“Walking the walk (or sitting the sit!) One physio’s lockdown experience.”

It’s 7.30am on a Sunday morning, day 2 of my 4 x 12 hour shifts…post-furlough I’ve needed to find myself some work that will keep me from going stir-crazy at home- working at the coal face back in hospital was not an option for me as a single parent- so taking up a position with Unipart, who look after the logistics for the NHS’s PPE supply chain, seemed to be a good second option.

10 weeks in now, and it’s been an eye opening experience- on all fronts- from both the  physical and mental perspective! I’m hoping that with my physio hat on, I can offer some thoughts that might help you cope with the ups and downs of working life- especially if your job involves a chair/ desk/ computer screen.

The first, and probably the most fundamental challenge I’ve faced, is that my pre-COVID working lifestyle couldn’t be any different from what I am currently doing. Most physios will tell you that they will invest just as much (if not more…) in a comfy pair of trainers for work, than they would on a pair of Lauboutins! We’re on our feet A LOT!

Working with athletes and patients alike, I’m constantly on my feet- either watching patients perform various functional movement tasks, demonstrating exercises or standing at the couch and treating. So, moving to a job that involves an hour’s drive either way and then sitting at a desk for 12 hours, for 4 days back to back- has provided a significant change in what my body does- in terms of position and the loads placed on the joints and muscles. 

We know from various research papers, that the human body adapts very quickly to new conditions; once elite level athletes stop training, there is a measurable reduction in muscle strength even after just 10 days! For us mere mortals, it will be a case a couple of weeks perhaps.

So…picture the scene- I’d survived my first 4 days- alien environment, lots of new stuff to learn, along with A LOT of sitting…I really felt like going for a run, get myself into the fresh air! When I say run, I should quantify that- it’s a steady 1 minute run: 2 minute walk. I should also say at this point, that I’m not a “runner” as such- I’m a regular gym goer and I throw myself enthusiastically around a netball court x 1 a week…with a VERY occasional run.

During this first run, at about the 30 minute mark, I felt a sharp cramping sensation in my right calf that literally stopped me in my stride- let’s stop, walk a little- have another go… nope! Definitely not going to “run this one off!” So, disappointingly, I limped the rest of the way home and popped a bag of frozen peas on it for 20 minutes. I could still feel it the following day so I concluded that I’d pulled it (but not torn; no bruising or swelling and although slightly sore, walking was much easier.) So, what to do about it? Something that we see commonly in clinic, are people who hurt themselves and then rest too much- many weeks in some cases- then returning to running once pain-free, without having prepared the injured muscle adequately, often resulting in re-injury. 

Fortunately, having worked with a lot of court-based sports at Derby University (with all the associated calf and ankle problems!) I know the importance of good strong calf muscles- and how they can protect the ankles and lower legs- so, I got going with the calf strengthening circuit that I had devised for the athletes to do. It’s a series of various types of calf raises (also known as heel raises) that don’t require any pieces of gym equipment (apart from a step/ set of stairs) that can be very helpful when trying to prepare a previously injured and weak calf muscle.

But how do you know if your calf muscle is strong enough to run? Well, as a general rule of thumb in the clinic, if someone who’s had a significant injury (knee surgery-ligament repair or muscle tear) and wanting to return to running or a running-based sport, I would ask the patient to perform a single leg calf raise endurance test (how many can they perform to fatigue- off a step?) I would expect to see around the 25 rep mark- or certainly no less than 5 reps difference compared to the non-injured side. 

I duly did this and within a week or so, I went out for another run- but knowing that I hurt my calf at around 30 minutes, I felt it sensible to keep it to 20 minutes (the reality being; it felt good so I managed 30, but no more!)

 

So- key questions to ask yourself before doing something new;

  • What does the new activity involve?
  • How does is differ to my normal “day to day” activities?
  • Am I strong enough/ flexible enough to do this new activity?

You may need some help addressing these kinds of questions- our staff can be really helpful when it comes to starting something new.

Closing thoughts;    “Most injuries occur in people who’ve done too much, too quickly having done too little for too long!”

Thanks++ Jo Keegan for finding the time to pen your experience and share it with us

Please get in contact if we can help at all: enquiries@impactphysio.co.uk / 07977 239893

Please also keep in touch just to let us know how you're getting on!

