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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.

 

 

 

 

Precision Movement's inspiring summer book recommendations

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As many of you will remember I set myself some pretty hefty goals this year.  One of them was to read a book a month. I haven't quite stuck to this time frame but I have read 6 books this year so far! :) 

 

I try to think of many random ways I help make life a little easier for you all. So at this critical time of year when you are packing for your vacation and you realise you haven't got a book to read on the beach I have put together a list of my top four reads from this year so far. Now you can't say I don't look out for you all... ;p Without further ado my four hand picked book recommendations for summer 2015...

 

Winning Without Losing by Martin Bjergegaard

Probably the best business book I've ever read. Martin interviewed many of the top entrepreneurs on the planet asking them how they find and maintain what he calls the new dual optimum (a fancy phrase for the more globally recognised "work/life balance"). Hugely inspiring, with some great instant take-aways and broken into manageable chunks so you can read a chapter then take a dip in the pool, read a chapter then go for lunch. I'd recommend it if you need to recharge your business brain. 

 

13 Things Mentally Strong People Don't Do by Amy Morin 

Amy has a brilliant personal story to tell about her hardships and how she overcame them by NOT doing what mentally strong people DON'T do. If you're feeling a bit beaten up right now then this is a good booster for the spirit and the soul.  

 

When I Stop Talking You'll Know I'm Dead by Jerry Wientraub 

For a lighter story that reads more like a novel try Weintraub's life story of becoming a self-made man in Hollywood. With anecdotes about Sinatra, Elvis and a host of celebrities and musicians it's an engaging and fantastical story of a man who has lived what seems like a charmed life but he's worked his absolute socks off for.  I love his chutzpah - every good business person needs that! 

 

 The Road to Character by David Brooks

This is my most recent read.  I actually went to see David being interviewed in May which was a real treat.  This book is all about cultivating the eulogy virtues. We're pretty good at the CV virtues but perhaps not so focussed on the virtues that develop our character - such as bravery, kindness and selflessness. David takes 9 inspiring people from history who have made a difference to the world with their strength of character. He explores their lives and how they developed their eulogy virtues.  It's a beautiful and humbling read - good for an ego check! 

 

For those of you who are jetting off for the summer I wish you happy travels. Be safe. Make memories. Enjoy every moment. I'll still be posting so keep reading and read a book or two - it's really good for relieving stress! 

 

5 common desk bound injuries and how to avoid them

ipad user slouching
ipad user slouching

The office environment does not lend itself to an optimal pain free and posturally aligned existence.  Our postural alignment is often the last thing we think about until we begin to experience pain.  Here are the 5 most common aches and injuries from a desk bound environment and how to avoid them.

RSI - Repetitive Strain Injuries 

This is an umbrella term given to a collection of upper limb injuries including thoracic outlet syndrome, double crush syndrome, carpal tunnel syndrome, golfers elbow, tennis elbow.....  These injuries mostly start in the neck and shoulder area and commonly come from postural misalignment.

How to avoid it 

Try to avoid typing for long periods of time - take a break for a few minutes every half hour or so.  If you have a smart phone with voice activation then use it to give your hands, fingers and wrists a break.  Take time off your phone and tablet by reading a newspaper or a book or listening to music.   

Low back pain

This is probably the most common complaint of all desk bound workers.  Back pain can occur for many different reasons and your office environment can contribute and exacerbate it.  The most common cause of back pain is slouching in your chair and then sustaining postures for long periods that encourage certain structures to be stressed more than others.

How it avoid it

Sitting for long periods is not great for your back.  Make sure you move frequently throughout the day.  Get out of the office for lunch, walk to the water cooler, take a few flights of stairs up or down between floors, get out a tube station early and walk the remaining distance to your office.  If you can exercise before or after work or even during your lunch break.  Without fail get your workspace assessed by an ergonomics specialist - insist on one from your company.  

Upper mid back pain 

Another common compliant especially from writers, architects, artists and anyone who hunches over their desk.  Mid thoracic aches and pains often come from an imbalance between the muscles in the front of the shoulder and chest area being too tight and the upper back muscles being too weak.  A common occurrence is a strained feeling which comes from the back muscles being stretched but at the same time contracting to stop you from collapsing over your desk.  It is call tautness - the muscles are weak and tight at the same time from being over worked.  

How to avoid it

Work on your upper back alignment - do not hunch over your desk.  If you are writing and reading or drawing a lot then invest in an architects desk that you can tilt to an appropriate angle for your work.  Invest in a few sessions with someone who can teach you upper back exercises and stretches for postural alignment that you can do daily to strengthen your upper back.

Neck pain 

Neck pain is exceptionally common especially these days with the use of smart phones and tablets that we look down to use.  Even at your desk you are inclined to crane your head forwards towards the computer screen in front of you.  This puts incredible strain on the neck and can cause injuries such as a cervical disc prolapse.   

