Shoulder pain can really get in the way of everyday life, whether it’s struggling to lift your arm, getting dressed, or simply sleeping comfortably. One of the most common causes is something called Shoulder Impingement Syndrome. This happens when the tendons in your shoulder get pinched as you move, especially during activities that involve reaching or lifting your arm above shoulder height.

How Do You Know If It’s Shoulder Impingement? If you’ve noticed pain when reaching overhead, a sharp pinch when lifting your arm, or discomfort reaching behind your back, you might be dealing with impingement. People often describe it as a “catching” feeling—one moment there’s no pain, then a sudden pinch, and it’s gone again. You might also find sleeping uncomfortable, especially lying on the sore shoulder.

What Causes Shoulder Impingement? Repetitive movements—like swimming, tennis, or even jobs that require a lot of lifting—can lead to impingement. Poor posture or muscle imbalances can make things worse, and if left untreated, it can lead to more serious issues like rotator cuff tears. The good news? With the right treatment and exercises, shoulder impingement can be managed and even fixed.

At Burton Physio Group, we’re here to help. Our physiotherapists are experienced in treating shoulder conditions like impingement, and we’ll create a plan tailored to you—focusing on relieving pain, building strength, and helping you move more freely again. You can take the first step by accessing our Free information leaflet on ‘Feeling the Pinch’ by clicking HERE. It is packed full of information and advice on how to manage the health of your shoulder.

Don’t let shoulder pain hold you back any longer. Get in touch with us today at 01283 741555 or email admin@burtonphysiogroup.com to book an appointment. Let’s work together to get you back to doing the things you love, pain-free!

To sign up to our mailing list, so you ever miss out on our latest advice, information and offers CLICK HERE.

Neil Sullivan

MSc BSc (Hons) MCSP MSST

Burton Physio Group

 

As we age, many of us may encounter the challenge of chronic pain—a persistent discomfort that lingers long after the expected healing period, sometimes lasting for months or even years. Chronic pain can significantly affect our daily lives, well-being, and overall quality of life. But at Burton Physio Group, we want you to know that there is hope, and help is available. In this blog post, we explore how physiotherapy, a holistic and patient-focused approach, can be a guiding light in your journey toward effective chronic pain management.

Section 1: Understanding Chronic Pain

First, let’s explore what chronic pain really means. Unlike acute pain, which serves as the body’s natural alarm system, chronic pain persists even after the original cause has healed. This can arise from various conditions such as arthritis, back pain, fibromyalgia, or unresolved injuries. Chronic pain, typically defined as lasting more than three to six months, can lead to physical issues like tense muscles, reduced mobility, and even changes in the nervous system.

The impact of chronic pain goes beyond the physical; it also affects mental and emotional health. It’s common for individuals dealing with chronic pain to experience frustration, depression, anxiety, and fear. That’s why managing chronic pain isn’t just about treating the physical symptoms—it requires a comprehensive, or ‘biopsychosocial,’ approach that also addresses the psychological and social factors involved.

Understanding chronic pain is the first step toward effective management. It’s important to remember that chronic pain is a unique experience for each person, varying in intensity, type, and location. This is why personalized treatment strategies are essential. To gain more insight into chronic pain, Burton Physio Group offers a patient resource titled “Living with Chronic Pain: An Understanding Guide,” available to help you better understand your condition.

The Role of Physiotherapy in Chronic Pain Management

Physiotherapy plays a crucial role in managing chronic pain, offering a comprehensive, patient-centred, and personalized approach that promotes active involvement in pain relief and improved function.

Our skilled physiotherapists at Burton Physio Group are trained to assess, diagnose, and treat a wide range of conditions that impair physical function, including chronic pain. They develop individualized treatment plans aimed at reducing pain, improving movement, restoring function, and preventing disability.

But how exactly does physiotherapy assist in managing chronic pain? Here’s a closer look:

• Pain Education: A key component of physiotherapy is educating patients about the nature of their pain, the factors influencing it, and effective management strategies. This empowers patients to understand their condition and take an active role in their recovery.

 

• Exercise Therapy: Exercise is fundamental in physiotherapy. Our therapists guide patients through specific exercises designed to enhance strength, flexibility, endurance, balance, and overall movement, which in turn help alleviate pain and improve function.

 

• Manual Therapy: This involves hands-on techniques such as massage, mobilisation, and manipulation, which help reduce pain, enhance mobility, and improve overall well-being.

 

• Mindfulness and Relaxation Techniques: Our physiotherapists can also guide you through mindfulness exercises and relaxation techniques to manage the psychological aspects of chronic pain, such as stress and anxiety.

 

• Lifestyle Recommendations: Physiotherapists provide guidance on lifestyle changes, including exercise and sleep strategies, which play a significant role in managing chronic pain.

 

• Self-Management Strategies: Empowering patients with strategies to manage their pain independently is another vital aspect of physiotherapy. These strategies may include pain-relieving exercises to practice at home, postural advice, or techniques to protect joints and prevent injury.

At Burton Physio Group, we approach chronic pain management from several specialized disciplines within physiotherapy:

• Orthopaedic Physiotherapy: Focuses on the musculoskeletal system and conditions like arthritis, back pain, or joint pain. Our therapists use exercise, manual therapy, and education to manage pain and injuries effectively.

 

• Neurological Physiotherapy: Concentrates on conditions affecting the nervous system, such as neuropathic pain. Treatment includes exercises to enhance balance, coordination, strength, flexibility, and daily functioning.

 

• Geriatric Physiotherapy: Tailored for older adults, this discipline addresses conditions that affect mobility and physical function, including chronic pain. Our therapists employ gentle exercises, balance activities, and pain management strategies.

