Getting Back To The Gym!

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Getting Back To The Gym

Gyms are open! Time to get back in! I was on a roll before, time to pick it up again! All this walking and jogging over lockdown has kept me in shape so I'll be fine!


Just Be Careful

Easy there Tiger, just be careful. Whether it has been 4 months or 13 months since you last stepped through the gym doors, if you've been spending each day walking or jogging to stay in shape then your body will have adapted to that and away from what it was able to do before. You may feel like you'll be able to get back to your previous level of bench press quickly but if you've not done much upper body work in that time, you will have lost a bit of what you had.


Keep On Walking!

There is also no need to stop what you have been doing as well. Don’t lose those gains made by just stopping. Whilst there may be time constraints that could limit how much you are able to devote to some of these activities, if your body has become adapted to 60 minutes of steady lower limb work, it may not have the capacity to comfortably allow compressing that into 30 minutes of higher intensity work. It may require some reorganisation in your day but much of this good work you have been doing can be continued.


Return Steadily

This is not to say don't go back to the gym. There has been a lot of sensible advice around taking things steadily on your return which is worth heeding. It is better to feel a little frustrated that you could have done a little more whilst building your work back up during your first 3 or 4 sessions back than to go back too hard too soon and injure yourself meaning more significant change to your gym program.

And Enjoy It!

As always the key thing is to enjoy your exercise time. Any type of change within an exercise program carries an element of risk, the size of that risk is consistent with the size and volume of change within that program. There is no need to fear that change so long as it is steady and progressive rather than a great leap in one direction or other.


Have fun!


If you have any persistent niggles, aches or pains don't soldier on in silence making them worse. Get in touch with us if you need us.

Words by Paul Martin.




Top Tips On Starting Or Getting Back To Cycling

woman on bike

Top Tips On Starting Or Getting Back To Cycling

If you’re thinking about starting cycling or getting back to cycling, give it a go! It’s low impact and a fantastic cardiovascular cross training option which complements running and other sports very well. You can travel far and wide, local coronavirus restrictions permitting, under your own steam which is very satisfying.

Our NoviceRunnerNik, who appears to have acquired a cycling addiction over the last few years to add to her running addiction, has drawn on her own recent experiences of getting back to cycling and written up her top 10 tips:

Like many people I’ve ridden a bike from a young age (with stabilisers) on and off for years (without the stabilisers) and I’m into cycling in a big way at the moment so I thought I’d share my top tips for getting into it or back to it:

 

Getting back to it or getting started:

1.      If you didn’t do a Cycling Proficiency course or similar at school and / or are nervous of how to cycle, you can take online cycling Bikeability courses and watch videos, which may help with your knowledge and confidence.

2.      Read the current Highway Code so that you know your responsibilities as a cyclist and those of the vehicles sharing the road with you.

3.      Check your bike’s tyres are in good condition and inflated to the pressure shown on the tyre, that its gears are working correctly and that the saddle and handlebars are adjusted to suit your body geometry. If it doubt have it serviced.

4.      Start slowly with shorter distances and build up your mileage gradually.

5.      Be safe and visible. Wear a cycling helmet for all your rides and wear a high vis top and use bike lights, front and back, even in daylight. I’ve found that drivers are generally better behaved when I have lights switched on, on my bike.

6.      Ride with confidence – you have just as much right to be on the road as the other vehicles do – and look ahead for hazards such as potholes and slow traffic so you can avoid sudden changes of direction.

7.      Don’t let hills put you off. Walk them if you need to.  No one cares! And they are good for you!

8.      If you like using a sports tracker such as Strava, use one to record your rides. You can also check out other people’s routes and see how your fitness improves over time.

9.      Follow any local Covid-19 local restrictions when you ride your bike (it goes without saying really) and remember to give pedestrians next to or in the road a wide berth.

10.  Make it fun so that you keep doing it. Stop to admire the views, take photos, drink coffee and eat cake and enjoy it!

Also check out our other cycling blog posts for more tips and inspiration to ride.

Next time: upping your cycling distance and becoming properly addicted to riding!

Words by NoviceRunnerNik.




Getting Back To Training!

woman getting ready for training

Getting Back To It!

It's starting to get lighter in the mornings and it's getting darker later. Is it feeling a little warmer, or is it too early to say? Has dry January only taken things so far and you know you need to get back to your previous exercise routine? You might even have some races or events pencilled into your diary for this year (fingers crossed!). If it's been a while since you've been able to do what you want to do, before you strap on your Dunlop Green Flash and head out for a 20 miler as you last did in October, a little bit of planning can help avoid injuries getting in the way of your return to previous levels.


What are you aiming to do?

Are you a runner that hasn't run for 4 months? A cyclist who last saw their bike in the shed before a pile of boxes got in the way? If the usual process to return to your exercise has been disrupted, try to think about what the demands of exercise on your body will be. Problems tend to arise when the body is unable to tolerate the load applied to it, either repeatedly or over a few episodes. If you have not been able to do what you wanted to, your body may have lost some of its tolerance to the load it previously absorbed well. So, before you restart how can you prepare your body for this?


What are your sport requirements?

What is it you need your body to do? Running is a series of springs from foot to foot maintaining and then generating momentum to move forwards. For this your calf muscles will need to be able to lengthen and shorten quickly (depending on how fast you run), your hips, knees and feet will need to be in good alignment facing to the front, abs need to work to help keep the pelvis level and offer support to the trunk and body above. Do you need to work all of these things? Maybe not, but spending some time doing some calf raises or a few gentle hops in the week or two building up to your return might help prepare your body.


Cycling needs less spring through the calf and ankles than running so may need less of this type of work, so doing more work with a fixed foot might be more useful (like standing up from a chair with one leg a few times, which replicates part of the cycling action), although good alignment remains key. Train some of the essential movements so that when you are doing them repeatedly there is some tissue resilience in place.

If you use equipment like a bike, it is worth making sure it is also in good shape to be used - getting equipment serviced will ensure it is safe to start using again.


How long should I be doing this for?

Sometimes, there is nothing more useful than doing what you want to do as no amount of hops, calf raises, step ups or lunges can properly replicate doing a 5k run. Start with a sensible distance compared to what your previous levels were and break it up if you need to. After more than a month off you'll need to rebuild gradually so keep expectations low in the early stages, just get used to doing what you want to do again and enjoy it for what it is without pushing it.


Give yourself a few weeks to build back up steadily and factor in rest days too. You might feel as if you're not doing much but your body needs time to recover from the changes in exertion. If you need some help apps like Couch To 5k can offer some guidance on how to build up to a goal.

Does this mean nothing will hurt?! Yay!!!!

No, not necessarily, but it'll give you a good chance of being less affected by pain. There will likely be some discomfort when restarting, but the important consideration is differentiating what you might expect to be a normal response to returning to activity from something that might require a little more attention. Some of these are quite obvious (e.g. a sudden twang whilst exercising) or may only come to light over a couple of days after restarting exercise. In the main, providing you are sensible in what to expect on your return and expectations going forward, there is no need to resist - it's time to get back out there!


Our top tips for getting back to it:

  1. Plan your return, don't just leap in back to last season's training levels.

  2. Build some strength and conditioning training suited to your discipline into your weekly routine.

  3. Start gently with low volume and come back steadily. The Couch to 5k app is great for new and returning runners.

  4. Check all your sports kit and have it serviced / maintained as needed.

  5. Rest and recovery is as important as actually doing your sport so incorporate recovery days into your training schedule.


And as always, if you have any persistent niggles, aches or pains don't soldier on in silence making them worse. Get in touch with us if you need us.

Words by Paul Martin and NoviceRunnerNik.




Winterise your exercise!

Cycling in the dark

Winterise your exercise! 

Covid-19 Lockdown or restrictions might have encouraged you to seek more of your exercise outdoors or to cycle to work. As winter draws in there’s no reason, with the right preparation and kit, why that can’t continue.

Emily, our massage therapist and resident triathlon coach, has given us her top tips to beat the dark, cold and wet on your rides, runs and rambles:

Ride!

Remember: There’s No Such Thing as Bad Weather

When it comes to winter exercising, the adage comes to mind that “there's no such thing as bad weather, only unsuitable clothing”.

Don’t let the historic rainfall earlier in October put you off. With the right preparation, commuting by bike can still be enjoyable regardless of weather. 

The benefit of cycling-specific coats is that many offer more breathable fabric and vents, as well as sufficient pockets!

Clothing

As the temperature drops, layering becomes key. Merino wool works well across varying temperatures.

Waterproofs are best kept for rainy weather as they can become too hot once you get going and work up a sweat.

