Monthly Archives: November 2011

Follow up on right leg pain – focus on core stability

Following on from previous post on Nov 14th “Seeing John from AAA physio at Moti in Bristol for right leg pain.”

In my second session with John we looked at my core stability and the way I sit. We went through the posture I should observe when sitting: Making sure the abdominal muscles are active proving a core to build on, that I’m sitting on my “sitting bones” and that head is slightly back (evenly supported on my neck muscles) giving me an open chest and room to breath. We discussed chairs and where one’s back should be supported. In this exercise it was found that the top of my back, shoulders, and neck were very tight – likely to be caused by poor stability in the core area forcing my upper body muscles to overcompensate. After some stretching my neck and shoulders feel great and I was able to sit as directed a lot more comfortably. My desk, monitor, and seating positioning at work was also discussed and ways to improve it.

In the session we went thorough the way the body should move between sitting and lying down. Going from an upright seated position the naval should sink into the spine releasing the body down in a controlled manner – all the movement should come from the core. I’m guilty of using momentum from other body parts to move me from lying down to sitting and from sitting to standing. We then went in the pilates exercise “rolling like a ball” where my core stability could clearly do with some work.

John lent me a book on pilates – Brook Siler “the Pilates Body” which I’ve used and found very helpful. Since this session I’ve run a few times concentrating on my posture – not only in the stomach area but keeping my shoulders back and chest open. So far, it’s been fine – no pain in the knee area.

Neural flossing for Heel Pain with Sports Physio John Stephenson

Plantar fasciitis – right-wing vegetable, or heel condition that’s preventing me from running?

The latter, definitely the latter.

But Physio John is on the case and I’ve had my first two sessions of physio to get me up and running again. At the first introductory session I was introduced to exercises which John referred to as ‘neural flossing’ – lying on my back with left knee (the side affected) bent, raised and held across my body and then extended with three different foot positions to ’floss’ the neural connections between foot, calves, thighs and back. These connections are clearly not working as they should as John demonstrated to me with tests that showed my left leg and foot lacking the strength of the right.

How to do Lower Limb Neural Flossing - Click for Video
How to do Lower Limb Neural Flossing - Click for Video

He also suggested my sitting position at work – usually a little hunched – wasn’t helping, and so I’ve been working on that, clearing the clutter on my desk that gets in the way of a more healthy posture and trying to get rid of the mental clutter that doesn’t help either…

I had my second session on Friday, reporting that in spite of flossing neutrally for the last week that things hadn’t really improved, or perhaps only marginally. John said not to worry, that these things take time… We also looked in more detail at my sitting posture and even as I write his words are ringing in my ears and my lower back gently pushed forward and my shoulders square.

I had my second session on Friday. This time I took away with me an exercise that had me slowly arching my back while lying flat, working along the spine like wallpaper being plastered, as well as a much better sense that the problem in my left heel is a problem not just of the foot but of my whole body. This holistic, interconnected approach makes sense to me, but like a lot of people I need reminding of it from time to time. And so I’ve already been looking into yoga classes and thinking of other ways I can improve my general health and wellbeing…

The best news though was that twenty-four hours later and after a day full of walking in shoes probably not ideal for a heel condition, I’ve noticed a definite improvement. It’s redoubled my determination to do my homework and improve my posture.

It’s not running, but it’s definitely a step in the right direction…

Seeing Physio about my knee – No1.

After my 4th half marathon in September, I started getting lateral pain in my left knee. A few weeks of cutting down the miles went some way to stopping the pain but with the London Marathon looming over my head I figured it was about time I saw someone.

I popped into Moti on Whiteladies in Bristol and had a 15 minute consultation with John. Within minutes he could tell I had been suffering from back pain recently and did a number of tests to get a good impression of what was wrong.

I’ll soon be going back to see John to get an idea of the steps I need to take to improve my posture and hopefully eradicate the knee pain… I think it’s going to be a lot to do with my posture!

Dancing Fit – 1

I’ve been a client of John’s for some years now.  I first went to see John back when he was based at Bristol University’s gym, through a friend’s recommendation (my dance partner in fact!).  I went to see him as I was getting knee pain from training for the half marathon (turned out it was related to my back!).  After that I kept going back to improve my technique for running, but also to help with my dancing.  I was really happy with how it was going and was learning a lot, so I was really gutted when I found out John was no longer working at the University gym

Luckily I tracked him down again (again, through my dance partner).  Just in time too as I was now suffering from back problems.  By this time, I was now working and spending a lot of time sitting in front a computer.   I was also not dancing as regularly as I used to as I was no longer competing (I used to compete as an amateur latin ballroom dancer so was dancing for 2 hours at least 3 times week).   Perhaps it’s just age but I just feel stiffer than I used to be.  With John, we came up with some exercises that I could do, mainly centred around strengthening my core and articulating my spine.

So, I went to see John on Monday after a 6 month gap.  When I last saw John, it was about my neck pain which I had sustained after turning suddenly whilst having my arms stretched out front (OMG, every part of me is just falling apart since I stopped dancing!). I had been meaning to return for a general “checkup” as my neck, although much better than it was compared to when I first went to John about it, was still not 100% back to what it was.  Well another  injury sustained to my neck on Sunday finally spurred me on to make that appointment.  Luckily, I was able to book the appointment late sunday night due to the online booking system John uses.

