Injury

The power of being human in healing & recovery

Photo by Anete Lucina via unsplash.com, edited by KT

Photo by Anete Lucina via unsplash.com, edited by KT

In the last month of 2016, I was deeply struck by the death of AA Gill, a "journo giant", who died from cancer. It inspired me to write this article about why being human to each other, and to ourselves, can have a profound affect in healing and recovery and at the very least make an individual feel that they matter, especially when facing terminal illness.

 

AA Gill's last article, published just one day after his death explained his traumatic and frustrating journey of care from the NHS in the last months of his life. I was struck by how beautifully he narrated his situation. He was denied a life lengthening treatment, immunotherapy, because it is too expensive to get on the NHS. He acknowledged the genuine care towards of the people who work within the NHS towards him, mentioning in particular a nurse who was devastated to learn that his chemo was no longer working. He ended his article by saying,  "you don't get that in the private sector" referring to the humanity and empathy of the nurse.

You can read AA Gill's parting gift to the world here:

http://www.thetimes.co.uk/article/more-life-with-your-kids-more-life-with-your-friends-more-life-spent-on-earth-but-only-if-you-pay-d7lwpht3j

 

Same same but same

The turn of a new year always makes us a bit more philosophical as we look back at what we have achieved and then look forward to what lies ahead for us. I see countless Facebook posts about 2017 being the year of kindness, of solidarity, peace, togetherness, humanity. I myself posted my new years message, urging people "to be the change you want to see".  New year or mid year, we all want the same thing to feel the humanity of others and to feel that we matter. It's what connects us and it has powerful healing properties.

 

How to be human 

Above all, whether you work with people or have people in your life who are in pain or recovering or not, the way we can help each other in a daily way is just by being human. Being human to me means being kind. It means holding space for someone when they need you; listening to someone in need of being heard; giving of your time, energy and love. It also means holding space for yourself, listening to yourself and allowing yourself to be quiet, giving back to and loving yourself. I believe the body knows how to heal itself otherwise our species would not have survived this long. It needs the right conditions - physically, mentally and emotionally to help it along. 

 

Humanity heals

This is relevant in our personal lives, in our work life and particularly in medicine and therapy when you seek help for illness and injury. Being human or what the medical profession often call "bedside manner", can have a profound affect on your perception and ability to recover.  It is really important that you choose therapists and medical practitioners you trust, have a good relationship with and who hold space for you without judgement or ego during your healing and recovery. If you feel you need more "human" than what is being offered do not be afraid to walk away and find therapists who better suit your needs. My new guru, the late Louis Gifford, believed that the human part of therapy and medicine is as important as the healing of tissue, because you, your consciousness, is part of that healing. Your synaptic connections, your thoughts, play a part in what messages get sent from the brain to the tissues. Feeling safe and cared for positively impacts your emotional and mental outlook on recovery.  

 

Human yourself  

And kindness and humanity doesn't always have to come from others. Being human to yourself is just as important. I firmly believe part of the self-management of your own injury or condition is being kind, loving and compassionate to yourself. So go be more human to yourself and others in 2017 and see what impact it has on your healing and recovery, your life and the lives of those around you.

 

If you are struggling with an ongoing injury, or have suffered with ongoing pain that just won't go away we can help. Please contact KT at KT@precisionmovement.co.uk for a complimentary phone conversation. 

 

 

 

 

New Programmes for you at Precision Movement

New Programmes for you at Precision Movement

Precision Movement releases new programmes for 2017. Specialist injury rehabilitation, chronic pain management, foundations of Movement, at home services and massage.  

FREEBIES!

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I knew this would catch your attention - everyone loves a freebie, me included. 

I start my year long remedial sports massage course this month. As part of my training I need to log 100 practice hours. So I need willing candidates to practice on... Cue the Freebie! 

I'll be setting up a massage clinic on Friday afternoons in Mayfair from 4-7pm. You can book in for a complimentary 45 min massage by emailing me or Rosie by email or phone. There are only three slots available each week so you'll need to book early.

A small fee of £20 is required to cover the room rental but the actual massage is 100% complimentary. 

If you cannot make Friday afternoons I may do some extra appointments but they will be scheduled around my working week and cannot be substituted for regular training sessions. 

Practicing complimentary massage with KT will be available from September 25th 2015 - June 24th 2016 excluding all holidays and subject to my availability.  For more information on scheduling please speak with Rosie or myself.

