240238365970noreply@blogger.com0tag:blogger.com,1999:blog-8698463819988691174.post-33289597695517159282015-07-11T16:31:00.002-07:002015-07-11T16:31:21.316-07:00Neck and shoulder pain ( sports massage therapy exeter )<h1 style="border: 0px; margin: 0px; padding: 0px;">
<span style="font-size: small;"><span style="background-color: rgba(255, 255, 255, 0);">Suboccipital Muscle Tension</span></span></h1>
<span style="background-color: rgba(255, 255, 255, 0);">Posted on June 5, 2015 by SMRT in <a href="http://efullcircle.com/category/anatomy-anatomy-bones-human-body-pain/" rel="category tag" style="border: 0px; margin: 0px; padding: 0px; text-decoration: none;">Anatomy</a>, <a href="http://efullcircle.com/category/massage-therapy-continuing-education/head-neck/" rel="category tag" style="border: 0px; margin: 0px; padding: 0px; text-decoration: none;">Head & Neck</a>, <a href="http://efullcircle.com/category/ncbtmb-approved-continuing-education/" rel="category tag" style="border: 0px; margin: 0px; padding: 0px; text-decoration: none;">NCBTMB approved continuing education</a>, <a href="http://efullcircle.com/category/muscles-pain-achesbones-2/" rel="category tag" style="border: 0px; margin: 0px; padding: 0px; text-decoration: none;">Physiology</a>, <a href="http://efullcircle.com/category/spontaneous-muscle-release-technique-2/" rel="category tag" style="border: 0px; margin: 0px; padding: 0px; text-decoration: none;">Spontaneous Muscle Release Technique</a>. </span><br />
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<span style="background-color: rgba(255, 255, 255, 0);">I want to explore tension in the suboccipital muscles and what the causes of that tension may be. First, let’s make a direct connection between the position of the occiput on the atlas (C1) and tension in the suboccipital triangle muscles (namely: rectus capitis posterior major, rectus capitis posterior minor, obliquus capitis inferior, and obliquus capitis superior). These suboccipital triangle muscles have attachments on the occiput, the atlas, and the axis (C2). To maintain normal tension in these muscles – tension that is balanced from left to right in which the muscles are not painful and have no restriction – the occiput needs to sit straight, balanced, and buoyant on the atlas. Does this sound like anyone you know? How about yourself? Is your occiput in that position?</span></div>
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<img alt="Long Neck 2" class="alignnone size-full wp-image-6488" src="http://efullcircle.com/wp-content/uploads/2015/06/Long-Neck-2.jpg" style="border-bottom-left-radius: 3px; border-bottom-right-radius: 3px; border-top-left-radius: 3px; border-top-right-radius: 3px; border: 1px solid rgb(238, 238, 238); clear: both; display: block; height: auto; margin: 20px 20px 20px 0px; max-width: 98%; overflow: hidden; padding: 3px; vertical-align: middle;" width="560" /></div>
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<span style="background-color: rgba(255, 255, 255, 0);">So, assuming that my facetious questions above have not been answered with resounding yeses, how does the occiput become twisted on the atlas? The first thing we need to look at in the world of technology we now live in is a muscle in the front of the neck called longus capitis. Longus capitis originates from the transverse processes of C3 through C6 (this will become important to us in a bit) and it inserts on the basilar aspect of the inferior occiput. Basically it inserts anterior to the foramen magnum on the bottom of the occiput. You have two longus capitis muscles, one on each side of your anterior neck. The longus capitis muscles contract during flexion of the neck (think of the position your head may be in now if you are reading this on a tablet or phone – chin toward chest) and same side rotation (so, if you are holding that tablet or phone in one hand while trying to do something else with the other hand, like drive or something).</span></div>
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<img alt="Superior_View" class="alignnone size-full wp-image-6489" src="http://efullcircle.com/wp-content/uploads/2015/06/Superior_View.jpg" style="border-bottom-left-radius: 3px; border-bottom-right-radius: 3px; border-top-left-radius: 3px; border-top-right-radius: 3px; border: 1px solid rgb(238, 238, 238); clear: both; display: block; height: auto; margin: 20px 20px 20px 0px; max-width: 98%; overflow: hidden; padding: 3px; vertical-align: middle;" width="560" /></div>
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<span style="background-color: rgba(255, 255, 255, 0);">When one longus capitis becomes tightened and short from the chin being toward the chest with the head slightly rotated in that direction, that muscle pulls the occiput to that side. Instantly the suboccipital triangle muscles are shortened on one side, generally the same side that longus capitis is shortened on. Maybe you never find yourself in this posture with the neck flexed and off slightly to one side. There is another possible way that longus capitis can become shortened and pull the occiput into a twist. Earlier it was noted that the muscle originates from the transverse processes of C3 through C6, which happens to be the exact origin of the anterior scalene muscle.</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">A shortened anterior scalene muscle can reduce the space between these four cervical vertebrae. When that space is reduced, longus capitis will become short in response and pull the occiput to that side. So what makes anterior scalene tight? Well, many things, but one specifically would be an imbalance in the first rib position. Why? Because anterior scalene inserts on the first rib. The first ribs can become imbalanced by sleeping with one shoulder hiked under the head, carrying a bag predominantly on one shoulder, cradling the phone between an ear and its corresponding shoulder, etc.</span></div>
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<img alt="Bottom_View_Skull" class="alignnone size-full wp-image-6487" src="http://efullcircle.com/wp-content/uploads/2015/06/Bottom_View_Skull.jpg" style="border-bottom-left-radius: 3px; border-bottom-right-radius: 3px; border-top-left-radius: 3px; border-top-right-radius: 3px; border: 1px solid rgb(238, 238, 238); clear: both; display: block; height: auto; margin: 20px 20px 20px 0px; max-width: 98%; overflow: hidden; padding: 3px; vertical-align: middle;" width="560" /></div>
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<span style="background-color: rgba(255, 255, 255, 0);">So, to recap what we know so far, tension in longus capitis can pull the occiput to one side and cause tension in the suboccipital muscles. That tension can be caused by tech neck and what it does to the anterior neck or by an imbalance in the first ribs. For another possibility as to why the occiput may be shifted on the atlas let’s look into the cranium. The occiput articulates with the sphenoid in the middle of the cranial base to make the sphenobasilar joint. The sphenoid articulates with almost every other bone in the head.</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">While it is absolutely possible that the position of the occiput can create pressure on the sphenobasilar joint and the sphenoid itself, it is just as possible that jaw issues, sinus issues, or any number of other things going on in the head can shift the sphenoid. This would put pressure on the sphenobasilar joint and could potentially shift the position of the occiput. Let’s say that the sphenoid has shifted very mildly to the right in response to an issue in the right upper jaw. This mild shift will put pressure on the sphenobasilar joint. The sphenoid will enlist the occiput to help take that pressure off the joint. The occiput responds by twisting to the right and creating a right side rotation of the head. This right side rotation could shorten the right longus capitis, which could create reduced space between the third and sixth cervical vertebrae, which could shorten anterior scalene, which could pull the right first rib superior toward the neck and head…..</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">And where would all of this be felt in the human body? Most often it would be felt as pain and restriction in the suboccipital muscles, those small tissues at the base of the skull (or top of the neck, if you prefer) that are fighting to regain the balance of the occiput. So, if you are a massage therapist, do not beat up on the suboccipital triangle, work with other structures first to allow the occiput to regain balance and then work the suboccipital muscles. If you are a person who gets headaches in this area, put the ipad and phone away, lift your head up, and tell your massage therapist to work with these other structures to give you lasting relief.</span></div>
sportsmassagetherapyexeter#liamclarkehttp://www.blogger.com/profile/12302349240238365970noreply@blogger.com0tag:blogger.com,1999:blog-8698463819988691174.post-43129424549429895372015-06-28T16:23:00.000-07:002015-06-28T16:23:02.955-07:00Plantar Fasciitis <div class="section-header">
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<span style="background-color: rgba(255, 255, 255, 0);"><span style="color: #cc0000;"><b>Sports Massage Therapy Exeter</b></span> by Liam Clarke</span></div>
<div class="part-subhead" style="margin: 1em 65.265625px 2em; text-align: start; text-rendering: optimizelegibility;">
<span style="background-color: rgba(255, 255, 255, 0);">A condition I come across on a frequent basis, here's some important information regarding the condition, which if not treated by a therapist with a great understanding of the 3 fascia bands of connective tissue, can leave you with pain and dysfunction for many months, even years. Don t suffer Sports Massage Therapy Exeter can use a vast variety of techniques to from ultra-sound to manual/physical therapy, complementing kinesiology tape to lift the pain receptors that compress on the connective tissue which causes the inflammation.</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">Visit<span style="color: #cc0000;"><b> www.sportsmassagetherapyexter.org.uk today to book an appointment</b></span> </span></div>
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<i><b style="background-color: #fce5cd;"><span style="color: blue;">What is plantar fasciitis</span></b></i><span style="background-color: rgba(255, 255, 255, 0);">?</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">Plantar fasciitis is an overuse injury, like carpal tunnel syndrome or tennis elbow in your foot, a kind of tendinitis: an inflammation and/or thickening<a class="ref boring" href="" id="ref3" style="border-bottom-left-radius: 4px; border-bottom-right-radius: 4px; border-top-left-radius: 4px; border-top-right-radius: 4px; border: 1px solid rgb(204, 204, 204); margin: 0px 0px 0px 2px; outline: none; padding: 0px 2px; vertical-align: 0.1em; z-index: 1;">3</a>and/or degeneration of the plantar fascia. It’s especially common in runners, and in menopausal women. “Many people are afraid of running because between 30 to 70 percent (depending on how you measure it) of runners get injured every year.”<a class="ref noteworthy" href="" id="ref4" style="border-bottom-left-radius: 4px; border-bottom-right-radius: 4px; border-top-left-radius: 4px; border-top-right-radius: 4px; border: 1px solid rgb(204, 204, 204); font-weight: bold; margin: 0px 0px 0px 2px; outline: none; padding: 0px 2px; vertical-align: 0.1em; z-index: 1;">4</a> And roughly 10% of those are PF cases.<a class="ref boring" href="" id="ref5" style="border-bottom-left-radius: 4px; border-bottom-right-radius: 4px; border-top-left-radius: 4px; border-top-right-radius: 4px; border: 1px solid rgb(204, 204, 204); margin: 0px 0px 0px 2px; outline: none; padding: 0px 2px; vertical-align: 0.1em; z-index: 1;">5</a></span><br />
<span style="background-color: rgba(255, 255, 255, 0);">I’ve just used the familiar terms “tendinitis” and “inflammation” to introduce plantar fasciitis in the most familiar and conventional way. However, these are misleading terms and the truth is more complicated. The plantar fascia is not really a tendon: it’s a sheet of connective tissue (“fascia”), more like a ligament than a tendon. It stretches from the heel to toes, spanning the arch of the foot, from bones at the back to bones at the front (whereas tendons connect muscles to bones).</span><br />
