DDB Physiotherapy are delighted to launch one of the most effective solutions to resolving stubborn and long-standing musculoskeletal injuries at our physiotherapy clinic in Lee-on-the-Solent. EMS Physio have supplied our Shockwave machine and they have a bank of information regarding the many benefits of radial and focused shockwave.
Shockwave Therapy or Extracorporeal Shockwave Therapy (ESWT) as it is also known as is a non-invasive technology that delivers sound waves to the required area to aid recovery. It has been the preserve of the sporting elite for many years, but now it is being made more accessible. Shockwave Therapy is widely accepted in clinical practice for the treatment of chronic soft tissue, muscular and tendon injures, which improve movement and pain.
HOW DOES SHOCKWAVE THERAPY WORK?
Shockwaves are high-energy, audible sound waves. Throughout the 1980’s shock waves were used in medicine for the dissolution of kidney stones among other things. In rehabilitation therapy, shockwaves are transmitted to a defined area to accelerate healing. ESWT involves passing short, intense sound waves into affected tissues, which increases blood flow, has an analgesic effect, which stimulates repair and regeneration.
IS EXTRACORPOREAL SHOCKWAVE THERAPY SAFE?
Yes, the therapy has NICE guidance for many indications. When performed by qualified therapists it is a largely risk-free and side-effect-free method of treating musculo-skeletal conditions and chronic pain.
WHAT CONDITIONS CAN EXTRACORPOREAL SHOCKWAVE THERAPY TREAT?
The following Musculo-Skeletal conditions can be treated by ESWT including:
- Plantar Fasciitis
- Achilles Tendinopathies
- Greater Trochanteric Pain Syndrome
- Shoulder Tendinopathies
- Tennis Elbow and Golfer’s Elbow
BENEFITS OF EXTRACORPOREAL SHOCKWAVE THERAPY
ESWT affords the patient a number of benefits including:
- No anaesthesia needed
- Non-invasive procedure
- No medication
- No hospital admissions
- Fewer complications
- Significant clinical benefit often seen 6-8 weeks after treatment
- Analgesic effect after treatment
- Strong clinical results and research
WHEN CAN IT BE USED
- When surgery is not an option
- When pain relief and injections no longer work
- When a condition is presented that is suitable for the therapy
- When no contraindications are present
SHOCKWAVE THERAPY AT DDB PHYSIOTHERAPY
Find out more about Shockwave Therapy at DDB Physiotherapy in Lee-on-the-Solent by visiting our treatment page on the link above. The friendly DDB Physio team are available to discuss Shockwave treatment options, call us today on: 02392 552266.
RE-OPENING 1st JUNE 2020
Following strict guidelines issued by the government we are looking forward to welcoming you into the clinic again from Monday 1st June 2020, with a few changes and additional measures in place.
Starting With Physiotherapy & Podiatry
Being a multi discipline healthcare clinic, we will be rolling out our services starting with physiotherapy and podiatry as face to face appointments involve some close contact, there are considerations we have to address and consider.
As it currently stands, lockdown restrictions have been eased and NOT lifted and therefore, we must continue to follow the guidance issued.
Following the latest guidance, we will continue to offer an online physiotherapy service as a preferred alternative to face to face. Any patients making a booking have to be assessed online first to identify clinical need and decide whether a face to face appointment is appropriate. We can provide face to face appointments for you, if the problem will deteriorate without physical treatment and will need hospital care or they will be unable to return to work.
Our priority is to keep you as safe as possible, and in order to re-open the clinic for face to face services, we have implemented a number of measures following a thorough risk assessment.
- Prior to booking any face to face consultations, we will conduct an online assessment to identify your clinical need. We must assess whether you have significant pain or an urgent clinical need that justifies attending for a face to face consultation, in line with the latest guidelines issued by the Chartered Society of Physiotherapy and work
- During this assessment we will diagnose your condition or injury, through a series of questions and tests, advise on the most appropriate advice and care and prescribe a personalised exercise programme.
