Medically Led Fitness Osteoperosis Classes

Are you over 50 and looking to exercise?

Are you over 50 and looking to exercise?

Mid-life Fitness linked to less dementia in later life

A study published in Neurology , April 10, 2018 has presented findings which add to an ever growing body of research that connects heart health to brain health. High levels of cardiovascular fitness during middle age may lower the likelihood of dementia in later life. It appears that keeping fit in midlife is a sound strategy for arresting cognitive decline. 

The details of the study 

The recently published study asked 191 middle aged women to ride a bicycle until they were exhausted. The women were then grouped according to their peak cardiovascular capacity. Just 40 women met the criteria for high levels of fitness. 92 were in the medium category and 59 were in the low category. Here are the most interesting details of the study; Over the next 44 years, the women were tested for dementia 6 times. Five percent of the highly fit women developed dementia, compared with 25% and 32% respectively for those in the moderate and low fitness groups. According to these figures, highly fit middle aged women were 88% less likely to develop dementia than even the moderately fit women. 

Numbers 

These numbers are at once alarming and encouraging. While the numbers do not prove that high levels of fitness prevents dementia, they do show a hugely encouraging correlation between the two. By remaining highly fit in the middle age period, one has reduced the statistical likelihood of developing cognitive decline quite significantly. 

What can you do if you are ‘Middle-Aged’  and want to become fitter? 

If you are Middle-Aged (let’s suggest approximately 58) and want to become fitter , there are a multitude of simple practical things to consider. At www.personalhealth.ie we provide an initial assessment to find out your medical history, medications, injury history, functional movement screening and exercise history (if indeed there is one!). This assessment provides a baseline from which we can work from. Everybody has a different health/illness background, a different physical profile and differing levels of access, time and motivation. 

Barriers to exercise and improvement 

For the vast majority of our clients in Personal Health, they have overcome big barriers to even set foot inside our door. Examples of this may be a recent illness or injury, a chronic health issue or those dealing with progressive health conditions. Often they are working full time and trying to manage family demands, financial challenges and their own personal health. Two of the most common barriers to improving exercise (and therefore overall health) are accessibility and knowledge. 

Accessibility and Knowledge 

It is difficult to get immediate access to experienced healthcare professionals. Essentially the greater the levels of experience, it seems the more elusive they are. At personalhealth.ie we have arranged our schedules in a transparent way, shared with the public on our online booking system (insert link). Why not book an initial consultation now with one of our team, and begin that journey to better physical health, improved mental health and a longer term investment in protecting your cognitive health. 

Cancer, Exercise, Health, Fitness, Physio

Exercise for Cancer Patients – Physiotherapy

Exercise for Cancer Patients – Physiotherapy

The Guardian newspaper recently (7-5-18) discussed powerful evidence in relation to the benefits of exercise for cancer patients. The published research is from The Clinical Oncology Society of Australia. This research has helped to launch its position statement on the role of exercise alongside surgery, chemotherapy or radiation in cancer care.

Research gets widespread endorsement

The research is endorsed by a group of 25 influential health and cancer organisations, including Cancer Council Australia. It is the first researcher-led push, anywhere in the world, for exercise to be an essential component of treatment for cancer. Indeed the statement goes further, suggesting exercise should be prescribed to ALL cancer patients. Furthermore it states ‘not to do so would be harmful’. A definitive and powerful stance indeed.

Why Personal Health provides Exercise for Cancer patients

At Personal Health, we welcome the position taken by the Clinical Oncology Society of Australia wholeheartedly. A number of our cancer patients have had great results with regular intensive exercise. Their positive experiences have included increased energy levels (or reduced fatigue), maintenance of weight and lean muscle mass, and improved mood. Overall there is an improvement in Quality of Life – and this is objectively measured as opposed to mere speculation.

