Thoracic Mobility - The Key To A Pain Free Spine!

When your thoracic spine isn't moving as it should, it creates a domino effect throughout your body. This can contribute to neck, shoulder & lower back pain. Let’s drill down into how to take better care of your back and get that thoracic spine moving!

Unlock Your Movement Potential: Why Your Thoracic Spine is a Game-Changer! 😀

Written by Daniel Wray (Senior Physiotherapist & Mobility Coach)

Back pain is very common - Thoracic spine stiffness is often to blame

As someone who's spent over two decades in the clinic as a sports physiotherapist, I've seen first-hand how often seemingly unrelated aches and pains can be traced back to one crucial area: your thoracic spine. You know, that middle section of your back, between your neck and your lower back? It might not get as much attention as your neck or lower back, but trust me, it's a true unsung hero when it comes to keeping you moving freely and comfortably, no matter your age or activity level.

Think of your thoracic spine as the command centre for so much of your upper body movement. It's designed for rotation and extension, allowing you to twist, reach, and stand tall. But in our modern lives, spent often hunched over desks, phones, or even just relaxing on the couch, this vital area can become stiff and restricted. And when that happens, other parts of your body have to pick up the slack, often leading to problems!


The Ripple Effect: How a Stiff Thoracic Spine Causes Trouble

When your thoracic spine isn't moving as it should, it creates a domino effect throughout your body. Here's how it can contribute to those annoying aches and pains:

Familiar hunching over your desk increases thoracic spine rounding and stiffness

  • Neck Pain: If your mid-back is stiff, your neck has to work overtime to compensate for head rotation and movement. This extra strain can lead to tightness, headaches, and that familiar crick in your neck.

  • Shoulder Pain: Your shoulder blade sits right on top of your rib cage, which is connected to your thoracic spine. If your mid-back is locked up, your shoulder blade can't move properly, impacting your shoulder joint mechanics and potentially causing impingement or rotator cuff issues.

  • Lower Back Pain: When your thoracic spine lacks mobility, your lower back (lumbar spine) might try to compensate by over-rotating or extending, putting excessive stress on discs and joints, leading to that nagging lower back discomfort.


Move Freely, Live Fully: The Benefits of Thoracic Mobility

Thoracic Rotation Mobility can help improve back pain and stiffness

The good news is, improving your thoracic spine mobility can have a profound impact on your overall well-being. By restoring natural movement to this area, you can:

  • Reduce Pain: Alleviate strain on your neck, shoulders, and lower back.

  • Improve Posture: Stand taller and reduce that "hunched over" feeling.

  • Enhance Performance: Whether you're an athlete or just enjoy daily activities, better thoracic mobility can improve your ability to rotate, reach, and lift.

  • Breathe Easier: Your ribs attach to your thoracic spine, so improved mobility can even enhance your breathing mechanics!


Easy Moves for a More Mobile You!

Ready to get started? Here are some simple yet effective exercises you can incorporate into your daily routine to unlock your thoracic spine's potential. Remember to listen to your body and move gently. Consistent daily practice is your key to progress.

Foam Roller Thoracic Extension

Thoracic Extension Over a Foam Roller:

  • Lie on your back with a foam roller positioned horizontally across your mid-back.

  • Place your hands behind your head for support.

  • Gently extend your upper back over the roller, allowing your head to drop towards the floor.

  • Slowly roll up and down your mid-back, focusing on areas of stiffness.


Seated Thoracic Rotations

Seated Thoracic Rotations:

  • Sit comfortably in a chair with your feet flat on the floor.

  • Cross your arms over your chest or place your hands behind your head.

  • Gently rotate your upper body to one side, leading with your rib cage.

  • Hold briefly, then return to the center and rotate to the other side.

  • As you rotate try gently lifting your elbow to he ceiling adding side opening to rotation


Cat-Cow Stretch:

  • Start on your hands and knees, with your wrists under your shoulders and knees under your hips.

  • Cat: Exhale as you round your spine towards the ceiling, tucking your chin to your chest.

  • Cow: Inhale as you drop your belly towards the floor, lifting your head and tailbone.

  • Flow smoothly between these two positions 1-2 minutes

Cat - Rounded back

Cow -hollow back


Elevated Arms Thoracic Extension

  • Similar to cat-cow motion performed with your arms elevated & resting on a chair or bench.

  • Breathe in as you round up lifting your head and shoulders

  • Exhale as you sit down and back relaxing across your back and shoulder blades

  • Repeat slowly for 10-15 deep breath cycles

Breathe in as you round your upper back and shoulders

Exhale as you relax and sit back extending through your back and shoulders


Deep Squat Spine Rotations:

  • This is more advanced, please avoid if you are not comfortable or able to maintain a deep squat position

  • Get into a deep squat and hold, Block one knee on the inside with your elbow

  • With the opposite arm straight rotate and lengthen towards the ceiling

  • Follow the movement with your head and actively rotate your ribcage and sternum

  • Hold for a few seconds at the top position then return & repeat on the opposite side.

  • Work side to side for 30-60 seconds

Deep Squat - Spinal Rotations

Incorporating these exercises regularly can make a world of difference in how you feel and move. It's amazing what a little attention to your thoracic spine can do for your overall comfort and vitality!


Looking for something a little more challenging?

If you are physically able these videos below can help you progress your spinal mobility and can be done routinely to increase range of movement and reduce back ache and discomfort.

Like most things worth having mobility improvements are earnt by consistency of practice. Show up everyday and work on your areas of stiffness & weakness and you will reap the rewards of moving better & reducing pain!

Downward dog - Calves, hamstrings and Thoracic/Shoulder Stretch

3 Point Bridge- Full body mobility including hips, spine and shoulders

Thoracic Spine Windmills & rotations

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Thanks for reading, please share with any friends, family or colleagues who could benefit.

We are always here to listen & help. Our specialist team can help you navigate and manage any ache, pain or injury.

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Pain - Finding Relief & Taking Control

That ache in your back, the stiffness in your neck, the twinge in your knee – these are common experiences we all face from time to time. Pain is something we will all have to manage at some point in our lives. Your understanding and response to pain is crucial in optimally managing & ultimately reducing you pain

Understanding Musculoskeletal Pain: Finding Relief and Taking Control

Written By Daniel Wray (Sports Physiotherapist & Mobility Coach)

That ache in your back, the stiffness in your neck, the twinge in your knee – these are common experiences we all face from time to time. Musculoskeletal pain, affecting our muscles, bones, ligaments, nerves, and tendons, can range from a mild annoyance to a significant disruption in our daily lives.

It's natural to feel concerned when pain strikes, especially if it's intense. However, it's reassuring to know that most musculoskeletal pain, even when it feels quite severe, is not a sign of serious underlying damage or pathology. Often, it can be related to things like muscle strains, sprains, overuse, or even just prolonged awkward postures. Our bodies are resilient, and these minor issues usually resolve with time and proper care.


When Should You Seek More Urgent Investigation?

While most musculoskeletal pain is not serious, there are certain situations where it's important to seek professional medical advice promptly. Be mindful of the following:

Lower Back Pain - Can Be Crippling but Is Rarely Serious Pathology

  • Severe pain that comes on suddenly and unexpectedly, especially after an injury.

  • Pain accompanied by other symptoms like fever, unexplained weight loss, or significant weakness.

  • Pain that radiates down your arm or leg with numbness or tingling.

  • Loss of bowel or bladder control.

  • Pain that is constant and progressively worsening, especially at night.

  • A history of cancer or other serious medical conditions.

If you experience any of these "red flag" symptoms, it's always best to err on the side of caution and consult a medical professional.


Simple Daily Habits and Strategies to Reduce Pain and Cope Better:

The good news is that there's a lot you can do in your daily life to manage and reduce musculoskeletal pain. Here are a few simple strategies to incorporate:

Some key areas to manage in improving Pain Control

  • Stay Active: Gentle exercise, like walking, swimming, or yoga, can help strengthen muscles, improve flexibility, and reduce stiffness. Find activities you enjoy and make them a regular part of your routine.

  • Practice Micro-breaks and Regular Movement: If you spend long periods sitting or in the same position, incorporate short, frequent breaks to move around, stretch, and change posture. Even a minute or two of gentle movement every 30 minutes can help relieve muscle and joint tension.

  • Be Mindful of Movement: Pay attention to your body when you move. Avoid sudden, jerky motions and lift heavy objects correctly.

  • Manage Stress: Stress can often exacerbate pain. Incorporate relaxation techniques like deep breathing, meditation, or spending time in nature.

  • Ensure Adequate Sleep: Quality sleep is crucial for muscle repair and overall well-being. Aim for 7-9 hours of restful sleep each night.

  • Consider Heat and Cold Therapy: Applying heat packs can help relax tight muscles, while ice packs can reduce inflammation. Experiment to see what works best for you.

  • Stay Hydrated: Drinking enough water is important for overall tissue health. This will range upwards from at least 2-3 litres per day depending on your circumstances


You Don't Have to Live with Pain – Help is Available:

Professional Physiotherapy guidance can help manage and improve your pain

Living with persistent musculoskeletal pain can be frustrating and limit your ability to enjoy life. Please remember that you don't have to accept pain as a normal part of your day.

At Physio Effect, our experienced team of physiotherapists is dedicated to helping you identify the underlying causes of your pain and develop a tailored treatment plan to address your specific needs. Our skilled practitioners are experts in assessing movement patterns, muscle imbalances, and joint mechanics. We utilize a variety of effective techniques, including manual therapy, targeted exercise prescription, and comprehensive education, all designed to help you reduce pain, improve your physical function, and prevent future problems.

Taking that first step to connect with the team at Physio Effect can make a significant difference in your quality of life. We're here to listen, understand your unique situation, and guide you on your journey towards a pain-free and more active future.

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Summary

In conclusion, while musculoskeletal pain is a common experience, it doesn't have to dictate your life. By understanding the common causes, recognizing when to seek further advice, and incorporating simple daily strategies, you can take proactive steps to manage and reduce discomfort. Remember that expert help is available, and the experienced team at Physio Effect is ready to provide tailored support to help you regain comfort and get back to doing what you love.


thank you

Thanks for reading, please share with any friends, family or colleagues who could benefit.

We are always here to listen & help. Our specialist team can help you navigate and manage any ache, pain or injury.

You can Use the links to Book an appointment now or Contact us with any questions

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Meditation - How, what, when & why?

Meditation enhances mental and physical well-being by promoting relaxation and reducing stress. It improves mood, focus, and emotional health, fostering self-awareness and control over thoughts. It can lower blood pressure and improve sleep quality, helping individuals respond to challenges with clarity and calmness. Read this blog for tips to help you get started on your meditation journey

Meditation is good for us - Fact!

Why do we find it so hard to prioritise and what benefits are we missing out on?

Written by Julie McSherry - Meditation Teacher with 22 years personal meditation practice (and counting!)

I’d love to meditate but……

‘I can’t sit still’

‘My mind is always racing’

‘I can’t concentrate’

‘It’s too noisy’

‘I can’t find a comfortable position’

‘I don’t have the patience’

‘I’m too busy’



Sound familiar?

Most people starting out on a meditation journey feel some or all of the above, but like all great things it’s really worth the effort! 

Taking an average day waking at 7am, going to bed at 10.30pm is 930 mins! Meditating for 10 minutes is a tiny amount of time which produces many, many positive benefits..

So where to start?

  • Choose a time that suits you for meditation. If you’re a night owl, early mornings may not work. The best times to meditate are right after waking up or before bed.

  • Try meditating at the same time as another daily habit, like before a shower.

  • Find a quiet spot where you won't be disturbed.

  • For sitting, comfort is key. You don’t have to sit on the floor if it’s uncomfortable; sitting on a chair or against a wall is fine. Keep your spine straight—using a cushion can help.

  • Start with 10 minutes. As you relax, stay still and focus on your breath—notice each inhale and exhale.

  • It’s normal for thoughts to pop up; just let them pass and return your focus to your breathing.

  • With practice, you'll find fewer distractions as you get used to this quiet time.

Find your calm through meditation


Benefits of Meditation:

The effects of meditation are far reaching, positively impacting our physical health and our mental wellness, including cognitive functioning and emotional control.

Studies show reductions in:

  • Anxiety

  • Depression

  • Stress levels

  • Job burnout

We also see psychological benefits, such as:

  • Heightened empathy

  • Improved interoceptive awareness (stimuli and sensations within the body)

  • Better psychological wellbeing

  • Increased self-directedness (awareness that our actions and behaviors reflect our choices)

  • Improved cooperativeness (degree of agreeableness in relationships with others)

  • More self-transcendence (rising above the self and relating to something bigger)

Regular meditation has numerous physical & mental health benefits

Benefits of meditation on the brain:

Benefits of meditation includes physical changes to the brain and improved cognitive functioning, such as:

  • Slowing of brain aging (particularly thinning of the prefrontal cortex)

  • Improved attention

  • Increased innovation

  • Better problem-solving

  • Mental health conditions following trauma

Find your inner calm through meditation

Other physical benefits of meditation:

Other physical benefits offered by meditative and mindfulness practices — also backed up by research — include:

  • Strengthened immune function

  • Reduced stress

  • Improved sleep

  • Reduced panic attacks

  • Increased work satisfaction

  • Reduction in chronic pain

  • Reduced hypertension

  • Lowered risk of cardiovascular disease

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Thanks for reading, please share with any friends, family or colleagues who could benefit.

