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What are safe versus dangerous exercises?

The concept of ‘safe or dangerous exercises’ is a common topic of discussion among industry experts and, in many cases, there are plenty of grey areas. It is important to realise that an exercise that is considered safe for one participant may be potentially dangerous for another, but that said, there are a number of relatively simple indicators that can help identify movements that may be considered ‘potentially dangerous’ or ‘ineffective’ in the majority of health and fitness programs. And, of course, any personal trainer should be able to help further with this identification process.

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The Markland Clinic providing first class specialist Physiotherapy in Cirencester and Swindon

If we can help you in anyway please contact Erica

at Cotswold Leisure Centre, Tetbury Road, Cirencester, Glos, GL7 1WG 01285 654059

at David Lloyd, Latham Road, Swindon, Wilts SN25 4DL 01793 469309

April 30, 2012 | Category: Ageing, Back Pain, Knees, Shoulder, Sports Injury, Team — Tags: , , , , — Kate Markland
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Back Pain – Causes and Treatments

Low back pain is one of the most common medical issues facing our modern society – with some reports indicating that over 70% of people will, at some stage, suffer from pain in this area of the body.

Some of the structures responsible for causing back pain include:

  • Injury to the small apophyseal ( facet ) joint at the rear of each spinal segment
  • Damage to the capsule ( soft tissue covering ) that surrounds each facet joint
  • Stretching of  ligaments that secure each vertebral body to the one above and below
  • Overuse of injury to any of the small muscles linked to each spinal level ( and there are many)
  • Bone bruising and damage caused by direct impact or rubbing on other surfaces
  • Irritation to the nerve endings and blood vessels in the low back area.
  • Injury to the intervertebral disc between each spinal segment ( it was originally thought that the intervertebral disc itself had no pain sensitive nerve endings however nerve endings are now thought to be in the outer one third to one half of the disc

With such a large number of possible structures that can cause pain – it is important that all episodes of Low Back Pain are fully assessed and a treatment program commenced as soon as possible.

Low back pain is one of the most common medical issues facing our modern society – with some reports indicating that over 70% of people will, at some stage, suffer from pain in this area of the body.

A typical Low Back Pain treatment program will involve the following stages:

  1. Initial examination by a Physiotherapist to allow an accurate diagnosis and treatment plan to commence.
  2. Eliminate possible causative factors – these may include changing posture, reducing prolonged sitting with poor desk setup and correcting poor lifting techniques in the gym and at home.
  3. Reduce pain and inflammation – this is best achieved with physiotherapy treatment techniques, ultrasound, acupuncture, massage, heat, taping, bracing and possible anti inflammatory medications from your local doctor.
  4. Improve and restore full range of spinal motion – this will involve gentle mobility exercises for the back, physiotherapy treatment techniques, swimming, walking, and other gentle exercise methods.
  5. Restore and improve overall flexibility and strength – this stage involves the correction of specific flexibility issues and improvements in areas such as core control and general strength overseen by your physiotherapist.
  6. Return to full sport and improve overall fitness – this final stage ensures that you return to your chosen sport and fitness activities with reduced chance of re-injury and correction of the initial causative factors.
  7. Remember if you or a someone you know has back pain make sure you get a full assessment as soon as possible – call 01285 654059 to book your assessment.

The Markland Clinic providing first class specialist Physiotherapy in Cirencester and Swindon

If we can help you in anyway please contact Erica

at Cotswold Leisure Centre, Tetbury Road, Cirencester, Glos, GL7 1WG 01285 654059

at David Lloyd, Latham Road, Swindon, Wilts SN25 4DL 01793 469309

April 16, 2012 | Category: Back Pain — Tags: , , , — Kate Markland
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Research Update: Core Stability and Cycling

A study printed in the “Journal of Strength and Conditioning Research” looked at the relationship between core stability and cycling performance.

The US researchers recorded data on pedal force and hip, knee and ankle joint motion of 15 competitive cyclists during bouts on a high speed treadmill cycling. In between the treadmill cycling bouts the cyclists where taken through a 30 minute workout designed to fatigue the core stabilisers – basically the researchers where interested in the effects of CORE fatigue on cycling technique and performance.

The CORE fatigue workout involved a circuit style session of 40secs on and 20secs off with a combination of seated upper torso rotations with a medicine ball, side bends with weighted plates, standing torso rotations with pulleys (like a woodchopper) and incline sit-ups with weighted plates.

