Trust Physio

Trust Physio Welcome to Trust Physio!

Emma McPherson, Chartered Physiotherapist, and clinic owner, is dedicated to providing you with a personalized and hands-on experience tailored to your unique needs. you better and keeping you better

02/12/2025

✨ Last-minute appointment available TOMORROW! ✨

A new patient assessment OR follow-up appointment has become available tomorrow, Wednesday 3rd December, at 1:30pm, at Trust Physio.

If you’ve been waiting to get started or need a review, this is a great chance to be seen sooner.

☎️To book, please call the clinic on 07956 775201 or book online at www.trust-physio.co.uk – first come, first served!

A brilliant infographic by RunningPhysio on tendon health 👇If you’re curious about how to keep your tendons strong, reco...
23/11/2025

A brilliant infographic by RunningPhysio on tendon health 👇

If you’re curious about how to keep your tendons strong, recover well, or manage ni**les, I’m always happy to help.

🏃‍♂️ Are you part of a running group?

Would you like to come along to one of our running club events at
Saxon Pool and Leisure Centre, hosted by Zach (Fitness Manager) and myself, Emma McPherson, Physiotherapist & Clinic Owner at Trust Physio?

Have questions or want to come along?

👉 Get in touch — we’d love to hear from you!

🌟 🌟🌟🌟🌟Last-minute appointment available tomorrow at 11:00am! 🌟🌟🌟🌟🌟If you’ve been meaning to get that ache, pain or ni**l...
23/11/2025

🌟 🌟🌟🌟🌟Last-minute appointment available tomorrow at 11:00am! 🌟🌟🌟🌟🌟

If you’ve been meaning to get that ache, pain or ni**le checked, this is the perfect chance to get seen quickly.

📅 Tomorrow – 11am
💻 Book online: www.trust-physio.co.uk

📞 Or call my booking team first thing tomorrow: 07956 775201

Grab it while it’s still available!

❄️ Getting started is often the hardest part — whether it’s cold-water swimming, going for a walk, strength training, or...
23/11/2025

❄️ Getting started is often the hardest part — whether it’s cold-water swimming, going for a walk, strength training, or getting back into exercise after injury.

But having someone alongside you can make all the difference.

Exercise is easier to stick to when we feel supported. A buddy helps boost motivation, builds confidence, and makes movement far more enjoyable — something we see every day in physiotherapy and rehab.

At Trust Physio, we’re passionate about helping people build healthy, sustainable habits.
✔️ Support increases consistency
✔️ Confidence grows with encouragement
✔️ Movement becomes medicine when it’s enjoyable and regular

I’m grateful for the friends who help me keep doing the things that are good for me — even when they’re freezing!

💙 Who’s your movement buddy?
And if you don’t have one yet, we’re always here to help you get started and keep you going.

Couldn’t agree more 🤍Lately I’m focusing on:✨ Being more curious✨ Talking less (still working on this one 🤭)✨ Truly list...
22/11/2025

Couldn’t agree more 🤍

Lately I’m focusing on:
✨ Being more curious
✨ Talking less (still working on this one 🤭)
✨ Truly listening
✨ Asking questions to make sure I really understand your story
My goal? To be able to step into your shoes — to understand your concerns, your thoughts, and your goals.
Because at the end of the day, it’s your session.
You matter.
Let’s not rush through the conversation.
Your story is the most important part.

🧠 Stop Rushing the Subjective: It’s Not a Tick-Box Task — It Is the Assessment!

If you’re racing through the subjective just to “get to the objective,” you’re missing the part of the assessment that actually tells you what to look for, what to rule in/out, and where the real risks and opportunities sit.

It’s where you gather the story behind the symptoms — the patterns, behaviours, beliefs, and contextual clues no special test will ever reveal.

A thorough subjective gives you:

🔍 The hypothesis (or two) before you lay a single hand on the patient
🎯 Tailored testing, not a generic battery of exercises
🧩 Early red/amber flag recognition
🗺️ A roadmap for treatment planning that’s actually relevant
🤝 Therapeutic alliance—because listening well is intervention

Most therapists don’t need more special tests. They need better questions, better curiosity, and more patience in conversation.