We are always here to listen & help. Our specialist team can help you navigate and manage any ache, pain or injury.

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Mobility - What? Why? When? How?!

Do you struggle with constant niggling joint and muscle pains? You workout regularly but still feel stiff all the time? Do you need help understanding and implementing better mobility habits and practices? If yes then this blog is for you! Modern stressful and busy lifestyles often mean we neglect flexibility and mobility practices. Long hours of static postures cause us to stiffen up & this compounds over weeks, months and years. It’s time to start organising your mobility practices to move better & feel better!

Improving mobility requires consistent structure, practice & effort!

Written By Daniel Wray (Sports Physiotherapist & Mobility Coach)

What is mobility?

Mobility is the ability to move freely and easily, encompassing physical movement, flexibility, balance, and environment access.

Mobility is vital for daily activities and exercise, impacting overall performance and quality of life.

Improving mobility enhances physical function, reduces injury risk, and fosters independence. Prioritising mobility supports long-term health and well-being.


5 barriers to mobility practice

  1. Physical Limitations
    Joint pain, muscle weakness, and neurological issues can hinder mobility exercises.

  2. Psychological Factors
    Anxiety, depression, and lack of motivation can create fear of injury, impacting engagement.

  3. Access to Resources
    Limited facilities, equipment, or expert access restrict effective mobility practice.

  4. Knowledge and Awareness
    Lack of understanding about mobility's benefits inhibits participation.

  5. Environmental Barriers
    Poorly designed spaces and clutter discourage movement, obstructing mobility practice.


stop sitting & start moving!

Sitting Is the New Smoking!

In our experience the main cause of reduced mobility and increased joint pain and stiffness is a sedentary job or lifestyle. Sitting for over 40 hours a week leads to negative consequences. What we see regularly in clinic is huge frustration from people in this situation who do actively find time for exercise, sport & gym classes.

“I go to the gym 4 times a week so why am I so stiff & sore?”

The problem with modern life stresses and lack of time mean many of us compartmentalise exercise to one point in the day for perhaps 1-2 hours. Out with that we are too static often sitting or standing at desks for long unbroken periods. Structured & planned exercise classes or sport is great but we must also find ways to inject short, varied, but regular amounts of movement into our everyday activities.


Tips to improve Mobility practice

Prioritise Side bends & Rotational Plane Movements

  1. Incorporate Daily Stretching & Mobility Flows
    Dedicate at least 10-15 minutes each day to stretching. Focus on major muscle groups and areas that typically feel tight, such as the hips, shoulders, and spine. Consistency is key to improving flexibility and joint mobility.

  2. Engage in Mobility-Focused Activities
    Activities such as yoga, Pilates, and tai chi are excellent for enhancing mobility. These practices encourage controlled movements and can help increase your range of motion, balance, and overall physical awareness.

  3. Incorporate Micro Breaks

    Aim to move for 2-3 minutes every hour as a minimum. Large simple movements of all major joints helps to create pressure changes and encourage healthy fluid balance in our tissues and joints reducing the cumulative build up of static postures.

  4. Include Dynamic Warm-ups
    Before engaging in physical activity, perform dynamic warm-up exercises. Movements like leg swings, arm circles, and torso twists can prepare your body for more strenuous activity and promote better mobility throughout your workout.

  5. Prioritise Functional Movements
    A strong body is able to move in all planes of motion. A lot of gym exercises and routines can be too hinge like and robotic in nature failing to promote adequate movements in all planes. Incorporate good accessory training to include rotational, side bend and functional movements.


Example Mobility Flows For Daily Practice

Back Mobility Exercise Flow - Try this routine to gently mobilise your spine

Hip Mobility Flow - Try this exercise flow to mobilise and loosen up stiff hips


We love a 3 Point Bridge. Movement is medicine, start taking yours!

Summary

Improving mobility and reducing pain & stiffness is no simple task but it can be done! Take positive action and start today dedicating time for movement and stretching as often as you can. Spend some time analysing your current practice and training and see where you can improve.

We help people improve mobility & reduce pain and stiffness on a daily basis. If you need help to understand your needs and to design & implement a plan unique to your goals we can help!

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thank you

Thanks for reading, please share with any friends, family or colleagues who could benefit.

We are always here to listen & help. Our specialist team can help you navigate and manage any ache, pain or injury.

You can Use the links to Book an appointment now or Contact us with any questions

CONTACT US
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5 Signs You Are Overtraining 😫

Getting fit is great but more isn’t always better. Learn to recognise the signs and indicators that you are overtraining

You are Probably Overtraining 😲 Follow this advice to train smarter, reduce injuries & Feel better 😀

Written by Daniel Wray (Senior Physiotherapist)

One of the most common causes of injury is poorly structured and executed training plans. We see a lot of injuries caused by excessive stress on the body due to no real planning around exercise type, intensity & volume. While it is admirable to get out there and get fit the tendency for most is to overreach and often exercise is too sporadic,  random & intense. We have previously looked at common signs of overtraining so here we give practical and simple strategies you can implement to reduce this risk, take control & start implementing goal orientated, structured training.

Confusion around training & exercise is common

With increasing frequency we are seeing people in clinic who are getting injured from overtraining. The boom in hybrid style fitness like CrossFit & Hyrox means the demands people are putting on their bodies are constantly increasing. It’s natural to want it all but trying to serve 2 masters simultaneously, with strength training one side and cardio on the other, often results in injury & failure to really progress on either front.


5 Tips to Prevent Overtraining

  1. Listen to Your Body
    Pay attention to physical and mental signals. Fatigue, decreased performance, and persistent soreness may indicate that you need to rest.

  2. Incorporate Rest Days
    Schedule regular rest days into your training regimen. Adequate recovery allows your muscles to repair and helps to avoid burnout.

  3. Vary Your Workouts
    Include a mix of training modalities to prevent overuse injuries and mental fatigue. Cross-training can help maintain fitness while reducing strain on specific muscle groups.

  4. Monitor Training Volume
    Keep track of the intensity, duration, and frequency of your workouts. Gradually increase these parameters and avoid sudden spikes in training load.

  5. Ensure Proper Nutrition and Hydration
    Fuel your body with a balanced diet and stay hydrated. Proper nutrition supports recovery and overall performance, minimising the risk of overtraining.

5 Signs of Overtraining

  1. Persistent Fatigue 🥱🥱
    Experiencing constant fatigue, despite getting adequate rest, can be a sign of overtraining. If workouts begin to feel unusually exhausting and recovery seems difficult, it may indicate your body is not coping with the stress.

  2. Decreased Performance ⬇⬇⬇
    A noticeable drop in performance levels, such as reduced strength, endurance, or speed, can signal that your body is struggling to recover. If previously manageable training sessions start to feel increasingly challenging, consider reassessing your training load.

  3. Increased Injuries ⬆⬆⬆
    Frequent injuries or recurring muscle strains are common indicators of overtraining. Overworking your body can lead to a higher risk of injuries, affecting your ability to train effectively.

  4. Mood Changes 😰😰
    Emotional fluctuations, such as increased irritability, anxiety, or depression, may occur with overtraining. These mood disturbances often stem from the physical stress your body is undergoing and can impact overall well-being.

  5. Sleep Disturbances 😪😪
    Problems with sleep, such as insomnia or disrupted sleep patterns, can also indicate overtraining. A body under stress may struggle to relax, affecting both sleep quality and quantity, which are crucial for recovery.

Feeling Constantly Tired Can be A Sign of Overtraining


TIME TO TAKE STOCK

If any or all of the above points resonate with you then you are probably overtraining and risking injury and reduced performance. It’s good to remember that quality and structure are more important than quantity when it comes to training, fitness & progression. You probably aren’t an elite level athlete with the opportunity to train (& recover) full time so don’t try and train like you are. Exercise shouldn’t be punishment & a mindset like this will lead you to injury.

If you need help with injury or understanding training for your own unique needs then speak to a qualified trainer. Our team at Physio Effect can help you recover from injury and set realistic training goals helping you progress consistently and avoid the boom to bust crashes we see so often with no structure. 

CONTACT US

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Thanks for reading, please share with any friends, family or colleagues who could benefit.

We are always here to listen & help. Our specialist team can help you navigate and manage any ache, pain or injury.

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Working From Home Survival Guide

Is working from home making you ill and injured? Are you in pain & stiffer than ever? Are you feeling isolated and unsupported? The risks are real and you are not alone. This survival guide will help you make better choices to reduce pain & stiffness and look after your body and mind. What are you waiting for? Follow our top tips to move more, organise yourself and have a positive impact on your physical and mental health

Is Working from home breaking you? Do you feel:

WFH health risks are very real

  • Stiff and sore?

  • back, neck, joint or muscle pains?

  • headaches or vision problems?

  • overwhelmed?

  • fatigued?

  • irritable?

  • low mood?


The risks of working from home (WFH) to physical and mental health are significant and real.

If you are feeling any of these issues you are not alone. You need to take positive action now and improve your individual situation. 

Mental health charities recognise the risks to physical and mental health caused by WFH and recommend making action plans.

Below we will list our top tips for how you can act now to prioritise your health. In Summary you need to :

  1. MOVE MORE

  2. GET ORGANISED

  3. OPTIMISE YOUR WORKSPACE

Take Positive Action and Get Organised To Improve Your WFH Situation


top tip 1 - move more!

The single most important thing you can do to improve your WFH health is to move more. If you roll out of bed, grab a coffee then plant yourself at your desk with no movement or plans to move then you are brewing trouble.  The NHS recommends reducing your sitting time significantly to improve your health and reduce the risks of type 2 diabetes, some cancers and even early death!

Are you already struggling with pain & stiffness in your neck, shoulders, back or hips? Check out these links to our previous blogs for advice, stretching and mobility instructional videos:

Movement Is The Key - Could you try Yoga?

When we are static (sitting or standing still) compressive and dehydrating forces are at work on our joints and soft tissues. All of our major body systems slow down and become sluggish which in the longer term contributes to significant health issues. The phase ‘Sitting Is the new smoking’ has been coined to highlight just how serious the impact of sedentary lifestyles can be

Movement creates positive pressure changes and improved fluid movement through our body as well as stimulating our body systems to be more active and alert. All of this helps to balance and reverse the negative effects of being static. Research shows us that movement and exercise can also help reduce stress and improve your mood.


Try these ideas:

Make time to move or you will get injured or sore

  • Rise earlier - Fit at least 10+ minutes of movement in before you hit the desk

  • Step challenge - Set a challenging daily step goal and go about smashing it. You need to prioritise time to walk. Try breaking it up into multiple smaller chunks (10-20 minutes x 2-3) throughout the day

  • Take breaks - Do not sit and rust at your desk! Take multiple complete breaks away from your desk and work. Walk, stretch or exercise, it doesn’t really matter, just take a break & move

  • Get outside - Combine fresh air & movement. Great for refreshing body & mind

  • Exercise for fun - Find something you enjoy and can commit to on at least a semi regular basis (2-3 x per week). Gym, walking, jogging, yoga, swimming etc.

Daily step targets are a great way to increase your activity. Get walking!


top tip 2 - organise yourself

Set Regular Break / Movement Alarms

Failure to plan is planning to fail! You need to actively organise yourself to make smarter, healthier choices and start reducing the negative impact of WFH.

We are great at making excuses for negative behaviour as it is generally the easier/lazier option. Get organised & remove barriers to promote positive action.

Try these ideas:

  • Plan Micro-Breaks - Aim to move away from your work for a minimum of 2-3 minutes every hour. Ideally combine this break with a little movement, stretching & breathing. 2-3 minutes of movement hourly is infinitely more important than trying to undo 8+ hours of static WFH with an end of day workout.

  • Set Movement Alarms - Use smart watches, desktop reminders or a simple timer to remind you when it’s time to get up and move. As already mentioned, ideally aim for a few minutes movement every hour as a minimum. Don’t ignore it! Get up and move.

Drink at least 2-3 litres of water every day

  • Create Dedicated Space - Dedicate some space at home away from your office or workstation setup to stretch, move & exercise. Get a yoga mat down, gather any small equipment like foam rollers or exercise bands and have it accessible. Removing the barrier of having to get setup each time you want to exercise will significantly increase your compliance

  • Measure Water Intake - Aim to drink at least 2 - 3 litres of water a day. Many people are chronically dehydrated and don’t even know it. This contributes massively to muscle and joint pain, headaches and general fatigue. Poor water intake increases your risk of dysfunctional metabolism and chronic diseases. Your tissues and body systems need water to function so give it to them! Use a water bottle to track your consumption and trigger better habits


top tip 3 - optimise your work space setup

When it comes to WFH there is no perfect workstation setup but you can improve and optimise in some areas. This article by the New York Times gives some further ideas on equipment and optimal desk setup. However, there is no point in forking out thousands on space age chairs and desks if you sit on you butt and barely move for 8+ hours a day.

