About jumpphysio

Kieran O’ Donovan qualified with a BSc (Hons) in physiotherapy from Kings College London in 1999. He spent his first two years working as a physiotherapist in the public health system and in private practice in Cork, Ireland. In 2001 he returned to full-time study to gain an MSc in Manipulative Physiotherapy from the University of Brighton. Kieran then worked as a senior musculoskeletal physiotherapist in the Royal Free Hospital in London for two years. In 2006 Kieran moved to Manchester and began working in a private practice in Manchester city centre. Kieran has a special interest in shoulder and back problems and has worked closely with many athletes and teams. His sporting interests are numerous and he presently competes in Gaelic football and triathlon. Outside of working and training Kieran also fills the role of secretary to Manchester Triathlon Club. He believes in constantly updating his skills and using the latest research to guide his practice. In addition to physiotherapy Kieran has also trained in acupuncture and pilates.

Physiotherapy for Hamstring injuries

Watching and enjoying a Gaelic football game at the weekend I witnessed the all too common occurence of the hamstring injury. Unfortunately the player had to stop play and immediately began his rehabilitation with his soon to be close acquantence, the ice pack.It has been a while now since I hung up my boots but I clearly remember the sickening feeling of tightness in the hamstring at  the start of every season. Would this be another injury interupted season spent stretching on the floor, collecting balls behind the goals at training sessions and and lying face down on the physiotherapists table? Or my personal favourite, listening to the coach tell me how in their day there was no such thing as a hamstring injury.

Gaelic Football injuries

So what has changed over the last 20 years in regards to hamstring injuries in Gaelic Games and by obvious extension all field sports including football, rugby and Australian Rules. Hamstring injures still represent the single biggest injury cited for missing games in Gaelic games and Australian rules,

 

The make up  of our muscles hasn’t changed nor has the healing process. What has changed is our knowledge and ability to facilitate recovery, identify and reduce risk factors and the importance we place on pre season conditioning.

We know that the location of the hamstring tear can determine the average time out of sport, with a tear in the upper hamstrings at the musculo-tendo junction requiring more time away from competition than a a tear in the belly of the hamstring. We better understand the relationships between both flexibility and strength of the hamstrings and the risk to injury. We also understand how best to facilitate increases in flexibility and strength of the injured hamstring.

We know that the majority of hamstring inuries occur in the stretch-contract cycle of the game i.e. during kicking or accelerating / decelerating. During this stage the hamstring is working eccentrically.We know therefore that eccentric strengthening of the hamstrings should play an important part in pre season conditioning and rehabilitation post injury. We also know that hamstring injuries occur more in the final quarter of games and training suggesting that strength and flexibility conditioning of the hamstrings should help reduce injury.Gaelic Football, Sprinting with Ball

We also know there are multiple factors hypothesised to contribute to the risk of hamstring injury. These include inadequate warm-up, fatigue, previous injury, knee muscle weakness or strength imbalance, increasing age, poor movement discrimination, poor flexibility, increased lumbar lordosis and poor running technique. We hope that by addressing these and others with each individual we can help reduce the risk of injury.

Recent research suggests that strengthening the hamstrings pre season and especially post injury plays an important part in the reduction of injury. Currently the most efficient form of hamstring strengthening is thought to be eccentric exercises. Eccentric training should be prescribed by a physiotherapist or suitably qualified member of the team’s medical team and is worlds removed from simply sitting in the gym preforming hamstring curls (the only function of which may be to tighten your hamstrings.) One form of eccentric training used is the nordic hamstring raise.

Our understanding of the predisposing factors to hamstring injuries and what constitutes best treatment practice continues to evolve. The challenge as with all injuries is to keep up to date with current research and best practice, hopefully reducing the occurrence of injury and the length of rehabilitation time.