The best clinicians aren’t the ones who find the rarest positive test. They’re the ones who walk into the objective already knowing what they expect to see — because the subjective told them.

Slow down.

Listen properly.

Your outcomes (and your patients) will thank you.

Great tip ahead of any appointment
22/11/2025

Great tip ahead of any appointment

A neighbour asked me for any advice before their Mum goes to an important medical appointment next week.

It was an easy answer.

In what can often feel like a whirlwind moment, with nerves, stress, fear and a host of emotions at play, we can forget to ask some or all the concerns & questions we wish to have answered, which causes frustration & uncertainty when we leave.

Take your time beforehand, list all the concerns, questions & other things that you wish to get answers for, then take them with you.

It’s a great way to get peace of mind.

22/11/2025

We often consider bone stress injury in endurance athletes as an issue exclusively affecting those that perform significant impact work such as runners and triathletes, where injury occurs in very simple terms due to “excessive” impact work / reduced tolerance to impact work.

However many competitive swimmers and cyclists can experience similar issues as a result of the exact opposite - too little impact work.

Although I’m a fan of advocating some supportive impact / bone loading for these types of athlete in season, the off season can be a great time to maximise this as training volume is generally lower.

For some it could be an increase in walking, some running, skipping or gym based work right up to and including plyometric work, it all depends on the athlete.

So have a think about what your off season may look like and consider if this may be something you need to look at.

This is important for lifelong bone health as much as it is performance.

22/11/2025

Creatine is one of the most proven and accepted supplements in sport…

But for endurance athletes?
The story is very different.

Here’s the truth 👇

1️⃣ Does creatine boost endurance performance?
Short answer: Not really.

Meta-analyses in trained endurance athletes show No meaningful improvement in VO₂max, time trial, or endurance performance.

Some studies even show slightly worse VO₂max gains when training with creatine.

So for marathoners, long-course triathletes, and ultra runners → don’t expect magic.

2️⃣ The catch: weight gain

Creatine reliably adds 1–2 kg of extra intracellular water.

For weight-bearing sports, hill running, or events where W·kg rules performance, that extra mass often outweighs any potential benefit.

As Asker Jeukendrup puts it - “The power gains are usually offset by the weight gain for most endurance athletes”.

3️⃣ So why do some endurance athletes still use creatine?

Because it does help in specific situations:

✔ Sprint-heavy cycling, XC MTB, CX, or surgy racing

Creatine can improve: Sprint finish ability, Attacks & repeated surges, High-power demands and is less of an issue if added mass doesn’t slow you down (e.g., TTs, track, flat cycling).

✔ Strength blocks / off-season training

Trent Stellingwerff emphasises periodised supplementation: Use creatine when you’re building the “chassis”:Strength, Power, Muscular robustness, Bone health: Then stop 3–4 weeks before key races.

Stuart Phillips’ work is clear: Creatine supports strength, muscle retention, and training adaptation, which is valuable in Off-loading phases, Return to running, Masters endurance athletes preserving lean mass.

4️⃣ When creatine is not worth it

❌ Marathon training
❌ Ultra endurance
❌ Hill running / mountain races
❌ Athletes sensitive to weight gain
❌ Those managing RED-S risk or body image concerns

Here, the cons > pros.

5️⃣ If you do take creatine…
• Use Creatine Monohydrate (Informed-Sport tested)
• Dose: 3–5 g/day
• No loading phase needed
• Take with food or post-training
• Expect 1–2 kg water gain
• Stop ~3–4 weeks pre-race if weight matters

6️⃣ The take-home message

Creatine is brilliant for strength and power, but a niche tool in endurance sport.

For most runners and long-course triathletes → skip it. For cyclists, sprinters, strength blocks, rehab, or masters athletes → it can be a smart, targeted choice.

Use creatine strategically, not automatically when safe to do so.

15/11/2025

Excellent post - thanks to Roy Palmer, an Alexander Teacher, for this.
You’ll often hear me talking about postural cues, eg a helium balloon out of the crown of your head 🎈Roy uses strings as an analogy. It really doesn’t matter, it’s about what works for the individual.
Want to know more? How about popping along to listen to Roy at the Centre for Complementary Health, Godmanchester, this coming Tuesday - don’t forget to book!