 

• Sports Physiotherapy: Designed for athletes, this discipline helps manage pain associated with sports injuries, focusing on recovery, prevention, and performance enhancement. Techniques include strength and conditioning exercises, manual therapy, and education on safe sports practices.

 

• Physiotherapy for chronic back pain: Addresses conditions related to spine and pelvic pain. Treatment involves exercises to strengthen the core, spine and pelvic muscles, education on pain management, and strategies to improve strength and mobility.
• MBST: Magnetic Resonance Therapy is an awarding treatment for osteoarthritis, osteoporosis, fracture healing, spinal conditions and sports injuries. This treatment option is available in Burton upon Trent and Birmingham. To find out more about how this could help you visit our sister website at Regener8 Healthcare, or email us at admin@burtonphysiogroup.com

We understand that living with chronic pain can be challenging, but you don’t have to face it alone. Burton Physio Group is here to guide you through every step, empowering you with the tools, techniques, and confidence you need to take back control of your life. For more information or to schedule an appointment, please contact Burton Physio Group at 01283 741777.

Additionally, you can explore our patient resource by clicking on this link, “Moving Beyond Chronic Pain with Physiotherapy,” for a more detailed look at how physiotherapy can help. Don’t hesitate to reach out to us at 01283 741777, or email admin@burtonphysiogroup.com—let’s work together on your path to a healthier, pain-free life.

Neil Sullivan

MSc BSc (Hons) MCSP MSST

Chartered Physiotherapist

Fibromyalgia in Burton, Derby and Shirley

Introduction

Fibromyalgia is a complex condition that significantly affects many aspects of a person’s life. From coping with chronic pain and fatigue to managing social relationships and emotional well-being, those with fibromyalgia face unique challenges. In this Burton Physio Group blog post, we’ll discuss these challenges, share coping strategies, emphasize the importance of community support, and explore the role of holistic approaches in managing fibromyalgia. For more detailed information on the physical effects of fibromyalgia, check out our leaflet by clicking HERE.

The Daily Struggles

Living with fibromyalgia often means dealing with a wide range of physical, emotional, and social difficulties every day. Chronic pain, a major symptom, can make simple tasks like getting dressed or cooking meals feel overwhelming. Fatigue, another common issue, can make it hard to maintain a regular routine or enjoy previously pleasurable activities. Additionally, people with fibromyalgia might feel misunderstood by friends and family who don’t fully grasp the condition’s impact. Developing practical coping strategies, such as pacing activities, prioritizing self-care, and openly communicating with loved ones, is essential. For more practical advice and tips on living with fibromyalgia, please refer to our leaflet on “Understanding Fibromyalgia”. Click HERE.

Emotional Well-Being and Fibromyalgia

The emotional burden of fibromyalgia is substantial. Many individuals experience feelings of isolation, anxiety, and depression, which can exacerbate the physical symptoms. Prioritizing emotional well-being and seeking support when necessary is crucial. This might involve working with a therapist who specializes in chronic pain management, practicing stress-reduction techniques like mindfulness or deep breathing, or joining a support group to connect with others who understand the challenges of living with fibromyalgia.

The Power of Community

Community support is invaluable for those living with fibromyalgia. Connecting with others who have similar experiences can provide validation, understanding, and empowerment. Support groups, whether in-person or online, offer a platform to share stories, exchange coping strategies, and find comfort in knowing you are not alone. Additionally, numerous online resources and forums are dedicated to fibromyalgia, providing access to information, opportunities to ask questions, and engagement with a wider community of people facing similar challenges.

Holistic Approaches to Management

Effective management of fibromyalgia often requires a holistic approach, combining pharmaceutical and non-pharmaceutical treatments. While medication can help manage pain and other symptoms, lifestyle changes and alternative therapies are also crucial for overall well-being. This might include adopting a balanced diet, engaging in regular low-impact exercise, practicing stress-reduction techniques, and exploring complementary therapies like acupuncture, massage, or gentle yoga. By adopting a holistic approach, individuals can create a personalized treatment plan that meets their unique needs and goals. For more information on natural treatments for fibromyalgia, please see our leaflet on “Natural Treatments for Fibromyalgia” HERE. To find out how massage and physiotherapy can help, click HERE.

Conclusion

Living with fibromyalgia can be challenging and overwhelming, but remember, you are not alone. By staying informed, seeking support, and utilising available resources, individuals with fibromyalgia can develop effective coping strategies and improve their overall quality of life. We encourage you to download our full set of resources for a comprehensive understanding of fibromyalgia and its management by clicking HERE. If you need advice, please contact us anytime at admin@burtonphysiogroup.com or call us at 08004334363.

Disclaimer: This article is intended for educational purposes only and should not be taken as professional medical advice. The information provided herein is based on general medical knowledge and does not account for individual circumstances. It is crucial to consult with a qualified healthcare provider for diagnosis and treatment options tailored to your specific health condition.

Neil Sullivan

MSc BSc (Hons) MCSP MSST

Chartered Physiotherapist

The PGA may not look like it has much in common with professional rugby – but you might be surprised to hear that golfers are actually injured more frequently than rugby players.

It’s true.

In fact, 62% of all amateur golfers and 85% of professionals will sustain a significant injury associated with playing golf.

There are a staggering 60 million golfers worldwide – so that’s a vast number of people getting injured playing the sport they love. The problem is, amateur golfers are often out of shape or have poor swing mechanics, and professional golfers often overuse their muscles with frequent play.

Trauma sustained to the lower back can account for one around one third of all injuries. This can happen to anyone regardless of their age or playing ability.

There are a couple of logical reasons for this.