 

 

Back Pain and Fitness

On the 24th of November, our colleagues at Pro Balance Fitness studio in central Manchester will play host to an educational seminar on the issues around exercise and low back pain. Ross Bewley with over 11 years experience in personal training and NASM/REPS certified,  will be revealing some of the ways he has been helping clients past and present. Ross will focus on key subjects such as metabolism, nutrition, exercise and detoxification. There will also be a demonstration abdominal conditioning exercises which  when performed regularly and correctly can lead to abdominal definition, improved posture and a reduced risk of back pain. Our own Chartered Physiotherapist and sports massage therapist John Glover from JUMP Physio will also be present. Through practical demonstrations and explanations he will be covering the clinical aspects of lower back pain, guiding you through the causes, signs and symptoms od back pain and teaching you some siLow Back Painmple self-management strategies to help alleviate your aches and pains. We hope you can join us for what promises to be a fun and informative session! If you are interested in attending please contact either John john@jumpphysio.com or Ross at ross@personaltraininginmanchester.com to reserve a place to what promises to be informal but educational session.

Sports Massage and Running

Sports Massage.

The benefits of sports massage are applicable to injuries and dysfunction in all sporting fields and in treating the inevitable tension and tightness that result from prolonged work postures. But what specific benefits can it afford certain athletic populations? In this post we’ll investigate the pay-off sports massage therapy can have for runners (elite and recreational alike).

Before we can talk about how sports massage can be effective in treating runners I think it’s essential to briefly explain the kinds of dysfunction, imbalances and subsequent injuries that can result from them.

ILIOTIBIAL BAND SYNDROME

Commonly referred to as ‘Runner’s Knee’ this is lateral knee pain that is usually felt just above the insertion of the dreaded IT band on the lateral femoral condyle (inserts on the lateral condyle of the tibia). Between 0 and 30 degrees knee flexion the ITB flicks over this bony prominence (i.e. during running). The tighter the band the more pressure, friction and the more likely a resultant inflammatory nightmare will follow your 10k. It’s also worth pointing out that the tighter your ITB gets the more active your TFL or tensor fascia lata muscle gets. This is a hip internal rotator and (among other things) can cause inhibition of the gluteus maximus, reduced pelvic stability and increase the ‘dynamic Q angle’ during stance phase which can set you up for a host of other knee problems.

Where does sports massage come in? After the acute inflammatory process has settled down significant sports massage therapy can start. Myofascial release techniques can reduce tension in the ITB and subsequently reduce tone in the TFL enabling the glutes to regain their rightful place. Trigger points (focal spots of hyperirritable skeletal muscle) can cause referred pain when palpated and usually develop from chronic muscle tension left untreated. Due to its indirect fascial attachments with the glutes medius and vastus lateralis muscles, trigger points can manifest in in these areas. Specific trigger point techniques from a sports massage therapist can release these areas of accumulated tension, restoring normal function to the tissues and eliminating referred pain.

GASTRO-SOLEUS COMPLEX TIGHTNESS

Travelling further down the kinetic chain we come to another culprit that can be responsible for pain felt at the knee and again commonly tight in runners. Shortness and/or tightness from high mileage or footwear with excessive heel cushioning can result in some compensatory biomechanical changes that can adversely affect your running. When a tight calf limits dorsiflexion (point your foot upwards) the ankle tends to compensate by over-pronating (inside arch collapsing inwards). This stretches and overtime weakens the medial ligaments of the ankle and puts adverse pressure on the knee joint.

PLANTAR FASCIITIS

Moving ever so slightly further down to the bottom on the calcaneus (heel bone) brings us to yet another injury that can be caused by over-pronation, plantar fasciitis. If you’re experiencing pain on the underside of your heel or on the plantar surface of your foot (especially in the morning) that tends to ease as you walk around more you may well have plantar fasciitis. Overuse, suddenly increasing your training mileage and, as per above, tight calve muscles are again another predisposing factor to developing this condition. Sports massage can help to reduce tightness in the plantar fascia itself using a variety of different techniques either to the fascia as a whole or focusing on specific nodules of tightness.  Specific soft tissue mobilisations (SSTM) can also be used to restore flexibility to the fascia and prepare it for the loads/demands of running.

