Specialising in musculoskeletal, orthopaedic, spinal and sports rehabilitation

Upcoming TrailMed Event in Velodrome

TrailMed are bringing their Health and Performance Laboratory to London! And there is no better place for it as in our East London Physiotherapy and Sport Medicine clinic in the Lee Valley Velopark.

CardioPulmonary Exercise Testing

Dr Patrick Musto will be conducting Cardio Pulmonary Exercise Testing on Saturday the 23rd February 2019 at the Velodrome.

CPET is a test accurately measuring the funcion of your heart and lungs in response to exercise. The results of the test will give you more information about your health and exercise capacity and allow you to plan your training programs knowing your thresholds.

If that sounds interesting do not hesitate to book yourself in while there are spaces still available! To book yourself in follow the link below.

Book Here

How is the test performed?

TrailMed will ask you to exercise on a bike while wearing a mask to set the protocol. The test will involve gradual increase in intensity of exercise to ensure your heart and lungs are stressed. Your breathing, blood pressure, and oxygen saturation will be recorded and monitored. The more you are able to do, the more information is gained from the test. The whole appointment will take up to an hour including explanations, consent, history, examination and testing. For further details visit TrailMed webpage.

If you are wondering what CPET and what benefits it brings but don't want to get tested yourself, Dr Musto will also be holding a CPET Talk and Demonstration on the same day. Express your interest by contacting TrailMed directly!

Ski Poles…friend or enemy?

There is a body of opinion that recommends not putting your hands in ski pole loops unless you are in fear of losing your poles, for example in deep powder snow, but this has always been a debate.

In the event of a fall, putting your hands inside ski pole loops greatly increases the risk of sustaining a Skier’s Thumb sprain. This common skiing injury is caused when the skier falls and lands on their hand or the ski pole, with the thumb in an extended position, spraining the Ulnar Collateral Ligament of the thumb. This is the ligament located in the web space in between the base of the thumb and the index finger.

This injury is also commonly seen in rugby players and goalkeepers. Immediately after injuring your UCL it is best to rest it for the first few days and apply ice for 15-20 minutes every 2-3 hours. It is wise to seek medical attention if the swelling and pain has failed to settle within the first week as this may be indicative of a more serious injury to the ligament like a partial or complete rupture, and you should rule out any associated fracture. Symptoms may include persistent pain and swelling and a sense of instability around the thumb during pinch activities. Wearing a thumb stabiliser if you have a previous history of this injury may be a good idea.

Happy skiing!

Marylebone Physiotherapist, Alexia Critien, Health Consultants Inc, London, Best Physiotherapist, Musculoskeletal treatment, Acupuncture, Massage, Clinical Pilates, Anti-gravity physiotherapy, Baker Street, Gloucester Place, BNP Paribas, Costa Coffee, Pret a Manger, The Dorset Cafe, Oxford Street, Marylebone train station,

Pilates Principles: Centering

Centering is an important concept in pilates. It comprises of finding your neutral spine and activating your deep tummy muscles to keep your spine in a safe stable position to allow you to move your arms and legs more efficiently. Neutral spine is different for everybody, as it depends on your individual spinal curves. Ideally you should have a small curve in the lower back. To find it you tilt your pelvis back and forth until you find the mid-point of the available range.

Your deep tummy muscles (transversus abdominis) are the only core muscles to attach directly to the spine via some fascia (tough connective tissue). It is thought that in people with back pain, the activation of this muscle is delayed. To activate this muscle imagine that you are drawing in your lower tummy, as if you are trying to squeeze into a tight pair of jeans.

By having a solid centre, you will be able to transmit force and movement through your limbs more effectively

Marylebone Physiotherapist, Alexia Critien, Health Consultants Inc, London, Best Physiotherapist, Musculoskeletal treatment, Acupuncture, Massage, Clinical Pilates, Anti-gravity physiotherapy, Baker Street, Gloucester Place, BNP Paribas, Costa Coffee, Pret a Manger, The Dorset Cafe, Oxford Street, Marylebone train station,

No Pain No Gain!

NO PAIN NO GAIN?

Is the old saying ‘no pain no gain’ true? Is it OK to feel pain after exercise, and how much is too much?

DOMS, or Delayed Onset Muscle Soreness can be an uncomfortable reminder that we are not as strong as we thought we were. However, contrary to popular opinion, it can affect anyone regardless of fitness levels. From a couch potato running for the bus, to elite sportsman Andy Murray competing in the grueling heat of the Australian Open, there is no hiding from the beast that is DOMS.

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