Hey guys,
So, Physio Central is approaching it's 1st Birthday this week. To celebrate and to say a thanks for making this venture a success thus far, there's a 20% discount on all new appointments and treatments for the next 2 weeks. WOWZA!!! If your needing some physiotherapy or toying with the idea of getting some physio done well this is a perfect opportunity to sample the benefits of getting some therapy by professionals at a reduced cost. Thanks to all who supported the clinic in the past year, it's been a pleasure and we sure appreciate your support and are grateful for your trust.
https://www.youtube.com/watch?v=anNRry5yfIQ
Monday, March 31, 2014
Tuesday, March 25, 2014
Custom Made Orthotics (Insoles)
Take care of your feet...they need to last a lifetime
Do you suffer from general lower limb pain?
Abnormal foot biomechanics is often the root cause of pains, aches and fatigue within your feet, ankles, legs, knees, hips and/or lower back.
What is biomechanics?
Lower limb biomechanics is concerned with how your feet, ankles, knees, hips, pelvis and lower back work in conjunction to support your body-weight and allow you to stand and run.
What happens if I have abnormal foot function?
Pain free walking and running is accommodated by finely tuned, orchestrated movements which require specific things to happen at precise moments in you lower limbs. When these movements are lacking or out of sync then a variety of problems can occur as the pictures above and to the right illustrate. The body is reactionary. So we know that any deviations e.g at the ankle, will trigger a series of events up the kinetic chain in order to compensate, i.e. knee, hip, pelvis, lower back changes.
How do I know if I have abnormal foot function?
Contrary to popular belief. Pain in the feet is not a normal process. If you suffer pains, aches, and/or fatigue in any of your joints from your feet, to your lower back it may be stemming from abnormal foot function. A good indication is to look at your the soles of your footwear and observe the wear marks. Your symptoms combined with certain wear marks can give a clear indication of abnormal biomechanics.
Normal Heel Wear:
Specifically, the outer border of the heel should have some normal signs of wearing.
Abnormal Heel Wear:
If the area of wear seems excessive, or if the wear is on the opposite side of the heel then this can be an indication of abnormal foot function.
Normal Heel Cup:
Placing your shoes on the table and having a look at them from behind is another indication of abnormal wear. The shoes should sit level and vertical.
Abnormal Heel Cup:
However, if they roll excessively to the inside or outside then this will indicate faulty mechanics.
Normal Sole Wear:
there should be normal wear marks under your shoe also. The main area of wear should be under the area of the ball of the big toe. This area of wear is normal due to the pressures encountered as your big toe propels you off the ground
Abnormal Sole Wear:
However, excessive wearing of this area can also indicate faulty biomechanics, i.e. wears thin over a short space of time. Also, no wear in this area can be an indicator aswell as any wearing over the area under the smaller toes of the foot.
:o( This looks like me....What can be done?
At Physio Central, we have developed extensive biomechanical knowledge from working and constantly training in this area. Through detailed history taking and an extensive biomechanical examination including looking at your current footwear a specific picture of how you support yourself on your feet will be developed. To correct any abnormality a Custom Foot Orthotic Device may be prescribed.
'Custom fit...the best fit...Always!!!'
So, What are Custom Foot Orthoses?
Commonly known as insoles, these orthoses are precision, prescription medical devices that are worn inside your shoes. They alter the way your foot contacts the ground and importantly provides specific support to the structures of your foot involved in the complex series of events that are required to allow you to stand, walk and run.
Why Custom Fit?
Custom made foot orthoses are prescribed for your individual condition. Custom prescription ensures your devices are medical prescription and follow the specific contours of your feet. They are long lasting meaning they accommodate your wear into the long term.
There are many cheaper alternatives on shop shelves, but these are merely cheap imitations.
1) They are not medical prescription grade and so, they are not made to fit your feet precisely and control your foot for your individual need.
2) They also wear out quickly which can certainly lead to exacerbating symptoms in the long term making a bad problem worse.
3) They are primarily developed to fit a certain shoe size and manufactured to a generic foot shape.
Ultimately there is a very real chance of these devices causing your body more harm than good.
Importantly, there a number of techniques used to allow us to capture the foot as needed. Some processes and techniques, e.g. stepping in foam boxes to capture foot shape, are inferior to others.