So in conclusion whether you have a pre-existing injury or not, sports massage therapy can help prevent you from developing these conditions, improve your performance by eliminating the passive drags of reduced flexibility and tissue elasticity and is a great adjunct to physiotherapy interventions.

J.Glover BSc Physiotherapist MCSP

How to solve your Tennis Elbow

To celebrate Andy Murray’s Olympic gold in the tennis, John Glover our Physiotherapist has wrote the following piece on a condition commonly called Tennis Elbow.

It’s ironic that the number of tennis players that suffer from tennis elbow are said to account for 5% of all cases (Peterson and Renström, 2001). In fact those most at risk of developing this condition are people in manual trades (carpenters, builders, electricians, painters etc) that involve repetitive wrist flexion and extension (imagine painting a wall) and also pro and supination (think of turning a screwdriver). I guess ‘Painter’s Elbow’ didn’t catch on but the terms you will commonly here used to describe this injury are: lateral elbow tendinosis, lateral epicondylitis and lateral epicondylalgia. Each of these is an attempt to describe the underlying pathological process, but what is actually going on inside that elbow of yours?

“What causes Tennis Elbow”

Ljung et al (1999) conducted biopsies on patients with tennis elbow and found no evidence of inflammatory markers while Nirschl et al (1989) and Regan et al (1992) discovered degenerative changes in the wrist common extensor tendon, synonymous with other chronic tendiopathies (achilles, and patella etc). There are still several hypotheses as to what the main cause of the pain is: raised glutamate levels (Alfredson et al, 2000); secondary hyperalgesia (Wright et al, 1992) or my favourite ‘angiofibroblastic hyperplasia’ (Brukner and Khan, 2000). This basically suggests that in response to the micro-damage to the tendon, the body deploys cells called fibroblasts that begin to lay down repair tissue (granulation tissue) which contain a lot of painful nerve endings (potentially accounting for the pain).

So what does all this mean and what’s important for you to know? Tennis elbow is essentially an overuse injury where the wrist extensor tendon (mainly extensor carpi radialis brevis) undergoes microscopic tears. The tendon has a poor blood supply leading to a continuous failed healing response as the tissue healing struggles to keep up with the demands placed upon it.

 

How do you know you have Tennis Elbow?

  • Gradual onset of pain (24-72 hours after training or manual work)
  • History of overuse or return to training after a prolonged break
  • Pain over lateral aspect of elbow (+ or – radiating pain down forearm)
  • Pain shaking hands or opening doors (turning door handle)
  • Pain on resisted wrist extension (+ or – passive wrist flexion pain)

What else could Tennis Elbow be?”

Before commencing on any Physiotherapy ot treatment regime, it’s important to confirm that the injury is actually tennis elbow by ruling out other potential conditions first. Other causes of lateral elbow pain are:

  • Referred pain from cervical or upper thoracic spine
  • Radial nerve tension
  • Radiohumeral bursitis
  • Synovitis of the radiohumeral joint
  • Posterior interosseous nerve entrapment
  • Osteochondritis dissecans (flaking of the articular cartilage and subchondral bone) of the captiellum or radius

Brukner and Khan (2000)

 

“How can I avoid Tennis Elbow?”

If you’re a tennis player correcting/adapting technique will definitely play an important preventative role in reducing abnormal stresses placed on the wrist extensor muscles (e.g. adopting a double handed back hand rather than single arm), along with ensuring adequate recovery between training sessions This shuld be done in consultation with your coach and/or Physiotherapist. Other preventative measures include checking the grip width of your racket (should be equal to the distance from the middle of your palm to the top of your middle finger) and replacing tennis balls on a regular basis.

If you’re in a manual trade, factory worker or in any job that involves repetitive stress on the forearm muscles I’d advise taking breaks when able and to regularly alternate arms i.e. not relying purely on dominant side to do all your work.

 

“How do I get rid of Tennis Elbow?”