Form an orderly queue.... :) 

 

Is this the best hotel gym space in London?

 

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As many of your know Precision Movement has been making extensive additions and changes to our little Mayfair studio space courtesy of Grosvenor House Apartments.  And though she be little she is (mighty) fierce and versatile.  Here are the new changes to the space and how they optimise your workout.

 

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The rig 

This March we had a custom designed BeaverFit rig installed into the ceiling.  This has been the most anticipated change in the studio since we moved in.  The rig will be used for pullup/chin up and brachiation training. Also check out the fat GRIPZ for extra intensity without extra load.  It has proved super popular so far! 

 

 

 

Suspension Training 

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The rig also enables us to use TRx, Crosscore180 and Olympic Rings for suspension and aerial training.  Bring on the strength!  The rig is 3.5m long meaning we can have someone working on the Kinesis, someone working on the TRx and someone in the weight area quite comfortably.

 

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The floorspace 

The matted floorspace has been increased by a third meaning more workable space for people to use and more people using the space at the same time.  It also means the floorspace becomes more versatile - we can bring out a barre for a ballet workout or clear the space for kickboxing or a yoga based work-in.  We have had some guests using the space to practice their karate katas and MMA moves.  We have left the space open for just this purpose because no single person's workout is the same and we want to cater to that as much as possible.

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We now have adjustable weights up to 41kg each alongside the original rack of 1-10kg.  We have a few olympic bars and weight plates for more traditional strength training as well as weighted medicine balls and powerbags.  The original Kinesis cable machine is still installed as well.

 The bring out put back system 

We have lots of different equipment that can be used in the space - kettlebells, powerbags, battling ropes, agility equipment, olympic bars, medicine balls.  We bring out what we need into the space for your specific workout and then put it back to open the space up again.  It sounds really obvious but many gyms, particularly hotel and residence gyms are the same space as our little studio but packed full of machines which limits the type of exercise you can do in the space. Training has moved on past machines... there are some uses for machine work but at Precision Movement we are more steered towards challenging your body in different ways. Which is why we think our space is becoming one of the best hotel gyms in London. 

The space is being used more than it ever has been and it's being used in many ways, for all kinds of movement, workouts and sports conditioning.  If you haven't been down to visit yet, then please do. We'd love to have you! 

Precision Movement's hand picked specialist partners

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At Precision Movement we often work in conjunction with medical experts and therapists to help clients get better faster.  We've hand picked specialists in orthopaedics, physiotherapy, osteopathy, specialist chiropractic, nutrition, lifestyle and stress management.  Our MO is to get you better - whatever that takes we'll make it happen.  We want our work to benefit you at the right point in your recovery so we may send you to another specialist first or in conjunction with the work we are doing.  

So here are our hand picked specialists and a bit about how they could potentially help you. Click on the links below to find out more about them and how to contact them.

 

Lucy Bransgrove

Lucy Bransgrove is a private visiting Physiotherapist who specialises in back pain and injuries as well as working at Kings College Boys School in Wimbledon as their pitchside sports physio.  Lucy provides treatment at the Precision Movement studio as part of our injury rehabilitation programme.

 

NUCCA 

Heidi Grant is a NUCCA Chiropractor and specialises in head and neck trauma as well as how the alignment of the head and cervical spine affect the whole body.  Patients range from professional athletes to those recovering from strokes, neurological disorders, chronic pain, and common injuries.  I work in conjunction with Heidi a lot to help clients hold their adjustments better.

 

London Orthopaedic clinic 

If you require more medical and invasive interventions from trauma or long term degenerative changes, Precision Movement recommends patients to The London Orthopaedic Clinic on Wimpole Street, W1.  Founded by Mr Brian Cohen, it houses a team of 14 surgeons and specialist physicians who I would trust with my life!  

 

Philip Waldman at Chelsea Natural Health 

Philip Waldman is the owner of Chelsea Natural Health clinic and my personal Osteopath.  As a local practitioner to my home I am always recommending his treatment to clients if they are close by.  Many of my clients have said he has magic hands!  He is truly gifted.

 

Karen Maidment at Pure Body Balance 

Karen Maidment is a Functional Diagnostic Nutritionist and is my go-to girl for all the inner workings of the body.  Karen provides a comprehensive assessment of the digestive and hormone systems and helps you heal your insides with anti-inflammatory nutrition.  She has also written a book called Meals that Heal which I have found invaluable.  If you need any kind of nutritional support I highly recommend Karen - she does much of her work by Skype so don't let her home town of Cheltenham put you off!

