Excellence in Physiotherapy + Clinical Education + Pain Research

© 2019 Thrive Physiotherapy Ltd.

66 La Grande Rue, St. Martin, Guernsey | info@thrive-physio.co.uk | (+44) 01481 233012

HEALTH INFORMATION

Informed + Reliable

 

Wading through the mumbo-jumbo helps you get better faster.

There is a lot of information in the world about injuries, aches and pains. A lot is inaccurate and can be scary. Below are some key resources. We have written some ourselves. Others are shared from international colleagues, or people we have never met but are at the top of their game. We hope they are useful. Just click on the problem you want to know more about. Feel free to share this information, but please acknowledge the original authors.

We want you to get the best treatment you can. But how do you know what is the best treatment? Below are two great resources to help you find out. Written in plain English (rather than technical medical talk!), you can type in your problem, and get evidence-based information on different treatments.

Cochrane are world-leaders in synthesizing information about the effectiveness of medical and therapeutic treatments. Physiotherapy Choices, run by Neuroscience Research Australia and the University of Sydney, pulls together every study of treatments from acupuncture, manipulation, exercise, electrotherapy etc. Happy searching!

Muscles, Ligaments and Tendons

Physiotherapy bread and butter! Injuries to muscles, ligaments and tendons are commonplace, especially on the sports field. We have experience working with weekend warriors and elite, professional sportspeople. Good rehab starts day one, and progresses to return to sport and prevention strategies. Below is some useful information. We can offer assistance whenever you need it.

 

 

How to manage a recent injury.

 

Our one page summary of what to do immediately for things like pulled muscles or twisted ankles.

Muscle pulls - basic guidance.

Pulled a hamstring or calf muscle? Read this to optimise your rehab and minimise future problems.

 

Tendon pain overview.

Tendinopathy (Achilles, patella, gluteal, rotator cuff - all tendons are the same): what causes the problem and how to manage it. 

 

 

 

 

 

 

 

 

 

 

What not to do if you have tendon problems.

From Prof. Jill Cook's research this 3 minute animation tells you what to avoid.

Mechanotherapy - how exercise promotes tissue health.

What happens when we apply load to tissues by doing exercise written by Prof. Karim Khan.

The importance of tissue load.

Sports physiotherapist Dr Phil Glasgow discusses optimal loading for injury treatment and prevention in a podcast lasting 22 minutes.

The specifics of exercise: how to train for movement control, strength or endurance.

A basic, evidence-based guide to getting the most out of your training.

Tendinopathy: the problem and what to do about it.

Prof. Jill Cook describes problem tendons and how to rehabilitate them. This podcast lasts 16 minutes.

More tendon tips.

More practical podcast tips on troublesome tendons from Prof. Cook lasting 29 minutes.

Injury prevention.

How not to do too much too soon and end up worse off.

Does alignment matter?

Physiotherapist Dr Greg Lehman discusses when how we shouldn't worry too much about postures and whether our limbs point in certain directions or not.

More detail if you'd like it...

The basics...

 
 

Low Back Pain

 

Martin's Doctorate was about back pain, and we have done a lot of research in this field, so we know more about this topic than most. It is a topic about which there is a lot of scary or unhelpful mumbo-jumbo, but can be simple to manage - see our overview below. However, it can be complex, so there is more information for those who want more, and it's worth taking a look at our Persistent Pain section too. Get in touch if you need more assistance.

 

Back pain overview.

Don't be scared, the majority of back pain gets better, and exercise is the best treatment hands down!

 

 

 

 

 

Separating fact from fiction in low back pain.

 

Prof. Peter O'Sullivan, physiotherapist and world-leading back pain researcher, challenges misconceptions about back pain in this 15 minute video.

The myth of "core stability".

Peter O'Sullivan again, questioning this concept in a video lasting 11 minutes.

"Core muscle" function in relation to low back pain.

Prof. O'Sullivan critically analyses research on muscle function in this research paper.

How common "abnormal" findings are on low back scans.

Findings on scans and x-rays don't tie closely with how much pain people are in. Dr Waleed Brinjikji describes disc and joint findings, but in people with no symptoms.

Sleep and back pain.

The facts from the team at Pain-Ed. The rest of their website is worth a look too.

 

No such thing as correct posture.

Physiotherapist Dr Greg Lehman discusses how there is no ideal posture. Sit up straight is not a panacea.

More detail if you'd like it...

The basics...

