130 Devonshire Rd
Chorley, PR7 2BY
Mon - Fri: 7.30am - 6.00pm
Sat: 7.30am - 12.00 noon
Matt Holland, Sports Therapist

Matt Holland, sports therapist, joins our team

We would like to welcome to Matt Holland Sports Therapy to the team at Devonshire Road


After an enforced break Matt has returned to business with a slight rebranding. We hope you like it!

About Matt Holland Sports Therapy.

With over 12 years’ experience in the Health and Fitness industry Matt is very passionate about what he does and ensures that his number 1 priority is the client.

Matt mainly uses manual therapy, dry cupping and various other techniques to help his clients. A big emphasis is placed on teaching you about your condition and how to help yourself.

His patient list includes elite athletes, health and medical professionals, professionals who work in sedentary jobs and chronic pain sufferers.

To book an appointment please call or text Matt on 07912 754088

Physio for neck pain

Working from Home, can be a real pain in the neck

It’s great to be able to work from home during this pandemic, with comfy loungewear, endless snacks, and lie-ins, but the poor workstation layout can cause many problems, mainly for posture.

However, makeshift office furniture, from the coffee table, the dining table, to poor substitute office chairs over even a short period of time, can lead to problems such as, neck and shoulder pain and low back and hip problems.

Top tips to help you Working From Home

The right seat: The key to a good posture is a good chair to help align the body. Avoid using the sofa to slouch on and leaning over the coffee table. If you’re working in the dining room, the combination of the higher table and lower chairs will cause you to overstretch or slouch, causing pain in your neck shoulders and put pressure on your wrists. Raising your height with cushions and use a box as footrest. Ideally your feet should be under the table and not under your chair. Feet under the chair will make you lean forward causing the low back muscles to fatigue. If you have arms on your office chair, ensure the arms of the chair adjust, so you can get the chair under the desk.

Screen Height: If your monitor or laptop screen is below eye level then it is likely you are hunching over, which may lead to neck pain and headaches. In an ideal world, you would have an adjustable stand. If that’s not the case, you can substitute with a box or book.  Keep the keyboard and mouse close to your body to prevent overstretching and will encourage you to sit up straight.

Move regularly: Posture is greatly helped by regular movement, set a timer on your phone to move at least once per hour and do some simple stretches. I often advise patients to boil the kettle and swim to the fridge, followed by a couple of neck stretching exercises, such as gently tilting head towards your shoulder and gently pull on the side of the head with the opposite hand.

 

If you continue to suffer from Working From Home aches and pains, contact us for an assessment and maintenance treatment.

5 tips for returning to the gym after lockdown

It’s easy to rush back to the gym after lockdown but diving in at the deep end could set you back weeks or months. Here are a few reminders to make it a healthy workout.


1.Take it easy! 

It’s been a while, those muscles have been a little redundant since Christmas, so respect them, build up slowly again. If you get a niggle that’s your body flashing a warning light at you. Don’t work through it. If a niggle is settling down after exercise, get it looked at.

 

  1. Warm-up

Take 5-10 minutes to get the body warmed up, the blood flowing to the tissues, which will increase their elasticity. This could be done by walking, running or cycling

 

  1. Stay Hydrated

Evidence suggests that being dehydrated after exercise can amplify the post-exercise muscle ache.

 

  1. Post Exercise Stretch

The really important bit, this is done to prevent strains, the next time you come to use those muscles

 

  1. Sleep Well

The best way for your body to recover after exercise, especially if you have not exercised for a while

Benign paroxysmal positional vertigo (BPPV)

Benign paroxysmal positional vertigo (BPPV)

What is BPPV?

BPPV is the most common inner ear problem and cause of vertigo. BPPV is a specific diagnosis, and each word describes the condition:

Benign: this means it is not life-threatening, even though the symptoms can be very intense and upsetting.

Paroxysmal: it comes in sudden, short spells

Positional: certain head positions or movements can trigger a spell.

Vertigo: feeling like you’re spinning, or the world around you is spinning

What causes BPPV?

There are crystals of calcium carbonate that are a normal part of our inner ear and help us with our balance and body motion. These tiny rock-like crystals are settled in the centre “pouch” of the inner ear. BPPV is caused by the crystals becoming ‘unglued’ from their normal place. They begin to float around and get stuck on sensors in the wrong canal of the inner ear. The dizziness you feel will continue until the crystals settle after you move. As the crystals move and settle, your brain is getting powerful, false messages telling you that you are violently spinning, when all you may have done is moved slightly.