Good gloves and socks and/or shoe covers can ensure the cold and wet weather doesn’t prevail. I usually opt for neoprene gloves and socks for the rainiest days.

There are also good options to keep your head warm and dry including when wearing a helmet. 



Be seen

It’s important to be seen by other road users, so bright and reflective clothing is a must, and can be complemented by reflective details on your bike, such as spokes, stickers and saddle bags. 

 
Be seen!

Be seen!

 

White lights at the front and red lights at rear should be used day and night as the days become shorter and darker. USB lights need charging every few days but mean there’s no need for endless supplies of AAA batteries. 

Be comfortable and confident

For confidence and comfort, wider tyres with more tread work well in winter and can protect you from the pitfalls of potholes and punctures, whilst mudguards can reduce the splash of puddles. 

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IMG_6189.jpg

Less seasoned and confident riders can take advantage of cycle routes, many of which include quieter streets, and dedicated cycle lanes so as to avoid much traffic. It’s worth plotting a quiet commuter-friendly route in advance. Apps like Komoot or OS Maps are good for that. 


Give it a try

If you’re unsure winter commuting is for you and don’t want to break the bank, places like www.sportpursuit.com and www.decathlon.co.uk are good options for gear and equipment. 

And check out Emily’s blog post about looking after your bike and yourself.

Run or walk!

Not into cycling? Head out for a brisk (temperature or pace) walk, jog, run or a mixture! While there are no races, it’s good to take your eyes off the Garmin, enjoy the scenery and some fresh air.

The same tips as above apply:

  • Be safe - run or walk in safer areas, street lit areas, with someone if possible (and within Lockdown or local restriction rules) and tell someone where you’re going and when you expect to be home. Use the privacy option on your GPS app of choice so it’s not clear to others where you start and finish your exercise.

  • Be seen - wear hi-vis and reflective clothing. Use a good head torch with a front and back light if you’re running or walking in darker areas.

  • Choose clothing carefully - make sure your clothing is suitable for the weather but also for the amount of exertion you will do. You’re likely to get quite hot when you run so start out with a couple of layers, gloves and a buff-type stretchy tube on your head if it’s chilly, all of which you can easily stow or tie round your waist as you get warm.

Stay indoors!

This is also a good time to do things that you haven’t had time to do previously: stretching, core strengthening, activating your Glutes. Emily is running three virtual classes a week to cover all the above. All you have have to do is roll out of bed and log on. (Pyjamas and coffee welcome!). 

Words and images by Emily Chong.


NoviceRunnerNik's Top Tips on Starting Running - Revisited

two friends running in the park

NOVICERUNNERNIK'S TOP TIPS ON STARTING RUNNING - REVISITED

Has the recent London Marathon inspired you to take up running or return to running? Are you looking to run as a way of exercising your way through Covid-19 restrictions or lockdown?

Our NoviceRunnerNik, who has actually been a runner for the last ten years or so now (time for a new nickname?), has revised her top tips on getting started, first published in April 2019, to take into account current pandemic restrictions:

  1. Start with a Couch 2 5K app or program such as the NHS Couch 2 5k – this introduces you slowly to running over 9 weeks and gradually builds up your fitness and stamina. Much more sensible than my approach of just going for a 3 mile hilly run just like that and hating the feeling of my lungs exploding out of my chest! I very nearly didn’t run again after trying that!

  2. Be aware of those around you - remember to keep two metres away from anyone who isn’t in your household or support bubble and be careful stepping into the road to avoid people. The general public you may encounter might be even more anxious if they come across a runner than a walker, hopefully for obvious reasons. If you find your routes are very busy consider running at less busy times or changing where you run.

  3. Run more slowly – particularly if it feels like your lungs are exploding out of your chest. If you can hold a conversation with someone (you might need to imagine that someone if you’re running alone) whilst you’re running, then that’s a great pace to run at. If you can’t, then slow down. You’ll enjoy it more - promise!

  4. Buy decent, comfortable running shoes - if you can, have your running shoes fitted by a specialist running shop. Tell them your budget and what you want to do. They needn’t cost the earth. You’ll be less likely to pick up an injury wearing shoes that fit you and are fit for the job.

  5. Don’t increase your longest distance or number of miles in a week too quickly, however much you’re enjoying it, or you risk overuse injury. An often quoted rule of thumb is to increase both by no more than 10% per week. Use a free phone app such as Strava to record your runs so that you know how far you’ve been.

  6. Run your own run – don’t worry about what speed or distance someone else is doing. Run to how you feel, rather than a pace you think you should run at on your GPS watch or your running app.

  7. Run with other people, within local pandemic restrictions – join a running club or run walk group (when they are operating). Or find a friend to run with. Running with others takes your mind off the running and motivates you to turn up and run. Running clubs will have varying routes with leaders so that you don’t even have to think about where to run. In my experience running club members are really friendly and approachable. They aren’t all elite athletes racing for TeamGB (some of my running club members do run for TeamGB but you wouldn’t know it!). And you always have running to talk about.

  8. Buy some proper running clothes - you’ll be more comfortable and you’ll feel the part more and be more motivated to run. You don’t need to spend a fortune. Always wear a decent, supportive sports bra or chest support if you need it. They're vital bits of kit, especially if a few extra grams are being carried in that part of the anatomy.

  9. Vary the routes and surfaces you run on – to keep you interested and to get your body moving in different ways - try footpaths, coast paths, grass, mud etc but be careful.

  10. If / When parkrun is back, get parkrunning! parkruns are currently paused due to the pandemic but if you haven’t heard of parkruns they are free, timed weekly 5k runs, happening all over the country, every Saturday at 9am. You can walk, jog or run them so they are perfect for new runners and they are great for measuring your progress, if you wish. They only happen because people volunteer to organise and marshal at them so give something back now and again and volunteer too.

  11. Running can be really addictive! Don’t blame me if your running habit starts to escalate out of your control!

Stay safe!

Words by NoviceRunnerNik.

Running the Virtual London Marathon #40thRace

Image courtesy of Virgin Money London Marathon.

Image courtesy of Virgin Money London Marathon.

Running the Virtual London Marathon #40thRace

Inevitably, as with pretty much every event ever scheduled for 2020, the London Marathon has been rescheduled and changed format to allow for the safety measures needed to help combat the Covid-19 pandemic. If you hadn’t heard, it is going ahead on its rescheduled date of Sunday October 4th 2020 in various formats.

The elite race will be held in a closely controlled biosphere environment on a closed lapped circuit in St James’s  Park. Those with a place in the mass-participation 2020 event can take part in The 40th Race by running the famous 26.2 mile marathon distance virtually, anywhere they like from 00:00 to 23:59:59 BST on Sunday 4th October. If you don’t have a place yet, there are apparently still charity places available (at time of publishing this blog post). You can search for them with this link.

Ways to run your #40thRace London Marathon

Without the build up on the day, forty thousand fellow runners and the crowds cheering you on, the motivation to start and complete your remote marathon could be difficult to come by. You could just step out of your front door in your standard running kit and run your marathon, but why not mix it up a bit? You don’t even have to run it all in one go.

We’ve found some ideas to make it more fun and help with motivation at the same time.

You could:

  • Get a household member  to drop you off somewhere else and you can run the distance home – it’s quite a motivation to know that you’ve got to get home.

  • Run to a destination 26.2 miles away, having arranged to meet someone with a medal and a space blanket to collect you at your finish point.

  • Set up a route that goes past the houses of some of your friends so they can cheer you on, fill up your waterbottles or have a good chat with you.

  • Run a route which takes in local landmarks or tourist attractions for some interest (and good photos?).

  • Get your friends to run or walk a few miles or the whole route with you, socially distanced, of course.

  • Use the full 24 hours! Run a mile every hour (plus a couple of extra miles in one of the hours) and use the rest of the hour to do all those small jobs you never get around to such as hanging pictures, cleaning your car, weeding your front garden etc – just like Beau Miles did in his 24 hour marathon challenge.

  • Run your marathon in fancy dress, even if you hadn’t been planning to this year. Do train in your outfit to check that it’s ok to run in though!

We really shouldn’t need to say this but we will - do remember to stay socially distanced and within Government rules at all times. Stay hydrated and well-fuelled and look after yourself.

Don’t forget to consider your post race recovery as well. Emily, our sports massage therapist and resident triathlon coach, gave us her Top Tips For Marathon Recovery last year.

Have a great #40thRace!

Don’t forget that we’re open for face to face consultations at The Lansdowne Club and virtual consultations from the comfort of your own home via Zoom so if you’ve got any niggles or injuries, call us for an appointment on 02030 12 12 22.

