Walk Safe in Ice and Snow

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The Sportsphysio.com recommend the use of simple slip over grips to help you walk safely in the ice and snow.

Petzl Spiky Plus

Petzl Spiky Plus snow/ice grips

Hospital emergency departments are being inundated with casualties, injured by slipping on the pavements and roads.

Carlisle City recorded a minimum temperature last night of -15 degrees and the weather does not look like improving any time soon.

Steady snow fall over the last two weeks and freezing temperatures below -7 degrees Celsius means that grit on roads and pavements will be ineffective.

We have found these simple, slip on overshoes which enable the wearer to walk on snow and even black ice in relative safety.  The Sportsphysio.com trialled a pair of the Petzl Spiky Plus last year and were amazed by their simplicity of use and effectiveness.  We particularly liked this brand because they are just as effective in snow as they are on ice.

Other snow/ice overshoes

A slightly less effective alternative but useful in extreme cases, is to put socks (natural fibre) over your shoes.

Safe footwear

Shoes or boots designed for walking, such as those found in mountain equipment shops, have deep treads and specially developed soles.  These will offer some degree of grip in snow.
Walking boots rather than shoes will give support to the ankle joint, limiting damage from sprains and strains.

Fashion shoes are not designed for use on snow and ice and appart from the fact that they give no grip, their thin soles and uppers offer no warmth.  When the muscles of the foot are cold, the flexibility and mobility of the foot will diminish, making us more likely to slip.

Warm , thick socks made from thermal and natural fibres will help to maintain warmth in the foot, two thinner pairs worn together will trap air between them helping to keep feet warmer.

Use walking poles

The sort we see all the holiday makers with in the lake district, have a tungsten grip at the end of the pole.  They are relatively easy to carry about and may give you a little more stability in slippy areas.  They allow us to have four limbs on the ground instead of two.

Warm clothing

Lots of layers are key to keeping warm; a good thick coat, hat and gloves will keep out the worst of the cold.

If you are out in the dark, some sort of reflective clothing will be useful.  DO NOT walk in the road and always be aware that drivers may not be able to see you and are less likely to be able to stop quickly.

Don’t be caught out

If you rely on public transport or even your car, be aware that both can let you down at this time of year.  Always make sure you have warm clothing, good walking shoes or boots and the relevant equipment with you on your journey.

Motorists can find out more information on the AA website.

Charge up your mobile phone and let people know where you are going and when you expect to return.

Leave plenty of time and only go out if you need to.  Stay warm and safe!


Ski Orthotics

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The Sportsphysio.com provide custom built orthotics for your ski boots.

The majority of ski boots have a fairly neutral footbed but not everybody has a neutral foot.

ski boots

Custom built ski orthotics can help you get the best from your boots

When your feet are correctly aligned within your ski-boots, you will be better able to regulate your balance, distribute your weight evenly and have greater control of your skis.  This can result in a dramatic improvement in your skiing.

Muscular or skeletal imbalances which may not be noticeable when walking, become amplified when skiing.  The smallest movement from a leg, pelvis or spine will have a great impact on the position of your skis, often requiring large corrections by the body, resulting in unnecessary and awkward movements from the torso, shoulders and arms in order to maintain balance.

Poor foot/ski alignment places greater strain on the ligaments of the knee, the hip and lower spine.  Correcting the alignment reduces this strain and reduces the risk of injury.  This is even more important in beginners who need to concentrate all of their efforts on technique.

Specific ski orthotics are designed to support the foot and control problems such as pronation and supination.

Why Ski orthotics?

People can be forgiven for thinking that if they wear orthotics in their every day shoes and trainers, these orthotics will just transfer to their ski boots.

Unfortunately this is not the case and doing so may cause more problems than you started with.

Normal orthotics or corrective insoles are designed for our  general, walking standing or running gait.  However, when we ski, the weight has to be perfectly balanced with the bulk of the body weight shifted to the midfoot.

Feet are fixed in one position on the skis and movement is now controlled by our body position, rather than through the foot.  The foot is a complex collection of joints which articulate in many directions to allow us to walk.  In skiing, this movement is superfluous and indeed annoying, as even the smallest motion becomes amplified when transmitted through the skis.

Ski orthotics can only be custom fitted, the wide variance in foot types combined with ski boots makes off the shelf orthotics useless for this application.

Other snow sports orthotics

The Sportsphysio.com can also custom fit specialist orthotics for snow boarders, ice hockey and ice skates.

The Sportsphysio.com Ski Boot Clinic - provides a skilled ski boot alignment service to help you avoid injury and get the best from your ski boots.