What are the common symptoms of BPPV?

Everyone experiences BPPV differently, but there are common symptoms. The most common symptom is distinct spells of vertigo. You may experience nausea (vomiting) or a severe sense of feeling unstable or like you are losing your balance. These symptoms will be intense for seconds to minutes. You can have lasting feelings of dizziness and instability, but at a lesser level, once the episode has passed.

Can BPPV be treated?

Yes! Medicines can be used to relieve symptoms, such as nausea.

Most BPPV cases can be improved with repositioning exercises that usually take only a few minutes to complete. They have high success rates (eight out of every 10 people will respond immediately) although sometimes the treatment needs to be repeated a few times. These manoeuvres are designed to guide the crystals back to their original location in your inner ear. These exercises can be done by some physiotherapists. You can also be taught by the physiotherapist to do the exercises yourself. Our physiotherapist Jeff Oakes, has many years’ experience in treating patients with BPPV.

Find out more about Jeff here

Birmingham NEC Therapy Expo

Birmingham NEC – Therapy Expo

Annual trip to Birmingham NEC for Therapy Expo.

Another fabulous set of lectures over two days. Ruth Duncan from Myofascial pain UK provided a very good lecture on what influences the pain with reference to family experiences, cultural and religious beliefs and perception of pain maybe hereditary.

There were a couple of lectures which focused on the hip pain, particularly the diagnosis of femoral acetabular impingement in teenagers and hip rehabilitation

A.T Still University of Osteopathy in Phoenix, Arizona

Conference on Whiplash associated disorders

Have just returned from A.T Still University of Osteopathy in Phoenix, Arizona for an amazing conference on Whiplash associated disorders, neck pain and Vertigo associated with neck pain.

Looking forward to putting some of this knowledge to work.

Back pain

Top tips to prevent back pain whilst wrapping Christmas presents!

  1. Avoid sitting on the floor

Use a counter top or the Ironing board at waist level or the dining room table with a good supportive chair. This ensures you are using your arms rather than your back.

  1. Create a gift wrapping station

Clear off the table and keep, scissors, ribbon, tags, pens and wrapping paper at arm’s length.

Wear comfortable shoes, whilst standing. Do not wrap in bare feet.

Place the roll of paper to back of the counter, so you can pull it towards you as you wrap.

  1. Wrap as you buy

Consider wrapping a few at a time, then you’re not left wrapping all 25 presents at once.

  1. Use Gift bags

Skip the hassle and the back ache. Buy decorative tissue paper and ribbon for a classy wrapped present.

  1. Don’t forget to stretch.

Yes, Stretch. Even with gift wrapping it is important to stretch those muscles and joints. This may help with that pain after wrapping.

osteoporosis

Try the one minute risk osteoporosis risk test

Are you among the one in three women, and the one in five men over the age of 50 who will be affected by osteoporosis in their lifetimes?

Osteoporosis weakens bones and leads to fractures. It causes severe disability. But osteoporosis can be detected early. It can be treated.

If you knew something that could harm you was coming, wouldn’t you avoid it?

 

Try the one minute risk osteoporosis risk test

https://www.iofbonehealth.org/iof-one-minute-osteoporosis-risk-test

World Osteoporosis Day

knee-buckling

Why does my knee keep giving way?

I regularly treat people with knee injuries in my practice.

One of the common ailments people present with when complaining of their knee is that “my knee keeps giving way for no reason!” It often occurs unexpectedly and can result in a fall which can lead to injures such as fractured ribs or hips. One patient recently reported that his knee gave way whilst carrying two cups of tea upstairs. He fell backwards down the stairs. Thankfully, he didn’t break anything.

 

Causes for Knee buckling.

Ligament injury: Ligaments are bands of tough elastic tissue, which bind joints together and offer support to joints. An injury to a ligament of the knee, through a sport injury or fall and lead to instability within the joint and make your knee buckle

Cartilage tear: A cartilage tear can occur if you land heavily on your knee and twist as often seen in football players. Cartilage tears can also develop as we get older. This is probably due to the elasticity of the cartilage reducing with age.

Osteoarthritis: Oosteoarthritis is the natural aging process. In your knee the cartilage can become so thin that it no longer covers the ends of your bones. They start to rub against each other and eventually wear away. This can alter the shape of your joint, forcing your bones out of their normal position. In addition, the muscles that move your knee gradually weaken and become thin or wasted. This can make your knee unstable so that it gives way when you put weight on it.

