Because the need for care never stops, neither do we !

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Physiotherapy

Physiotherapy and summer holidays

Summer is finally here, school is out and many of our patients and clients have left for their summer holidays! Although school and work may be over, don’t forget that self-care and looking after your health and wellness should never stop! In order to prevent any injuries or mishaps from occurring and spoiling your vacation, Nightingale’s home physiotherapist have put together a few tips and tricks to keep you in top shape for maximum enjoyment of the holiday period with your family.

What could possibly go wrong?

Acute injuries and holidays

Going on holiday is meant to be a relaxing time. However, holidays involve travelling and this can often be quite physical. Should you injure yourself before going away, there may be a few things to consider and some adjustments to be made before travelling! Be sure to plan your journey and think about all the potential issues.

  • Will you be able to tolerate sitting for prolonged periods? Do you need to apply for a special upgrade of your seating on an airplane?
  • Do you need alternate transport arrangements from the airport to the hotel?
  • Do you require specific bathing/ shower facilities now?
  • Will you have to climb numerous staircases? Are there elevators?
  • How will you manage to transport your luggage?

Planning ahead will ensure you can still enjoy your time away without any unforeseen stress.

How to manage an acute injury whilst away

If you are unfortunate enough to injure yourself while away on holiday, all is not lost.

In the acute phase of an injury, rest would be recommended! Not having to be at work all day and being away from the daily commute can be an advantage. Being able to take relative rest, elevate the limb if necessary to reduce swelling and having absolute control over activity levels can be very useful. If necessary, locate a doctor or physiotherapist in the area for help or advice!

Make sure that your physiotherapist gives you a modified exercise program and activity modification which is realistic to your holiday destination. Make sure that they are aware of your likely environment whilst you are away such as access to gym facilities. Being on holiday may mean being able to access gym more regularly than when we are at work which can be great to optimize recovery, albeit it may slightly disrupt some of your planned holiday fun.

Managing chronic injuries whilst away on holiday

Most chronic injury rehabilitation programs will involve a graded progression of exercises. Therefore, whilst you are away, it is important not to completely ditch your rehabilitation (although it is good for the body to have a chance to rest and recuperate sometimes). Make sure that your physiotherapist gives you an exercise program and activity modification which is realistic to your holiday destination. Being on holiday may mean being able to access gym more regularly than when we are at work which can be great to optimise recovery. Enquire before leaving if you would have access to gym facilities, or whether you should pack some exercise equipment (such as therabands) and modify your exercise program while away.

Activities whilst on holiday

It is increasingly popular for us to indulge in unusual, and sometimes quite extreme, sports while on holiday. Be aware of the fact that these can potentially exacerbate your injury. Also, we potentially partake in activities without any preparation, again, this can be a potential precursor for injury. Especially if you have done no preparation work and attempt a long hike, a steep ski slope or some very strenuous water activity.

It is not uncommon to come back from holiday with new injuries!

In order to prevent this, carefully consider any pre-existing problems you may have had. Question how the activity you are participating in compares with your usual levels of fitness and activity. Are there any particular movements that you find particularly difficult? Are there certain movements to avoid?

Plan smart, stay safe and have fun! We’re here for you on the other side of the holidays if and when you need us.

10 TIPS TO STAY HEALTHY ON HOLIDAY

  1. Purchase a travel pillow for the flight to avoid waking up in your holiday destination with a stiff neck.
  2. Take care lifting and moving heavy luggage.
  3. Avoid having air-con blasted onto your neck for the duration of your flight & whilst eating in restaurants.
  4. Take the time to adjust the seat of your hire car to suit you.
  5. Wear supportive shoes and not flip-flops especially when going for longer walks and days out.
  6. Take care around the pool to avoid slips and falls.
  7. Peel yourself up from your sunbed every 30 minutes & take a swim or 5 minute walk.
  8. Ask the hotel for extra or alternative pillows if your head & neck are uncomfortable in bed.
  9. Take the hotel stairs instead of the lift – moderate exercise is the best way to stay healthy.
  10. Most importantly… avoid dirty dancing lifts after a day of enjoying your all-inclusive drinks!!!

 

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Physiotherapy

Tennis elbow treatment in Dubai using Physiotherapy

tennis elbow lateral epicondylitis
tennis elbow lateral epicondylitis

Tennis elbow treatment at home – What is it and how physiotherapy can help?

Physiotherapy is an integral part of tennis elbow treatment. Tennis elbow is a type of tendinitis — swelling of the tendons — that causes pain in the elbow and arm. These tendons are bands of tough tissue that connect the muscles of your lower arm to the bone. Despite its name, you can still get tennis elbow even if you’ve never been near a tennis court. Instead, any repetitive gripping activities, especially if they use the thumb and first two fingers, may contribute to tennis elbow. Tennis elbow is the most common reason that people see their doctors for elbow pain. It can pop up in people of any age, but it’s most common at about age 40.