- Following the latest guidance, wherever possible, we will continue with online appointments as a preferred alternative to face to face.
- Should it be agreed face to face care is the preferred route, we will ensure that you understand:
- The potential nature of close patient contact during our services
- The level of PPE that a clinician will be required to wear
- The infection prevention and control measures that must be taken
- You will be read a ‘Risks statement’ which we will confirm you understand and agree to.
- Given the guidance on shielding, those classified as ‘clinically extremely vulnerable’ will be discouraged from face to face appointments during the period of shielding.
- As part of the assessment, we will ask you a series of screening questions in relation to COVID-19.
- If you are attending for a face to face appointment, we will send you an online screening form which it is essential for you to complete online before your appointment.
- We will take your temperature on entry to the clinic as part of our screening, using a thermal thermometer.
- All correspondence, invoices, exercises and receipts will be sent via email, so please ensure we have your correct email address and monitor your spam folder. We are unable to provide any paper documents, receipts or information.
- You will find physical reminders of social distancing throughout the clinic, including a Perspex reception barrier, and posters.
- All magazines, printed material and soft furnishings (including pillows and towels) have been removed.
- We will be minimising the use of equipment wherever possible.
- The WCs will be out of use for visitors, except in a emergency.
Limitation of Clinic
- Based on the size and layout of the clinic premises, we will be limiting the number of Clinicians working at any one time to facilitate social distancing.
- Appointments will be staggered to facilitate social distancing.
- We request that you do not bring anyone with you to your appointment. If you wish to bring someone with you, they will have to go into the treatment room with you and will have to complete a COVID-19 screening questions and to record their contact details should we require them in the future as part of track and trace.
- Children under 16 will need to be accompanied by a parent/guardian (in line with our Child Protection Policy), who will also need to answer COVID-19 screening questions.
- Please do not arrive early for your appointment to minimise the risk of contact with other patients. We ask that if you come by car, please wait in your car until your booked appointment time. At your appointment time, please enter the clinic where you will be greeted by the person at reception, who will ask you to use the hand sanitiser and take you temperature using a thermal thermometer.
- Whilst in the clinic, please observe social distancing, by keeping at least 2m from anyone (unless receiving clinical treatment).
Booking and payments
- To reduce face to face contact with non-clinical staff, you will be asked to make any follow up appointments with your Clinician whilst still in the clinic room or online. No bookings will be made at reception.
- After your appointment, you will be sent an email with a link to make a bank transfer or use our card machine.
- We will be unable to accept cash payments.
- We have put in place increased cleaning measures for all communal and clinical areas. The clinic rooms will be cleaned thoroughly in between every patient, and additional time has been scheduled to allow for this.
- All communal and high contact areas will be cleaned frequently.
- Please do not wear your own gloves into the clinic, as this poses a potential risk.
- Please use hand sanitiser when you enter the clinic.
- Please refrain from touching anything whilst you are in the clinic.
- Our team understand the importance of hand hygiene and will ensure that they wash their hands in according with COVID Secure guidelines before and after any ‘hands on’ interaction.
We have carried out a risk assessment on all the services that we offer and we are confident that we can continue to provide these safely. We will be offering selected, essential services initially and will review what we offer on an ongoing basis subject to Government recommendations.
Our aim is to make any interactions as safe, and stress free. If you have any concerns about the services please let us know and we will do what we can to satisfy you. If you have any preferences regarding social distancing and ‘hands on’ treatments, please advise your Clinician so that these can be respected.
However you are spending ‘lockdown’, most of us have more time on our hands, so it’s the perfect time to do those things that you know would benefit you, that maybe you haven’t done before or you’ve put off doing. Pelvic Floor Exercises are a beneficial activity that can have a positive impact on Women’s Health.