The results showed that core fatigue did effect and alter cycling mechanics – especially in regards to knee motion – in a way that may increase the risk of injury. This study promotes the need for improved core stability and endurance to ensure correct alignment is maintained during extended cycling sessions.

It also has implications in that we need to ensure that core stability training is included in the program for cyclists but we also need to be aware that a session of core training prior to a bout of cycling may increase the injury risk in that session due to altered cycling mechanics.

The Markland Clinic providing first class specialist Physiotherapy in Cirencester and Swindon

If we can help you in anyway please contact Erica

at Cotswold Leisure Centre, Tetbury Road, Cirencester, Glos, GL7 1WG 01285 654059

at David Lloyd, Latham Road, Swindon, Wilts SN25 4DL 01793 469309

April 2, 2012 | Category: Back Pain, Training Tips — Tags: , , , , , — Kate Markland
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Beat Back Pain with these simple tips

In our clinics we see a wide range of patients with all manner of pain and injury – however a large part of our work is centred on dealing with low back pain.

Here are some simple tips on overcoming and preventing back pain that will help keep you in good shape and pain free:

If you don’t use it you lose it :

This is one of the oldest sayings in health and fitness but relates very well to back pain – especially in regards to maintaining movement in your back. We suggest that every day you do a variety of mobility exercises that move your back through a full range.

Don’t rest too much with a back injury:

This is a difficult one because many people feel that if they have hurt their back they need to stop moving totally and lie in bed for days on end until the pain settles – whilst this may be the best course of action for a small number of back pain patients – the overwhelming majority of research supports getting moving as soon as possible post injury – be this via swimming, gently walking, or a range of Physio designed exercises.

Stay Fit:

One of the best ways to improve back pain and prevent it in the first place is to keep physically fit – the greater your aerobic fitness the better oxygen delivery to your muscles, the less sensitive you are to pain responses in your back and the better you feel generally – so get out these and move at least 30-40 mins every other day – you will feel great and help your back at the same time.

Don’t stay in the same position for more than 30 mins:

If you spend most of your day sitting in an office chair or driving a car then you are a great risk of getting a stiff and painful back – as we said before the joints in your back love to move and the more they move the healthier they are. Get up and stretch, take a walk or at least move your body position every 30 mins – your back will thank you for it.

If you have a back issue and would like to know what is going on , or if you would  like to go over some simple back exercises to keep your back loose and pain free, then call us on 01285 654059 and we will get you sorted out fast.

The Markland Clinic providing first class specialist Physiotherapy in Cirencester and Swindon

If we can help you in anyway please contact Erica

at Cotswold Leisure Centre, Tetbury Road, Cirencester, Glos, GL7 1WG 01285 654059

at David Lloyd, Latham Road, Swindon, Wilts SN25 4DL 01793 469309

March 5, 2012 | Category: Back Pain — Tags: , , , — Kate Markland
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Unstable stuff about core stability

For a long time now there has been a belief that core stability is the key to managing low back pain.  Various studies have shown that spine stabilisation exercises elicit an improvement in the symptoms/disability of those patients with chronic low back pain. However, there is very little evidence to support whether it is the intended effects of the exercise that produces the improvement

  • do weak abdominals contribute to back pain?
  • do strong abdominals prevent it?
  • do those with the weakest muscles benefit the most from stability exercises?
  • do stability exercises actually improved the performance of the targeted muscles?

There have been a number of recent research papers which cast doubt on the rationale for core stability exercises in the treatment of low back pain.  We will review each in turn, for starters lets begin with the recent Swiss paper whose title says it all.

Spine stabilisation exercises in the treatment of chronic low back pain: a good clinical outcome is not associated with improved abdominal muscle function.  Mannion AF, Caporaso F, Pulkovski N, Sprott H.  Eur Spine J. 2012 Jan 24.

The group studied 32 patients with chronic low back pain who took part in a 9 week training programme of stabilisation. At the start of the programme they assessed the function of abdominal muscles transversus abdominis, obliquus internus and obliquus externus.

They found neither the inital abdominal muscle function nor any improvement after the programme of stabilisation exercises was a  predictor of a good outcome.  This therefore makes it difficult to attribute any therapeutic benefit to the specific effect of stability exercises on trunk muscles.

