gee68 – as above, look up Alfredson and maybe consider getting a deep tissue massage to your calf muscles.

Surfer & Onzadog – no bother. Happy to provide advice, because I know just how annoying this type of injury can be and how difficult it sometimes is to figure out if it’s not your area of speciality in life.

Let me know how you get on.

Debaser – I’m in Edinburgh. Email me.

Not something you should be trying at home unless you’re trained in it. :D

Quick hijack… So George, what’s the recommended fix for recurring ITBS?

You need to determine what is “tightening” it up and change that. In my view it’s going to be an imbalance between TFL and glutes – sort that out and your ITB pain should go away.

http://www.bettermovement.org/2013/how-does-foam-rolling-work/ interesting link…

Onzadog – Didn’t get your email, but have sent one to your address in your profile – reply to that and I should get it. Alfredson is considered the gold standard for treating mid-portion achilles tendinopathy. A good therapist should know of it.

Surfer – I’ve sent you a reply.

Debaser – go to either one. Either should be able to set you off on the right path.

Thegreatape – similar to accupuncture -stick some needles in trigger points, wiggle them about a bit. Forces the muscle to relax and promotes healing.

I can’t do that stu. The misses gets pissed off.

Sod the missus – you cannae beat the real stuff. :D

I now have a cracking physioterrorist who’s getting me sorted but insists on the foam roller

I’m not convinced on the benefits of foam rolling. Fascia usually doesn’t tighten up by itself. There has to be something pulling on that fascia to make it tight. In my recent case I had knee pain caused by an imbalance between glutes and a tensor fascia lata. Fixed that by sorting out the imbalance – twas quick and pain free.

DrP – we’re in agreement here. Physios are cheaper because they don’t have the power or training to deal with those things. I do not envy GPs. GPs work far too hard and have too much stress for he money they are paid – I’m happy with the amount of responsibility that I have in my job and I don’t want any more than that.

Ended up being a marathon each time we cleaned the kitchen and I’d rather be riding.

Utter filth. :D

Who is John Wayne?

Nowt overly impressive about that. You get kids that age in the tweed valley absolutely ripping the trails to shreds.

I think that the kids should have as much access to either parent as they see fit. I do however think that determining the amount of parental access that is granted to each parent is a much more difficult task.

It was apparently called a zombie killer suit on Asda’s site….

I still doubt they’d be able to treat them ‘hands on’ effectively – they simply don’t have the training.

i think that if they had time they might be able to diagnose the most common conditions.

Say you were the patient – would you rather pay a GP, or a specialist in msk injury rehab, keeping in mind the relative cost of each? Physio is cheaper than a GP.

Anyway Hora – how are your neck and hands today?

In my experience, most GPs wouldn’t have a clue how to treat a musculoskeletal problem (and I’ve had one as a patient who admitted as much).

In my experience GPs get about 7 minutes to do a complete consultation and write any notes. I take 45 minutes to an hour. I couldn’t get to the bottom of a complex musculoskeletal case in 7 minutes and my training in musculoskeletal issues is probably better than a GP would be expected to have.

That was very stifling as I wasn’t allowed to teach the students to think outside the box, which you need to do to solve complex musculoskeletal problems.

Can you explain why you think it’s necessary to think outside the box when solving complex msk problems? I am of the opinion that there are no complex msk problems, merely complex solutions looking for a problem. I go for a logical approach to diagnosis and treatment and keep things firmly in the box – works great for me and my patients.

A custom specced carbon bodied one of these:

Onzadog – Email me.

In my area of physiotherapy I get the opportunity to throw the kitchen sink at people to get them back to fitness in the minimum time scale. I tend to use a three pronged attack – eccentric exercises, deep tissue massage and dry needling.

I had it personally a couple of years ago. It was the dry needling that worked best for me – bloody sore though.

The extended retest is supposed to provide the protection that incompetent people don’t get back on the roads

That is a very good point when you think about it. Hopefully the guy goes to the test centre nearest to where he killed the latest cyclist. I know the person who does the extended retests there – he’s a bit fond of two wheels.

Alfredson protocol works well if the tendinopathy is mid tendon. Not so well at the insertion where you risk complete rupture.

Podium – what on earth are you talking about? What qualifications does a body worker have?

Stoatsbrother – fair point well made. Probably is as good as diagnoses get though.

Is a life ban an option for someone convicted of causing death by careless driving? I suspect we should blame the law, not the judges.

A moderately clued up physio may give you neck stretches.

A fully clued up one would give you strengthening exercises like the ones I have given you above and remove the cause by getting you to change your sleeping position… Your issues are coming from the nerve roots being compressed as they are leaving your spine.

There is nothing complex whatsoever in your case and you do not need to travel anywhere to be treated by a complimentary/alternative therapist.

As for physiotherapists not being highly trained enough – I have a 4 year honours degree during which I completed well over 1000 hours supervised practice and many other training courses. What does a bodyworker have?

London?

For the exercises try to build up to holding 10 reps for 10 seconds.

Try that. – if it makes it worse it’s probably carpal tunnel. If not it’s your neck (Did I say that I think it’s your neck?)

Oh silly me, of course anyone who ever exceeds the speed limit must automatically be a bad driver

Correct – because they are not thinking about the impact their driving is having on others.

If they wait until Veloce is worn out they’ll be needing a new frame and new knees and hips.

Have you fractured one of your pubic bones?

Why on earth would you want to do yoga for a busted shoulder?

My neck is crazy stiff!

You probably jut your chin forwards too.

Given that it’s both hands and sounds like it’s almost a glove like distribution – it’ll probably be your neck.

I recently had a 370 post conversation about this on Facebook with TJ.

I could copy and paste that if you want – just to save the same thing being duplicated on here. ;)

Watching surgery on TV a while ago (NHS anniversary programme on BBC, my jaw was on the floor when they stopped a ladies arm shake by flicking a switch. Admittedly they did have her skull open and where sticking electrodes on her brain but it was still staggeringly impressive stuff.

Deep brain stimulation surgery – they drill a hole in your skull and feed a couple of tiny electrodes deep into a specific part of your brain using x-ray guidance – they then feed a cable under your scalp and neck to your chest where they put in a battery pack with a magnetic switch on it. – I’ve seen one of those operations in the flesh (something that i feel truly privileged to have seen) , only they did both electrodes at the same time and the person didn’t need to be conscious at the time. So the operation is already way more developed than the procedure on that programme. Operation lasted 9 hours and cost about £50k.

The difference pre-op to post-op was incredible. The patient came in to hospital in a wheelchair, walked out with a delta walking frame. I saw the patient in a clinic 9 months later and they had no physical symptoms left.

Change your number of pillows. Look up deep neck flexor exercises – do them. Come back in a couple of days and post “that glupton1976 is a miracle worker.” ;)

I decided to become a physio after spending years rubbing people up the wrong way. ;)

Fascinating condition which has psychological as well as physical effects. Progression of the condition can take a hell of a long time before you get to the stage where it has an adverse effect on mobility.

Also, to go way down the line – the treatments available for the most severely effected patients are verging on the miraculous.

I have that exact kit. The tools in it are top quality. I’d buy it again.

Don’t know if it’s an urban myth, but I’ve been told a number of times that they don’t offer it to the yoof. The course I was on the youngest looking was about 30-35.

They tend not to offer it to new drivers as they have 6 points and you’re sitting your test again period after passing.

I see what you mean….Mayonnaise on chips??? FFS

That’ll be one of the finest food combos known to man.