 

Once a diagnosis of tennis elbow (lateral epicondylitis) has been confirmed your physiotherapist can talk you through a range of treatment options available to you, offer advice and education as to what movements and activities to avoid and inform you when it’s safe to return to activity. Which ones are most appropriate will depend on the severity and stage of the injury. Treatment options include:

 

  • Graduated therapeutic strengthening and stretching programme
  • Mobilisations with movement (MWM)
  • Sports taping / Counterforce bracing
  • DTF (Deep Transverse Frictional Massage)
  • Electrotherapy

*While NSAIDS can be effective in controlling pain some evidence has shown that is can delay/impair the normal cycle of soft tissue healing (Greene, 1992).

**This is not a comprehensive treatment list but just used to give an idea of what’s involved in each stage of the rehabilitation process.

 

NON-CONSERVATIVE TREATMENTS

If your symptoms persist for more than 6-12 months and you’re unable to return to your activity/sport despite rehabilitation from a Physiotherapist then surgery may be indicated. The surgery is an arthroscopic debridement of the extensor carpi radialis brevis tendon that is generally uncomplicated and completed within 30 minutes. 80-85% of patients regain full strength and complete relief of pain although the surgery is always followed by a post-operative rehabilitation programme on week 3. Steroid injections are also another option prior to surgery if conservative measures fail to reduce pain.

 

References/Sources

  • Brukner, P., Khan, K (2000) Clinical Sports Medicine, Australia, McGraw-Hill
  • Greene, J (1992) Cost-conscious prescribing of nonsteroidal anti-inflammatory drugs for adults with arthritis, Archives of Internal Medicine, 152:1995-2002
  • Peterson, L., Renström, P (2001) Sports Injuries: Their Prevention and Treatment (3rd Ed), United Kingdom, Taylor and Francis.
  • Ljung, BO., Forsgren S., Friden, J., (1999) Substance P and calcitonin gene-related peptide expression at the extensor carpi radialis brevis muscle origin: implications for the etiology of tennis elbow, Journal of Orthopaedic Research, 17: 554-559.
  • Nirschl, R (1989) Patterns of failed healing in tendon injury. In: Leadbetter W., Buckwalter, J, Gordon S (eds) Sports-induced Inflammation, American Academy of Orthopaedic Surgeons, Illinois, pp 577-585.
  • Regan, W., Wold, LE., Coonrad, R., Morrey., BF (1992) Microscopic histopathology of chronic refractory lateral epicondylitis, American Journal of Sports Medicine, 20: 746-749.

 

Frozen Shoulder

Mainy stiff and painful shouders can be mis-takingly diagnosed as frozen shoulders. Painful shoulder impingements and pain referred from the cervical spine can have presentations in common with a frozen shoulder but respond very poorly to treatment directed at a frozen shoulder. A mis-diagnosis can lead to a delay in appropriate physiotherapy intervention  and a prolonged period of discomfort for the patient.

Frozen Shoulder

Frozen Shoulder

So what is a frozen shoulder?  Adherent bursitis, adhesive capsulitis, pericapsulitis are just some of the terms used to define the condition of a ‘stiffening or frozen shoulder’, each is a description of
the potential underlying disease process (Siegel et al, 1999). The term ‘Frozen
shoulder’, first used by Codman in 1934, describes a gradual onset of shoulder
pain, progressive reduction of range of motion and discomfort sleeping on the
affected side (Pearsall and Speer, 1998).

The exact cause of frozen shoulder remains unclear. Some theorized that the disease results from a thickening and tightening of the normally flexible and elastic joint capsule leading to a contracture (Neviaser and Neviaser, 1987) while other suggest the cause
originating from an inflammatory response leading to scar tissue formation (Hanafin
and Chiaig, 2000).