How Pelvic Floor Muscle Exercises Can Help
Pelvic floor muscles exercises (or Kegels) help control leakage of urine with coughing, sneezing and during sports, can help control that urge to rush to the toilet and stop those oops moments. The pelvic floor muscles act like a hammock supporting the pelvic organs and lower back. So strengthening these muscles can also ease symptoms of prolapse.
How To Do Pelvic Floor Exercises By Targeting The Right Muscles
It’s important to target the right muscles. Try lying on your back with your knees bent or sitting upright with good posture on a supportive chair. Relax your tummy muscles and buttocks. Focus on area between your front and back passages (saddle area). Think about squeezing the muscles you would use to stop passing wind or to stop passing urine and feel an upward lift. Make sure you don’t clench your buttocks, hold your breathe or bare downwards.
Practice long holds starting with 2-3 second holds building up to 10 seconds holds with practice and 10 repetitions, making sure you rest for 5 seconds between each contraction. Then try a set of short, quick contractions-as many as you can manage before you tire.
Practice this routine 3-4 times daily. Set a reminder on your phone, set aside specific times in the day and try to establish a routine over the next few weeks.
Free Pelvic Floor Exercises App
There are free apps available through Google Play Store or Apple Store search for Squeezy.
The Pelvic Floor Muscles – A Guide For Women
The Pelvic Floor Muscles – a Guide for Women is available from the Pelvic, Obstetric and Gynaecological Physiotherapy site.
As we are not available for face to face treatments, we have put together a list of resources available from ‘The Chartered Society of Physiotherapy‘ for various conditions and ailments.
These are a great resource and starting point, it’s important to remain moving as stiffening and seizing can make it worse.
Movement is the best remedy and most symptoms will resolve with basic exercise.
Should you find that you need further advice we are available on the phone between 9am-5pm Monday to Friday, you can always leave a message or email us at firstname.lastname@example.org
MANAGING YOUR SHOULDER PAIN
MANAGING NECK PAIN
MANAGING BACK PAIN
MANAGING ELBOW PAIN
MANAGING HAND PAIN
MANAGING HIP PAIN
MANAGING KNEE PAIN
MANAGING ANKLE PAIN
MANAGING FOOT PAIN
What is Corrective Exercise
Corrective Exercise programmes are prescribed to correct musculoskeletal imbalance, bringing the body back into its normal postural position. It is suitable for all ages and lifestyles, from the grandparents seeking to enjoy pain free activity with their grandchildren, through to the competitive athlete frustrated with reoccurring pain or an injury.
Proper Posture Helps Your Body Perform At Its Optimal Level
The body is designed such that it performs at its optimal level when it assumes a proper posture. The nature of modern living sees many individuals developing bad postural habits such as slouching whilst driving, leaning and sitting at desks in awkward positions at work or carrying a heavy brief case or laptop bag in one hand causing an imbalance in muscular function.
Gradually these incorrect postural positions assumed in daily activities cause tightening or stiffness in certain regions and loosening in other areas. Muscles become overactive in one area whilst under-active in others. Sympathetic activation of one group of muscles, as a compensator for other under-active ones, initiates a chain of incorrect musculoskeletal actions throughout the body.
For example, a person’s left hip may not be working properly. This may result in a rotator cuff problem or tight calf muscles. If the movements are compromised in one region of the body, it will cause symptoms in another part of the body.
How Corrective Exercise Helps
Corrective exercise helps in reversing these compensations and imbalances and directs the body to work in coordination and without pain. Corrective exercise helps in relaxing the overactive (tight) muscles and activating the under-active muscles. Basically, it helps in re-training the body to move as it was designed to move in order to function at its optimal level; it is a simple and effective method for pain relief, thus allowing the individual to enjoy a full and active life.
Corrective exercise enhances the body’s biomechanics and eliminates the negative stresses from the body, as these negative stresses build up in the body resulting in pain and affecting the body’s normal range of movements. Through corrective exercises, the correct structure of the body is restored and the body stops compensating for imbalances; this results in the ability to move freely without pain.