Ski Boot Clinic

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Make sure your ski boots are aligned correctly.  Avoid discomfort and injury and improve your skill on the slopes.

With the skiing season upon us and copious amounts of snow falling, it looks as thought the skiing will be good this year.

The Sportsphysio. com Ski Boot Clinic will make sure that your ski boots are correctly aligned with your foot and help you achieve the optimum fit.

As ski boots wear, they pack out which results in voids which can allow too much dangerous movement in the foot, this translates through your skis causing problems with technique and even resulting in injury.

We can also manufacture special ski boot footbeds or insoles to correct foot pressure issues and improve fit and comfort.

You spend a great deal of money on your skiing holiday and equipment, so make sure your boots are not going to spoil the fun by attending our ski boot clinic.


Choosing Ski Boots

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Ski boots are the technical interface between your body and your skis, so the better the fit, the greater your control.

Ski boots are not like normal footwear, a fashion item or statement about the size of your wallet.  They are a technical device designed to allow you to balance and control your skis.

Not only do your ski boots need to align correctly with your foot but choosing the correct size and type of boot is important.

Ski boots

You invest a lot of money in your skis and boots. We can ensure you get the best from them

Unfortunately, many skiers wear the wrong type of boot which are often too rigid.  This results in injury and technical problems.

Ski boot technicians

The first thing you need to do when buying ski boots, is find a skilled technician who has a good working knowledge of the boots they sell and can match the correct shell and liner to your foot, requiring the least amount of modification.

If you are greeted by “What shoe size are you?” or “What style / colour would you like?”…HEAD FOR THE DOOR!

One of the first things a ski boot technician should ask you is, “How often do you ski?” and where.  (This is no time to enhance the truth and try to make out that you are a maverick black run artist when in fact you go on two holidays a year and stick to the intermediate slopes).  This very important question has a great bearing on the fit of your ski boots;

  • People who ski less than 4 weeks in the season, will generally take more than one season to break in their boots. In this case the ski boots can offer a little more comfort. Unbroken boots which are too stiff can lead to misery on the slopes.
  • For skiers who ski more than 4 weeks per season and are more technically sound, a closer fitting boot will be necessary. These skiers will start to “pack out” their boots in only couple of weeks.  In these cases, a boot which is initially too comfortable will develop spaces, which allow dangerous shifting of the foot and poor energy transfer.

A skilled ski boot technician will measure your feet barefoot.  They should also be able to evaluate your feet in weight bearing and non weight bearing positions.

Any adaptations to how you distribute weight through your foot should be referred to a skilled biomechanics expert, who will custom build footbeds for your boots.

There are many fancy gadgets on the market that purport to allow “footwear fitters” to evaluate your gait by standing on a fancy plate and giving you amazing looking computer graphics.

Not only is this dangerous for normal footwear but is an absolute NO NO for ski footbeds, as these machines have no ability to evaluate your posture, movement or gait and taking a pressure measurement in standing or normal walking mode is pointless in this instance.  Gait analysis should always be carried out by an expert.

Ski Boot Flexion test

Regardless of your level of skiing, how the boot flexes is important and will be driven by the material that the shell is constructed from.

Testing flexion should be done with your weight evenly distributed on both feet, in a typical flexed skiing position and should ideally be done in a colder environment.  (The shell is designed to work in sub zero temperatures, not the heat of a shop).  Whilst testing in the cold is not always an option, a skilled technician will know the qualities of the shell and be able to advise.

If your boots are not flexing enough, try loosening the power strap or the top buckle to achieve your desired range. If this does not work, then professional “cutting” as described below, may be an option.

Beware the “one foot test”

Unfortunately, the ski boot flexion test is often carried out incorrectly, with the skier being asked to stand on one foot and flex forward as far as he or she can. This, combined with the heat of a shop, will never give an indication of the boot’s flexibility, neither do we ski on ONE foot.  This technique should ring alarm bells!

Ski boot materials

Some light or entry level ski boots are made from Polyolefin.  Whilst this material is more economical, it can stiffen too much on a cold day.

Most mid range ski boot shells are are constructed of Polyurethane.  Recent grades of Polyurethane offer improved low temperature flexibility and impact strength in a thinner shell, so are not quite as “clunky” as their earlier counterparts.

Higher end boots are generally constructed of Polyether, a material which has exceptional thermal stability and is very impact resilient, giving a consistent flex in varying temperatures.

Adapting Ski Boots

Buying a tighter fitting ski boot may not be the most comfortable but there are many techniques which can be employed to custom fit the boot to you.

Punching & grinding - Ski boot shells can be “punched” or “ground” to ease pressure points and it is always easier to do this than try to fill spaces.