Evidence is indisputable

The lead author of the research, Prof Prue Cormie from the Australian Catholic University, said the statement was based on “indisputable” evidence. “Really we are at the stage where the science is telling us that withholding exercise from cancer patients can be harmful,” Cormie said. Our philosophy in Personal Health has always promoted exercise as a form of medicine and rehabilitation for people living with prolonged health conditions. Our team of Chartered Physiotherapists & Occupational Therapy are passionate about providing insight and support for Cancer patients.

Exercise is Medicine

Professor Cormie is a huge advocate of exercise in general, and elaborated further in relation to cancer therapy. “Exercise is the best medicine someone with cancer can take in addition to their standard cancer treatments. That’s because we know now that people who exercise regularly experience fewer and less severe treatment-related side-effects; cancer-related fatigue and mental distress. They also have a lower risk of their cancer coming back or dying from the disease’,

Lifestyle Change

At Personal Health, we apply the best evidence to help lifestyle change. A simple way to boost cancer survival rates is to improve diet and include regular exercise. It is simple in concept but difficult to implement regularly. We provide a helping hand, a support network at home or in clinic, and a familiarity with the challenges you face. Some patients have had to maintain lean muscle mass in order to optimise chemotherapy/radiotherapy, others have had to improve range of movement post surgery. There are lots of differing angles and solutions.

Professor Cormie agrees …

It seems Prof Cormie agrees with our approach and vice versa. ’If the effects of exercise could be encapsulated in a pill, it would be prescribed to every cancer patient worldwide and viewed as a major breakthrough in cancer treatment,”  

She further elaborated “If we had a pill called exercise it would be demanded by cancer patients, prescribed by every cancer specialist, and subsidised by government.”

Types of Cancer patients in Personal Health

To date we have worked with patients who have had Breast Cancer, Oesophageal and gastric cancer, Prostate and Bowel cancer. Based on the latest evidence above we see no reason to be exclusive just for these types of cancer. Our service provides benefit for all those dealing with the various difficulties on the journey to recovery.

We offer 10 physio-led exercise appointments for 500 Euro in a non-intimidating gym environment. This is covered under Chartered Physiotherapy in your Insurance Policy.

Call us now to find out more.

01 496 4002

www.personalhealth.ie

Pelvic Girdle Pain During Pregnancy – Women’s Health Physiotherapy

Pelvic Girdle Pain During Pregnancy -Women’s Health Physiotherapy

What is it?

Pelvic Girdle Pain (PGP) is a collection of uncomfortable symptoms caused by a stiffness of your pelvic joints or the joints moving unevenly at either the back or front of your pelvis. 

It is not harmful to your baby, but it can cause severe pain around your pelvic area and make it difficult for you to get around.

Around 20% of women suffer from Pelvic girdle pain.

Different women have different symptoms, and PGP is worse for some women than others.

Symptoms can include:

  • Pain over the pubic bone at the front in the center
  • Pain across one or both sides of your lower back
  • Pain in the area between your vagina and anus (perineum)
  • Pain in your buttocks.

Pain can also radiate to your thighs, and some women feel or hear a clicking or grinding in the pelvic area.

          

   

The pain can be most noticeable when you are:

  • Turning in Bed
  • Going upstairs
  • Walking
  • Standing on one leg (e.g. getting dressed)
  • Getting out of car
  • Standing up

What Causes PGP:

Sometimes there is no obvious explanation for the cause of PGP.

Usually, there is a combination of factors causing PGP.

Relaxin: During pregnancy, the placenta produces a hormone called relaxin, which softens your ligaments to loosen up your joints. Relaxin is very important as by loosening the joints it allows your baby to pass through more easily during childbirth however it can lead to the pelvic girdle becoming less stable and therefore painful during pregnancy.

Occasionally the position of the baby may also produce symptoms related to PGP.

With PGP the degree of discomfort you are feeling may vary from being intermittent and irritating to being very wearing and upsetting.

  

Treatment

Physiotherapy: Advice, Education, Exercises and Manual techniques can help!

The sooner it is identified and assessed the better it can be managed which may help to speed up your recovery, reducing the impact of PGP on your life.

