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Tewkesbury’s local experts in clinical chiropractic & remedial massage.

Call today on 01684 291 261 to arrange a free chat with Aidan (our chiropractor).
We'll let you know if we can help you, and if we can't, who can.

NB: This is a blog of our personal opinions, and is provided as a brief overview of things we think you might find interesting.

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  • Acute Care 07 March 2020 | Comments (0)

    Protect, Optimal Load, Ice, Compression, ElevationLet’s take a look at acute care. Please note that acute means very recent, it does not comment on severity. In this case, we’re talking about the first 3 days after injury, and that isn’t severe enough to justify A&E (or if they release you with nothing too much to worry about). If your problem is not improving after 3-4 days, then it may be time to seek a diagnosis with more specific advice and care.
     
    The best, and most important piece of general advice (after first aid) is POLICE:
    PROTECT – This may be a splint, or a brace; or it may be the application of common sense; basically, avoid aggravating factors; surprisingly enough, they can aggravate things.
    OPTIMAL LOADING – Movement is essential to allow full perfusion of oxygen and nutrients (and white blood cells and serum), Ice and Compressionallow the body to actively heal itself, and minimise scar formation; this also means not to be afraid to use the injured area – let the pain guide you here; just don’t over-load things either. NB: We used to call this “Rest”, but too many people took us too literally, and assumed it meant bed rest.
    ICE – Real ice is better than fake cold from gels and sprays; but often less convenient. Always wrap your ice pack in a thin layer of dry material; this prevents you getting an ice burn. For the first day or so use it in bursts of <5 minutes, repeating every 20-30 minutes. After that, use bursts of 10-15 minutes, repeating every 60-90 minutes.
    COMPRESSION – Has a dual effect, it minimizes excessive oedema, by not allowing it room to expand, and provides an element of support to a joint, allowing the ligaments more rest. Don’t wear strapping for more than a few days without seeking further advice Acute Injury(unless it’s bandaging for an open wound, or a broken bone, obviously).
    ELEVATION – Helps drain oedema, blood and lymph from the area, basically, try to keep the injured area higher than the heart so it can drain – obviously, easier with limbs than torso injuries; don’t use for more than a couple of days.
     
    #POLICE #AcuteCare #NewInjury #SportsInjury #Tewkesbury
     
    You can find out more here:
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    Concussion 04 March 2020 | Comments (0)

    Signs and Symptoms of ConcussionLet’s take a look at concussion, AKA mild Traumatic Brain Injury (mTBI).

    The brain is made of soft tissue, which is cushioned by spinal fluid and encased in the protective shell of the skull. When you sustain a concussion, the impact can shake your brain, literally causing it to move around, impacting the inside of your skull. The trauma is suffered by the brain itself, and can be suffered without direct trauma to the head.
    Blows to the head that involve an element of traction to the neck, rotation of the head, or setting up a whiplash-type movement are those most likely to result in concussion.

    Recognise And Remove As concussion is an injury sustained inside the skull, padding the outside of the skull (eg a scrum cap) provides no protection from concussion – no more so than padding the back of a cricket bat makes the front any less solid. It is worth noting that you can lose consciousness without suffering concussion, and can suffer concussion without losing consciousness. It is also worth noting that the victim is often the least reliable person to say if a loss of consciousness occurred. Loss of consciousness itself is considered to mean concussion until proven otherwise, but is far from the only sign to look out for.

    MRI scan of concussed brainThe principal concern with concussion isn’t so much for the concussion itself, but for potential complications; such as Post-Concussion Syndrome, Second-Impact Syndrome, Chronic Traumatic Encephalopathy or Traumatic Brain Injury (that isn’t mild).
    The most immediately concerning is Second-Impact Syndrome – a second concussion suffered before the first has completely recovered. This is the reason that any sportsperson MUST be removed from the field immediately and until Return To Play Protocols have been completed if there is even a suspicion of concussion.