Tennis elbow usually develops over time. Repetitive motions — like gripping a racket during a swing — can strain the muscles and put too much stress on the tendons. That constant tugging can eventually cause microscopic tears in the tissue. It can also affect people with jobs or hobbies that require repetitive arm movements or gripping.

Symptoms of Tennis Elbow:

The main part of tennis elbow treatment is checking for the symptoms. The symptoms of tennis elbow include pain and tenderness in the bony knob on the outside of your elbow. This knob is where the injured tendons connect to the bone. The pain may also radiate into the upper or lower arm. Although the damage is in the elbow, you’re likely to hurt when doing things with your hands.

Tennis elbow is similar to another condition called golfer’s elbow, which affects the tendons on the inside of the elbow. To diagnose your tennis elbow, your doctor will do a thorough exam. They will want you to flex your arm, wrist, and elbow to see where it hurts. You may also need imaging tests, such as an X-ray or MRI (magnetic resonance imaging) to diagnose tennis elbow or rule out other problems.

Why Physiotherapy for tennis elbow treatment?

The goal is to improve the strength and flexibility of your forearm muscles so you won’t be bothered with tennis elbow again. Your physical therapist may also teach you ways to change your tennis stroke or other activity that is causing your elbow troubles which is an integral part of tennis elbow treatment. Physiotherapy can also help improve blood flow to the tendons, which don’t get the same level of blood and oxygen supply as muscles normally receive

Exercises that improve blood flow will improve healing, too.

Pain Relief:

Your therapist will start with pain relief, then show you exercises that stretch and strengthen your muscles.

Exercises:

Once the pain eases during your tennis elbow treatment, you’ll move onto exercises. How long it takes to get better depends on the severity of your symptoms. It could take up to 8 weeks or even longer to see results. This isn’t a “no pain, no gain” exercise situation. If you’re hurting, stop. Pushing through it only makes it worse. With the exercises below, the number of reps and how often to do them is just a guideline. Follow your therapist’s advice and program. And listen to your body. If 10 reps hurt, start with five. If doing them every day feels like a strain, try every other day and work your way up.

After Your Program Is Over:

Once your elbow is pain-free and your backhand is better than ever, you should continue to keep your muscles strong and flexible. That’s because everyday activities don’t keep your muscles as strong and flexible as they should be to avoid sports injuries. Talk to your therapist or doctor about the best ways to continue keeping your elbow working at its best.

Recovering from Tennis Elbow:

Of course, what you really want to know is when you can get back to your regular activities after having tennis elbow. That depends on your individual case and the extent of the damage to the tendon. People heal at different rates. Whatever you do, don’t rush your recovery. If you start pushing yourself before your tennis elbow is healed, you could make the damage worse.

How to Prevent Tennis Elbow:

The key to preventing tennis elbow is to avoid overuse. Stop if you feel any elbow pain during an activity. You may also bring on tennis elbow by using the wrong equipment, like a golf club or tennis racket that is too heavy or that has a grip that is too large. Bad technique — like using the wrong posture for a swing — can also lead to tennis elbow. You should also: Stretch and warm up before any sport or activity that will exercise your elbow or arm. And Ice your elbow after exercise.

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Physiotherapy

Dry needling – everything you need to know about

What is dry needling?

Developed in the 1980s, dry needling is based on modern Western medicine. A qualified practitioner inserts filiform needles into the skin – these are fine, short, stainless steel needles that don’t inject fluid into the body, which is why we use the term “dry”.

The needles are placed into ‘trigger points’ or ‘knots’ of tight or tender muscles, causing a local twitch response (LTR). This response releases the trigger point, allows blood flow to return to the restricted area, and relieves the muscle spasm, restoring normal function and reducing pain. The length of time the needles remain in the body depends on the practitioner, but it’s usually not long. The treatment can cause short-term minor soreness in the muscle being treated, usually gone within a maximum of two days.

How is it different from acupuncture?

The needles are the same, but that’s where the similarities end. While acupuncture is designed to relieve pain, discomfort, or emotional issues by opening up a person’s energy flow or chi, dry needling aims to relieve pain by stimulating trigger points or irritable muscles.

During a session, a licensed acupuncturist will insert needles into points along the meridian lines to promote inner ‘balance’. Based on ancient Asian medical practices, these lines represent the body’s organs, and the aim is to restore proper flow of energy throughout the body by unblocking the interrupted chi. Acupuncture needles are usually left in place for 15 to 30 minutes.

Acupuncture is usually used for internal ailments, including:

  • digestive problems
  • insomnia
  • stress
  • chronic pain

The home physiotherapists at Nightingale Health Services are qualified dry needling practitioners and will be able to assess whether dry needling is a suitable option as part of your treatment plan. Contact us on 800 UAE (800823).

dry needling

Dry needling is used to treat a number of conditions, including:

  • sports injuries
  • muscle pain
  • headaches
  • chronic pain
  • fibromyalgia
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