At Physio Central we use the techniques which follow current best practice guidelines to ensure you get the best device possible.
Sports Orthotics:
It is now well established in the sports medicine sector that custom foot orthoses are a vital part of treatment when dealing with sports related lower limb overuse injuries. They are also recognised to be a positive preventative measure in injury and performance management. Up to Olympic standard the improvement in performance, with decreased fatigue and greater comfort of using orthotics where neccesary is now well indicated.
Additionally:
Custom orthotics are a very effective tool in resolving many lower limb conditions. However, it is just one tool in a multi-modal approach and other treatments are often indicated also.
At Physio Central we work in close conjunction with Biomechanics Foot Laboratory who are one of Europe's precision made orthotic manufacturing companies.
'Invest in your feet...they deserve it'
Through this valued link we bring you the very best quality products, individual to your needs and at competitive prices
Physio Central, T: 057 9322720
Ardan Surgery, E: info@physiocentral.ie
Ardan Rd, W: www.physiocentral.ie
Tullamore,
Co. Offaly
Abnormal foot biomechanics is often the root cause of pains, aches and fatigue within your feet, ankles, legs, knees, hips and/or lower back.
What is biomechanics?
Lower limb biomechanics is concerned with how your feet, ankles, knees, hips, pelvis and lower back work in conjunction to support your body-weight and allow you to stand and run.
What happens if I have abnormal foot function?
How do I know if I have abnormal foot function?
Contrary to popular belief. Pain in the feet is not a normal process. If you suffer pains, aches, and/or fatigue in any of your joints from your feet, to your lower back it may be stemming from abnormal foot function. A good indication is to look at your the soles of your footwear and observe the wear marks. Your symptoms combined with certain wear marks can give a clear indication of abnormal biomechanics.
Normal Heel Wear:Specifically, the outer border of the heel should have some normal signs of wearing.
Abnormal Heel Wear:
If the area of wear seems excessive, or if the wear is on the opposite side of the heel then this can be an indication of abnormal foot function.
Normal Heel Cup:
Placing your shoes on the table and having a look at them from behind is another indication of abnormal wear. The shoes should sit level and vertical.
Abnormal Heel Cup:
However, if they roll excessively to the inside or outside then this will indicate faulty mechanics.
Normal Sole Wear:there should be normal wear marks under your shoe also. The main area of wear should be under the area of the ball of the big toe. This area of wear is normal due to the pressures encountered as your big toe propels you off the ground
Abnormal Sole Wear:
However, excessive wearing of this area can also indicate faulty biomechanics, i.e. wears thin over a short space of time. Also, no wear in this area can be an indicator aswell as any wearing over the area under the smaller toes of the foot.
:o( This looks like me....What can be done?
At Physio Central, we have developed extensive biomechanical knowledge from working and constantly training in this area. Through detailed history taking and an extensive biomechanical examination including looking at your current footwear a specific picture of how you support yourself on your feet will be developed. To correct any abnormality a Custom Foot Orthotic Device may be prescribed.
'Custom fit...the best fit...Always!!!'
So, What are Custom Foot Orthoses?
Commonly known as insoles, these orthoses are precision, prescription medical devices that are worn inside your shoes. They alter the way your foot contacts the ground and importantly provides specific support to the structures of your foot involved in the complex series of events that are required to allow you to stand, walk and run.
Why Custom Fit?
Custom made foot orthoses are prescribed for your individual condition. Custom prescription ensures your devices are medical prescription and follow the specific contours of your feet. They are long lasting meaning they accommodate your wear into the long term.
There are many cheaper alternatives on shop shelves, but these are merely cheap imitations.
1) They are not medical prescription grade and so, they are not made to fit your feet precisely and control your foot for your individual need.
2) They also wear out quickly which can certainly lead to exacerbating symptoms in the long term making a bad problem worse.
3) They are primarily developed to fit a certain shoe size and manufactured to a generic foot shape.
Ultimately there is a very real chance of these devices causing your body more harm than good.
Importantly, there a number of techniques used to allow us to capture the foot as needed. Some processes and techniques, e.g. stepping in foam boxes to capture foot shape, are inferior to others.
At Physio Central we use the techniques which follow current best practice guidelines to ensure you get the best device possible.
