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Leg Pain- ankle, knee, hip and back - all connected

Knee Pain – the Big Picture

Knee pain – just one of those things that happens as you get older right? Or because you’re a runner. Or a tennis player. Or a padel player. Or . . . . just one of those things you learn to live with. Or is it? If you’ve got knee pain and you aren’t making progress perhaps there’s more to it? The whole body Everything in the body is connected.…

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Migraine or TMJ?

One of the most frustrating things for many migraine sufferers is that they can end up taking a lot of medication that doesn’t work! And why? Because migraines are often symptoms of other conditions which the medication, obviously, isn’t designed to treat. Resolving migraines can be a process of elimination – Is it a “true” migraine? (which means medication will probably help) A migraine caused by nerve inflammation? A migraine…

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Carpal Tunnel and central sensitisation

Carpal Tunnel – Physiotherapy is better

Carpal Tunnel is a diagnosis that is becoming more and more common. But what is the best solution? Symptoms: a vague aching in your wrist that can extend to your hand or forearm. Tingling or numbness in your fingers or hand, often worse on waking. Pain from your wrist up your arm to your shoulder or down into your palm or fingers, especially after forceful or repetitive use. Weakness in…

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Ankle Sprains and their long term consequences

Ankles – just a sprain?

So many of us have “sprained” an ankle. That general term for “I fell and hurt my ankle and it’s still sore”. In medical terms a sprain is when there is a “stretching or tearing of ligaments” so it’s a useful catch all term for joint injuries that need a bit of rest and Ice but not much more. But a recent study suggests that there might be longer term…

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Top tips for getting shoes to fit

3 Top Tips for Getting your shoes to fit

I’ve spoken before about how to get the right fit for children’s school shoes (where you can download my handy guide!) but what about us adults? Aren’t our feet important too? While I’m an avid believer in orthotics and the impact they have, it helps to put them in a well-fitting pair of shoes! Do your shoes fit? The average shoe size is up about two sizes since the 1970’s,…

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your neck can cause your migraines even if it doesn't hurt

But my neck doesn’t hurt

Often, when I say that I can help people’s migraines and severe headaches by assessing and treating their neck their response is, “but my neck doesn’t hurt”. And yet . . . it’s still involved. How nerves work Nerves are designed to send messages from their end to the brain. That’s all they know how to do. If there is a problem at any point along that route all the…

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The median nerve runs from the neck to the wrist through the Carpal Tunnel

Carpal Tunnel Syndrome?

What is the Carpal Tunnel? The Carpal Tunnel is located on the palm side of your wrist. It is a tunnel to protect the median nerve which controls index and middle finger function. If there is any kind of blockage, pressure or inflammation in this tunnel it puts pressure on the nerve, creating Carpal Tunnel Syndrome Symptoms Carpal Tunnel syndrome typically starts with a vague aching in your wrist that…

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ITB and sciatica can often be confused

Sciatica or ITB (Iliotibial Band)?

Sciatica, one of those wonderful medical terms which we now use in everyday conversation to cover a whole host of aches and pains. Real, true sciatica is only from problems in the disc L3 in your lower back and symptoms include: Pain in the buttocks or leg, often worse when sitting. Burning, tingling or “pins and needles” down the leg. Weakness, numbness, or difficulty moving the leg or foot. A…

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Achalasia – how physiotherapy can help

A few months ago I was chatting to a woman I’d met a few times at various networking meetings and she mentioned she had a condition called achalasia which is quite unusual. The lower oesophageal (bottom of the oesophagus ) muscles and sphincter start to degenerate and, critically, the nerves which control these muscles. Patients commonly have problems swallowing, chest pain and regurgitate food and drink. She explained how she’d…

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tinnitus and chronic pain are related and solveable

Tinnitus and Chronic Pain

I am privileged to work with an amazing audiologist, Peter Ormrod, who specialises in treating tinnitus. Interestingly one of the first things we spoke about when he came to work with us was tinnitus treatment. What is tinnitus? Tinnitus is when you can hear a sound that doesn’t have an outside source. The perception of this sound varies, some describe a high pitched whistle, others a buzzing, or even the…

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