An introduction from Raph Rinaldi


An introduction from Raph Rinaldi

Raph joined Physio Remedies as a specialist spinal physiotherapist in January and we've asked him to introduce himself in the following blog post. Here he talks about knowing how you, as a patient, feel, hints at his ongoing work with the British Bobsleigh team and mentions his favourite sports.

I've been where you are

As a valued patient of Physio Remedies, I thought it would be useful to talk about a few experiences that made me understand how most of you may feel when not in great shape.

I suffered a few recurrent episodes of low back pain a few years ago. It all started with a mild niggle after a walk.

I ignored it at first and kept being active and working. I took a few tablets and kept going, firmly thinking that knowing a bit about low back pain would grant myself exemption from doing the things I was preaching everyday.

In less than a week I was crippled with pain and unable to do simple things without spending a great deal of energy to focus, feeling exhausted at the end of the day. Most worryingly, I felt embarrassed to experience low back pain whilst I was taking care of fellow sufferers. The best move I made then was to seek help from my colleagues at work; having an external eye made me realise what was wrong with me and get a disciplined, simple approach to manage it.

Londoner = high performance sportsperson!

The second point I learned over the years is that being a Londoner is for performers! The total amount of mental, physical and emotional load stemming from commuting, working, lunch breaks, social life, home and family is very similar to the multi-dimension stress affecting athletes travelling and competing around the world.

I had the opportunity to work full time in high performance sports, most recently with the British Bobsleigh Team.

We lived six months per year out of our briefcase, soldiering winter weather, crammed into a car or a van for hours, often straight after racing, trying to sort out food and battling cold bedrooms.

Commuting with the British Bobsleigh team!

Commuting with the British Bobsleigh team!

In a way, I felt there is not much difference for a Londoner to rush back on a train straight after performing for your best presentation or task at work in an adrenaline-fuelled meeting. For that reason the amount of mental fatigue sometimes prevails, making you focussing on essential, urgent tasks without adopting regeneration or decompression days.

Do simple things that you enjoy

Raph inline skating!

Raph inline skating!

I have been a high-performance race walker and cross country skier in my younger days. The benefits vastly outweigh the costs. It’s very low tech and gives the opportunity to recharge mentally and physically.

Due to chronic paucity of snow in London, I love use inline skates with cross country poles. It’s a fantastic way to exercise your core with very low risk of falling – the poles help you to balance.

The only thing to aware of is the myriads of tourists taking shots as you are passing by in Hyde Park. There are suitable courses of roller-skiing or roller skating in Hyde Park and Richmond Park but I will be always happy to go for a session in either!

Raph is currently supporting the GB Bobsleigh team at the World Cups and World Championships until the 11th of March but if you’d like to make an appointment to see him when he returns, please do call us on 02030 12 12 22.

Words and images by Raph Rinaldi.

Injury of the month: Musicians' Injuries


Injury of the month: Musicians' Injuries

Physio Remedies' Physio Stuart Mailer has worked with world famous bands from the UK and the USA and been on tour with them, so we asked him to talk about injuries suffered by musicians and how to prevent and treat them.

For many musicians injuries can be hugely debilitating and, like any professional athlete, this can cause significant problems when performing.

Musicians can suffer from a range of injuries depending on their instrument of choice. For example, a violinist may suffer from a rotator cuff impingement or cervical pain. A bass player may suffer from elbow dysfunctions or injuries. Even being highly skilled and trained does not mean that the musician is void of injury.

Injuries can occur from trauma or overuse such as increased volume of loading/playing or changing instrument. For example the different action of a guitar or fret width or even changing the seating position on the piano can affect tissue loading .

Drummers go through constantly high loads when performing. For example, in a 60 min performance there may be 5,000 impacts on the bass peddle, their heart rate may be sitting at 75%  or averaging at 140-160bpm - similar to having a long run. This is same as many elite athletes experience. Further to this there is also a high amount of load on their lower back, neck and forearms.

It is not uncommon for drummers to suffer from low back problems such as discogenic injuries or cervical problems. These can be treated and managed well by adapting sitting position or technique and drum kit set up. Also undergoing specific exercises and injury prevention prehab can help reduce the likelihood of injury.

If you play an instrument and suffer from injury it is certainly advisable you see a Physiotherapist to assess and check your biomechanics and playing position to help in assisting your recovery or intervention.

If you'd like an appointment with Stuart or any of our other Physios, please call us on 020 30 12 12 22.


Words by Stuart Mailer.

Physio Remedies: Our Specialisms

Physio Remedies: Our Specialisms

Physio Remedies is a Centre of Excellence for Physiotherapy, providing a Consultant-level service with direct links to surgeons and consultants.

Just like surgeons and consultants, our physiotherapists are specialists in their own areas and they work to mirror, consolidate and support the work carried out by orthopaedic surgeons to help you get back on your feet as quickly as possible.