You can’t buy your way to healthier WFH and you must still prioritise movement, regular breaks and a structure to your day that gives you balance physically and mentally. Once that’s in place see if you can implement some of the following ideas:

Stand Instead of Sit. Use a riser to optimise your screen and mouse position.

  • Stand Instead of Sit - Standing is probably the lesser of 2 evils and tends to naturally lead to a bit more movement and reduced pressure on some areas like the neck and lower back. If your work station allows it alternate sit to stand regularly throughout the day

  • Use Equipment & Aids - Optimise your sitting & standing postures by utilising equipment. Perhaps your employer can supply equipment such as a desk riser for raising the height of your monitor. Ergonomic chairs and variations of mouse and keyboards are available to promote better positioning and reduce repetitive strain. Access what you can & make arrangements that suit your own setup.

  • Stretch & Move - Our bodies love symmetry but unfortunately WFH and office based work in general promotes repetition with repeated postures, positions and static behaviours.

    At risk of repeating ourselves here you need to counter static behaviours by moving your muscles and joints regularly through a large range and routinely in the opposite direction to the postures you adapt while working. For example to counter tightness in the hips and lower back from sitting we should target arching our lower back and lengthening our front hip and thigh muscles. Check out our Mobility blogs and Videos here.

‘Cobra’ Back Bend Stretch

Lunge Hip Opener Stretch


WFH can be happier and healthier

Summary

It’s time for you to take positive action if you want to improve your WFH situation. Stop making excuses, organise yourself and make healthier choices now to improve your physical and mental well being. It’s up to you!




thank you

Thanks for reading, please share with any friends, family or colleagues who could benefit.

We are always here to listen & help. Our specialist team can help you navigate and manage any ache, pain or injury.

Use the links below to Book an appointment now or Contact us with any questions

bOOK NOW
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STRONGER ANKLES: Simple exercise drills with no fuss!

Trail and hill running as a sport is demanding on our bodies. Common injuries are often as a result of overloading an area of the body not able to meet the demands placed on it, particularly as running is a repetitive, high-impact activity. Here are four minimal equipment/no fuss drills to help improve strength, proprioception and build fatigue resistance to improve your running economy.

Written by Mariam Kilpatrick, Physiotherapist, Trail and ultra Runner

Trail and hill running as a sport is demanding on our bodies. Common injuries are often as a result of overloading an area of the body not able to meet the demands placed on it, particularly as running is a repetitive, high-impact activity. Click on the video below for 4 minimal equipment/no fuss drills to help improve strength, proprioception and build fatigue resistance to improve your running economy.

 

The Glasgow Running Clinic is part of Physio Effect and we are located in the North of Glasgow. If you would like more information about the Running Clinic and the services we provide, please click on the button below:

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My Marathon Experience

Read how Lewis planned, trained and ran his first marathon. Helpful insights and tips with some guidance from our resident Running Physio expert Jonny Kilpatrick

Marathon Prep 2023

For those that know me, know I’m passionate about training, especially Olympic weightlifting, CrossFit and getting stronger. Around September of 2022 I realised my training was getting a bit stagnant and progress was slowing right down so I decided I wanted to try something new alongside weightlifting. This was wrestling at the Griphouse with Cammy Nicol. I’d been loving this; however, I had picked up several upper body niggles, not serious injuries but some irritation as my body is demanded to be in positions it has never been in before.

This led to December of 2022 in which I was still balancing weightlifting and wrestling but decided to take a break from my Olympic lifting and do something different that I wasn’t totally comfortable with. This resulted in signing up for a marathon which really felt completely out of my comfort zone. I don’t think those close to me could believe I was even thinking of it, but on the 19th of December I dropped the hammer and decided the Manchester Marathon in April would be my purgatory. This would give me just over 16 weeks’ worth of training. 

When I sent Jonny, one of the owners of Physio Effect who is a regular runner and running coach himself my entry email, he knew I was serious about completing this so took it upon himself to plan my programming for the next 4 months. This began with a 10k time trial on Christmas Day, cruelty at its finest and no doubt some sort of sick challenge from Jonny for me to prove my commitment!

THE AEROBIC BUILDING

As mentioned previously, my training began on Christmas Day with a 10km time trial in which Jonny could base my paces/heart rate zones for the upcoming training block on. The first few weeks consisted of between 20 and 40k per week to build some running volume into my legs and to build an aerobic base so I don’t “die on my arse in the second half” in the wise words of Jonny.

One thing I love is structured programming and often I can stick to a rigid program if it has been written for me. With the Jonny’s guidance, the plan was to build up an aerobic base over the first couple of months and complete the marathon with a time of between 3:30 and 4:00. Simultaneously I would still be attending the wrestling classes and building strength in the gym with a shift in focus onto unilateral strength (lunges, Bulgarian split squats), deadlifts and overhead press. This may seem like a lot of training, but I love running early in the morning around 6/7am before my day starts so this frees up the majority of the afternoon to work or if I have extra time, potentially do some double training days. Since running was the focus, this would be prioritised and over the coming months I would slowly decrease my volume in the gym. Around one month out from the marathon I would completely take out wrestling training to reduce the likelihood of an inconvenient injury occurring. During this time, I was also due to be on placement for university whilst still working so my biggest concern was potentially not having enough time in the day to fit in my training. Where there’s a will there’s a way though and this is likely why I really thrived training very early in the mornings.

Training Diary

25/01/23 - We are now 4 weeks into training with my longest distance so far being 15km, one thing I’ve noticed is people saying “I couldn’t do a marathon, I hate running” and I now believe I know why this is the case with many people. I think a lot of people run their easy runs too hard, go balls to the wall, jack their heart rate through the roof and die. Now that I am doing my runs based off heart rate and rate of perceived exertion (RPE) thanks to Jonny, I know that it’s okay to run slower as theoretically, you need to run slow to run fast. It’s all about those Mitochondria.

01/02/2023 - Longest run completed last week. It was meant to be a trail run of 18km but standard Lewis effort, I went the wrong way at Chatelhault and had to double back on myself. I checked my watch to clarify it was another 3km back to the car so thought to myself “screw it, let’s just make it a half”. I was delighted I done this which felt like a good achievement.

04/03/23 – 33.8km trail run on the West Highland Way. Jonny sent me a route to follow on my watch via a gpx file, little did I know there were PLENTY of hills throughout this. Sun was splitting the skies which made this run much more enjoyable! At the 20km mark however was a big stinking hill that I can only describe as never ending! I felt I was on this incline for at least 30 minutes (potentially maybe over exaggerating here). I must have cursed Jonny’s name about 6 times as I slog myself up the hill.

A ‘gradual’ incline just outside Milngavie on the West Highland Way.

Now that we are just over a month out from the race, I have reduced my gym sessions to 2 a week and I have completely taken out wrestling to focus solely on running and maintaining current strength.

18/03/23 – Longest run to date, 37.1k/22 miles. I managed it in just over 3 hours 30 minutes, which equates to 3 podcasts episodes. The Erskine bridge was the turn around point which made things a lot worse as I realised “I AM MILES away from my flat”! I thoroughly enjoyed this run though and I was able to stick with a consistent pace throughout and maintain my Zone 2 Heart Rate/RPE.

03/04/23 – Time to Taper. All the hard work has been done and now I am able to decrease mileage, keep intensity high and fuel properly. Lucky for me, I decided to book a 3 day holiday to Marseille so managed to soak up my final easy miles in a different country.

The lovely sunrise in Marseille.

13/03/23 – The Carb load 😊. 3 days out from the race the goal was to increase carbohydrate intake to around 500-600g each day prior to the race to ensure my glycogen stores are topped up as this is the body’s preferred source of energy thus, I will be properly fuelled going into Sunday.


Race day – Manchester marathon – April 16th 2023

5:30 – Wake up. I always tend to sleep well in hotels which was a massive bonus leading into this race. 

6:30am – Breakfast – 3 slices of sourdough toast, banana and biscoff spread. This has been my go-to fuel for all my long runs, so I looked forward to consuming this.

7am – Coffee. Small hit of caffeine prior to my 30-minute drive into Manchester City Centre.

8/9am – Prepare my kit for the race.

9:50am Race starts.


Finishing time – 3 hours, 33 minutes, and 11 seconds

Young caucasian male competing in a road marathon and his race statistics.

Lewis competing in the Manchester Marathon and his Strava statistics.

Race in review

I am absolutely delighted with how I performed. Started off the first mile at a nice conversational pace until the crowd dispersed so that I could find my flow. Luckily, I made a friend very early on that ran at the same pace as me and we stuck together for the first 13 miles.

Throughout the race I managed to stay on top of my nutrition taking a gel roughly every 20 minutes. So, this equated to about 60g carbohydrates per hour. Alongside this I was taking a few sips of water at every station which prevented me from hitting the dreaded ‘wall’ or ‘bonking’ so to speak. 

From mile 2 right the way up to mile 20 I was averaging an 8-minute mile. From miles 20 onwards I upped the pace slightly which turned out to be about a 7:45 minute mile that I managed to maintain. I didn’t want to become obsessed with my watch and pacing so this was based on feel (RPE) and looking at the splits afterwards. At this time, I also looked down at my shoes and noticed my toe had bled right through my shoes, “oh dear” was my initial reaction followed by multiple swear words going through my head.

Mile 26 I could see the finish line, I checked my watch, and it was roughly 3 hours 31 minutes. I was absolutely delighted knowing I was finishing this in just over 3 and a half hours when my goal was anything under 4 hours.

Can’t thank Jonny enough for the coaching, check ins and treatment to ensure my body was in good condition and adapting to the training stimulus well.

Onto the next one…


A short word from Jonny on the plan

Physiotherapist and Running Coach, Jonny Kilpatrick.

objectives

When Lewis initially said to me in the clinic he’d be looking to do the Manchester Marathon in April it seemed a great opportunity to put my recent running coaching qualifications into practice on someone other than myself and my wife Mariam. I maybe inflicted myself upon poor Lewis as I was really keen to help him train effectively and safely for his first ever running event! Having watched Lewis train over the last few years with his weightlifting, crossfit and more recently wrestling, I knew there’d be no problem getting him to follow a plan; we just needed the right plan for his goals:

  1. Finish the Manchester Marathon with no running background in 16 weeks

  2. Finish Manchester under 4 hours

  3. Have it not take over his life and all of his training as he does enjoy the gym and his new hobby of wrestling. 

We had from late December until April 16th to get him in condition, so no time to waste. The biggest threat to this plan was really Lewis’s lack of running experience where he wouldn’t have the aerobic conditioning or musculoskeletal conditioning to do well with a running plan that was trying to force his mileage and pace too quickly. To be fair to Lewis he is very well clued up on sports science being a qualified sports therapist who massages athletes for us at Physio Effect and a student paramedic. He really took on board my initial conversations with him regarding this entire marathon block being anchored by aerobic base building and just accumulating gradually increasing volume while staying injury free. 




Lewis’ training Plan

We planned out a 16 week Lydiard Pyramid plan that had 8 weeks aerobic base training, 3 week hill training, 2 weeks anaerobic, 2 weeks integration phase and 1 week of taper. This allowed us to work on all the different running and race development he would need rather than just having him repeat pretty much the same plan weekly with an increasing mileage. During this time Lewis spent the majority of his training in his low aerobic zones with a variety of speed workouts accounting for approximately 20% of his weekly training time. Gradually we saw his running economy improve as well as his tolerance to ever increasing volumes from week to week. 


He executed the plan perfectly and had his brother programming him some strength work alongside it twice weekly. About 6-7 weeks out from race day Lewis was also practising full race nutrition on all of his long runs to take in 60g carbs per hour and 500ml fluids and electrolyte. By the end of this we were talking each other into all sorts of weird and wonderful flavours of gels that we’d imagined were our secret weapons on race day. 


If I’m honest I felt 16 weeks was fine for Lewis to train for Manchester as he’s had a consistent number of years of training under his belt with other sports, he wasn’t overweight and generally was very health and fitness conscious. Lewis also had a realistic goal of completing the marathon and ideally sub-4 hours. He proved me right and was completely consistent with his training throughout and had the sense to ask about modifying sessions or moving them to just see off the inevitable niggle he could feel. I know from my Sports Physio work with runners that injury risk is so high in new runners due to the lack of Musculotendinous conditioning, poor aerobic base, poor running efficiency and a tendency to run too hard and long for their current fitness. Once conditioned and running regularly the increasing volume can become protective of injury. We just had to navigate this first 8 weeks for Lewis and avoid acute overload, sickening him of the running or causing him undue stress with injury. I was so impressed how well he followed the plan and resisted the urge to push harder which he’d be used to with crossfit. From the start of his plan to 2.5 weeks before Manchester he took his 10km time trial down from 51 minutes to 43 minutes so we could see his aerobic base had developed massively in those 13 weeks and I was confident his 4 hour goal for Manchester would be bettered by some margin. 