 

The Markland Clinic providing first class specialist Physiotherapy in Cirencester and Swindon

If we can help you in anyway please contact Erica

at Cotswold Leisure Centre, Tetbury Road, Cirencester, Glos, GL7 1WG 01285 654059

at David Lloyd, Latham Road, Swindon, Wilts SN25 4DL 01793 469309

February 13, 2012 | Category: Back Pain — Tags: , , , — Kate Markland
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Back Pain Prevention Tips

Are you experiencing Back Pain?

Back pain is one of the most common problems we see.

These tests are a good start however often sufferers of back pain will need a comprehensive assessment from your local health professional.  Remember that if any of you have referred pain, weakness, numbness or pins and needles it’s essential you seek assessment by a health professional as soon as possible.

1. Check your lumbar extension: lie on your tummy and place your hands under your shoulders. Perform a push up action but leave your hips on the ground. If you have good range of motion you should be able to be comfortable with fully extended elbows. If not try this movement repeatedly and check does it get easier and do you gain more movement with repetition?

2. Check your thoracic spine extension – sitting at a desk all day or driving long hours tends to make you lean forward and round your shoulders – placing stress on the mid to lower back. Test your range by sitting up in a chair – outstretch your arms – place your palms together – and see how far you can take your outstretched arms over your heads. A good result is 170 degrees and above – if you do not have adequate thoracic spine extension then try plenty of arching back over a swiss ball or even the arm of your sofa.

For more information download our ‘Back Pain Prevention’ ebook and call 01285 654059 to book your appointment.

 

The Markland Clinic providing first class specialist Physiotherapy in Cirencester and Swindon

If we can help you in anyway please contact Erica

at Cotswold Leisure Centre, Tetbury Road, Cirencester, Glos, GL7 1WG 01285 654059

at David Lloyd, Latham Road, Swindon, Wilts SN25 4DL 01793 469309

November 14, 2011 | Category: Back Pain — Tags: , , , , , — Kate Markland
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What causes back pain?

Almost every human being will be subjected to back pain at some point in his or her life. It might interfere with work and leisure and can be truly hard to handle.

So, exactly what brings about back pain? (more…)

The Markland Clinic providing first class specialist Physiotherapy in Cirencester and Swindon

If we can help you in anyway please contact Erica

at Cotswold Leisure Centre, Tetbury Road, Cirencester, Glos, GL7 1WG 01285 654059

at David Lloyd, Latham Road, Swindon, Wilts SN25 4DL 01793 469309

February 27, 2011 | Category: Back Pain — Tags: , — Kate Markland
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I suffer from back pain too

I know the reasons for back pain, how to prevent it and how to resolve it.  So why did I suffer with back pain today?

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The Markland Clinic providing first class specialist Physiotherapy in Cirencester and Swindon

If we can help you in anyway please contact Erica

at Cotswold Leisure Centre, Tetbury Road, Cirencester, Glos, GL7 1WG 01285 654059

at David Lloyd, Latham Road, Swindon, Wilts SN25 4DL 01793 469309

Category: Back Pain, Team, TMC News — Tags: , — Kate Markland
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Back pain has been around for 4 million years

Researchers from Cambridge University propose that back pain has been around for more than four million years.

The high incidence of back pain apparent today is often blamed on our modern sedentary lifestyle, staring at PC’s and slumping in front of the sofa.  However the researchers challenge this concept and propose the idea that debilitating back ache is nothing new and was present millions of years ago, long before screens and sofas. (more…)

The Markland Clinic providing first class specialist Physiotherapy in Cirencester and Swindon

If we can help you in anyway please contact Erica

at Cotswold Leisure Centre, Tetbury Road, Cirencester, Glos, GL7 1WG 01285 654059

at David Lloyd, Latham Road, Swindon, Wilts SN25 4DL 01793 469309

February 25, 2011 | Category: Back Pain — Tags: , — Kate Markland
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What is sciatica?

In our lower back, the nerves leave our spine and combine on either side to form the sciatic nerve. The sciatic nerves supply our legs and, when irritated, cause pain in our legs, often referred to as sciatica. (more…)

The Markland Clinic providing first class specialist Physiotherapy in Cirencester and Swindon

If we can help you in anyway please contact Erica

at Cotswold Leisure Centre, Tetbury Road, Cirencester, Glos, GL7 1WG 01285 654059

at David Lloyd, Latham Road, Swindon, Wilts SN25 4DL 01793 469309

Category: Back Pain — Tags: , , — Kate Markland
Comments (0)

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