<span style="background-color: rgba(255, 255, 255, 0);">The “itis” suffixes in tendinitis and fasciitis mean “inflammation,” </span><span class="pq" style="display: block; float: right; font-style: italic; margin: 1.6em 0px 1.6em 1.8em; width: 254.578125px;"><span style="background-color: rgba(255, 255, 255, 0);">Many people are afraid of running because between 30 to 70 percent of runners get injured every year.</span></span><span style="background-color: rgba(255, 255, 255, 0);">but the tissue is rarely inflamed the way we usually understand it (maybe at first, not for long). Instead, the plantar fascia shows signs of collagen degeneration and disorganization. In 2003, Lemont <span style="font-style: italic; margin-left: -0.1em; margin-right: 0.1em;">et al</span>looked at 50 cases and found so little inflammation that they declared that plantar fasciitis “is a degenerative fasciosis without inflammation, not a fasciitis.”<a class="ref boring" href="" id="ref6" style="border-bottom-left-radius: 4px; border-bottom-right-radius: 4px; border-top-left-radius: 4px; border-top-right-radius: 4px; border: 1px solid rgb(204, 204, 204); margin: 0px 0px 0px 2px; outline: none; padding: 0px 2px; vertical-align: 0.1em; z-index: 1;">6</a> So it would be better to use a more generic suffix — like <em>opathy</em>(diseased) or <em>osis</em> (condition).</span><br />
<span style="background-color: rgba(255, 255, 255, 0);">In fact, this is true of all so-called “tendinitis” — inflamed tendons are not so very inflamed. “Recent basic science research suggests little or no inflammation is present in these conditions.”<a class="ref boring" href="" id="ref7" style="border-bottom-left-radius: 4px; border-bottom-right-radius: 4px; border-top-left-radius: 4px; border-top-right-radius: 4px; border: 1px solid rgb(204, 204, 204); margin: 0px 0px 0px 2px; outline: none; padding: 0px 2px; vertical-align: 0.1em; z-index: 1;">7</a> And Khan <span style="font-style: italic; margin-left: -0.1em; margin-right: 0.1em;">et al</span> wrote that “numerous investigators worldwide have shown that the pathology underlying these conditions is tendonosis or collagen degeneration. This applies equally in the Achilles, patellar, medial and lateral elbow, and rotator cuff tendons.”<a class="ref boring" href="" id="ref8" style="border-bottom-left-radius: 4px; border-bottom-right-radius: 4px; border-top-left-radius: 4px; border-top-right-radius: 4px; border: 1px solid rgb(204, 204, 204); margin: 0px 0px 0px 2px; outline: none; padding: 0px 2px; vertical-align: 0.1em; z-index: 1;">8</a></span><br />
<span style="background-color: rgba(255, 255, 255, 0);">And in the plantar fascia, where the degeneration is “similar to the chronic necrosis of tendonosis.”<a class="ref boring" href="" id="ref9" style="border-bottom-left-radius: 4px; border-bottom-right-radius: 4px; border-top-left-radius: 4px; border-top-right-radius: 4px; border: 1px solid rgb(204, 204, 204); margin: 0px 0px 0px 2px; outline: none; padding: 0px 2px; vertical-align: 0.1em; z-index: 1;">9</a> Necrosis is bad. It’s Latin for “tissue death.” In plantar “fasciitis,” the plantar fascia is not just hurting, it’s <em>dying</em> — eroding like a rotten plank.<a class="ref noteworthy" href="" id="ref10" style="border-bottom-left-radius: 4px; border-bottom-right-radius: 4px; border-top-left-radius: 4px; border-top-right-radius: 4px; border: 1px solid rgb(204, 204, 204); font-weight: bold; margin: 0px 0px 0px 2px; outline: none; padding: 0px 2px; vertical-align: 0.1em; z-index: 1;">10</a> And this isn’t just to make you squeamish: inflammation and “necrosis” are not the same medical situation, and understanding the difference is essential for effective treatment.</span><br />
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<img alt="[Diagram of the foot and plantar fascia to demonstrate the anatomy of plantar fasciitis]" class="l-img " height="127" src="https://www.painscience.com/imgs/bow-arch-m.gif" style="border: 0px none; float: left; margin: 0px 1.5em 1em 0px; text-align: start; vertical-align: bottom;" width="300" /><div class="img-caption-head rightside" style="margin-bottom: -0.7em; margin-left: 30px; margin-right: 30px; padding: 0px; text-align: left;">
<span style="background-color: rgba(255, 255, 255, 0);">Foot arch-ery</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">The arch of the foot functions like a bow (as in a bow and arrow), and the plantar fascia is like the string of the bow. The tension in the “bow string” holds the shape of the arch. But every time you step, the “bow string” stretches… and when stretched too hard and too often, it gets irritated, and then it’s like a bow <em>shooting</em> you in the foot!</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">So why does it happen? Plantar fasciitis is basically caused by chronic irritation of the arch of the foot due to excessive strain.</span><br />
<span style="background-color: rgba(255, 255, 255, 0);">If the arch of your foot is like a bow, think of the plantar fascia as the bow’s string. The plantar fascia, along with several muscles both in the foot and in the leg, supports the arch and makes it springy.<a class="ref noteworthy" href="" id="ref11" style="border-bottom-left-radius: 4px; border-bottom-right-radius: 4px; border-top-left-radius: 4px; border-top-right-radius: 4px; border: 1px solid rgb(204, 204, 204); font-weight: bold; margin: 0px 0px 0px 2px; outline: none; padding: 0px 2px; vertical-align: 0.1em; z-index: 1;">11</a> Too springy, and the foot flattens out, overstretching the plantar fascia. Not springy enough, and the plantar fascia absorbs too much weight too suddenly.</span><br />
<span style="background-color: rgba(255, 255, 255, 0);">Either way, it starts to burn with the strain.</span><br />
<span style="background-color: rgba(255, 255, 255, 0);">Other than the fact that it’s on the bottom of your foot and you <em>step on it a lot</em>, why is the plantar fascia vulnerable to strain? Why <em>exactly</em>? What happens?</span></div>
<div class="section lvl-3" id="sec_spurs" style="padding-top: 1.5em;">
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<h3 style="margin-bottom: 2em; margin-top: 5em; text-rendering: optimizelegibility;">
<span style="font-size: small;"><span style="background-color: rgba(255, 255, 255, 0);">Getting to the root of plantar fasciitis: could it be bone spurs?</span></span></h3>
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<span style="background-color: rgba(255, 255, 255, 0);">Clever-sounding biomechanical <em>explanations</em> for plantar fasciitis are as common as plantar fasciitis itself. Many therapists and articles on the internet will insist that you must treat the “root cause” of plantar fasciitis. It would certainly be a good idea — there’s no disputing that. Now, if only it were <em>possible</em> to identify the root cause!</span><br />
<span style="background-color: rgba(255, 255, 255, 0);">There are three particularly common biomechanical “explanations” for plantar fasciitis, which I will cover over the next three sections. None of them is completely useless, but none even remotely qualifies for “root cause” status:</span><br />
<ul class="looser-list" style="margin: 1.5em 2em 1.5em 0px; padding: 0px 0px 0px 2em;">
<li style="margin: 1.5em auto; padding-left: 0.5em;"><span style="background-color: rgba(255, 255, 255, 0);">bone spurs</span></li>
<li style="margin: 1.5em auto; padding-left: 0.5em;"><span style="background-color: rgba(255, 255, 255, 0);">flat feet and/or pronation</span></li>
<li style="margin: 1.5em auto; padding-left: 0.5em;"><span style="background-color: rgba(255, 255, 255, 0);">tight calves</span></li>
</ul>
<span style="background-color: rgba(255, 255, 255, 0);">Unfortunately, there are so many possible causes of plantar fasciitis — probably several of them happening at the same time — that it is effectively impossible (or just extremely impractical) for therapists to make any confident biomechanical diagnosis. It’s simply too complicated an equation, and the scientific literature is riddled with contradictions. Let’s start breaking this down with bone spurs…</span><br />
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<span style="background-color: rgba(255, 255, 255, 0);">Surely hard bony growths in the arch are painful?!</span></h4>
<span style="background-color: rgba(255, 255, 255, 0);">Bone spurs on the heel (aka heel spurs and calcaneal spurs) seem like they must be a smoking gun — a simple and obvious cause of plantar fasciitis. They are common — about 10–20% of the population<a class="ref noteworthy" href="" id="ref12" style="border-bottom-left-radius: 4px; border-bottom-right-radius: 4px; border-top-left-radius: 4px; border-top-right-radius: 4px; border: 1px solid rgb(204, 204, 204); font-weight: bold; margin: 0px 0px 0px 2px; outline: none; padding: 0px 2px; vertical-align: 0.1em; z-index: 1;">12</a> has an extra bit of bone growing on the front of the heel. They often get the blame for plantar fasciitis because it seems so obvious that having a bony outcropping on your heel would indeed cause heel pain, for much the same reason that you wouldn’t want a rock in your shoe. Even more damning: they are indeed found more in people with plantar fasciitis than without.</span><br />
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<span style="background-color: rgba(255, 255, 255, 0);"><img alt="" class="m-img ds" height="156" src="https://www.painscience.com/imgs/heel-spur-m.jpg" style="border: 0px none; vertical-align: bottom;" width="250" /></span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">Not as bad as it looks. Having a bone spur is more like stepping on a cracker than a nail. A very thin cracker.</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">Seems straightforward, right? Wrong.</span><br />
<span style="background-color: rgba(255, 255, 255, 0);">Unfortunately for common sense, bone spurs aren’t very bone-y: they’re merely a modest calcification of the plantar fascia. The spur is brittle and thin. It’s not much more like bone than tinfoil is like a sheet of steel. It makes the plantar fascia a bit crispy and crunchy.<a class="ref noteworthy" href="" id="ref13" style="border-bottom-left-radius: 4px; border-bottom-right-radius: 4px; border-top-left-radius: 4px; border-top-right-radius: 4px; border: 1px solid rgb(204, 204, 204); font-weight: bold; margin: 0px 0px 0px 2px; outline: none; padding: 0px 2px; vertical-align: 0.1em; z-index: 1;">13</a> So bone spurs aren’t as much of a painful mechanical problem as they sound: more like stepping on a cracker than a nail. A very thin cracker.</span><br />
<span style="background-color: rgba(255, 255, 255, 0);">So perhaps it isn’t too surprising that lots of people have painless spurs. And there is good evidence that, when there is pain, it’s not the <em>spur</em> that hurts but the plantar fascia itself or other soft-tissue structures.<a class="ref boring" href="" id="ref14" style="border-bottom-left-radius: 4px; border-bottom-right-radius: 4px; border-top-left-radius: 4px; border-top-right-radius: 4px; border: 1px solid rgb(204, 204, 204); margin: 0px 0px 0px 2px; outline: none; padding: 0px 2px; vertical-align: 0.1em; z-index: 1;">14</a><a class="ref boring" href="" id="ref15" style="border-bottom-left-radius: 4px; border-bottom-right-radius: 4px; border-top-left-radius: 4px; border-top-right-radius: 4px; border: 1px solid rgb(204, 204, 204); margin: 0px 0px 0px 2px; outline: none; padding: 0px 2px; vertical-align: 0.1em; z-index: 1;">15</a> And surgically removing a bone spur does not necessarily relieve pain, which makes it a lot less likely that it was causing it in the first place.<a class="ref boring" href="" id="ref16" style="border-bottom-left-radius: 4px; border-bottom-right-radius: 4px; border-top-left-radius: 4px; border-top-right-radius: 4px; border: 1px solid rgb(204, 204, 204); margin: 0px 0px 0px 2px; outline: none; padding: 0px 2px; vertical-align: 0.1em; z-index: 1;">16</a><a class="ref boring" href="" id="ref17" style="border-bottom-left-radius: 4px; border-bottom-right-radius: 4px; border-top-left-radius: 4px; border-top-right-radius: 4px; border: 1px solid rgb(204, 204, 204); margin: 0px 0px 0px 2px; outline: none; padding: 0px 2px; vertical-align: 0.1em; z-index: 1;">17</a> Spurs also tend to just grow back. No wonder a 2007 study concluded, “Overall, the presence of a calcaneal spur [was] not correlated with patient satisfaction and recurrences.”<a class="ref boring" href="" id="ref18" style="border-bottom-left-radius: 4px; border-bottom-right-radius: 4px; border-top-left-radius: 4px; border-top-right-radius: 4px; border: 1px solid rgb(204, 204, 204); margin: 0px 0px 0px 2px; outline: none; padding: 0px 2px; vertical-align: 0.1em; z-index: 1;">18</a> And it’s why there is a broad consensus that they are not the culprit. In a 2014 review in the journal <cite>Foot & Ankle Specialist</cite>, <a href="https://www.painscience.com/bibliography.php?mor3" style="outline: none; text-decoration: none;">Moroney <span style="font-style: italic; margin-left: -0.1em; margin-right: 0.1em;">et al</span></a>wrote:</span><br />
