Our Services

92. CNHC Quality_Mark_web version

As Amanda is CNHC registered, GPs can refer patients to her for help whilst waiting for a conventional treatment, where conventional medicine has little to offer, or to compliment conventional medicine.  However, most clients book treatments without a GP referral.

A therapy session can include one or many of the individual therapies outlined below.  If you like, you can just book a session and we will suggest a treatment plan to suit you.  However, we have included some information on the different types of therapy that might be included, in case you have specific requirements, or would like to know more about the individual therapies.

The summaries below are designed to give you some insight into current thinking as to how the body works and how treatments may help.

Myofascial release therapy

This is a fairly slow technique, which should not be painful and generally triggers lasting improvement in the body.  In may be helpful in alleviating pain and addressing postural issues, which are often the cause of pain.  It may also improve strength, speed, and/or flexibility.

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Myofascial release can either be included in a more general therapy session, or can be the sole, or main, focus of a session.Fascia surrounds the organs and muscles and forms a network throughout the body.  Healthy fascia helps the muscles to work quickly and effectively. However, the fascia can become thickened and sticky.  Such thickening is associated with pain, reduced flexibility, and a loss of strength, as well as a variety of other symptoms, which are sometimes put down to ‘getting old’ but are sometimes confused with serious conditions.

Changes in the fascia may take place following an operation or injury, may be caused by spending a lot of time in a fixed position, or may even be a result of dehydration.

As this is a slow therapy, treatment sessions can be quite long.  However, it is possible to address problems in one area of the body in a single, short session.

Although myofascial release is not generally painful, it can leave you feeling quite unwell and it is important that you arrive for a session well hydrated and keep up your water intake afterwards.

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Trigger point therapy

This therapy can give seemingly miraculous improvements in painful conditions, such as plantar fasciitis, tennis elbow, and golfers elbow. It can also address tinnitus and migraines, as well as pain generally.

Sessions are typically quite short and are typically painful.  The therapy can be adjusted based on your ability to tolerate pain, with a knock-on effect on the number of treatments required.

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Active trigger points can lead to injuries close to the trigger point, or even to injuries in a totally different part of the body. The length of treatment required will depend on the number of trigger points involved and the extent of detective work required. However, treatments can be quite short.Trigger point therapy can be undertaken as a single therapy but a more effective treatment is generally achieved by combining it with myofascial release and general sports massage.  Trigger point therapy involves finding the source of pain, which is often remote from where the pain is felt, then applying an appropriate amount of pressure, following the trigger point as it unwinds.

Posture analysis and correction

Static posture analysis considers how the body is aligned when standing or, perhaps, sitting.  Static posture analysis should be undertaken before commencing a new treatment. This need not take long but gives valuable insight, particularly where an injury is not associated with a direct trauma.

Dynamic posture analysis, or gait analysis, looks at the body in motion.  This is relevant where a recurring pain or injury is associated with a particular activity, where someone is failing to make improvements despite appropriate training, or where therapy is failing to achieve long-lasting results.

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Static posture analysis involves observing the client standing and, perhaps, sitting, whilst dressed only in shorts (and a bra for women). Most of the observation is done from behind and from the sides.Dynamic posture analysis is normally done with the client wearing a shirt and shorts and involves filming the client walking, running, or performing a particular movement, so that slow motion replays and freeze frame can be used to assist analysis.  Dynamic posture analysis is mainly used by the therapist to identify areas of focus for the treatment but can also result in recommendations regarding changes to footwear, clothing, etc, or regarding exercises to stretch and/or strengthen parts of the body.  Where necessary, clients may be referred for more extensive dynamic posture analysis.
Posture correction can be achieved using a variety of manual therapies, perhaps the most effective being those which activate muscles, release myofascia, and mobilise soft tissues.

Sports and remedial massage

Sports and remedial massage can encompass a variety of types of massage, depending on the requirements of the client. For example:

• A vigorous, pre-event, massage to help prepare the mind and body for a competition, or for a demanding work-out
• A slow, post-event, massage, which might start with quite light strokes, to help the body recover after strenuous exercise
• A maintenance massage to maintain the soft tissues of the body in good condition
• A remedial massage to maintain the condition of uninjured tissues but also promote healing and address body imbalances, potentially including some trigger point therapy and myofascial release.

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With the exception of pre-event massages, sports massages can be relaxing, although may include some phases of painful treatments, if issues requiring particular attention are uncovered.  Most people call this ‘good pain’ and there are usually techniques available to moderate the pain.  Indeed, we encourage clients to let us know as pain builds up,  so that the most appropriate technique can be applied.Pre-event massages are short. The duration of other sports and remedial massage treatments will depend on the needs of the client. The precise therapies included are also adjusted to suit each client.

Alleviation of migraine and joint pain

Manual and electrotherapy can be helpful in relieving pain and in reducing the risk of it recurring.