My Review of Lewis’ Race

On race day, what can I say except he took everything he practised in his training and executed it, in my opinion, to achieve as good a first marathon effort as you’ll ever see! He started at an easy and controlled pace for the first few miles, increased to hold his target pace for most of the race and kicked for the last 5 miles down a further 30 sec/mile and ended up running a decent negative split and a fantastic time of 3 hours and 33 minutes. All of this while reporting he actually enjoyed it and was “buzzing” to do another. Turns out running slower to get faster, eating and drinking well and watching your early pace on race day does work! This just takes incredible discipline and for that I just have to applaud and congratulate Lewis! It’s incredibly satisfying to see such a positive experience for him with this and I’ve been delighted to be part of this with him. It’s really pleasing that he’s decided to continue running and has enjoyed getting out on the local trails with me for a social run. We’re now looking at a few more weeks off for him from a plan where he can keep some maintenance mileage up to give us a good start point for the Dunoon Ultra in October where he can expect this early season marathon training to provide the perfect start point for his first trail ultra. 


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hill-running, Injury Prevention, runners, running, trail-running Mariam Kilpatrick hill-running, Injury Prevention, runners, running, trail-running Mariam Kilpatrick

Proprioception Drills for Hill Runners

Trail and hill running as a sport is demanding on our bodies. Common injuries are often as a result of overloading an area of the body not able to meet the demands placed on it, particularly as running is a repetitive, high-impact activity. Here are some of our favourite exercises to help improve strength, proprioception and build fatigue resistance to improve your running economy.

written By Mariam Kilpatrick - Physiotherapist and Ultra-runner

Trail and hill running as a sport is demanding on our bodies. Common injuries are often as a result of overloading an area of the body not able to meet the demands placed on it, particularly as running is a repetitive, high-impact activity. Here are four of our favourite exercises to help improve strength, proprioception and build fatigue resistance to improve your running economy.

 
  1. STEP UP

What you will need…

  • A Bench or box that is knee height.

Technique Tips

  • Try NOT to push through your back leg.

  • Step up with the weight primarily on your heel.

  • Maintain a knee window i.e. knees on either side of your midline.

Perform 8-12 reps each leg, aim to perform 5-6 sets with a max of 30s rest between each one.

2. SINGLE LEG BALANCE

What you will need…

  • An unstable surface to balance on i.e. a bosu ball, wobble board or cushion.

Technique Tips

While balancing on one leg try;

  • Writing the letters of the alphabet with the other.

  • To draw a clock face.

  • Closing your eyes.

Perform 1 minute each leg, aim to perform 2-3 sets with a max of 30s between each one.

3. POLEQUIN STEP UP

What you will need…

  • A slant/decline board OR

  • A small block placed beneath your heel to elevate it, while standing on a step. This puts your foot into a decline position.

Technique Tips

  • Keep your weight on the block.

  • Lightly tap your other heel to the floor.

  • Maintain a knee window i.e. knees on either side of your midline.

Perform 8-12 reps each leg, aim to perform 5-6 sets with a max of 30s rest between each one.

4. TRAMPETTE BALANCE

What you will need…

  • A trampette

    OR

  • Your child’s back yard trampoline.

Technique Tips

  • Aim to land on the same spot, don’t bounce all over the place.

  • Don’t let you knee fold inwards.

Spend a minute on each leg, aim to work 5-6 sets or work to fatigue.


The Glasgow Running Clinic

If you’d like to improve your running technique or are keen to prevent or return from injury, Physio Effect offer a bespoke running analysis service to get you operating at peak performance. Call our reception team on 0141 230 4766 to find out more and schedule your appointment.

Meet the team
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Shockwave therapy for Tibial Stress syndrome (shin splints)

Written by Daniel Wray (BSc Hons Physio/ PG Dip Sports Physio)

What is Shockwave Therapy?

Shockwave therapy is a non invasive, non surgical procedure used to treat a variety of injuries and painful conditions. It is often referred to as extracorporeal (outside of the body) shockwave therapy or ESWT.


Shockwave therapy for tibial stress syndrome (shin splints)

Shockwaves are a type of acoustic wave which carry high energy to painful areas and tissues during various phases of injury helping to stimulate a tissue healing response.

The waves are created by compressed air which is then applied by the therapist onto the affected area via a handheld device.

Shockwave has recently been compared to ultrasound, however the two waveforms are very different. The energy produced via shockwave promotes regeneration and reparative processes of the bones, tendons and other soft tissues.

Shockwave therapy carries minimal risk and is a fast and effective treatment for many chronic painful conditions. The picture below descibres some of the mechanisms of action for shockwave therapy.


WHAT IS TIBIAL STRESS SYNDROME?

  • Tibial stress syndrome, also known as shin splints, is an overuse injury which leads to persistent dull pain at the front of the shin along the tibial edge.

  • It is more common in those who don’t exercise regularly and then suddenly try to run or increase activity levels significantly.

  • Symptoms include overall pain at the shin area, pain after exercise and if severe, can be painful when walking or using stairs


SHOCKWAVE THERAPY FOR TIBIAL STRESS SYNDROME

  • Clients who do not respond to conservative treatment including reduced activity and stretching and strengthening exercises should consider shockwave therapy.

  • Shockwave therapy can be targeted at the painful area and can increase blood flow as well as stem cell activity promoting increased healing and reduced pain

  • For optimal treatment outcomes shockwave therapy will be combined with a bespoke rehabilitation and strengthening plan based around an assessment of your unique needs and goals by our experienced Physiotherapists

Shockwave therapy for tibial stress syndrome (shin splints)


What does a shockwave treatment session involve?

Shockwave therapy for tennis elbow (Lateral epicondylalgia)

Shockwave therapy requires no injections or surgery.

It is usually indicated when Physiotherapy alone does not improve specific symptoms which have persisted for at least 12 weeks.

The treatment is administered via a handheld device which is placed on the skin above the injured area. The shockwaves pass into the tissue in the form of low energy sound waves which pass into the injured area enhancing blood flow and stimulating a tissue healing response.

For optimal results shockwave treatment requires a course of 3-4 treatments delivered once every 7-10 days. The shockwave treatment itself takes only a few minutes. When you book Shockwave therapy at Physio Effect we will always assess you fully on an individual basis, listening carefully to your history and needs, so that we can formulate the best possible treatment plan.


Why choose the Swiss Dolorclast?

Swiss Dolorclast Smart 20 shockwave System

Not all shockwave treatments are equal so please be careful and research before committing to any treatment. Some companies may charge significant amounts for shockwave therapy yet deliver their treatment on cheap, untested and sub-standard machines. Cheap machines will be unable to produce the kind of pressures required to create a therapeutic treatment effect. At Physio Effect we do not compromise on quality and have therefore purchased the top of the range Swiss Dolorclast system to deliver our shockwave treatments.

Evo Blue Handheld Probe

The Swiss Dolorclast systems have been tried, tested and proven as effective systems for pain relief and injury recovery. On the Physiotherapy evidence Database 34 out of 62 randomised controlled trials listed used the Dolorclast shockwave systems, providing substantial high quality evidence of their efficacy.


Does shockwave therapy hurt?

Shockwave treatment for medial tibial stress syndrome (shin splints)

In simple terms shockwave treatment is at the least uncomfortable and in some cases can be painful. The nature of this technology requires the delivered shockwaves to create a focal tissue response to stimulate blood flow and cell reaction and to achieve this a level of discomfort is required. If you have received pain free shockwave treatment or been offered it as pain free it may be worth questioning if the intensity and quality of treatment provided is within the range required for therapeutic benefit.

Shockwave treatment generally takes only 3-5 minutes to deliver so most people are quite able to cope with the short duration of discomfort. Your therapist will work with you to adjust the treatment intensity so that optimal results can be achieved while managing any discomfort.


Is there any reason I can’t have shockwave therapy?

In general terms shockwave therapy is very safe and causes minimal side effects. There are relatively few contraindications to the radial shockwave which we use here at Physio Effect.

Shockwave therapy is contraindicated if;  

  • You are pregnant

  • You are being treated for cancer

  • You have an infection or wound at the treatment site

  • You have had a steroid injection in the previous 6 weeks

Shockwave therapy for subacromial impingement syndrome

Shockwave therapy may not be appropriate, or used with caution if;  

  • You have metal pins, plates or prosthesis in the area requiring treatment

  • You have a blood clotting disorder

  • You are under 18

  • You are taking anticoagulant medication

  • You have had a serious tissue rupture at the injury site previously

  • Loss of sensation at the site of injury


If you are in any doubt about whether shockwave therapy is suitable for you then please contact us and we will be happy to guide you.


Seeking guidance or have questions? We Can Help.

Our experienced team at Physio Effect are specialists in the field and will be happy to answer any questions you might have about Shockwave Therapy. Click below to contact us.

Contact Us

Ready to take decisive action and book shockwave therapy? Click below to Book Now!


Thank You

Thank you for taking the time to read this post, we sincerely hope that you find it useful. We appreciate all feedback so please take a moment and let us know what you think.

Read More

Shockwave therapy for Osgood Schlatter disease

Written by Daniel Wray (BSc Hons Physio/ PG Dip Sports Physio)

What is Shockwave Therapy?

Shockwave therapy is a non invasive, non surgical procedure used to treat a variety of injuries and painful conditions. It is often referred to as extracorporeal (outside of the body) shockwave therapy or ESWT.


Shockwave therapy for Osgood Schlatter disease

Shockwaves are a type of acoustic wave which carry high energy to painful areas and tissues during various phases of injury helping to stimulate a tissue healing response.

The waves are created by compressed air which is then applied by the therapist onto the affected area via a handheld device.

Shockwave has recently been compared to ultrasound, however the two waveforms are very different. The energy produced via shockwave promotes regeneration and reparative processes of the bones, tendons and other soft tissues.

Shockwave therapy carries minimal risk and is a fast and effective treatment for many chronic painful conditions. The picture below descibres some of the mechanisms of action for shockwave therapy.


WHAT IS OSGOOD SCHLATTER DISEASE?

  • Osgood-Schlatter is inflammation inflammation of the area just below the knee where the tendon from the kneecap (patellar tendon) attaches to the shinbone (tibia) at the tibial tuberosity.

  • It is most common during growth spurts in adolescents when bones, tendons, muscles and other structures are changing rapidly. Physical activity puts further stress on these structures so adolescents who participate in sports such as running, football, and athletics are more susceptible to this injury

  • Symptoms include knee pain, pain at the top of the shin and tight quads and hamstrings


SHOCKWAVE THERAPY FOR OSGOOD SCHLATTER DISEASE

  • Clients who do not respond to conservative treatment including activity modification and stretching and strengthening exercises should consider shockwave therapy.

  • The shock waves applied promote blood flow and stimulate stem cell activity in the tissue providing pain relief while increasing the healing response.

  • For optimal treatment outcomes shockwave therapy will be combined with a bespoke rehabilitation and strengthening plan based around an assessment of your unique needs and goals by our experienced Physiotherapists

Shockwave therapy for Osgood Schlatter disease


What does a shockwave treatment session involve?

Shockwave therapy for tennis elbow (Lateral epicondylalgia)

Shockwave therapy requires no injections or surgery.

It is usually indicated when Physiotherapy alone does not improve specific symptoms which have persisted for at least 12 weeks.

The treatment is administered via a handheld device which is placed on the skin above the injured area. The shockwaves pass into the tissue in the form of low energy sound waves which pass into the injured area enhancing blood flow and stimulating a tissue healing response.

For optimal results shockwave treatment requires a course of 3-4 treatments delivered once every 7-10 days. The shockwave treatment itself takes only a few minutes. When you book Shockwave therapy at Physio Effect we will always assess you fully on an individual basis, listening carefully to your history and needs, so that we can formulate the best possible treatment plan.


Why choose the Swiss Dolorclast?

Swiss Dolorclast Smart 20 shockwave System

Not all shockwave treatments are equal so please be careful and research before committing to any treatment. Some companies may charge significant amounts for shockwave therapy yet deliver their treatment on cheap, untested and sub-standard machines. Cheap machines will be unable to produce the kind of pressures required to create a therapeutic treatment effect. At Physio Effect we do not compromise on quality and have therefore purchased the top of the range Swiss Dolorclast system to deliver our shockwave treatments.

Evo Blue Handheld Probe

The Swiss Dolorclast systems have been tried, tested and proven as effective systems for pain relief and injury recovery. On the Physiotherapy evidence Database 34 out of 62 randomised controlled trials listed used the Dolorclast shockwave systems, providing substantial high quality evidence of their efficacy.


Does shockwave therapy hurt?

Shockwave treatment for medial tibial stress syndrome (shin splints)

In simple terms shockwave treatment is at the least uncomfortable and in some cases can be painful. The nature of this technology requires the delivered shockwaves to create a focal tissue response to stimulate blood flow and cell reaction and to achieve this a level of discomfort is required. If you have received pain free shockwave treatment or been offered it as pain free it may be worth questioning if the intensity and quality of treatment provided is within the range required for therapeutic benefit.

