Physiotherapy advice and special offer for LFGSS members

Although not advertised on the Cycle Clinic link (http://www.complete-physio.co.uk/clinics/kentish-town-la/services/cycleclinic) routine Physiotherapy appointments are also available (45 min / 30 min). I will see patients with and without their bikes as required and not necessarily in a one hour Bike Fit.

Have quite good availability at peak time this Thursday. Take advantage of this rarity if needed.

^ talk to this man.

You're making me sound lonely. People seem to be getting more private with their health needs and questions so my inbox is busy. Post or PM, I won't take it personally.

Is indoor climbing a bad idea if your knee is on the mend / on the way back?

Perhaps - if you are loading them in hyperflexed and rotated positions - for your type of presentation rotating your foot inwards would tighten the ITB. Climbing can involve prolonged static loading of the knee which can cause ischaemic symptoms.

I think I am having problems with my sciaitic nerve (right leg), at least that is how the problem is presenting itself. I had some problems last year with my left hamstring which after a lot of physio was sorted (mixture of stretching and strength work on both back/core and the hamstring itself). I have got lazy with the stretching etc, and this new problem started a while after, it's been getting worse the last two months (no cricket = even less stretching) to the point where I couldn't even run for a train the other day, although riding the bike is fine! To get to the point will stretching do me any harm? I will get tom see the Dr's soon (poss this week), but won't have any money for physio for a few weeks. I've had a look here and printed of the pdf http://www.sciaticaclinic.com/, looks to be a reliable website, would you agree?

I blame it all on sitting on my arse far too much throughout the day, need to get back into the gym!

The therapists appear to be soft tissue therapists and not medical doctors or Physios. The info. on their website sounds fine and the printout seems like a progressive pilates based exercise programme. I'd prefer to be assessed before undertaking a rehab. programme. Quite often recurrent hamstring injuries persist due to neurological factors that often go untreated.

It sounds like you were managing things in the past so try to get back on track with self management. If that fails please feel free to get in touch.

Michael.

Cheers, I think it'll be a trip back to see the physio at some point soon, but via the GP just to keep bupa happy (and means I only have to pay for the first £100 of treatment).

But in the mean time back to my stretches and exercises, nice and gentle to strat off with.

Perhaps - if you are loading them in hyperflexed and rotated positions - for your type of presentation rotating your foot inwards would tighten the ITB. Climbing can involve prolonged static loading of the knee which can cause ischaemic symptoms.

cool cheers, i'll hold back for a bit then

next question: swimming?

Swimming should be ok. Breaststroke kicking can sometimes irritate degenerative / meniscal problems but should be fine for you. Also try not to hyperextend the knees.

good news, thankyou!

Bike Blog

http://www.guardian.co.uk/environment/bike-blog/2010/dec/03/cycling-fitness

Thanks for your emails.

^^
Should say: Pain at the front of the knee is the most common presentation (but then if you've been to see me you probably know that already)

Early closing this week and have nothing after 7.30 due to x'mas party. Still a couple of earlier slots available.

Professional updates available here:
http://twitter.com/mcrebbin

Merry Christmas to all! Thanks for all your support over the past year.

Some slots available tomorrow before the holiday period. Next week the Gym will be closing at 4pm so available hours will only be 2-4pm next week.

Michael.

Happy New Year Everyone.

Clinic is almost full this week due to x'mas break. Can squeeze people in if needed though.

Safe winter training / commuting to one and all.

Good stuff. I will be in for a fitting late Feb if possible (after some travel).

Good stuff. I will be in for a fitting late Feb if possible (after some travel).

Happy travels, see you on your return.

Big influx of runners in the clinics at the moment for pre-marathon MOTs. Highlights the need to cross-train through the winter to ensure balanced physiology.

If all you have is a hammer then all you see is a nail.

right. i've been offered free osteopathy treatment, for my knee, from a friend of a friend. she's on her second year out of three studying it

can't say that i know much about it tbh. could it hurt?

Won't hurt anymore than what we've done in clinic. Would be interested to hear an Osteopaths perspective on your presentation and what they'd recommend. Shouldn't be any different but a second opinion is never a bad thing (especially when it's free).

Let me know how you get on.

Feel free to carry me off the rolla's tonight (Kilo night!) in exchange for injury advice.

I've just been for an assessment at the british school of osteopathy (BSO) in Borough http://www.bso.ac.uk/mm3appt.htm. Only £10, get treated by students and a doctor/professional. Very good, they spent a lot of time trying to get to the root of my problem. I've had seemingly inexplicable headaches and shoulder discomfort after an bike accident 4 years ago.