<blockquote style="margin: 1.2em 1em;">
<span style="background-color: rgba(255, 255, 255, 0);">Though once synonymous with plantar fasciitis, calcaneal spurs have, for several decades, largely been regarded in the orthopaedic literature as incidental findings. </span></blockquote>
<span style="background-color: rgba(255, 255, 255, 0);">But they probably aren’t <em>completely</em> irrelevant. They also wrote:</span><br />
<blockquote style="margin: 1.2em 1em;">
<span style="background-color: rgba(255, 255, 255, 0);">However, it may be premature to completely dismiss the significance of plantar calcaneal spurs.</span></blockquote>
<span style="background-color: rgba(255, 255, 255, 0);">It’s clear that spurs are probably more painful and problematic when other tissue X factors are present, but those factors can and do <em>also</em> cause plantar fasciitis symptoms whether you have a heel spur or not — and heel spurs may be completely painless without those factors!</span><br />
<span style="background-color: rgba(255, 255, 255, 0);">Of all the possible “root causes” of plantar fasciitis, bone spurs superficially seem like the simplest and most obvious — and yet it’s neither. As tempting as it is, it turns out that you just can’t count on a nice straightforward connection between heel spurs and plantar fasciitis.</span><br />
<span style="background-color: rgba(255, 255, 255, 0);">Other alleged root causes are even less satisfying.</span></div>
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<div class="section lvl-3" id="sec_arches_and_pronation" style="padding-top: 1.5em;">
<div class="section-header">
<h3 style="margin-bottom: 2em; margin-top: 5em; text-rendering: optimizelegibility;">
<span style="font-size: small;"><span style="background-color: rgba(255, 255, 255, 0);">Maybe it’s my pronation? Or flat feet?</span></span></h3>
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<div class="section-content">
<span style="background-color: rgba(255, 255, 255, 0);">“My therapist said I’m a pronator.” I hear this a lot. It’s not clear that it matters.</span><br />
<span style="background-color: rgba(255, 255, 255, 0);">Pronating is rolling the foot inward. It is almost synonymous with having flat feet, because the arch tends to collapse as you roll the foot inward. They don’t necessarily go together, but they often do, and they are both routinely claimed as root causes of plantar fasciitis. Personally, I think therapists just like to accuse their patients of “pronating” because it makes us sound like we know what we’re talking about. Sound a little harsh? Some experts believe the idea of pronation is so useless — and yet so common! — that they have called for it to be abolished:<a class="ref boring" href="" id="ref19" style="border-bottom-left-radius: 4px; border-bottom-right-radius: 4px; border-top-left-radius: 4px; border-top-right-radius: 4px; border: 1px solid rgb(204, 204, 204); margin: 0px 0px 0px 2px; outline: none; padding: 0px 2px; vertical-align: 0.1em; z-index: 1;">19</a></span><br />
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<span style="background-color: rgba(255, 255, 255, 0);">[Overpronation] contributes nothing to our understanding — it is not definable, not reliable or valid, not diagnostic, its relationship to injury is not fully understood, and it does not dictate what the most appropriate management plan may be. It should not be replaced, it should be removed.</span><br />
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<span style="background-color: rgba(255, 255, 255, 0);">Ian Griffiths, <a href="http://www.kinetic-revolution.com/overpronation-accurate-or-out-of-date-terminology/" style="outline: none; text-decoration: none;">Overpronation: Accurate or Out of Date Terminology?</a></span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">It’s just as likely that under-pronation and high arches are a problem. While flat feet are a more popular cause, one professional will blame high arches, and the next will say it’s flat feet … sometimes about the same patient. Surprisingly, professionals often seem to have trouble deciding whether a given foot has a flat arch or a high arch!<a class="ref noteworthy" href="" id="ref20" style="border-bottom-left-radius: 4px; border-bottom-right-radius: 4px; border-top-left-radius: 4px; border-top-right-radius: 4px; border: 1px solid rgb(204, 204, 204); font-weight: bold; margin: 0px 0px 0px 2px; outline: none; padding: 0px 2px; vertical-align: 0.1em; z-index: 1;">20</a></span><br />
<span style="background-color: rgba(255, 255, 255, 0);">So why are experts contradicting each other? Probably because <em>both</em> flat and high arches are likely causes of plantar fasciitis.<a class="ref boring" href="" id="ref21" style="border-bottom-left-radius: 4px; border-bottom-right-radius: 4px; border-top-left-radius: 4px; border-top-right-radius: 4px; border: 1px solid rgb(204, 204, 204); margin: 0px 0px 0px 2px; outline: none; padding: 0px 2px; vertical-align: 0.1em; z-index: 1;">21</a><a class="ref noteworthy" href="" id="ref22" style="border-bottom-left-radius: 4px; border-bottom-right-radius: 4px; border-top-left-radius: 4px; border-top-right-radius: 4px; border: 1px solid rgb(204, 204, 204); font-weight: bold; margin: 0px 0px 0px 2px; outline: none; padding: 0px 2px; vertical-align: 0.1em; z-index: 1;">22</a><a class="ref boring" href="" id="ref23" style="border-bottom-left-radius: 4px; border-bottom-right-radius: 4px; border-top-left-radius: 4px; border-top-right-radius: 4px; border: 1px solid rgb(204, 204, 204); margin: 0px 0px 0px 2px; outline: none; padding: 0px 2px; vertical-align: 0.1em; z-index: 1;">23</a></span><br />
<span style="background-color: rgba(255, 255, 255, 0);">For years, I incorrectly told plantar fasciitis clients with high arches that they were exceptional, because I knew only the conventional wisdom: namely, that plantar fasciitis afflicts the flat-footed. Now that I know better, it seems obvious that the plantar fascia can also be irritated by an excessively tall arch. If the arch is high, it means the arch-support system may be too rigid and not springy enough, so it absorbs too much force too quickly.</span><br />
<span style="background-color: rgba(255, 255, 255, 0);">This is a Goldilocks case: the arches need to flex and give just the right amount — not too little, and not too much.</span><br />
<span style="background-color: rgba(255, 255, 255, 0);">Pronation is one side of a Goldilocks equation too. The truth is that excessive supinating — rolling outwards — is probably just as much of a problem<a class="ref boring" href="" id="ref24" style="border-bottom-left-radius: 4px; border-bottom-right-radius: 4px; border-top-left-radius: 4px; border-top-right-radius: 4px; border: 1px solid rgb(204, 204, 204); margin: 0px 0px 0px 2px; outline: none; padding: 0px 2px; vertical-align: 0.1em; z-index: 1;">24</a> — but that gets almost completely ignored. You <em>never</em> hear about supinating — there’s little research about it.</span><br />
<span style="background-color: rgba(255, 255, 255, 0);">As much as the body likes things to be just right, it’s also remarkably adaptable. Many flat-footed pronators and high-arched supinators in fact do <em>not</em> have plantar fasciitis. And many people who <em>do</em> have plantar fasciitis have completely normal arches, and neither pronate nor supinate excessively. </span><br />
<span style="background-color: rgba(255, 255, 255, 0);">Arch height and pronation are almost certainly <em>risk factors</em> … but not root causes.</span><br />
<blockquote style="margin: 1.2em 1em;">
<span style="background-color: rgba(255, 255, 255, 0);">If you walk in a shoe store and their sole basis for choosing a shoe for you is how much your pronate and what your arch looks like, turn around and walk out the door. The science simply does not support this protocol.</span><br />
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<a href="http://www.runblogger.com/2012/09/why-term-overpronation-should-be.html" style="background-color: rgba(255, 255, 255, 0); outline: none; text-decoration: none;"><span style="color: black;">runblogger</span></a></div>
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<div class="section lvl-3" id="sec_calves" style="padding-top: 1.5em;">
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<span style="font-size: small;"><span style="background-color: rgba(255, 255, 255, 0);">Probably my calves are too tight!</span></span></h3>
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<span style="background-color: rgba(255, 255, 255, 0);">Could be. Tight calves are another classic plantar fasciitis scapegoat, and the gastrocnemius and soleus muscles (the big calf muscles) certainly can put a strain on the plantar fascia.<a class="ref boring" href="" id="ref25" style="border-bottom-left-radius: 4px; border-bottom-right-radius: 4px; border-top-left-radius: 4px; border-top-right-radius: 4px; border: 1px solid rgb(204, 204, 204); margin: 0px 0px 0px 2px; outline: none; padding: 0px 2px; vertical-align: 0.1em; z-index: 1;">25</a> This situation is typical for people with a leaning-forward “ski jumper” postural pattern. And of course it is the predictable side-effect of wearing high-heeled shoes for many years.<a class="ref noteworthy" href="" id="ref26" style="border-bottom-left-radius: 4px; border-bottom-right-radius: 4px; border-top-left-radius: 4px; border-top-right-radius: 4px; border: 1px solid rgb(204, 204, 204); font-weight: bold; margin: 0px 0px 0px 2px; outline: none; padding: 0px 2px; vertical-align: 0.1em; z-index: 1;">26</a></span><br />
<span style="background-color: rgba(255, 255, 255, 0);">For interesting contrast, the Twa people of Africa grow up climbing trees, which earns them amazingly limber calves that allow their ankles to bend halfway (45˚) to the shin<a class="ref boring" href="" id="ref27" style="border-bottom-left-radius: 4px; border-bottom-right-radius: 4px; border-top-left-radius: 4px; border-top-right-radius: 4px; border: 1px solid rgb(204, 204, 204); margin: 0px 0px 0px 2px; outline: none; padding: 0px 2px; vertical-align: 0.1em; z-index: 1;">27</a> — <em>two to four times greater</em> than the average urban person! Look at them go:</span></div>
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sportsmassagetherapyexeter#liamclarkehttp://www.blogger.com/profile/12302349240238365970noreply@blogger.com0tag:blogger.com,1999:blog-8698463819988691174.post-67822789079587917502015-06-27T13:16:00.000-07:002015-06-27T13:16:44.938-07:00Achilles Tendon injuries ( prevention ) Sports Massage Therapy Exeter<ul style="border: 0px; list-style-image: initial; list-style-position: initial; margin: 0px 0px 20px; outline: 0px; padding: 0px 0px 0px 30px; vertical-align: baseline;">
<li style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="background-color: rgba(255, 255, 255, 0);">Before exercise or workouts to warm up your soft tissue, Achilles tendon and lower leg (calf) muscles to <b>prevent re-injury</b> of your ankle and Achilles tendon</span></li>
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<li style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="background-color: rgba(255, 255, 255, 0);">Before and after surgery during rehabilitation to <b>warm up your tissues before physical therapy exercising or stretching</b></span></li>
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<li style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="background-color: rgba(255, 255, 255, 0);">Anytime you feel that your ankle, Achilles tendon, or lower leg muscles have stiffened up, are tight, reducing your mobility and causing pain</span></li>
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<li style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="background-color: rgba(255, 255, 255, 0);">Anytime you have sore or aching soft tissue</span></li>
