Nordic Walking is a superb exercise for all

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Nordic Walking is becoming a very popular form of exercise and suitable for any age group or ability.

Originating in Finland, Nordic Walking started it’s existence as an endurance technique used by cross country skiers to allow them to train in the

Leki Nordic Walking poles

Leki Nordic Walking poles from Simply Hike

summer months.

Recent developments in materials and construction of walking poles revolutionised the technique and in the late 1990′s Nordic Walking was born, becoming a popular exercise regime for many.

Utilising our normal walking motion, Nordic Walking is much less stressful to the joints of the knees, hips and lower back than jogging or running.  When this walking motion is combined with the use of the poles, about 80% of the body’s muscles are exercised.

Nordic Walking is an excellent way to lose weight, 1 hour of brisk Nordic Walking can burn around 350 – 400 calories, double that of jogging and like all exercise, increases heart and lung function.

For all the family

Because Nordic Walking is suitable for all ages and abilities, it is a wonderful fun way for a family to keep fit and enjoy the great British outdoors together.

Nordic walking poles are easily adjustable, so lend themselves very well to introducing fitness to younger members of the family.

Inexpensive
The only equipment required for Nordic Walking, is a good pair of shock absorbing walking poles and suitable trainers or walking shoes. As long as appropriate clothing is worn, this sport can be undertaken anywhere, at any time of year by all ages and abilities.

Leki Nordic Walking Poles

Leki poles are renowned for their quality and durability and can be purchased securely via our affiliate link with Simply Hike.

The embedded video below shows the basic way to Nordic Walk, as well as some very useful information on pole adjustment.

Many videos show people striding out way past their normal range…we don’t advise this because;

  • Too wide a stride results in a hard heel strike which transmits shock to the knee, hip and spine.
  • The resting leg is often hyper extended, which means the knee joint is being locked backwards, resulting in excessive cartilage wear.

We advise a relaxed walking stance such as that adopted by Nate in the video, keeping the knees soft and slightly flexed.


Foot Care Practitioner

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Fraser Forlow of FDF Footcare in Carlisle, visits the Sportsphysio surgery on a regular basis.

A qualified Foot Health Practitioner, Fraser trained with the prestigious SMAE Institute in Maidenhead, Berkshire.  Founded in 1919, the SMAE Institute has over 90 years of experience in the foot healthcare sector.

Foot health treatment

Ensure your feet are fit for life!

A Member of the Association of Foot Health Practitioners, FDF Footcare keeps up to date with latest research and techniques through continuing professional development (CPD).

FDF Footcare is dedicated to providing customers with individually tailored foot care treatments which our clients say, exceed their expectation.

It is a myth that foot care is only for the elderly.  Our feet are an important part of our body and you do not need to be suffering from foot problems or struggling to reach and cut your toenails to see a foot health practitioner.

Hard skin and callouses can lead to pain and biomechanical problems whilst thickened nails and cracked heels can cause discomfort and are simply embarrassing.

We spend hours on them, shove them into tight shoes and high heels.  Operate machinery, play sports and dig the garden…the daily strain on our feet is relentless, so afford them a little time and professional care to make sure your feet are fit for life!

Treatments

Nail Trimming and routine foot care
Ingrown Toenails (non surgical)
Thickened toe nails and deformities
Verrucae and plantar warts
Fungal nail infections
Athletes Foot
Hard skin removal
Corns
Callouses
Cracked and sore heels (Fissures)

Consultation is by appointment only, either at our Carlisle Sportsphysio Injury Clinic or in the comfort of your own home.  Fraser also provides domiciliary services to residential and care homes as well as on site at factories and business premises.

Appointments generally last about 30 minutes, but please allow extra time for your first appointment to enable your practitioner to take a detailed medical history and thorough assessment.

To make an appointment, please contact Fraser directly on 07886609246.


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.


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


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.


Functional Feet

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The Sportsphysio.com Functional Feet treatment can give tired, aching feet a new lease of life.

The foot is a complex structure, consisting of 26 small bones and numerous joints, each with a different and important function.  Many muscles and tendons of the foot occupy tight, cramped spaces.