Frozen shoulder usually occurs with no prior injury or notable cause but can follow traumatic injuries such as fractures where the arm is immobilised for a prolonged period of time. You may be more likely to develop the condition if you have one or more of the
following risk factors:

3:1 female to male ratio (Walker et al, 1997)

Most presenting cases 40-60 years of age

History of diabetes, thyroid or heart disease (Walker et al, 1997)

Dupuytren’s contracture (Schaer et al, 1936; Smith et al, 2001)

The two types of frozen shoulder are defined by whether the
cause is known or unknown:

Primary (insidious)

Primary adhesive capsulitis is
characterised by an insidious progressive painful loss of active and passive
glenohumeral joint motion (Hannafin and Chiaia, 2000).

Secondary(traumatic)

Secondary adhesive capsulitis presents
in the same way as primary but stems from a known underlying illness or extrinsic
cause (Hannafin and Chiaia, 2000)

STAGES OF FROZEN SHOULDER

Freezing ‘Painful’ Phase: Pain increases with movement, often worse at night, progressive loss of motion with increasing pain (Duration approx: 2 to 9 months)

Frozen ‘Stiff’ Phase: Pain begins to diminish,significantly reduced range of motion (as much as 50% less than in the other arm) (Duration approx: 4 to 12 months)

Thawing ‘Recovery’ Phase: Condition may begin to spontaneously resolve, most patients experience a gradual restoration of motionover the next 12 to 42 months
Apply heat or cold packs to help reduce and manage the pain
Consult your GP for advice regarding pain medication/anti-inflammatories
See your physiotherapist for advice and treatment

Physiotherapy treatment for frozen shoulder aims to restore normal range of motion to the joint, increase tissue extensibility and improve strength of the muscles around the shoulder:
Pain management
Graduated stretching programme
Passive joint mobilisations
Ultrasound/Soft tissue massage
Specific home exercise programme
Postural re-education

Some evidence suggests that physiotherapy intervention can have a more profound impact on the condition in the earlier stages (Mao et al, 1997). However most patients do not seek help until pain and loss of range of motion begin to affect day to day tasks. If you begin to notice any symptoms, seek advice from your physiotherapist or local health care professional.

Hannafin.,
JA., Chiaia, TA (2000) Adhesive capsulitis: A treatment approach, Clinical Orthopaedics and Related Research,
372, 95-109.

Mao,. CY.,
Ja., WC., Cheng., HC (1997) Frozen shoulder: Correlation between response
to physical therapy and follow-up shoulder arthrography, Archives of Physical Medicine and Rehabilitation, 78: 857-859.

Neviaser , RJ.,
Neviaser  TJ (1987)  The frozen shoulder: Diagnosis and management.
Clinical Orthopaedics,
233:59–64.

Pearsall., AW.,
Speer., K P (1998) Frozen shoulder syndrome: Diagnostic and treatment strategies in
the primary care setting, Medicine
and Science in Sports and Exercise,
30: 33-39.

Schaer, H (1936) Die aetiologie der
periarthiritis humeroscapularis, Ergebn Chir Orthop, 29: 11.

Siegel, L., Cohen, N., Gall, E (1999)
Adhesive Capsulitis: A Sticky Issue’, American Family Physician,
59(7):1843-1850.

Smith et al (reference in Watson’s shoulder manual)

Walker, K., Gabard, D., Bietsch, E., Masek-VanArsdale,
D., Robinson, B (1997) A profile of patients with adhesive capsulitis, Journal
of Hand Therapy, 222-228.

Image sourced from www.shoulderdoc.co.uk

Thanks To John Glover Physiotherapist for putting the above information together.

 

New Sports Massage Therapist

We are delighted to announce that Lynne Taylor from Global Therapies is our new Sports Massage Therapist at JUMP Physio. We met Lynne and her partner Tim Budd (another great sports massage therapist) just over a year ago and were very impressed with both their work and the feedback from clients.

When we realised JUMP Physio were moving at to a larger clinic the first thing we did was ask Lynne and Tim whether they’d be available to do some work with us. We’re delighted Lynne is starting with us and look forward to working with her in the clinic and maybe availing of the proximity of a great sports masseuse ourselves every so often. Lynne will initially be working with us on Thursday afternoons and appointments can be booked in the usual way of either e-mailing us on info@jumpphysio.com or calling us on 0161 832 3334.

