Tag Archives: Bristol Physio

How to get ahead of headaches

Did you know that physiotherapy can help with headaches? Many of the partner clinics of PhysioNet Bristol have expert physiotherapists who can help if you’re experiencing headaches from tightness and tension around your neck. Louise from Bradley Stoke Physio and Health explains the positive benefits of seeking help for your headaches.

What causes headaches?

There are lots of types but the most common are tension type headaches. These can be stress or anxiety related, but often no one knows what causes them. The first course of action for most people is analgesic medication such as paracetamol. Occasional headaches can be managed in this way but if the pain becomes more persistent then further treatment may be appropriate. Indeed, it has been shown that frequent use of analgesics and anti- inflammatories can cause…headaches!

Headaches can sometimes come about as a secondary problem from tight muscles and tendons around the neck. These are secondary headaches and are called cervicogenic headaches.

Both types of headaches can be helped by physiotherapy techniques – indeed the NICE (National Institute for Health and Care Excellence) guidelines recommend these as treatments.

When to seek your doctor’s advice

If your headache comes on quickly and is accompanied by a fever, nausea or vomiting, or
if you become confused, have slurred speech, or weakness or numbness then seek medical advice as soon as possible.

Tips for staying headache free

To find out what causes your headaches, a good place to start is to write a pain diary. This can help you pinpoint the cause of the symptoms and help you start to manage them.

Of common tension type headaches, we know the causes can be stress, squinting, poor posture, tiredness, dehydration and irregular meals. In this case, there are a few key things
you can already do to help you prevent and manage them:

  • Get an eye test
  • Remember your posture – sit up
  • Sleep well
  • Stay hydrated
  • Eat regularly
When a physiotherapist can help

Physiotherapists can reduce the severity and the frequency of our headaches. They can use massage, acupuncture, joint mobilisations and even mindfulness exercises such as Pilates and Yoga to treat your headaches. You can also benefit from exercise treatment plans and advice on self-managing your pain.

Triathlete exercises to help build strength and prevent injury

If you’re a triathlete wanting to maximise your bike to run transitions and prevent injury – read on!

Every triathlete will share with you their tips and tricks for a speedy transition from bike to run, but when it comes to strength and conditioning exercises to help prevent injury and improve form, they are a little stumped. Most triathletes focus on speed when it comes to transitions but strengthening and injury prevention exercises will determine if you finish the race at all.

Transitioning from bike to run is extremely brutal on your body. Your glutes are lengthened from all the peddling, and your hip flexors are tight from being in a crouch position. Now you’re asking your glutes to work in a shorter range of movement and your hip flexors to stretch out immediately, with no adjustment period and for 6.2 miles.

This shift puts quite a bit of strain on the body and if you haven’t built up stability in your lower back and quality hip range, you are increasing your chance of a range of injuries, such as lower back pain, anterior knee pain, Achilles tendinopathy and shin splints.

PhysioNet Bristol’s directory for finding a private physiotherapy clinic near you, can help you find a specialist physiotherapist to help prevent further sports injuries and provide you with expertise advice. Experienced chartered physiotherapist, Alex Smart owner of TheraSmart, one of PhysioNet Bristol’s partner clinics shows you 4 exercises to help you build strength and prevent injury not just for triathletes but those with lower back or hip pain.

Single leg squats from a chair – 4 x 20 reps on each leg

From a sitting position, stand up on one leg. Keep your pelvis level and be careful not to twist it back. There is a tendency on the non-weight bearing side for the hip to rotate back. This means you are opening out your hip instead of engaging your glutes properly. Keep your shoulders and pelvis square and knee in line with your second toe. Also, be mindful to stand straight and not to side bend or arch your lower back.

https://youtu.be/Id3snyVsHIo

Standing hamstring curls (done well) – 4 x 20 reps on each leg

Standing hamstring curls are rarely done well. Most people tend to sway their hips forward when curling their leg back, so the weight moves to the ball of their foot and they have to grip with their toes. The aim is to keep your pelvis in line so the weight is evenly spread through your foot. Make sure your lower back is flat and your tummy is engaged. If you are doing it correctly you should feel your glute and hamstring working together.

TIP: do this exercise holding onto something in front of you and with a mirror to your side to make sure you are doing it correctly.

https://youtu.be/r0gTSsDIgec

Seated leg extensions with a football – 4 x 20 reps

From a seated position sitting upright, squeeze the ball between your ankles and start to lift your legs to straighten your knees. When your hamstrings are tight you are going to want to round your back – so fight against this urge. Maintain the pressure on the ball throughout the movement up and down. This will work your quads and VMO which is important to combat anterior knee pain. Only extend the legs as far as you can maintain a straight back.

https://youtu.be/JvV169sdqiw

Four-point kneeling torso rotation – 4 x 20 reps on each side

On all fours, your hands should be directly below your shoulders with straight arms, and your knees should be directly below your hips. Make sure your back is nice and straight with your head in line with your torso. Be careful not to drop your head towards the floor. Place one hand on your hip and rotate your torso towards the non-weight bearing side so you open up your shoulders. Hold for a count of 5 seconds.

https://youtu.be/p_R2onzV3WE

Pain – Is this where your problem is?

Pain- Is this where your problem is?

Diane from Birdwell Clinic in Long Ashton, Bristol advises us on pain and how sometimes its not where we thing it is…

‘Overuse’ injuries are where there is no specific injury, just a gradual onset of pain. However, your pain may not be where your problem is. For example, knee pain may be a hip problem, groin pain may be a back problem and elbow pain may be a shoulder or neck problem.

The pain slowly gets worse over weeks or months or keeps recurring over time. Treatment to the area of pain only, just provides temporary relief.

What is the Answer? 

A comprehensive physiotherapy evaluation to determine the root cause of the problem is required. Then either specific advice, exercise programme or a course of physiotherapy treatment is required. The length of time it takes to help these problems is related to the length of time you have had the symptoms. The quicker you get help the simpler they are to treat.

Typical problems we see in the clinic are :

Back pain as a result of an arthritic hip
Thigh pain which is referred from the back
Achilles tendon pain can be referred from the spine
Arm pain referred from the neck

Are you looking for a Physiotherapist in the Bristol area? Maybe your pain just won’t shift and you need some advice? Either way, PhysioNet Bristol can help.  Please contact us for further information.