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<span style="font-size: small;"><span style="background-color: rgba(255, 255, 255, 0);">And any other situation where you need to increase blood flow to your injury to relax your soft tissue, relieve pain, prevent re-injury and enhance the flexibility of your ankle and Achilles tendon!</span></span></h3>
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<span style="background-color: rgba(255, 255, 255, 0); font-style: inherit;"><span style="font-size: small;">Get Ultimate Healing Power by Increasing Blood Flow</span></span></div>
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<span style="font-size: small;"><span style="background-color: rgba(255, 255, 255, 0);"><span style="font-style: inherit;">with an Ankle/Achilles Inferno Wrap</span><span style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: top;">®</span></span></span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">When your ankle and Achilles tendon are first injured you need to deal with the pain, swelling and inflammation first. A lot of people will use cold compression with our Ankle/Achilles Freezie Wrap<span style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: top;">®</span> to rapidly reduce pain and swelling in their ankle. <b>After inflammation has been reduced it is much easier to start dealing with the actual injury and on-going pain.</b></span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">Some people think that their injury is completely healed when the swelling is gone... this is a <u>critical mistake</u>! When you assume that your injury is healed because the swelling is gone - you actually put your injury at greater risk for further damage. Until your injury is healed your body is in a weakened state. Even the slightest movement of your ankle can worsen your injury and cause a huge amount of swelling again!</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);"><img alt="Ankle and Achilles tendon injuries will heal faster with an Ankle/Achilles Inferno Wrap." src="http://www.mendmeshop.com/_img_global/shop/inferno-animation-final.gif" style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;" /></span></div>
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<span style="background-color: rgba(255, 255, 255, 0);"><b>Relying on your injured ankle without proper healing can result in a constant re-injury cycle or a chronic degenerative condition</b>(like tendinitis, tendinosis, or arthritis). When your swelling has gone down your body is ready and starving for oxygen, nutrients, antibodies and energy that's available in your own blood flow.</span></div>
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<span style="background-color: rgba(255, 255, 255, 0); border: 0px; font-style: italic; font-weight: bold; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Proper blood flow is essential for complete ankle injury healing!</span></div>
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<b style="background-color: rgba(255, 255, 255, 0);">This is where the Inferno Wrap<span style="border: 0px; font-style: inherit; font-weight: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: top;">®</span> comes in...</b></div>
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<span style="background-color: rgba(255, 255, 255, 0);">This device provides Blood Flow Stimulation Therapy™ that boosts your body's own natural healing system by increasing blood flow directly to your injured ankle and Achilles tendon.</span></div>
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<span style="background-color: rgba(255, 255, 255, 0); border: 0px; font-style: inherit; font-weight: bold; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">With an Ankle/Achilles Inferno Wrap<span style="border: 0px; font-style: inherit; font-weight: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: top;">®</span> you get directed healing that is brought straight to the source of your ankle injury, where healing is needed most!</span></div>
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<span style="font-size: small;"><span style="background-color: rgba(255, 255, 255, 0);">Ankle/Achilles Inferno Wraps<span style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: top;">®</span> = The Most Effective Blood Flow Stimulators Available!</span></span></h2>
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<span style="background-color: rgba(255, 255, 255, 0);">The Ankle/Achilles Inferno Wrap<span style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: top;">®</span> can help you heal and reduce the pain caused by your <b>ankle injury, Achilles tear or chronic ankle condition</b>. Consistent conservative treatment with an Ankle/Achilles Inferno Wrap<span style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: top;">®</span> will stimulate blood flow to soothe your pain and treat damaged tissue - providing <b>an incredible therapeutic experience!</b></span></div>
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<span style="background-color: rgba(255, 255, 255, 0);"><img alt="Each Ankle/Achilles Inferno Wrap provides incredible treatment coverage, offering BFST targeted around the back of your ankle. Each treatment provides soothing warmth for the Achilles tendon, Achilles bursae and other vital tissue. The effects of the energy waves reach beyond the Energy Web area to promote blood flow for a complete ankle treatment." src="http://www.mendmeshop.com/_img_global/shop/inferno-blood-flow-stimulator-achilles-tendon-wrap.jpg" style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;" /></span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">The Ankle/Achilles Inferno Wrap<span style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: top;">®</span> is an amazing product that <b>relaxes the Achilles tendon and ligaments</b> in your ankle while <b>reducing pain and speeding up the body's natural healing process</b>. Blood Flow Stimulation Therapy™ reduces, or even eliminates, the need for potentially harmful medication while it heals your damaged tissue. This therapy can also be used with other conservative treatment methods - like physical therapy, post-surgery rehabilitation, cold compression with an Ankle/Achilles Freezie Wrap<span style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: top;">®</span> and passive exercise devices like our Knee-Flex<span style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: top;">®</span> Passive Achilles Tendon Stretching Device.</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">The Ankle/Achilles Inferno Wrap<span style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: top;">®</span> is the only product we know that has been developed specifically to heal soft tissue injury by using Blood Flow Stimulation Therapy™. It works unbelievably well! You can be certain there is nothing else like an Ankle/Achilles Inferno Wrap<span style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: top;">®</span> for complete ankle and Achilles tendon healing.</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">The incredible healing power provided by our Ankle/Achilles Inferno Wrap<span style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: top;">®</span> comes <b>highly recommended by physicians, therapists and sports professionals worldwide</b>. </span></div>
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<span style="font-size: small;"><span style="background-color: rgba(255, 255, 255, 0);">Why you will love your Ankle/Achilles Inferno Wrap<span style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: top;">®</span></span></span></h2>
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<span style="background-color: rgba(255, 255, 255, 0);">People everywhere are choosing the Inferno Wrap<span style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: top;">®</span> for home therapy because:</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);"><img alt="With soft, plush neoprene, maximum breathability, a flexible Energy Web warming component and adjustable Velcro closures the Ankle/Achilles Inferno Wrap has been designed with total comfort and convenience in mind." src="http://www.mendmeshop.com/_img_global/shop/inferno_ankle.jpg" style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;" /></span></div>
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<li style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="background-color: rgba(255, 255, 255, 0);">it <b>heals your injured tissue</b>, safely and naturally, without medication</span></li>
<li style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="background-color: rgba(255, 255, 255, 0);">it heals small tears from daily use to <b>reduce the risk of tendonitis, tendinosis, arthritis</b> and other chronic conditions</span></li>
<li style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="background-color: rgba(255, 255, 255, 0);">it <b>soothes pain</b> and whisks away toxins</span></li>
<li style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="background-color: rgba(255, 255, 255, 0);">it <b>reduces the pain</b> of chronic conditions</span></li>
<li style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="background-color: rgba(255, 255, 255, 0);">it can be used before exercise to warm the Achilles tendon and ligaments in the ankle to <b>reduce the risk of injury</b> - Professional athletes use them! </span></li>
<li style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="background-color: rgba(255, 255, 255, 0);">it <b>repairs minor tissue damage</b> when used after activity </span></li>
<li style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span style="background-color: rgba(255, 255, 255, 0);">it <b>saves time and money</b> associated with doctor or physical therapist visits</span></li>
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<span style="font-size: small;"><span style="background-color: rgba(255, 255, 255, 0);">The Powerful BFST<span style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: top;">®</span> Healing Advantage</span></span></h1>
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<span style="background-color: rgba(255, 255, 255, 0);">Applying a warming temperature therapy to your injured ankle can <b>boost your body's natural ability to re-grow tissue needed to heal</b>. Regular Ankle/Achilles Inferno Wrap<span style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: top;">®</span>treatments can reduce pain and stiffness from scar tissue and increase overall joint flexibility. Increasing blood flow with an Ankle/Achilles Inferno Wrap<span style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: top;">®</span> will also increase the amount of oxygen that is being sent to your tissue AND your tissue's ability to absorb oxygen. (reference: <a href="http://www.ncbi.nlm.nih.gov/pubmed/16616270" style="border: 0px; font-style: inherit; font-weight: bold; margin: 0px; outline: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" target="_blank">1</a>)</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);"><img alt="Energy waves emitted from the Ankle/Achilles Inferno penetrate deep into tissue promoting BFST for faster healing." src="http://www.mendmeshop.com/_img_global/shop/BFST-flyout2.png" style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;" /></span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">Not only that, but <b>increased blood flow whisks away dead or dying cells and any toxins those cells are producing in your ankle</b>. Getting rid of toxins can help to create a positive healing environment for your tissue. Instead of constantly holding onto toxins within the Achilles tendon, your damaged tissue can now receive tons of blood flow that is rich in oxygen and nutrients. This is the stunning benefit of consistent Ankle/Achilles Inferno Wrap<span style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: top;">®</span> BFST<span style="border: 0px; font-style: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: top;">®</span> treatments.</span></div>
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<span style="background-color: rgba(255, 255, 255, 0); border: 0px; font-style: italic; font-weight: bold; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">The Ankle/Achilles Inferno Wrap<span style="border: 0px; font-style: inherit; font-weight: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: top;">®</span> Treatment Advantages just keep coming...</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">According to the trusted medical knowledge of Justus F. Lehmann, M.D. (well-known rehabilitation medicine specialist), increasing the temperature of the ankle, Achilles tendon and lower leg muscles (calf muscle) through the application of a warming therapy will also provide these <b>7 Truly Amazing Benefits</b> (reference: <a href="http://www.amazon.com/Therapeutic-Heat-Rehabilitation-Medicine-Library/dp/0683049089" style="border: 0px; font-style: inherit; font-weight: bold; margin: 0px; outline: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" target="_blank">amazon.com link</a>):</span></div>