Cutting – This technique is employed by racers to achieve a customised flex with the right amount of ankle and knee range of motion. If your boots will not flex in the cold, then professional “cutting” is an option.

Ski boot footbeds - Custom made footbeds or orthotics will fine tune the fit of the boot.  Most ski boots have a neutral foot bed and most people do not weight bear neutrally, this allows too much dangerous foot movement inside the boot, so regardless of your level or type of boots, having custom built footbeds will achieve a better fit and give you greater control.

It is important to point out that if you wear orthotics  in your shoes or trainers, these must never be used in a ski boot, as the stance and weight bearing is completely different.

Canting- If you apply too much pressure to the outside or inside of the foot and this cannot be fully corrected with orthotics, then a specialist can grind the sole of the boot or add a corrective device (shim) to bring the foot into neutral.  The little widget near the ankle of your boot labelled “canting screw” has nothing at all to do with proper canting but is a device for aligning the cuff of the boot with the foot.

Fitting ski boots

  • Always wear your ski socks to try boots on.
  • Secure your upper cuff buckles and power strap.  Buckles should only require the pressure of a couple of fingers to fasten.
  • Locate the bottom buckles over your instep and toes, flex forward until your shin is pressing hard against the boot tongue.  Now fasten these buckles, to give a snug but not too tight fit.  This technique allows your foot and liner to move back into the correct position in the shell, making sure the heel is located securely and allowing the toes more room.
  • When you stand up, your toes should gently touch the front of the liner and the heel should not be able to lift freely in the boot.  In the ski position, the foot should slide back, taking the pressure off your toes.
  • A neutral stance, with just enough flexion in the ankle and knee to allow the weight to be taken on the midfoot is the position your boot cuff should be in.  Many people adjust too far forward with the result of greater strain on knee ligaments, increasing the risk of injury.

Rental boots

Rental ski boots are usually well “packed out” which results in them being soft and flexible with too much room for the foot.  Whilst you will never achieve the custom fit that a pair of your own would provide, there are instances where hiring ski boots is the only option.

However, if you employ the same principles as though you were buying a pair, you should achieve a better fit.

Remember that ski boots are a technical device, they are not general footwear and as a rule do not feel all that comfortable to stand or walk in.


Ski Boot Clinic

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Gain better control of your skis and get more from your time on the slopes by visiting The Sportsphysio.com Ski boot clinic.

Ski boots

You invest a lot of money in your skis and boots. We can ensure you get the best from them

If you are one of the many who tolerate uncomfortable ski boots, experience pain when skiing or just find you are struggling to gain control, then it is likely that your feet are not correctly aligned with your ski boots.

Choosing ski boots is often driven more by fashion than fit and finding a good ski boot technician can be difficult.  No wonder many people find their ski boots uncomfortable.

Even the most expensive ski boots will have a neutral footbed.  This is done to allow a specialist to fit the boot to your foot with the use of specially made footbeds which mould to your foot, ensuring a good boot fit and greater control.

When your feet are correctly aligned within your ski-boots, you will be better able to regulate your balance, distribute your weight evenly and have greater control of your skis.  This can result in a dramatic improvement in your skiing.

Muscular or skeletal imbalances which may not be noticeable when walking, become amplified when skiing.  The smallest movement from a leg, pelvis or spine will have a great impact on the position of your skis, often requiring large corrections by the body, resulting in unnecessary and awkward movements from the torso, shoulders and arms in order to maintain balance.

Poor foot/ski alignment places greater strain on the ligaments of the knee, the hip and lower spine.  Correcting the alignment reduces this strain and reduces the risk of injury.  This is even more important in beginners who need to concentrate all of their efforts on technique.

Balancing on your skis

Slippery surfaces are very unforgiving of foot imperfections and most people do not have a neutral foot.  People who pronate or supinate, will transmit this position through their skis which cannot adapt.  For these people, it is necessary to have ski orthotics fitted and or canting of the ski boot carried out to correct the problem.

The canting screw

Oh dear, this is a greatly misunderstood piece of kit….’Canting’ refers to the alteration of the actual foot position on the ground and this can only be done by the use of correctly fitting footbeds or insoles and, or, shimming or grinding the sole of the ski boot.

The little “Canting” screw on the side of your ski boot, only aligns the upper cuff of the boot with your foot. This little widget will not help position your foot correctly on the skis and in fact can make matters much worse.

Having your skis aligned to your foot type must be carried out before anybody starts playing with these little ski boot screws.

Who should attend a ski boot clinic ?