    #Concussion #HeadInjury #mTBI #HeadKnock #RecogniseAndRemove #Tewkesbury

    You can find out more here:
    www.sportsinjuryclinic.net/sport-injuries/head-injuries/concussion
    www.physio-pedia.com/Concussion
    www.englandrugby.com/my-rugby/players/player-health/concussion-headcase
    www.nhs.uk/Conditions/Concussion/Pages/Introduction.aspx

    www.youtu.be/f9wlnb5GQUY

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    Tissue Healing 28 February 2020 | Comments (0)

    Tissue Healing TimesLet’s take a look at your healing process.

     

    The following applies to any injury, and is just the body’s way of dealing with (physical) injury.

    After an injury occurs, you go through 3-4 phases of healing.

     

    1. Bleeding, or clotting; typically lasting hours, can be days.

    In this phase, blood vessels close down to minimise blood loss, and if necessary, close off an open wound to prevent infection from entering. Obviously, not all injuries involve bleeding or bruising

    Phases of Tissue Healing2. Acute, or inflammatory phase; typically lasting 2-4 days, can be up to a week.

    This is a perfectly normal phase of healing, that all tissue must go through in order to heal. However, we want this phase to be as effective and efficient as possible; the more efficient this phase is, the more effective the rest of the healing process can be. This phase is characterised by increased blood supply to the site of the injury, to provide more of the building blocks necessary for tissue healing. However inflammation is also an irritant, so this can be the most painful phase.

    3. Proliferation or scar formation; this phase overlaps with the inflammatory phase, and typically lasts 6-8 weeks.

    How Long Does It Take To Heal?This phase is characterised by scar formation, closing any wound in the damaged tissue (skin, ligament, tendon, muscle etc) with new collagen laid down fairly haphazardly forming scaffolding for the repair tissue to come; new blood vessels forming; and the wound itself contracting.

    4. Remodelling, or maturation; again, this phase overlaps with the previous, but typically lasts months to years.

    This phase is categorised by the scar tissue shrinking, and reorganising along the lines of stress (eg.  along the line of pull for a muscle or tendon), mimicking the damaged tissue and becoming stronger. If completed successfully, any residual scarring may well be microscopic in nature, making no difference to the strength of the material.Phases of Tissue Healing

     

    #WoundHealing #HealingProcess #NormalHealing #Tewkesbury

     

    You can find out more here:
    www.physio-pedia.com/Soft_Tissue_Healing
    www.chiro-trust.org/whiplash/healing-injured-soft-tissues-including-neck-back

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    ITBLet’s take a look at iliotibial band syndrome (ITBS). AKA ITB friction syndrome

     

    People who participate in intense physical training, such as runners, cyclists, and military recruits, are most susceptible to ITBS. They may notice a sharp pain that comes and goes at the outside of the knee. Over time, the pain may become more pronounced.

     

    The iliotibial band is a wide strip of fibrous tissue that extends down the outside of the upper leg. It begins at the top of the pelvis, at a bony prominence called the iliac crest, and travels down the outside of the thigh, continuing over the outside of the knee joint. The bottom of the IT band attaches to the top of the tibia (shinbone). One of its functions is to help stabilize the knee joint.

    Taping for ITB

    The IT band may rub uncomfortably against the bony bump on the outside of the femur at the knee. It may also compresses other soft tissue near the knee joint, such as a bursa or fat deposits near the knee, causing painful irritation. Either of these actions may result in the IT band itself becomes inflamed or otherwise injured.

    Pain is usually felt at the outside of the knee; but can also come up the thigh, or into the side of the pelvis. When mild ITBS may only feel knee pain at the middle or end of a workout, but as the condition progresses, you may feel pain while simply walking or going down a set of stairs.