Back problems: If you have a back problem, particularly with nerve pain down the leg, this can alter the nerve transmission to the muscles. If the muscles that move the knee don’t receive the signal clearly, there can be some misfiring resulting in your leg giving way or buckling.

organ donantion

ORGAN DONATION WEEK 4-10 September

Right now across the UK, there are around 6,500 people in need of an organ transplant, including around 150 children and teenagers. On average three people die every day in need of an organ transplant because there just aren’t enough organ donors.

For people in the black, Asian and ethnic minority communities the situation is even more critical. They wait longer than white patients for kidney transplants due to lack of suitable organs.

If you donate your organs after you die you could save and improve the lives of up to nine people, and help even more if you donate tissue.

Only around 5000 people across the UK each year die in circumstances where they could donate their organs.

We need as many people as possible to register their commitment to becoming organ donors so if they die in circumstances where their organs or tissue could be used to help others, authorised NHS Blood and Transplant staff can see what they wanted to happen.  You can do this by signing up to the NHS Organ Donor Register.

We know many people don’t want to think about their own death.  But patients waiting for a transplant depend on people of all ages thinking about whether they want to save lives when they die and registering their decision to become a donor.

If you want to save lives, spend just two minutes registering that you want to donate your organs on the NHS Organ Donor Register.  https://www.organdonation.nhs.uk/register-to-donate/register-your-details/

statins tablets.

Statins, Good or Bad?

Poor Statins are getting a pasting again in the Daily Express. Their article states they only increase your life expectancy by 5 days!

My view on high cholesterol is that, you should be given a window of opportunity to address the high cholesterol by attempting to change your lifestyle and diet. There is evidence to suggest that cutting out sugars, such as alcohol, starchy foods such as bread and pasta, reducing 0% fat products and increasing saturated fat actually reduces your cholesterol. Plant sterol drinks have also shown to reduce high cholesterol.

We know that there is an association between high cholesterol and high blood pressure. This is an association however, and may not be a causative factor. We also know high blood pressure is a cause of heart disease. If you have a pre-existing medical condition, hereditary high cholesterol, high blood pressure, family history of heart disease, over weight and consume a relatively high amount of alcohol, then the risk to benefit ratio would sway vastly towards taking a statin. In this situation the risk of not taking a statin –a heart attack or stroke – far outweighs the risks associated with the drug.

If a doctor is going to prescribe a statin to healthy individual to protect against future heart disease, then obviously the risk to benefit ratio would suggest not taking a statin.

The key, as always; is to have an informed discussion with your GP, rather than being guided by what you may read or hear elsewhere.

Osteopathy to aid restful sleep

If you don’t snooze, you lose – Encouraging healthy sleep

Everyone knows the feeling after a bad night’s sleep, from irritability to unproductivity, but longer lasting sleep disruption can have a much more significant effect on both our mental well being and our physical health. Regular poor sleep increases the risk of obesity, heart disease and diabetes, and can lead to shortened life expectancy.

A number of factors can affect sleep, and not surprisingly patients experiencing musculoskeletal difficulties can find this a considerable hindrance to their ability to sleep. This sleep disruption can, in turn, make their ability to manage their pain more difficult.

Create a routine
Try to get up in the morning and go to bed at the same time each day, even at weekends. You may need to set an alarm. Creating a sleep routine will help your body make the chemicals that control sleep. Having a sleep routine such as listening to soothing music or doing stretching or relaxation exercises before bed can also remind the body that it is time to slow down and sleep.

Avoid blue light before bed
Electronic devices such as televisions, tablets and computers produce a certain type of light called “blue light”. Blue light interferes with a chemical called melatonin which helps us sleep, and it can also reduce a type of sleep called slow-wave sleep which is essential for us to feel rested.

Do some regular exercise but not too close to bedtime
Regular exercise, especially aerobic exercise which gets your heart beating faster, has been proven to improve the quality of sleep and just being more active during the day can also help improve sleep and fight fatigue.

Try to keep your mind blank
Many people who lie awake at night find that their minds are too active, for example thinking about worries, things that they need to remember or things that they have to do the following day. Some people also find that worrying about not sleeping then makes the problem worse.

