Sports injury and orthopaedic rehab at Balance Performance Physiotherapy

If you’re unfortunate enough to suffer an Anterior Cruciate Ligament (ACL) rupture as Lucas Leiva did last week – the Brazil international will miss the rest of the season having injured his left knee during Tuesday’s Carling Cup quarter-final victory at Chelsea – as a professional footballer reconstructive surgery is essential to return to the game.

If you’re not a pro but the injury results in your knee continuing to irregularly give way, an operation to reconstruct the ACL is really your only option, especially if you aspire to have an active lifestyle. At Balance of course we actively encourage you to ask for more and expect more from yourself. However whether pro athlete or not the operation is only effective if followed with quality rehabilitation executed with discipline and patience. Ensure your rehab guides you far enough down the road for you to achieve a complete recovery, give you absolute confidence to return to your sport and has provided you with resilience to future injury (either to the same knee or another structure that becomes vulnerable due to inadequate rehab). Of course there is no such thing as invulnerability in a human but to reiterate – you should be asking more of yourself and more of your physio or sports therapist. Do not pull up short!

Hamstring grafts are the grafts of choice these days but patella tendon grafts can also be used and do well.

Here’s the kind of schedule you’d expect going into rehab post operatively, which is initially quite straightforward:

Weeks 1-4 focussed on range of movement.

Return to sport at 5-6 months and contact sport soon afterwards.

This timeline is dependant on the quality of rehab, the individuals discipline and motivation, their unique circumstances and complications.

Most surgeons would like to see their work relatively protected for 9 months post op.

Balance got world class judo player Winnie Gordon competing in European champs at 5.5 months but that is rare. He went in to surgery on with a good level of preinjury knee strength which gave him a useful functional reserve.

Like every injury ones success is dependent on quality of training, movement, control and motivation.

At Balance we use tools that provide results, consequently we have a vast array of “toys” to work on specific weaknesses identified in our clients. There are some tools that we use over and over again, equipment that makes rehab more effective for a variety of reasons. one such reason is the ability to introduce something as early within the rehab process as possible to familiarise a client with the tool and also because we use equipment that is scalable – it can be used with more or less intensity depending on the stage of development a client has achieved.

For example Trigger Point Performance Therapy (TPT) and Alter-G partial weight bearing treadmill are used at very early stages in ACL rehab, CrossCore180 and kettlebells arent far behind. We make use of all of our available space: in Clapham and Fulham we have 1,000s of square feet of space to utilise and matted areas for essential ground work.

When an individual has focussed on prevention (prehab) prior to their current injury (remember there is no such thing as invulnerable) their subsequent recovery is much faster. Such prehab involves a mindful approach to movement skills, joint mobility, intelligent recovery following practice/training/competition: sports massage, self massage (Trigger Point Performance Therapy), hydration and nutrition, good quality sleep, stress management (mental and emotional).

As for Lucas, he and Liverpool are now considering when last season’s player of the year should undergo surgery.

The team at Balance are exceptionally experienced at treating ski and winter sports injuries. Not only do several members of the team ski but all are experienced in treating Orthopaedic injuries. So if you have hurt your knee and ruptured your ACL or torn your mensicus then we can help. Or you may simply want to know what exercises you do to strengthen you legs before go, book a session with one of our experienced personal trainers.

Ski boot or board shoes not fitting well? Come and see our Sports and Orthopaedic Podiatrist Mick Habgood to get your ski boots perfectly fitted.

Balance Performance Physiotherapy is now in Fulham SW6. Several members of our strong team are working from Fulham including our Clinical Director Graham Anderson and founding members Dr Lucy Goldby and Jonathan Lewis.

Our practice in Fulham is a large studio based in Fitrooms Gym on North End Road. It is easily accessible from Fulham Broadway, Earls Court and West Brompton tube and overground stations. It is also easily accessible if you are coming from Hammersmith, Shepherds Bush or West Kensington.

We have a fantastic studio which is a great space to move in. We also have access to the whole gym so it is a fantastic venue to complete your rehabilitation in.

To book into our Fulham practice call: 020 7627 2308

The Balance team are very proud to have been working with Claire for a while now and have helped her come back from several problems. But don’t let us tell you about it, hear it straight from Claire. Follow the link to read the whole article on Famously Fit’s website.

<a href="http://www.famouslyfit.com/celebrity-fitness/claire-bennett-no-2-great-britain-fencer-injury-rehab-and-balance-performance"

The Balance team of Martina, Keith and Scott were at it again at this weekends Virgin London Triathlon working closely with KT Tape Europe to help the athletes with advice and taping any problems that they may have. The Balance team are becoming old hands having helped athletes at the 2011 Virgin London Marathon and 2011 Edinburgh marathon. KT Tape is the best kinesiology tape as far as the Balance team is concerned which is why we are hosting KT Tape education courses at Balance from September the 7th onwards to train other physios, osteopaths, sports therapists and chiropractors on how to use it and share their expertise. The courses will then be appearing throughout the UK.

