Exercise Rehab and Programming
If you experience an injury, illness or receive surgery you may benefit from seeing one of our therapists to help with your rehabilitation. The treatments we offer can help relieve painful symptoms, regain muscle strength and joint flexibility and retrain functional movement. All treatments are tailored to address your recovery needs and work toward your personal goals, weather that’s a return to normal daily activities or resuming sports participation. A treatment approach that is useful to many patients, particularly those engaged in sports, is exercise rehabilitation and programming.
Exercise Rehab is commonly given to most patients as a continuation of the treatments received in clinic. It is important not only in regaining lost physical function but builds on the benefits of care you receive during treatment sessions. Perhaps most importantly it is the core of self-managing your rehabilitation once you have reached the stage that you no longer need regular therapy sessions from a clinician. Some of the benefits gained from exercise rehabilitation include;
- Regaining muscle strength and endurance.
- Restoring joint flexibility.
- Improving proprioception and sense of balance.
- Functional exercises to retrain movements’ specific to rehabilitation goals.
- Restores confidence in physical ability and progression of recovery.
Although exercise can be beneficial as part of your rehabilitation programme, it is important to listen to your therapist to know what frequency and intensity of exercise you should perform. In the acute stages following your injury or surgery the emphasis is on gentle movements to maintain range of movement and flexibility. The body will be going through an inflammation phase delicate new tissue being laid down to repair any damage. Without advice, many people rush through this phase trying to do too much too quickly. This can lead to more tissue damage, repeated bouts of inflammation and greatly delay overall recovery. The acute phase usually last no longer than the first few days.
Once past the acute phase, as the body continues to repair the damaged tissue of your injury, it will be important to use progressive strengthening exercises. Combined with controlled stretches this will promote increased tensile strength within the newly repaired tissue. This will be important to regaining good functional ability at the site of injury and reducing the risk of re-injury. Always follow your therapist’s advice on the speed of your exercise progression to avoid complications and delays in recovery. This repair stage can last up to six weeks.
In the very late stages of healing, when the majority of tissue strength and flexibility has been restored, your therapist will focus your exercise programme on functional retraining to prepare the healing tissues to resume work activity or sports participation. Even at this stage building strength and flexibility, along with improving biomechanical technique, is important to not only achieve the fullest recovery, but also reduced the risk of injury reoccurrence.
Many treatments our therapists provide during clinic sessions will alleviate the symptoms of your injury or condition. However, to gain the most benefit from such sessions and achieve the best possible rehabilitation, compliance with your experienced therapists exercise programme and advice is very important.
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I didn't actually choose to see Nick - I was sent to him by my exasperated personal trainer, and now I can't thank her enough! Five weeks before the London Marathon I developed a pain in one of my glutes and did what any self-respecting idiot would do - ran on it until it was so bad it hurt just to walk, and the months of training seemed like they'd been for nothing.
Nick is wonderful. He's very professional and thorough and he has a naturally calming manner that will put you at ease. He also clearly knows his stuff - in our first session he quickly identified my problem (piriformis) explained it in terms I could understand (!) and gave me exercises to speed up recovery.
I had three more sessions and they were well worth it. As well as treating the injury he also assessed my running style for any underlying issues and correctly identified previous injury sites. With his help I was able to quickly get back into training and, by some miracle, a week before the marathon I was pain free.
I joked that, as well as fixing my injury, I expected Nick to make me run faster. Well, maybe... Just maybe... The man's a magician! I'm delighted to say I ran a pb, clocked my first sub-3 hour marathon and came 46th out of all the ladies. Thank you Nick! I cannot recommend him enough.- Ros P
A big thank you to Elaine (osteopath) at Nick Castle Osteopathy & Sports Medicine Clinics - after just 2 sessions she managed to work out some major aches and pains I'd been having daily, for over 6 months. I plan on seeing her on a regular basis to prevent any future problems. Thanks again!- Priti S
I have had 2 sports massages with Nick, one in Kensington and one in Amersham. Nick is a very approachable therapist, who spends time building a picture of the type of sports you do and the injuries you have. I have found Nick's techniques to really help improve my performance.- Jane B