Corrective Exercise Specialists
Corrective exercise is often prescribed by a Corrective Exercise Specialist (CES). It is important to make clear that a CES is not medically trained and therefore cannot diagnose medical conditions.
Static Postural Assessment
The CES will usually conduct a static postural assessment to observe the persons default postural stance. This will typically be followed up by a transitional movement assessment and/or a dynamic movement assessment; the CES looks to identify:
- Musculoskeletal system imbalances
- Incorrect movement patterns
- Muscle dysfunction
- Movement restrictions
- Overall ability to move well
The findings of the movement assessment will determine the programme of corrective exercises required to address the problem and reduce/remove the pain. It is important to note that corrective exercise is not generally prescribed for the improvement of general fitness alone, but it is not uncommon to find it embedded within a general health and fitness regime.
Corrective Exercise Specialists are frequently found working in support of physiotherapists, osteopaths and chiropractors, by providing support to carry on with the exercises given and return to full capacity pain free.
According to the Office of National Statistics 2018 report, there was 141.4 million days lost due to sickness. This is equivalent to 4.4 days per worker, this is a decrease in sickness rates by more than a third since 1995, why? As absenteeism is not responsible for this there must be another cause, presenteeism.
Whilst most workplaces have policies and processes in place to support members of staff who are absent, and the know costs of sickness, presenteeism is harder to measure than absenteeism and more challenging to judge the effect that this is having on your business.
What Is ‘Presenteeism’
What is ‘Presenteeism’, presenteeism is used to describe the issue of employees coming into work whilst unfit, instead of staying at home and recuperating. This term has now expanded to include employees who are disengaged or not altogether in their day-to-day work.
According to the Chartered Institute of Personnel Development (CIPD) , presenteeism has tripled since 2010. It reports that more than four-fifths (83%) of its respondents had observed presenteeism in their workplace, and a quarter (25%) said the problem had got worse since the previous year.
Presenteeism is a clear and accelerating trend, which is highlighted by several studies, which have reached the same conclusion.
Research shows that people are significantly less productive when they are unwell and this can also become a hazard to others if they then pass on illness. There are also disengaged employees who are more likely to care less about their role and possibly make more mistakes. This all leads to a reduction in productivity and morale.
What Can Businesses Do?
Review your sickness policy, especially if it takes a hard line on being sick and is an aggressive policy.
If staff aren’t paid whilst they are ill or if you have incentives for 100% attendance, you may be encouraging employees to come in when they are ill.
If staff are disengaged, carry out an anonymous satisfaction survey to find out the cause of the issue, this may help you to reduce absenteeism.
Investigate the possibility of introducing a wellbeing initiative such as:
- No evening emailing or phone calls – we know as a business leader it is unrealistic to expect you not to check your emails outside regular hours. Although by doing this you could be setting a dangerous precedent for your employees. If they are receiving emails outside of normal working hours, the temptation can be to answer them immediately to prove their dedication to your company.
- Physiotherapy Team – 40% of all sickness and presenteeism can be attributed to Musculoskeletal Injuries/Disorders and having a team that you can refer too, will help you return employees to full health & fitness, whilst equipping them with the tools to prevent reoccurrence. Find out more about our Workplace Physio services and how they can help your business.
- Discourage employees taking work home – Whether it is to complete work outside normal hours or even to use their leave entitlement to complete work.
In conclusion it would depend upon your policies, procedures and existing measures as to which is the biggest threat to you and your business, is it presenteeism or is absenteeism?
Our Physiotherapy Team Can Help Your Business
Our Physiotherapy team are ready to help your business. Our workplace physiotherapy solutions can provide your workforce with timely access to physiotherapy as and when your employees need it. Calculate the cost of employee sickness with our online employee sickness calculator.
- Health and Well-Being at Work May 2018 CIPD & Simplyhealth. https://www.cipd.co.uk/Images/health-and-well-being-at-work_tcm18-40863.pdf
- Sickness absence in the UK Labour market 2018 Office of National Statistics – read article.
