NO OPIOIDS, NO SEDATIVES, NO MORE PAIN!

Your Holistic solution for Musculoskeletal pain therapy

At Bigginswood physiotherapy we treat acute and chronic pain caused by injuries to the soft tissues of the body such as Tendons, muscles and also bones.

The Guided Dolarcast method (GDT) is a new treatment concept based on a combination therapies of the Dolarclast High powered laser and the Dolarclast Radial Shock waves to treat injuries such as :
Plantar fasciitis, Achilles tendonitis, knee pain, tennis elbow, shoulder pain, back pain.​

Effective and clinically proven

The Swiss Dolorcast Radial extracorporeal shock wave therapy is effective and clinically proven treatment for soft tissue injuries, and is NICE (National Institute for Health and Care Excellence Nice.org.uk) guideline recommended for several conditions.

A shockwave is a form of acoustic energy , they exert much higher pressures than ultrasound and as a result can exert a physical effect on the medium through which it travels. This means shockwaves are highly effective at transferring energy from one point to another.

The mechanisms behind the treatment success of shockwave therapy based on current evidence is the interplay between mechanical , biochemical and pain relief mechanisms . In other words the shock waves trigger a metabolic reaction that relieves pain and helps soft tissues heal in 6 weeks after treatment.

Latest state of the art treatment

The Guided Dolorcast Therapy involves a short session of laser followed by the Dolarcast shock waves. 3-6 session

Latest state of the art long session treatment

The laser , rehabilitation exercises 1 hour, then the Dolorcast shock waves 3-6 sessions.
The Guided Dolorcast method is fast and effective, clinically proven, safe, no medication and noninvasive.

NO OPIOIDS, NO SEDATIVES, NO MORE PAIN!

Your Holistic solution for Musculoskeletal pain therapy

At Bigginswood physiotherapy we treat acute and chronic pain caused by injuries to the soft tissues of the body such as Tendons, muscles and also bones.

The Guided Dolarcast method (GDT) is a new treatment concept based on a combination therapies of the Dolarclast High powered laser and the Dolarclast Radial Shock waves to treat injuries such as :
Plantar fasciitis, Achilles tendonitis, knee pain, tennis elbow, shoulder pain, back pain.​

The Power of the Dolarcast High power laser lies in its specially selected laser wavelength expressed in nanometers (NM) which determines its depth of penetration. Based on detailed clinic research a wavelength of 905nm was chosen as it has the desired effect – quick achievement of pain and absorption of edema, whilst remaining safe from unwanted and unpleasant thermal effects.

Effective and clinically proven

A nociceptor (from latin ‘nocere’ = to harm) is a sensory neuron at nerve endings that responds to damaging or potentially damaging stimuli by sending a threat signal to the spinal cord and brain. If the impulse is perceived as a threat it creates the sensation of pain to focus attention to the body part, so the danger can hopefully be mitigated. The 905nm laser light exbibits the unique property of “switching off” these nociceptors after 3 minutes of irradiatuion.

The laser provides a quick and strong analgesic effect. The laser also reduces acute inflammation by decreasing the amount of
Prostaglandin E2 (PGE2) a fatty acid derivative responsible for mediating acute inflammation causing redness and swelling, 905nm wavelength effectively kick starts the healing process.

Latest state of the art treatment

The Guided Dolorcast Therapy involves a short session of laser followed by the Dolarcast shock waves. 3-6 session

Latest state of the art long session treatment

The laser , rehabilitation exercises 1 hour, then the Dolorcast shock waves 3-6 sessions.
The Guided Dolorcast method is fast and effective, clinically proven, safe, no medication and noninvasive.

OPTOGAIT

Optogait is an innovative system for movement analysis and functional assessment of patients with normal or pathological conditions.

The objective measurement of such data, combined with an integrated video acquisition, allows monitoring of a patient’s condition on a constant basis, detecting problem areas, assessing mechanical inefficiencies and rapidly verifying the existence of asymmetries between the two legs.

THE PILLARS OF PERFORMANCE

I’m a certified functional movement specialist – functionalmovement.com

I use various screening tools to assess and make recommendations to prevent injury and assess the 4 pillars of performance. After the assessment I offer a exercise program to improve the pillars identified as insufficient to perform well in your sport.