How to avoid it

Mobilise your neck throughout the day with head rolls and shoulder rolls.  If you have a chair with a head support consciously press your head back into the support whilst you work.  Make sure your chair alignment is assessed by an ergonomics specialist.  This will help correct the alignment of your head and neck as you work.  Do not place the phone between your ear and your head - use your loud speaker or invest in a head set.  Use a stand for your tablet if you are working at your desk to avoid hunching over it.  

Shoulder pain 

Shoulder pain can come from excessive use of smart phones and even typing on your keyboard.  Mostly pain will come from misalignment and if often associated with neck and mid thoracic issues.  Shoulders are vulnerable joints so seek out help with postural alignment.

How to avoid it 

Mobilise your neck throughout the day with head rolls and shoulder rolls.  Make sure your workspace is optimally aligned for your arms and shoulders.  Take a rest from your smart phone - some phones now have voice activation so you can give your hands and arms a rest from the constant furious typing.  Find a corrective exercise specialist or a rehab specialist to help you with your shoulder alignment.

General advice 

If your pain does not resolve itself within 7-10 days and if it gets continually worse then seek treatment from a physiotherapist or osteopath.  Early treatment often results in a quick recovery.  It is tempting to ignore aches and pains until they become unbearable - the longer you leave something the longer it will take to recover.  If you would like more information on how to resolve a desk bound injury please email me at

KT@precisionmovement.co.uk

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Featured Expert: Helen Skehan RSI physiotherapist

manual therapy
manual therapy

Helen Skehan specialises in the treatment of RSI (repetitive strain injuries).  She is the owner of

Physio Solutions

clinic in Islington, a clinic that she built herself over 16 years, houses 9 therapists and also offers massage and ergonomic assessments in the work place.  

KT:  Helen, what is RSI?

HS:  RSI stands for repetitive strain injury.  It is a term given to work related non-specific upper limb injuries and does not always mean the injury has come from repetition or is a strain.  Patients present with a number of symptoms that may not always be the same from person to person.  

KT:  What symptoms are common with RSI?

HS:  I test for many things - often clients present with varied pain in the neck, shoulder and arm, tingling ,numbness, temperature changes, swelling.  I look for specific tightness, muscular imbalance and postural misalignment.  I may also send clients to be tested by a rheumatologist to eliminate other underlying conditions.

KT:  How does RSI develop?

There are many different ways RSI can develop.  It is often a combination of a poor workstation, poor posture, lack of exercise (although not always sometimes I see patients who are real gym bunnies),not taking enough breaks at work, high stress, lots of typing and ignoring initial symptoms.  

KT:  How does stress play a part in the development of RSI? 

I would say stress exacerbates symptoms.  Mechanically, stressed induces increased muscle tension in the neck and shoulders where the nerves exit the spine and pass through the shoulder joint down the arm.    Also, breathing rate increases and during stressful times we tend to adopt a upper chest lead breathing pattern which utilises the accessory respiratory muscles surrounding the neck and shoulders.  The nerves are supposed to glide through neighbouring structures but if the muscles are contracted it can squeeze the nerves causing pain, numbness and tingling.

KT:  What is your opinion on exercise for RSI?  Does it create more strain or can it help?

HS:  I always try to get my patients to engage in some form of stretching, mobilization and exercises.  There is always a role for graded exercise in the recovery of RSI.  It is important to go by a tolerance factor - the patient should not work into areas of pain.  

KT:  What affect does posture have on the development of RSI?

HS:  Sustained postures for long periods in poor alignment are definitely not healthy and can contribute to RSI.   Typically patients that have RSI injuries have a rounded upper back, a forward head carriage and their shoulders are rotated inwards.  It is very common to find neck an shoulder stiffness as well as a lack of mobility in the upper back.  Some patients can suffer from headaches.  Even more distally you find that patients often have hamstring and calf tightness. 

KT:  What impact does modern technology like smart phones and portable laptops and tablets have on the recovery of RSI?

HS:  All these devices encourage a poor posture as you tend to look down at the device you are using.  People tend to overuse their smart phones which stresses the fingers, wrists, hands and forearms.  With tablets and laptops they can be heavy to carry around and we tend to look down when we use them which strains the upper back and neck.  

KT:  What advice can you give to people using smart phones and tablets for work?

HS:  Modern technology is improving all the time.  For smart phones you can use the voice activation system to cut down on your typing time.  Try to avoid using your phone and tablet when you travel on the tube and bus to give your hands and arms a rest.  At work place a tablet on a stand or a removable keyboard.  For laptops and desktop computers invest in an ergonomic mouse or a roller mouse that sits at the front of your keyboard. 

KT:  What are the early symptoms of RSI?

Any hand symptoms that are related to desk work including pain, muscle cramps, tingling, numbness, swelling or feeling of swelling and restricted movement.  Also be aware of any of these symptoms in the shoulder and neck area even repeated small episodes.  We should be able to function without pain.  I would recommend diarising your symptoms and check over a period of time whether the symptoms remain or get worse.  If in 10-14 days the symptoms are still there then seek treatment.  