- The rise of ‘presenteeism’ in the workplace 14 April 2019, Emma Simpson BBC News https://www.bbc.co.uk/news/business-47911210
- Presenteeism – the UK’s biggest threat to productivity 1 June 2018, Steve Thompson The HR Director – read feature.
Staff at DDB Physiotherapy Clinic have been celebrating 15 years in business this week.
DDB Physiotherapy Clinic are located on the corner of Pier Street and High Street of Lee on the Solent. It was celebrated with a small get together of staff past & present and clients at the home of the owner, Didi Berry on Saturday 17 August 2019.
15% Discount On All Treatments To Celebrate 15 Years Of DDB Physiotherapy
To mark the celebration DDB Physiotherapy Clinic are offering a 15% discount on all treatments (completed) during the week of 19/08/2019 to 25/08/2019 for existing and new clients.
Didi Berry, sole trader and owner of the business, now has eight physiotherapists and 6 other therapists.
They also hold a number of different classes such as:
- Pilates classes delivered at the clinic in Lee on the Solent and St Faiths Church.
- Yoga at our clinic in Lee on the Solent
- PD Warrior at our clinic in Fareham, situated in Sports Direct Fitness, Fareham
New Clinic At Fareham Community Hospital
DDB Physiotherapy Clinic can confirm that they are opening a clinic at Fareham Community Hospital starting on the 19th September 2019.
Mrs Berry said:
‘We are extremely excited about our celebrations, to be able to thank clients, staff and the community for using our facilities and spreading the word and recommending us to others, which is how our business has grown.
‘Our reputation is built upon the care we have for our patients and if we can’t help, we will endeavour to sign post them to where they can get help.
‘The business has never been built on profit before service, reinvesting in the business has always been top priority and keeping our costs affordable for the benefit of the patients.’
Recent Testimonials From DDB Clients
All August 2019
‘Have seen Didi and Dawn previously who were amazing. Never has recently treated my 88 year old grandad and he was amazed at the results after just one session and I am extremely pleased and confident in the professionalism and treatments given and would recommend Never to everyone, along with the practice.’
‘Pete (Sports Massage Therapist) has always been helpful and sorted out my neck and back problems’
‘Excellent treatment, friendly staff and flexible appointments’
Find Out More About DDB Physiotherapy
DDB Physiotherapy are growing and as a result we are looking to recruitment a Pilates instructor and a Osteopath for our clinics.
About DDB Physiotherapy
DDB Physiotherapy Clinic has been in business since 2004 serving the local communities in Gosport, Fareham and Whiteley. We deliver a wide and varied range services from Physiotherapy, Osteopathy, Podiatry, Sports Massage and much more.
Looking for Pilates Instructor
Due to expanding our services we are looking to deliver extra Clinical Pilates Classes on a Monday evening at our clinic in Lee on the Solent, these classes are no larger than 6 people.
Ideally we are looking for a enthusiastic and lively Physiotherapist or Sports Therapist who is qualified and insured as a Pilates instructor. You will be supported by our reception staff and practice manager in providing the admin support to ensure the smooth running of the classes.
Looking for an Osteopath
We currently have capacity for an additional Osteopath at DDB Physiotherapy Clinic, ideally enthusiastic and flexible individual to support the growing need for an Osteopathic treatments.
All administration and marketing is completed by the administration team and practice manager.
Ideally we are looking for one day a week, possibly afternoon early evening to meet the demand.
If any of these are of interest, please drop us your CV to email@example.com and will will organise a telephone interview in the first instance.
Look forward to hearing from you.
YourBody YourHealth OurHelp
Many of our clients that come to DDB Physiotherapy are asking for help and advice in looking after and treating back pain. Back pain can have a significant impact on your everyday life if it is not managed well. In this article, we explore the causes of back pain and explain how seeing a physiotherapist can help.
