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Foot Pain

Gout and your Big Toe

Gout – first diagnosed in Ancient Egypt in 2600 BC, isn’t new. But more and more patients are receiving this diagnosis. What is Gout? Gout is a metabolic disorder which causes arthritis (arth = joint and itis = inflammation), usually of the big toe but other joints can be affected. The body stops processing uric acid properly causing it to build up in the body. These sharp uric acid crystal…

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Migraines - caused by neck pain.

Physically Treating a Migraine or Headache

Since I set up the Headache Clinic many people have asked what is actually involved, what is it I do when you come to see me? No cracking I think the first point to make is that you won’t get your neck “cracked”. As a physiotherapist I don’t do the strong spinal manipulations that some chiropractors use. All of my physical therapy tools are gentle and you won’t be pulled or cracked…

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fibromyalgia Symptoms

Fibromyalgia – diagnosis or dead end?

In medicine (and I’m as guilty of this as many) we often consider getting a diagnosis the most important part. Having a name for what you’re going through, having a medical practitioner recognise that there is a problem can feel like a huge achievement. And everyone who practices medicine understands just how important this name is for the patient. But there are some groups of symptoms that medicine just doesn’t…

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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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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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Lymphatic Drainage after breast surgery

Lymphatic Drainage after breast surgery

I’ve been using my Electrolymphatic treatment machine for a few years now and I’ve seen some amazing results. As I’ve spoken about before I use it to treat a wide range of issues as part of my physiotherapy practice. But, where I get most excited is in using it to treat post surgical patients, particularly after breast surgery. Why is this so exciting? After a diagnosis and operation for breast…

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Feels like . . . neurological pain

Feels like . . . . The game of neurological pain assessment

As a kid one of my favourite games was Charades. Is it a movie. . .  Sounds like . . . . Now as a physiotherapist, when doing an initial assessment I play a different kind of game with my patients – Feels like . . . . And I watch the movements of my patients as closely as I listen to the words. Pain is a funny thing –…

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Bodyworks WORKS

Limping down the aisle – quick rehab for a hamstring

Most people don’t want to take a lot of time off from their life when they get an injury. Rest is probably the most loathed treatment option, certainly here on the Costa del Sol where many of my patients are involved in sport! While patients generally want to get better as quickly as possible most people don’t have quite such a tight deadline. Carlos injured his hamstring playing football and…

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Bodyworks WORKS

The vital importance of talking to your patient!

Again and again and again I go on about how important a proper assessment is for a correct diagnosis. You MUST actually talk to and examine your patient! The variety of medical testing available is fantastic, MRI scans and X-rays, nerve testing, blood tests . . . the list goes on and on (and in some private hospitals on and on and on again!). And these are fantastic at giving…

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Does Lymphatic Drainage help cellulite?

Does Lymphatic Drainage help cellulite?

This ladies (and it really is only ladies!) is the $64,000 dollar question. And I realise that the future of my mortgage payments and any hope I have of upgrading my Golf to a convertible rides on the answer to this question! And the answer is . . . . . . Yes. But it helps it doesn’t cure. So this is how it works – underneath the skin, all…

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