Neck Pain

Niamh's PhD was about neck pain, and we have taught clinicians worldwide about neck pain and headaches, so know this area pretty well! We have some basic information to read first. However, neck pain can be complex so its worth looking at our Persistent Pain section too. Get in touch for more assistance.

 

Neck pain overview.

Start here to learn more about neck pain.

No such thing as correct posture.

Physiotherapist Dr Greg Lehman discusses how there is no ideal posture. Sit up straight is not a panacea.

The basics...

 

Nerve Pain

Niamh's Doctorate examined neck-related nerve pain, and she researches nerve pain following breast cancer surgery, so has her finger on the pulse of nerve pain. We have some basic information below to read first. However, its worth looking at our Persistent Pain section too. Get in touch for more assistance.

Nerve pain overview.

The place to start understanding nerve pain and what to do about it.

The basics...

 

Persistent Pain Conditions

Unfortunately pain persists longer than we would like sometimes, and may get harder to treat. However, with a good knowledge of pain, its contributions and a broad range of treatment options headway can sometimes be made. We teach clinicians across the world about managing persistent pain. Below are some basics about pain itself, and then some information that may help some people start to get on top of it. We can give you guidance where you need it.

 

Why things hurt.

 

Prof. Lorimer Moseley, physiotherapist and pain research legend explains in a 15 minute video.

Overview of what pain is all about.

 

A 3 minute cartoon about the basics of pain.

Understanding pain, and what to do about it.

More detailed cartoon action, lasting 5 minutes.

Rethinking persistent pain.

Lorimer Moseley again, with colleague Dave Moen, making us think differently in a 5 minute animation.

The complexity of pain. 

Physiotherapist Leonard Van Gelder tells us that persistent pain is not simple, but understanding its complexity can help, in an 8 minutes animation.

 

 

 

Understanding persistent pain.

A detailed booklet produced by the Tasmanian Department of Health and Human Services.

Pain really is in the mind, but not in the way you think.

Prof. Lorimer Moseley writes on how we come to be aware of pain.

What causes us to feel pain.

More writings from Lorimer on how our nervous system brings this sensation to light.

Movement and pain.

Prof. Lorimer Moseley discusses how feeling safe to move is important for those with persistent pain in a 27 minute podcast. 

Negative effects of opioid pain medication.

A 2 minute cartoon discussing the down side of some pain killers.

Body's own pain control.

 

Assoc. Prof. David Butler, physiotherapist and another pain legend, describes how our own pain relief mechanisms function and can be stimulated for good in a 6 minute video.

Brain changes with persistent pain.

David Butler again, explaining why this matters in a 4 minute video.

Body scan meditation.

Prof. Mark Williams, Clinical Psychologist leads a useful treatment option lasting 15 minutes.

Stepping back from our thoughts.

Dr Russ Harris, pioneering psychotherapist, introduces how we can independently observe our thoughts, in a 2 minute animation.

Overcoming difficulties to move towards valued living.

A 3 minute animation from expert psychologists describing how difficult thoughts and emotions can hinder doing things you value, and how to start to move beyond these thoughts.

Stress management.

Dr Mike Evans talks about stress management, which can be vital for helping out persistent pain.

Sleep and pain.

These two often interact. Better sleep, better pain!

Why we sleep.

A six minute video from Prof. Matthew Walker, sleep superstar, including tips for getting better sleep.

Why we sleeeeeepppp....

The longer more detailed version: just under an hour from Prof. Walker again.

painHEALTH

An amazing website with brilliant information on pain of all sorts. 

 

More detail if you'd like it...

The basics...

Other Joint Problems

If there is something you want to know about that doesn't fit into on of our other sections, the chances are that you'll find information about it here! Get in touch for more assistance.

Arthritis overview.

Get to know the basics about this common problem.

Shoulder pain overview.

Start here to learn more about shoulder pain.

Anterior knee pain.

The best patellofemoral pain information leaflet from Drs Christian Barton and Micheal Rathleff - just scroll down and open up the figure.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Helping knee osteoarthritis.

Prof. David Hunter, knee osteoarthritis researcher discusses which treatments work, and which don’t in this 27 minute podcast.

Knee osteoarthritis: which treatment?

From the Australian Commission on Safety and Quality in Health Care this tool discusses the pros and cons of different treatments for knee osteoarthritis to help you make the right decision for you

The "ins and outs" of shoulder pain.

In this podcast Prof. Jeremy Lewis discusses all things shoulder pain over about 23 minutes.

The basics...

More detail if you'd like it...