 

Richard Skudder at Pure Sports Medicine in Kensington

ure Sports Med Richard Skudder is the Osteopath at Pure Sports Medicine Kensington and specialises in the biomechanical aspects of human movement, injury prevention and injury recovery.  Richard helped me overcome my elbow tendonitis last year - a great practitioner.

Avni Trevedi at Avni Touch in North London specialises in women's and paediatric healthcare.  Avni sees many women while they are trying to conceive, during their pregnancy and when the baby arrives often treats both mother and child.

 

ONYX 

Joanne Halstead is a remedial sports massage therapist working from practices in Mayfair and Shoreditch.  She works with clients who need regular release work as a result of their sports and the stresses of every day life.  Joanne comes highly recommended by me personally as I've hugely benefited from her treatments.

Fabs Massage Fabian Adami is a remedial sports massage therapist who has worked with Precision Movement clients to assist in their recovery from injury.  He often works with rugby players.  Having received treatment from him on a number of occasions I can highly recommend him.  Fabian works in Putney and also offers a mobile service - visiting you at home which comes in very handy for us time poor busy folk!

 

Fitness Adventure Travel 

Rob Tynan's company, Fitness Adventure Travel provide bespoke fitness travel life changing experiences.  I am due to lead a trip to Vietnam this year for F.A.T and I highly advocate setting yourself a challenge like this and gearing your training towards it.  Life is for enjoyment, adventure and experience, and if your training can support this then all the better!

 

Florence Parot

Florence Parot is a Sophrologist specialising in sleep and burnout.  As you know I for me sleep is an essential foundation of health and wellness. It's where we heal and recover both mentally.  For those really struggling with the quality and quantity of their sleep Florence can help you.  As a former corporate ladder climber Florence knows how burnout starts, what it feels like and how to recover from a total crash.  

 

Be Sophro 

Be Sophro is owned by Dominique Antiglio a sophorologist who specialises in birth preparation, stress management and preparation for special events.  Sophrology combines gentle movements, visualisation and meditative practices which make it a comprehensive system for mental and emotional support and rebalance.

In summary, at Precision Movement we are specialists in movement - in rehabilitation and strength conditioning.  We also highly advocate optimising all areas of your health and well-being and that's why we have picked these specialists for you should you ever need their assistance.

 

 

 

 

Featured Specialist Thihan Chandramohan Head Physio for Hampshire Cricket

February 14th 2015 saw the start of the Cricket World Cup hosted jointly by Australia and New Zealand.  I must confess to knowing very little about cricket.  What I do know is that for test matches that last 5 days players still wear white, that the aim of the game is to knock the little stick off the big sticks behind the batsman and to rack up as many runs as you can without being bowled out.  When you get 100 runs they call it a century.  Beyond that I get very lost particularly on the physics behind the trajectory of the ball etc.  Anyway, due to my very base level of knowledge on a complex sport I'm calling upon Thihan Chandramohan (known as T), head physio for Hampshire Cricket team for this blog post.  I am always interested to know about the injuries and treatment of elite sports people and I always think it makes for interesting reading when you can peer into someone else world for 5 minutes!  So without further ado I give you T...

 

KT:  Let's start with the basics... Did you play cricket when you were young? 

TC:  I always say that I was pre-destined to enjoy cricket due to my half-Indian, half- Sri Lankan heritage.  Add to that being born in England and raised in Australia, cricket is the game which binds these nations together.  Sadly, despite this genetic and cultural mix and many hours in our suburban backyard playing cricket with my brother, the cricket genius never materialised. When I did play social cricket games with friends as a teenager I was always the designated non-batting, non-bowling, outfielder… and I can’t catch.

I did (and still do) enjoy watching cricket which actually led me towards a career in physio. I was about 14 years old and watching a Test match.  The Australian captain, Allan Border went down with a back injury while batting. The Aussie physio trotted out and manipulated his back on the pitch and Border went on to make a hundred.  I was amazed and thought, if I could never make a hundred for Australia, maybe I could be the guy who keeps the players who can do it on the park.  At the time I didn’t know what a physio was, but I knew I wanted to be one.