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<b style="background-color: rgba(255, 255, 255, 0);">1. <u>Increase Flexibility of Tissue</u></b></h4>
<span style="background-color: rgba(255, 255, 255, 0);"><br /></span>
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<span style="background-color: rgba(255, 255, 255, 0);">Warming up tissue before stretching (exercise at home or in a physical therapy clinic) can provide on-going flexibility in your tissue that will continue after the stretch is done. Experiments conducted by medical professionals have shown that <b>applying warm temperature treatments (like the Ankle/Achilles Inferno Wrap<span style="border: 0px; font-style: inherit; font-weight: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: top;">®</span>) before stretching range-of-motion exercises can provide lingering flexibility</b> that is beneficial when stretching the Achilles tendon and other ligaments in and around the ankle joint.</span></div>
sportsmassagetherapyexeter#liamclarkehttp://www.blogger.com/profile/12302349240238365970noreply@blogger.com0tag:blogger.com,1999:blog-8698463819988691174.post-80938443892650403392015-06-02T17:19:00.001-07:002015-06-02T17:19:38.482-07:00ICE THERAPY by Liam Clarke Sports Massage Therapy Exeter<b style="-webkit-text-size-adjust: auto; color: #000099; font-size: 17px; text-decoration: -webkit-letterpress;"><center>
<span style="font-family: HELVETICA, ARIAL; font-size: large;">ICE THERAPY ICE</span><span style="font-family: HELVETICA, ARIAL; font-size: large;"> THERAPY</span></center>
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<span style="font-family: HELVETICA, ARIAL; font-size: large;"><br /></span></center>
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<span style="font-family: HELVETICA, ARIAL; font-size: large;">Sports Massage Therapy Exeter</span></center>
</b><b style="-webkit-text-size-adjust: auto; color: #000099; font-size: 17px; text-decoration: -webkit-letterpress;"><center>
<span style="font-family: HELVETICA, ARIAL; font-size: medium;">Liam Clarke</span></center>
<span style="font-family: HELVETICA, ARIAL; font-size: medium;">Ice, anyone? Ice isn't just for cold drinks. In the past eight to ten years, many studies have shown the benefits of ice as therapy. Here are the answers to some common ice-related questions.</span><br />
<span style="font-family: HELVETICA, ARIAL; font-size: medium;"></span><br />
<center>
<span style="font-family: HELVETICA, ARIAL; font-size: medium;">What Does Ice Do?</span></center>
<span style="font-family: HELVETICA, ARIAL; font-size: medium;">Ice is one of the simplest, safest, and most effective self care techniques for injury, pain, or discomfort in muscles and joints. Ice will decrease muscle spasms, pain, and inflammation to bone and soft tissue. You can use ice initially at the site of discomfort, pain, or injury. You can also apply ice in later stages for rehabilitation of injuries or chronic (long-term) problems.<br />During an initial injury, tissue damage can cause uncontrolled swelling. This swelling can increase the damage of the initial injury and delay the healing time. If you use ice immediately, you will reduce the amount of swelling. Ice decreases all of these: swelling, tissue damage, blood clot formation, inflammation, muscle spasms, and pain. At the same time, the ice enhances the flow of nutrients into the area, aids in the removal of metabolites (waste products), increases strength, and promotes healing. This "ice effect" is not related to age, sex, or circumference of the injured area.<br /><br />
<center>
What are the 4 Stages In Ice Therapy?</center>
There are four official stages to ice. The first stage is cold, the second is burning/pricking, the third stage is aching, which can sometimes hurt worse than the pain. The fourth and most important stage is numbness. As soon as this stage is achieved, remove the ice. Time duration depends upon body weight. Twenty to thirty minutes should be the maximum time per area. If it is necessary to reapply ice, let the skin go to normal temperature or go back to the third stage of aching.<br /><br />
<center>
How Does Ice Therapy Work?</center>
Ice initially constricts local blood vessels and decreases tissue temperature. This constriction decreases blood flow and cell metabolism, which can limit hemorrhage and cell death in an acute traumatic injury. After approximately 20 minutes of ice, blood vessels in the injured area then dilate (open) slowly, increasing the tissue temperature, an effect which is termed "reactive vasodilation." A study reported in the Journal of Orthopedic Sports Physical Therapy, (Jul/Aug, 1994), found that, despite the reactive vasodilation, there was a significant sustained reduction in local blood volume after ice was applied.<br /><br />
<center>
What Does This Mean For Me?</center>
It can mean a lot, if you are injured or in discomfort! Ice therapy can help the area heal faster, and there will be a decrease in pain and swelling and an increase in lymphatic drainage.<br /><br />
<center>
Why Ice After A Workout?</center>
In the past 28 years, there have been many studies of ice as a therapy tool for injuries. Many of these studies have had conflicting conclusions, but improvements in technology are giving researchers new data. There is no doubt in the minds of many researchers and doctors that ice is the most widely used and efficient form of cryotherapy in medicine today. A 1994 study sited in The American Journal of Sports Medicine (Jul/Aug) showed ice affects not only the arterial and soft tissue blood flow, but also the metabolism of the bone, in a positive way. This is significant in the healing process of an injury to a joint.<br /><br />
<center>
When Should I Use Ice?</center>
For the greatest benefits, use ice after exercise and not before. In the Journal of Sport Rehabilitation (Feb/1994), a study on the ankle was conducted to see if ice should be used on an injury before exercise. The finding showed decreased temperature reduces the joint mechanoreceptor sensitivity and thereby alters joint position sense, exposing the joint to possible injury. In conclusion, cooling a body part prior to athletic performance is contraindicated, which is academic-speak for "probably a bad idea."<br />It was once believed the use of ice was only beneficial in the first 24 hours after an injury. Recent scientific studies have shown the benefits of ice over the long term. During the initial stage of an acute injury (within 24-48 hours), or during the chronic stage (after 48 hours) ice can be very beneficial in promoting wellness.<br /><br />
<center>
Can I Ice As A Precaution?</center>
You can use ice immediately following any workout, discomfort, or injury. If the swelling or pain does not decrease within a reasonable time (24 to 48 hours), consult a physician.<br /><br />
<center>
Is Ice Safe?</center>
Ice therapy is very safe when used within the treatment time recommended. Don't use ice if you have the following conditions: rheumatoid arthritis, Raynaud's Syndrome, cold allergic conditions, paralysis, or areas of impaired sensation. Do not use ice directly over superficial nerve areas. In a study printed in the Archives of Physical Medical Rehabilitation (Jan/1994), the use of ice was tested on spinal cord-injured and able-bodied men. The results were that ice and cooling down the body temperature may evoke a vascular response to cold stimulus that may be mediated in part by the spinal cord and by supra-spinal centers, causing a change in blood pressure.<br /><br />
<center>
How Should Ice Be Used In Conjunction With Exercise?</center>
Ice can be combined with movement. Once the fourth stage of icing has been achieved, numbness, gentle range of motion and isometric exercises can begin. These movements should be painless, stressing circular, spiral, and diagonal movements. Once the numbness has worn off, re-ice and exercise again. This can be done two or three times a day. Ice can cause changes in the collagen fibers of the muscle. Strenuous exercise is a bad idea during an ice treatment, as this can result in further damage to the injury.<br /><br />
<center>
How Does Ice Combine With Other Therapies?</center>
In March of 1995, an interesting study was conducted on the use of ice and ultrasound. Ultrasound is an instrument used in assisting the healing process to damaged tissue. The study found if ultrasound was followed by a five-minute application of ice, the muscle significantly increased in size. When ice was applied first followed by ultrasound, there was little or no change in the muscle fibers. One of the important conclusions of this study is after exercising, take a shower first, before applying ice, to receive the maximum benefits.<br /><br />
<center>
What Is R.I.C.E.?</center>
When there is an injury or discomfort, a good rule to follow for first aid is the mnemonic RICE:<br />R - Rest the injury.<br />I - Ice the injury.<br />C - Compress the injury.<br />E - Elevate the injury above your heart.<br />Three Icing Techniques<br />Ice is the easiest tool to use in rehabilitation. It is inexpensive and very effective. The most widely used is the ice pack. To make an ice pack, put ice (crushed is great) in a plastic bag, push out all the air and fasten the bag.<br />If another bag is available, place the fastened one inside to help prevent leaking. Put a paper towel on the site of the injury or discomfort, and then place the ice pack over the paper towel. This will prevent freezer burn to the skin. If a regular towel is used, the ice pack will not get the skin cold enough to have the physiological effects occur. If the injury is in the neck, back, or shoulder, an ice pack can be put under a T-shirt or blouse. A person can then keep this on while working. Ice packs are also convenient when resting. Ice packs can be used on legs or arms. There are many types of ice packs on the market. If purchasing one, make sure it will get sufficiently cold to achieve the four stages of icing.<br />The second most used method is ice massage or ice cups. Place water into a styrofoam/paper cup and freeze it. Place a towel under the area with discomfort or pain to catch drips. Holding onto the cup, tear the edge around the cup, exposing the ice. Use a gentle, continuous, circular motion and rub the ice directly over the skin at the site of injury or discomfort. This is good for areas on the extremities such as knees, legs, ankles, arms, wrists, hands, and so on. Ice cups penetrate deep into the muscle fibers. Because this is an active motion, it can sometimes be more effective than an ice pack. The desired effect is to go through the four stages of ice, as stated above, before moving to another area, approximately 5-10 minutes. There are some reusable plastic ice cups on the market, for the environmentally minded; however, paper or styrofoam cups work fine.<br />The third method is the ice bath. Find a bucket or container large enough to immerse the area in need. Place a towel under the bucket and add ice. Try to isolate the body part that needs to be iced. Immerse your foot for 5 to 10 minutes (20 minutes maximum). Do not immerse your whole body in ice - doing so can cause shock and/or possibly a heart attack.</span></b><div style="-webkit-text-size-adjust: auto; color: #000099; font-size: 17px; text-decoration: -webkit-letterpress;">
<b><span style="font-family: HELVETICA, ARIAL; font-size: medium;">Liam Clarke (ITEC,APNT,MFHT,ROC-DOC,BMMD) a nationally certified sports and Remedial massage therapist and also physical/manual therapist in Devon.</span></b></div>
<b style="-webkit-text-size-adjust: auto; color: #000099; font-size: 17px; text-decoration: -webkit-letterpress;"><span style="font-family: HELVETICA, ARIAL; font-size: medium;">Ice, anyone? Ice isn't just for cold drinks. In the past eight to ten years, many studies have shown the benefits of ice as therapy. Here are the answers to some common ice-related questions.</span><br />