If you have symptoms that do not improve within a week or two, or interfere with your normal day-to-day life, you may have PGP and should ask for help from your midwife, GP, physiotherapist or other health carer.

Tips:

  • Continue to be as active as your can within your pain limits, and avoid activities that make your pain worse.
  • Ensure your back is well supported while you sit down. This can be achieved by placing a towel between the curve of your back and the chair.
  • Wear flat, supportive shoes and avoid standing for long periods.
  • Get help with household chores from friends, partner, and family.
  • Rest when you can.
  • Sit down to get dressed-e.g. Don’t stand on one leg when putting on jeans.
  • Try and make sure any weight you carry is evenly distributed- this means no shoulder bags, and try nit to left your toddler up onto your hip.
  • Be careful and take your time doing any activities that may put strain on your pelvis i.e. getting out of a car- keep your knees together and squeeze your buttocks.
  • Sleep with a pillow between your legs
  • Squeeze your buttocks and keep your knees together when turning in bed.
  • Take the stairs one at a time, leading with the less painful leg.

Avoid:

  • Standing on one leg
  • Bending and twisting to lift
  • Carrying a baby on one hip
  • Crossing your legs
  • Sitting on the floor or in a twisted position
  • Sitting or standing for long periods
  • Lifting or pushing heavy objects such as shopping bags, supermarket trolley.
  • Carrying anything in one hand (try using a small back pack).

Physiotherapy

It is important if you pain is not manageable with general advise to book into a physiotherapist. Treatment includes:

  • Assessment
  • Exercises to specifically retrain and strengthen stomach, back, pelvic floor and hip muscles
  • Manual therapy to ensure your spinal, pelvic and hip joints are moving normally or to correct their movement.
  • Acupuncture
  • Exercises in water.
  • Provision of equipment e.g. pelvic girdle support belts, crutches

To Book an appointment with our Women’s Health Physiotherapist Mary-Kate call Personal Health at 01 4964002 or email info@personalhealth.ie.

The Role of the Brain in relation to Pain

Pain perception

The Complex Homunculus

homonculus1

 

Brain Map

There is a representation or map of every body part in the brain. Consider this the ‘virtual representation’. The correct term for this representation is a homunculus. These virtual bodies inform us of what our ‘actual’ bodies are doing in space.

Above are 2 homonculi, 1 representing the skin and the other representing movement. In the sensory homunculus, you will notice the areas in the brain devoted to the lips, hands and face are larger. This indicates that areas which require better sensation have a larger representation. The same is said for the motor homunculus as areas which you use more have a bigger representation. Again this is adaptable depending on your line of work, hobbies etc. For example an author will have a bigger representation of their dominant hand due to writing with the hand a lot.

Chartered Physiotherapy

Smudging & the Homunculus

Smudging

Imaging studies reveal that chronic pain results in changes in the virtual representation of the area affected. ‘Smudging’ of the virtual limb so that there no longer is a clear defined outline of the body part is one such change. This can result in an overlapping of neighbouring body parts. I like to compare this to driving in fog. When driving in fog, your vision is compromised. You are no longer sure of what is ahead on the road.You slow down, turn down the music, you may even roll down the window. You become very cautious and hyper-vigilant in an attempt to control the environment.  The brain is similar when unsure of what exactly is happening in an area. It can become very conservative in its management at times causing the neighbouring areas to hurt or areas that didn’t hurt before can start to hurt.

The more chronic the pain is, as in the longer you have been experiencing the pain, then the more advanced changes in the brain have occurred. For example the more difficult that body part will be to use or the more sensitivity you will have in that body part or the neighbouring areas. Ultimately, the physical body mirrors the state of the virtual representation in the brain.

