Orla's Blog - Week 1

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Note: I have never been able to touch my toes and my challenge to the TC team is to get me to touch my toes in 8 weeks. 

From the beginning of the week, Tommy and the staff were very welcoming for a physiotherapist student to join them. Tommy, Andrew (chartered physiotherapists) and Ed (Athletic Therapist), work in TC Physiotherapy. Natalie, Lead OnePilates instructor, and Amy, the reformer pilates instructor walked me through TC Physiotherapy and the One Pilates premises. 

The minority may not know the importance of physiotherapy and why it is a critical aspect to improve problems which may restrict a person in everyday life. The ultimate goal of physiotherapy is to identify and promote, develop and maintain a person quality of life, improving functional ability by prevention and treatment. Reformer Pilates is the use of a machine with resistance and assistance. The equipment can cater for different levels of resistance. It is built specifically to fit different body types and fitness levels. It’s vital for developing and maintaining strong core, hamstrings, and glutes (muscles essential in maintaining good, correct posture and reducing injuries), the OnePilates concentrates on the right pelvic position and promoting the best breathing techniques. Physiotherapy and Reformer Pilates combined supports the optimal rehabilitation for patients starting their treatment or maintaining their progress.

For the first blog, the main areas that will be concentrated on are the two treatment tools that are available in TC Physiotherapy clinic. Exercise is always the main focus of any treatment, but for extra support with the exercises, the Graston technique and the Myofascial trigger point Dry Needling are an option. 

There were many cases that the clinic treats such as: 

Low back pain, 

Frozen shoulder, 

MCL (Medial Collateral Ligament) sprain, 

ACL (Anterior Cruciate Ligament) post-surgery rehabilitation, 

Knee pain, 

Neck pain, 

Posture, 

A/C dislocation, 

Fibromyalgia,

Sciatica, 

Tendinitis including tennis elbow and Achilles tendinopathy. 

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Graston technique is based on cross friction massage. The technique breaks down fascial restrictions and scar tissue adhesions. It is usually used for patients who have suffered from tendinopathies such as tennis elbow, golfers elbow, rotator cuff tendinosis and Achilles tendinitis. The reason for using the Graston technique has been shown in research and in practice to improve recovery; it breaks down malformed fibers by using the cross friction massage and reducing the need for anti-inflammatory medication and most importantly reduced pain.

Another technique used within TC Physiotherapy is Myofascial trigger point dry needling, also known as Dry Needling. The technique uses a tiny “dry” needle, one without medication or injection, inserted through the skin into areas of the muscle. Simply put when the needle hit the ‘taut’ band of muscle or ‘knot’ it releases it. When it releases there is an increase in blood flow through the muscle, with that comes an increase in oxygen flowing through the muscle. All this combines to relax the muscle in question and allow it to move more efficiently and pain-free. This is different to acupuncture. Acupuncture is based on Chinese medicine, and the needles are only placed on top of the skin.

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Throughout the week the tips are: 

Tommy regarding back pain: “If there is back pain, always concentrate on triceps, obliques, hamstrings and abdominals.” 

From Andrew regarding running: “The diaphragm is the most important muscle in the body.”

From Ed regarding Massage "Regular massage treatment is very important for clients with chronic pain and arthritis, it works"

From Natalie regarding the classes: “It’s a full body workout, you realise you have muscles in places you have never felt.”

From Amy regarding reformer beds: “The reformer bed is amazing, it’s adaptable for every person. Two clients who are regulars for the weekly classes had previous back surgery, which just shows how safe and effective the reformer Pilates is”

Orla, Student Physiotherapist.