Essential Face 2 Face Appointments

001750_COVID-19_Face-to-Face Consultations_Flow Chart_V6_0

In this ever changing environment we want to continue to support the community whilst maintaining the safety recommendations which are required to reduce the risk of contracting and spreading COVID-19. 

We are now able to offer face to face appointments for those who cannot be treated remotely. 

We have protocols in place to ensure that risk is minimised. We will ask you to consider your own situation carefully before you are invited to the clinic. This includes your own health and circumstances, we will run through an extensive screening process prior to confirming your attendance.

We have procedures at our Long Eaton Clinic which include;

  • Controlled & Limited Access 
  • A one-way system & clear distancing markers throughout
  • Extensive cleaning & time between appointments for airing the room
  • Appropriate PPE for our team & we ask you to wear a face mask
  • Limited time in clinic; assessment questioning remotely prior to your attendance
  • Our team are health screened prior to confirming your appointment

 

We are happy to rearrange your appointment as required due to developing symptoms or if you are asked to self-isolate and its no longer appropriate for you to attend.

The health & well-being both of our team and of you are our priority at this time and we thank-you for supporting us.

Please get in contact if we can help at all: enquiries@impactphysio.co.uk / 07977 239893

Please also keep in touch just to let us know how you're getting on!

The next stage?

We have monitored the changes during this pandemic closely, there are still a lot of unknowns and speculation, however we continue to maintain our stance of supporting the community by offering remote consultations for all interactions.

However, we are aware that many of you are wanting to know when services will be resumed, so we wanted to give you some insight into our decision making.

Essentially, we are allowed to offer urgent face to face appointments. However we are fortunate that truly urgent cases are very rare within our usual case load, and long may this remain! Most urgent cases can be evaluated correctly via remote consultation, and this would always be the first port of call. If identified then as always referral on to the appropriate medical service is our priority and the best management.

We are currently ensuring that when the time is appropriate that we have clear processes in place that are easy to follow and ensure safety for our team and those who need to use our services. We guarantee that we will not be conducting any face to face consultations before this process is robust.

We continue to maintain our high standards in everything we do, and in the current situation, it is the most critical time to ensure this. 

We maintain that any initial consultation will be conducted remotely through our current systems, and in almost every case we can manage your condition / concerns in this way. We will weigh up in every case the risk in relation to the benefit. 

Thank-you for continuing to support us, we really appreciate the messages of support and gratitude. As a small local business it means a lot to have this support. Please forgive the mini show off photo (with my husband!) shared in the hope it brings a smile, and because it took ages to even manage it! In order not to drum up any extra business  I would add “please don’t try this at home”!

Credit: BASRaT for the infographic, outlining decision making for conducting face to face consultations. 

Please get in contact if we can help at all: enquiries@impactphysio.co.uk / 07977 239893

Please also keep in touch just to let us know how you're getting on!

COVID-19 Action Plan

To all our clients at Impact Physio

We are monitoring the situation closely and are following the guidance of our governing bodies, the local health authorities and World Health Organization (WHO), to ensure we are doing our part to keep you and our wider communities safe. 

If you have any concerns about attending your appointment, then please don’t hesitate to contact us. If you need to reduce your risk due to personal or wider responsibilities to others, are within a vulnerable category yourself or need to self-isolate due to a persistent new cough or have a fever then please don’t physically attend your appointment.

We are able to offer either telephone consultations or video links to enable your management to continue. In most cases we can continue to offer assessment, advice and our classes in a virtual environment therefore avoiding contact risk.  Please don’t hesitate to contact us to discuss this further or make contact prior to your scheduled time to organise this.

If you are well and able to keep your appointment then we can assure you that we continue to maintain our high standards of infection control. We have also increased vigilance with the most-touched surfaces like door handles, credit card readers, and restrooms. We also ensure our team are following guidelines regarding their own health. 

We wish you all the best at this time and thank-you for your continued support. 

Pilates @ ImpactPhysio

Here at Impact we like to do things differently – our Pilates instructors have huge amounts of experience and spend time planning and adapting our classes and 1:1 sessions for you. Here’s a clip of some of the stuff we get up to;

Pilates

If you would like to join us then contact us 0115 9721319 / enquiries@impactphysio.co.uk

Classes are at our Long Eaton and Kedleston Road (University of Derby) clinics – open to all

 

We have recently added the oov to our equipment classes – great for challenging the core and spine.