Sports Orthotics:
It is now well established in the sports medicine sector that custom foot orthoses are a vital part of treatment when dealing with sports related lower limb overuse injuries. They are also recognised to be a positive preventative measure in injury and performance management. Up to Olympic standard the improvement in performance, with decreased fatigue and greater comfort of using orthotics where neccesary is now well indicated.
Additionally:
Custom orthotics are a very effective tool in resolving many lower limb conditions. However, it is just one tool in a multi-modal approach and other treatments are often indicated also.At Physio Central we work in close conjunction with Biomechanics Foot Laboratory who are one of Europe's precision made orthotic manufacturing companies.
'Invest in your feet...they deserve it'
Through this valued link we bring you the very best quality products, individual to your needs and at competitive prices
Physio Central, T: 057 9322720Ardan Surgery, E: info@physiocentral.ie
Ardan Rd, W: www.physiocentral.ie
Tullamore,
Co. Offaly
Thursday, March 20, 2014
Wednesday, March 12, 2014
Painful Shoulders giving you sleepless nights:o(
Painful Shoulders???
Why though??? Treatment is here...
Painful shoulders, one of the most chronic and debilitating
conditions that people present to the clinic with. It happens to be the third
most common presenting musculoskeletal condition seen in primary care (Parsons,
2007). Imagine over 54% of people have ongoing symptoms after 3years!!!
(McFarlane et el, 1998).
More specifically, rotator cuff pathology is the most common
cause of shoulder pain with the problem increasing with age.
What’s the Rotator
Cuff?
How do I know what
problem I have in my shoulder?
There are over 150 specific tests prescribed for identifying
shoulder conditions. Many of these are unreliable as Hegedus et al, 2013
confirmed, “Physical test of the shoulder are consistently found to be
unreliable and poor predictors of structural pathology”. Unfortunately a lot of unqualified therapists out there try to use many non - specific tests leading to misdiagnosis and delayed healing etc.
However, with an excellent understanding of the anatomy of
the shoulder and its biomechanics, your chartered physiotherapist has a number
of specific pain provocation and movement tests that can be performed to
identify the source of your pain. One of the biggest indicators of rotator cuff
pathology is age.
How did I damage
them?
What to do?
Well there are three options:
1)
Conservative, i.e. physiotherapy, injections
2)
Surgery
3) Do
nothing and live in pain with disturbed sleep and all the other undesirable effects.
Surgery v Physio!!!
This is the case even considering the dramatic difference in
costs. Surgical interventions roughly cost double that of a full course of
supervised physiotherapy for the same shoulder condition. All the while results
are similar or better (Ketola et al, 2009).
The results of surgery for SIS remain inconclusive with the
best results being shown in younger patients.
Additionally, while preparing for surgery a patient may firstly rest. Then surgery is performed after which rest is again
prescribed. This is followed by supervised physiotherapy with activity modification in
the short term.
The question can be asked, which part of the process is
responsible for the improvement in the shoulder condition?
The rest? The surgery? The activity modification? The
physiotherapy? Is surgery providing relative rest? (Lewis, 2011)
What’s involved in
Physiotherapy for my painful shoulder?
There are generally four stages of a physiotherapy programme
for rotator cuff pathology. Your rehabilitation will be matched to the stage of
the shoulder problem.
Physiotherapy will involve a multi-modal approach and could
include the following:
1) Manual therapy: joint mobilisations, trigger point therapy,
dry-needling, soft tissue mobilisation.
2) Exercise: strength, flexibility, endurance of the
shoulder. Core stability work,
3) Posture, exercise to correct structural anomalies
4) Scapular control, altering the position/orientation of
the scapula to allow for movement
5) Proprioceptive and neuromuscular control – towards end
stage
How long will all
this take?
The severity, nature and stage of the condition will
ultimately dictate the duration of a successful programme, as will patient
adherence to the programme.
Even severe conditions given the right rehabilitation should
see resumption of normal activities after 12weeks.
Don’t live in pain. Call in and see your Chartered
Physiotherapist today.
Physio Central
Ardan Rd,
Ardan Surgery,
Tullamore,
Co. Offaly
E:info@physiocentral.ie
T: (057)9322720
W:www.physiocentral.ie
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