Educated Movement

The great news is that smudging is reversible. Educated movement is excellent in helping to normalise the virtual representations in the brain. Every time you move in a pain-free controlled manner it is positively reinforcing normalisation of smudged representations. Furthermore, it is the understanding why pain occurs and removing the threat of the pain which enables you to move freely. This reason alone is why so much emphasis is placed upon the biology of pain. It is a huge help to understand the science behind this marvellous process. By gifting ourselves with this knowledge, we are allowing ourselves to increase our physical capacity, reduce pain and improve quality of life.

‘Explain Pain’ by Lorimer Moseley and David Butler is a brilliant book which has formed the basis of these blogs. It is written with the aim to enable individuals who experience chronic pain. I would highly recommend it.

Should you require any further information on this topic of pain please do not hesitate to contact me in Personal Health on 01 4964002.

Dietitian, Dublin 6, Caoimhe McDonald

Take control of your IBS don’t let it control you – By Caoimhe Mc Donald

Dietitian, Dublin 6, Caoimhe McDonald

“Take control of your IBS don’t let it control you”   

Irritable bowel syndrome (IBS) is a chronic and relapsing bowel disorder. It affects up to 20% of adults and adolescents as well as children. It is 1.5 times more common in women than in men.  Symptoms include:

Dietitian, Dublin 6, Caoimhe McDonald

  • abdominal pain
  • bloating
  • constipation
  • diarrhoea
  • flatulence
  • poor appetite
  • indigestion

It is important to note that many conditions have symptoms that can mimic IBS. Inflammatory bowel disease, coeliac disease and microscopic colitis are a few. It is important that the diagnosis of IBS has been carried out, coeliac disease has been ruled-out and alarm features are absent.

Many people have had symptoms of IBS all their lives and done nothing about it. It is so often put down to having “a sensitive tummy”. As a Dietitian, I would estimate 60 – 70% of my patients suffer with IBS. It is very common for people to come to a dietitian for a different reason and drop it into conversation when discussing their diet. People wonder how it has become so much more common these days. However, when asked about their family history many report one or both of their parents have avoided a food for years as it “doesn’t agree with them”. 

Irritable Bowel, Dietitian, Rathmines

The truth is, more people feel comfortable discussing their digestive health and doing something about it. People live busy lives that can often be stressful and many are now more conscious of their diet and looking after their health. I have seen patients with such severe symptoms it has a huge impact on their quality of life. They are unable to attend work, they fear getting public transport, avoid social activities or not sleeping at night as a result. Why live with something like this when symptoms can be managed effectively?

Multifactorial

The exact cause of IBS is not known and it is thought to be multifactorial. Suggested causes may be; a previous gastrointestinal infection, prolonged antibiotic use, stress, medication, alcohol, poor diet and lifestyle factors. Two thirds of IBS patients perceive their symptoms are related to food. Symptoms can come and go and may be exacerbated in stressful situations which can make it difficult to identify the exact triggers.

So how do people go about managing their symptoms of IBS?

Dietitian, Dublin 6, Caoimhe McDonald

  • Medical management using anti-diarrhoeals, anti-spasmodics, laxatives or low dose antidepressants
  • Self-help – 7% treat themselves with no medical supervision
  • Herbal remedies
  • Psychological guidance
  • Probiotics
  • Lifestyle changes
  • Dietary guidance

Diet assessment and adjustment by a qualified dietitian is so important in the management of IBS. Many patients prefer dietary management rather than a reliance on medication. As a dietitian specialising in digestive health, it is very rewarding to see a patients’ symptoms improve. With guidance on diet, meal pattern, lifestyle factors and stress management, people will notice improvements. Some may immediately feel better after increasing fibre in the diet, increasing fluid and introducing exercise. Others may find eliminating certain foods beneficial or the use of a probiotic.

FODMAP Diet

There is a growing interest in restriction of short chain fermentable carbohydrates called FODMAPs (fermentable, oligosaccharides, disaccharides, mono-saccharides and polyols….a mouthful I know!) for IBS management. The low FODMAP diet is an exclusion diet specifically for patients with IBS which has been supported by 30 clinical studies. Research has shown that limiting these foods (high in FODMAPS) can alleviate the symptoms associated with IBS.  The low FODMAP diet should be done under the supervision of a dietitian as exclusion diets are at risk of nutritional inadequacy.