Shockwave treatment generally takes only 3-5 minutes to deliver so most people are quite able to cope with the short duration of discomfort. Your therapist will work with you to adjust the treatment intensity so that optimal results can be achieved while managing any discomfort.


Is there any reason I can’t have shockwave therapy?

In general terms shockwave therapy is very safe and causes minimal side effects. There are relatively few contraindications to the radial shockwave which we use here at Physio Effect.

Shockwave therapy is contraindicated if;  

  • You are pregnant

  • You are being treated for cancer

  • You have an infection or wound at the treatment site

  • You have had a steroid injection in the previous 6 weeks

Shockwave therapy for subacromial impingement syndrome

Shockwave therapy may not be appropriate, or used with caution if;  

  • You have metal pins, plates or prosthesis in the area requiring treatment

  • You have a blood clotting disorder

  • You are under 18 (parent / guardian consent required)

  • You are taking anticoagulant medication

  • You have had a serious tissue rupture at the injury site previously

  • Loss of sensation at the site of injury


If you are in any doubt about whether shockwave therapy is suitable for you then please contact us and we will be happy to guide you.


Seeking guidance or have questions? We Can Help.

Our experienced team at Physio Effect are specialists in the field and will be happy to answer any questions you might have about Shockwave Therapy. Click below to contact us.

Contact Us

Ready to take decisive action and book shockwave therapy? Click below to Book Now!


Thank You

Thank you for taking the time to read this post, we sincerely hope that you find it useful. We appreciate all feedback so please take a moment and let us know what you think.

Read More

Shockwave therapy for shoulder impingement syndrome

Written by Daniel Wray (BSc Hons Physio/ PG Dip Sports Physio)

What is Shockwave Therapy?

Shockwave therapy is a non invasive, non surgical procedure used to treat a variety of injuries and painful conditions. It is often referred to as extracorporeal (outside of the body) shockwave therapy or ESWT.


Shockwave therapy for shoulder impingement syndrome

Shockwaves are a type of acoustic wave which carry high energy to painful areas and tissues during various phases of injury helping to stimulate a tissue healing response.

The waves are created by compressed air which is then applied by the therapist onto the affected area via a handheld device.

Shockwave has recently been compared to ultrasound, however the two waveforms are very different. The energy produced via shockwave promotes regeneration and reparative processes of the bones, tendons and other soft tissues.

Shockwave therapy carries minimal risk and is a fast and effective treatment for many chronic painful conditions. The picture below descibres some of the mechanisms of action for shockwave therapy.


WHAT IS SHOULDER IMPINGEMENT SYNDROME?

  • Shoulder impingement is often referred to as swimmers shoulder due to the repeated overhead motions carried out by swimmers. It may also be known as subacromial impingement.

  • Impingement is when the supraspinatus tendon of the rotator cuff rubs against the acromion (shoulder blade) due to a narrowing of the space between these two structures. The tendon can be repeatedly pinched or impinged leading to tissue injury, inflammation and pain.

  • Symptoms include sudden catching pain when lifting your arm overhead or backwards. Pain can occur at night causing sleep disturbance

  • Impingement can occur after a fall onto an outstretched arm but is more typically a gradual process caused by wear and tear and overuse of the shoulder

  • Impingement is more common in sports requiring repetitive overhead shoulder movements such as tennis or swimming


SHOCKWAVE THERAPY FOR SHOULDER IMPINGEMENT

  • Shock waves are passed through the skin to the injured part of the shoulder using a special hand held probe.

  • The shock waves applied promote blood flow and stimulate stem cell activity in the tissue providing pain relief while increasing the healing response.

  • For optimal treatment outcomes shockwave therapy will be combined with a bespoke rehabilitation and strengthening plan based around an assessment of your unique needs and goals by our experienced Physiotherapists

Shockwave therapy for shoulder impingement syndrome


What does a shockwave treatment session involve?

Shockwave therapy for tennis elbow (Lateral epicondylalgia)

Shockwave therapy requires no injections or surgery.

It is usually indicated when Physiotherapy alone does not improve specific symptoms which have persisted for at least 12 weeks.

The treatment is administered via a handheld device which is placed on the skin above the injured area. The shockwaves pass into the tissue in the form of low energy sound waves which pass into the injured area enhancing blood flow and stimulating a tissue healing response.

For optimal results shockwave treatment requires a course of 3-4 treatments delivered once every 7-10 days. The shockwave treatment itself takes only a few minutes. When you book Shockwave therapy at Physio Effect we will always assess you fully on an individual basis, listening carefully to your history and needs, so that we can formulate the best possible treatment plan.


Why choose the Swiss Dolorclast?

Swiss Dolorclast Smart 20 shockwave System

Not all shockwave treatments are equal so please be careful and research before committing to any treatment. Some companies may charge significant amounts for shockwave therapy yet deliver their treatment on cheap, untested and sub-standard machines. Cheap machines will be unable to produce the kind of pressures required to create a therapeutic treatment effect. At Physio Effect we do not compromise on quality and have therefore purchased the top of the range Swiss Dolorclast system to deliver our shockwave treatments.

Evo Blue Handheld Probe

The Swiss Dolorclast systems have been tried, tested and proven as effective systems for pain relief and injury recovery. On the Physiotherapy evidence Database 34 out of 62 randomised controlled trials listed used the Dolorclast shockwave systems, providing substantial high quality evidence of their efficacy.


Does shockwave therapy hurt?

Shockwave treatment for medial tibial stress syndrome (shin splints)

In simple terms shockwave treatment is at the least uncomfortable and in some cases can be painful. The nature of this technology requires the delivered shockwaves to create a focal tissue response to stimulate blood flow and cell reaction and to achieve this a level of discomfort is required. If you have received pain free shockwave treatment or been offered it as pain free it may be worth questioning if the intensity and quality of treatment provided is within the range required for therapeutic benefit.

Shockwave treatment generally takes only 3-5 minutes to deliver so most people are quite able to cope with the short duration of discomfort. Your therapist will work with you to adjust the treatment intensity so that optimal results can be achieved while managing any discomfort.


Is there any reason I can’t have shockwave therapy?

In general terms shockwave therapy is very safe and causes minimal side effects. There are relatively few contraindications to the radial shockwave which we use here at Physio Effect.

Shockwave therapy is contraindicated if;  

  • You are pregnant

  • You are being treated for cancer

  • You have an infection or wound at the treatment site

  • You have had a steroid injection in the previous 6 weeks

Shockwave therapy for subacromial impingement syndrome

Shockwave therapy may not be appropriate, or used with caution if;  

  • You have metal pins, plates or prosthesis in the area requiring treatment

  • You have a blood clotting disorder

  • You are under 18

  • You are taking anticoagulant medication

  • You have had a serious tissue rupture at the injury site previously

  • Loss of sensation at the site of injury


If you are in any doubt about whether shockwave therapy is suitable for you then please contact us and we will be happy to guide you.


Seeking guidance or have questions? We Can Help.

Our experienced team at Physio Effect are specialists in the field and will be happy to answer any questions you might have about Shockwave Therapy. Click below to contact us.

Contact Us

Ready to take decisive action and book shockwave therapy? Click below to Book Now!


Thank You

Thank you for taking the time to read this post, we sincerely hope that you find it useful. We appreciate all feedback so please take a moment and let us know what you think.

Read More

Shockwave therapy for proximal hamstring tendinopathy

Written by Daniel Wray (BSc Hons Physio/ PG Dip Sports Physio)

What is Shockwave Therapy?

Shockwave therapy is a non invasive, non surgical procedure used to treat a variety of injuries and painful conditions. It is often referred to as extracorporeal (outside of the body) shockwave therapy or ESWT.


Shockwave therapy for proximal hamstring tendinopathy

Shockwaves are a type of acoustic wave which carry high energy to painful areas and tissues during various phases of injury helping to stimulate a tissue healing response.

The waves are created by compressed air which is then applied by the therapist onto the affected area via a handheld device.

Shockwave has recently been compared to ultrasound, however the two waveforms are very different. The energy produced via shockwave promotes regeneration and reparative processes of the bones, tendons and other soft tissues.

Shockwave therapy carries minimal risk and is a fast and effective treatment for many chronic painful conditions. The picture below descibres some of the mechanisms of action for shockwave therapy.


WHAT IS PROXIMAL HAMSTRING TENDINOPATHY?

  • Proximal hamstring tendinopathy is the breakdown of collagen at the top of the hamstrings near to where the tendon attaches to the bone. It is common among long distance runners and athletes that regularly sprint with directional changes

  • Symptoms include pain at the very top of the hamstrings, just at the buttock crease. Pain usually occurs after activities with increased post exercise stiffness

  • The condition is typically the result of cumulative micro-trauma to the tendon which fails to fully heal. This results in degeneration and partial tearing of the tendon causing pain, weakness and impaired function

  • Symptoms may be progressive over many months or even years


SHOCKWAVE THERAPY FOR PROXIMAL HAMSTRING TENDINOPATHY

  • Shock waves are passed through the skin to the injured part of the hamstring using a special hand held probe.

  • The shock waves applied promote blood flow and stimulate stem cell activity in the tissue providing pain relief while increasing the healing response.

  • For optimal treatment outcomes shockwave therapy will be combined with a bespoke rehabilitation and strengthening plan based around an assessment of your unique needs and goals by our experienced Physiotherapists

Shockwave therapy for proximal hamstring tendinopathy


What does a shockwave treatment session involve?

Shockwave therapy for tennis elbow (Lateral epicondylalgia)

Shockwave therapy requires no injections or surgery.

It is usually indicated when Physiotherapy alone does not improve specific symptoms which have persisted for at least 12 weeks.

The treatment is administered via a handheld device which is placed on the skin above the injured area. The shockwaves pass into the tissue in the form of low energy sound waves which pass into the injured area enhancing blood flow and stimulating a tissue healing response.

For optimal results shockwave treatment requires a course of 3-4 treatments delivered once every 7-10 days. The shockwave treatment itself takes only a few minutes. When you book Shockwave therapy at Physio Effect we will always assess you fully on an individual basis, listening carefully to your history and needs, so that we can formulate the best possible treatment plan.


Why choose the Swiss Dolorclast?

Swiss Dolorclast Smart 20 shockwave System

Not all shockwave treatments are equal so please be careful and research before committing to any treatment. Some companies may charge significant amounts for shockwave therapy yet deliver their treatment on cheap, untested and sub-standard machines. Cheap machines will be unable to produce the kind of pressures required to create a therapeutic treatment effect. At Physio Effect we do not compromise on quality and have therefore purchased the top of the range Swiss Dolorclast system to deliver our shockwave treatments.

Evo Blue Handheld Probe

The Swiss Dolorclast systems have been tried, tested and proven as effective systems for pain relief and injury recovery. On the Physiotherapy evidence Database 34 out of 62 randomised controlled trials listed used the Dolorclast shockwave systems, providing substantial high quality evidence of their efficacy.


Does shockwave therapy hurt?

Shockwave treatment for medial tibial stress syndrome (shin splints)

In simple terms shockwave treatment is at the least uncomfortable and in some cases can be painful. The nature of this technology requires the delivered shockwaves to create a focal tissue response to stimulate blood flow and cell reaction and to achieve this a level of discomfort is required. If you have received pain free shockwave treatment or been offered it as pain free it may be worth questioning if the intensity and quality of treatment provided is within the range required for therapeutic benefit.

Shockwave treatment generally takes only 3-5 minutes to deliver so most people are quite able to cope with the short duration of discomfort. Your therapist will work with you to adjust the treatment intensity so that optimal results can be achieved while managing any discomfort.


Is there any reason I can’t have shockwave therapy?

In general terms shockwave therapy is very safe and causes minimal side effects. There are relatively few contraindications to the radial shockwave which we use here at Physio Effect.

Shockwave therapy is contraindicated if;  

  • You are pregnant

  • You are being treated for cancer

  • You have an infection or wound at the treatment site

  • You have had a steroid injection in the previous 6 weeks

Shockwave therapy for subacromial impingement syndrome

Shockwave therapy may not be appropriate, or used with caution if;  

  • You have metal pins, plates or prosthesis in the area requiring treatment

  • You have a blood clotting disorder

  • You are under 18

  • You are taking anticoagulant medication

  • You have had a serious tissue rupture at the injury site previously

  • Loss of sensation at the site of injury


If you are in any doubt about whether shockwave therapy is suitable for you then please contact us and we will be happy to guide you.


Seeking guidance or have questions? We Can Help.

Our experienced team at Physio Effect are specialists in the field and will be happy to answer any questions you might have about Shockwave Therapy. Click below to contact us.

Contact Us

Ready to take decisive action and book shockwave therapy? Click below to Book Now!


Thank You

Thank you for taking the time to read this post, we sincerely hope that you find it useful. We appreciate all feedback so please take a moment and let us know what you think.

Read More

Shockwave therapy for tennis elbow (lateral epicondylitis)

Written by Daniel Wray (BSc Hons Physio/ PG Dip Sports Physio)

What is Shockwave Therapy?

