Tel: 01206 579631 
Patient information when considering face to face treatment. 
On the 12th of May 2020 our governing body the Chartered Society of Physiotherapy (CSP) have advised that in certain instances face to face consultations can now go ahead 
The possibility of having a face to face consultation needs to be carefully considered by both the patient/client and the treating physiotherapist. 
As our client we need to inform you that in the current environment leaving your home is likely to increase the risk of being exposed to Covid 19. You must also be aware that although the majority of people who contract Covid 19 recover there are groups of people within the population that are at higher risk of suffering more severe symptoms if they develop Covid 19. The NHS defines 2 risk groups for Covid 19, High risk and moderate risk . 
High risk or extremely clinically vulnerable patients 
If you are classed as High risk you would have received a letter from the NHS advising you to stay at home at all times. At present Colchester Physiotherapy and Sports injury Clinic can only provide remote consultations to this group of the population. 
During these extra-ordinary times many of us have taken the opportunity to improve our fitness during lock-down. 
Whether it is walking, running or an activity inside the house sudden increases in training load can result in tendon discomfort and affect our enjoyment of these activities.  
In gait based activities the achilles tendon is often a driver of discomfort and can make us fearful and anxious about continuing exercise. 
The good news is that despite achilles discomfort being experienced a level of training can usually continue and often will contribute to a stronger and less painful tendon. 
Following the recent announcement by the Government tonight and decisions made by our professional Governing bodies today, we have been advised to cease all face to face consultations with clients apart from those who we may identify as requiring emergency treatment and onward referral or who have recently had surgery and require early stage rehabilitation. 
FromTuesday 24th March Colchester Physiotherapy and Sports Injury Clinic will only be available to do remote consultations ( further information with regard to this is posted below). 
We will be emailing all our current clients over the next couple of days and outlining their options for ongoing treatment. 
It is extremely important that at this time we abide by the guidance that we have been given by Government and think of our colleagues, friends, families and particularly those who are already working hard in the NHS. 
Due to the Covid-19 virus the main automatic entrance door to the building will be closed. 
Please use the keypad on the right hand side of the main door to let our reception staff know you have arrived by keying in number 21 and pressing the bell button (bottom right). You should hear an audible sound of the buzzer, if not please press again. 
Before you are able to enter the building you will be asked if you or anyone in your household are well and have not been experiencing a continuous cough and or fever. 
Once you have confirmed that you are not experiencing any symptoms our staff will come down, open the automatic doors and bring you up to the reception room to await collection by Mr Craig Fowlie for your appointment. 
Furniture in rooms, pay machines, tablets and patient beds are being cleaned between clients so please accept out apologies if you have to wait longer than usual for your appointment. Hand gel and washing facilities are available in the clinic for you to use at any time ( see previous Blog for more details on current hygiene protocols). 
There is no cancellation fee for any client who prefers or chooses not to come to their appointment given the current situation. 
We are currently looking at providing remote assistance for clients at home if needed, so keep checking our blog for further updates on this. We already send exercise videos and message many of our clients via whatsapp.  
Any problems, please call our main phone number 01206 579631. 
Since the 14th of March, current guidance for secondary health care workers is that provided we remain non-symptomatic and follow steps outlined by the Department of Health and Social Care (COVID 19 Guidance for infection prevention and control in healthcare settings) we are able to continue to administer physiotherapy on patients who do not have symptoms or have not been required to self isolate. 
Waiting room chairs and patient beds as well as any object that is required to be used in treatment and or waiting rooms are being disinfected between patients. Alcohol gel and hand washing facilities are freely available whenever you require them. Our cleaning and hygiene logs are available upon request.  
There will be no late cancellation fees for any patient who has become ill or required to self isolate. We will update this blog regularly as government guidance dictates. 
As registered physiotherapists we are all required to meet standards of proficiency set out by the Health Care Professionals Council HCPC. 
Assuring the quality of our practice by collecting data on outcomes from the interventions we have actually delivered is one of these standards. 
Now that the festive season is coming to a close, many of us are thinking about getting back into or starting a new exercise regime.  
One of the most common problems that our clients present with when increasing physcial activity is increased muscular and tendon discomfort due to soft tissue overload or delayed onset muscle soreness (DOMs). Both of these problems are associated with pain however they are not normally linked to significant soft tissue damage so the good news is long periods of rest post exercise are not usually required. 
Now, if you're anything like me, buying a present for a runner is a minefield!  
Thinking of the obvious gifts; 
Running shoes! But should that include Gait Analysis ? 
Running tops! What colour, what style, vest, short sleeve, long sleeve, zip..etc..etc... 
Heart rate monitor - is there one that lets you BREATH ?! 
Super duper app watch...........but will it work with their phone ?! 
We have something special that will take the stress out of buying the perfect gift for your running loved one and they will thank you for the whole year!  
Our Running Package! 
Recurrent shoulder injuries in athletes can often be troublesome and difficult to treat. To date there is no consensus on specific return to play tests for the shoulder that indicate return to sport will be successful and not result in re-injury. This often creates a dilemma for physiotherapist as some guess work is often required when considering whether the athlete can return to sport. That being said, many athletes do fully recover from recurrent shoulder injuries but not always as quickly as they would have liked. Interestingly, it is what injured athletes have been doing with other parts of the body during rehabilitation which has given us insight into how important muscle strength and balance is in the rest of the body for the shoulder to perform at its best. 
Boxing for fitness has become a popular exercise in the active community however like any new activity the body will take time to adapt, so how can we protect ourselves from becoming injured? 
Common hand injuries seen in boxers often affect the knuckles, the thumb or the carpo-metacarpal joints (joints in the hand where the long bones of the hand (metacarpals) join with the smaller bones of the wrist/hand (carpals)). Stability of the wrist and hand during impact plays an essential part in injury prevention. 
Pronation (the movement of the rear foot inwards) is a naturally occurring movement that happens in the foot when we are walking or running. It allows weight to be transferred from the outside of the heel (contact phase of stance) to the inside of the foot and big toe before our foot leaves the ground (end phase of stance or toe off). Some of us naturally stand with our heels in a pronated position and are advised to buy shoes which have anti-pronation to correct this position and protect ourselves from injury, however there is little evidence to suggest that a shoe can provide significant protection from injury. Like any movement the risk of injury to soft tissue is greater when the movement is poorly controlled and pronation is no exception. 
Hip extension or the ability to move your thigh in a backward direction towards or behind your body is an important component of running which is sometimes under-utilised. 
Good extension of the hip optimises your propulsion angle (angle that you leave the ground and enter the flight phase of running), and allows the achilles (tendon at the back of your leg) and plantar fascia (ligament that runs underneath your foot) to store more energy while your foot is in contact with the ground which can then be used as kinetic energy to push you up into the air. 
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