Words by NoviceRunnerNik, image courtesy of Virgin Money London Marathon.

Top bike tips for commuters and road cyclists

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Top bike tips for commuters and road cyclists 

Whether you’ve just converted to commuting by bike recently, or are just starting to ride for longer at the weekends, here are some great tips from our massage therapist and resident triathlon coach and bio-mechanist, Emily : 

Skills that you definitely should have (if not, get practising!): 

  1. Be able to take one hand off the handlebar to signal or drink from a bottle. Engaging your core by tucking your tail bone in and relax your grip will help. 

  2. Be able stand up and sit down while pedalling, this increases air flow for ventilation and helps with bottom numbness / saddle sores as well as giving you more power to go uphill. As you stop at a traffic light, stand up, step off the pedal with your curb side foot on to the ground and take your bottom off the saddle. It is a lot safer than stopping seated, tip toeing to balance, especially in cleats.

Unclip to stop.

Unclip to stop.

Strength and conditioning 

Especially if you are new to cycling, off the bike training will help building the necessary muscles much quicker and help keep injuries at bay. Single legged exercises are far more effective, because, well, we are not bunnies! 


Single legged bridge 

 
Single legged bridge
 

Side plank leg raise

 
side plank leg raise
 

Single leg squats (assisted)

 
single leg squats
 


Stretching

If you only have time to do one stretch, this table top pigeon pose will help loosen your glutes and your back. You can hang in this pose for a few minutes, turning your chest both sides to adjust the angle, and have a cup of tea at the same time!

 
Table top pigeon

Table top pigeon

 


Nutritions

  1. Electrolytes - just water is not enough. As you sweat, a range of salts are lost and your blood becomes diluted. These electrolytes will need to be replenished or the consequences are dire. To make sure you get the correct amount, always follow instructions for the correct ratio of water to electrolyte tablet. Better yet, do a sweat test to be sure:  https://www.precisionhydration.com/pages/why-personalise-your-hydration-strategy

  2. Your body takes between 30 minutes to 2 hours to convert food into usable energy. Your glycogen index has between 1 - 2 hours’ worth of energy stored. So fuel before your ride, and, depending on how long your ride is and how hard you are riding, refuel frequently! 



Mechanicals

At a minimum, make sure your brakes are working, your handlebar does turn  and your tyres are inflated to the required pressure. 

Tip 1) Tyre pressure and size are all printed on the side of the tyre for your information.

 
tyre pressure and size on tyre
 


Tip 2) When taking out a wheel on a bike with hydraulic disc brakes, especially when putting into a car or transporting it, or putting on a turbo, wedge a card between the pistons to prevent them closing together.

 
put a card into the disc brake space
 


Tip 3) Bike pumps usually work like this: lever down to push into valve; lever up to lock in position; pump to appropriate pressure; lever down; use both thumbs to push the pump head away (wriggling it could damage the tyre valve) 

attaching a pump to a bike valve


Tip 4) Bike grease is like any grease, you can get rid of it with bike specific degreaser, or just soap and water. 

Happy cycling!

Words and images by Emily Chong.









Getting Back To Normal - Shoulder Related Tips!

shoulder pain

Getting Back To Normal - Shoulder Related Tips!

Nick, our shoulder specialist physio, is back for face to face appointments with his shoulder and upper limb clinic on Tuesday 14th July. We asked him for his shoulder-related tips on getting back to ‘normal’ – whatever that looks like for you!

It's more than 100 days since lockdown began - how has this affected you?

How fit do you think you are following 3 months of relative inactivity? 

During lockdown you might have worked on your general fitness, but has this been sport specific fitness? We are now able to play tennis, golf and open water swim.

Tennis related injuries seen in clinic:

  • Rotator cuff related shoulder pain (RCRSP): this includes subacromial pain (impingement), bursitis, rotator cuff tendinopathy and symptomatic partial and full thickness rotator cuff tears.

  • Tennis elbow and wrist/hand.

  • Low back pain, hip and groin, knee and patella tendon, calf muscle and ankle sprains.

Golf injuries:

  • Low back and neck pain

  • Shoulder, elbow and wrist/hand pain

  • Hip, knee and ankle pain

Swimming injuries:

  • Shoulder: RCRSP

  • Neck

  • Knee

Tips for getting back:

  1. To avoid tissue overloading and causing injuries don't go back to your chosen sport too hard or too fast. 

  2. Always warm up and stretch prior to starting to exercise.

  3. Aim for graded exposure and progressive loading, build up your resilience, tolerance and capacity. Increase your effort by approximately 10% per week to achieve your chosen goals.

Home working and ergonomics: 

We've probably all tried to recreate our desks at home, some more successfully than others! Prolonged sitting and working with incorrect postures can have an adverse effect your neck, upper back, shoulders, and thoracic spine. 

If you’re still working from home and are suffering from shoulder / neck pain, it’s likely that your desk set up isn’t ideal. 

Tips for better working from home:

  1. Arrange a virtual workstation assessment of your home office to improve your desk set up.

  2. Consider the purchase of more ergonomic office equipment such as a monitor, keyboard and mouse for your laptop, a height adjustable ergonomic office chair, a headset for your phone if you spend lots of time on it.

  3. Keep active at your desk – move around every 20 minutes. Have a good stretch at lunchtime and the end of the day. Walk around if you can whilst you’re on the phone.

  4. Read our blog post How To Work From Home Pain-Free for more tips.

  5. Visit your physio to check out pain or niggles that persist.

Keep safe and remember movement is life!

To book an appointment with Nick or any of our other physios or a workstation review, call us on 02030 12 12 22.

Words by Nick Smith.

 

 

 

8 Tips To Master Your Mindset Through Injury

 
head and mind jig saw puzzle illustration
 

8 Tips To Master Your Mindset Through Injury


I hope you are all safe and well and are hopefully coming out of this period in a good place. Although this time has been challenging for many, it certainly has given us some space to reflect on many things which hopefully will serve you well moving forward. 

Today I wanted to talk about how to manage your mindset through an injury. This is such a crucial part of overcoming an injury, and in fact, can be the difference in the time of recovery and also the success of the recovery. Injuries are difficult to deal with as they stop you doing the things you love doing or even more practically can stop you from being able to manage normal daily activities. There is a huge three way connection between the mind, the brain and the body. As an analogy I like to think of it like this. Imagine an oil refinery, the petrol and a car. The oil refinery is the mind, the petrol is the brain and the car is the body. 

Processing     →     Fuel     →     Performance

Oil refinery     →     Petrol     →     Car

Mind     →     Brain     →     Body

Ultimately what we fuel our body with, physically, mentally, emotionally, spiritually, will determine the performance of the car. I know first hand, both having being injured and also having seen 1000s of injuries, just how a person’s mental attitude can help. When I worked in professional football, what amazed me was the difference in how players coped with similar injuries and how this impacted on their recovery. Although we can’t cheat physiology, healing and anatomy on a grand scale, we can certainly change it by altering our brain physiology which has an impact on our perception of pain and function and can lead to a quicker and more successful return to full health. 

Below are 8 tips for managing the energy that goes into overcoming your injury. No matter how big or small your injury is, there is always a place for improving the overall well being of your mind to help your recovery. 

1. Accept and don’t blame - At times of course, our actions may have been a factor in our injury. If we suddenly did something we were completely unaccustomed to then yes, we could look back and say ‘Oh why did I do that?!’. This is ok, but rather than blame ourselves, we should use it as a lesson for the future. We don’t set out with an intention to injure ourselves! We most often have good intentions, to be healthier, fitter, stronger etc, and this enthusiasm can overlook the fact that our body was perhaps not prepared for that change. Accepting that it has happened and moving on to deal with it as best as possible is key. 

2.  Don’t compare - No two injuries are ever the same and they are certainly not the same in how they present in different people. It is important to stay present to your injury and focus on that and that alone. You can certainly draw on experiences of previous episodes you may have had or people you know who have had similar but use that as a check point rather than a strict comparison. You may judge your progress negatively if you compare it to others who have recovered quickly. Stay in your own reality. 

3. Goal setting - This is a really crucial area and it is up to you and your therapist to come up with short, medium and long term goals. The most important of these are the short term goals as they will keep you present. At the start of your rehab your therapist should know what your ultimate goal is as this differs for everyone. Short term goals however are the key to keeping momentum going. You should establish a set of what we call process goals and then little tests you have to pass before you can move onto the next stage of rehab. This really is more for your therapist to do and then give you the exercises to reach those milestones but it’s really important to understand how these process goals will move you closer to your long term outcome. In the back of your mind, have that long term goal in sight, but each day focus on the tasks right in front of you. This is what will cause the mini shifts day in day out and before you know it you’ll be closer to your dream destination!

