Matt Cox Pain & Injury Clinic

6 week Pilates course with Matt Cox Physical Therapy, instructed by Matt Cox ( Neuromuscular Physical Therapist ) with a specific focus on injury rehabilitation and injury prevention. Starts - Mon 7/01/19 at 7pm or Tues 8/01/19 at 6pm at Shoreline Sports Park Charlesland. €60 for 6 week block. Contact Matt to book a slot, spaces are limited. Phone: 0879500262 Email : Matthewcoxnmt@gmail.com. or PM Matt Cox Physical Therapy

Matt Cox Pain & Injury Clinic

Frozen Shoulder (Adhesive Capsulitis) For Effective and affordable Frozen Shoulder treatment contact Matt Cox Physical Therapy Ph: 0879500262 Email: matthewcoxnmt@gmail.com Symptoms This condition has been described in three phases, so the symptoms will differ depending on the phase of the condition: 1. The Painful Phase Gradual onset of aching shoulder. Developing widespread pain, often worst at night and when lying on the affected side. This phase can last anywhere between 2-9 months. 2. The Stiffening Phase Stiffness starts to become a problem. Pain level usually does not alter. Difficulty with normal daily tasks such as dressing, preparing food, carrying bags, working. Muscle wastage may be evident due to lack of use. This stage can last between 4-12 months. 3. The Thawing Phase Gradual improvement in range of movement. Gradual decrease in pain, although it may re-appear as stiffness eases. This stage can last between 5-12 months. Frozen Shoulder Explained Adhesive Capsulitis is the medical term for Frozen Shoulder sometimes abbreviated to FSS (frozen shoulder syndrome). This is a condition which affects the ability to move the shoulder, and usually only occurs on one side. Sometimes the problem can spread to the other shoulder (approximately1 person in 5). The medical term literally describes what is seen in this condition adhesive meaning sticky, and capsulitis meaning inflammation of the joint capsule. It is thought that a lot of the symptoms are due to the capsule becoming inflamed and 'sticking', making the joint stiff and difficult to move. This is not the same as arthritis, and no other joints are usually affected. Who does it affect? Frozen Shoulder is extremely uncommon amongst young people, and is almost always found in the 40+ age group, usually in the 40-70 age range. Approximately 3% of the population will be affected by this, with slightly higher incidence amongst women, and five times higher prevalence in diabetics. What causes it? There are two classifications of frozen shoulder syndromes: Primary - No significant reason for pain/stiffness Secondary - As a result of an event such as trauma, surgery or illness It is not known exactly what causes this problem, however it is thought that the lining of the joint (the capsule) becomes inflamed, which causes scar tissue to form. This leaves less room for the humerus (arm bone) to move, hence restricting the movement of the joint. The increased prevalence amongst diabetics (particularly insulin-dependent diabetics) may be due to glucose molecules sticking to the collagen fibres in the joint capsule, which causes stiffness. For this reason, diabetics are more likely to have both shoulders affected. Hormonal changes may be responsible for the higher incidence amongst women, particularly due to the increased prevalence around the menopausal period. Some studies have shown that poor posture, particularly rounded shoulders, can cause shortening of one of the ligaments of the shoulder, which may also contribute to this condition. Also, prolonged immobility (such as after a fracture) may cause this condition to develop. Treatment - What can the patient do? Seek medical advice if you think you may have this condition, as early intervention can prevent severe stiffness. Follow any advice given by medical professionals, particularly if participating in a rehabilitation program. Try to keep the shoulder moving even if it is just small pendular movements. If movement is very painful this should be ONLY under the guidance. What can the doctor/therapist do? This condition is usually managed conservatively, with surgery as a last measure if all other attempts fail. Arrange a course of PhysicalTherapy Oral steroids and/or anti-inflammatory medication to reduce inflammation. Direct injection of steroid medication into the joint to reduce inflammation. Nerve block a short term pain relief option, which is usually very effective. Surgery if the above fails. What does surgery involve? Arthroscopic capsular release is the technique used most often This involves dividing the thickened shoulder capsule Surgery is followed by an aggressive rehabilitation protocol which must be adhered to. What is the likely outcome? Most cases will resolve on their own or with treatment over a 1-3 year period, however it is a slow recovery process. Some studies have reported positive results following arthroscopic surgery to release the tight capsule, however this is currently only offered to patients who have not improved with conservative treatment.