Carrying the load

Our feet carry our full body weight and each pound of weight places a stress equal to seven pounds on the ankle joint.

Person massaging a foot

Make your feet feel like new

People who stand on their feet all day, walkers, runners and climbers often suffer from aches and pains in the foot and many consider this a normal part of daily life.  However, tightened structures can put undue stress on the joints of the foot causing us to walk awkwardly, damaging cartilage, tendons and ligaments.

Previous injuries or surgery to the foot and ankle may make joints susceptible to Osteoarthritis.

The ageing foot

As the foot ages, tendons and ligaments tighten, joint spaces narrow and structures become less flexible.  Resulting in Stiffness, restricted movement and sometimes pain and swelling in the foot and ankle.  In severe cases, this may refer problems to the knee, hip and lower back.

Conditions such as plantar fasciits may develop as a result of stiffening of the foots’ bony structure. In fact, most of the patients we see suffering from this painful condition, are aged over 40.

The treatment

Connective tissue techniques and massage make the tendons, fascia and muscles more supple, while gentle mobilisation of the joints, applied through their correct planes of motion help restore the true function of the foot, increasing flexibility, range of motion and improving gait.

This foot treatment is generally preventative, rather than being aimed at the injured foot and is ideal for those who spend long hours on their feet.

Many of our patients say that they feel like they have ‘new feet’ after this treatment and are genuinely amazed at how different they feel.

This short video from eMedTV gives an insight into the structure of the ankle joint.


Shoulder Mobilisation Treatment

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The Sportsphysio.com relaxing shoulder mobilisation treatment has been specially developed to suit those who use their upper limbs repeatedly.

Using keyboards, computer mice, driving or painting and decorating, are all jobs which require repeated use of the upper limbs, often causing tension in surrounding muscles and misalignment of the shoulder joint.

Grays Anatomy shoulder joint

The complex and highly mobile structure of the shoulder joint

The human shoulder is designed to offer a great range of motion and the joint is not a closely fitting ball and socket joint as would be found in the hip but more a tear shaped, shallow cup that allows a great deal of ‘play’ for the much larger humeral head (top of arm bone).

Tightened shoulder and neck muscles, and dare we say it, the ageing process, can cause the humeral head to pull up and away from it’s correct position.  This results in incorrect tracking of the joint, which can cause the humeral head to impinge against the bony structures above.

Many nerves and tendons run through or near the limited space of the shoulder joint and repeated damage from the humeral head results in inflammation, nerve impingement, pain and reduced movement.  In more severe cases, pain is referred down the arm along with tingling, numbness and weakening of grip in the hand.

Internal structures and soft tissue of the shoulder joint become inflamed and painful, limiting range of motion. Lesions can form in the cartilage and the rotator cuff muscles around the joint can tear.  The worst cases are diagnosed as “frozen shoulder”.

Shoulder Mobilisation Treatment

The shoulder mobilisation treatment employed at The Sportsphysio injury clinic, is designed to be preventative but certain elements are also used when treating shoulder injuries and conditions.

  • Connective tissue techniques are employed to loosen the soft tissues around the joint cavity.
  • Gentle mobilisation encourages the head of the humerus to operate in it’s correct planes of motion.
  • Massage to the muscles of the rotator cuff and shoulder girdle reduces tension and improves blood supply.

The aim of the shoulder mobilisation treatment is to aleviate the stresses placed on the joint, allowing the humeral head to glide freely in it’s correct location.  In turn, range of movement is increased and the risk of damaging soft tissue, cartilage and nerves is reduced.

The short video below by Dr. Tehrany (Dramatic Health), explains why the human shoulder joint is susceptible to problems.


Manual Spinal Decompression

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The Sportsphysio spinal decompression treatment uses special manual techniques to unload the segments of the spine and release tight muscles and fascia.

Connective tissue mobilisation

Manual techniques are at the forefront of our treatments

Fear not… this spinal decompression treatment involves no surgery and no painful cracking or popping of joints beyond their functional range of motion.  Instead, we use tried and trusted manual techniques to reduce the pressure and reposition the segments.

  • Used as a reactive treatment for acute or chronic back pain.
  • Used as a preventative treatment, particularly suited to those who sit or have a sedentary lifestyle.