Below is a brief bio on Lynne.

As a massage therapist Lynne brings together her love of sports with her knowledge and experience of sports injuries to help improve the quality of life for her patients. She gained her qualification- Level 5 Sports and Remedial Massage Therapy at the NLSSM, and has been actively practicing and treating clients since 2009.

Away from work, Lynne’s main focus is running, particularly fell running, She is an active member of Glossopdale Harriers and has a number of fell races planned in 2012. She also regularly cycles, climbs (indoors and on grit) and swims. In the past she has been involved with caving, paragliding and scuba diving.

As evidence of Lynne’s ability and excellence as a sports masseuse Lynne has been accepted as a sports masseuse at the London 2012 Olympics providing Sports & Remedial Massage Therapy for the athletes. 

 

 

New Physiotherapy and Pilates Clinic

Please forgive this non clinical blog.

After 3 years in our old clinic and 6 months of telling everybody we were moving, we at JUMP Physiotherapy have finally moved to a bigger space. No new maps are needed, no change of address required and no new telephone number. We are still situated in the same building on the same floor just in the office next door.

Why have we moved? When you see our new bigger clinic it’ll all become obvious. We  now have available a separate Pilates studio, Physiotherapy clinic and Sports Therapy room. The new Pilates studio means we’ve been able to offer more Pilates classes (see our class timetable) as well as add to our Pilates large equipment. We now have a Pilates reformer and tower of power, a Combo chair as well as a Pilates Arc on top of all our small equipment. The Pilates studio also doubles as a Rehabilitation area for our Physiotherapy clients. So we now have an even bigger gym area for post surgery rehabilitation and physiotherapy.

We hope to be able to announce shortly a Sports Therapist and Masseuse joining our team who’ll be available for regular weekly appointments. Kieran O’ Donovan continues as our clinic’s Lead Physiotherapist, Naomi Gill continues as our Womens’ Health Physiotherapist and Andy Bond continues as our Pilates Instructor as normal. To coincide moving to a bigger Physiotherapy clinic we also launched our new website recently (JUMP Physio). Please let us know what you think. You can now follow us on Twitter @jumpphysio and @jumppilates . For those of you who don’t tweet.. we now have a newsletter you can subscribe to. Our monthly newsletter will contain updates on any new classes, special offers (yes they will be special) as well as providing, tips from our  Pilates, Physiotherapy and Sports Therapy teams. We don’t send spam or use existing e-mail addresses to contact you about changes and offers at our clinic so this will be our way of letting you decide how much information you’d like from us.

 

Of course all of these changes are done to enhance the experience of everyone attending JUMP Physio whether it is for Physiotherapy, Pilates or Sports Therapy so please let us know what you think of the space and of your experience here. Suggestions on how to improve are always taken on board.

 

JUMP Physio

 

 

Stress Fracture of the Tibia.

Although stress fractures of the tibia are a pretty rare occurence in the running population, we’ve seen two in our sports injury clinic in the last month. The causative factors in both cases were similar and caused by a combination of tight calves and insufficient recovery periods between runs. Rather than an in depth look at the causative factors and treatment of shin splints this is short post on the questions asked by our two clients in the last few days
1) Can I run with a stress fracture

No, No. No. Absolutely not, if it still hurts stop running. There is no option b.
2) How do I know if I have a stress fracture?

Clients often have pain on walking which intensifies and worsens on running with a local area of tenderness on the front of the shin. Clinically it can be diagnosed with the help of a thorough subjective history and with pain on direct or indirect percusion over the area. Although the first line of investigation is often the x-ray, it tends to be picked up earlier with both an MRI scan or a bone scan and sometimes a combination of two scans will be used to confirm the diagnosis.