First, achieving a good golf swing necessitates generating significant club-head speed. This speed is attained by applying substantial torque (force) and torsion (twisting) through the lower back.

Second, golf exerts considerable pressure on the spine compared to other sports. For instance, an average golf swing creates a compression load on the back that is equivalent to eight times the golfer’s body weight. In contrast, running produces a compression load of only about three times the runner’s body weight.

Golfers experiencing low back pain will usually have one of the following types of injuries:

• Muscle Strain or Ligamentous Sprain
• Disc Injury
• Altered Joint Mechanics or Motor Control
• Degenerative Arthritis
• Bone Fracture

Other common golf-related injuries will include trauma to the elbow, wrist/hand or shoulder. (And you thought golf was a low-impact activity!)

It’s helpful to understand not only the types of injuries associated with golf but also the main causes of injury which include:

• Frequency of repetitive practice (overworked muscles)
• Suboptimal swing mechanics
• Inadequate warm-up routine
• Poor overall physical conditioning

With the average injury recovery time lasting 2-4 weeks, looking at the main causes of injury is well worth the time and effort.

SO, how can you enjoy the wonderful game of golf while reducing your risk of injury?

Simply, the answer is via a targeted and regular conditioning routine.  Playing golf requires good strength, endurance, flexibility and explosive power. These components will help the individual to play the game well – and avoid injury too.

Physical conditioning routines designed specifically for golfers can help you stay on the green and out of pain. As a bonus, they can even help you improve your game.

An 11-week targeted conditioning program found participants:

• Increased their clubhead speed by 7%
• Improved their strength up to 56%
• Improved their flexibility up to 39%
• Increased their drive distance up to 15 yards with sustained accuracy

Whether you are a casual golfer who plays infrequently or serious about your game we can help you avoid injury and improve your skills. That’s why we’d like to share with you our free informational fact sheets on Golf Injury Prevention.

These fact sheets are completely free to download and are packed full of useful information to help you reduce your risk of injury while becoming a stronger golfer.

Download them HERE.

And be sure to check out our social media (Facebook, Instagram, X)  where we’re posting fun, informative tips and tricks to help you stay injury-free – whatever you’re doing.

Neil Sullivan
MSc BSc 9Hons) MCSP MSST
Burton Physio Group.

Bicycles have been a mode of transportation since the 1800s, but in recent times, cycling has seen a remarkable surge in popularity. What was once an elite competitive sport has now become a globally embraced activity for the masses.

It’s no longer just a means of getting you from A to B or the fact that it’s an opportunity that’s available to most people, regardless of age, size or ability, cycling is great exercise. Cycling provides excellent cardiovascular exercise with minimal impact on joints, making it a valuable addition to any fitness regimen. Unlike weight-bearing activities like running, cycling offers a non-weight-bearing option that complements overall bone health alongside activities such as swimming.

Cycling can also be an adventure, getting out on trails and exploring new areas, taking in beautiful views or just the fresh air. And although your cycling sessions can be solitary if you want them to be, it is also a great sport to do with others, creating lots of opportunities for forming new friendships and building new communities.

For those of us who are more competitive, there are plenty of opportunities to put ourselves to the test, with a huge range of long and short distance competitions, charity events, and multi-sport challenges like triathlons. This brings the added satisfaction of giving us physical goals and challenges to work towards.

Then there’s the green aspect – opting to ride a bike instead of using a car keeps pollution and gas related emissions at zero.

Above all, cycling brings joy and happiness, thanks to the release of endorphins during exercise.

But fitness can also be fickle. One minute you’re in the form of your life, and the next you find yourself struggling to rotate the pedals without pain. Cycling injuries are an unfortunate downside to the sport, and some people are more prone to suffering them, than others.

There are two main types of cycling injuries, those caused by falling off (acute injury), often resulting in fractures, contusions, abrasions and concussion. And then the more common overuse injuries caused by the repetitive nature of cycling including overtraining, biomechanical stresses, often due to muscle imbalances, and incorrect bike set-up.

This is why having a correct bike set up is particularly important if you plan on cycling regularly. And just because you have it done one year, doesn’t mean you’re sorted. Everyday activities and lifestyle affect our muscles balances and this can change over time. And it is very frequently these muscle imbalances, that cause injury.

We’ve put together leaflets on 8 of the most common cycling injuries. Each leaflet is packed full of practical advice on things you can do both in terms of your body conditioning as well as your bike set up, to both prevent injuries happening in the first place, as well as rehabilitate existing ones.

The following injuries, specific to cycling, are covered:

• Burning feet (metatarsalgia)
• Achilles tendon pain
• Knee pain
• Iliotibial band pain
• Hip pain
• Back pain
• Hand pain
• Neck pain

To download any of these leaflets click .

As with any overuse, overload or training error injury, you have to consider your body’s tissue capacity. Musculoskeletal tissues including muscle, tendon and bone are constantly evolving and with appropriate loading (training) and adequate recovery time, the tissue gets stronger and develops better stamina.

However, over-loading or under-loading results can cause a breakdown in tissues, tissue fatigue, and pain. Hence, cumulative stress or load that’s above the capacity of the tissues, can cause overuse injury. This makes monitoring your training load, giving your body time to adapt, and increasing the volume and intensity of your training gradually is an essential component of staying injury free when cycling.

And this is relevant whether you’re a casual recreational cyclist who takes their bike for a spin once a week, compared with more serious cyclists who take part in long group training rides.

A Ferrari built on a Ford chassis? Unthinkable! But could that be you? Imagine the speed and power of a Ferrari without a matching chassis to ensure stability and control required for good handling and sticking to the road. The inner workings providing the stability, control, and endurance that comes from your core and surrounding pelvic/buttock muscles is essential as a base for good injury-free cycling.

