Chartered Physiotherapist wanted for our team

Chartered Physiotherapist required

Chartered Physiotherapist Tipperary MISCPWe are seeking a Chartered Physiotherapist to join our team in Cahir at Cahir Physiotherapy Clinic. The role is part-time and involves working Tuesday and Thursday evenings. The ideal candidate is one who loves physiotherapy and is enthusiastic! He or she should have postgraduate experience preferably in musculoskeletal physiotherapy. Pilates training is desirable. In-service training will be provided and continuous professional development through case discussion and external courses is expected. The role has the potential to increase to further hours. If you think you would be a great member of the team please send your CV to cahirphysiotherapy@gmail.com

Farmers Exercise- Now!

Attention Farmers

Sports Physio tipperary farmers exerciseNow that the cattle are indoors and the cows are dried off, it’s a great opportunity for farmers to look after themselves. It’s a great time to start feeling better and getting fit in the process. Farmers exercise often gets neglected when times are hectic. Now is an ideal time to start exercising. After all.. it’s only 10 weeks to the first of February.

Springtime Madness

It’s only 10 weeks until the first of February. This is when dairy farmers in particular get very very busy.  As a dairy farmer’s wife (daughter and sister too!), I know the Spring is very busy. This is usually when calving cows and rearing calves takes priority over exercise and even family! We see farmers every Spring in the clinic, towards the end of March and in April, with low back pain and shoulder pain. They are often exhausted from weeks of very long days and interrupted sleep. Exercising now will get you ready for the hard work ahead and reduce your risk of injury.

You now have the time

A farmer’s work is done in the daylight mostly. This time of year, there is a window of opportunity between 5pm and 7pm, for farmers to exercise. It’s as simple as going into your local town or village any evening and doing a brisk walk for 20  minutes non- stop. It’s only about a mile and a half to walk. The important word here is ‘brisk’. Walking through the fields, unless at a brisk pace and non-stop, does not benefit you in the same way (though better than the quad!).

How often should I exercise?

You need to be doing this 20 minutes non-stop brisk walk at least 5 times a week- that’s Monday, Wednesday, Friday and both Saturday and Sunday. Saturday and Sunday go with friends, or go in the morning, just for variety. Better still, take a different route in the daylight. Gradually, increase the time to 30 minutes over the next few weeks.

How fast is brisk walking?

Brisk walking means that you should be breathing faster than at rest and be getting warm from your exercise. You should be able to talk, but not as easily as if you were standing still.

Alternatives to walking

If you really dislike walking, or have an injury that means you can’t walk for exercise , you have a few other options. An exercise bike is a great option as you can do this at home or in your local gym. The swimming pool is a nice alternative if you can’t walk as you can get the exercise without the landing on the ground. We run Pilates classes here at the clinic. Most towns and villages have some exercise classes or a gym- get good advice on your gym exercises if it’s new to you. Finally, last but certainly not least, dance classes- set dancing and social dancing- are a brilliant, fun way to get and stay fit.

Mens Health

If you haven’t exercised in a while, or especially if you get chest pain or arm pain occasionally, please see your GP before starting your exercise. It would be no harm if you haven’t seen your GP in over a year to have a check-up anyway. Movember is a great campaign to raise awareness of mens health. Early detection of most diseases leads to better outcomes.

Have fun!

Karen

 

 

No need to see your doctor first

No need to see your doctor first

Neck physio tippThe first question many people ringing the clinic for an appointment ask is ‘Do I need to see the doctor first before  attending the physiotherapist’. The answer is no. Chartered Physiotherapists are trained to assess and treat a wide variety of complaints. At Cahir Physiotherapy Clinic we specialise in musculoskeletal complaints. These are injuries and symptoms coming from the muscles, tendons, ligaments, joints and bones. A doctor’s referral is helpful as it usually contains details of medications and past medical history however, it is not necessary.

Physio South Tipp MISCPWhen you come in for your appointment, we will ask you many questions about your symptoms. For example- how long have you had them, or what activities make the symptoms worse? After that we will examine you based on what you’ve told us. Our university training and post-graduate experience will guide us to find what the problem is (a diagnosis) and to begin to fix the problem. At Cahir Physiotherapy Clinic we will always address the underlying causes of the problem too. You will be prescribed exercises to do at home. If there is anything that we hear while listening to you, or see when examining you, that we are unhappy with, we will contact your doctor immediately by phonecall or letter. You’re in safe hands.

I have attended my GP/ Consultant and now need physiotherapy

When you attend for physiotherapy on your doctor’s advice please bring whatever letter/note you received from your doctor. This usually contains information on what the doctor’s diagnosis of your injury is. This helps us, especially in the case of patients who have undergone surgery, for example, surgery following a bone break. In addition, with a doctor’s referral, you can claim 20% of your physiotherapy fees against your income tax in a given year by filling out a Med1 Form.

