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Carmichael Clinic Web Log

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Acupuncture Awareness Week 2 March 2015


Joanne Middleton qualified as an acupuncturist in 1994 and treats a wide range of problems using acupuncture, including back pain, insomnia, headaches and to help people needing an energy boost. In particular, she has completed several post graduate courses in the use of acupuncture for fertility.

Rachel and Rebecca have both trained in acupuncture to use in the management of musculoskeletal problems and pain management.

Phone to book an initial consultation for acupuncture during acupuncture awareness week, you will receive a special discount of 20% on your first appointment.

See British Acupuncture Council website for more information.

http://www.introducingacupuncture.co.uk



Runners Injuries


Having worked with some runners to treat their injuries and the fact that I had Achilles tendinopathy last year (from running !) I decided to further my knowledge on treating running injuries

This included videoing and analyzing runners gait to see if there are any changes that would be required to alter any runners symptoms . Not all runners need to alter this as most experts believe there is no ideal running style - in fact there is always lots of debate over what is best and most efficient . The gait analysis is looked at along with understanding what pain and symptoms the patient is complaining of.

Along with a physical assessment of the problem area including strength , control and flexibility it is also important to understand the training that runners are doing - my Achilles tendinopathy was caused simply by me increasing my running distance and pace too quickly and together ! This simply overloaded my Achilles and caused pain!

Runners common complaints are gluteus med tendinopathy, (pain in the buttock), patellofemoral pain syndrome (runners knee) calf pain and achilles tendinopathy.

So if you are runner - on any level from plodder to sprinter and are continuing with pain or discomfort then now should be the time to look at resolving these issues.
Rachel Wylie


Rebecca Jackson Becomes A Partner


We are delighted to welcome Rebecca Jackson to the Partnership at Carmichael Clinic, as Gail Crawford reduces her hours leading up to retirement. Rebecca has worked as an associate with us for some years and is well know locally, she brings a wealth of experience working within the NHS and private sectors

Rebecca currently works as a lower limb extended scope practitioner as Wythenshawe Hospital, she works alongside two lower limb surgeons meaning she has specialist knowledge in the assessment and treatment of all knee and hip conditions. She practices in acupuncture, has a post graduate diploma in orthopaedic medicine and has recently completed a masters module in joint injections. Rebecca has 11 years experience in treating all musculoskeletel conditions.



Receptionist/Admin Assistant Part Time

Professional Person to undertake reception duties, general admin, good telephone manner.
Computer literate essential

CV & further information Joanne Middleton Carmichael Clinic of Physiotherapy & Acupuncture

email: info@carmichael-physio.co.uk Tel: 01565 750035



Back Pain- March 2014

Top tips from The Chartered Society of Physiotherapy (CSP) for back pain.

Back pain is very common and can vary from a slight twinge to severe pain at times. Most people recover quickly from their back pain, if it is managed properly.

Top tips for back pain

* Exercise and activity are the most important ways of helping yourself if you have back pain

* Keep moving and continue with activities such as walking or swimming

* Paracetamol or similar pain-killers, taken as advised by your GP or physio, can help you keep moving comfortably

* Avoid sitting for too long when driving or at work

* Gently stretch to prevent stiffness

* Take care when lifting, bending your hips and knees to use the power in your legs

* Check your posture when using computers/games or watching television

* Check the mattress on your bed to ensure it supports you properly

* Don't smoke - it impairs your circulation, which affects how quickly your body can recover

* Strengthen your trunk muscles as this may help to protect your back"

* Make sure your car seat and office chair are adjusted correctly and support your back

* Eat a healthy diet and exercise, as being overweight can be a cause of back pain

Click here to view the full CSP article


Acupuncture Awareness Week- 25th February 2013


20% special discount on initial appointments booked during acupuncture awareness week.

Today marks the start of the second annual acupuncture awareness week which runs from Mon 25th February. If you have ever thought you might like to try acupuncture but haven't felt brave enough, then now is a good time to start. Joanne qualified as an acupuncturist in 1994 and treats a wide range of problems using acupuncture, including back pain, insomnia, headaches and to help people needing an energy boost. In particular, she has completed several post graduate courses in the use of acupuncture for fertility.

Rachel and Rebecca have both trained in acupuncture to use in the management of musculoskeletal problems and pain management.

If you are unsure whether acupuncture may be helpful to you, why not call us for a chat.

If you phone to book an initial consultation for acupuncture during acupuncture awareness week, you will receive a special discount of 20% on your first appointment.

Take a look at the British Acupuncture Council website for more information.

http://www.introducingacupuncture.co.uk/



The Sporting Hip & Groin, February 2013


Our physiotherapists have attended another Continuing Professional Developent event, discussing 'The Sporting Hip & Groin'.