Shockwave therapy is a non invasive, non surgical procedure used to treat a variety of injuries and painful conditions. It is often referred to as extracorporeal (outside of the body) shockwave therapy or ESWT.


Shockwave therapy for tennis elbow (lateral epicondylitis)

Shockwaves are a type of acoustic wave which carry high energy to painful areas and tissues during various phases of injury helping to stimulate a tissue healing response.

The waves are created by compressed air which is then applied by the therapist onto the affected area via a handheld device.

Shockwave has recently been compared to ultrasound, however the two waveforms are very different. The energy produced via shockwave promotes regeneration and reparative processes of the bones, tendons and other soft tissues.

Shockwave therapy carries minimal risk and is a fast and effective treatment for many chronic painful conditions.


Physio Effect - Tennis Elbow Pain Experts

Physio Effect are so confident in their shockwave therapy we offer a ‘Money Back Guarantee’ (Ts & Cs Apply)

Want to learn more about our Expert Approach to treating Tennis Elbow? Click HERE

get help - book now

WHAT IS TENNIS ELBOW (LATERAL EPICONDYLITIS)?

  • Lateral Epicondylitis is commonly known as tennis elbow while Medial Epicondylitis is known as golfers elbow.

  • It is caused by overuse of the muscles of the forearm which attach to the inner (golfers) and outer (tennis) elbow

  • Overuse causes tissue overload and cumulative micro-trauma where damaged tissue fails to properly heal. Pain and weakness then occur at the outside (lateral) or inside (medial) of the elbow joint

  • Symptoms include pain when lifting or bending your arm. Weakness and pain often occur when gripping and lifting objects or when twisting your forearm such as opening a jar

  • Symptoms may be progressive over many months or even years


SHOCKWAVE THERAPY FOR TENNIS OR GOLFERS ELBOW

  • Shock waves are passed through the skin to the injured part of the elbow, using a special hand held probe.

  • The shock waves applied promote blood flow and stimulate stem cell activity in the tissue providing pain relief while increasing the healing response.

  • For optimal treatment outcomes shockwave therapy will be combined with a bespoke rehabilitation and strengthening plan based around an assessment of your unique needs and goals by our experienced Physiotherapists

Shockwave therapy for tennis elbow (lateral epicondylitis)

see an expert - book now

What does a shockwave treatment session involve?

Shockwave therapy for tennis elbow (Lateral epicondylalgia)

Shockwave therapy requires no injections or surgery.

It is usually indicated when Physiotherapy alone does not improve specific symptoms which have persisted for at least 12 weeks.

The treatment is administered via a handheld device which is placed on the skin above the injured area. The shockwaves pass into the tissue in the form of low energy sound waves which pass into the injured area enhancing blood flow and stimulating a tissue healing response.

For optimal results shockwave treatment requires a course of 3-4 treatments delivered once every 7-10 days. The shockwave treatment itself takes only a few minutes. When you book Shockwave therapy at Physio Effect we will always assess you fully on an individual basis, listening carefully to your history and needs, so that we can formulate the best possible treatment plan.


Why choose the Swiss Dolorclast?

Swiss Dolorclast Smart 20 shockwave System

Not all shockwave treatments are equal so please be careful and research before committing to any treatment. Some companies may charge significant amounts for shockwave therapy yet deliver their treatment on cheap, untested and sub-standard machines. Cheap machines will be unable to produce the kind of pressures required to create a therapeutic treatment effect. At Physio Effect we do not compromise on quality and have therefore purchased the top of the range Swiss Dolorclast system to deliver our shockwave treatments.

Evo Blue Handheld Probe

The Swiss Dolorclast systems have been tried, tested and proven as effective systems for pain relief and injury recovery. On the Physiotherapy evidence Database 34 out of 62 randomised controlled trials listed used the Dolorclast shockwave systems, providing substantial high quality evidence of their efficacy.


Does shockwave therapy hurt?

Shockwave treatment for medial tibial stress syndrome (shin splints)

In simple terms shockwave treatment is at the least uncomfortable and in some cases can be painful. The nature of this technology requires the delivered shockwaves to create a focal tissue response to stimulate blood flow and cell reaction and to achieve this a level of discomfort is required. If you have received pain free shockwave treatment or been offered it as pain free it may be worth questioning if the intensity and quality of treatment provided is within the range required for therapeutic benefit.

Shockwave treatment generally takes only 3-5 minutes to deliver so most people are quite able to cope with the short duration of discomfort. Your therapist will work with you to adjust the treatment intensity so that optimal results can be achieved while managing any discomfort.

shock me! book now

Is there any reason I can’t have shockwave therapy?

In general terms shockwave therapy is very safe and causes minimal side effects. There are relatively few contraindications to the radial shockwave which we use here at Physio Effect.

Shockwave therapy is contraindicated if;  

  • You are pregnant

  • You are being treated for cancer

  • You have an infection or wound at the treatment site

  • You have had a steroid injection in the previous 6 weeks

Shockwave therapy for subacromial impingement syndrome

Shockwave therapy may not be appropriate, or used with caution if;  

  • You have metal pins, plates or prosthesis in the area requiring treatment

  • You have a blood clotting disorder

  • You are under 18

  • You are taking anticoagulant medication

  • You have had a serious tissue rupture at the injury site previously

  • Loss of sensation at the site of injury


If you are in any doubt about whether shockwave therapy is suitable for you then please contact us and we will be happy to guide you.


Seeking guidance or have questions? We Can Help.

Our experienced team at Physio Effect are specialists in the field and will be happy to answer any questions you might have about Shockwave Therapy. Click below to contact us.

Contact Us

Thank You

Thank you for taking the time to read this post, we sincerely hope that you find it useful. We appreciate all feedback so please take a moment and let us know what you think.

Read More

Shockwave therapy for calcific shoulder tendinopathy

Written by Daniel Wray (BSc Hons Physio/ PG Dip Sports Physio)

What is Shockwave Therapy?

Shockwave therapy is a non invasive, non surgical procedure used to treat a variety of injuries and painful conditions. It is often referred to as extracorporeal (outside of the body) shockwave therapy or ESWT.


Shockwave therapy for calcific shoulder tendinopathy (shoulder tendinitis)

Shockwaves are a type of acoustic wave which carry high energy to painful areas and tissues during various phases of injury helping to stimulate a tissue healing response.

The waves are created by compressed air which is then applied by the therapist onto the affected area via a handheld device.

Shockwave has recently been compared to ultrasound, however the two waveforms are very different. The energy produced via shockwave promotes regeneration and reparative processes of the bones, tendons and other soft tissues.

Shockwave therapy carries minimal risk and is a fast and effective treatment for many chronic painful conditions. The picture below descibres some of the mechanisms of action for shockwave therapy.


WHAT IS CALCIFIC SHOULDER TENDINOPATHY?

  • Calcific shoulder tendinopathy occurs when hydroxyapatite crystals deposit within the rotator cuff shoulder tendons. (Hydroxyapatite is an essential ingredient for normal bones and teeth. However sometimes unwanted crystals can form in or around joints and tendons causing inflammation in the surrounding structures.)

  • Symptoms include sudden or gradual pain in the shoulder and in severe cases range of movement in the shoulder may be significantly reduced. Pain can often be felt radiating down the back and front of the arm.

  • Symptoms can be similar or mimic those of shoulder impingement which may also be treated via shockwave therapy

  • Symptoms may be progressive over many months or even years


SHOCKWAVE THERAPY FOR CALCIFIC SHOULDER TENDINOPATHY

  • Shock waves are passed through the skin to the injured part of the shoulder using a special hand held probe.

  • The shock waves applied promote blood flow and stimulate stem cell activity in the tissue providing pain relief while increasing the healing response. The shock waves can also help to break up the crystal deposits

  • For optimal treatment outcomes shockwave therapy will be combined with a bespoke rehabilitation and strengthening plan based around an assessment of your unique needs and goals by our experienced Physiotherapists

Shockwave therapy for calcific shoulder tendinopathy (shoulder tendinitis)


What does a shockwave treatment session involve?

Shockwave therapy for tennis elbow (Lateral epicondylalgia)

Shockwave therapy requires no injections or surgery.

It is usually indicated when Physiotherapy alone does not improve specific symptoms which have persisted for at least 12 weeks.

The treatment is administered via a handheld device which is placed on the skin above the injured area. The shockwaves pass into the tissue in the form of low energy sound waves which pass into the injured area enhancing blood flow and stimulating a tissue healing response.

For optimal results shockwave treatment requires a course of 3-4 treatments delivered once every 7-10 days. The shockwave treatment itself takes only a few minutes. When you book Shockwave therapy at Physio Effect we will always assess you fully on an individual basis, listening carefully to your history and needs, so that we can formulate the best possible treatment plan.


Why choose the Swiss Dolorclast?

Swiss Dolorclast Smart 20 shockwave System

Not all shockwave treatments are equal so please be careful and research before committing to any treatment. Some companies may charge significant amounts for shockwave therapy yet deliver their treatment on cheap, untested and sub-standard machines. Cheap machines will be unable to produce the kind of pressures required to create a therapeutic treatment effect. At Physio Effect we do not compromise on quality and have therefore purchased the top of the range Swiss Dolorclast system to deliver our shockwave treatments.

Evo Blue Handheld Probe

The Swiss Dolorclast systems have been tried, tested and proven as effective systems for pain relief and injury recovery. On the Physiotherapy evidence Database 34 out of 62 randomised controlled trials listed used the Dolorclast shockwave systems, providing substantial high quality evidence of their efficacy.


Does shockwave therapy hurt?

Shockwave treatment for medial tibial stress syndrome (shin splints)

In simple terms shockwave treatment is at the least uncomfortable and in some cases can be painful. The nature of this technology requires the delivered shockwaves to create a focal tissue response to stimulate blood flow and cell reaction and to achieve this a level of discomfort is required. If you have received pain free shockwave treatment or been offered it as pain free it may be worth questioning if the intensity and quality of treatment provided is within the range required for therapeutic benefit.

Shockwave treatment generally takes only 3-5 minutes to deliver so most people are quite able to cope with the short duration of discomfort. Your therapist will work with you to adjust the treatment intensity so that optimal results can be achieved while managing any discomfort.


Is there any reason I can’t have shockwave therapy?

In general terms shockwave therapy is very safe and causes minimal side effects. There are relatively few contraindications to the radial shockwave which we use here at Physio Effect.

Shockwave therapy is contraindicated if;  

  • You are pregnant

  • You are being treated for cancer

  • You have an infection or wound at the treatment site

  • You have had a steroid injection in the previous 6 weeks

Shockwave therapy for subacromial impingement syndrome

Shockwave therapy may not be appropriate, or used with caution if;  

  • You have metal pins, plates or prosthesis in the area requiring treatment

  • You have a blood clotting disorder

  • You are under 18

  • You are taking anticoagulant medication

  • You have had a serious tissue rupture at the injury site previously

  • Loss of sensation at the site of injury


If you are in any doubt about whether shockwave therapy is suitable for you then please contact us and we will be happy to guide you.


Seeking guidance or have questions? We Can Help.

Our experienced team at Physio Effect are specialists in the field and will be happy to answer any questions you might have about Shockwave Therapy. Click below to contact us.

Contact Us

Ready to take decisive action and book shockwave therapy? Click below to Book Now!


Thank You

Thank you for taking the time to read this post, we sincerely hope that you find it useful. We appreciate all feedback so please take a moment and let us know what you think.

Read More

Shockwave therapy for Greater trochanteric pain syndrome

Written by Daniel Wray (BSc Hons Physio/ PG Dip Sports Physio)

What is Shockwave Therapy?

Shockwave therapy is a non invasive, non surgical procedure used to treat a variety of injuries and painful conditions. It is often referred to as extracorporeal (outside of the body) shockwave therapy or ESWT.


Shockwave therapy for Greater trochanteric pain syndrome (trochanteric bursitis)

Shockwaves are a type of acoustic wave which carry high energy to painful areas and tissues during various phases of injury helping to stimulate a tissue healing response.

The waves are created by compressed air which is then applied by the therapist onto the affected area via a handheld device.

Shockwave has recently been compared to ultrasound, however the two waveforms are very different. The energy produced via shockwave promotes regeneration and reparative processes of the bones, tendons and other soft tissues.

Shockwave therapy carries minimal risk and is a fast and effective treatment for many chronic painful conditions. The picture below descibres some of the mechanisms of action for shockwave therapy.


WHAT IS GREATER TROCHANTERIC PAIN SYNDROME?

  • Previously known as trochanteric bursitis. It is caused by degenerative changes that affect the tendon and bursa of the gluteal muscles.

  • Symptoms include pain on the outside of the thigh that is heightened with long periods of sitting, walking or general exercise. It can be painful to lie on the affected side.

  • Weakness and muscle imbalance around the hip may contribute to symptoms

  • Symptoms can be progressive over many months or even years


SHOCKWAVE THERAPY FOR GREATER TROCHANTERIC PAIN SYNDROME

  • Shock waves are passed through the skin to the injured part of the hip, using a special hand held probe.