<span style="font-family: HELVETICA, ARIAL; font-size: medium;"></span><br />
<center>
<span style="font-family: HELVETICA, ARIAL; font-size: medium;">What Does Ice Do?</span></center>
<span style="font-family: HELVETICA, ARIAL; font-size: medium;">Ice is one of the simplest, safest, and most effective self care techniques for injury, pain, or discomfort in muscles and joints. Ice will decrease muscle spasms, pain, and inflammation to bone and soft tissue. You can use ice initially at the site of discomfort, pain, or injury. You can also apply ice in later stages for rehabilitation of injuries or chronic (long-term) problems.<br />During an initial injury, tissue damage can cause uncontrolled swelling. This swelling can increase the damage of the initial injury and delay the healing time. If you use ice immediately, you will reduce the amount of swelling. Ice decreases all of these: swelling, tissue damage, blood clot formation, inflammation, muscle spasms, and pain. At the same time, the ice enhances the flow of nutrients into the area, aids in the removal of metabolites (waste products), increases strength, and promotes healing. This "ice effect" is not related to age, sex, or circumference of the injured area.<br /><br />
<center>
What are the 4 Stages In Ice Therapy?</center>
There are four official stages to ice. The first stage is cold, the second is burning/pricking, the third stage is aching, which can sometimes hurt worse than the pain. The fourth and most important stage is numbness. As soon as this stage is achieved, remove the ice. Time duration depends upon body weight. Twenty to thirty minutes should be the maximum time per area. If it is necessary to reapply ice, let the skin go to normal temperature or go back to the third stage of aching.<br /><br />
<center>
How Does Ice Therapy Work?</center>
Ice initially constricts local blood vessels and decreases tissue temperature. This constriction decreases blood flow and cell metabolism, which can limit hemorrhage and cell death in an acute traumatic injury. After approximately 20 minutes of ice, blood vessels in the injured area then dilate (open) slowly, increasing the tissue temperature, an effect which is termed "reactive vasodilation." A study reported in the Journal of Orthopedic Sports Physical Therapy, (Jul/Aug, 1994), found that, despite the reactive vasodilation, there was a significant sustained reduction in local blood volume after ice was applied.<br /><br />
<center>
What Does This Mean For Me?</center>
It can mean a lot, if you are injured or in discomfort! Ice therapy can help the area heal faster, and there will be a decrease in pain and swelling and an increase in lymphatic drainage.<br /><br />
<center>
Why Ice After A Workout?</center>
In the past 28 years, there have been many studies of ice as a therapy tool for injuries. Many of these studies have had conflicting conclusions, but improvements in technology are giving researchers new data. There is no doubt in the minds of many researchers and doctors that ice is the most widely used and efficient form of cryotherapy in medicine today. A 1994 study sited in The American Journal of Sports Medicine (Jul/Aug) showed ice affects not only the arterial and soft tissue blood flow, but also the metabolism of the bone, in a positive way. This is significant in the healing process of an injury to a joint.<br /><br />
<center>
When Should I Use Ice?</center>
For the greatest benefits, use ice after exercise and not before. In the Journal of Sport Rehabilitation (Feb/1994), a study on the ankle was conducted to see if ice should be used on an injury before exercise. The finding showed decreased temperature reduces the joint mechanoreceptor sensitivity and thereby alters joint position sense, exposing the joint to possible injury. In conclusion, cooling a body part prior to athletic performance is contraindicated, which is academic-speak for "probably a bad idea."<br />It was once believed the use of ice was only beneficial in the first 24 hours after an injury. Recent scientific studies have shown the benefits of ice over the long term. During the initial stage of an acute injury (within 24-48 hours), or during the chronic stage (after 48 hours) ice can be very beneficial in promoting wellness.<br /><br />
<center>
Can I Ice As A Precaution?</center>
You can use ice immediately following any workout, discomfort, or injury. If the swelling or pain does not decrease within a reasonable time (24 to 48 hours), consult a physician.<br /><br />
<center>
Is Ice Safe?</center>
Ice therapy is very safe when used within the treatment time recommended. Don't use ice if you have the following conditions: rheumatoid arthritis, Raynaud's Syndrome, cold allergic conditions, paralysis, or areas of impaired sensation. Do not use ice directly over superficial nerve areas. In a study printed in the Archives of Physical Medical Rehabilitation (Jan/1994), the use of ice was tested on spinal cord-injured and able-bodied men. The results were that ice and cooling down the body temperature may evoke a vascular response to cold stimulus that may be mediated in part by the spinal cord and by supra-spinal centers, causing a change in blood pressure.<br /><br />
<center>
How Should Ice Be Used In Conjunction With Exercise?</center>
Ice can be combined with movement. Once the fourth stage of icing has been achieved, numbness, gentle range of motion and isometric exercises can begin. These movements should be painless, stressing circular, spiral, and diagonal movements. Once the numbness has worn off, re-ice and exercise again. This can be done two or three times a day. Ice can cause changes in the collagen fibers of the muscle. Strenuous exercise is a bad idea during an ice treatment, as this can result in further damage to the injury.<br /><br />
<center>
How Does Ice Combine With Other Therapies?</center>
In March of 1995, an interesting study was conducted on the use of ice and ultrasound. Ultrasound is an instrument used in assisting the healing process to damaged tissue. The study found if ultrasound was followed by a five-minute application of ice, the muscle significantly increased in size. When ice was applied first followed by ultrasound, there was little or no change in the muscle fibers. One of the important conclusions of this study is after exercising, take a shower first, before applying ice, to receive the maximum benefits.<br /><br />
<center>
What Is R.I.C.E.?</center>
When there is an injury or discomfort, a good rule to follow for first aid is the mnemonic RICE:<br />R - Rest the injury.<br />I - Ice the injury.<br />C - Compress the injury.<br />E - Elevate the injury above your heart.<br />Three Icing Techniques<br />Ice is the easiest tool to use in rehabilitation. It is inexpensive and very effective. The most widely used is the ice pack. To make an ice pack, put ice (crushed is great) in a plastic bag, push out all the air and fasten the bag.<br />If another bag is available, place the fastened one inside to help prevent leaking. Put a paper towel on the site of the injury or discomfort, and then place the ice pack over the paper towel. This will prevent freezer burn to the skin. If a regular towel is used, the ice pack will not get the skin cold enough to have the physiological effects occur. If the injury is in the neck, back, or shoulder, an ice pack can be put under a T-shirt or blouse. A person can then keep this on while working. Ice packs are also convenient when resting. Ice packs can be used on legs or arms. There are many types of ice packs on the market. If purchasing one, make sure it will get sufficiently cold to achieve the four stages of icing.<br />The second most used method is ice massage or ice cups. Place water into a styrofoam/paper cup and freeze it. Place a towel under the area with discomfort or pain to catch drips. Holding onto the cup, tear the edge around the cup, exposing the ice. Use a gentle, continuous, circular motion and rub the ice directly over the skin at the site of injury or discomfort. This is good for areas on the extremities such as knees, legs, ankles, arms, wrists, hands, and so on. Ice cups penetrate deep into the muscle fibers. Because this is an active motion, it can sometimes be more effective than an ice pack. The desired effect is to go through the four stages of ice, as stated above, before moving to another area, approximately 5-10 minutes. There are some reusable plastic ice cups on the market, for the environmentally minded; however, paper or styrofoam cups work fine.<br />The third method is the ice bath. Find a bucket or container large enough to immerse the area in need. Place a towel under the bucket and add ice. Try to isolate the body part that needs to be iced. Immerse your foot for 5 to 10 minutes (20 minutes maximum). Do not immerse your whole body in ice - doing so can cause shock and/or possibly a heart attack.</span></b><div style="-webkit-text-size-adjust: auto; color: #000099; font-size: 17px; text-decoration: -webkit-letterpress;">
<b><span style="font-family: HELVETICA, ARIAL; font-size: medium;">Liam Clarke </span></b></div>
<div style="-webkit-text-size-adjust: auto; color: #000099; font-size: 17px; text-decoration: -webkit-letterpress;">
<b><span style="font-family: HELVETICA, ARIAL; font-size: medium;">Sports Massage Therapy Exeter</span></b></div>
<div style="-webkit-text-size-adjust: auto; color: #000099; font-family: UICTFontTextStyleBody; font-size: 17px; text-decoration: -webkit-letterpress;">
<span style="font-family: HELVETICA, ARIAL; font-size: medium;"><b><a href="http://www.sportsmassagetherapyexeter.org.uk/" x-apple-data-detectors-result="3" x-apple-data-detectors-type="link" x-apple-data-detectors="true">www.sportsmassagetherapyexeter.org.uk</a></b></span></div>
sportsmassagetherapyexeter#liamclarkehttp://www.blogger.com/profile/12302349240238365970noreply@blogger.com0tag:blogger.com,1999:blog-8698463819988691174.post-15509196402894227482015-05-06T17:23:00.000-07:002015-05-06T17:23:27.657-07:00Kinesiology Taping for all muscular sports and remedial injuries. Treatments provided in the EXETER area. 3 treatment practices in EXETER,CENTRAL. Also in CREDITON and HOME VISITS also available. See website www.sportsmassagetherapyexeter.org.uk for reviews, prices, discounts, and treatments.<div style="border: 0px; margin-bottom: 5px; margin-top: 5px; padding: 5px 0px; vertical-align: top;">
<span style="background-color: #fff2cc;"><span style="color: blue;"><b><u>SPORTS MASSAGE THERAPY EXETER</u></b></span></span><span style="background-color: rgba(255, 255, 255, 0);">.</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">When you are an athlete or are related to the field of sports, then the chances of some sort of injury or the muscle pulling is quite common. Life is not the same if you are experiencing any sort of pain in your body especially when you are expected to show a great performance. Being a sportsman you remain fit and smart but some time while playing or exercising you may get some injury that hinder you to continue your daily performances.</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">Accidents of fractures is the main and the dangerous injury that should only be cured by taking rest and having break after getting the required treatments but the small and the common injuries like the muscle sprain, pain at the back, ligaments, knee, arm or other areas KT tape can work wonders to reduce your pain and help you to participate in your daily life. This magic tape was introduced by Kenzo Kase, a Japanese chiropractor in 1970s that moved around the globe in few years because of its excellent and fast pain relief effects.</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">KT tape is the most comfortable and the light weight tape that is designed with the special care to apply at the different parts of the body. It is very comfortable to use and provides 24 hour relief per application. It is made up of 100 % cotton fabric that is durable and long lasting. It can be worn from 5-7 days. The material that is used for its manufacturing is anti-allergic thus no skin rash or itching will be felt after applying it on the skin. Its stretchable nature allows the body part to move freely and provides the stable support to the body and the muscles where ever it is applied without restricting the movement of the body thus the athletes can wear it any time and it will never disturb their movement while the game is on. Liam Clarke of Sports Massage Therapy Exeter treated over 200 athletes at this years Virgin London Marathon at the London Excel Centre</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">KT sports tape is famous worldwide that led the sportsmen to continue their sports matches while wearing it. Another important and the awesome feature of KT tape that makes it the best among all the other brand it that it is also water proof. So it is equally popular among the swimmers and other people who take shower or bath while the KT tape sticks in the same position, just a quick towel pat and it dries like it was never wet. So this specially designed KT tape can survive the sweating, humidity, and shower without affecting its nature.</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">KT tape is the best elastic and the fitness tape that is used by any sportsman to cure the injury of the muscle, sprains, ligaments, knee, back, arm, shoulder hence you name a part of the body and the KT tape works magic and the effects of the pain relief starts just in an hour after applying. Thus the athletes keep this KT tape when they know that this tape has relief of every pain.</span></div>