John worked his usual magic and helped free up my neck and upper spine.  I instantly felt a difference and more free.  John also did his usual test of lifting one leg and then the other and as suspected, the left leg didn’t lift as high (my neck pain was on my left).   This was resolved immediately after treatment – I still find it amazing how instant the result is.  Now I just need to book a follow up appointment……….

Customer Feedback Survey – 2011 Nov. RESULTS (%) from Satisfaction Survey

Q2. How did you come to choose AAA-Physio for your treatment?

  1. Personal recommendation by a friend or colleague. 30%
  2. Recommended by Personal Trainers & Staff at Moti/Bannatyne’s/MyLife: 27%
  3. Internet Search: 20%
  4. Previous client of John Stephenson: 18%
  5. Advert at your Sports Club/Sports store: 5%
  • 75% of all Clients in 2011
  • Were either recommended (57%)
  • or returning clients (18%)

Q3. Did you feel the Physiotherapist fully understood
and professionally investigated your problem?
Agree or Strongly Agree: 97.5%

Q5. Were you given a good explanation of your problem?
Agree or Strongly Agree: 97.5%

Q6. Were you given a good explanation of your treatment?
Agree or Strongly Agree: 97.5%

Q7. Did you feel your treatment was effective?
Agree or Strongly Agree: 90%.

Q9. Would you recommend AAA-Physio clinics to a friend?
97.5% said YES!

Q10. Please comment here on how we compare or could improve our service to you!
See the last 40 Feedback comments from 2011

Customer Feedback Survey – 2011 Nov. Verbatim comments from Satisfaction Survey

Survey Monkey
Showing the LAST 40 responses to:

Q10. Please Comment here on how we Compare or could Improve our Service to You!

Everything seems to be fine – ease of booking, getting an appointment.
15/11/2011 19:39
No comments.
15/11/2011 9:48
Keen to hear about running lessons
14/11/2011 6:43
None! As I feel all the service and advice given was great!
17/9/2011 15:28
Fabulous effective physio – Thanks KL
2/9/2011 17:10
John was great for treatment, coaching and advice. I would have really struggled to run 26.2 miles without his help. Thanks!
18/8/2011 15:26
Can’t think of anything.
17/8/2011 10:08
Outstanding – I have used many therapists both here and in London. It’s been a great “find” to get a depth of knowledge and shared concern for a really optimal outcome right near my work in Bristol. I will certainly be recommending but maybe not quite yet to my race colleagues!
13/8/2011 3:49
Much more thorough explanation of both problems and treatment given than I have ever experienced before.
12/8/2011 16:46
Very happy just keep up the good service level – Sometimes have problems with appointments running to time.
11/8/2011 23:08
Tell patients to continue their exercises!
11/8/2011 13:31
11/8/2011 10:37
Good overall treatment and feedback, it’s really useful having appointment times outside of working hours
11/8/2011 10:07
Don’t give my running buddy too many improvement tips!
9/8/2011 14:38
John gave a really great understanding of the triggers for my issue and helped put things right in a short space of time. Thank you.
26/6/2011 11:37
I was happy with the service provided.
4/5/2011 9:19
3/5/2011 11:31
Good service but not the cheapest out there
28/4/2011 13:21
I was really pleased with my treatment and care. No improvements needed. I will definitely go back if I need to.
27/4/2011 17:26
Service is fine, booking appointments is easy.
27/4/2011 13:00
John is the best physio I have ever seen
27/4/2011 12:53
It was very good to get an appointment when I needed it. This can often be difficult.
26/4/2011 13:56
Brilliant service! Thank you. I was worried about my knee after falling off my bike and got good advice and diagnosis.
26/4/2011 13:54
Excellent – many thanks – haven’t had any problems since
26/4/2011 13:52
The service is good and I don’t have any suggestions for improvement.
13/4/2011 15:26
Nothing! – Service provided was good
31/3/2011 10:18
Very good service thanks John
30/3/2011 15:16
more to do on one’s own , written programme of follow up exercises
30/3/2011 10:12
Really happy with the treatment. i struggled to get time off work otherwise i would have had a few more follow up appointments.
29/3/2011 22:27
Unknown condition but John still took time to write a letter to my doctor recommending I get referred to a hospital. Thank you!
29/3/2011 21:13
Gave me a brand new neck/back?!?
29/3/2011 18:04
It was very good I am attending aqua fit and over 50 circuit training classes, when I get the chance and slowly improving. Many thanks.
29/3/2011 14:55
maybe a longer second consultation session – 45 mins not 30 mins.
25/3/2011 13:12
No comment
23/3/2011 9:16
22/3/2011 21:37
Unfortunately I can no-longer attend as I have moved to Manchester.
22/3/2011 11:22
13/1/2011 14:19
13/1/2011 13:26
An exceptional experience with outstanding results! Lizzie has regained almost all movement in her arm and shoulder without pain. – She would benefit from a follow-up appointment as suggested, but as her problem was worsened due to the length of time it had gone untreated – it was inevitable that she would experience some pain in undoing the problems that had developed as a result.
At the moment Lizzie can’t be persuaded to come back for a follow-up appointment as she is wary of any more pain even though it was explained to her that the worst is over! She is only 13 so is not able to see the ‘no pain no gain’ situation she was in and she feels back to normal so it’s off her radar, as it were!
Nonetheless there can be no doubt that John’s skill has enabled Lizzie to return to the very active life she led before the injury and diverted the situation from becoming intractable. Many, many thanks!
12/1/2011 22:10