Avoid stimulants and alcohol
Coffee, tea, cola, cocoa, chocolate and some medicines contain caffeine and other stimulants which can disturb sleep. The effects of caffeine can last for many hours in the body so consider switching to decaffeinated drinks or avoid caffeine apart from in the morning

Avoid eating large meals late at night
A heavy meal before bed or too much spicy food at night can make it difficult to sleep, so consider how much you eat before bed. Herbal tea or a milky drink may help you relax but don’t drink too much before bed as this may mean you have to wake to go to the toilet at night.

Make your bedroom cool, dark and quiet
Sleep quality can be improved by sleeping in a slightly cooler room—around 17C is comfortable for most people, so make sure that you have enough, but not too much bedding.

Try not to have a nap during the day
If your sleep is disturbed at night, you may feel sleepy during the day, especially in the afternoon. If you fall asleep during the day, even a short nap can then disturb your sleep at night. If you have to have a short sleep, make sure that you go to bed and set an alarm clock so that you don’t sleep for too long – 15 to 20 minutes maximum, and not later than the early afternoon.

Medication
In general, taking medicines for long periods to improve sleep is not a good idea and lifestyle changes are much more helpful. Although medicines that help us sleep, they are not useful for long periods because they can be addictive, can stop working after a few days, or affect sleep quality.


There are resources to help with sleep on the One You website, www.nhs.uk/oneyou/sleep

What is the knee pain I get when I run?

It’s called Ilio-Tibial-Band Friction Syndrome (ITBFS) and it is quite common.

The knee is the most commonly injured body part in runners, making up 25% of all running injuries. That is quite a lot, considering around 50% of all runners can expect to sustain a running injury over a 12-month period.

Various structures around the knee can be affected; quite frequently, runners develop pain on the outside of the knee which can be caused by an irritation of the Ilio-Tibial-Band (ITB), a band of connective tissue that runs from the pelvis to the outside of the knee.  The injury is called Ilio-Tibial-Band Friction Syndrome (ITBFS).

So what exactly is ITBFS?

ITBFS is an overuse injury that generally builds up gradually, so it is not an acute strain or tear.  Repetitive friction of the tissue of the ITB rubbing over a bony prominence along the outer thigh can result in pain and localised inflammation at the friction site.

Initially, the pain may only occur during a run but it can quickly progress with each run, to the point where the pain may linger after a run and even basic activities such as bending and straightening of the knee or lying on the affected side at night can be sore.

What are the causes?

A range of factors can contribute to the development of ITBFS, for example:

  • Training errors, such as a sudden increase in training intensity
  • Hip muscle deficiencies, e.g. weak gluteal muscles and reduced core strength
  • Poor ankle and foot mechanics
  • Running inefficiencies, such as a reduced cadence (running too slow), which often results in overstriding. This can put an increased load on the knee, causing ITBFS over time, especially when running long distances.
  • Poor footwear

Identifying And Treating Pain From Nerve Tension

Do I have a trapped nerve?

We all know that your joints move and your muscles contract and stretch. But did you know that your nerve tissue also needs to move freely and unimpeded?

If your neural tissue is impeded then pain or restriction of your nerve movement is a common result.  The adverse neural tension can result in nerve pain and limited motion. This is what is commonly referred to as a trapped nerve.

Nerve tension is pain that occurs because a nerve is being compressed or stuck in its surrounding tissue which prevents it from moving within its tract like it normally does. This can happen for a variety of reasons.

Common examples of structures that can impede a nerve’s movement include:

  • Back Pain e.g. bulging disc
  • Piriformis Syndrome
  • Sciatica
  • Neck Pain
  • Shoulder Pain
  • Carpal Tunnel Syndrome
  • Tennis or Golfer’s Elbow
  • Pinched Nerve

Depending on the severity of the damage that is causing nerve tension, surgery may be necessary. However, in most cases nerve tension can be relieved through physical therapy such as osteopathy or physiotherapy, and prescribed stretching exercises.

Effective Therapy for Carpal Tunnel Syndrome

Carpal tunnel syndrome (CTS) is a medical condition due to compression of the median nerve as it travels through the wrist at the carpal tunnel. The main symptoms are pain, numbness, and tingling, in the thumb, index finger, middle finger, and the thumb side of the ring fingers.

In severe cases, this can lead to pain travelling up to the neck and shoulder, often misleading health care professionals into thinking the radiating arm pain is actually coming from the neck rather than the wrist.

Your osteopath should be able to diagnose if you have this and recommend that you consult with your doctor for an appropriate onward referral if the symptoms are severe.