There are three A-B-C components to staying injury free on a bike:

A – Alignment ie. muscle imbalances, weakness, flexibility issues, leg length discrepancies and being flat-footed can all lead to injury.

B – Bike set up – again this is fundamental to get right. Incorrect bike set up can be the cause of injuries that could side line you for months and yet it’s easy to get right with some good advice.

C – Conditioning and fitness – a good stretching and strengthening programme to correct the muscle imbalances and ensure you’re strong where you need to be, is the final component in staying injury free.

Like any repetitive motion sport, cycling can produce a catalogue of niggling aches and pains, which if left untreated can become more serious. Learn more about the specifics of the most common cycling injuries and how you can manage and prevent them using our leaflets at the link .

Neil Sullivan MSc BSc (Hons) MCSP MSST

Burton Physio Group

More than 45% of the global population experiences regular headaches. If you’re one of these people, you’ll know that they’re no laughing matter. For some people, they’re just a minor inconvenience, for others they can be completely debilitating.

The problem is that successfully diagnosing a headache gets complicated, because more than 130 distinct disorders have been identified along with over 300 triggers. This makes a headache almost as unique as an individual.

To make matters worse, you can simultaneously suffer one, two or more types of headache or a migraine all at the same time. One type may cause another, or overlap with each other. These are known as mixed or multi-source headaches and can take longer to resolve as your therapist works through treating the different causes. For example, a dysfunctional painful neck can cause an increase in surrounding muscle spasm, which will increase your blood pressure. In this scenario, you could have a cervicogenic (neck) headache, with a tension headache and a resultant migraine!

The four most commonly diagnosed headaches are:

• Migraines
• Tension headache
• Cervicogenic headache (originating from the neck)
• Sinus headaches

If you only suffer from the occasional headache, this can commonly be caused by lifestyle factors such as:

• Stress
• Dehydration
• Alcohol
• Lack of sleep
• Caffeine
• Posture
• Some foods
• Skipped meals
• High blood pressure
• Medications
• Muscular tension
• Infection
• Hormonal influences

However, if you do suffer from headaches more frequently, here is some reassuringly good news. Two of the most common headaches, tension-type headaches and cervicogenic headaches (which originate from musculoskeletal issues in and around the neck) can be significantly improved, and even cured by physical therapy, both in the short term, as well as the long term.

There has been a great deal of research, as well as clinical evidence, showing that physiotherapy is an extremely effective treatment for certain types of headache.

Manual, hands-on therapy manipulating or mobilising your neck can be hugely beneficial in eliminating your headache; or at least reducing the intensity, frequency and duration of the headache.

Soft tissue work including massage and trigger point therapy, can be effective in relieving spasm in the head and neck muscles which may be contributing to your headache. Massage has also been shown to help people cope better during headache episodes, reducing associated stress and anxiety.

Acupuncture is another therapy that could help with neck or cervicogenic headaches, and sinus headaches.

In addition, poor posture and repetitive movements in your daily life, have also been shown to increase the risk of experiencing headaches as they can cause muscle imbalances, muscle weakness and strain the ligaments and soft tissues in the joints of your neck. In these cases corrective exercises to strengthen weak muscles and stretch tight muscles can be highly effective.

We have some more downloadable resources and advice sheets on each specific headache type at the following link . If you would like to understand more about how Burton Physio Group can help in the treatment and prevention of headaches, please don’t hesitate to contact us directly.

Neil Sullivan MSc BSc (Hons) MCSP MSST

Burton Physio Group

 

Back pain can be a disconcerting experience, often leaving you wondering about the severity and the cause of your discomfort. While it is a common issue, the experience of back pain is highly personal, and understanding your own symptoms is key to managing it effectively. This guide is designed to help you assess your symptoms, recognise when to try self-care, and understand when professional help might be needed. By adopting the right approach, you can alleviate mild back pain from the comfort of your home and know when to seek further medical advice for more persistent or severe conditions.

Now, let’s start by assessing your symptoms to gain insight into your specific back pain situation.

Assess Your Symptoms

When back pain arises, taking stock of the symptoms you’re experiencing is an essential first step. Begin by asking yourself a few key questions:

– Is this a new occurrence, or has this pain happened before?

– Is the discomfort constant, or does it come and go?

– Can you pinpoint exactly where in your back the pain is located?

– Are there specific activities or positions that make the pain better or worse?

Understanding the onset, location, and nature of your pain can help in identifying potential causes and determining the best course of action. For example, new, severe back pain that appears suddenly might be treated differently than a mild, nagging ache that’s been present for weeks.

For a detailed look at potential triggers and causes of back pain, consider reading our leaflet on Back Pain Triggers and Causes .

Check for Red Flags

Certain symptoms associated with back pain should prompt immediate medical evaluation due to their potential to signify more serious underlying conditions. These red flag symptoms include:

• Fever: If your back pain is accompanied by a high temperature, it could indicate an infection.
• Unexplained Weight Loss: Significant weight loss without trying could be a sign of a more serious medical issue.
• Trauma: If your back pain is the result of a fall, blow to your back, or other forms of trauma, a thorough medical check is essential.
• Neurological Impairments: This includes loss of bladder or bowel control, or numbness in the groin area, which could indicate cauda equina syndrome, a serious condition that requires urgent care.
• Persistent Pain at Night: Discomfort that consistently wakes you up can be a sign of something more serious than mechanical back pain.

If you experience any of these symptoms, it’s important to seek medical help immediately. These signs can indicate conditions that are more serious than typical back strains or sprains, and timely intervention is crucial.

For more detailed information on potential serious back conditions, please refer to our leaflet titled ‘Could My Back Pain Be Serious?’ by clicking .