Injured..? Call the POLICE!

Cahir physio injuryWhat’s the first thing you think of doing when you get injured? Most would say ice the injury, whether it’s a ligament sprain or a pulled muscle or a twisted knee or ankle. The next thing people tend to do is put a bandage over the area to compress it. Should you be doing all this? The simple answer is yes- but there’s a bit more to it than that. The old PRICE regime for new injuries (Protect, Rest, Ice, Compression, Elevation ) has been improved with clinical research to become POLICE- Protect, Optimum Loading, Ice, Compression and Elevation.

Protect

A new sprain or strain needs to be protected from further damage- so remove the danger immediately. If you’re on a GAA field or a running track, stop and get to the side of the pitch or track. If you’re out for a run on the roads, get picked up if possible or walk home!

Optimum Loading

Research into ligament sprains and muscle and tendon strains has shown fairly consistently that most injuries benefit from some movement even in the early stages. Complete rest of the injured area is usually reserved for quite severe injuries, like bone fractures or serious joint injuries. Even with those injuries, the joints and muscles away from the injury need movement. For example, with a bad shoulder injury, it is still important to keep the elbow and hand moving, while resting the shoulder. Complete rest of less serious injuries actually slows down the healing process and leads to longer spells out of action.

Ice

Physio Tipp Icing for injuryIce is a traditional treatment for new injuries. It is widely thought that it reduces swelling but actually, the research hasn’t shown that that’s the case. Instead, it probably works to reduce pain by numbing the area and while icing their injury most people are also resting, so that probably plays a part in the apparent swelling reduction effect. Most people would tell you that it feels nice, especially if the injured area is hot. Be careful not to burn the skin with the ice!

Compression

injury taping cahir physioCompression works by actually forcibly preventing fluid from accumulating. It works really well around bony areas like the ankle or knee, but it’s not quite as effective with muscle injuries as there’s more room for the fluid to travel in.

Elevation

Finally, elevation of the injury or raising the injured part higher than the level of the heart will reduce the effect of gravity on blood flow and help the return of fluid caused by the injury.
So, some changes to the ideal post-injury regime recently. Use these tips and you should start to notice changes within a few hours. If not, call us for an appointment.

GAA Warm up Worth Doing

Tipperary GAA warm upIt’s March- the Tipperary GAA county football league and Under-21 championship have started. It’s a great time to remind you about the importance of a good warm up to prevent injuries in hurling and football. There is lots of evidence from sports science and medicine research that a well planned warm up reduces the number of injuries in a squad. So from a success and a costs point of view it’s worth doing!

Gone, hopefully, are the days of lads and lassies running straight out of the dressing room and hoofing a big kick of a football over the bar. That is a recipe for a pulled hamstring or pulled muscle in the front of your thigh.. and a few weeks of missed training. For GAA hurling and football coaches, the warm up is an ideal opportunity to regularly coach injury prevention exercises to keep the squad as healthy as possible all season.

Important parts of a warm up

The pace of the GAA warm up should be graduated so that it starts easy and builds up over the duration of the warm up to get to the pace of the training session. So the first few drills of a warm up should be easy to do, and the last few drills before starting training properly should be at training intensity. There should be ‘activation’ exercises to wake up your reactions for demanding activities like running, landing and rapid changes of direction. It should include leg strengthening exercises, like lunges and squats. Finally, it should include agility and power exercises.

The GAA have recently launched a warm up GAA 15 that includes exercises which, when coached regularly, have been proven to reduce the number of injuries in squads. It is a really useful tool for coaches to use and incorporate into their own warm ups for their football and hurling teams.

Frozen Shoulder- how can physiotherapy help?

Frozen shoulder is a condition that affects both men and women in which the shoulder becomes painful initially and then very stiff. It affects normal daily activities, like brushing hair and getting dressed and driving. It mostly occurs in patients between the ages of 40 and 65 years of age and it usually lasts 1- 2 years.

What causes frozen shoulder?

Cahir Physiotherapist frozen shoulderWhen a patient arrives at the clinic, they usually say that they can’t remember ‘hurting it’ and say that the pain started for no particular reason. There are some people more prone to this condition than others, those with Diabetes or a heart or lung disease.

Frozen shoulder occurs when there is swelling and thickening of the stretchy covering that surrounds your shoulder joint. This tissue is known as a capsule. In cases of frozen shoulder, it seems that bands of scar tissue form inside this tissue, causing it to thicken, swell and tighten.

Stages of Frozen Shoulder

There are usually 3 phases of variable duration of the condition. Initially the patient complains of increasing pain with normal daily activities and later on the shoulder becomes stiffer. This phase can last anything from 2 to 9 months. In the second stage, the pain stops getting worse or may improve, but the shoulder stiffness is worst- ‘frozen’ and is quite debilitating. This stage lasts from 4-9 months. Finally, the pain subsides and the shoulder gradually regains movement ‘thaws’.

