Should physiotherapy cause me pain?

Should physiotherapy cause me pain?

Most of us sport enthusiasts have heard or come across a physio in our sporting career, particularly in GAA circles I find, where the ethos of treatment is ‘no pain, no gain’ and who is known for causing substantial pain in their bid to remedy injury. (I use the term physio loosely, as to denote the varying types of professionals that exist in this country for sport injury i.e. chartered physiotherapists, sport therapists etc). In some cases the physio can often be referred to in sadistic or in heavenly terms. Which term is utilised, is usually dictated by the ultimate success of treatment, in other words, if the injury got better or not. This leads to the lingering question, should receiving physio treatment be painful or not?   Well, first of all it is important to realise that when one goes for physiotherapy they are usually in considerable pain in the first place. Often they have waited a considerable length of time before contacting their physiotherapist until the pain has become almost unbearable in some cases. This is often coupled with their reluctance to move the affected injured part in order to protect it from causing even more pain. The irony of this is that such dramatic action usually adds up to more stiffness as a secondary problem to their original injury, causing even more pain. It is important that one avoids the painful movement in the first few days but complete rest is usually contraindicated in most injuries as it leads to reduced mobility, with reduced strength and function in the injured area. The Irish Society of Physiotherapy...
Body Type & Sport

Body Type & Sport

There are three categories of body that will be referred to in this discussion: Ectomorphs are ‘slim’ A one word definition for an ectomorph is ‘slim’. The classic ectomorph has a delicate build, lightly muscled, small shoulders, narrow hips and pelvis, and long arms and legs. They do not tend to have much muscle bulk, but they do tend to be lean, due to reduced fat deposits. Mesomorphs are ‘muscular’ These guys are more muscular pronounced, which is reflected in more thickness in their muscle and bone structure. Often they have a large chest and shoulder complex which outsize’s their waist. Endomorphs are ‘curvy’ This category is prone to body fat settling in the lower abdomen, hips and thighs. Although they are prone to high fat gains they are possess the most potential for muscle mass gains. Your genetic make up, outlined in your microscopic DNA which is invisible to the naked eye, predicts what body type you have. That is not to say that with the correct nutrition manipulation and training stimulus that you can not change it in a positive way if your chosen sport necessitates this, to optimise performance levels. Body type, however, can be a useful guide as to what sport one would be most suited to. As we will learn an ectomorph, which is a label for a ‘slim body’ type, like Peter Crouch’s who is an acclaimed football striker in the UK, is unlikely to excel in the Jerry Flannery’s hooker position in rugby union. Fig 1 Jerry Flannery, an endomorph body type, in play during a challenge match against new Zealand in...
Past Article about Clinical Director Feargal Geraghty

Past Article about Clinical Director Feargal Geraghty

Feargal Geraghty Fitness Coach & Physiotherapist Chartered Physiotherapist BSc (Hons) Sport and Orthop Rehab, BSc (Hons) Sport Science, BSc (Hons) Physiotherapy, Grad Dip Aroma, SORP, MISCP A highly qualified chartered physiotherapist and a sport injury and orthopaedic rehabilitation specialist, Feargal’s career has taken him around the globe. Prior to returning to his native Galway, Feargal worked in Australia during the Sydney 2000 Olympics, and in the USA, where he worked with professional basketballers and ice-hockey players. Feargal has a wealth of experience working with the international sporting elite and international premiership soccer and rugby players. A keen sportsman, Feargal has very strong beliefs in accelerating recovery in sportspeople through intensive ‘hands on’ physiotherapy and ‘aggressive’ rehabilitation. Galway United’s Fitness Coach/Physio is a man on a mission! That mission is to ensure that this squad will be the fittest in the League of Ireland. Speaking with Feargal Geraghty you become aware very quickly that you are dealing with a total professional who takes immense pride and satisfaction in his work. He leads by example and would not expect any member of the squad to do anything which he does not partake in himself. Whether it is the 8 mile run on a Monday morning, strength building at the gym or the dreaded ‘ice-bath,’ Feargal is there step by step with the players. The 27 year old comes from a great sporting background and when I asked him if you could create an athlete or is it genetic he quoted the old saying “Choose your parents wisely.” In his case he did, his father Brian ran for Ireland and won a...
Osteoporosis

Osteoporosis

Our skeletal system constantly changes throughout life. When we are young, our skeletons are in a rapid growing phase, with a burst around puberty. As we move into our adult years, bone re-modelling allows a turnover of our entire skeleton every 10 years. Some have said that osteoporosis is a paediatric condition that manifests itself later in life. Osteoporosis and Our Skeletal System Osteoporosis is when your bones lose density and strength. This can be a painful condition and you are much more likely to fracture and break a bone during this phase. Paying attention to bone health in the later years of life is akin to starting your dental care as an adult. At Thera-Fitness Physio Galway we specialise in the personalised care of patients, with osteoporosis prevention and educational programs Eat, Move, Breed The health of bone and the potential onset of osteoporosis are influenced by a number of factors. The most prominent ones within our control are nutrition, physical stressors to the skeleton (weight bearing and muscle pulling on bone) and the delicate balance of hormones that influence bone growth. Physiotherapists at Thera-Fitness in Galway will educate and influence these variables to all who are affected by bone health issues. Eat refers to the nutrition component Move refers to the movement and exercise recommendations Breed refers to the hormones essential for building bone. There are three distinct stages of life that require our attention and the Eat, Move, Breed strategy will vary depending on your age Utero to University Kids to Careers Post-Menopause Utero to University Chartered physiotherapists at Thera-Fitness Physio Galway work with our patients to: Educate pregnant women about the significance that their...
Anterior Knee Pain

Anterior Knee Pain

Do you have pain in the front of your knee? Does that pain feel like it’s behind your knee cap? Is the pain worse with descending stairs or hills? Are you unable to tolerate sitting with your knee bent for any period of time? Do you get relief when you straighten your knee? Is there no real swelling or trauma that caused this pain to occur? Sometimes pain at the front of your knee is caused from patellar (knee cap) mal-tracking. Mal-tracking refers to several different conditions when the patella does not remain within the central groove of the femur. This includes a syndrome which is the result of an excessive pressure on the outer edge of the patella which causes the patella to tilt. This mal-tracking commonly occurs due to an imbalance of the soft tissues surrounding the knee cap (some too tight, some too weak) which causes a pulling of the patella off the ‘tracks’ and causing an abnormal ‘wear’ of the pain sensitive structures on the back of the knee cap. In sport or with a fall or some type of traumatic event the patella can also sublux or dislocate where the patella forcefully comes out of the groove and causes a painfully acute episode of pain. Diagnosis and Anterior Knee Treatment The chartered physiotherapists at Thera-Fitness Physio Galway will be able to assess your knee and establish which of the categories described may be the source of your knee pain. Once your knee is properly assessed and treated, most anterior knee pain can be corrected quickly with muscle release work, stretching and strengthening exercises. Anterior...