3) What causes the stress fracture? -

Stress fractures can can occur in elite runners as easily in novice weekend plodders. They are thought to be the long term consequence of overloading the tissues on the anterior shin. As mentioned in a previous post  one of the the long term effects of training is bone thickening or the osteoblastic formation of new bone. Before this happens however in the short term the tissues fatigue leading to osteoclastic re absorption of bone resulting in a weaker bone. A stress fracture occurs when the weakening phase outstrips the strengthening phase and is the long term result of overloading your tissues when you run. This can be due to direct pressure on the tibia (shin) or indirect pressure through the tissues that attach onto the shin bone. A number of intrinsic and extrinsic factors are thought to contribute to the over load injury including things as varied as  duration, frequency and intensity of exercise, shoe wear,decreased flexibility, changes in muscle strength leg length discrepancies, age and sex.

4) What do I do? Rest the injured area and address any mechanical issues with a health care professional such a Physiotherapist. Assessment and prevention of recurrence may include a gait analysis, biomechaical analysis as well as a re-think of how you train. In consultation with your Physiotherapist or coach try to maintain cardio vascular fitness without directly loading your tibia or surrounding muscles.

What are overuse injuries?

With the London marathon and Manchester 10km now begining to loom on the horizon we have seen the  familiar increase in overuse type injuries  here at JUMP Physio. These have been especially in but not limited to to the running population. The inevitable question always arises. What causes over use injuries? Well, without stating the obvious it is usually a combination of factors such as the training load, the biomechanics of the movement and physiological state of the tissue.   Needless to say here at JUMP Physio we don’t see athletes with excellent biomechanics, normal tissue and subjected to appropriate training load  presenting themselves in the clinic. We do however see a whole bunch of frustrated people of all abilities presenting with one or more of the above  contributory factors. Such as the runner who has gradually being building up their mileage with appropriate recovery periods, developing shin splints, anterior knee pain, achilles tendinopathy or ITB problems due to altered mechanics caused by tight calves or weak glutes.  We also see people with optimal mechanics, present with similar injuries because of inappropriate loading or lack of recovery between runs.

Every time you exercise your tissues are loaded causing physiological change and structural adaptation. In running or with any other  training stimulus this can lead to muscle hypertrophy, thickening of bones, enhancement of neural pathway’s, the strengthening of tendons. These changes take time however and before all these positive adaptations occur the short term effects of training are that tissues fatigue and become less resilient to load. Continuing to apply load to these tissues increases the risks  associated with tissue break down and injury.

Management of these injuries therefore focuses on addressing the relevant biomechanical faults, identifyng the state of the underlying tissue and prescribing a suitable load and recovery plan. Of course it also helps if you understand what has caused the injury so it doesn’t happen again.

The run at Clearwater

If you feel like you may have over done the training or can’t figure out why your body hurts so much after an easy run give us a call at JUMP Physio to see if we can help.

Jemma Oliver Sports Physiotherapist

We are delighted that Jemma Oliver Sports Physiotherapist will shortly be joining our team at JUMP Physio. Having trained in Sports Science in Leeds and graduating as a Physiotherapist from Sheffield in 2007, Jemma has spent the last few years working privately in the sports rehabilitation and sports injury settings. She enjoys all aspects of musculoskeletal Physiotherapy however her specialist interest is in sports injuries and lower limb biomechanics. Jemma is near completion of an MSc in Sport Injury Management.

Jemma’s work in sport makes an impressive CV  to date and includes working with various squads and sports including the Sheffield United Football Academy, Sheffield Hockey Club, the U21 Wales Hockey Squad and more recently work with the GB Bobsleigh and the GB Womens Volleyball team in their run up to the 2012 Olympics.

Jemma describes herself as a friendly and passionate individual with an aim to try and help empower individuals to become more self aware of their own bodies and lifestyle in order to rehabilitate from injury, improve their sport performance or increase their own quality of life through healthy living and exercise.

A full list of the services Jemma will be offering at JUMP Physio will be available shortly on our web site www.jumpphysio.com . In the meantime if you have any questions about sports injuries or rehabilitation you can ask Jemma at info@jumpphysio.com