  • Anybody who skis occasionally, ie; two or three times a year.
  • Anybody who has just purchased a new pair of ski boots.
  • People who wear orthotics in their every day shoes or trainers.
  • Those who are struggling with the comfort of their ski boots.
  • Anybody who is experiencing technical difficulties with balance on their skis.
  • People who start to experience pain or discomfort in the lower limbs, hips or spine when skiing.

Ski boot clinic

  • We will assess your general posture, looking for any important muscle or skeletal imbalances.
  • Your gait will be assessed with foot pressure measurements taken (in the skiing position).
  • Foot alignment with your ski boots will be checked.
  • Minor biomechanical imbalances may be remedied by specific exercises and these will be prescribed if needed.

This appointment takes about one hour, but allow yourself a little longer. (We like to be thorough).  At a cost of only £75, this is a worthwhile investment.

What to bring with you

Your own ski boots and ski socks.
Comfortable clothing (loose trousers or shorts) please as we need to view the knees.
A pair of well worn walking boots or trainers. (This helps us determine what your foot does when walking).
Any orthotics you have been using in the past or use in your regular footwear.
A list of any problems you face when skiing, including discomfort and technical problems.

The ski clinic on tour

The Sportsphysio.com holds talks and workshops on ski boot alignment at ski centres and schools.

Staff training – Ski boot retailers need technicians who are highly skilled and knowledgeable.  We can provide your technical staff with first class training in the fitting of ski boots and foot evaluation.

Contact us for more information


Custom Orthotics

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The Sportsphysio.com can offer custom build orthoses and devices manufactured by local specialists with over 20 years in the industry.

Human Foot

Ensuring the best for your feet

Specialists in conventional, cosmetic and fabric orthoses, specialist footwear, footwear adaptations and insoles, providing our clients with a fast local service of the highest quality.

The local manufacturer offers a complete range, using traditional methods, including rigid and semi-rigid orthoses with a wide choice of material combinations.

On site workshops produce orthoses and footwear to specific individual client requirements.

Skilled technicians manufacture for private and NHS customers throughout the UK.

Custom made orthoses are made from, impressions, cast and measurements, alongside thorough biomechanical assessment to allows precision and easy repeatability.

This type of manufacture gives us the capability to cater for many specific orthotic and footwear adjustment requirements.

  • Corrective orthotics
  • Single foot devices
  • Heel and sole raises for leg length discrepancy
  • Footwear adjustment
  • Sports orthotics
  • Ski boot orthotics

All patients receive a full biomechanical assessment, as there are many factors which contribute to gait/foot problems.  If orthotics are required, impressions and thorough measurements of the foot are taken alongside details of the footwear in which they are to be worn.

The orthotics must also fit the shoe as well as the foot!

Expect an average orthotics consultation to last about 1 hour.


Rightstride Orthotics

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There are many types of orthotics (specially designed shoe inserts) on the market but where pain and dysfunction need to be rectified, the only solution is a custom build orthotic designed specifically for your foot.

We use high quality, state of the art manufacturers, offering the opportunity to control foot posture and modify pressure distribution whilst taking up minimal space in your footwear.

Various type of orthotic are available depending on your requirements and budget, featuring the latest in EVA and Co-polymer Carbon technology.

Ready to wear

The ready to wear range reflects the high quality you expect from rightstride catering for different arch heights and shoe styles. Available in 3 choices:

  • Very First Steps, childrens’ sizes from a K8-K13 (EVA material)
  • First Steps Daily, copes with demands business shoes place on the feet.
  • First Steps Sports, sports performance devices to provide support and reduce fatigue.

D3D Orthotics

D3D Sports/Active

Rightstride® D3D bespoke orthotics are produced in EVA, enabling a mix of base and top material density creating support and comfort in one superb device.
These versatile devices have been PROVEN to remain effective in the harshest of environments.
Neuropathic diabetic patients benefit from this unique orthotic.


RS Orthotics

Rs Marathon runnerThe rightstride® RS bespoke orthotics are made in co-polymer carbon. Ultra durable, with a blend of functional control and dynamic flexibility resulting in the shell flexing under loading while remaining semi rigid under normal load.
A solution to the most demanding fashion shoe is here in the fashion fit orthotic and rightstride® provide us with huge range of different devices from the classic to the summer and winter Sports activities.

RS Sports Orthotics

Designed to suit the exacting fit and demands of sports specific footwear, the RS sports orthotics provide shock attenuation combined with stability and ultra durability.
Custom orthotics are available to suit golfers, cyclists, marathon runners and sprinters, whilst the winter sports range has specific devices for skiiers, snow boarders and ice skaters.