4. Clean language - The way we describe our injury and how we visualise what is going on in our body is really important. Unfortunately, it is not just patients who use inappropriate language when describing injuries. Therapists can also fall into habits which aren’t beneficial to an a understanding of the pathology of the problem. There is a lot of fear which can creep into a patient’s mind when they are spoken to in language which serves to, at times, catastrophize the problem. Depending on the injury of course, examples of such words are ‘unstable, broken, inflamed, tight, flared up, out of place’. Now in some instances, it may be appropriate to use some of those terms but a lot of the time it just isn’t scientifically right. The two most common misconceptions I hear are “My ITB is tight’ and “My back is out of place”, both of which aren’t really true! Speak to your therapist to gain a good understanding of what’s going on and use better language yourself in describing it. It can be a real game changer in moving forward with your rehab and altering your mindset. 

5. Visualisation - The power of visualisation is very real. You may have seen the images of F1 drivers mentally practising the circuit prior to getting in the car, tennis players getting into the zone during breaks, dancers working through routines in their heads etc. This constant mental imagery closes the gap between the thought and the action and allows the two to be more whole. This can work in rehab too. There are studies which show that adding visualisation can help the recovery from injuries. Sitting there and visualising healing taking place, picturing a healthy joint, muscle of whatever is injured, and looking positively at the recovery can aid both pain and also function. It is almost like a mini hypnosis which can be so powerful. It may sound odd, but talking to your injury verbally for a few minutes a day can help with recovery. 

6. Breathing - Similar to number 5 this is a really simple technique that we can use. The reason breathing properly and mindfully is so important is the effect it can have on the physiology of our body. Although you won’t notice the immediate effect of, say, breathing for 5 minutes a day on your rehab, over time the change is real. Breathing helps to regulate cortisol levels, the hormone which is released during times of stress. Regardless of where the stress is coming from, cortisol will be elevated in this state. During injury, stress may go up. Exercise has the effect of releasing your happy hormones: endorphins which can counteract the stress hormone. So, if your exercises routine has been disrupted and this balance of hormones has been affected, taking just 5 minutes twice a day to focus on some breathing techniques can really help regulate stress. You can try diaphragmatic breathing, box breathing, alternate nostril breathing - there are many forms of breathing out there. Please make sure that you are in good health, have no associated heart or respiratory conditions, are not pregnant and do not have other health issues that could be a contraindication to doing some of these techniques. 

7. Be adaptable - In some instances we have to accept that an injury may force us to reconsider what we can do going forward. I personally know how this feels.  After having had several ankle injures, I have now accepted that I can’t do the things I did 10 years ago which is ok and I have since found new things to help and also keep my enthusiasm up for exercising despite not being able to do exactly the same things. Re assess your current exercise routine, be open to trying things you haven’t tried before, understand that our bodies do change with age - what may have previously worked for us may not be serving us as well now. I am a big believer in having variety in your exercise, unless of course you have a very, very specific sport or event which requires you to train very specially. For example, it would be counterproductive for a 100m sprinter to suddenly take up lots of yoga as they actually rely on an element of stiffness to produce power over a short space of time. Train your body in different ways to ensure good balance of strength, flexibility, power and fitness. 

8. Make sacrifices - Ultimately it comes down to how important an outcome is to you. Your ultimate goal and your lifestyle have to be aligned if you want to see the best and quickest results. Not only can our brain not comprehend conflicting thoughts, nor too can our body. What do I mean by this? Well, if you want to lead a healthier lifestyle and yet keep telling yourself that you love fast food, your brain will become confused and so too will your actions. Similarly, if your goal is to ski after a knee injury and your physio has set you a programme of going to the gym 3 - 4 times a week, choosing to go out socialising on two of those days instead is not going to produce the results you need. It may sounds common sense but it is often not common practice. Your daily habits will, over time, produce the results you want. It’s that simple. Be prepared to sacrifice some things, perhaps only for a while mind you, to focus on what matters most at the time. 

I hope that these points have been useful in identifying some areas you could work in to optimise your rehab. I am a huge believer in mindset and how it affects the body and paying attention to the above can really help shift you in the right direction. 

If you would like to find out more about any on the above then please feel free to contact me at alex@physioremedies.com.

I wish you well in your rehab and I appreciate you for taking the time to read this article.  

Stay healthy, stay strong!

Best wishes 

Alex. 


Words by Alex Manos.



COVID-19 The Road To Recovery

Covid-19-road-to-recovery sign

COVID-19 The Road To Recovery -

Advice From The Chartered Society Of Physiotherapy


Have you had Covid-19 or know someone who has had it?

The Chartered Society of Physiotherapy (CSP) has developed a brand new animation to help patients who are recovering from Covid-19 to self-manage their symptoms with physiotherapy guidance. This is a great resource for you to share with your friends and families to help ease some of their anxiety about recovering from the virus and getting back to normal life. The animation is titled COVID-19 The Road To Recovery and you can watch it below:

This short, 90 second animation illustrates what people can expect when recovering from Covid-19; reassuring them that it may take time to get their energy and fitness back. It also provides advice on simple measures that anyone can take to ensure the best recovery possible; like keeping active and partaking in low-intensity exercise.

If you or anyone you know have concerns about your recovery from COVID-19 we encourage you to seek the advice of a Chartered Physiotherapist, GP or other Health Professional, who can provide bespoke advice and support. You can also see more information about Covid-19 recovery from the CSP by visiting this link - Covid-19: the Road to Recovery.

If you’d like an appointment with one of our physios, please call us on 02030 12 12 22 to book an appointment.

Looking After our Mental Health In Challenging Times

looking after your mental healthv

Looking After our Mental Health In Challenging Times

Managing purpose and productivity during the coronavirus pandemic

Our mental health has a huge effect on our physical health and it’s important we take notice and care of both, particularly during challenging times such as these. As physiotherapists, we talk a lot about physical health so we asked our specialist physio Alex, who is also a Life Coach and Yoga instructor, to talk about looking after your mental health:

I hope that you are all keeping well and have been safe and healthy during this unusual time. It’s encouraging to see that the green shoots are hopefully appearing and slowly but surely we will be returning to a more normal way of living. It has been a challenging time for everyone no doubt in many ways. Not only has the financial implication taken its toll on many, the major shift in balance of work, life,  family and  social time has made it a challenge to re adjust. 

I wanted to briefly share some of the insights I have had and how I have managed to keep momentum going despite a huge reduction in my day to day work which has given me time and space to explore other things. I do this to see if I can hopefully help guide you into a mindset which focuses on the positive which has come from this. 

I wanted to write about two concepts which have perhaps been a challenge for many to find results in: they are productivity and purpose. So much of our value in terms of productivity and purpose comes from our time spent at work and for many of us who have not been able to continue working in the same way, this dramatic shift could have been met with a lot of resistance and a sense of feeling lost. A lot of our work is based around a problem and then solution type scenario. Whatever line of work we are in there is usually a starting point and an end task to to our duties and with that comes a sense of accomplishment, recognition and validation for our efforts. We gain purpose from being productive in the work we have been given to do, that's completely natural.

So what happens when our external source of productivity gets taken away? How do we generate that internal fuel to drive our feeling of purpose? What happens when our daily focus suddenly shifts and we have a blank canvas as to what we can attend to? 

The brain and mind is a wonderful thing and one of the beautiful contradictions is that when we get the things we often yearn for, we miss, we wish we had more of, we are often not prepared and actually struggle to manage them. It’s the reason why so many lottery winners actually end up losing all their money or run into emotional and social problems because they suddenly step into a new way of life which they themselves have not created, so they actually are unaccustomed to it, it’s alien to them.

So what can we do to manage this so we come through it with purpose, productivity and a sense of value? 

Here are 5 ways we can look at what has happened and happening with a fresh and positive mindset, a mindset which will make us appreciate things. 

  1. Ask yourself this simple question. Prior to the change, what were the things I really wanted more of? Of those things, which ones were in my control to make use of and appreciate. 

  2. What areas in my life needed more attention? Perhaps it was health and fitness, your relationship with a significant other, your relationship with your children, your intellectual life, your emotional and spiritual well being, your career (perhaps a career change), your time spent communicating with family and friends. Looking at those areas, what steps have you taken to elevate them to a new level? Where can you find areas of personal growth to work on? 