 

KT:  How long have you been working with Hampshire Cricket?

TC:  I moved to Hampshire County Cricket for the 2013 season so have been here for just on 18 months. Prior to this I was physio for the Victorian Cricket Team from 2009 and have worked in sports physio my whole career.

 

KT:  What are the common injuries that cricket players often get?

TC:  Cricket is an unusual sport in that fast bowlers are the guys who get about 70% of all injuries, particularly those injuries that stop them being able to play.  Most commonly these are lower limb overuse problems such as knee and ankle tendinopathies, cartilage injuries to the hip, knee and ankle as well as bone stress lesions, especially in the lower back.  They are also susceptible to the usual lower limb soft tissue strains seen in other high intensity running sports.

Batsmen get injured too, but these tend to be on the less severe end of the spectrum. That is, except for fractures caused by getting hit by the ball, which mainly occur to the hands and upper limb.

 

KT:  Why are these particular injuries so common? 

TC:  For bowlers some of the most debilitating and common injuries are lumbar or lower back stress lesions. Typically seen in adolescent and young adult fast bowlers, pain onset is usually gradual with worsening symptoms on continued bowling.  It is a complex pathology related to a multitude of co-factors including; growth stage and rate, bowling workload, bowling action mechanics, muscular strength and many others.  It is so common that every international fast bowler will have been through at least one bout of rehab for lumbar stress reactions or fractures and many will have had multiple episodes. The primary cause is due to the high compressive and shear forces which the lumbar spine needs to absorb and transmit during the fast bowling action.  In fact some studies show ground reaction forces at front foot contact to be 8 times body weight.  Fast bowlers can do this 120 times per day!  A lot of the current research is looking at ways to better manage fast bowlers to minimize their risks of these injuries developing.

 

KT:  How long does it take for a cricket player to get back on the field after an injury?

TC:  Like any injury, return to play is dependent on the severity and nature of the pathology. Low grade stress reactions with early detection can be back playing within 3-4 months while full stress factures may mean missing up to 12 months of bowling and may even need surgery if the stability of the spine is compromised and pain persists.

 

KT:  What are the most important aspects of successful injury recovery 

TC:  As a sport physio I have a big box of tools that I can use to help make this recovery process as efficient and effective as possible. These start with assessment tools and investigations to evaluate and objectify the problem. This allows me to then judiciously use specific treatments including manual therapy and dry needling for pain management and to improve particular movements and/or tissue quality.

However the crux of any rehab plan is a progressive motor control, movement patterning and strengthening programme with clear objective goals and steps to allow continuous progression and return the athlete to bowling.  This often includes corrective exercise at the start of an injury rehabilitation programme.

 

KT:  How does physio for an elite sportsman compare to physio treatment for non-sports people?

TC:  The biggest difference, is that a professional athlete’s body is their tool for their livelihood.  So as a physio, my job is not to rule them out of playing whenever they have a niggle. Nor is it to work my magic on them and get them fit to play whenever they need it.

My job is to make sure they never miss a training session, and never miss a game. The cricketers who achieve this, end up being better athletes because they get to practice their skills more then the guy who is injured all the time.  And not surprisingly, the more you are able to practice, the longer and more successful your career in the sport. This process is not dissimilar for non-sports people but the expectations on outcome and commitment to recovery are different.

With elite athletes I am also lucky in having the opportunity to try to prevent injuries from happening in the first place.  I do this through education and injury prevention programming.  Using musculoskeletal screening assessments, I individualise their programs which becomes part of their routine. I feel this empowers the players to be more independent with their body management and gives them better awareness and understanding of their bodies to use them more effectively.

 

KT:  Who are you backing for the Cricket World Cup?

TC:  I have a soft spot of Australia as I have worked with a few of the current players over the years

 

KT:  Who do you think will win?

TC:  My tip is actually New Zealand, they have a great group of batters and bowlers, will play the conditions well and seem to be a winning team at the moment.

 

KT:  Who is your favourite cricket player across all the teams worldwide and why?

TC:  My favourite is the captain of Sri Lanka, Angelo Matthews as he is always so passionate about winning and never gives his wicket up easily.

 

So there you have it, an interview with an inspiring and lively physiotherapist for a sport I barely know anything about!  With that said I hope England are doing well in the competition.  Hampshire Cricket start their England 2015 season on 12th April.  Find out more information at www.ageasbowl.com