16 N E HEALTH September 2005 www.healthspectrum.co.ukh a i r & b e a u t yu n i s e xNew <strong>to</strong> El<strong>it</strong>e...Hot S<strong>to</strong>ne<strong>The</strong>rapyTreatmentHot S<strong>to</strong>ne BackMassage30 mins £21.00Warm s<strong>to</strong>nes glideover your skin as thewarmth radiatesthrough the body. <strong>The</strong>circulation is boostedand muscle tensioncan be released.Rebalancing HotS<strong>to</strong>ne Massage45 mins £25.00<strong>The</strong> warm s<strong>to</strong>nes willbe placed on yourchakras creating abalancing, medative experience leaving you comforted,soothed and feeling refreshed in the mind, body andsoul. Includes feet, hands, scalp and back.Full Body Hot S<strong>to</strong>ne Massage 1 hour £39.00<strong>The</strong> full body is massaged using warm s<strong>to</strong>nes forultimate relaxation.Kerastase Specifique is a collection <strong>of</strong> in-salon treatments and homecare programmesdesigned <strong>to</strong> achieve and maintain the ideal scalp balance while preserving andenhancing the beauty <strong>of</strong> the hair.Specifique now introduces a revolutionary treatment programme <strong>to</strong> maintain thedens<strong>it</strong>y <strong>of</strong> thinning hair: Intervention Antichute a L’Aminexil R .Figures show that approximately 22% <strong>of</strong> the UK population experience thinning hair,w<strong>it</strong>h men and women both affected.Clinical studies have demonstrated that using Intervention Antichute a L’Aminexil Rfor a 6-week programme twice a year improves hair dens<strong>it</strong>y.Find out more about this breakthrough product by askingyour Kerastase consultants advice.65/67 Cock<strong>to</strong>n Hill Road,Bishop Auckland. Co. Durhamh a i r & b e a u t yu n i s e xTelephone:01388 450368 or 01388 450706Rugby: can be particularly <strong>to</strong>ugh on the jointsA teamTHE long summer holidays are over.<strong>The</strong> rugby/football/hockey season isbeginning. Time <strong>to</strong> charge <strong>of</strong>f downthe p<strong>it</strong>ch w<strong>it</strong>h the team and throwyourself in<strong>to</strong> the game. Time forsports injuries…“We get lots <strong>of</strong> people turning up at our doorw<strong>it</strong>h sprains and pulled muscles at this time<strong>of</strong> year,” says physiotherapist Anne Burrow,who treats sports injuries at the Star HouseClinic, just behind Horsemarket in BarnardCastle. “It’s really common <strong>to</strong> get pre-seasoninjuries because people who have not beenkeeping in cond<strong>it</strong>ion over the summer suddenlywant <strong>to</strong> be as f<strong>it</strong> and good as they wereat the end <strong>of</strong> the last season. That’s when wesee a lot <strong>of</strong> muscle strains. <strong>The</strong>y do <strong>to</strong>o much,<strong>to</strong>o fast.”<strong>The</strong> more serious injuries are usually fromrugby, football and squash. “If you want <strong>to</strong>avoid trouble, we recommendgood warmingup before exerciseand keeping f<strong>it</strong> oversummer,” she adds.At the other end<strong>of</strong> the year, theStar House Clinicplays host <strong>to</strong> aeffortSport is good for you, isn’t <strong>it</strong>? Well, not always. JENNY NEEDHAMmeets the physios who pick up the pieces and put them back<strong>to</strong>gether again when things go wrong on the p<strong>it</strong>ch... or up a mountainPractice owner Sarah Johnson w<strong>it</strong>h mountaineer Alan Hinkesgrowing number <strong>of</strong> hobby injuries. “<strong>The</strong>se arethe ones who do nothing over winter – and I’mthinking mostly gardeners here – and thensuddenly in spring they are out there madlyclearing everything up. We get heaps <strong>of</strong> backinjuries from that,” says Anne.<strong>The</strong> clientele at the clinic is spl<strong>it</strong> more or lessevenly between men and women, a lot <strong>of</strong> oldiesand a few young sportspeople. Backs andnecks provide around 50 <strong>to</strong> 60 per cent <strong>of</strong> theirbusiness.“Backs and shoulders only get worse if youleave them <strong>to</strong> get better on their own,” saysAnne. “<strong>The</strong> days when if you had a sore backyou would be prescribed two weeks bed resthave gone.”This is a good thing,says Anne, because<strong>to</strong>tal rest just meansthat muscle massquickly deteriorates,leading <strong>to</strong> thelikelihood <strong>of</strong> morejoint problems.“You have <strong>to</strong>use <strong>it</strong> or
September 2005 www.healthspectrum.co.ukN E HEALTH17PHYSIOTHERAPY: THE TREATMENT1. Addressing the causative fac<strong>to</strong>r: why did the muscle tear, the disc bulge or thejoint sprain in the first place? <strong>The</strong>re is no point in treating the pain w<strong>it</strong>hout doingthis as invariably the same injury will recur.Advice may involve things like addressing posture at work/driving and addressingmuscle imbalances, footwear, mattresses and ergonomics.2. Treating the pain w<strong>it</strong>h massage, ultrasound, TENS machine3. Loosening restrictions/tightness by mobilising and manipulating joints4. Rehabil<strong>it</strong>ation for sport/hobbies5. Educating patients about how <strong>to</strong> avoid problems and ergonomic advice6. Providing braces, supports, pillows, TENS machines for use while the patientrecovers7. Referring <strong>to</strong> doc<strong>to</strong>r/surgeon if necessaryTREATMENT FOR PULLED CALFFROM FOOTBALL