Our Kedleston Road Clinic is Now Open

The doors officially open on Monday to welcome physio, sports injuries, massage and Pilates clients to our new clinic in the high performance unit at the sports centre at The University of Derby on Kedleston Road.

Although we have been working with Team Derby for years, we are delighted to be part of the new high performance unit in the fantastic sports centre.

Our therapists are buzzing to be part of the team at The University of Derby; Rachel who has been working with Team Derby and covering the NBL fixtures since the inaugural win in 2014. Pete an experienced physio has recently joined Impact specifically with this venture in mind. Tom, a sports therapist will also be on site working alongside Team Derby teams during BUCS fixtures and Christine, a physio with extensive Pilates experience (a polestar mentor) will be delivering individual and group Pilates sessions to compliment her treatments.

To celebrate the official opening of the new clinic, we offer a 20% discount off your first physio session, booked during December 2016. Please contact us in the usual way

call 0115 9721319 or email contact@impactphysio.co.uk

 

Welcome Christine – our new Pilates Instructor

christine koh

Christine has recently joined the Impact team as a Pilates Instructor. She brings a huge amount of experience from Asia and the US as a Physical Therapist and Polestar Pilates Mentor. We are excited to be working with her. Christine is currently working solely as a Pilates Instructor in the UK as she awaits transfer of her registration to enable her to practice as a Physiotherapist.

Christine will be covering occasional classes at Long Eaton over the summer period as well as being available for individual sessions. She is also offering a summer schedule of classes at The University of Derby. Please contact us for more details.

enquiries@impactphysio.co.uk / 0115 9721319

 

Reformer-thon & goodbye Wilien

Still buzzing from a Fab Friday Fundraising – here’s a clip of the best bits – and a huge “THANK-YOU”

£356 now! reformer-thon

It is also with sadness that we say goodbye to Wilien who has been with us for the last few years – we always knew it wouldn’t be for ever, but Wilien has been a huge part of our team – setting up the Pilates matwork classes as well as bringing electro-acupuncture to the clinic.  A great team-surfer!! Wilien – have a fab trip back home – South Africa are re-gaining a top quality Physio!! We will miss you – but watch out – the next Impact-Tour might just be to African soils!!

Children in Need – 12 hour reformer-thon

Wow! A huge thank-you to Louise, Sandie, Laura, all the physios, Pilates classes and clients who have joined us to “reformer” and “eat cakes” – raising an awesome £346 for children in need. 12 hours of Pilates from 07:00 – Chris took the first leg, then the baton has been handed from person to person all day – and the reformer has been moving until 19:00baby pudseysuper-fizzSandieLauralearning young!! Well done to everyone who has taken part and contributed to a fantastic cause. Thank-you+++Children in Need

Congratulations Louise: Now a certified Core Align Instructor

Congratulations to Louise who is now one of only 2 Balanced Body certified core align instructors in the UK.

To achieve this, Louise has completed 40 Core Align personal sessions (proud owner of a fit healthy body!) 14 hours observation and 120 student teaching hours – a huge total of 222 hours including the 16 hours for each of the 3 courses – wow!  Lousie has worked with Pilates instructors from all over the world during her courses, from Greece, Denmark, France (including the Pilates instructor from the cirque de soleil) .

Louise’s first course was taught by Portia Page, balanced body faculty member from California. (have a look at her work outs on YouTube). Louise completed the final two courses with Veronique Coignac, a core align master trainer, and in December, passed her final exam to become a certified balanced body core align instructor.

The core align was designed by a Physio from Belize, Jonathan Hoffman to challenge his sporting clients, bringing the ethos of Joseph Pilates into the 21st century. Jonathon found working with his clients on the core align that he quickly learnt how it helped them become aware of their movement weaknesses and improve them in a dynamic and functional way.

With the core align you can exercise any part of the body, challenging strength, balance or co-ordination depending on the variation of resistance or orientation of the body.

It doesn’t end here, Louise plans to join 2 American physio’s for a further course in April  using the core align for specific injuries, so she can teach it to all the physio’s at the practice. And after she’s convinced Rachel to buy another, we’ll all be able to try the really good stuff on two units at the same time!!!

 

 

Coronavirus

In this unprecedented time, we encourage you to continue to put your health & well being first.

Whatever your pain / problem please make contact and we can help you.

Things are changing fast – for the latest information, please see our Coronavirus page.