Category Archives: Team

Groin Pain in Sport – surgery or physiotherapy?

 

A recent study by Enda King and Dr. Éanna Falvey the next head of the British and Irish Lions medical team, and published in the British Journal of Sports Medicine (BJSM) compared the research on physiotherapy versus surgery on return to play for Athletic groin pain.
Athletic groin pain has been shown to be quite prevalent among players involved in gaelic football.
They divided the groin injury up into pubic related, adductor related and abdominal related groin pain.
The review suggested better results and quicker return to play with physiotherapy rehabilitation over surgery for pubic-related groin pain.
They also found no difference between surgery and physiotherapy rehabilitation for the adductor and abdominal groups.
You can see why the groin comes under some strain with all the side stepping seen in Gaelic football, rugby, hurling and soccer. With Colm Cooper today retiring from Gaelic football I thought I would share some of the side steps, points and goals throughout his career.

 

Recurrent and over-use injuries in children

Is your child complaining of recurrent heel or knee pain with no specific cause and it gets worse with activity?
Aisling Dolan, one of our physiotherapists here at Milltown Physiotherapy, has a special interest in treating and managing such injuries, having done a recent thesis on this topic as part of her Masters.

According to her review of recent research, the rise in children participating in organised sports has brought about an overall increase in over-use injuries. With this increased participation rate, there is also a growing pressure on children to perform at high levels and this can lead to inappropriate levels of training intensity, frequency and duration.

“Calcaneal apophysits”, (more commonly known as “Sever’s disease”) is the lead cause of heel pain in children. This condition causes intermittent pain where the Achilles tendon joins the heel bone at the growth plate. When the load at this junction has exceeded its tolerance level, it can cause an inflammatory response. Other common symptoms can include tenderness on palpation of the back of the heel, swelling and pain provoked by activities such as jumping and running.

The growth plates can be weak links and prone to this injury due to an increase in muscle tightness which occurs during growth spurts and increased levels of sport and activity. Aisling’s research reported that physiotherapy modalities are commonly used to manage these types of overuse conditions. Successful physiotherapy management includes activity modification, manual therapy and a home stretching programme specific to each child’s needs.

Preventative strategies for these type of injuries include monitoring growth spurts, muscle tightness and ensuring that sport participation is managed appropriately with these variables.

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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/

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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