The in-depth and highly practical courses will be over two days and cost £279. It will consist of an introduction to kinesiology tape before moving deeper into more advanced uses and taping techniques.

To book online follow the link below or to find out more speak to Scott Morris at Balance on: 020 76272308.

http://www.shop.balancephysio.com/collections/services/education-workshops

This fascinating course is aimed at anyone who wants to use Trigger Point Therapy in their professional capacity. You might be a Physiotherapist, Osteopath, Chiropractor, Sports Therapist, Massage Therapist, Personal Trainer, Sports Coach or even an Athlete. If you work with people who want to perform better, recover faster and prevent injuries from occuring then this course should be on your radar.

It is being taken by Jonathan Lewis (above) who is not only the Uk’s sole Trigger Point Therapy Master Trainer but also a formidable knowledge on rehabilitation and training methods to ensure that individuals develop not only agility, speed or strength but resilience which is key to the concept of Trigger Point Therapy, so you are guaranteed an afternoon of the highest quality teaching

It comprises of 4.5 hours of CPD and runs from 1pm-6pm on Friday the 17th of June. Places are obviously limited so book soon to avoid disappointment, course fees are £145. To book and reserve your place call Balance on 020 76272308

POSE Running workshop on Sunday May 22 at Balance.

Balance Performance Physiotherapy is delighted to announce that Naeem Akram the “Running Engineer” is going to be back at Balance next Sunday to host another of his exceptional POSE running workshops. POSE is the only method in the world scientifically proven to reduce knee impact by 50%, used worldwide by CrossFit. Naeem is not only a well respected authority on this technique but also a great speaker and teacher, we would thoroughly recommend this course to anyone who enjoys running but wants to train in confidence and reduce the stress on their body and reduce injuries.

To book and pay please follow the link directly to Naeem’s website http://runningengineer.com/

Yesterday at Balance. Jonathan taught the second “Ultimate 6″ 4.5 hour workshop in the UK for Trigger Point Performance.

After the success of Edinburgh a few weeks ago another small group of quality professionals learnt not just the highly effective techniques that provide maximum returns when using the TP tools (TP massage ball, TP footballer and TP quadballer) but the ethos of Cassidy Phillips company which is so closely aligned with that of Balance Performance. Empowering people to take care of their own health.

The group yesterday, who I hope will demonstrate their knowledge and pass their test to become certified by TPP to go on to the Ultimate 6 provider network, consisted of personal trainers, strength and conditioning coaches and Balance team soft tissue specialist and osteopathic undergraduate Trevor Speller.

There will be many workshops to come so keep a look out for dates on the facebook, twitter and news pages of balance. We are passionate and determined to see more professionals being able to teach individuals and classes in the community at large these simple often life-altering techniques.

For greater understanding of what Trigger Point Performance Therapy is about go to the main website of TP Therapy or contact jonathan @ balancephysio.com and ask for the contact details of a provider near you in Scotland, Wales or England.

Unlock your body, release your strength!

I risk going on a bit too much about the WarMachine or Crosscore 180. But it represents so much of what Balance Performance is about. Practicing movement to achieve functional movement that is fluid, flowing, accurate, precise, full of intent and purpose. Functional movement is dynamic, rotational, variable in speed and intensity: we recommend use of bodyweight, dynamic resistance (kettlebells), and bodyweight plus eg. the WarMachine.

I was asked by a journalist from Health Club Management about the difference between the WarMachine and CrossCore 180. For some WarMachine seems a bit too confrontational so prefer the name CrossCore 180. The military, MMA, combat sport and strength/conditioning coach community have few issues with the WarMachine. Schools and colleges, sports teams, commercial fitness gyms, physiotherapists, rehab facilities and pilates studios feel CrossCore 180 “Turn your Game Around” is more appropriate for their clients. At Balance Performance where we have a mix of clients following a path of rehabilitation and those focussed on improving sports/functional performance right from the outset we quickly educate them that the WarMachine that hangs in our centre is accessible to all!

Whatever label you choose the challenge of “pulling the pin” remains. Rotational movement is available once control of simple symmetrical movement has been achieved – rotation/spin/twist and turn is what the human animal does and needs to maintain and improve.

Race walking is the only discipline of athletics in which consistency of movement quality determines the overall result - you may be disqualified until you cross the finish line

Balance Performance Physiotherapy Sports Physiotherapist Raphael Rinaldi was invited by the Australian Institute of Sport to support a group of 29 world class race walkers during a warm weather training camp in Canberra, Australia.

The group included Olympic medallists, England’s Commonwealth Champion Johanna Jackson, IAAF World Cup winners and world-c…lass race walkers joining the IAAF Race Challenge circuit that takes place around the world from March to September each year.

A former italian national champion Raph merged his knowledge on race walking technical demands with his extensive physiotherapy background in order to optimally manage athlete’s presenting problems throughout the camp and offer long term performance enhancement plans by working alongside coaching, medical and sport science staff.