Smile Yourself Better. But I feel as though it is an invaluable skill to have to be relatable to your clients. It may come as a surprise to some but I am no superstar. Like a lot of people, in my younger years, going through college and university I spent 4 years working in a local pub in Wigan. The ability to talk about something and nothing or absolutely everything with different people from every walk of life.
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Smile Yourself Better. But I feel as though it is an invaluable skill to have to be relatable to your clients. It may come as a surprise to some but I am no superstar.
Like a lot of people, in my younger years, going through college and university I spent 4 years working in a local pub in Wigan. The ability to talk about something and nothing or absolutely everything with different people from every walk of life. Going from a conversation about boxing to a conversation about Coronation Street within the hour.
Trust is a huge thing in physio. This is where communication comes into it. But one that can do both will get results. New equipment does the same job as the old. All correct. But it certainly helps. A clean and organized workspace allows for better function and improves output. The treatment room I am sat in as I write this has taken thousands of appointments through its door so naturally, it begins to look tired. A couple of weeks back I decided to book out 3 days of my diary to give it a bit of a revamp.
With help from my wife, we removed everything that was in here. All that remained where a set of dumbells and my degree certificates.
We stipped out, sanded down, primed, glossed, re-painted and re-furnished. What a difference those three days have made. Each client who has been in since who were used to the old, love the new! And it has even made a difference to my working experience. Everything has it home. I spend most of my week here, more so than I do in my own home. So to be proud of it a real thing. Thanks to my wife for the help. Simplicity is key.
For those of you who have been to see me at Bolton or Leyland will be aware of the simplistic layout of both clinics. There is no placebo effecting machine, no skin warming heat lamps and certainly no over-expensive "massage gun" gimmicks. As modern technology has advanced there has been increased development of numerous gadgets and gizmo developed for use during physiotherapy and rehabilitation.
No more so than the array of devices on the market today. However, a vast amount of research articles have been produced to disprove the effect of these and place them firmly under the bracket of "placebos".
My own personal approach to rehab is to keep it simple. Old school, traditional hands-on approach to manual therapy and exercise prescription. Yes, I do this with a modern approach with modern techniques and obviously I do use modern equipment such as aircast boots Rooney boot as you may know them as , kinesiology tape and fascial release tools. The application of these is limited but effective and used only when beneficial to a client. Too many therapists now seem to be introducing the use of machines into their clinical practice and all it is providing is longer and more expensive recovery with poorer quality results.
There is no stand-in for exercise. The correct rehab program is the gold standard of physiotherapy. Manual therapy works alongside that to assist recovery. In some aspects of the world, machines are definitely replacing humans. As some of you know. A few months back I left it to the discretion of my clients and followers to decide whether I should enter into the Bolton Marathon in May Obviously, with a chance to put me through some pain, they voted for me to enter! Today, on a freezing and windy morning, I took my first step in marathon training and completed the "Aintree 10km".
Where better to do it than around the prestigious Aintree racecourse. I see marathon runners, ultra runners and triathletes week in week out in the clinic.
So doing this challenge has given me a totally new outlook and level of respect for them. Couch to 5k? Next stop: Wigan Half Marathon, March JPC Why do my joints ache more in winter?
Generally I tend to see a lot more people during the winter month complaining their aches and pain are heightened during the winter season. Especially arthritis sufferers and those with inflammatory issues. This is especially true in populations who spend more time outdoors exercising i. With more blood flow in the core of the body, less is available in the extremities hands and feet due to a constriction in blood vessels meaning these areas decrease in heat and become stiffer.
As well as this, when it is "cold out" there is a change in atmospheric pressure causing a inflammatory response within the joints. This includes warming your muscles before activity which is important to prevent stiffness from developing into something more sinister. Make sure your body temperature is sufficient and you have increased your heart rate to the appropriate level. Along side this, for example, if you stop mid way through a run or exercise, be mindful that your joints and muscles may begin to stiffen.
Simple dynamic exercises before you continue your training will help combat this. It may go without saying but Keeping heat within your extremities will maintain healthy blood flow to the regions and help prevent stiffness within the area.
So to summarise; - Use dynamic exercises during pauses in your training sessions - Wrap up warm!
Myotomes, Spinal Nerve Roots, and Dermatomes
Spinal Conditions A myotome is a zone in the body that is served by one spinal nerve root. It is a zone where motor nerves travel as they fulfill their responsibilities of signaling your muscles to contract. Myotomes and dermatomes are a part of the somatic voluntary nervous system, which is part of the peripheral nervous system. The peripheral and central nervous systems communicate with one another regularly. Muscles and Nerves, Oh My!
Dermatomes and Myotomes: Upper & Lower Limb
Neurological Examination Dermatomes Each of the spinal nerves exits the spinal canal between two of the vertebra. Each then goes to a particular area of the body. The area of skin served by each of these nerves is called its dermatome. The nerves from the upper cervical spine serve the skin of the neck. The nerves from C5 to T1 the mid-cervical spine to the upper thoracic spine go to the arms. The nerves from T2 to L2 thoracic to upper lumbar go to the chest and abdomen. Those from L3 to S1 lumbar and the first sacral go to the skin of the legs.