  • The shock waves applied promote blood flow and stimulate stem cell activity in the tissue providing pain relief while increasing the healing response

  • For optimal treatment outcomes shockwave therapy will be combined with a bespoke rehabilitation and strengthening plan based around an assessment of your unique needs and goals by our experienced Physiotherapists

Shockwave therapy for Greater trochanteric pain syndrome (trochanteric bursitis)


What does a shockwave treatment session involve?

Shockwave therapy for tennis elbow (Lateral epicondylalgia)

Shockwave therapy requires no injections or surgery.

It is usually indicated when Physiotherapy alone does not improve specific symptoms which have persisted for at least 12 weeks.

The treatment is administered via a handheld device which is placed on the skin above the injured area. The shockwaves pass into the tissue in the form of low energy sound waves which pass into the injured area enhancing blood flow and stimulating a tissue healing response.

For optimal results shockwave treatment requires a course of 3-4 treatments delivered once every 7-10 days. The shockwave treatment itself takes only a few minutes. When you book Shockwave therapy at Physio Effect we will always assess you fully on an individual basis, listening carefully to your history and needs, so that we can formulate the best possible treatment plan.


Why choose the Swiss Dolorclast?

Swiss Dolorclast Smart 20 shockwave System

Not all shockwave treatments are equal so please be careful and research before committing to any treatment. Some companies may charge significant amounts for shockwave therapy yet deliver their treatment on cheap, untested and sub-standard machines. Cheap machines will be unable to produce the kind of pressures required to create a therapeutic treatment effect. At Physio Effect we do not compromise on quality and have therefore purchased the top of the range Swiss Dolorclast system to deliver our shockwave treatments.

Evo Blue Handheld Probe

The Swiss Dolorclast systems have been tried, tested and proven as effective systems for pain relief and injury recovery. On the Physiotherapy evidence Database 34 out of 62 randomised controlled trials listed used the Dolorclast shockwave systems, providing substantial high quality evidence of their efficacy.


Does shockwave therapy hurt?

Shockwave treatment for medial tibial stress syndrome (shin splints)

In simple terms shockwave treatment is at the least uncomfortable and in some cases can be painful. The nature of this technology requires the delivered shockwaves to create a focal tissue response to stimulate blood flow and cell reaction and to achieve this a level of discomfort is required. If you have received pain free shockwave treatment or been offered it as pain free it may be worth questioning if the intensity and quality of treatment provided is within the range required for therapeutic benefit.

Shockwave treatment generally takes only 3-5 minutes to deliver so most people are quite able to cope with the short duration of discomfort. Your therapist will work with you to adjust the treatment intensity so that optimal results can be achieved while managing any discomfort.


Is there any reason I can’t have shockwave therapy?

In general terms shockwave therapy is very safe and causes minimal side effects. There are relatively few contraindications to the radial shockwave which we use here at Physio Effect.

Shockwave therapy is contraindicated if;  

  • You are pregnant

  • You are being treated for cancer

  • You have an infection or wound at the treatment site

  • You have had a steroid injection in the previous 6 weeks

Shockwave therapy for subacromial impingement syndrome

Shockwave therapy may not be appropriate, or used with caution if;  

  • You have metal pins, plates or prosthesis in the area requiring treatment

  • You have a blood clotting disorder

  • You are under 18

  • You are taking anticoagulant medication

  • You have had a serious tissue rupture at the injury site previously

  • Loss of sensation at the site of injury


If you are in any doubt about whether shockwave therapy is suitable for you then please contact us and we will be happy to guide you.


Seeking guidance or have questions? We Can Help.

Our experienced team at Physio Effect are specialists in the field and will be happy to answer any questions you might have about Shockwave Therapy. Click below to contact us.

Contact Us

Ready to take decisive action and book shockwave therapy? Click below to Book Now!


Thank You

Thank you for taking the time to read this post, we sincerely hope that you find it useful. We appreciate all feedback so please take a moment and let us know what you think.

Read More

Shockwave therapy for Patellar tendinopathy (Jumper's knee)

Written by Daniel Wray (BSc Hons Physio/ PG Dip Sports Physio)

What is Shockwave Therapy?

Shockwave therapy is a non invasive, non surgical procedure used to treat a variety of injuries and painful conditions. It is often referred to as extracorporeal (outside of the body) shockwave therapy or ESWT.


Shockwave therapy for Patellar tendinopathy (Jumper’s knee)

Shockwaves are a type of acoustic wave which carry high energy to painful areas and tissues during various phases of injury helping to stimulate a tissue healing response.

The waves are created by compressed air which is then applied by the therapist onto the affected area via a handheld device.

Shockwave has recently been compared to ultrasound, however the two waveforms are very different. The energy produced via shockwave promotes regeneration and reparative processes of the bones, tendons and other soft tissues.

Shockwave therapy carries minimal risk and is a fast and effective treatment for many chronic painful conditions. The picture below descibres some of the mechanisms of action for shockwave therapy.


WHAT IS PATELLAR TENDINOPATHY?

  • Patellar tendinopathy is the breakdown of collagen within the patellar tendon. This is the tendon that connects your knee to your shin

  • Symptoms include pain just below the kneecap which may be tender to touch

  • Often referred to as jumper's knee as it frequently occurs in sports involving jumping such as basketball or netball.

  • It is typically an overuse condition where repetitive activity such as jumping and landing puts excessive pressure on the patellar tendon causing cumulative micro traumas which fail to heal fully

  • Long term degradation of the tendon can increase the risk of a rupture if not treated and corrected


SHOCKWAVE THERAPY FOR PATELLAR TENDINOPATHY

  • Shock waves are passed through the skin to the injured part of the knee, using a special hand held probe.

  • The shock waves applied promote blood flow and stimulate stem cell activity in the tissue providing pain relief while increasing the healing response

  • For optimal treatment outcomes shockwave therapy will be combined with a bespoke rehabilitation and strengthening plan based around an assessment of your unique needs and goals by our experienced Physiotherapists

Shockwave therapy for Patellar tendinopathy


What does a shockwave treatment session involve?

Shockwave therapy for tennis elbow (Lateral epicondylalgia)

Shockwave therapy requires no injections or surgery.

It is usually indicated when Physiotherapy alone does not improve specific symptoms which have persisted for at least 12 weeks.

The treatment is administered via a handheld device which is placed on the skin above the injured area. The shockwaves pass into the tissue in the form of low energy sound waves which pass into the injured area enhancing blood flow and stimulating a tissue healing response.

For optimal results shockwave treatment requires a course of 3-4 treatments delivered once every 7-10 days. The shockwave treatment itself takes only a few minutes. When you book Shockwave therapy at Physio Effect we will always assess you fully on an individual basis, listening carefully to your history and needs, so that we can formulate the best possible treatment plan.


Why choose the Swiss Dolorclast?

Swiss Dolorclast Smart 20 shockwave System

Not all shockwave treatments are equal so please be careful and research before committing to any treatment. Some companies may charge significant amounts for shockwave therapy yet deliver their treatment on cheap, untested and sub-standard machines. Cheap machines will be unable to produce the kind of pressures required to create a therapeutic treatment effect. At Physio Effect we do not compromise on quality and have therefore purchased the top of the range Swiss Dolorclast system to deliver our shockwave treatments.

Evo Blue Handheld Probe

The Swiss Dolorclast systems have been tried, tested and proven as effective systems for pain relief and injury recovery. On the Physiotherapy evidence Database 34 out of 62 randomised controlled trials listed used the Dolorclast shockwave systems, providing substantial high quality evidence of their efficacy.


Does shockwave therapy hurt?

Shockwave treatment for medial tibial stress syndrome (shin splints)

In simple terms shockwave treatment is at the least uncomfortable and in some cases can be painful. The nature of this technology requires the delivered shockwaves to create a focal tissue response to stimulate blood flow and cell reaction and to achieve this a level of discomfort is required. If you have received pain free shockwave treatment or been offered it as pain free it may be worth questioning if the intensity and quality of treatment provided is within the range required for therapeutic benefit.

Shockwave treatment generally takes only 3-5 minutes to deliver so most people are quite able to cope with the short duration of discomfort. Your therapist will work with you to adjust the treatment intensity so that optimal results can be achieved while managing any discomfort.


Is there any reason I can’t have shockwave therapy?

In general terms shockwave therapy is very safe and causes minimal side effects. There are relatively few contraindications to the radial shockwave which we use here at Physio Effect.

Shockwave therapy is contraindicated if;  

  • You are pregnant

  • You are being treated for cancer

  • You have an infection or wound at the treatment site

  • You have had a steroid injection in the previous 6 weeks

Shockwave therapy for subacromial impingement syndrome

Shockwave therapy may not be appropriate, or used with caution if;  

  • You have metal pins, plates or prosthesis in the area requiring treatment

  • You have a blood clotting disorder

  • You are under 18

  • You are taking anticoagulant medication

  • You have had a serious tissue rupture at the injury site previously

  • Loss of sensation at the site of injury


If you are in any doubt about whether shockwave therapy is suitable for you then please contact us and we will be happy to guide you.


Seeking guidance or have questions? We Can Help.

Our experienced team at Physio Effect are specialists in the field and will be happy to answer any questions you might have about Shockwave Therapy. Click below to contact us.

Contact Us

Ready to take decisive action and book shockwave therapy? Click below to Book Now!


Thank You

Thank you for taking the time to read this post, we sincerely hope that you find it useful. We appreciate all feedback so please take a moment and let us know what you think.

Read More

Shockwave therapy for Plantar fasciitis

Written by Daniel Wray (BSc Hons Physio/ PG Dip Sports Physio)

What is Shockwave Therapy?

Shockwave therapy is a non invasive, non surgical procedure used to treat a variety of injuries and painful conditions. It is often referred to as extracorporeal (outside of the body) shockwave therapy or ESWT.


Shockwave therapy for Plantar fasciitis

Shockwaves are a type of acoustic wave which carry high energy to painful areas and tissues during various phases of injury helping to stimulate a tissue healing response.

The waves are created by compressed air which is then applied by the therapist onto the affected area via a handheld device.

Shockwave has recently been compared to ultrasound, however the two waveforms are very different. The energy produced via shockwave promotes regeneration and reparative processes of the bones, tendons and other soft tissues.

Shockwave therapy carries minimal risk and is a fast and effective treatment for many chronic painful conditions. The picture below descibres some of the mechanisms of action for shockwave therapy.


WHAT IS PLANTAR FASCIITIS?

  • Plantar fasciitis is inflammation of the plantar fascia. Plantar fascia is a ligament that connects your heel to your forefoot. This acts as a shock absorber, supports the arches in your feet and helps assist with walking

  • Symptoms often include pain in the bottom of your heel and along the sole of your foot which is frequently worse first thing in the morning. Pain and disability can be progressive over many months or even years

  • It can be caused by numerous factors but is typically an overuse reaction where loads exceed the tissues ability to cope causing cumulative tissue stress and injury


SHOCKWAVE THERAPY FOR PLANTAR FASCIITIS

  • By using the shockwave machine, shockwaves are passed through the skin to the injured part of the foot

  • The shock waves applied promote blood flow and stimulate stem cell activity in the tissue providing pain relief while increasing the healing response

  • For optimal treatment outcomes shockwave therapy will be combined with a bespoke rehabilitation and strengthening plan based around an assessment of your unique needs and goals by our experienced Physiotherapists

  • Shockwave therapy is often advised to those who have not reacted well to frequent treatment methods including physiotherapy, RICE, steroid injection, and painkillers

Shockwave therapy for Plantar fasciitis


What does a shockwave treatment session involve?

Shockwave therapy for tennis elbow (Lateral epicondylalgia)

Shockwave therapy requires no injections or surgery.

It is usually indicated when Physiotherapy alone does not improve specific symptoms which have persisted for at least 12 weeks.

The treatment is administered via a handheld device which is placed on the skin above the injured area. The shockwaves pass into the tissue in the form of low energy sound waves which pass into the injured area enhancing blood flow and stimulating a tissue healing response.

For optimal results shockwave treatment requires a course of 3-4 treatments delivered once every 7-10 days. The shockwave treatment itself takes only a few minutes. When you book Shockwave therapy at Physio Effect we will always assess you fully on an individual basis, listening carefully to your history and needs, so that we can formulate the best possible treatment plan.


Why choose the Swiss Dolorclast?

Swiss Dolorclast Smart 20 shockwave System

Not all shockwave treatments are equal so please be careful and research before committing to any treatment. Some companies may charge significant amounts for shockwave therapy yet deliver their treatment on cheap, untested and sub-standard machines. Cheap machines will be unable to produce the kind of pressures required to create a therapeutic treatment effect. At Physio Effect we do not compromise on quality and have therefore purchased the top of the range Swiss Dolorclast system to deliver our shockwave treatments.