Causes Of Back Pain
While back pain can be painful and upsetting, it usually gets better quickly and can be managed through a combination of advice and remaining active.
There are many causes of back pain and it often involves a combination of the following:
- Physical factors, such as ‘protecting’ the back and avoiding movements, or a simple strain.
- Psychological factors, including a fear of damage or not getting better, feeling down or being stressed.
- More general health and lifestyle factors, like being tired and rundown, not getting enough good quality sleep, being overweight or not getting enough physical activity.
- Social triggers, such as difficult relationships at work or home, low job satisfaction or stressful life events, like a family death or illness.
Sometimes there can be specific causes of back pain that present symptoms such as leg pain, pins and needles or numbness. This can be caused by irritation of the nerves in the back.
Treatment For Back Pain
Research has shown that back pain can be treated with a combination of the following:
- Remaining active as pain allows
- Painkillers (if needed)
- Advice from a healthcare professional
Exercise has been shown to be the best form of treatment for back pain, as long as this exercise stays within your pain limit. The Chartered Society of Physiotherapy has a series of five video exercises that can help to alleviate back pain. Watch their Video Exercises for Back Pain.
Getting Help With Back Pain
If back pain persists or worsens over a period of 2-3 weeks, and it is preventing you from doing your normal activities then further advice should be sought from your GP or your physiotherapist.
Physiotherapists are specialists in the care of Lower Back Pain and are able to give the right advice to suit you and your needs.
Seeing a Physiotherapist At DDB
When you see a physiotherapist, they will complete a full and thorough assessment of you, taking into consideration your:
- Medical history
- History of pain
They will also conduct a physical examination to assess how your muscles, nerves and joints are working.
On conclusion of the assessment, they will discuss what is the best treatment programme to manage your back pain, which may include:
- Home exercise programmes for strength and mobility
- Manual treatment
- Advice on pain
Following your initial appointment, you will be invited back to allow the physiotherapist to monitor your progress and adjust your treatment if necessary.
Book A Physiotherapy Appointment With Us
We can complete a thorough assessment of your back pain and recommend a treatment plan that will manage your pain. Find out more about Physiotherapy for Back Pain and book your appointment online or call us: 02392 552266.
Released by the National Institute for Health Research is a publication called MOVING FORWARD Physiotherapy for Musculoskeletal (MSK) Health and Wellbeing. The publication highlights how important physiotherapy is for preventing and reducing the impact of musculoskeletal (MSK) conditions.
What Are MSK (Musculoskeletal) Conditions
MSK conditions range from simple strains and sprains to long-term conditions such as rheumatoid arthritis and osteoarthritis. It covers problems affecting joints, bones and muscles as well as rare conditions of the immune system.
Characterised by pain and loss of function, these conditions can diminish quality of life, impact on family and social relationships, make everyday activities difficult and limit a person’s capacity to work.
Research Into Musculoskeletal Health Shows That
30.8 million working days were lost in 2016 due to musculoskeletal problems – it is the second leading cause of sickness absence at work.
Caring for patients with musculoskeletal conditions is the third highest area of NHS spending.
Why Consider Physiotherapy For Musculoskeletal Health And Managing Musculoskeletal Pain
Evidence shows that exercise and activity are the most effective tool for managing musculoskeletal pain.
At DDB Physiotherapy Clinic, we incorporate this into our treatments, and each and every one is customised to meet your needs. The exercises that are prescribed for you can be accessed via the Internet and they include videos and pictures via PhysioTec.
DDB provide rehab services with our qualified therapists. You can choose whether to attend a small group or as an individual.
We also provide range of other classes including Clinical Pilates and Yoga.
Your Body, Your Health Our Help
Contact us today to enquire about our Physiotherapy for Musculoskeletal health conditions.
Welcome to our Blog, we at DDB Physiotherapy Clinic like to keep individuals informed about new and exciting things that are happening within the world of Private Healthcare and any new development within DDB Physiotherapy Clinic.