  3. What can you be truly grateful for? The simplest way to do this is to start a gratitude journal or practice. A nice way to do this is the ’10 finger gratitude practice’. Each day, sit quietly somewhere for 5 minutes where you know you won’t be distracted (the start to the day is usually best if possible) and open your hands. Close your eyes, visualise and internally repeat 10 things you are grateful for and each time you do, close one finger until you have done 10. Then take your hands openly and place them over your heart and breathe deeply 5 times inhaling the things you have just show gratitude for. Literally fill your body with a sense of appreciation for what you have. 

  4. Understand that rest is a necessary thing. Taking a pause from usual life, if you are fortunate to be able to come out of it unscathed, is a blessing. If, we say live to an average age of 80, 5 months off equates to 0.5 percent of your life. Think about it, 0.5 percent of your life to recharge, re group, re evaluate what matters and spend time doing some of the things you really really want to do.

  5. I personally came from a place of thinking that we are just merely passengers on this planet. As much as we have created some wonderful things we have also done some extremely damaging things to the planet. I take solace in thinking that perhaps the planet needed a break from us to recharge, regroup, find it’s beauty again, breathe and restore some of it’s natural existence so that us humans can live in more peace and harmony with our surroundings and the other creatures and living beings which we share this world with. Think about the dolphins in Venice, the flamingos in Mumbai, the pandas in Hong King zoo mating. Theses amazing pictures and stories which have come out of the earth having some time to itself. 

Another wonderful tool we have at our disposal in this modern era is the availability of free information. At the touch of a button we can watch a TedTalk, a you tube video, listen to a podcast, download free programs, access free exercise routines. So many wonderful ways we can keep exploring self development and personal growth, for FREE! 

When we come from a mindset that things happened for us and not to us we can hopefully begin to accept the challenges and appreciate the new opportunities that may arise in this time. 

  • There is purpose in reading a book 

  • There is purpose in spending uninterrupted play with your children 

  • There is purpose in having the chance to sit as a family to share a meal more often 

  • There is purpose in taking a walk in the woods and saw during the amazing weather we have had

  • There is purpose in listening to podcast

  • There is purpose in watching that Netflix series you have been wanting to 

  • There is purpose in starting to learn a new language 

  • There is purpose in learning to cook 

  • There is purpose in just slowing down

There is purpose all around us. Once you can detach from needing an end result to something, needing that goal crossed off, one can find purpose in the journey and the existence of just being present and appreciating the things right in front of our eyes.

In perhaps one of the greatest movie speeches of all time and a personal favourite of mine, Al Pacino playing Tony D'Amato in the film Any Given Sunday, says ‘That’s what living is, the six inches in front of your face’. It’s a wonderful philosophy as it can keep us grounded and in the moment. 

I hope that you have enjoyed reading this message. This kind of work is a passion of mine and I have been fortunate to learn from some of the very best and I am grateful to have a platform to share and serve people in a way which I too have been served by others. 

Words by Alex Manos.

How To Work From Home Pain Free

We don’t recommend working from home like this…

We don’t recommend working from home like this…

How To Work From Home Pain Free

Many of you are now working at home due to the coronavirus pandemic restrictions. Some of you will have home offices and others of you will be sitting at your kitchen / dining room tables.

Sarah has written up some tips on how you can make your home office set up more ergonomic and try to prevent unnecessary aches and pains.

1.      Sitting position:

  • Always sit your bottom to the back of any chair.

  • Knees and hips should be at a 90 degree angle and feet flat on the floor. If your feet are dangling, put something underneath to support them (big books / solid box).

  • You should sit 3 - 6 inches away from your desk. Clear any clutter from under the table so you can get in close.

  • Elbows bent to 90 degrees and close to the body.

  • Wrists should rest in neutral.

  • If you don’t have an ergonomic chair, you can roll up a small towel (not a cushion), put some tape around it to maintain the roll shape and place this into the small of your back to help maintain an upright posture. Or buy a lumbar support – see links below.

  • Your head should be straight, shoulders relaxed, and your line of vision should be at the top third of your screen.          

2.      Laptops:

  • If you are working off a laptop for long hours and you can afford a laptop stand, buy one now. Laptops were not designed for long periods of work and using one will cause pain long term as you have to look down. They can be as cheap as £15 and go up to £150 – see links below.

  • Place your screen on the stand and make sure your line of vision is in the top third of the screen.

  • If you have a lap top stand you will need a separate keyboard and mouse.

  • If you do not have any of the above and continue to work on laptop, take even more breaks - every 20 mins - and do some stretches.

3. Desktop Screen:

  • Your screen should be placed central to your body.

  • Screen height should be in the top third of your vision – if not stick some books underneath it.

4. Mouse and keyboards:

desk and mouse set up
  • Keyboard should be placed central to the body, and at a height where the wrists remain in neutral and elbows at 90 degrees.

  • Mouse should sit close to the keyboard on whichever side is best.

  • You can use mouse and wrist rest if they help achieve this position.

  • Make sure your keyboard and mouse stay within the circle, as shown above.

Other top tips:

  • Take micro-breaks every 20 minutes: you should take a break and complete 20 seconds of micro movements. This could be shrugging the shoulders back, rotating your upper back from side to side, turning your neck side to side etc.

  • Documents should be placed at the same height as your computer screen - try using a document holder.

  • Allow your eyes to take a break from your screen by exercising them! Do this by focusing on objects in the distance regularly when you take a break from staring at your computer screen.

  • Use a head set instead of a handheld phone. Handheld devices should be used only for short durations with the upper limb supported, which will reduce the strain through the neck.

  • Handheld devices (phones, iPads, Kindles etc) should be held at eye level so to prevent strain on your neck from looking down for long periods.

  • Your office should be well lit and well ventilated, with no glare from lights or windows on your screens.

  • Stand hourly at a minimum.

  • If you stand for prolonged periods, this also causes fatigue and your arms are not supported, so standing desks are not necessarily better than sitting desks in general which is evidence based supported. The key is taking regular breaks from static postures.

Remote workstation assessments:

If your office set up is a pain in the neck (literally!), get in touch with us! We can do remote ergonomic assessments of your workstation set up to see how we can help you. We are currently offering these at £55 for a 30 minute session.

And of course, if you’re in need of a physio appointment, we’re also offering those remotely too, via online video or phone.

 

Buying links:

Lumbar / McKensie rolls – by on Amazon and how to use them – McKensie roll position.

Laptop stands –  ebay – laptop stand  or Posturite Stand – which doubles up as document holder.

We have worked with Posturite for over 15 years and they have very kindly offered all our patients a 25% discount on any products bought from them. If you are a patient of ours, please contact Chris at chrishollely@posturite.co.uk, quoting PHYSIOREMEDIES, to get a quotation.

Words by Sarah Lawson.

Getting Back To Exercise In The New Year

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Getting Back To Exercise In The New Year

Noticed the number of gym adverts increase recently? Noticed a bit of an upturn in attendance at the gym in the past couple of weeks? A combination of the New Year's Resolution market and December excesses mean this is peak gym membership season. So what are we trying to work against?

Christmas Calories

Some sources estimate that during Christmas Lunch, an 'average' person may consume up to 5,200 calories through starter main course, dessert and drinks. These figures were sourced from a supplements firm, so there is a vested interest here, however the same article suggests this would take jogging 52 miles (i.e. 2 marathons) to burn it all off. Whilst this may not be everyone's preferred option to address the balance, come early January, with the December splurge behind us, it is a good time to start a new regime so that next Christmas we are ready for it!

However the initial push to get the ball rolling can end up with disillusionment, pain and injury or frustration at a lack of progress and subsequent withdrawal from the process. Here are a few easy steps to try to stay on target so that the monthly membership costs aren't going to waste:

Pace yourself

Don't try to burn 5200 calories in one go. It won't work (unless you are going to row the Atlantic in which case that's about a daily energy requirement and a little extreme). Ease into it, consistency is most important and in the early stages you may be better coming out of the gym or finishing your exercise thinking you could have done more. Build it up over a few weeks until you can hit it harder when your body will be better conditioned to the work.

You are where you are

Remember when you used to go to the gym twice a week 6 years ago? Regularly bench pressing 90kg, squatting 60kg and managing an hour on the treadmill? Easy there tiger, that was a little while back. If you are returning to the scene of previous triumphs, take those weights and reps right down. You will get much more getting your technique right on a light weight that you can increase over a few sessions than by jumping back in where you were. You might get away with it for a couple of sessions but your body's powers of recovery will take some honing as well.