Try Self-Care First for Mild, Short-Term Pain

For many, mild back pain can often be managed effectively at home, especially when it’s of short duration. Here are some self-care strategies you can consider:

• Apply Heat/Ice: Using heat or ice packs can reduce pain and inflammation. Ice is best used immediately after injury, while heat can be soothing for muscle stiffness.
• Get Adequate Rest: Allow your back the proper time to heal, but avoid prolonged bed rest which can actually hinder recovery.
• Gentle Movement: Engage in light stretches and gentle activities as tolerated. Movement can help reduce pain and stiffness.
• Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can alleviate pain and reduce inflammation.

Remember, these tips are for mild back pain that is new or short-term. If your pain is severe, persistent, or accompanied by red-flag symptoms, professional medical advice should be sought.

Explore more self-care tips and strategies in our leaflet on ‘Can I Treat My Back Pain?’ by clicking .

Massage Can Help Some Types of Chronic Pain

Massage therapy is a widely recognised method for relieving chronic back pain, and we offer this form of treatment at our Burton and Derby clinics. It works by easing tension in muscles, improving blood flow, and promoting relaxation, which together can help reduce pain sensations. Here are a few points to consider when exploring massage as a treatment option:

• Effective Techniques: Certain massage techniques such as deep tissue or Swedish massage are particularly beneficial for lower back pain.
• Relaxation: Beyond the physical relief, massage can also offer psychological benefits, reducing stress and anxiety that can accompany chronic pain.
• Regular Sessions: Consistency is key. Regular massage sessions can maintain the benefits over time and prevent the recurrence of pain.

Before starting massage therapy, it is advisable to consult with a healthcare professional, especially if your back pain is related to a specific medical condition.

Learn more about how massage can be part of your pain management plan in our guide, ‘Massage for Low Back Pain’ by clicking .

To book a massage at Burton Physio Group just return to our home page and click the BOOK NOW button.

When Should You Seek Professional Help?

While self-care is valuable for minor or short-term back pain, there are times when professional intervention is necessary:

• Duration of Pain: If your back pain lasts longer than two weeks despite self-care measures, it’s prudent to consult a healthcare professional.
• Severity of Pain: Severe back pain that impedes your daily activities or significantly affects your quality of life requires a professional evaluation.
• Recurring Episodes: Frequent bouts of back pain might indicate an underlying condition that could benefit from professional treatment.

A physical therapist such as an osteopath, chiropractor or physiotherapist can provide a thorough evaluation and create an individualised treatment plan. This may include hands-on care, targeted exercises, and education on posture and body mechanics to address your specific needs and prevent future issues.

Know Your Limits with DIY

Self-management of back pain is important, but it’s equally crucial to acknowledge when an issue might be beyond your ability to resolve on your own. Here are some considerations:

• Complex Conditions: Certain back issues, such as herniated discs, may not improve with self-care alone and could require more targeted interventions like manual therapy.
• Risk of Worsening: Attempting to self-treat without proper knowledge can sometimes exacerbate the problem.
• Expert Guidance: Professionals can offer a level of care that is informed by experience and supported by specialised training.

If you find that your symptoms persist despite your best efforts at home, or if your condition is complex, it’s not just advisable but often necessary to seek out professional help. There is no substitute for a tailored treatment plan developed by a physical therapist who can guide you through recovery with hands-on care and targeted exercises.

For more information on self-treatment and when to seek help, please review our leaflet on ‘Can I Treat My Back Pain?’ by .

In Summary

Proactively managing back pain is about striking the right balance between self-care and seeking professional advice when necessary. Implementing preventive measures, recognising the limits of home treatment, and understanding when to consult a healthcare provider can significantly improve your outcomes.

Remember, maintaining a healthy lifestyle, incorporating regular stretching, and ensuring ergonomic practices at work and home are key strategies in preventing back strain and avoiding the escalation of pain.

If you’re unsure about the best course of action for your back pain, or if you’ve reached the limits of what self-care can provide, our team at Burton Physio Group are here to support you. We encourage you to reach out for an expert assessment and a comprehensive approach to your back pain management.

**Disclaimer:**

The content provided in this blog post is for informational purposes only and is not intended as medical advice. Always consult a healthcare professional for a diagnosis and tailored treatment plan, especially if your symptoms are severe or persistent.

Neil Sullivan

Chartered Physiotherapist
MSc, BSc (Hons), MCSP, MSST
Burton Physio Group

Let Burton Physio Group help with your Back Pain

Dealing with back pain can be an overwhelming experience, with its impact felt in every aspect of daily life. It’s important to understand that back pain is not uniform; it varies in duration and intensity, and is classified as either acute or chronic. There’s also a particular type known as sciatica, which has its own unique symptoms and causes.

This blog post aims to provide you with a clear understanding of the different types of back pain, helping you identify what you may be experiencing. Armed with this knowledge, you can make informed decisions about managing your pain effectively.

Burton Physio Group will guide you through the specifics of acute and chronic back pain, and explain sciatica in detail, with links to comprehensive leaflets for further information on each condition. Understanding your back pain is the first step towards managing it and improving your quality of life.

Acute Back Pain

Acute back pain is characterised by a sudden onset of discomfort in the back, typically stemming from a specific incident or injury. This type of pain is sharp and can be quite intense, serving as a signal from your body that something is amiss.

What Causes Acute Back Pain?

The causes of acute back pain are varied, but it often arises from muscle strains, ligament sprains, or other soft tissue injuries. These can result from a range of activities or events, such as lifting heavy objects incorrectly, abrupt movements, falls, or accidents.