Physiotherapy for Frozen Shoulder

It is a common occurence that a patient would arrive in the clinic complaining of a frozen shoulder, when they may have a different shoulder condition. A Chartered Physiotherapist will ask  you lots of questions to ensure that you are treated correctly. At all stages of the condition, physiotherapy is aimed at reducing pain and maintaining movement, education about the condition and encouraging normal movement. It is really important to try to use the shoulder as much as possible. Ice and heat may help with symptoms. Your General Practitioner may suggest a corticosteroid injection also.  The combination of injection and physiotherapy has been found in research to be helpful to relieve symptoms.

 

Knee Anterior Cruciate Ligament tears & Rehabilitation

Cruciate Ligament tears

Anterior cruciate ligament (ACL) tears of the knee are back in the news recently with Colm ‘Gooch’ Cooper’s injury and subsequent surgery making the headlines. Born and reared in Co. Cork, I can’t say that I shed any tears for the consequences for Kerry football myself. But, for those Kerry folk hoping for a quick return to play later on in the year for the star footballer, they would be better off if he delays his return to matches until much later in the year or even next year.

cruciate ligament Tipp physioAfter cruciate ligament knee surgery, returning to sport at the same level that you were playing (club or county) at when you got injured, is a big challenge.  The risk of re-injury to the same knee or the opposite knee after undergoing ACL reconstruction surgery is as high as 30%. The risk is higher if you are under 18 years of age.

Rehabilitation post surgery

Following ACL surgery, successful return to full activity and prevention of Tipperary Physiotherapist cruciate ligament surgeryreinjury require advanced rehabilitation led by a Chartered Physiotherapist. What’s important is that the risk factors that may have led to injury injury in the first place are tackled in your rehabilitation. You will need the expertise of a Chartered Physiotherapist to safely assess your movement and progress your rehabilitation to the point when you are safe to return to action. Poor control of hip and knee movement in activities like jumping, landing and rapid changes of direction is something that can be improved with exercises.  Based on your particular sport your Chartered Physiotherapist will design a programme of advanced exercises to improve your balance, strength, agility and power. These will be challenging exercises and will require hard work on your part.

Return to Sport

Based on your ability to perform these more challenging exercises, your Chartered Physiotherapist will be able to decide when it is safe for you to return to sport, to training and to matches. The perserverence and patience required to stay focused will play a large part in how successful your return to sport is. This mental strength that Colm Cooper is credited with, will ensure a successful return to play for the star in 2015. Despite my lack of love for Kerry football I do (really, I do!) wish Colm well with his rehabilitation.

 

Post Storm Exercise

 

Post storm exercise

For the past two weeks the main topic of conversation in the clinic with patients has been the bad storm. Electricity blackouts, trees down and no exercise done. In fact, since Christmas, anyone who ‘depends’ on the outdoors for exercise has been admitting to the lack of routine of walking/ running/cycling because of the bad weather and feeling worse for it.

Now this week things are not as bad- with the odd sunny spell it’s time to get back to your usual exercise regime. Take advantage of the short periods of calm nice weather and the stretch in the evenings to get back to exercising outdoors. Your back, neck and shoulders will thank you for it, not to mention your heart and lungs!

 

Welcome to the Tipperary Physiotherapist Blog

Welcome to the first post of our blog for Cahir Physiotherapy Clinic in Co. Tipperary. Here we hope to keep you updated regularly on the latest in injury prevention advice, cutting edge physiotherapy and exercise research and what we’re up to in our working week in Co. Tipperary.

In spite of, or maybe because of, the awful weather we’ve been really busy with new injuries in the clinic over the past 2 weeks.

Lots of people locally have been overdoing it with cutting trees and clearing gardens after the storm. This overload of unusual physical work, combined with a lack of exercise due to the prolonged bad weather,  is a lethal combination for back pain, neck pain,  shoulder and elbow injuries.

In the physiotherapy clinic we’ve been busy treating patients with muscle and tendon injuries…. and I hear the chainsaw mechanics are busy too!

The key thing to recover from these injuries is to rest from the offending activity- hopefully all the trees have been cut by now-and gradually return to your regular exercise routine. If you don’t normally exercise now is a great time to start.

But…don’t just rest- your muscles, joints, tendons and ligaments prefer gentle movement even when sore. For example, if your shoulders are sore, try this: sitting tall, gently raise your shoulders towards your ears, stretch the shoulder blades back, then gently lower. Repeat this slowly and then change direction. Then still sitting tall, slowly lower your right ear towards your right shoulder gently then return to the middle again. Don’t force it. Repeat on the other side.