Getting the point? Considering injection for muscle/tendon pain?

Muscle and tendon pain can be a real drag, and often injections are recommended or considered after failed conservative treatment. Especially by that bloke in the office!

But does it work, and are they damaging?

There are lots of injection options for tendinopathy; corticosteroid, platelet-rich plasma, hyaluronic acid, prolotherapy, tenocyte implantation, stem cell… the list goes on.

There are promising studies with each of these, and there is no ‘one size fits all’ answer.

Currently, corticosteroids remain the most common ‘safe bet’ for pain relief and  return to rehab. But they are short term strategies, with less effective long term results.

Although widely regarded as safe, animal trials of corticosteroids have showed that they can weaken tendons, however it is not conclusive in humans.

Platelet rich plasma (PRP), injects a concentrated mix of the bodies own cells to promote healing, and is gaining momentum. However the evidence is not yet certain as there are a wide variety of techniques and the procedure appears not to be completely perfected.

All other injections are considered more experimental when compared to corticosteroids and PRP.

So in conclusion, tell your office buddy that there is no clear winner! Having said that, expertly administered injections carry relatively few risks and do often help tendon rehabilitation. Therefore it is worth considering, especially when there is little response to therapy on its own.

Alex Horne Chiropractic… more than just a little prick.

Sources available on request
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Are you legit to CrossFit?

CrossFit and HIIT keep my clinic busy! Not just with functional improvers, but often with injuries. So are you legit?

I am a big fan of Crossfit and High intensity interval training, as they promote a challenging and functional training enviroment.

The activities often push you to the extremes, be it power and speed, range of motion, or endurance.

But all too commonly I see athletes who aren’t mechanically ready for these extremes (see are you Fiit for HIIT).

For example, if your mechanics won’t let you execute a half-decent squat without compensating, leaking stress, is it sensible to do 100 explosive box jumps at speed?


It’s not what you do, it’s how you do it.


Granted, the perfect squat for example is hard to achieve and you shouldn’t mollycoddle people out of exercising. But it is vitally important to consider your limitations of flexibility, strength and control so you can work on them before leaping into the extremes.

So please, know your abilities, avoid injury and be legit to Crossfit!

Book a full functional exam online today

Alex Horne Chiropractic, too legit to quit.

Are you fiit for HIIT?

The popular ‘high intensity interval training‘ workout boasts many benefits, but are you ready to HIIT it?

If you, like many, jumped straight into it, just consider the advice below which I offer my  patients, courtesy of Joe McConkey (Boston Running Centre).


You’re ready for running HIIT workouts if you have:

  • Been running 4-5 times a week for at least 4 months
  • Regularly thrown in runs at paces 60 to 90 seconds per mile faster than crusing pace.
  • Been completing a weekly long run of at least 50 minutes.

In terms of strength and flexibility, you should be able to:

  • Hold a squat position for 90 seconds
  • Grab and touch your heel to your butt whilst standing, feeling only a minor quad stretch.

Start with one HIIT session a week, and build up to no more than two in a 10-day period.


This advice is tilted towards runners so isn’t for all HIIT sessions, which can be adapted to any sport. But just think twice before you train intensively, and make sure you are FIIT enough.

Alex Horne Chiropractic, back with a vengance!

 

 

Drinking like a fish?

Should we be drinking like fish?

It’s a simple answer, and you won’t even need to keep checking the back of your underpants!

Feel the natural cycle of your body (and the cosmic energy of the universe BRO!) and just knock it back when you are thirsty.

Put it this way, drinking to the exact ‘recommendations’ of medical sources, 1.6; 2 litres (female; male) [NHS 2013] won’t hold true between Ronnie the pensioner and Terry the bodybuilder.

An exact figure would weigh up; water taken up from food/beverages versus water lost from climate, energy expenditure, diet osmolarity, body mass and individual thermoregulation variants.

But your body does this for you with a thing called THIRST! The problem of dehydration often comes when we don’t pay attention to those signals, especially in hot weather.

So it can be helpful to make sure you drink a certain amount per day, especially if you’re busy, but too much water will simply result in more excretion within the hour.


Coming soon: How to hydrate for your marathon (drinking like a fish part 2)




Did you know this about migraines?

70% of migraines canactually be prevented by balancing lifestyle factors such as:

  • Eating enough food, especially at breakfast (skipping a good complex carb breakfast is a very common migraine trigger)*.
  • Keeping well hydrated.
  • Getting enough sleep. Maintaining routine patterns of sleep is also important.
  • Maintaing your muscle and joints. Neck and head pain are triggers to migraine so get them sorted with your chiropractor, osteopath or physiotherapist.
  • Being extra vigilant when other stressors come along, such as in times of high levels of stress, emotion or hormonal changes (especially for women).

Other environmental triggers include; bright lights, over exertion, travel and weather changes. Or basically all of the above when flying from Gatwick!

Here’s the best bit! Migraines actually initiate 2-3 days before their symptoms manifest therefore sensitivity to consuming dark chocolate, cheese and red wine is usually an effect not a cause!

Be careful with your medication, migraine sufferers are susceptible to develop medication overuse headaches (MOH) which will eventually give you headaches when there isn’t one.

Alex Horne Chiropractic, not just a pain in the neck. For more info please get in touch.

*Migraine onset has been linked to a delicate balance of blood sugar levels so food intake is very important.

NB: Information gleaned from the fantastic seminar at the National Migraine Centre, Clerkenwell. Thanks guys!