Symptoms and Sensations

The sensations associated with acute back pain can include a stabbing or shooting pain, a deep muscle ache, or a limited range of motion in the back. You may also experience muscle spasms, pain that radiates to the buttocks or thigh, but usually not below the knee, and increased pain with movements or activities.

Duration

Acute back pain is typically short-term, lasting anywhere from a few days to a few weeks. It usually resolves on its own with self-care and there is no residual loss of function. The body’s natural healing process tends to take over, but being mindful of activities and posture can aid in a quicker recovery.

When to See a Medical Professional

It’s important to seek medical attention if your back pain is severe and not improving with rest, if you have numbness or tingling, or if you experience weakness in your limbs. Additionally, if the pain is a result of a serious injury, or if it’s accompanied by other symptoms like fever, you should consult a professional.

For a more detailed exploration of acute back pain, its causes, symptoms, and management strategies, click HERE for our Burton Physio Group comprehensive leaflet on acute back pain.

Chronic Back Pain

Chronic back pain persists for a prolonged period, typically defined as lasting for more than three months. Unlike acute back pain, which is often related to a specific incident, chronic back pain can develop over time and is sometimes less directly associated with a single event.

What Causes Chronic Back Pain?

Chronic back pain can stem from a variety of factors. It may begin as acute pain but persist due to a failure to heal properly. In other instances, it could be linked to degenerative conditions such as arthritis, disc disease, or ongoing stress to the back muscles due to posture or occupational activities.

Symptoms and Sensations

The symptoms of chronic back pain can range from a continuous, dull ache to persistent, sharp pain. The discomfort may be intermittent or constant and could potentially disrupt sleep and daily activities. Chronic back pain may also lead to a reduction in flexibility and strength, affecting one’s ability to perform routine tasks.

Differences from Acute Back Pain

The distinction between chronic and acute back pain lies not only in the duration but also in the nature of the pain. Chronic back pain may not always have a clear cause and can be more challenging to treat. It is often accompanied by psychological factors such as depression or anxiety, which can exacerbate the pain experience.

Risk Factors

Several risk factors increase the likelihood of developing chronic back pain, including aging, lack of regular exercise, prior injury, poor posture, and underlying medical conditions. Stress and smoking are also contributing factors that can affect back health.

For a deeper insight into chronic back pain, including potential treatment options and coping strategies, check out our detailed leaflet on chronic back pain by clicking HERE.

Sciatica

Sciatica is a term that describes pain radiating along the path of the sciatic nerve, which branches from your lower back through your hips and buttocks and down each leg. Typically, sciatica affects only one side of your body and can arise when the sciatic nerve is irritated or compressed.

Underlying Causes of Sciatica

The most common cause of sciatica is a herniated disk, bone spur on the spine, or narrowing of the spine (spinal stenosis) that compresses part of the nerve. This compression causes inflammation, pain, and often some numbness in the affected leg.

Symptoms of Sciatica

Pain that originates in the spine and radiates down the back of the leg is the hallmark of sciatica. You might feel discomfort almost anywhere along the nerve pathway, but it’s especially likely to follow a path from your low back to your buttock and the back of your thigh and calf. The pain can vary widely, from a mild ache to a sharp, burning sensation or excruciating discomfort. Sometimes it can feel like a jolt or electric shock and can be worsened by prolonged sitting or sudden movements.

Distinguishing Sciatica from Other Back Pain

Sciatica is distinct from other types of back pain in that the pain originates in the spine but then extends down the back of the leg. Another characteristic feature of sciatica is that the pain is usually unilateral, affecting one leg.

Risk Factors

Risk factors for sciatica include age-related changes in the spine, such as herniated disks and bone spurs, obesity, occupation that requires you to twist your back, carry heavy loads, or drive a motor vehicle for long periods, prolonged sitting, and diabetes.

To understand more about the causes of sciatica, its symptoms, and how it is diagnosed and treated, you can check out our two leaflets by clicking on the links Low Back Pain and Sciatica and Sciatica: Causes and Treatments.

Seeking Treatment

When back pain disrupts your daily life, seeking professional advice is essential. The type of specialist you choose – whether a physiotherapist, osteopath, chiropractor, or another medical professional – will depend on the nature and severity of your pain, as well as your personal preference and the treatment philosophies that align with your own beliefs about health and wellbeing.

When to See a Specialist

You should consider scheduling an appointment if your back pain is severe and not improving with self-care, if it persists for more than a few weeks, or if it prevents you from engaging in normal activities. Additionally, if your back pain is accompanied by other symptoms like fever, weight loss, or significant leg weakness, it’s crucial to seek professional help immediately.

Importance of an Accurate Diagnosis

An accurate diagnosis is the foundation of effective treatment. It can help in identifying the underlying cause of the pain and ruling out more serious conditions. A healthcare professional will perform a physical exam and may request imaging tests, like an MRI or CT scan, to get a detailed view of the internal structures of your back.

Self-Care Strategies

While waiting for your appointment, there are self-care strategies you can employ to help manage your pain. These may include applying heat or cold to the affected area, engaging in light activities that don’t strain your back, and over-the-counter pain relief if necessary. Avoid activities that worsen your pain, and focus on gentle movements that keep you mobile without increasing discomfort.

Conclusion

In this post we’ve examined the distinct characteristics of acute, chronic, and sciatica-related back pain. Understanding these differences is important, as it informs the approach to managing and treating your condition. Acute back pain is typically a transient condition, whereas chronic back pain often requires a more comprehensive management plan. Sciatica is unique due to its specific pain pathway and may necessitate targeted treatments.

By being informed about the symptoms and risk factors for each type of back pain, you can make educated choices about your care. Seeking a proper diagnosis and professional medical advice should be your priorities if you experience persistent or severe symptoms.