sportsmassagetherapyexeter#liamclarkehttp://www.blogger.com/profile/12302349240238365970noreply@blogger.com0tag:blogger.com,1999:blog-8698463819988691174.post-61612950035901478752015-04-14T00:38:00.000-07:002015-04-14T00:38:42.084-07:00Muscle cramps :- 5 ways the alleviate this common problem. (Articles) SPORTS MASSAGE THERAPY EXETER<div class="module subject_section " style="border: 0px; box-sizing: border-box; margin: 0px; padding: 0px; vertical-align: baseline; word-wrap: break-word;">
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<b>Exercise-induced muscle cramps are a common occurrence amongst athletes and fitness enthusiasts alike. Cramping tends to arise when a muscle suddenly tightens up or contracts and generally manifests as a sharp, stabbing pain. Exercise can cause cramping in virtually any of the muscles in the body, but the muscles of the abdomen and legs are especially susceptible. Interestingly enough, consuming certain foods prior to and during exercise may delay or even prevent onset of muscle cramps. Here are five that are among the most beneficial.</b></div>
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<span style="border: 0px; box-sizing: border-box; font-style: inherit; font-variant: inherit; font-weight: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Bananas</span></h2>
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Bananas are one of the healthiest, most versatile fruits around and also the best for preventing muscle cramps before they start. What makes bananas especially beneficial is their high potassium content, as this essential mineral plays a critical role in muscle contraction during exercise. Large quantities of potassium are lost in sweat, which increases the likelihood of muscle cramping and other discomforts. This can be avoided by eating a small banana at least 1-2 hours before exercising (<a bananas="" don="" eat="" foods="" for="" href="http://nutrition.answers.com/shopping-and-meal-planning/potassium-rich-foods-for-people-who-dont-eat-bananas" people="" potassium-rich="" style="border: 0px; box-sizing: border-box; font-style: inherit; font-variant: inherit; font-weight: 600; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" t="" title="" who="">"Potassium-Rich Foods for People Who Don't Eat Bananas"</a>).</div>
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<span style="border: 0px; box-sizing: border-box; font-style: inherit; font-variant: inherit; font-weight: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Greek Yogurt</span></h2>
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Greek yogurt is an excellent source of potassium as well as calcium, which helps to regulate both the contraction and relaxation of muscle. Deficiencies and imbalances in calcium are linked to the onset of exercise-induced muscle cramps. In addition to potassium and calcium, Greek yogurt is remarkably rich in protein making it particularly beneficial for speeding muscle recovery. To alleviate muscle cramping and enhance recovery, you can consume a single serving before, during, and even after working out (<a go="" greek="" href="http://nutrition.answers.com/healthy-foods/why-you-should-go-greek-with-yogurt" should="" style="border: 0px; box-sizing: border-box; font-style: inherit; font-variant: inherit; font-weight: 600; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" title="" why="" with="" yogurt="" you="">"Why You Should Go Greek with Yogurt"</a>).</div>
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Pumpkin seeds are a great source of magnesium, a key electrolyte mineral that works with calcium in controlling muscle contraction and relaxation. Magnesium specifically enables the delivery of oxygen to contracting muscles. Like other electrolyte minerals, magnesium is naturally lost in sweat during exercise, which increases the likelihood of associated muscle cramping mainly due to an inadequate oxygen supply. For maximum protection against cramping, pop a handful of pumpkin seeds as a pre-workout snack (<a essential="" for="" forgotten="" good="" health="" href="http://nutrition.answers.com/vitamins-and-supplements/magnesium-the-forgotten-mineral-thats-essential-for-good-health" magnesium:="" mineral="" s="" style="border: 0px; box-sizing: border-box; font-style: inherit; font-variant: inherit; font-weight: 600; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" that="" the="" title="">"Magnesium: The Forgotten Mineral That's Essential for Good Health"</a>).</div>
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<span style="border: 0px; box-sizing: border-box; font-style: inherit; font-variant: inherit; font-weight: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Coconut Water</span></h2>
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Muscle cramping can occur as a result of dehydration caused by inadequate consumption of fluids. In addition to supporting sustained hydration, coconut water houses a healthy balance of electrolyte minerals (potassium, magnesium, and sodium) that greatly aid in the prevention of exercise-induced muscle cramps. Coconut water also contains a good amount of l-arginine, an amino acid that enhances oxygen delivery to exercising muscles helping to further minimize the occurrence of cramping (<a after="" benefits="" coconut="" exercise="" href="http://nutrition.answers.com/sports-nutrition/the-nutritional-benefits-of-coconut-water-after-exercise" nutritional="" of="" style="border: 0px; box-sizing: border-box; font-style: inherit; font-variant: inherit; font-weight: 600; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" the="" title="" water="">"The Nutritional Benefits of Coconut Water After Exercise"</a>).</div>
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Egg yolks are a good natural food source of vitamin D, which is essential for proper absorption of calcium and magnesium. Low levels of vitamin D can lead to muscle cramps and general muscle fatigue during exercise. While the amount of vitamin D in yolks is relatively small, eggs are extremely versatile and easy to include in your diet. In addition to minimizing cramping and fatigue, eating egg yolks helps to reduce exercise-induced muscle damage while also enhancing post-exercise muscle repair and recovery (<a benefits="" eating="" edible="" egg="" eggs="" href="http://nutrition.answers.com/healthy-foods/the-incredible-edible-egg-yolk-nutritional-benefits-of-eating-whole-eggs" incredible="" nutritional="" of="" style="border: 0px; box-sizing: border-box; font-style: inherit; font-variant: inherit; font-weight: 600; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" the="" title="" whole="" yolk:="">"The Incredible Edible Egg Yolk: Nutritional Benefits of Eating Whole Eggs"</a>).</div>
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If you're one who regularly experiences exercise-induced muscle cramps, consuming these foods can definitely help. In addition to eating the right kinds of foods, it's also important to maintain adequate flexibility through daily stretching, as this is especially beneficial for easing the muscle tightness and tension associated with cramping.</div>
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sportsmassagetherapyexeter#liamclarkehttp://www.blogger.com/profile/12302349240238365970noreply@blogger.com0tag:blogger.com,1999:blog-8698463819988691174.post-578539550308798162015-03-21T14:50:00.001-07:002015-03-21T14:50:33.583-07:00Sports Massage Therapy Exeter (Articles): Knee pain and dysfunction<a href="http://sportsmassagetherapyexeter.blogspot.com/2015/03/knee-pain-and-dysfunction.html?spref=bl">Sports Massage Therapy Exeter (Articles): Knee pain and dysfunction</a>: What are risk factors for knee pain? Biomechanics : The knee joint is a complicated in its operation and is used frequently throughout ...sportsmassagetherapyexeter#liamclarkehttp://www.blogger.com/profile/12302349240238365970noreply@blogger.com0tag:blogger.com,1999:blog-8698463819988691174.post-83103296485775621672015-03-21T14:47:00.001-07:002015-03-21T14:47:27.737-07:00Sports Massage Therapy Exeter (Articles): Remedial Massage and its huge benefits<a href="http://sportsmassagetherapyexeter.blogspot.com/2014/11/remedial-massage-and-its-huge-benefits.html?spref=bl">Sports Massage Therapy Exeter (Articles): Remedial Massage and its huge benefits</a>: Sports and Remedial Massage What is Remedial Massage? "Remedial" massage therapy, simply means using manual therapy technique...sportsmassagetherapyexeter#liamclarkehttp://www.blogger.com/profile/12302349240238365970noreply@blogger.com0tag:blogger.com,1999:blog-8698463819988691174.post-86868511735298281552015-03-21T14:44:00.001-07:002015-03-21T14:44:24.209-07:00Sports Massage Therapy Exeter (Articles): Kinesiology taping is definitely the buzzword at t...<a href="http://sportsmassagetherapyexeter.blogspot.com/2014/11/kinesiology-taping-is-definitely.html?spref=bl">Sports Massage Therapy Exeter (Articles): Kinesiology taping is definitely the buzzword at t...</a>: Kinesiology taping is definitely the buzzword at the moment in the field of Sports Medicine. Many top professional teams in a wide variety o...sportsmassagetherapyexeter#liamclarkehttp://www.blogger.com/profile/12302349240238365970noreply@blogger.com0tag:blogger.com,1999:blog-8698463819988691174.post-89928269399877985602015-03-21T14:41:00.001-07:002015-03-21T14:41:50.955-07:00Sports Massage Therapy Exeter (Articles): FROZEN SHOULDER- benefits of massage and physical ...<a href="http://sportsmassagetherapyexeter.blogspot.com/2015/03/frozen-shoulder-benefits-of-massage-and.html?spref=bl">Sports Massage Therapy Exeter (Articles): FROZEN SHOULDER- benefits of massage and physical ...</a>: Benefits of Massage for Frozen Shoulder SPORTS MASSAGE THERAPY EXETER www.sportsmassagetherapyexeter.org.uk Massage therapy is ve...sportsmassagetherapyexeter#liamclarkehttp://www.blogger.com/profile/12302349240238365970noreply@blogger.com0tag:blogger.com,1999:blog-8698463819988691174.post-28467783783223729522015-03-21T12:53:00.001-07:002015-03-21T12:53:37.723-07:00FROZEN SHOULDER- benefits of massage and physical therapy<div class="sub_subheading" style="padding-top: 8px; text-align: justify;">
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<span style="color: purple; font-size: small;"><span style="background-color: rgba(255, 255, 255, 0);"><i>Benefits of Massage for Frozen Shoulder</i></span></span></h2>
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<span style="color: purple; font-size: small;"><span style="background-color: rgba(255, 255, 255, 0);"><i>SPORTS MASSAGE THERAPY EXETER </i></span></span></div>
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<span style="color: purple; font-size: small;"><span style="background-color: rgba(255, 255, 255, 0);"><i>www.sportsmassagetherapyexeter.org.uk</i></span></span></div>
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<span style="color: black;"><span style="background-color: rgba(255, 255, 255, 0);"><a href="http://www.epainassist.com/manual-therapy/massage-therapy/what-is-massage-therapy-and-becoming-a-massage-therapist" style="text-decoration: none;" target="_blank">Massage therapy</a> is very beneficial in treating frozen shoulder as it increases the blood circulation to the injured region and also reduces the formation of scar tissue. Regular massage should be done to reduce the muscle stiffness. The pain and stiffness usually gets relieved after several massage treatments.</span></span></div>