Evo Blue Handheld Probe

The Swiss Dolorclast systems have been tried, tested and proven as effective systems for pain relief and injury recovery. On the Physiotherapy evidence Database 34 out of 62 randomised controlled trials listed used the Dolorclast shockwave systems, providing substantial high quality evidence of their efficacy.


Does shockwave therapy hurt?

Shockwave treatment for medial tibial stress syndrome (shin splints)

In simple terms shockwave treatment is at the least uncomfortable and in some cases can be painful. The nature of this technology requires the delivered shockwaves to create a focal tissue response to stimulate blood flow and cell reaction and to achieve this a level of discomfort is required. If you have received pain free shockwave treatment or been offered it as pain free it may be worth questioning if the intensity and quality of treatment provided is within the range required for therapeutic benefit.

Shockwave treatment generally takes only 3-5 minutes to deliver so most people are quite able to cope with the short duration of discomfort. Your therapist will work with you to adjust the treatment intensity so that optimal results can be achieved while managing any discomfort.


Is there any reason I can’t have shockwave therapy?

In general terms shockwave therapy is very safe and causes minimal side effects. There are relatively few contraindications to the radial shockwave which we use here at Physio Effect.

Shockwave therapy is contraindicated if;  

  • You are pregnant

  • You are being treated for cancer

  • You have an infection or wound at the treatment site

  • You have had a steroid injection in the previous 6 weeks

Shockwave therapy for subacromial impingement syndrome

Shockwave therapy may not be appropriate, or used with caution if;  

  • You have metal pins, plates or prosthesis in the area requiring treatment

  • You have a blood clotting disorder

  • You are under 18

  • You are taking anticoagulant medication

  • You have had a serious tissue rupture at the injury site previously

  • Loss of sensation at the site of injury


If you are in any doubt about whether shockwave therapy is suitable for you then please contact us and we will be happy to guide you.


Seeking guidance or have questions? We Can Help.

Our experienced team at Physio Effect are specialists in the field and will be happy to answer any questions you might have about Shockwave Therapy. Click below to contact us.

Contact Us

Ready to take decisive action and book shockwave therapy? Click below to Book Now!


Thank You

Thank you for taking the time to read this post, we sincerely hope that you find it useful. We appreciate all feedback so please take a moment and let us know what you think.

Read More

Shockwave therapy for Achilles tendinopathy

Written by Daniel Wray (BSc Hons Physio/ PG Dip Sports Physio)

What is Shockwave Therapy?

Shockwave therapy is a non invasive, non surgical procedure used to treat a variety of injuries and painful conditions. It is often referred to as extracorporeal (outside of the body) shockwave therapy or ESWT.


Shockwave therapy for Achilles tendinopathy

Shockwaves are a type of acoustic wave which carry high energy to painful areas and tissues during various phases of injury helping to stimulate a tissue healing response.

The waves are created by compressed air which is then applied by the therapist onto the affected area via a handheld device.

Shockwave has recently been compared to ultrasound, however the two waveforms are very different. The energy produced via shockwave promotes regeneration and reparative processes of the bones, tendons and other soft tissues.

Shockwave therapy carries minimal risk and is a fast and effective treatment for many chronic painful conditions. The picture below descibres some of the mechanisms of action for shockwave therapy.


WHAT IS ACHILLES TENDINOPATHY?

  • Achilles tendinopathy is the breakdown of collagen within the Achilles tendon. This is the tendon that connects the calf muscle to your heel bone

  • Symptoms include pain and stiffness in the Achilles at the heel bone or in the tendon just above. Early morning stiffness is typical and symptoms can be progressive over many months or even years

  • It is typically an overuse condition where repetitive activity such as running or jumping and landing puts excessive pressure on the tendon causing cumulative micro traumas which fail to heal fully due in part to the poor blood supply to tendon areas

  • Long term degradation of the tendon can increase the risk of a rupture if not treated and corrected


Shockwave Therapy For Achilles tendinopathy

  • Shock waves are passed through the skin to the injured part of the tendon, using a special hand held probe.

  • The shock waves applied promote blood flow and stimulate stem cell activity in the tissue providing pain relief while increasing the healing response

  • For optimal treatment outcomes shockwave therapy will be combined with a bespoke rehabilitation and strengthening plan based around an assessment of your unique needs and goals by our experienced Physiotherapists

Shockwave therapy for Achilles tendinopathy


What does a shockwave treatment session involve?

Shockwave therapy requires no injections or surgery.

Shockwave therapy for tennis elbow (Lateral epicondylalgia)

It is usually indicated when Physiotherapy alone does not improve specific symptoms which have persisted for at least 12 weeks.

The treatment is administered via a handheld device which is placed on the skin above the injured area. The shockwaves pass into the tissue in the form of low energy sound waves which pass into the injured area enhancing blood flow and stimulating a tissue healing response.

For optimal results shockwave treatment requires a course of 3-4 treatments delivered once every 7-10 days. The shockwave treatment itself takes only a few minutes. When you book Shockwave therapy at Physio Effect we will always assess you fully on an individual basis, listening carefully to your history and needs, so that we can formulate the best possible treatment plan.


Why choose the Swiss Dolorclast?

Swiss Dolorclast Smart 20 shockwave System

Not all shockwave treatments are equal so please be careful and research before committing to any treatment. Some companies may charge significant amounts for shockwave therapy yet deliver their treatment on cheap, untested and sub-standard machines. Cheap machines will be unable to produce the kind of pressures required to create a therapeutic treatment effect. At Physio Effect we do not compromise on quality and have therefore purchased the top of the range Swiss Dolorclast system to deliver our shockwave treatments.

Evo Blue Handheld Probe

The Swiss Dolorclast systems have been tried, tested and proven as effective systems for pain relief and injury recovery. On the Physiotherapy evidence Database 34 out of 62 randomised controlled trials listed used the Dolorclast shockwave systems, providing substantial high quality evidence of their efficacy.


Does shockwave therapy hurt?

Shockwave treatment for medial tibial stress syndrome (shin splints)

In simple terms shockwave treatment is at the least uncomfortable and in some cases can be painful. The nature of this technology requires the delivered shockwaves to create a focal tissue response to stimulate blood flow and cell reaction and to achieve this a level of discomfort is required. If you have received pain free shockwave treatment or been offered it as pain free it may be worth questioning if the intensity and quality of treatment provided is within the range required for therapeutic benefit.

Shockwave treatment generally takes only 3-5 minutes to deliver so most people are quite able to cope with the short duration of discomfort. Your therapist will work with you to adjust the treatment intensity so that optimal results can be achieved while managing any discomfort.


Is there any reason I can’t have shockwave therapy?

In general terms shockwave therapy is very safe and causes minimal side effects. There are relatively few contraindications to the radial shockwave which we use here at Physio Effect.

Shockwave therapy is contraindicated if;  

  • You are pregnant

  • You are being treated for cancer

  • You have an infection or wound at the treatment site

  • You have had a steroid injection in the previous 6 weeks

Shockwave therapy for subacromial impingement syndrome

Shockwave therapy may not be appropriate, or used with caution if;  

  • You have metal pins, plates or prosthesis in the area requiring treatment

  • You have a blood clotting disorder

  • You are under 18

  • You are taking anticoagulant medication

  • You have had a serious tissue rupture at the injury site previously

  • Loss of sensation at the site of injury


If you are in any doubt about whether shockwave therapy is suitable for you then please contact us and we will be happy to guide you.


Seeking guidance or have questions? We Can Help.

Our experienced team at Physio Effect are specialists in the field and will be happy to answer any questions you might have about Shockwave Therapy. Click below to contact us.

Contact Us

Ready to take decisive action and book shockwave therapy? Click below to Book Now!


Thank You

Thank you for taking the time to read this post, we sincerely hope that you find it useful. We appreciate all feedback so please take a moment and let us know what you think.

Read More

What is Shockwave therapy?

Written by Daniel Wray (BSc Hons Physio/ PG Dip Sports Physio)

What is Shockwave Therapy?

Shockwave therapy is a non invasive, non surgical procedure used to treat a variety of injuries and painful conditions. It is often referred to as extracorporeal (outside of the body) shockwave therapy or ESWT.


Shockwave therapy for greater trochanteric pain syndrome

Shockwaves are a type of acoustic wave which carry high energy to painful areas and tissues during various phases of injury helping to stimulate a tissue healing response.

The waves are created by compressed air which is then applied by the therapist onto the affected area via a handheld device.

Shockwave has recently been compared to ultrasound, however the two waveforms are very different. The energy produced via shockwave promotes regeneration and reparative processes of the bones, tendons and other soft tissues.

Shockwave therapy carries minimal risk and is a fast and effective treatment for many chronic painful conditions. The picture below descibres some of the mechanisms of action for shockwave therapy.

Shockwave therapy mechanisms of action

What can shockwave therapy treat?

Mid-portion Achilles tendinopathy4.png

Shockwave treatment for Achilles tendinopathy

Shockwave therapy has been shown to successfully treat a variety of different musculoskeletal and soft tissue injuries.

This ranges from calcific tendinitis of the shoulder to plantar fasciitis of the foot.

The main aims are fast pain relief and optimal restoration of any dysfunction (stiffness / weakness etc) caused by your injury.

Shockwave therapy has been shown to be particularly effective in treating tendinopathies and when combined with expert Physiotherapy advice and rehabilitation the outcomes are excellent.

Shockwave therapy can treat chronic tendon pathologies including:

Shockwave therapy for plantar fasciitis

Shockwave therapy for Osgood Schlatter disease

Shockwave therapy can also help treat some bone pathologies including:


What does a shockwave treatment session involve?

Shockwave therapy for tennis elbow (Lateral epicondylalgia)

Shockwave therapy requires no injections or surgery.

It is usually indicated when Physiotherapy alone does not improve specific symptoms which have persisted for at least 12 weeks.

The treatment is administered via a handheld device which is placed on the skin above the injured area. The shockwaves pass into the tissue in the form of low energy sound waves which pass into the injured area enhancing blood flow and stimulating a tissue healing response.

For optimal results shockwave treatment requires a course of 3-4 treatments delivered once every 7-10 days. The shockwave treatment itself takes only a few minutes. When you book Shockwave therapy at Physio Effect we will always assess you fully on an individual basis, listening carefully to your history and needs, so that we can formulate the best possible treatment plan.


Why choose the Swiss Dolorclast?

Lunge with arm and spine rotation

Swiss Dolorclast Smart 20 shockwave System

Not all shockwave treatments are equal so please be careful and research before committing to any treatment. Some companies may charge significant amounts for shockwave therapy yet deliver their treatment on cheap, untested and sub-standard machines. Cheap machines will be unable to produce the kind of pressures required to create a therapeutic treatment effect. At Physio Effect we do not compromise on quality and have therefore purchased the top of the range Swiss Dolorclast system to deliver our shockwave treatments.

Swiss_DolorClast_EVO_BLUE_handpiece_15Focus_Side.jpg

Evo Blue Handheld Probe

The Swiss Dolorclast systems have been tried, tested and proven as effective systems for pain relief and injury recovery. On the Physiotherapy evidence Database 34 out of 62 randomised controlled trials listed used the Dolorclast shockwave systems, providing substantial high quality evidence of their efficacy.


Does shockwave therapy hurt?

Medial tibial stress syndrome4.png

Shockwave treatment for medial tibial stress syndrome (shin splints)

In simple terms shockwave treatment is at the least uncomfortable and in some cases can be painful. The nature of this technology requires the delivered shockwaves to create a focal tissue response to stimulate blood flow and cell reaction and to achieve this a level of discomfort is required. If you have received pain free shockwave treatment or been offered it as pain free it may be worth questioning if the intensity and quality of treatment provided is within the range required for therapeutic benefit.

Shockwave treatment generally takes only 3-5 minutes to deliver so most people are quite able to cope with the short duration of discomfort. Your therapist will work with you to adjust the treatment intensity so that optimal results can be achieved while managing any discomfort.


Is there any reason I can’t have shockwave therapy?

In general terms shockwave therapy is very safe and causes minimal side effects. There are relatively few contraindications to the radial shockwave which we use here at Physio Effect.

ESWT is contraindicated if;  

  • You are pregnant

  • You are being treated for cancer

  • You have an infection or wound at the treatment site

  • You have had a steroid injection in the previous 6 weeks

Shockwave therapy for subacromial impingement syndrome

ESWT may not be appropriate, or used with caution if;  

  • You have metal pins, plates or prosthesis in the area requiring treatment

  • You have a blood clotting disorder

  • You are under 18

  • You are taking anticoagulant medication

  • You have had a serious tissue rupture at the injury site previously

  • Loss of sensation at the site of injury


If you are in any doubt about whether shockwave therapy is suitable for you then please contact us and we will be happy to guide you.


Seeking guidance or have questions? We Can Help.

Our experienced team at Physio Effect are specialists in the field and will be happy to answer any questions you might have about Shockwave Therapy. Click below to contact us.

Contact Us

Ready to take decisive action and book shockwave therapy? Click below to Book Now!


Thank You

Thank you for taking the time to read this post, we sincerely hope that you find it useful. We appreciate all feedback so please take a moment and let us know what you think.

Read More