Recovery is important

If it's been a while, build up from a couple of sessions per week. Most gains are made when the body is recovering and in the early stages there may be a lot to recover from. If every session feels like torture, give yourself a chance - do your exercise, but drop the weight or reps a little. Focus on technique or something different to what you might normally do. Preparation (warm up, the right food and hydration levels for you, making sure you are doing the best session for you) is important, but recovery (light refuelling, stretching, resting afterwards) is just as vital.

Enjoy it!

It is supposed to be fun! Exercise doesn't have to be about slamming away on the treadmill almost doubled over with exhaustion in a gym full of seemingly uberfit obsessives wondering how on earth Mo Farah does it.

It can be a cycle to the station, restarting some team sport, going for a longer walk with some friends, anything that gets your heart rate up for a prolonged period of time. It is often easier to exercise with someone as you are both doing the same thing and if you aren't feeling it one day, there is the perception you are letting someone else down if you pull out of what you were going to do together. Stick with it, long term it will be worth it!

Forming a habit

Our NoviceRunnerNik has written a blog post about forming a gym habit with some helpful tips which can be applied to other exercise too.

Injured?

If you do pick up an injury, get expert advice - call us for an appointment on 02030 12 12 22. Don’t give up on your hard earned fitness. Read our what to do if you get injured blog post for ways to keep up your morale and keep moving.

Words by Paul Martin.

Are you a Gym Newbie? How to form a gym habit and enjoy it

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Are you a Gym Newbie? How to form a gym habit and enjoy it

Thinking about making ‘going to the gym’ a new year’s resolution (again!)? Are you a bit of a gym newbie? Our NoviceRunnerNik was too this time last year but now she’s a committed gym goer. Here’s her story on how to form a gym habit and enjoy it.

Januaries are good months for gym owners

The owner of my gym told me last week that my gym’s February to December monthly membership income is typically half that of January’s. Lots of people sign up in the new year, the gym gets busy and then so many fade away. So if you’re going to decide to go the gym, how can you turn it into a long term habit, particularly if you’ve never really been a gym-goer?

I too was a gym newbie

Until November 2018 I could count the number of times I’d been in a gym on two fingers. The first time was definitely not in this century. So I nervously approached my local gym for a chat about how it works and what I could do there. I was keen to complement my running training (my first love) by doing some things that didn’t involve running. I’d signed up for a tough 32 mile ultramarathon in August this year and as I’m a bit prone to overtraining injuries, training in not running (or cross training as it’s apparently called) seemed like a good idea. I liked the look of lifting weights. So I signed up for a month of membership and a personal training session (in for a penny, in for a pound) and turned up the next week for my induction and first ever personal training session.

No one is watching you, they’re all watching themselves

I couldn’t really articulate why I was nervous about going to the gym. I think I was worried about looking like someone who didn’t know what they were doing. I think that somewhere inside of me, the old 14 stone, size 18 couch potato that I was until seven years ago, still lurks, wondering what on earth someone like me was doing in a gym.

The first thing I learned is that, just like real life, gym members come in all shapes, sizes, ages and fitness levels. The members at my gym range from older teenagers, through Junior Powerlifters competing at national level, to 70 something retirees (with impressive deadlifts!), each with their own reasons for training at the gym.

The second thing I learned was no one is watching you. They’re all watching themselves. And no one cares what you’re wearing, what you’re doing, how you’re doing it. That’s not to say they don’t care about you – all the gym goers I have met are lovely, friendly, chatty, polite and helpful.

Making the most of your gym sessions

I realised that I needed to make the most of each gym session, to make it worthwhile taking the time out to go three times a week. So to stop me aimlessly using the machines with no real idea of what helps, I asked my new personal trainer for a training plan to work to, in particular to help improve my core and arm strength. I have, like most runners, stronger legs and weedy arms – a t-rex body shape! He gave me a two week, push day (arms), leg day and pull day (arms), plan.

And then I just needed to learn the lingo: the different types of sets, tempos, names of the equipment and exercises and how to do them. I started recording what I was achieving for each exercise, weights and reps wise, in a spreadsheet on my phone as I trained so that I knew where to start the next time I was doing that day. It’s highly motivating when you smash your PBs each week when you first begin!

Personal training and diaries

I decided to have a personal training session once a week for a few months, partly to ensure I was doing it right and partly as he pushes me so much more than I push myself on my own. I changed the days I trained with him so that we went through all of the exercise sessions. I’ve also started doing 30 mins on the static bike or 5k on the rowing machine after each session, to make it even more worthwhile going. This is also great ‘brain occupation’ training for long distance running!

I put all my gym sessions in my diary so that they are appointments I will attend and I avoid booking anything else that clashes with them. This means I have no excuses to not go to the gym and the gym has become part of my daily routine. I also discovered my next door neighbour was toying with joining the gym to increase her strength which would make caring for her very frail husband slightly easier, so I encouraged her to start and now we encourage each other to turn up and train at the same time. We usually have a good chat on the crosstrainers as we warm up!

Learning to enjoy the gym

And after a few weeks, once I’d learnt the ropes and chatted to a few people, I started to look forward to, and enjoy, going to the gym, which amazed me! I even began to feel sad when my gym session was over.

Smashing gym PBs is a great feeling but it does happen less and less as you get stronger. I did have one leg training day a few months ago where I smashed every single PB on every single set. Whilst it left me wondering for a while why I’d not upped my weights much more previously, the fact that I could barely walk the next morning made me reconsider!

Benefits of gym training

I’ve experienced some great side effects from my gym training. I started smashing my running PBs without increasing my volume of running training, including parkrun times and I knocked 16 minutes off my first ever half marathon time when I ran the same half again this year. My knees in particular are less cranky when I run and I’m generally experiencing fewer niggles. I feel stronger when I run and I recover more quickly from big exertion running such as a 19.5 mile run around North Wales which included the summit of Snowdon, managing to leap out of bed the next day when I expected to be hobbling.

The 32 mile ultra in August, although hard and quite tiring, went like a dream. Recovery was quick. Thank you gym work!

My top 10 tips for forming a gym habit – make it hard to make excuses not to go

1. Find a gym that suits you and what you want to do – that its opening hours suit you, it’s easy to get to and park at, it has the equipment or classes you want. Ask friends or the internet for recommendations. Try several if the first one doesn’t work for you.

2. Pay automatically for monthly membership: if your chosen gym is for you, put your monthly membership payment on a standing order or direct debit. Then it gets paid without you having to think about it and you might feel you should go to the gym to make use of it.

3. Book your gym sessions in your diary, just like any other appointment and treat it as such. Be realistic about how many sessions a week you can manage.

4. Go to the gym at a time that works for you: if you prefer it when it’s quiet, find out when is off peak attendance time. Lunchtimes are usually, but not always, quieter in my gym.

5. Make the most of your gym sessions, part 1: have a training program written specifically for you, tailored to your goals and your likes, by a personal trainer, or find something that works online. Record your stats each session using Google docs on your phone or in a notebook so that you can see your improvement.

6. Make the most of your gym sessions, part 2: treat yourself to a personal training session every so often. You’ll learn a lot and will be pushed to work harder.

7. Vary your training regularly to keep you interested in going. If you only use the machines, try some free weights or some functional strength work like tyre flips, battle ropes, kettle bells. Change your program every few months.

8. Warm up, cool down and stretch to reduce the chance of injury. If you don’t know how to, ask a personal trainer at the gym.

9. Train with someone else for some accountability: you don’t need to actually train with them but if you agree that you’ll see them at the gym at a certain time and day, you’re more likely to turn up.

10. Remember that gym goers are all shapes, sizes, ages and fitness levels and everyone is watching themselves. Don’t be afraid to ask anyone for help or advice. You belong too.

Most importantly: when you start, or start back if you’re a seasoned gym-goer, at the gym in the new year, take it easy. Don’t leap in where you left off in the summer or start off with the really big weights as they look the part. Ease yourself in gently, up your weights gradually, move with control and reduce your risk of injury. Much as we love to see you, we’d prefer you didn’t hurt yourself in the first week of the new year!

If you do pick up an injury or would just like some advice about getting (back) to the gym, please call us on 02030 12 12 22 to book an appointment.

Words by NoviceRunnerNik AKA Nik Bathe.

If Office Christmas Parties Were Sporting Events...

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If Office Christmas Parties Were Sporting Events...

It's that time of year that some people love and others dread.  For some it's a party every day and others it's one big blow out. 

Here are our specialist shoulder & elbow and sports injury physio (and man about town) Nick's top tips for:

Surviving the office Christmas party (or parties)!