If you feel you could benefit from seeing a dietitian in relation to digestive health or any other dietary issue contact Caoimhe McDonald at Personal Health. Caoimhe has worked with patients with IBS for years and can help you identify the triggers for your IBS. Caoimhe will provide meal suggestions, recipes and shopping lists to make sure your diet is still balanced and you are getting all the nutrients you need.

In Conclusion, diet is not always the cause. It can be just one contributing factor to IBS. For many, stress management may be the best solution. Contact the Personal Health team to make an appointment with Consultant Dietitian Caoimhe McDonald or Psychotherapist Susan Duffy on 01 4964002.

Personal Health, Rather Road, Chronic Health intervention

Surprise Your Bones….

Exercise for Osteoporosis

Medically Led Fitness

Responsible Exercise for Osteoperosis

When I was training as a student in Cork University Hospital our lead Clinical Educator, Fiona, had a stock phrase for helping patients with Osteoporosis.

‘Surprise your Bones’ said Fiona regularly, in a gentle Scottish lilt. Whether it was her accent or it’s ‘catchiness’, the phrase seemed to stick!

Fiona was a Clinical Specialist in the area and really believed in the positive benefits of exercise for Osteoporosis. The tricky part is knowing what are the correct exercises, what are the safe ones and what needs to be avoided. The even trickier part is making a class relevant/enjoyable to a 60 year old lady. We know you would rather be on the golf course or anywhere else!

Medically Led Fitness Osteoperosis Classes

Exercise can be responsible and good fun

Personal Health Exercise Classes

At Personal Health, our Chartered Physiotherapists manage a nice happy medium in this class. We aim for the whole thing to be enjoyable, sociable and challenging enough to ‘surprise the bones’ into shape.

Typically Osteoporosis affects females far more than males, usually over the age of 55. It is diagnosed by DEXA scan which is able to measure bone density. This is usually through imaging of the hip bone.

For those managing Osteoporosis it tends to be a quiet process. There’s typically no pain, and one might only be alerted to it’s complexities when in the A&E room after something has caused a fracture.

Areas such as the base of the thumb/ wrist and hip are more vulnerable for fracture. This is based on the age and activity profile of those diagnosed with the disease. Similarly a focussed approach to improving balance and/or falls prevention can be a smart way to approach the condition.

Frequently an osteoporotic patient will be undergoing ‘medical’ management of the condition by taking prescribed tablets –  ’Calcichew’- or something similar. It has various classifications in terms of severity. Often patients opt for a sustained (but finite) period of injection therapy as treatment. These injections aim to increase the strength of cortical bone structure in addition to the focussed dietary and exercise interventions.

Personal Health Dublin 6

Chronic disease is just a definition not a life sentence

Medically Led Fitness

In Personal Health our Medically Led Fitness programmes are geared towards optimising chronic health issues. By definition, ‘chronic’ relates to time and duration – not severity.

So with a chronic diagnosis like Osteoporosis, you have the power to successfully thrive. At Personal Health, we provide a helping hand, some time and a refreshing enjoyable approach to managing your chronic health issue.

USAIN BOLT – THE RACE FOR OLYMPIC FITNESS!! by Ronan Fallon

USAIN BOLT – THE RACE FOR OLYMPIC FITNESS!!!

Last week in Jamaica, Usain Bolt pulled out of the national finals following a second night of discomfort in his hamstring muscle. The diagnosis is a Grade 1 muscle tear. This is potentially a big problem as he needs to qualify for the Olympic Games on the 22nd of July in London. 

Usain Bolt Running out of Time, Ronan Fallon, Physiotherapy, Personal Health, D6

Will he run out of time??

Firstly, what is a Grade 1 muscle tear? Put simply, muscle injuries are clinically graded on a scale of 1-3 with 1 being the least serious and 3 being a severe rupture.