The three main principles were the assessment, special tests and rehabilitation of sporting injuries in the hip, groin and abdomen. This can be from simple runners to high end Olympic style athletes.


Now we can't all be classed as athletes but we try our bit to feel like one by going to the gym or going for a cycle round Tatton Park! This is important to improve or maintain fitness but also to get our heart strong and healthy.

However if that good work has been hampered by an injury or repetitive strain then please come down and see what we can do for you.

Katrina Humphreys



Kinesio Taping, January 2013


We have recently had a training session in Kinesio taping - that is the coloured tape that was seen on lots of different athletes at the London 2012 Olympics.


Richard Hughes and Noel Harding of K-Tape came to the Clinic and we learnt why Kinesio tape is proving effective in helping muscle healing, and helping to facilitate muscle contraction it can also be used on injury.

We had a great morning practising taping each other and have already been trying out on patients this week with success.



Competition Winner, December 2012

The Christmas Tree Festival

Congratulations to the winner of our Christmas Tree Festival Competition- Angela Smith. She correctly identified 12 bones on the skeleton and has won an Orthopaedic Pillow. Well done Angela! Thank you to everyone who participated.



We would also like to say 'Thank you' to everyone who helped organise the festival and all those who attended. It was a great success and i'm sure you will all agree that St Cross Church looked fabulous.



Pelvic Girdle Pain, December 2012

Rachel Wylie

I recently attended a course on pelvic girdle pain (PGP) run by The Pelvic Partnership. This is a group of physiotherapists who have a dedicated interest in PGP and its latest research and treatment.

The course was excellent and highlighted the need for manual therapy to the pelvis to treat this problem and that it is very treatable. Ladies who are suffering with PGP should be seen by a suitable physiotherapist.

I learnt some new techniques to help me treat anyone who is pregnant and therefore unable to lie on their tummy. I have already treated a couple of pregnant ladies using these gentle techniques with excellent results.



Knutsford Community Christmas Tree Festival, 2012


Our Physiotherpists have been busy decorating our tree for the Community Christmas Tree Festival at St Cross Church.

A great display of Christmas trees, decorated by local businesses and organisations, and a brilliant way to raise money for the Childrens Adventure Farm Trust.

Go along this weekend to have a look at our 'Jingle Bones' Tree and get in the festive spirit. Also look out for the Carmichael Clinic competition to win a neck pillow, you'll find the entry forms by our tree!

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A Lovely Testimonial, November 2012


Our blog this week is a rather lovely testimonial from one of our grateful patients- Helen from Knutsford Admin.


Perhaps biased as I did work at the Carmichael Clinic for 10 years but I am very confident to say the clinic is an exceptionally good physiotherapy practice. They haven't asked me to write this, I just wanted to, as I think they're great and deserve a shout out!

My particular moan is my neck: a consequence of a car accident in my teens, carrying babies, spending too many hours at a computer and general bad posture!

I visit now about once every six months, each time they'll run an assessment over the range of my neck mobility and then treat the relevant area causing the problems, I always feel the benefit the next day. They'll gently remind me too about how best to look after my neck, be that simply using heat, a new exercise, or above all posture tips!

At the end of the day it is our responsibility to look after our own bodies however all the physios at the clinic are excellent and offer an abundance of good quality advice to help patients cope or manage their own particular niggles.

An excellent practice where every member of staff truly cares about their patients.


Thank you Helen.




The Benefits Of Acupuncture, November 2012


It was great to see Manchester based Christies Hospital in the news recently.

Research carried out at the hospital by Professor Molassiotis from the University of Manchester concluded that acupuncture can alleviate physical and mental fatigue on patients who have suffered from extreme tiredness following breast cancer.

The purpose of the study was to assess the effectiveness of acupuncture for cancer related fatigue (CRF) in patients with breast cancer.

The research concluded that acupuncture is an effective intervention for managing the symptom of CRF and improving patients' quality of life.

Read the article here.




More on Backcare Awareness!


Acupuncture is one of the treatments recommended by NICE (the Government's Health Advisory body) for the management of low back pain

- we often combine physiotherapy, acupuncture and Pilates within treatment sessions for better all round management of the problem.



Its Backcare Awareness Week


One tip to reduce low back pain whilst driving is to have a move and wiggle in your seat at every traffic light or junction or motorway junction.

Ensure you are then sitting with your bottom back into the seat and sitting up tall.

This will help to prevent your lower back from stiffening and help maintain good posture.



Backcare Awareness Week: 8th- 12th October 2012

Pilates can help with back pain management and improve your posture and flexibility.