  1. Remember it's a marathon not a sprint! The booze will not run out within the 1st hour, so pace yourself.

  2. Think like a triathlete! Drink, Eat and Dance, but not at the same time.

  3. It's like a game of chess and tactics are essential! Don't get cornered by the office bore or the lustful one who's just eaten a packet of mints!

  4. It's all in the preparation! Line that stomach before you start the race of units.

  5. Hydration! Have a soft drink/water whilst drinking alcohol, this will make you feel better the next day.

  6. If physical activities are part of the party, stay off the alcohol until its safe to drink!

  7. It’s not an excuse for Cage Fighting and sorting out those grudges that have been building up all year! Avoid confrontation. Stay calm and give peace a chance!

  8. Dancing on tables is not yet considered an Olympic Sport!

  9. Dance floors can be dangerous. The majority of injuries happen from people slipping on liquid on the floor, or falling onto broken glass. And watch out for the over enthusiastic Whirling Dervish who might knock you over like a 10 pin bowling ball!

And Nick’s tips for hangover cures:

  1. Don't rely on the hair of the dog. This will only delay your hangover. Alcohol is a diuretic making you urinate more and will dehydrate you further. Drink plenty of water.

  2. Don't drink too much coffee. Caffeine is also diuretic. Try juice or water.

  3. Go and do some exercise! The endorphins will kick start your recovery! Make sure you warm up and are sufficiently hydrated before pushing yourself too hard.

  4. That fry up might sound appealing, however a banana or kiwi fruit will help replenish those lost nutrients, especially potassium.

We hope you manage to stay safe and upright at your Christmas parties but if you do sustain an injury by showing off on the ice rink, you know where we are.

Words by Nick Smith.

Help To Reduce Neck and Back Pain With Good Office Ergonomics

Not the best desk posture.

Not the best desk posture.

Help To Reduce Neck and Back Pain With Good Office Ergonomics

Shari, our spinal specialist physio, writes:

Many of my patients spend long hours working at their computer and poor desk set-up/ergonomics can lead to pain in our joints. I see a lot of patients in particular with neck, lower back and upper back pain exacerbated by poor office ergonomics.

I always recommend my patients have a thorough assessment of their work station by a specialist ergonomics physiotherapist or occupational therapist, but I have provided a few pointers below that may assist:

  • Take micro-breaks: every 20 minutes you should take a break and complete 20 seconds of micro movements. This could be shrugging the shoulders back, rotating your upper back from side to side, turning your neck side to side etc.

  • Your mouse and keyboard should be at the same height (elbow height) with your elbows close to the sides of your body ideally at 90 degrees. Make sure your mouse and keyboard aren’t too far away.

  • Your wrists should be kept in a neutral position.

  • You should work as close to the centre of our body as possible, i.e. not turned to one side.

  • Any documents should be placed at the same height as your computer screen - try using a document holder.

  • Allow your eyes to take a break from your screen by exercising them! Do this by focusing on objects in the distance regularly when you take a break from staring at your computer screen.

  • Your head should be straight, shoulders relaxed, and your line of vision should be at the top third of your screen.

  • Your chair should support a neutral posture and provide sufficient support for the length of the spine. Your bottom should be back in the chair and contact should also be maintained at the level of shoulder blades.

  • Lumbar support such as an adjustable lumbar roll will help you maintain good spinal posture.

  • Your knees should be bent at 90 degrees and not touch the under side of your work surface or the seat edge.

  • Your feet should be flat on the floor and if they aren’t a foot stool is needed.

  • Use a head set instead of a handheld phone. Handheld devices should be used only for short durations with the upper limb supported, which will reduce the strain through the neck.

  • Handheld devices (phones, iPads, Kindles etc) should be held at eye level so to prevent strain on your neck from looking down for long periods.

  • Your office should be well lit and well ventilated, with no glare from lights or windows on your screens.

  • You should be able to manoeuvre yourself in/out of your desk chair without space restrictions or obstructions.

  • Monitors should be centred on your desk.

  • Stand hourly at a minimum.

  • If you stand for prolonged periods, this also causes fatigue and your arms are not supported, so standing desks are not necessarily better than sitting desks in general which is evidence based supported. The key is taking regular breaks from static postures.

  • If you use a laptop a separate mouse and keyboard should be used so that your arms are supported and your elbows bent at 90 degrees, and your laptop should be placed at a height such that your eye level when your head is straight is at the top third of the screen.

If your office set up is a pain in the neck (literally!), get in touch with us to see how we can help you.

Words by Shari Randall.

Back To Gym

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Back To Gym

Summer holidays done and dusted? Check. Good food, good drink, good volumes? Check. Not quite managed the level of fitness work you’d hoped to fit in? Check. Looking at getting back in the gym to create some space for December? Check.

Ease your way back in there! As with any significant break in training routine, there will be a level of deconditioning and picking up exactly where you left off might not be the most comfortable approach to getting back into the swing of things. It is better to come out of the first two to three sessions feeling like you could have done more or that previously reactive areas or muscles don’t feel fully worked on than charging back in full pace and hurting yourself, leading to a longer period out.

Regardless of whether your workouts are class based, load based or volume based, take it down a notch or two for the first few sessions back. Spend this time during your workouts getting a feel for what is working well and what might need a bit of attention to get back up to full speed. E.g if some muscle groups are perhaps not responding as well as they might have done pre-break, what might you need to do to get them back to pre-holiday levels and how might that affect the rest of your workouts.

Once you have ironed these little creases out, pick it up again over the next two to three sessions and you’re back in the game!

Happy holidays!

Words by Paul Martin.

Jetlag and how to minimise it

Travelling long haul this summer? Our physio Paul has given us his top tips for reducing jetlag.

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What is Jetlag?

Jetlag is the mismatch between the timing of the internal body clock and the external timing of the environment brought about by crossing several time zones in a short space of time. Such large shifts in time zones result in immediate changes to time cues which are driven by the new timings of day (ie light) and night (ie dark). Whilst there is an immediate change in environmental time cues, the the body clock(s) do not adapt immediately - the body clock resets slowly, so 'lags' behind.

Linking this with travel fatigue, a form of tiredness brought on by transition from one location to another or the demands of door to door travel, can lead to sleep disruption, fatigue, mood changes and risk of illness. As a guide, flying east will take one day to recover per hour time zone changed (ie six days for a six hour time difference), flying west will take one day per 1.5 time zones (ie four hours for a six hour time difference).

The type of person you are (eg more effective in the morning or more effective at night) may impact your recovery as well. Evening types will travel west better, delaying their body clock, morning people will do better travelling east, advancing their body clock. As always, some people are never affected by jetlag, but others have a constant battle with the changing of time zones. In general the risk of extreme jetlag crossing fewer than five hours is low and as a result most changes will likely be due to travel fatigue, so travelling west for fewer than five time zones will have little jetlag associated with it. However, this becomes more problematic if you are travelling east for more than six time zones.

Every individual will have their own strategies, but if jetlag is something you struggle with when going away, here are a few tips for pre-flight, in-flight and post-flight periods that may be of some benefit:

Pre-flight

To ensure you arrive in the best shape, prior to a long haul flight, it has been recommended that you try going to bed 30 minutes earlier or later for three to four days prior to flying. In theory this should start to shift sleep patterns, if not (especially if delaying sleep) the risk is being sleep deprived if it doesn't work - fitting an extra couple of hours in bed at the other end may not be compatible with work schedules as wel!. Ideally allow yourself to get enough sleep in the build up to the flight and minimise events that take place early morning or late evening and minimise time away from home.

In-flight

Some strategies focus on time for changes to be made during the flight, however this can be a difficult environment where limiting problems might be a better strategy. The plane environment can be unpredictable (eg turbulence, noisy neighbours, food and drink services) so starting your strategy here is quite high risk. As far as the flight is concerned, sleeping when you feel sleepy is the advised approach to attain more sleep leading to better wellbeing on landing. This sleepy time is likely to be between your usual bed and wake up times. It is unlikely that you will get seven to nine hours undisturbed sleep on a plane!

Post-flight

Due to the immediate changes in environmental time cues, the body clock will begin to align gradually. This can be aided by light exposure as an environmental cue. If trying to advance your body clock (ie on heading east) avoid light in the morning and seek light in the afternoon and vice versa for heading west (lots of light in the morning, less in late afternoon). Start small (eg for eight time zones east seek light for a couple of hours in the morning to begin with) and increase gradually eg by half an hour per day.

These are guidelines that may help, however many people have individual strategies that work best for them. If you do have your own strategies that work it is unlikely these will speed any processes up, however if jetlag is something that affects you, some of this advice may help reduce its effects on you.