If you are dealing with an Olympic athlete, he will probably undergo an MRI to confirm what the medical team already know from their clinical examination of the presenting problem. 

Secondly, what happens next? There is a battery of treatments that an Olympic athlete will receive. Usain Bolt has flown to Germany to see a specialist for further treatment. Ultimately, these treatments are designed to speed up the healing process. These can vary depending on all sorts of issues, mainly money! However, Mother Nature’s physiological healing timeframes need to be acknowledged and respected.

Medical team, Usain Bolt, Personal Health,Ronan Fallon, Physiotherapy, Personal Health, D6

 

Muscle is like a Rope!

A reasonable analogy is that the fibres in Muscle tissue are similar to the strands of a rope. Once an injury has occurred, then the amazing human healing cycle begins. This can take weeks to fully return to somewhere close to the pre-injury condition.

Here’s the problem, the Hamstring muscle has to be fully healed and strong before you even attempt to put it through the most severe test which is flat out sprinting. 

Usain Bolt of Jamaica starts in the men's 200 metres heats during the world athletics championships at the Olympic stadium in Berlin, August 18, 2009. REUTERS/Dominic Ebenbichler (GERMANY)Ronan Fallon, Physiotherapy, Personal Health, D6

I am sure that Usain is being managed extremely carefully as the medical and physiotherapy team attempt to combine the tricky task of accelerating healing and loading appropriately in an effort to prepare for the ultimate test on the 22nd of July.

Elite athletes such as Usain Bolt are obviously supreme physical specimens. This generally helps shave a few days of the well-known recovery timeframes. Also, access to medical and physiotherapy services which will be babysitting him 24 hours a day is also a bonus. 

Usain Bolt, Bubble wrap, Personal Health,Ronan Fallon, Physiotherapy, Personal Health, D6

Bearing all this in mind, and considering that he is the fastest man on the planet. I am confident that he will get through the qualification stages even if he is not 100% fit. 

If you are an Olympic athlete, recreational runner or 5-a-side player, all muscle injuries are very well understood. Chartered Physiotherapy will help with grading and managing recovery.

Women's Heath Chartered Physiotherapy

2 Simple Exercises to strengthen your Pelvic Floor – Women’s Health Physiotherapy

Pelvic Floor Muscle Training

Pelvic floor muscles are very important as they:

  • Control the bladder and bowel
  • Support the pelvic organs and thus help prevent prolapse
  • Are important for sexual function
  • Support the growing uterus when pregnant
  • Work with core muscles to support the spine

 

Women's Health

The Supportive ‘Hammock’ of the Pelvic Floor

Where are they?

They attach to the pubic bone at the front and tail bone at the back and to the side of the pelvic walls.
They are the only horizontal muscle in your body and often described as a hammock that supports the pelvic organs.

 

What can weaken the Pelvic floor?
  • Regular straining to empty the bowel
  • Constant coughing
  • Weight of baby and hormones during pregnancy
  • Muscle damage and interventions used during birth
  • Work involving regular heavy lifting
  • Excessive abdominal workouts or over challenging exercise
  • Pelvic organ prolapse
  • Hysterectomy and some pelvic surgery.
Pelvic Floor function at Personal Health, Dublin 6

The Correct Exercise is Vital

 

Pelvic floor muscles cause problems when they are….
  • Weak and not strong enough to lift when you run or sneeze
  • Tight and cannot relax
  • Over powered by excessive tightness in trunk and waist muscles
  • 1 in 3 women experience incontinence after labor due to pelvic floor dysfunction.

 

 

Benefits of Pelvic Floor Exercises:
  • Restoration of vaginal muscle tone and vaginal health
  • Recover from physical stress of childbirth
  • Prevention and treatment of stress urinary incontinence.
  • Strengthen the pelvic floor muscles
  • Increase blood supply and nerve supply to the pelvic region
  • Increases sexual stimulation and feeling

 

2 Simple Exercises to strengthen your Pelvic Floor

It is important for all women before and after birth whether they have a vaginal or cesarean delivery to strengthen their pelvic floor muscles.