Try these initial exercises- Rest position & Shoulder Bridge.These are very gentle exercises aimed at developing your core strength, which is important for preventing back pain. They shouldn't be uncomfortable to do, if you are concerned or have any problems feel free to contact us.

The Pilates Rest Position

In the rest position your muscles are relaxed and your joints are in neutral alignment. You should try to incorporate the key points of the rest position into all postures throughout your day.
- Lie on your back with your knees bent up and you head supported on a small cushion or folded towel
- Relax the weight of your head into the support
- Lengthen the back of the neck by reaching the crown of the head towards the wall behind you
- Gently draw your shoulder blades down towards your waist to relax the neck and shoulders
- Soften the ribcage into the mat to connect the back of the ribcage on the mat
- Place your feet and knees hip distance apart
- Make sure that your weight rests on the six key points of the feet: the base of each big toes, each little toe and the centre of the heel on each foot
- Imagine your pelvis is a bucket of water. Tip it backwards to spill some water out the back of the bucket and you will feel your back gently flatten onto the mat. Now tip it forwards to spill some water out of the front of the bucket and you will feel your lower back arch slightly. Find your 'neutral spine' position by resting the bucket halfway between these two movements. There should be a small space between your back and the mat, and your pubic and hip bones should form a small flat triangle
- Maintaining the neutral spine position, INHALE wide into the sides and back of the ribcage and then EXHALE. At the end of your exhale, slowly draw up through the pelvic floor muscles to engage these and your deep abdominal muscles. Hold this gently contraction and keep breathing for up to ten breaths.

Shoulder Bridge
Starting position: Rest position. Centre engaged.
Level 1
- INHALE to prepare
- EXHALE, gently roll your lower back into mat, scoop your tailbone upwards and continue to peel your spine off the mat, bone by bone until you are resting on your shoulder blades
- INHALE and hold the shoulder bridge position
- EXHALE, lower the shoulder bridge by lowering one bone at a time to the mat, beginning with the highest vertebrae of your bridge and finishing with your tailbone to return to neutral position
- Reps: 10
Level 2
- INHALE to prepare
- EXHALE and roll into the shoulder bridge position
- INHALE and hold the shoulder bridge position
- EXHALE, lift and then lengthen your left leg forwards, reaching for the wall in front of you
- INHALE and fold this leg back to the mat to resume the shoulder bridge position
- EXHALE and lower the shoulder bridge
- Repeat alternating legs and allowing your spine to return to the mat in between shoulder bridges
- Reps: 10

These exercises should be very comfortable to do and are just a sample of a whole range of core strength exercises that we use within out treatments. If you would like to know more, please get in touch.



Acupuncture, June 2012

House of Commons talk highlights the important work of AACP members
Acupuncture as a cost effective treatment for musculoskeletal disorders was highlighted at a recent meeting held in the House of Commons, in a presentation by professional network the Acupuncture Association of Chartered Physiotherapists (AACP).

The Chair of the AACP, gave a presentation to the Parliamentary Group for Integrated Healthcare on the evidence-based practices used by AACP members, clearly demonstrating that the early intervention of acupuncture treatment and physiotherapy can significantly reduce the overall cost to society, of managing musculoskeletal conditions.

The AACP is the UK's largest professional acupuncture association. A principle objective of the AACP is to enhance the integration of acupuncture into mainstream physiotherapy for the management of pain and systemic conditions. The AACP has more than 6,500 member physiotherapists using acupuncture. Here at the Carmichael Clinic, Rachel and Rebecca are both members of the AACP and Joanne is an Advanced Member of the AACP as well as a member of the British Acupuncture Council.

Please see AACP website www.aacp.uk.com for more information.


Learning to Blog, May 2012

Mike has been teaching us how to blog, bear with us whilst we practice!

Some interesting articles and updates will be coming soon!

You can also follow us on Facebook and Twitter to keep up to date with the latest developments at the Carmichael Clinic.

We hope you love our new site as much as we do….let us know what you think.


Our first Blog entry, April 2012

Welcome to our brand new website. We're really pleased with it's new modern look and hope you like it too. It has been designed by Knutsford based website expert, Mike Dytham. We are very grateful to him for all his help with this.

We have updated the site and added some new pages, giving you more information about the services we provide, advice sheets and links for our latest newsletter. The inclusion of this blog page will allow us to keep you up to date with our news.

You can also follow us on Facebook and Twitter to keep up to date with the latest developments at the Carmichael Clinic.

We hope you love our new site as much as we do….let us know what you think.


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info@carmichael-physio.co.uk

01565 750035