The back problem

The human spine is designed to be dynamic and active, offering a great range of movement but our sedentary lifestyles and lack of spinal activity creates compression and segmental stiffness, much needed fluids and nutrition to the intervertebral discs is reduced.

Facet joints become tightened, damaging the delicate cartilage which can result in osteoarthritis.  Nerves can become trapped and the discs degenerate and weaken.

Over time, weakened outer fibres of the disc can eventually “give way” under pressure, allowing the disc nucleus to leak out and press painfully on the surrounding nerves.  This is commonly referred to as a slipped disc but medical professionals will refer to it as a prolapsed disc.

Some people have occupations which require a great deal of twisting and lifting, placing undue stress on particular areas of the spine. The resulting soft tissue damage can lead to segments of the spine becoming unstable and in turn damaging the intervertebral discs from uneven pressure.

The lumbar (lower) spine and cervial spine (neck), are most at risk from segmental stiffness and intervertebral problems.

How it works

Gently unloading the discs with distraction and careful positioning, separates the vertebrae and creates a vacuum inside the discs.  This allows fluids to be absorbed and any bulging of the disc nucleus to be pulled back into position.  Vital nutrients, fluid and oxygen can be absorbed by damaged disc fibres, facilitating healing.

We use a variation of this technique to treat herniated or bulging discs with great effect.  Non surgical spinal decompression allows us to treat most referred pain caused by nerve impingement, such as sciatica and pain referred to the arms from the neck.

This educational video shows the basics of how the human spine is constructed.


Sports / Remedial Massage

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Deep tissue treatments at The Sportsphysio clinic are comprehensive, concentrating on the joints as well as soft tissues of the body.

Sports Massage is simply deep tissue manipulation of muscles and other soft tissues particularly aimed at sports people but can be suitable for anybody.

leg massage image

Tight muscle sin the lower leg will lead to reduced flexibility in the foot.

Whatever term you wish to apply; sports massage, deep tissue massage, remedial massage, the techniques remain the same, although the aims and outcomes of the treatment may differ.

Sports massage applied correctly, should not be painful and must certainly not leave the patient bruised.  However, the treatment is designed to affect the deeper tissues of the body.

Deep tissue treatments can be used as part of an injury rehabilitation process but they are also great as a general overhaul.  Various techniques, including myofascial release and joint mobilisations ensure a comprehensive approach to treatment.

  • Circulation to the muscles, tendons and fascia are improved which also aids lymphatic flow.
  • Muscle tension is eased, helping joints to decompress, improving movement range and reducing the load on articular cartilage.
  • Any scar tissue from injuries, sprains and strains can be re-modeled to allow greater flexibility and reduce the risk of re-injury.
  • Nerve endings can be calmed in cases of irritation from injury and medical conditions or they can be stimulated if they have been damaged by injury or surgery.

Anybody can benefit from manual deep tissue treatments, whether you are a sports person, dancer, manual worker or have to sit at a computer desk all day.


Health Services in Cumbria

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A list of NHS and other health services in the Cumbria region

Chiropractors in Cumbria – British Chiropractic Society list of Chiropractic practitioners in Cumbria.

Chiropractors (McTimoney) – No McTimoney Chiropractors listed for Cumbria.

Cumbria Health on Call - Out of Hours specialist services for patients with urgent medical problems who need to contact a clinician after doctors’ surgeries close.

Doctors in Cumbria – NHS list of General Practice Doctors in Cumbria.

Dentists in Cumbria - NHS list of Dental practices in Cumbria.

Hospitals in Cumbria - NHS details of community hospitals in Cumbria.

NHS – Details of all NHS services in Cumbria.

NHS Direct – NHS telephone ad online 24 hour health advice.

Opticians in Cumbria - NHS details of Opticians in Cumbria.

Osteopaths in Cumbria - General Osteopathic Council list of practitioners in Cumbria.

Pharmacies in Cumbria – NHS list of pharmacies in Cumbria.

Physiotherapists in Cumbria – Chartered Society of Physiotherapy list of physiotherapy practitioners in Cumbria.


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