How to Become an Osteopath

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We are often asked how one goes about training to be an Osteopath

By law, anybody using the name Osteopath has to be registered with the General Osteopathic Council (GOsC) to practice in the UK.

What is Osteopathy

Osteopathy is a system of diagnosis and treatment for a wide range of medical conditions.  It works with the structure and function of the body, and is based on the principle that the well-being of an individual depends on the skeleton, muscles, ligaments and connective tissues functioning smoothly together.

Osteopaths work to restore your body to a state of balance, where possible without the use of drugs or surgery.  Osteopaths use touch, physical manipulation, stretching and massage to increase the mobility of joints, to relieve muscle tension, to enhance the blood and nerve supply to tissues, and to help your body’s own healing mechanisms.  They may also provide advice on posture and exercise to aid recovery, promote health and prevent symptoms recurring.

All osteopaths in the UK are regulated by the General Osteopathic Council (GOsC).

What can Osteopaths treat?

Osteopaths’ patients include; the young, older people, manual workers, office professionals, pregnant women, children and sports people.  Patients seek treatment for a wide variety of conditions, including back pain, repetitive strain injury, changes to posture in pregnancy, postural problems caused by driving or work strain, the pain of arthritis and sports injuries.

Osteopathic Training

Training courses which are recognised by the GOsC, are of degree level and take about four or five years to complete. ( BSc Hons, BOst or BOstMed) or a masters degree (MOst).

Osteopathy courses can be full or part time and there are also courses with accelerated pathways for doctors and physiotherapists.

The Osteopathy degree course includes; anatomy, physiology, pathology, pharmacology, nutrition and biomechanics, plus at least 1,000 hours of clinical training.

Recognised Osteopathic Schools

British College of Osteopathic Medicine
The British School of Osteopathy
College of Osteopaths validated by Middlesex University
College of Osteopaths validated by Keele University
European School of Osteopathy
Leeds Metropolitan University
London College of Osteopathic Medicine (qualified medical doctors)
London School of Osteopathy
Oxford Brookes University
Surrey Institute of Osteopathic Medicine


Easy Christmas Gift

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Gift vouchers for the Sportsphysio clinic are an easy Christmas or birthday present for a friend or relative.

Choosing an ideal gift is the annual challenge, so why not try something different and give a Sportsphysio.com gift voucher. Available in a number of values, vouchers make an ideal, value for money, easy Christmas or birthday gift.

Sportsphysio.com voucher image

Buy now via PayPal

 

Unique gift

Gift vouchers can be exchanged for a wide variety of treatments at our Carlisle clinic.  These include;

You do not have to be injured to take advantage of the services of The Sportsphysio.com.   A simple 30 minute clinic session can relieve day to day stress and strain, whilst also giving the opportunity to relax.

Situated to the east of Carlisle, in the rural village of Warwick Bridge, The Sportsphysio.com has been trading for over 10 years, specialising in soft tissue and spinal problems.

Manual techniques remain at the forefront of our treatments, so you will not just be sent away with exercise leaflet.

Easy Christmas / birthday gift

For the ultimate in easy Christmas or birthday gifts, our vouchers are even available via our secure online shop.

We will e.mail them to you or pop them in the post and take the hassle out of your present shopping.

Gift vouchers can be purchased as a single treatment session or for added value, in multiples of three.

Postal vouchers will be sent via first class Royal Mail and  Sportsphyio.com vouchers are valid for three months from the date of purchase.

Treatment sessions usually last around thirty minutes.

Vouchers have no cash value and can be redeemed against treatments at the Sportsphysio Carlisle clinic, including gait analysis.

 

Sportsphysio.com Vouchers

Neck/Shoulder Release

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A very popular treatment at The Sportsphysio.com clinic. Designed to ease the stresses and strains in the neck and shoulder region.

Connective tissue mobilisation

Manual techniques are at the forefront of our treatments

The neck and shoulder release treatment is especially suited to those who spend long periods sat at a computer desk, musicians, drivers and people who generally use their upper limbs or sit in static positions for long periods.

This treatment is designed to relax tense shoulder muscles, mobilise and realign soft tissue and increase joint mobility in the neck.

We use a series of myofascial release techniques, combined with massage and gentle mobilisation to restore suppleness to tissues prone to tension and stress and reduce compression in the neck vertebrae.

This relaxing neck and shoulder treatment takes about 30 minutes.

Your practitioner will try to ascertain any particular cause for the the neck and shoulder discomfort and may be able to advise on adaptations to reduce or eliminate the problem.

The video below by Nucleusinc.com will help you to understand how your neck functions and the many intricate structures involved.