TRAINING1. Immediate treatment: RICE – Rest, Ice,Compression, Elevation2. One-two days post injury: ultrasound,therapeutic massage3. Day three: therapeutic massage, stretching,active movement (non-weight bearing)4. Week two: begin cond<strong>it</strong>ion training,therapeutic massage, ultrasound, addressfootwear5. Week three: address muscle balance andwhy calf is overused and therefore strained6. Sport or hobby-specific retraining. By weekfour should be fully participating in sport/hobbyStar House Physiotherapy Clinic, Star Yard,Horsemarket, Barnard Castle DL12 8LY(01833) 695555It happens <strong>to</strong> the best... DavidBeckham limps <strong>of</strong>f the field in 2001A mountain <strong>to</strong> climb: Anne Burrow treats Alan Hinkes before his last endeavourlose <strong>it</strong> – even on the space shuttle the astronautshave <strong>to</strong> exercise because otherwise theywould lose their muscle mass because <strong>of</strong> lack<strong>of</strong> grav<strong>it</strong>y. We prefer <strong>to</strong> prescribe ‘relative rest’,s<strong>to</strong>pping any aggravating activ<strong>it</strong>ies but keepingas mobile as possible.”Kiwi Anne, who is over here w<strong>it</strong>h her husbandand living in Darling<strong>to</strong>n for a couple <strong>of</strong>years, works w<strong>it</strong>h Canadian Diane Dupuis atthe Teesdale practice. <strong>The</strong> clinic is owned bySarah Johnson, who comes from much closer<strong>to</strong> home in the North-East. Receptionists ValGatenby and Rachel Sellwood complete the allwomanteam.Anne ended up in Teesdale after spotting anad placed by Sarah in a New Zealand newspaper.She had finished her four-year univers<strong>it</strong>ydegree and done a couple <strong>of</strong> years practice, andis now one <strong>of</strong> the many physios from abroadhelping <strong>to</strong> fill our homegrown skills gap. <strong>The</strong>reis a real shortage <strong>of</strong> trained physios in Br<strong>it</strong>ain.Anne patently loves her job. “<strong>The</strong>re is a misconceptionabout physios,” she says. “Peoplethink we’re just the ones you see in hosp<strong>it</strong>al <strong>to</strong>get you back on the road when you’ve had anaccident, but we are trained <strong>to</strong> treat whole personand get <strong>to</strong> the root cause <strong>of</strong> the problem.Our treatment varies between manipulation,massage, acupuncture and a personal exerciseor rehabil<strong>it</strong>ation programme appropriate <strong>to</strong>their needs. This is why one-<strong>to</strong>-one treatmentis the key <strong>to</strong> full recovery.”And when she sees results, <strong>it</strong>’s hugely rewarding.“A lot <strong>of</strong> older people who come herehave arthr<strong>it</strong>is. <strong>The</strong>y have sometimes put upw<strong>it</strong>h <strong>it</strong> for years before hearing that they canhave something done about <strong>it</strong>. It’s great <strong>to</strong> seethem experiencing a pain-free life again.”At the other end <strong>of</strong> the scale are the <strong>to</strong>p athletesand sportspeople, for whom injury is anoccupational hazard. Anne treated adventurerand mountaineer Alan Hinkes, who earlierthis year became the first Bri<strong>to</strong>n <strong>to</strong> climb theworld’s 14 highest peaks, for a prolapsed discand has also helped a marathon runner backon<strong>to</strong> the compet<strong>it</strong>ive road. “He couldn’t getpast a certain distance, because <strong>of</strong> posturaland lower back problems, but after treatmentand a change <strong>of</strong> running shoes, there was nos<strong>to</strong>pping him,” says Anne.Older clients include those who just don’tknow when <strong>to</strong> s<strong>to</strong>p playing games like rugby,and those who used <strong>to</strong> play a lot and are havingproblems when they get <strong>to</strong> 40 or 50. “Mostinjuries are cumulative,” says Anne. “Peoplesprain their ankles when they are young, forexample, but don’t do anything about <strong>it</strong>, getrepet<strong>it</strong>ive injuries and then by time they are intheir 30s or 40s, they have a chronic problem.We <strong>of</strong>ten have <strong>to</strong> treat the later stages <strong>of</strong> injuryfrom years ago.”Added <strong>to</strong> all the problems associated w<strong>it</strong>hsports and ageing, a new breed <strong>of</strong> patient isincreasingly vis<strong>it</strong>ing the Star House Clinic.“Lots <strong>of</strong> back pain patients work on computers.<strong>The</strong>ir bodies get <strong>to</strong> a point where they can’tcope w<strong>it</strong>h constant postural strain and muscleweakness and then they’ll go mad at the weekendand pop a disc,” says Anne.As most <strong>of</strong> the chronic injuries are cumulative,<strong>it</strong>’s imperative <strong>to</strong> get treated immediatelya problem occurs. Otherwise you could beheading for trouble. “<strong>How</strong>ever minor the problemseems, <strong>it</strong>’s best <strong>to</strong> get <strong>it</strong> checked out andtreated early,” says Anne. “That way, you’ll beback on the p<strong>it</strong>ch and scoring goals so muchsooner.” Something <strong>to</strong> remember as the newseason starts…Qual<strong>it</strong>y Living Leisure ClubScotch CornerAt Qual<strong>it</strong>y Living Leisure Club - Scotch Corner you will findall that you want in a Health Club. 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