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<span style="font-size: small;"><span style="background-color: rgba(255, 255, 255, 0);">Massage Techniques for Frozen Shoulder</span></span></h2>
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<span style="background-color: rgba(255, 255, 255, 0);">There are various combinations of techniques done by a professional massage therapist, which provides relief from shoulder pain and helps in the "thawing" process or the recovery stage.</span></div>
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<span style="font-size: small;"><span style="background-color: rgba(255, 255, 255, 0);">Deep Tissue Massage for Frozen Shoulder:</span></span></h3>
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<span style="background-color: rgba(255, 255, 255, 0);">One of the common techniques used to treat frozen shoulder is deep-tissue massage. In this technique, the massage therapist applies constant pressure to the muscles in order to release the scar tissue or adhesions which may be causing the shoulder pain.</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">Shiatsu is a Japanese form of deep-tissue massage which involves deep pressure on certain regions of the body. These are called acupressure points and helps in controlling the energy flow ("Ki" in Japanese) across the body and thus results in decrease in pain. Deep-tissue massage techniques should not be done in case of acute shoulder pain, swelling or inflammation, as it may aggravate the condition.</span></div>
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<span style="font-size: small;"><span style="background-color: rgba(255, 255, 255, 0);">Trigger Point Therapy for Frozen Shoulder:</span></span></h3>
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<span style="background-color: rgba(255, 255, 255, 0);">Trigger point therapy is another massage technique which benefits the frozen shoulder. In this technique, steady pressure is applied on certain targeted points within the muscles. This helps in relieving the muscle spasms.</span></div>
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<span style="font-size: small;"><span style="background-color: rgba(255, 255, 255, 0);">Swedish Massage for Frozen Shoulder:</span></span></h3>
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<span style="background-color: rgba(255, 255, 255, 0);">Swedish massage does help with frozen shoulder. This involves long strokes and gentle kneading done to the surface muscle tissues to reduce tension and stress in the muscles.</span></div>
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<span style="font-size: small;"><span style="background-color: rgba(255, 255, 255, 0);">Heat Therapy for Frozen Shoulder:</span></span></h3>
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<span style="background-color: rgba(255, 255, 255, 0);">Heat therapy is also very helpful in treating the frozen shoulder. It can be applied before or after a massage. Heat therapy can be also done for trigger point massage for frozen shoulder. It helps in relaxing the muscles and decreasing pain. Mild heat can be applied for multiple times daily using pads which are heated an hour before application.</span></div>
sportsmassagetherapyexeter#liamclarkehttp://www.blogger.com/profile/12302349240238365970noreply@blogger.com0tag:blogger.com,1999:blog-8698463819988691174.post-21325166086798399022015-03-21T12:44:00.001-07:002015-03-21T12:44:40.600-07:00Frozen Shoulder (Shoulder Pain)<div class="articleIntro rteditor" style="clear: both; float: left; font-weight: bold !important; margin: 9px 0px 0px; padding: 0px;">
<span style="background-color: rgba(255, 255, 255, 0);">If you are experiencing shoulder pain it could be caused frozen shoulder. Find out how to recognise frozen shoulder symptoms and what the treatment options are with our useful guide.</span></div>
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<img alt="Shoulder pain" src="http://www.saga.co.uk/saga/media/Content%20Editors%20Library/Health/Editorial%20Pages/Body/shoulder%20pain/shoulder_pain001_260x175.jpg" style="border: 0px; clear: both; float: right; margin: 0px 0px 10px 10px; max-width: 260px;" /><span style="clear: both; display: block; font-weight: bold; padding-left: 10px; width: 225px;"><span style="background-color: rgba(255, 255, 255, 0);">Frozen shoulder syndrome occurs when ligaments around the shoulder joint swell and stiffen</span></span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">If you're over 50, it's quite likely you know of someone who's had frozen shoulder – and that’s because, according to a survey,* 72% of patients are over the age of 50.</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">Frozen shoulder syndrome, or adhesive capsulitis as it’s medically termed, occurs when ligaments around the shoulder joint swell and stiffen to such an extent that normal healing doesn't take place. This makes it difficult to move the shoulder, making everyday activities such as getting dressed or reaching for a cup from a shelf painful. As the condition progresses, the stiffness may continue to the point where range of motion can be severely limited.</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">Research has shown that diabetes patients are more than twice as likely to suffer with condition, and other risk factors include recent surgery, having a stroke, overactive or underactive thyroid and heart disease.</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">If you suspect that you have frozen shoulder, Sports Massage Therapy Exeter may help. Tests would also be performed to rule out shoulder arthritis via a series of screening tests, as it produces similar symptoms. With frozen shoulder the surfaces of your shoulder joint are normal and motion is limited because the tissues surrounding the joint have become tight, preventing you from moving your arm and shoulder as you usually would. With shoulder arthritis the joint surface is damaged.</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">Possible causes of frozen shoulder</span></h4>
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<span style="background-color: rgba(255, 255, 255, 0);">Because frozen shoulder is a catch-all term, one person's symptoms and causes might be slightly different from another's, making it difficult to say what has caused the problem.</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">Frozen shoulder does, however, seem linked to certain activities. For example, any activity that involves you having to rotate your arm, such as freestyle swimming or throwing a ball overarm (for cricket, for example). Also, overhead weight lifting and sudden stress to the shoulder muscles via injury.</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">It's thought that frozen shoulder is caused by inflammation in the joint - this inflammation could arise after an injury but also as a side effect of other illnesses, such as diabetes, a known risk factor for frozen shoulder.</span></div>
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<span style="background-color: rgba(255, 255, 255, 0);">Early symptoms of frozen shoulder</span></h4>
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<li style="float: none !important; height: auto !important; margin: 0px !important; overflow: visible !important; padding: 0px; width: auto !important;"><span style="background-color: rgba(255, 255, 255, 0);">A feeling of pain and tightness in the shoulder area.</span></li>
<li style="float: none !important; height: auto !important; margin: 0px !important; overflow: visible !important; padding: 0px; width: auto !important;"><span style="background-color: rgba(255, 255, 255, 0);">A feeling of tightness especially when putting the arm up and back, as you would do it you were throwing a ball overarm.</span></li>
<li style="float: none !important; height: auto !important; margin: 0px !important; overflow: visible !important; padding: 0px; width: auto !important;"><span style="background-color: rgba(255, 255, 255, 0);">Pain on the back of the wrist. (This specifically relates to frozen shoulder caused by subscapularis trigger points.)</span></li>
<li style="float: none !important; height: auto !important; margin: 0px !important; overflow: visible !important; padding: 0px; width: auto !important;"><span style="background-color: rgba(255, 255, 255, 0);">As time goes on, the symptoms will worsen although the pain may be reduced.</span></li>
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<strong style="background-color: rgba(255, 255, 255, 0);">Go to page two to find out how to treat frozen shoulder.</strong></div>
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sportsmassagetherapyexeter#liamclarkehttp://www.blogger.com/profile/12302349240238365970noreply@blogger.com0tag:blogger.com,1999:blog-8698463819988691174.post-52933663473956214042015-03-14T15:50:00.000-07:002015-03-14T15:50:01.952-07:00Screening tests for knee pain<div class="separator" style="clear: both; text-align: center;">
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<b><span style="color: red;">Sports Massage Therapy Exeter was trained by John Gibbons at Oxford University,</span></b></div>
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<span style="color: red;"><b>Here your see the screening tests performed to determine, weather the knee has a bio-mechanical problem or muscular based (soft-tissue dysfunction) </b></span></div>
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<span style="color: red;"><b>I specialise in knees and very passionate about, knee problems.</b></span></div>
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<span style="color: red;"><b>info@sportsmassagetherapyexeter.org.uk</b></span></div>
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<span style="color: red;"><b>www.sportsmassagetherapyexeter.org.uk</b></span></div>
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<span style="color: red;"><b>07540705329</b></span></div>
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<span style="color: red;"><b>Exeter and Mid -Devon</b></span></div>
<br />sportsmassagetherapyexeter#liamclarkehttp://www.blogger.com/profile/12302349240238365970noreply@blogger.com0tag:blogger.com,1999:blog-8698463819988691174.post-36242345660812763392015-03-14T15:23:00.004-07:002015-03-14T15:23:44.584-07:00Ankle sprains first 24 hrs <span style="-webkit-composition-fill-color: rgba(130, 98, 83, 0.0980392); color: rgba(0, 0, 0, 0.701961); font-family: UICTFontTextStyleBody; font-size: 17px; text-decoration: -webkit-letterpress;">Ankle taping first aid aims to reduce the swelling by RICE (Rest, Ice, Compression, Elevation) as soon as possible. Cold therapy or ice should be applied for 10 to 15 minutes every hour for the first 24 to 48 hours. Often pitch side therapists will bind the ankle tightly in a compression bandage as soon as the injury has occurred to restrict swelling, although this must be done with caution for only 10 minutes at a time to prevent starving the area of blood resulting in further injury.Following the initial acute stage of a sprained ankle exercises should begin as soon as pain allows to maintain mobility and build strength and co-ordination or proprioception in the ankle. A full rehabilitation program should be undertaken which should include wobble board exercises. A sports injury specialist will assess the injury, make an accurate diagnosis and identify any complications. A doctor may prescribe anti-inflammatory medication (e.g. ibuprofen) to help with pain and swelling.Swelling can be reduced by using compression devices or applying ankle wraps and taping techniques. Specialist cryotherapy devices which apply cold and compression automatically are used widely by professional sports teams. Ankle injury rehabilitation should begin on a remedial basis, with electrotherapy such as ultrasound and electro-stimulation treatment can reduce pain, swelling and inflammation. Cross friction massage after the initial acute stage will help reduce scar tissue, also using a variety of soft-tissue massage techniques. This will compliment the rehabilitation process to gain full range of movement and overall strength to the ligaments and tendons that support the ankle, including compensation to the lower leg muscles and correct the gait cycle ( bio-mechanics).</span>sportsmassagetherapyexeter#liamclarkehttp://www.blogger.com/profile/12302349240238365970noreply@blogger.com0