Football, Physio, sport, Physiotherapy, Fitness

Will Jonathan Walters be fit for Saturday ? by Ronan Fallon

Well is he going to be fit to continue?

Last night’s match in Paris saw the boys in green put in a great performance on the European stage. It’s fair to say that we could have easily taken all three points. Unfortunately, this result did have an impact on Jonathan Walters.

It is well known that he has been struggling with an Achilles tendon problem for the last few weeks. The Achilles tendon is the common tendon from the calf muscles into the heel bone.
It is a notoriously tricky problem for anyone from an international footballer to a mid-week 5-a-side social footballer or tag rugby player. As such, it was not a good sign that Jonathan Walters reported last night that he was struggling with this issue from the very first minute!

Achilles tendon
As you can see from the image, pretty much all activity on the football pitch requires load to go from the calf muscle and through your Achilles tendon. This allows the athlete to propel forward to run & jump.

 

MANAGEMENT

Chartered Physiotherapy Dublin 6

Decisions Decisions…..

There is no doubt that the Irish medical team are using all of the resources at their disposal in an effort to get Jonathan fit for Saturday. This is a very quick turnaround for an injured achilles such as this one.
I suspect that they will be using a battery of treatments including anti-inflammatories, Icing, Soft tissue for the calf muscles and most importantly rest.
The crucial component in this management strategy is controlling loading. Thai is the weight that he takes through that inflamed tendon. He should be on crutches for 48 hours. This would allow the Achilles to recover without the stress of his bodyweight on every step.

Medical Team

This is a tricky conundrum for the medical team today. How long can they afford to rest Jonathan from team training in preparation for the Belgium match? Martin O’Neill and his team will have  already discussed this and may have even made a decision on ruling him out.
It’s very difficult to see how Jonathan Walters will be fit for Saturday. An MRI scan will show the true extent of the damage. As a result all we can work off are the soundbites from Management and player alike.

In conclusion, we’re all hoping for a speedy recovery and that his removal from the game early might just give him a chance for the big game on Saturday.

COYBIG !

Ronan

Balanced approach to your Personal Health

Redress the Balance……By Susan Duffy Counselling Psychotherapist

As a counselling psychotherapist I meet a lot of people who are struggling with the balancing act of life; workload, children, ageing parents, relationship and friends are among the many responsibilities we try to juggle daily. All of this juggling on a regular basis before even thinking about ourselves, our diet, fitness and general health.

Media and social media can appear full of ‘successful’ people. Supposedly  ‘just like us’ but with perfectly toned bodies, a stellar career and beautifully turned out children. They run marathons before breakfast and roll out a Nigella style roast for 20 close friends at lunch. If we compare ourselves it can be hard not to feel overwhelmed.

  • Are we coming up short….?
  • Or could these images be constructed with ‘perfection’ styling before we clap eyes on the finished product?
Dublin 6 mental health services

As resilient as a bubble or……

feeling tired and depressed

….A spent force?

 

Impacts on our Health

All of the above add to feelings of overwhelm, anxiety and just not being enough. When we are spinning plates and have such high expectations of ourselves, something’s got to give. Usually because we are busy with work and trying to live up to the perceived expectations of others, the first thing to give is our health and our self-care.

If we are tired, feeling depleted and ragged, it shows in our work and relationships. We can feel demotivated and under-appreciated in work. Anger and resentment can be directed towards loved ones taking us for granted. The basic concept of caring for ourselves in a healthy way underpins how well and whole-heartedly we can care for others, and do our jobs to the best of our abilities.

Surely the correlation between stressed, overworked individuals who strive for perfection and their incidence of back pain, is too high to be a coincidence?

Could it be possible that our tired unsupported bodies are screaming at us to look after them. Sometimes the physical pain we feel can be a symptom of something deeper emotionally. Ironically, lower backs (lumbar spinal) often seem to ‘go’ around stressful landmark life events, when we feel least ‘supported’.

Pausing to ask what your body feels like in this moment, could be the first step in your journey to appropriate self care.

  • What do you truly need right now? (as opposed to what you ‘should’ be doing).
Counselling for Health

What’s going on in there..

It could be deciding to talk to someone about the stressors in your life. What impacts on your relationships and general health?

It could mean taking a step towards a stronger healthier body through exercise, diet or relaxation.

Regardless of detail, pursuing something suitable, exclusively for you, can help positive change.

Come and ask Personal Health how we can help……it’s time to redress your Personal Health balance….

Thanks,

Susan

pain, chronic pain, exercise, physio, physiotherapy

Do you really understand your pain? by Dee Ryan, Chartered Physiotherapist

Pain is often misunderstood, and as a result can cause fear. This fear and confusion can drive our pain experience. This blog explores the true meaning of pain with you. It might facilitate a different approach to your pain management, and hopefully can improve your coping strategies.

Pain is the body’s alarm system. It is designed to be a helpful response to protect you. This alarm system is assisted by your vision, hearing, smell and taste. For example, at halloween you see a bonfire, hear the wood crackling, smell/taste the smoke and feel the warmth. These sensory cues are helping your brain decide how best to respond to a given situation.

FireBeachPain
A key point to understand about pain is that once the brain decides you’re in danger, you will feel pain with or without the presence of tissue damage.

YOUR BRAIN DRIVES YOUR PAIN

Pain can be straight forward. But like most things in life, it can also be a complex process requiring some patience. Pain from direct tissue damage is clearly understood – an ankle sprain for example, see our Rory McIlroy blog:

Here, for example, the ligaments are sprained and in an attempt to protect you (how loving!) your brain decides the ligaments are at risk and need healing. Subsequently pain is felt in order to allow ligament repair and remodelling.
Pain can also be reflective of behaviour, emotions, memories, belief systems and what the pain means to you. A nice analogy for this is to imagine the ingredients of emotion, stress, memory, belief and behaviour are mixed together and make up the batter to a special kind of cake called pain. This cake is cooked in a particular oven called the brain. How the cake of pain turns out is very much so dependent on the oven – what temperature it is cooked at, how long it is cooked for etc. So it is clear the brain directly influences the end product- the pain cake.

 

pain management Personal Health Dublin 6

Is your pain getting out of hand?

Regardless of analogies, there is a proven science to this…..

Our body house these incredible sensors which continuously send messages to the brain via electrical impulses (neural pathways). Some sensors report on temperature, some respond to mechanical change, others to chemical change. There is a certain type of wire called a nociceptor which delivers messages of danger to your brain. They respond to any form of stimulus which is considered a threat. Remember nociception is just the delivery postman of the message, not the message itself.
Not every message being delivered from the sensors reach the brain. At the level of the spinal cord there is a sorting process, and the number of messages being passed is under control. Similar to a bouncer manning a nightclub. The danger messages can sometimes be granted access and are delivered to the brain. Here the brain has to make a decision how best to react to all this information it has been given.

Dee Ryan Chartered Physiotherapist in Dublin 6 discusses the complexity of pain

Those shoes are quite nice mate…..

Next week

Next week I will discuss the various systems which the brain calls upon in its response to these issues. Similarly I will expand on the effects of pain over a prolonged period of time- known as ‘chronic pain’.
Be a friend and tag a friend who you feel will benefit from further understanding the processes involved in the pain experience!

And now my parting gift to you until next week….a superb video which explains pain in less than 5 minutes:
https://www.youtube.com/watch?v=RWMKucuejIs