Matt Cox Pain & Injury Clinic

Plantar Fasciitis treatment ??? What Matt Cox Physical Therapy can do for you. Perform gait analysis and postural analysis to determine if there are biomechanical factors which may be causing the injury. Correct any musculoskeletal dysfunctions. Break down adhessions and scar tissue in the plantar fascia, calves and hamstrings through the back line kinetic chain. Lengthen calves and hamstrings. Tape calves and plantar fascia to reduce the load and aid healing. Prescribe rehabilitation exercises. Preventative maintenance and exercises to prevent the injury from recurring Contact Matt Cox Physical Therapy to arrange an affordable treatment plan. 0879500262 Plantar fasciitis symptoms. Pain under the heel and usually on the inside, at the origin of the attachment of the fascia. Pain when pressing on the inside of the heel and sometimes along the arch of the foot. Pain is usually worse first thing in the morning as the fascia tightens up overnight. After a few minutes pain eases as the foot gets warmed up but if the condition becomes more severe the pain can get worse throughout the day. Stretching the plantar fascia may be painful. What is Plantar Fasciitis? Plantar Fasciitis is a painful condition caused by overuse of the plantar fascia or arch tendon of the foot. The Plantar Fascia is a broad, thick band of tissue that runs from under the heal. Treatment Rest the foot as much as possible until it is not painful. A good taping technique can reduce the stress on foot significantly. Apply ice or cold therapy to help reduce pain and inflammation. Cold therapy can be applied regularly until symptoms have resolved. Stretching the plantar fascia is an important part of treatment and prevention. Simply reducing pain and inflammation alone is unlikely to result in long term recovery. The plantar fascia tightens up making the Plantar Fasciitis Pain under the heel often worse in the mornings. A doctor may Prescribe anti-inflammatory medication such as ibuprofen.

Do you suffer from tendonitis??? What Matt Cox Physical Therapy can do for you. - Identify the causes of the tendonitis eg. Postural misalignment, muscular dysfunctions incorrect training techniques etc. - Fix postural misalignment, muscular dysfunctions and advise on what ever else may be the cause. - Break down adhesions and scar tissue in the muscles and tendon. - Lengthen and strengthen muscles - Kinesiology tapping if necessary - Prescribe rehabilitation exercises and advise on safe return to sports etc. Pm me or contact on 0879500262 to arrange an affordable treatment plan. Tendinitis Explained Tendinitis or tendinopathy can be acute or chronic: Acute tendonitis: - Gradual onset of pain over a period of days - Pain at the onset of exercise which fades as the exercise progresses. - Pain eases with rest. - Tenderness on palpation. Chronic tendonitis may follow on from acute tendonitis if it goes untreated or is not allow sufficient rest which will slow recovery time Chronic tendonitis: - Gradual onset of pain over a period of weeks, or even months. - Pain with all exercise, which is constant throughout. - Increased load equals more pain - Pain and stiffness in the tendon especially in the morning or after rest. - There may be nodules or lumps in the tendon. - Tenderness on palpation. - Swelling or thickening over the tendon. - There may be redness over the skin. - You can sometimes feel a creaking when you press your fingers into the tendon and move the joint Tendonitis can be either acute, meaning occurring over a period of a few days, following an increase in training, or chronic which occurs over a longer period of time. In addition to being either chronic or acute, the condition can also be either at the attachment point or in the mid-portion of the tendon. Healing of the achilles tendon is often slow, due to its poor blood supply. What can the athlete do? Rest and apply cold therapy. Take as much load of the tendon as a temporary measure whilst the tendon heals. Kinesiology tape is effective at this. Doctors may Prescribe anti-inflammatory medication such as ibuprofen. Some might give a steroid injection however an injection directly into the tendon is not recommended. Some specialists believe this can increase the risk of a total rupture. Scan with an MRI and Surgery if conservative treatment fails.

Muscle strains can be excruciating and debilitating. Symptoms depending on severity are Grade 1 - what does it feel like. - may have reduced range of movement. - discomfort during movement - minimal swelling Grade 2 - what does it feel like. - movement will be effected, pain eg: limp - sudden twinges and pain during activity - loss of range of movement - noticeable swelling - pressure on the area increases pain Grade 3 - what does it feel like - movement severely effected - severe pain - particularly during activity - noticeable swelling, visable immediately - possibly avulsion My aim is to effectively treat the injury to aid a speedy recovery, prescribe a rehabilitation program to allow safe return to sport and / or daily activities and most importantly preventative maintenance and exercises to prevent recurring injury. Contact Matt to arrange an affordable treatment plan. 0879500262

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Are you suffering from numbness, tingling or burning anywhere in the body? If you have these symptoms you may have nerve entrapment caused by direct pressure on a nerve. Pain relief from these symptoms are usually immediate after treatment. PM me or contact me directly on 0879500262 to arrange a treatment.

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