Wednesday, August 3, 2011

Evening Lecture at Royal D & E - 26th September

For those who are interested I will be giving an evening lecture on some of the latest findings in anatomy to the Devon ACPIN group on 26th September at the Princess Elizabeth Lecture Theatre, Royal Devon and Exeter Hospital. Registration is at 6pm for 6.30pm start.
Cost is £4.00 for ACPIN members, and £6.00 for non-members.

To book a place please contact Hannah Graham on 01392 408911 or email her : hannah.graham@rdeft.nhs.uk

Closing date for bookings is 19th September.

Look forward to seeing you there.

TTFN


Friday, June 24, 2011

More Anatomical Discoveries

Greetings All.
It has been a pretty hectic week - dissecting bodies at Imperial College London and then holding the CPD course on the latest findings a day later at the Holmedale Health Centre in Exeter for a range of therapists.
Once again the dissection was overseen by Professor Kerry Davis, and held by Julian Baker who is the Principal at the European College of Bowen Studies. We were concentrating on the lower body this time, and looking at the fascial connections from the pelvis down the leg and the multiple links all the muscle have at the Sacrum - which seems to be more like a giant junction box for a surprising number of muscles.
One of the key discoveries we made was how the hamstring muscles are not quite built as they appear in the diagrams (surprise surprise). Particularly the Biceps Femoris muscle. We have tended to view this muscle as starting at the base of the pelvis and finishing at the head of the tibia rapping around the knee.
What we discovered was that the the Hamstring fascia actually starts at the sacrum and ends around the ankle at lateral maleolis - this has significant impact on how we view what hamstring does and the various whys and wherefore when someone gets a Hamstring strain for example.
All exciting stuff, and once again this new found knowledge will be put into practice at clinic.

TTFN

Tuesday, May 24, 2011

SHIPS Physio Testimonial

A few weeks ago I delivered a relatively short lecture on some of the aspects I will be covering in the upcoming 'New Look at Anatomy' CPD course in Exeter on the 22nd June.
Within a few days I met the organiser of the event - Andy McKellar who is the principal at SHIPS Physio in Totnes, who specialises in Strokes, Head Injuries and Parkinsons. He was somewhat excited as he had experimented with some of the concepts within the lecture and applied them using his own physio skill set when treating patients. Below is the resulting written testimonial:

Monday, May 23, 2011

Wednesday, April 20, 2011

Pennies & Pounds

After a relatively minor car crash a year ago, I am even more keen to get across the importance of getting yourself treated following even slight incidents that may or may not result in any obvious injury.
This may seem like scaremongering, or even a way to generate more income for therapists. However this is not the case at all. In my case I was in a rear end collision where the back of my car was dented significantly, the resultant impact meant I also used my brakes to stop myself hitting the car in front, and my head was thrown backwards, then forwards at point of impact.
This is a common state of affairs - within a few minutes I had neck and left shoulder pain. We call this whiplash. Being a therapist, I booked the closest appointment I could find, which ended up being a back and neck massage. I would have had Bowen Therapy if I could have found someone quick enough. So within an hour of the impact my body was being treated.
As it happens, I ended up with about 5 or 6 treatments over a 6 month period of Bowen Therapy which went through the insurance company - and I can assure you my body needed it.
So what is my point?
In my experience the majority of whiplash type problems occur 6-9 months following a minor car incident. The reason for this tends to be due to the fact that at the moment of impact, the shockwave will travel down the spine, and if there is braking involved, down the right leg.
Initially the recipient may have a bit of neck ache or maybe not for a day, but then they think nothing of it as it goes away, and in many cases, the vehicle itself may only have a minor dent in the bumper.
However the shock that has struck the body both physically, and we mustn't underestimate this, emotionally and psychologically. The shockwave, as I have already mentioned, ends up usually around the base of the spine, and also the tensional shock of applying the brakes on the right leg.
This will work it's way up the body over a period of months. Sometimes this will manifest itself as a bit of backache, but because it is so long since the accident no-one puts two and two together. 6 to 9 months down the line, the patient starts to experience neck pain, headaches and all the whiplash type symptoms. By then of course everyone has forgotten about the car crash.
My advice, is regardless of whether or not you feel hurt following a car accident, get some treatment of some kind ASAP. Err on the side of caution - even if there is no physical damage, how many of us can truly say that we aren't going to be affected in any way by being struck by a piece of metal weighing more than half a Ton travelling at 20/30 mph or more?
It can be a shocking experience in many ways; physically, emotionally and psychologically.
Why only get treatment when something is visibly serious? Small things given time can add up to big things - As granny always used to say: Look after the pennies, and the pounds will look after themselves.

TTFN

Thursday, March 17, 2011

The Achilles Effect

I had a conversation recently with someone who I hadn't seen for quite a while. He mentioned he had been off for some months as he had broken his Achilles Tendon - Ouch!
He had of course been going through the usual physio process which is great.
However I then asked him how his breathing had been, and of course he looked at me aghast and asked how I knew, as it has been troubling him for a while, and doctors have come up with nothing, he was starting to think it was something more serious.
The reason I asked the question of course was that the Achilles is not just a thing on it's own, it is part of a continuity of fascia and muscles known as the superficial back line. This in essence runs from the big toe all the way up to the back of our head. As an analogy imagine a giant elastic band stretched from your foot to the top of your neck. Now imagine what would happen if you cut that elastic band at the foot - thwack!
In real terms, your body is not built quite like that, but the effect of an Achilles breaking is not far off. The shock wave created will run right up the body, and in my experience the most common problem following such an injury is the patients breathing, quite literally the shock wave has taken their breath away.
If you apply this way of thinking with any Sports type injury, you may find a series of other little (or maybe not so little) problems, aches and pains you have been experiencing since the injury, you may find they are all connected.

TTFN