1. Long Hold:
Lie on your back with your knees bent and your feet supported but apart.
Squeeze and lift around all 3 openings in your pelvic 
floor. These being your back passage vagina and bladder. Like you are 
trying to stop yourself passing wind and urine.
Hold for 6-10 seconds, keep your abdominal, buttock and 
thigh muscles relaxed and continue to breathe 
normally.
Relax for 3 seconds.
Repeat this exercise another 5 times
Repeat 3 times a day.
As your pelvic floor muscles get stronger, practice in 
sitting and standing.
Gradually increase the hold time and number of repetitions until you can do a 10 second hold 10 times.
Remember…Always stop exercising when the muscle fatigues.
2. Quick holds
Tighten the pelvic floor muscles as above but only hold for a second before letting go fully.
Repeat 5 times in a row.
Repeat 3 times a day.
Gradually increase your repetitions until you can do 20 
quick squeezes in a row, it may take a few months to be able to do this.

 

 

How can Personal Health help?

Book an appointment with our Women’s Health Chartered Physiotherapist Mary-Kate Ryan to get a thorough pelvic floor assessment and specifically tailored exercise programme.

Please book an appointment online or Call 01 4964002

Women's Health Physiotherapy Dublin 6

It’s as easy as that!!!!

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

Prenatal yoga, midwife, Dublin 6

Benefits of Prenatal Yoga – by Cathy O’Grady

PRENATAL YOGA

 

Pregnancy Yoga girl, Dublin 6

Having a baby is probably one of the most wonderful, yet anxiety-provoking events that can happen in one’s life. Prenatal yoga is a wonderful way to prepare for this event by helping you to remain active & fit throughout your pregnancy, whilst preparing you for the birth of your baby & the early days beyond.

 

BENEFITS OF DOING PRENATAL YOGA?

CREATE SPACE:

Prenatal yoga encourages you to create space in both body and mind in preparation for the birth of your baby. Movements in our prenatal classes are gentle. They are designed to release tension & tightness, increase circulation and build strength & stamina. We move to increase flexibility, whilst easing your body towards opening and releasing, in preparation for the birth of your baby.

 

Create mind space during pregnancy,

 

IMPROVE POSTURE:

We focus on exercises to target specific areas in the body that are going through great changes. Chest opening exercises to accommodate growing breasts. Shoulder & pelvic stabilisation to encourage good posture, accommodating an ever expanding bump. We also focus on postures that are useful in the latter weeks of pregnancy, to ease your baby into an optimal birthing position & postures for use from early labour to delivery.

LEARN TO LISTEN AND TRUST YOUR BODY:

During pregnancy your body goes through +/- 40 weeks of changes. Prenatal yoga encourages you to listen to your body & to trust your body. This enables you to adopt a gentle, easy practice on the days when you are lacking energy & a more energetic practice on the days you feel like more.

Prenatal yoga, Dublin6

 

LEARN BREATHING & RELAXATION TECHNIQUES:

During pregnancy it is common to experience interrupted sleep and restlessness (mother nature preparing you for your new-born??). We teach our Mommas-to-be breathing & relaxation techniques to soothe both body & mind, encouraging deep rest.

FEEL CONFIDENT ABOUT LABOUR & BIRTH:

Having spent many years working in a busy labour ward, it was always easy to spot the “yoga mommas”. They always seemed more calm and in control. Personal Health’s Prenatal yoga classes will equip you on your journey, from early labour, delivery and to those early weeks of motherhood. All of our classes finish with a deep relaxation. This allows you the time and space to completely relax, release and let go.

newborn, yoga, labour, childbirth, relaxing pregnancy

 

Contact us on 

Phone: 01 496 4002

Email: info@personalhealth.ie

Website: www.personalhealth.ie

 

16/17 Rathgar Road

Dublin 6