Category Archives: Team

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Postnatal pilates – Do you have difficulty controlling urine when you cough, sneeze, laugh or exercise?

The pelvic floor muscles have many different functions and dysfunction within them can present itself in many different ways. During a vaginal delivery the pelvic floor muscles have to stretch to three times their normal length, so it’s no surprise that they may need a little bit of help regaining their function post-natally.

Bladder

  • Do you have difficulty controlling urine when you cough, sneeze, laugh or exercise?
  • Do you have a feeling of urgency to go to the loo, which you sometimes can’t control?
  • Are you unable to fully empty the bladder and often have to go back?

Prolapse

  • Have you noticed any heaviness or aching around the vagina?
  • Have you felt any bulging in the vagina or felt that something might ‘come out’?

Bowel

  • Do you have difficulty controlling wind?
  • Do you struggle to completely empty your bowel?
  • Do you have a sense of urgency to empty the bowel?

Sexual

  • Do you experience discomfort or pain during intercourse?

Pelvis dysfunction

  • Do you have pain in any of the following areas: pelvis; lower back; hip; groin; abdominals?

If you are 8 weeks postnatal or over and the answer to any of the following questions is yes, then we strongly advise that you make an appointment to talk to one of our Women’s health physiotherapists.
The symptoms below are not normal because you have had a baby. It has been shown through research that practicing Pilates exercises has many benefits. However, Pilates exercises on their own will not strengthen the pelvic floor muscles: to be effective exercises must be taught and guided by a women’s health physiotherapist.
Thanks to our physiotherapist Stephanie Crossland for putting this information together

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Professional cyclist speaks about impact of physiotherapy

“The only reason I can do what I’m doing…Milltown Physio! My life would be very different without her! I cannot thank her enough”
It’s great to see the importance of pelvic physiotherapy in sports medicine highlighted here by professional cyclist Matt Teggart in an article in the popular cycling magazine Sticky Bottle.

http://www.stickybottle.com/latest-news/teggart-on-the-genetic-condition-he-conquered-to-stay-in-cycling/

2017-01-26

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Static stretching versus Dynamic stretching – what is the impact on performance?

A recent systematic review on footballers showed that a static stretching warm up reduced subsequent performance while a warm up that included dynamic stretching and the FIFA 11+ can show positive effects in footballers. The review also noted that there is good benefit in doing a re-warm up again during half-time.

The FIFA 11+ is a complete warm-up programme to reduce injuries among amateur male and female football players aged 14 years and older. The warm up programme was developed by an international group of experts and its effectiveness has been proven in scientific studies
If you would like to know more about the FIFA 11+ and use it in your club then click here for some good free resources such as videos and posters
http://f-marc.com/11plus/exercises/

The systematic review is here https://www.ncbi.nlm.nih.gov/pubmed/27901341

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Dr. Jan Dommerholt visits Milltown Physiotherapy sharing advances in dry needling

We were delighted to host renowned myofascial and chronic pain expert physiotherapist Dr. Jan Dommerholt for a course on dry needling in back and pelvic pain on Wednesday the 30th of November.

Dr. Dommerholt is a Dutch trained physio and a recognised expert in the physiotherapy diagnosis and treatment of persons with myofascial pain syndrome, chronic pain syndromes, and whiplash associated disorders. He has published several books, over 60 articles, and nearly 40 chapters in medical and physical therapy textbooks on myofascial pain, chronic pain conditions, fibromyalgia, complex regional pain syndrome, and whiplash.

If you’d like to know more about this therapy please have a look at our dry needling section http://milltownphysiotherapy.com/therapies/dry-needling/

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Milltown Physio at International Pilates Conference

Our chartered physiotherapist and leader of our ante/post natal Pilates classes, Stephanie Crossland attended the prestigious APPI Pilates Conference in the UK last weekend.

At the conference Stephanie completed a workshop and met with Alan Herdman who is recognised as bringing Pilates to the UK in 1970, after he served an apprenticeship with 2 instructors who had trained with Joseph Pilates himself!
Some of the highlights included an antenatal based exercise class with Cherry Baker, gaining more knowledge and insight into using Pilates exercises safely with pregnant women. She loves to share the new information and research within the clinic.

Interestingly she also attended a post natal session with emphasis on return to sport with Biljana Kennaway (APPI Master). While there she got some great information on cutting edge research for use with her mother and baby Pilates class.

Stephanie has a huge knowledge base in Pilates and has conducted research on the use of Pilates-based exercise in ante and post-natal women with pelvic girdle pain gaining an Masters in the process! Stephanie has a special interest in the treatment of Pelvic Girdle Pain in Pregnancy. Additionally, she is an instructor in Pilates for this client population.

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Urinary incontinence: why aren’t women talking about it?


“With one in three women affected after childbirth, it’s surprising to find that female incontinence is rarely spoken about”

A great piece in Monday’s Irish Times documenting patient experiences and also offering some advice from our Specialist Women’s Health physiotherapist and practice partner Maeve Whelan.

http://www.irishtimes.com/life-and-style/health-family/urinary-incontinence-why-aren-t-women-talking-about-it-1.2835293

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Smart rehabilitation matches up to surgical treatment of common shoulder conditions

Recently a large Milltown Physio contingent attended IFOMPT – the prestigious conference showcasing the latest and most cutting edge evidence in physiotherapy. I’m delighted to say that our clinical specialist chartered physiotherapist Gráinne Wall has agreed to share her review below.

Jeremy Lewis – The Conundrum That Is The Shoulder: Expanding Our Ability To Manage Shoulder Pain.

Jeremy Lewis presented a comprehensive keynote lecture on managing shoulder pain. He outlined the complexity in treating shoulder pain and the emerging evidence in the conservative versus surgical debate.
Much like other joints of the body, shoulder imaging provides limited information to the clinician as imaging studies do not correlate with the presence or intensity of pain and up to 96% of asymptomatic individuals have structural changes on imaging. He then followed his presentation discussing how “orthopaedic special tests aren’t special” and they are not specific in identifying structural pathology. He asked the delegates to consider this; how many patients have a false positive clinical test followed by a false positive scan result which is often followed by an unnecessary surgical intervention?

He outlines his Shoulder Symptom Modification Procedure (SSMP) and like many others he encourages a holistic approach to the management of shoulder pain, ensuring adequate assessment of the whole body kinematics. SSMP systematically investigates the influence of scapular and thoracic postures and humeral head position on shoulder symptoms. The assessment findings from the SSMP that are found to reduce symptoms are then incorporated into rehabilitations methods. Rehabilitation should be gradual, tailored and specific to the individual’s needs. Scapular rehabilitation was touched upon yet our research into both posture and scapular positioning shows poor correlation in relation to shoulder pain.

Smart rehabilitation matches up to surgical treatment of common shoulder conditions such as subacromial pain, rotator cuff tendinopathy and rotator cuff tears and this conservative regime would seem like a favorable and cost effective treatment plan.

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Call us now for Ante & Postnatal Pilates Classes

Pictured here is our physiotherapist Elaine with a few of the younger members of her popular Postnatal pilates class! Elaine has a special interest in women’s health and a wealth of experience in women’s health conditions.

Are you pregnant or have just given birth? To be eligible to join the ante natal class you must be at least 16 weeks pregnant and 6-8 weeks following delivery for the postnatal class.

All ante and postnatal Pilates classes are led by Chartered Physiotherapists who are experienced in the rehabilitation of women’s health conditions such as pelvic girdle pain and pelvic floor dysfunction.