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Most migraines are caused by muscle tension in the shoulders and neck. If helpful, treatment for a current migraine can be provided with the client seated, or reclining. Sessions can also be conducted when the client does not have a migraine, to reduce the risk of them recurring. The manual therapies to address migraines do involve some pain but most people describe it as a ‘good pain’.  Such therapy can be combined with electrotherapy, which is not painful, and tends to reduce the pain felt during the manual therapy.
Joint pain can be due to damage within the joint, when the client would be referred back to their GP. However, even where a referral is appropriate, therapy can assist in pain reduction in the joint and can reduce the risk of damage to other parts of the body that are having to compensate for the damaged joint. Where a referral is not required, therapy can be sufficient.
Manual therapies can be very effective but electrotherapy might also be appropriate, either as a separate treatment or as part of a combined therapy session.

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Therapeutic massage

A therapeutic, or holistic, massage will encompass a variety of types of massage, depending on the requirements of the client.  The main aims of such massages are to promote relaxation, whilst addressing any minor issues, noting more significant issues, perhaps for treatment at another time.

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A therapeutic massage could include:
• A slow, full body massage to help the client relax
• A maintenance massage to maintain the soft tissues of the body in good condition
• A remedial massage to maintain the condition of uninjured tissues but also promote healing and address body imbalances, potentially including some trigger point therapy and myofascial release.
The duration of a therapeutic massage treatments will depend on the needs of the client. The precise therapies included are also adjusted to suit each client.

Stress buster massage

Stress causes poor digestion, leading to a build-up of toxins in the body. These toxins lead to problems with the performance of the brain and the body. Stress also causes an unhelpful increase in muscle tension, which can cause pain and a deterioration of posture. Furthermore, the circumstances leading to stress will often also involve a risk of dehydration and repetitive movements, associated with over-use injuries.

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Depending on the needs of the client, the stress buster massage will include massage to assist relaxation, to help the body eliminate toxins, to reduce muscle tension, and improve posture. In some cases, it might be appropriate to combine a stress buster massage with electrotherapy, to reduce anxiety and help with sleeping.

Electrotherapy

We offer microcurrent electrotherapy to assist in addressing pain and to assist clients struggling with anxiety (including event anxiety), depression, or insomnia.  This painless treatment can be included in a treatment session, or we have a few options for self-use.

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Microcurrent electrotherapy uses the electrical frequencies occurring naturally within the body to re-start natural impulses that have switched off, allowing the body to return to balance.Electrotherapy can be used in combination with manual therapy for pain reduction, combining the benefits of both modalities.  This may increase the level of pain reduction achieved and/or reduce the pain experienced during the treatment.  It can be helpful in reducing delayed onset muscle soreness (DOMS) following intense exercise and in reducing general pain, such as that associated with a variety of health conditions.

Electrotherapy can also be delivered as a treatment session in its own right, or we have small devices available for sale that can be used for home treatment of localised pain.

Part of an electrotherapy pain treatment involves a relaxation phase, which reinforces the effects of the pain relief phase.  This relaxation phase also has benefits in terms of reducing anxiety and depression, or helping with insomnia.  Indeed, the relaxation phase can be delivered as a standalone treatment to assist with such issues, although on-going daily treatment for up to three weeks may be necessary.  We recommend an initial electrotherapy treatment to familiarise you with the equipment and the process.  However, we have equipment available for hire where on-going daily treatments are appropriate.

Rehabilitation through exercise

Generally, some exercises will be suggested at the end of a therapy session, to compliment the treatment and to encourage the body to continue re-balancing itself after the treatment.   However, this can form a greater part of a therapy session, if appropriate.

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Rehabilitation through exercise involves coaching on exercises to increase the effectiveness of manual therapy, promote recovery, and/or to counteract muscle imbalances, which may have been caused by normal daily activities, participation in sport, or other leisure or work activities, including music.Depending on the needs and preferences of the client, exercise coaching can take place in the therapy room or in the gym (at Silvermere Strength & Fitness). The aim will be to agree a programme of exercise that the client is confident that they can stick to, perhaps with the exercises becoming more demanding as the rehabilitation progresses until the client is confident to return to their normal exercise regime, or onto PT sessions.

Sports taping and strapping

We offer taping and strapping as a service, both to potentially assist recovery and to protect injured areas during exercise.

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There is plenty of anecdotal evidence that kinesiology taping helps recovery, although the scientific support for this is so far limited, as are the scientific explanations. However, it does appear that kinesiology taping can be used to counteract inflammation and to promote effective circulation through an injured part of the body. It may also promote correct movement and/or provide a degree of support without compromising range of movement.Strapping provides a greater degree of support but does compromise range of movement. Depending upon the level of support required, strapping may allow some degree of movement, or may be designed to keep movement at a particular joint to a minimum.  It can be helpful in giving some degree of support to an injury where the client is unwilling to rest the area. However, it is not a long term solution and may slow down recovery.

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