KT:  What other advice would you give to those suffering with RSI?

HS:  For those with mild symptoms I would advise regular movement that is based on improving postural alignment and mobilising the upper back.  Backstroke can be helpful and calming to some.  Avoid cycling as the posture can encourage symptoms to get worse.  RSI is an injury that develops over time and through the continual use of bad habits.  The most important thing is educating yourself on how to minimise the risk of injury and taking responsibility for your health and wellness at work.  

For more information please visit the website at 

physiosolutions.co.uk

 or to make a booking with Helen please contact her clinic, Physio Solutions, on

0207 713 7780

.  For more information on how exercise can help you recover from RSI injury please contact me at

KT@precisionmovement.co.uk

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My top 5 reads for chronic back pain sufferers

me with my books
me with my books

I love sharing knowledge!  Which is why I have compiled a list of my top 5 reads for chronic back pain sufferers.  They are all easy to read and most of them have tips and information you can apply immediately.  If you are suffering from chronic back pain and you really want to know what to do about it and how to handle it then read on.... 

1.   Explain Pain by David S Butler and Lorimer Moseley

A comprehensive information packed book that explains how pain comes about and what it means.  Although it's a little pricey I think it is must read for chronic pain sufferers.  

2.  Painful Yarns by Lorimer Moseley

A wonderfully entertaining book that uses the authors personal anecdotes to explain the mechanisms of pain and about taking responsibility for recovery.  

3.  Treat your own back by Robin Mackenzie

This is a good book for anyone with disc prolapse.  It gives easy to understand advice and information and is a great starting point for approaching recovery.

4.  Sitting on the job by Scott L Donkin

This book is a bible of information if you are a desk bound office worker with back pain or any workplace associated injuries such as carpal tunnel or RSI.  

5.  How to eat, move and be Healthy by Paul Chek

I recommend this book to everyone I meet.  It looks at all areas of your health and wellness and is an integral part of healing nad recovery from any pain or injury.  

And here is one I wrote myself - myeBook '7 steps to getting your back pain sorted' - scroll up and you'll see it on the left.  Happy reading!

5 top accessories to prevent neck pain this winter

accessories
accessories

Precision Movement knows that looking and feeling good is important in the work environment. Feeling good also involves a healthy functioning body that is pain free. Constant back or neck pain can really drain your energy, mood and how you relate to colleagues and clients and could result in losing business. With that in mind I asked my good friend

Kate Nightingale from Style Psychology

to help me put together  5 top accessories to minimise the risk of neck pain this winter so you can look and feel amazing! 

Flat shoes 

High heels are a hazard for wet weather and they do nothing for the health of your feet, back and neck. Remember that your whole body is connected. We often see clients who have neck pain that originates from the foot or ankle. If you need to wear heels in the office then take a pair of cute flats to travel to and from work.

For women Kate recommends - Repetto ballet flats

For men Kate recommends- High Shine Leather Driving Shoes by Car Shoe 

Scarf 

Neck discomfort always goes up During the colder months of the year because we shrug our shoulders up to  our ears to keep the neck warm. This overuses the upper shoulder and neck muscles and they get tired and achy. Invest in a super warm scarf so your shoulders can relax.

For women Kate recommends:  Nanette rabbit snood by Eugenia Kim 

For men Kate recommends: Canada oversized brushed-lambswool scarf by Acne 

Umbrella 

Another reason we shrug our shoulders up is when we get caught in the rain. It is common to pull the head forwards and down stressing the neck and upper back muscles to protect the face from getting  wet and in an attempt to some how avoid the rain altogether - bizarre but true. Invest in a stylish umbrella so you can maintain good head and spine alignment when it is raining.

For women Kate recommends:  London Undercover's double layered maple interior umbrella

For men Kate recommends:  

London Undercover's double layered pattern umbrella

Hands free kit for phone 

I travel in London everyday and without fail I see at least one person lodging their phone between their shoulder and ear whilst reaching for their Oyster card. This is a sure fire way to create an imbalance in the neck that over time could lead to an injury. Invest in a hands free kit so you can speak at length comfortably.

For women Kate recommends:  Beats by Dr Dre in-ear headphones with control talk

For men Kate recommends:  

Beats by Dr Dre Solo headphones with control talk

Rucksack style bag 

It's a good job rucksacks are in this season because they are the most ergonomically kindest bag to your back and neck. Heavy handbags create a load on one side of the body that over time causes imbalance. We have worked with several women who have pain on one side because of heavy shoulder or handbags. Invest I a cute rucksack and wear it on BOTH shoulders -  especially while they are trending this season!

For women Kate recommends:  Shearling and pebbled leather backpack by KARA

For men Kate recommends:  

Leather backpack by Bill Amberg

Kate Nightingale is the founder and owner of Style Psychology and educates corporate workforces on how to look and feel the part as well as communicating effectively in business. For more information please visit www.stylepsychology.co.uk.  Contact 0207 700 6816 or 07891 305 176 and kate@stylepsychology.co.uk.