For runners I offer a gait assessment using software called optogait and from there we also use the functional movement screen to improve your efficiency and reduce your injury risk.

I will soon be offering cycling and running VO2 and lactate threshold assessments. 

FOR QUALITY OF LIFE

I have experience working in the elderly unit and also in the community looking at falls risks in the elderly and how to prevent this. A fall could mean a broken hip or arm, leading to a long hospital stay and a severe loss of function and quality of life.

I also ran a falls class in outpatients. Prevention of falls is very important and looking at the risks and working on minimising the risks are crucial. If you are at risk or have a loved one that you are worried about, I can help.

MUSCULOSKELETAL INJURIES

The list of operations required for musculoskeletal injuries are numerous. I have a lot of experience in hip, knee, ankle, shoulder, back and neck surgeries due to my experience at the major trauma and orthopaedic hospital in London, with time also spent at a hip and knee replacement unit.

Whilst working in Bermuda at a physiotherapy practice that also specialised in sport and rehabilitation, we had close links with the orthopaedic unit at the hospital as well as seeing patients that had returned from more complex surgery abroad.

TRAUMATIC INJURIES FROM SPORT

Traumatic sports injuries require a proper assessment of the structures that have been injured and the extent of the damage. This may require the services initially of the accident and emergency team and then a referral to an orthopaedic doctor. The rehabilitation will require a physiotherapist and early rehabilitation leads to better outcomes.

I have experience in working at a major trauma center in the UK working on the wards and in the orthopaedic department, and many years experience working in the outpatient department, rehabilitating traumatic injuries not only relating to sport.

I have worked with runners, footballers, triathletes, netball players, cricketers, gymnasts, dancers, rugby players, cyclists, swimmers, martial artists, fencers, cross fit athletes, skiers and weight-lifters at all levels.

The 4 pillars of performance are:

Motor control
Postural control under load
Energy storage
Energy release

My job is to find the factors that led to the injury and restore the pillars so that you can make a return to your sport.

TYPES OF INJURIES

Traumatic injuries

Injuries can be traumatic for example a fall or a crash that causes a disruption to bone, muscles, ligaments and/or tendons. Following on from the medical management physiotherapy helps you and guides you through the rehabilitation process.

Overuse injuries​

A strain or sprain of a joint, muscle, tendon or ligament due to a sudden overload or activity that we are unaccustomed to and the joint, muscle, ligament or tendon fibres are injured to various degrees. The other injury can be sustained loads, or repetitive loads – usually labelled as repetitive strain or overuse injuries. At Bigginswood we look at why the injury happened. See below for diagram and explanation. These injuries can be described as Acute, sub -acute or chronic. Physiotherapy aims at resolving the issue in the acute and sub-acute phase to prevent a chronic injury from developing.

​Chronic injuries

Chronic injuries are injuries where the pain and function is still limited after a time period where you would expect the bodies pain mechanism to have turned off!

The body is made up of parts. Mobile parts and stable parts – these parts move together in patterns. Other than traumatic injuries, we use these different patterns of movement in different activities. Over time we may develop a tighter hip on the left side, and we may have had a previous injury as we move through life, so over time our bodies mobility and stability areas may change and our body doesn’t move as well as it used to.

As we age we must try and maintain our movement platform to prevent injury. Prevention is better than the cure. Physiotherapy must look at the part that is injured but must also look at the movement pattern of the whole body. For example a runner may have a knee pain but that could be because the ankle is not mobile, causing the knee to struggle with maintaining its function of stability. Fix the ankle and the knee will be able to do what it does best and we restore the balance that existed before the knee pain.

If we don’t look at the ankle as a possible why? We are not restoring the balance of what part should be mobile and what part stable and then the movement pattern will lead to compensation – compensation over time leads to pain.

Our Aim

At Bigginswood we assess and show you the parts that could move and pattern better together. This step is moving a subconscious dysfunction that’s a dysfunction in movement that you were not aware of. To a conscious dysfunction that you can exercise to become a conscious function and then a subconscious function – moving better performing better, recovering better and moving more often.