Enjoy your trip!

Words by Paul Martin.

NoviceRunnerNik's Top Tips On How To Crew For An Ultra Runner

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NoviceRunnerNik's Top Tips On How To Crew For An Ultra Runner

Our NoviceRunnerNik, who’s been running for quite a few years now (we probably ought to give her a new nickname!), has crewed for her husband and other friends competing in ultra marathons and here are her words of wisdom about supporting your ultra runner.

What is an Ultra Marathon?

Ultra marathons are any running races over marathon (26.2 miles) distance. 50k, 50 miles, 100k and 100 miles are all common distances but some races are even longer: The Spine, for example, is the length of the Pennine Way - 268 miles.

Runners at the start of the 2019 Arc of Attrition 100 mile coastal run.

Runners at the start of the 2019 Arc of Attrition 100 mile coastal run.

Who Are These Ultra Runners?

Ultra runners are a curious breed. They will pay a lot of money to run ridiculously long distances all in one go, through daylight, night, daylight and night, with little or no sleep, often in terrible weather conditions and usually over very tough terrain. They will spend hundreds of hours running hundreds of training miles, often alone. They will also spend a lot of money on running kit: taped seams jackets, anti-chafe running underwear, ultra light-weight hydration vests, tens of pairs of running shoes. During the actual ultra race they may hallucinate, dehydrate, vomit and cry. After the event they are likely to lose toe nails, sleep and eat for England and never stop talking about their epic race. Their lives are running!

And Crewing for Ultra Runners?

Some ultra events allow for runners to have crews to support them throughout the race (normally friends or family who drive around the route feeding, watering and generally tending to a specific runner). This helps both the runners as they can carry less food, water and gear and it helps the organisers as it means the welfare of many of the runners is managed by other people.

The first of many shoe changes.

The first of many shoe changes.

NoviceRunnerNik's Top Tips On How To Crew For An Ultra Runner

If your friend / partner / colleague asks you to crew for them for an event you need to be prepared for all of the above, so here are my top tips for crewing:

  1. As always, preparation is key. Ensure you have a meeting with your runner and co crew to talk through what your runner’s expectations are. Look at and agree locations for crew support points. If your runner is very information driven, make sure they prepare the information for you so that you have it to hand on the day – this could be expected arrival times at crew support points, distances between crew support points, distances between official check points etc. Print several copies – you’ll run into other crews and they’ll love the information too, you’ll lose a copy out of a window at some point. Guaranteed. Don’t be tempted to just wing it, unless your runner is very, very laid back.

  2. Use the largest vehicle you can sensibly drive around the route. A camper van would be ideal but a van, estate car or similar will give you lots of room for kit and for having a lie down/sleep if you or your runner need it.

  3. Have a second crew member if you can, particularly if your runner is also your partner – you have company, help with navigation, you can sleep in shifts and a third party might mean that you and your runner are on your best or at least better behaviour.

  4. Pack your kit for all eventualities. Your runner will have thought long and hard about their kit for the event and you should do the same about yours. You could be out in horrible conditions for 36 or more hours. You might not sleep. You are probably more likely to get cold / hypothermic than your runner. For me essential UK kit includes thermals, full waterproofs, walking boots, full change of clothes, waterproof gloves and hat, head torch, sleeping bag, sleep mat, blanket, food, drink, a kettle, phone, phone charger, music, books, binoculars, paper maps, change for car parking, a deck of cards, first aid kit, running kit (I always try to get out for a run in between stops if I can) - be prepared for boredom!

  5. Keep your kit and your runner’s kit separate then there’s no way that you’ll accidentally eat the very thing they are craving at Mile 90. But be prepared to give your runner (or another runner or their crew) anything from your food or kit store. Pack things into separate plastic crates or boxes so everything is found easily and doesn’t roll around the back of your van. Have a bin bag or crate / box ready for wet clothes and shoes.

  6. If you can’t always get your vehicle right up to where you’ll meet your runner, for example at checkpoints, get your runner to pre-prepare a kit bag with all the essentials they might need – spare clothes, powerbank, spare socks, extra food etc so that you can just grab the bag and arrive prepared.

  7. Have a spare waterbottle filled and ready to be swapped out when your runner arrives to make restocking them simple. Knowing what your runner will need when they arrive at your next meet point speeds things up.

  8. Keep cheery but avoid too many questions that require decisions being made by your runner. It’s really obvious but your runner is going to get more tired as the event progresses, as are you. Get on and do stuff without them having to ask.

  9. Sleep if you can and set an alarm on your phone if you need to make sure you’re awake. I’ve been in check points where runners have come in and their crews aren’t there. It’s devastating for them.

  10. Mobile phone / data reception can be really poor in areas so don’t rely only on Google maps for directions and bear this in mind if you’re following your runner on a tracker website.

  11. Be prepared to do some grim jobs, such as cleaning your runner’s feet or applying BodyGlide…

  12. Make sure your runner supplies you with fish and chip (or other takeaway of your choice) money! Check that your expected fish and chip shop is actually open. I’ve learned this the hard way!

  13. Plan your journey home from the event. From someone who has both crewed for and run ultras: you’ll get as tired crewing as you would do running but you’ll recover more quickly than your runner and keep your toenails. If you’re driving home after the event this could be just as dangerous as if your runner drives home (and runners are normally required to have a driver to get them home) so make sure you’ve taken this into consideration.

  14. Don’t get carried away and enter an ultra yourself the day after you’ve caught up on your sleep! Give it quite a bit of consideration before you commit. The hours and hours lost to training, the cash lost on kit and race entries, the toenails lost to the god (or other deity) of running. Remember the bad as well as the good!

One of the less fun support jobs, particularly at 2am!

One of the less fun support jobs, particularly at 2am!

Finisher and his crew!

Finisher and his crew!

Words and images by NoviceRunnerNik.

NoviceRunnerNik's Top Tips On Starting Running

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NoviceRunnerNik's Top Tips On Starting Running

Has the London Marathon inspired you to take up running or return to running? Our NoviceRunnerNik, who took up running a few years ago, gives us her top tips on getting started:

  1. Start with a Couch 2 5K app or program such as the NHS Couch 2 5k – this introduces you slowly to running over 9 weeks and gradually builds up your fitness and stamina. Much more sensible than my approach of just going for a 3 mile hilly run just like that and hating the feeling of my lungs exploding out of my chest! I very nearly didn’t run again after trying that!

  2. Run more slowly – particularly if it feels like your lungs are exploding out of your chest. If you can hold a conversation with someone (you might need to imagine that someone if you’re running alone) whilst you’re running, then that’s a great pace to run at. If you can’t, then slow down. You’ll enjoy it more - promise!

  3. Buy decent, comfortable running shoes - have your running shoes fitted by a specialist running shop. Tell them your budget and what you want to do. They needn’t cost the earth. You’ll be less likely to pick up an injury wearing shoes that fit you and are fit for the job.

  4. Don’t increase your longest distance or number of miles in a week too quickly, however much you’re enjoying it, or you risk overuse injury. An often quoted rule of thumb is to increase both by no more than 10% per week. Use a free phone app such as Strava to record your runs so that you know how far you’ve been.

  5. Run your own run – don’t worry about what speed or distance someone else is doing. Run to how you feel, rather than a pace you think you should run at on your GPS watch.

  6. Run with other people – join a running club or run walk group or find a friend to run with. Running with others takes your mind off the running and motivates you to turn up and run. Running clubs will have varying routes with leaders so that you don’t even have to think about where to run. In my experience running club members are really friendly and approachable. They aren’t all elite athletes racing for TeamGB (some of my running club members do run for TeamGB but you wouldn’t know it!). And you always have running to talk about.

  7. Buy some proper running clothes - you’ll be more comfortable and you’ll feel the part more and be more motivated to run. You don’t need to spend a fortune. Always wear a decent, supportive sports bra or chest support if you need it. They're vital bits of kit, especially if a few extra grams are being carried in that part of the anatomy.

  8. Vary the routes and surfaces you run on – to keep you interested and to get your body moving in different ways - try footpaths, coast paths, grass, mud etc but be careful.

  9. Get parkrunning! If you haven’t heard of parkruns they are free, timed weekly 5k runs, happening all over the country, every Saturday at 9am. You can walk, jog or run them so they are perfect for new runners and they are great for measuring your progress, if you wish. They only happen because people volunteer to organise and marshal at them so give something back now and again and volunteer too.

  10. Running can be really addictive! Don’t blame me if your running habit starts to escalate out of your control!

Words by NoviceRunnerNik.