If you’re struggling with back pain and looking for personalised care and expert advice, don’t hesitate to reach out to us at Burton Physio Group. Our team of skilled professionals is dedicated to providing you with tailored treatment plans that cater to your unique needs. Contact us today to schedule a consultation and take the first step towards a pain-free life. Do you have Back Pain? Let us help you – Book Your Consultation Now by clicking HERE.

Disclaimer: This article is intended for educational purposes only and should not be taken as professional medical advice. The information provided herein is based on general medical knowledge and does not account for individual circumstances. It is crucial to consult with a qualified healthcare provider for diagnosis and treatment options tailored to your specific health condition.

Best wishes

Burton Physio Group

Neil Sullivan MSc, BSc (Hons), MCSP, MSST.

Physiotherapy, Physio, Back Pain, Sciatica, Manual Therapy, MBST, Disc pain, Slipped Disc, Prolapsed disc, Acute back pain, Chronic Back Pain, Lower back pain,

RUN: Better, Faster, Longer, Stronger

Burton Physio Group are bringing you our latest Blog post about how to stay injury as a recreational runner, RUN: Better, Faster, Longer, Stronger. Do you ever dream of being that runner where every step of every mile is 100% pain free? No aches, no twinges or niggles, no lingering soreness from yesterday’s session. Well, you’re not alone; research shows that as many as 79% of all runners get injured at least once during the year. Have a think about that number for a moment; nearly 8 out of every 10 runners you see at your next race or event have been or will be injured at some point that year. If you need are suffering with an injury, then take a look at how we can help here https://burtonphysiogroup.com/what-we-treat/

Think of running pains in terms of a spectrum. At one end you have the most severe, full-blown injuries, we’ll name that the red zone. This will include stress fractures that require down time to rest. The other end of the spectrum, where you’re in top form, is the green zone. Mild, transient aches that bug you one day and disappear the next sit closer to the green end. Unfortunately though, many runners will get stuck in the middle of the spectrum. Not-quite-injured but not-quite-healthy either. This is the yellow zone. Your ability to stay in the green zone depends largely on how you react to that first stab of pain. Often a little rest now, or reduction in training mileage and intensity, with some treatment, can prevent a lot of time off later down the line. Developing a proactive long-term injury-prevention strategy, such as strength training, stretching, regular massage and foam-rolling can really help to keep you in the ‘green.’ Physiotherapy is a lot like homework, not all of us like having to do it, but if you don’t do it, you’re bound to get into trouble at some stage! You can find more information and exercise leaflets for injury prevention at the link below in the text.

So, What Causes Running Injuries?

There are a lot of theories as to what causes running injury but it seems the answer is fairly obvious: running! Research has stated that “running practice is a necessary cause for RRI (Running Related Injury) and, in fact, the only necessary cause.” With running being the key risk factor for running injuries what other factors influence risk? Historically a lot of emphasis was placed on intrinsic factors like leg length discrepancy, pronation (flat foot), high arches, genu valgus/varum (knock knee or bow legged) and extrinsic factors like ‘special’ running shoes being stability shoes or anti-pronation shoes, lack of stretching. However, recent studies have shown that there is no one specific risk factor that has a direct cause-effect relationship with injury rate or injury prevention. Whilst a thorough warm up, wearing compression garments, acupuncture and massage have some evidence in reducing injury rates it is all a little grey. Leaving you with a multifactorial buffet of probable contributing causes to running injuries.

There is however one specific factor that has been proven, and that is training error. Estimates suggest that anywhere from 60 to as much as 80% of running injuries are due to training errors. Runners become injured when they exceed their tissues capacity to tolerate load. A combination of overloading with inadequate recovery time. Poorly perfused tissues, such as ligaments, tendons and cartilage, are particularly at risk because they adapt more slowly than muscles to increased mechanical load.

Factors that affect how much training load a runner can tolerate before injury will also have a role. There are 2 key factors that appear to play a part in this – Body Mass Index (BMI > 25) and history of previous injury, especially in the last 12 months. While high BMI and previous injury may reduce the amount of running your body can manage, strength and conditioning is likely to increase it. There is a growing body of evidence supporting the use of strength training to reduce injury risk and improve performance. Training error and injury risk share a complex relationship – it may not be that total running mileage on its own is key but how quickly this increases, hill and speed training. The old saying of “too much, too soon” is probably quite accurate. Injury prevention is really a ‘mirror image’ of the causes of an injury. So, if you understand the primary reasons for getting injured then you are heading in the right direction to staying healthy this running season. You can find out more on injury prevention, with recommended exercise leaflets, at the following link.

We have produced a series of prevention and treatment guides for the 6 most common running injuries which you can download here https://cokinetic-production.s3.eu-west-2.amazonaws.com/uploads/2019/01/14/48b22bef40b3e857df0cc11016338dabe8fbda4d.pdf

What are The Most Common Injuries to be Aware of?

Body tissues such as muscles and tendons are continuously stressed and repaired on a daily basis, as a result of both ‘normal’ functional activities and sport. An overuse injury often occurs when a specific tissue fails to repair in the time available, begins to breakdown initially at microscopic level and then over time develops into a true injury. So, the first time you feel a soreness, a stiffness or a pain is not necessarily when it all began.

The most common injury is ‘runners knee’ or patellofemoral pain syndrome and accounts for over 40% of running injuries. This is followed closely by plantar fasciitis, achilles tendinopathy and then ITB (iliotibial band syndrome), shin splints and hamstring strain. These injuries generally need complete rest or at least a reduction in training volume and intensity. Followed by physical therapy to promote tissue healing and mobility. Although these are overuse injuries there is frequently an underlying muscle weakness and/or flexibility issue that needs to be addressed with specific rehabilitation exercises. Follow this link to find more specific information about each of the most common running injuries with specific rehabilitation leaflets for you to use.