    ITB Foam Roller

    #ITB #ITBS #TPT #SportsMassage #RunnersKnee #Tewkesbury

     

    You can find out more here:
    www.physio-pedia.com/Iliotibial_Band_Syndrome
    www.sportsinjuryclinic.net/sport-injuries/knee-pain/iliotibial-band-syndrome

     

    At Back In Action we also offer free chats. This will take about 10-15 minutes where we can talk in general terms about your condition, and see if we can point you in the right direction for treatment. Whether that is with ourselves, someone else, or on your own at home. Call today to schedule your no obligation free chat.

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    Facet Syndrome 15 February 2020 | Comments (0)

    Lumbar Facet SyndromeLet’s take a look at facet syndrome.

    Facet syndrome is the irritation of the structures that form the facet joints – the small joints in the spine, which control movement. These can be irritated by pinching or stretching of the capsular ligaments which surround the joint, as a result of repeated micro-trauma, or as a result of local inflammation. Facet syndrome classically includes pain referred away from the location of the injury, which may follow typically pain referral patterns. Pain at the site of the facet is often a local, sharp or pinching sensation, whilst the referred pain is often duller, more achey and more diffuse. Stiffness or locking of the affected joint is a common sign, and the surrounding muscles may tense up, Spinal Segmentsor even go into spasm, to protect the damaged joint. Both the original locking, and the resultant muscle spasm can result in very painful, or outright limited motion in a certain movement; and may even experience antalgia – that is, a posture or gait designed to hold a less painful position, such as leaning the body to the side; or keeping the neck flexed.

    Facet syndrome has a nasty habit of becoming a recurring problem for the individual sufferer, sometimes lasting hours, sometimes days, sometimes weeks; but often coming back. Regular exercise, and manual therapy seem to work best at reducing these recurrences.

    Facet Joint Referral Patterns#ReferredPain #Chiropractor #Massage #Tewkesbury

    You can find out more here:
    www.physio-pedia.com/Facet_Joint_Syndrome
    www.chiro-trust.org/back-pain/what-is-facet-syndrome

    At Back In Action we also offer free chats. This will take about 10-15 minutes where we can talk in general terms about your condition, and see if we can point you in the right direction for treatment. Whether that is with ourselves, someone else, or on your own at home. Call today to schedule your no obligation free chat.

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    Neck MRI ScanLet’s take a look at cervical radiculopathy.

    Cervical radiculopathy is a disease process marked by nerve compression, typically from herniated disc material or arthritic bone spurs in the neck. Cervical radiculopathy symptoms typically include pain, weakness, or numbness in the areas served by the affected nerve. Pain can be felt in one area only, like the shoulder, or progress along the entire arm and into the hand and fingers - in the same way that knocking your “funny bone” causes symptoms at the site, and further along the length of the ulnar nerve.

    The type of pain also can vary, with some patients describing a dull, general pain. However, others describe the pain as severe burning, sharp, or knife-like. Radicular PainPatients may feel pins-and-needles tingling, which can also be accompanied by numbness. Experiencing numbness or weakness in the hand can also affect the ability to grip or lift objects, as well as to perform other daily tasks such as writing, typing, or getting dressed.

    Certain neck movements, such as bending the neck back, side to side, or rotating it, may increase the pain. Some patients report that pain decreases when they place a hand behind their head; the movement may be relieving the pressure and traction on the nerve root, which in turn lessens their symptoms.
    Cervical Disc HerniationCervical radiculopathy is not the only condition that can present like this; with other nerve entrapment sites such as carpal tunnel syndrome, or thoracic outlet syndrome potentially sounding very similar when summarised.

    #NeckPain #Disc #Arthritis #Tewkesbury

    You can find out more here:
    www.physio-pedia.com/Cervical_Radiculopathy
    www.webmd.com/pain-management/features/neck-pain#1

    At Back In Action we also offer free chats. This will take about 10-15 minutes where we can talk in general terms about your condition, and see if we can point you in the right direction for treatment. Whether that is with ourselves, someone else, or on your own at home. Call today to schedule your no obligation free chat.

    Read more ›