You can find our prevention and treatment guides for the following running injuries at this link: https://app.co-kinetic.com/success-page/dont-run-into-trouble-a-content-marketing-campaign-for-therapists?userId=9929

1. Medial tibial stress syndrome (shin splints)
2. Patellofemoral pain (runner’s knee)
3. Achilles tendinopathy
4. Plantar fasciitis
5. Hamstring strains
6. Iliotibial band syndrome

While guidance can be given, it is general in its nature, whereas individual complaints may need individual attention. If you do pick up an injury (including ‘tightness’ ‘irritation’ or ‘niggle’) that you’re worried about then we can help, the sooner it’s treated the better. So, don’t delay in getting in touch!

https://burtonphysiogroup.com/what-we-treat/

Introduction

As a physical therapist, most of the time the patients I meet are people wanting to sort out a specific physical issue, whether it’s an ache, pain, or an injury. But what might surprise many is how closely our physical health ties into our mental well-being. Let’s explore not just the physical recovery you can expect from therapy but also the positive shifts in your state of mind.

1. The Science Behind the Connection

• How Your Body Reacts: We’ve all been there. When you’re in pain or nursing an injury, it’s not just the physical discomfort; your emotions feel the brunt of it too. Feelings of frustration, sadness or worry are natural responses to such physical setbacks. It’s a clear sign of how our physical state has a direct impact on our mental frame of mind.
• Endorphins – Your Body’s Natural Mood Lifters: In our therapy sessions, many of the treatments and exercises we’ll go through encourage your brain to release something that can feel quite magical: endorphins. These are not just about easing pain. They’re nature’s way of lifting your mood, helping to fend off feelings of anxiety or gloom.

2. Beyond Just Physical Healing

As physical therapists, our primary objective, of course, is to help you regain your physical prowess. However, it’s an added bonus for us to see the marked improvement in a patient’s outlook on life and their general mental disposition as they progress through therapy.

• Regaining Control: One of the first psychological benefits you’ll notice is the sensation of regaining control over your body and life. As you work through each session and begin to see progress, there’s an undeniable sense of empowerment. You’re not just improving physically; you’re also reclaiming your life, bit by bit.
• Social Interaction: Our sessions aren’t just about the exercises. They’re also a moment for human connection, especially for those who may feel isolated due to their physical conditions. Talking, laughing, sharing – these simple acts during therapy sessions can significantly boost one’s mental health.

3. Exercises to Harness Both Mental and Physical Benefits

While I would always advise you to consult personally before trying out any exercise, there are some general exercises that not only benefit the body but also help alleviate stress and anxiety:

• Deep Breathing Techniques: While simple, deep breathing exercises can do wonders in calming the mind and relaxing the body. It enhances oxygen distribution, which can aid in physical recovery and mental relaxation.
• Guided Imagery: This technique involves focusing on pleasant images to replace negative or stressful feelings. It can be a significant complement to physical exercises, especially if you’re feeling particularly anxious or down.
• Stretching Routines: Regular, gentle stretching doesn’t just aid in flexibility; it can also be a form of relaxation for the mind. Think of it as a moment of zen, a time to connect with yourself.

4. The Influence of a Positive Mindset on Recovery

Every physical therapist knows that recovery isn’t just about the exercises or treatments we prescribe. It’s also significantly influenced by the mindset you, as the patient, bring to the table.

• Placebo Effect in Physical Therapy: You might have heard of the placebo effect in medicine, where patients experience genuine relief from symptoms even when they’ve only taken a sugar pill. In physical therapy, a positive mindset can similarly lead to enhanced outcomes. Simply believing in the efficacy of the treatment can sometimes accelerate recovery.
• Role of Stress in Recovery: Chronic stress has tangible physical repercussions – from tension headaches to muscle aches. By actively working on stress reduction techniques in tandem with physical therapy, you can enhance the speed and effectiveness of your recovery.
• Emotional Resilience: Therapy can be tough. There will be days of frustration and maybe even pain. But adopting a positive, can-do attitude, coupled with the understanding that healing is a journey, can pave the way for smoother rehabilitation.

5. The Bigger Picture: Holistic Health

Your physical condition doesn’t exist in a vacuum; it’s intrinsically linked to your mental and emotional state. As physical therapists, we always aim to approach your treatment holistically.

• Nutrition and Mental Health: What you eat can directly impact your mental well-being. Consuming a balanced diet rich in essential nutrients not only aids in physical recovery but can also stave off feelings of lethargy or depression.
• Sleep’s Role: Rest isn’t just about letting muscles heal; it’s also about mental rejuvenation. Ensuring you’re getting adequate sleep is crucial for both physical recovery and maintaining a positive, clear-headed mindset.
• Stay Connected: Isolation, especially when recovering from significant injuries, can be detrimental. By staying connected with loved ones, friends, or support groups, you can foster a sense of belonging and positivity that can aid in your recovery journey.

In Conclusion

Physical therapy isn’t just a science; it’s an art that combines the physical with the psychological. When you align your mind and body in the journey towards recovery, you’re not only expediting the process but also enriching the quality of your life.

We also understand that each individual’s journey is unique. Localised support (Burton upon Trent, Derby or Shirley), tailored to the needs and contexts of our community, makes all the difference.

Remember, our door is always open. If you’re ever feeling uncertain, overwhelmed, or simply need advice on your rehabilitation journey, don’t hesitate to get in touch. We’re here to guide, support, and cheer you on every step of the way.