🚨 Important reminder for anyone who exercises (yes, that includes runners! 🏃‍♂️🏃🏼‍♀️😉Whether you’re:- surviving on littl...
15/11/2025

🚨 Important reminder for anyone who exercises (yes, that includes runners! 🏃‍♂️🏃🏼‍♀️😉

Whether you’re:
- surviving on little sleep as a new parent 😴
- recovering from wild party nights 😉
- battling jet lag 🌍
- working crazy hours 💻
- going through menopause 🔄
and I’The Endurance Physio the list !

…lack of rest really increases your risk of injury.

Check out this insightful post from The Endurance Physio—it explains why rest isn’t just “taking a break.” Rest is how your body adapts, gets stronger, and builds resilience. 💪
Remember: Rest ≠ Rust. Your body needs it to perform at its best. ✨

😴Sleep & Running Injuries: What This Research Really Means for You 💤

A recent study profiling recreational runners found something important:

➡️ Runners with poor or inconsistent sleep had ~1.8× higher injury risk — even when training load, mileage, and intensity were accounted for.

That means injury risk wasn’t just about “doing too much.” It was about recovering too little.

🧠 Why Does Sleep Matter So Much?

Sleep is when your body repairs the micro-damage caused by training. If sleep is short, broken, or irregular:

Tissue repair slows
Tendons and muscles tolerate less load
Coordination and decision-making decline
Perceived effort increases

You’re not just tired — you’re biologically less durable.

🏃‍♂️ Practical Takeaways for Athletes

If you want to reduce injury risk, improving sleep is one of the highest-impact, lowest-cost interventions available.

Here’s what matters most:

✔️ Consistency

Go to bed and wake up at similar times. Irregular patterns were just as risky as short sleep.

✔️ 7–9 Hours (Most Nights)

Not perfection — just aiming for more “good enough” nights than bad, (Everyone’s normal is different so just base it on your normal!).

✔️ Reduce pre-bed stimulation

Late-night screens, long training sessions, or heavy meals can all delay the body’s ability to switch into recovery mode.

✔️ Don’t chase volume when recovery is low

If sleep has been poor for several nights, reducing load is smart training, not weakness.

(In general, adjust all training to accommodate reduced sleep).

🔑 The Big Message

Training hard doesn’t cause injuries.
Training hard while recovering poorly does.

Prioritise sleep like you prioritise your long-run or intervals — because the research is clear:
Better sleep = a more resilient, more consistent, less injury-prone athlete.

🤯  Ever feel like your recovery is all over the place?You’re not alone — and you’re not doing anything wrong.These two d...
15/11/2025

🤯 Ever feel like your recovery is all over the place?

You’re not alone — and you’re not doing anything wrong.

These two diagrams show the real journey: the twists, the dips, and the emotional rollercoaster that comes with getting back to what you love.

At Trust Physio, we get it, we’ve seen it before, we can help support, coach and guide you through every part of that messy middle so you can keep moving forward. 💪

👉🏻Consistency and mindset are key 👈🏻

Having the vision of where you want to be can be a key morivator, so set those short and long term goals - they really are important.

It’s a journey, and it’s so important to trust in the process, because everyone’s path will be different, and unique to them. For some it’s smooth sailing ⛵️, for others every step can feel like you’re climbing a mountain 🧗‍♀️, it’s often somewhere in between.

Adam Meakins’ in The British Journal of Sports Medicine (BJSM) “Road to Recovery” reminds us that setbacks aren’t failure — they’re a normal part of how the body adapts and recovers.

Below is ‘The Road to Recovery’ by Adam Meakins; BJSM. The second photo is credited to the The Injury Psychologist.

You can contact the clinic via

☎️ 07956 775201 (the phone line is ‘manned’ Monday - Friday 8am - 6pm).

👩🏻‍💻book online at www.info@trust-physio.co.uk" rel="ugc" target="_blank">www.info@trust-physio.co.uk

📧 info@trust-physio.co.uk




📍Saxon Pool and Leisure Centre

It’s all about the sweet spot …….
14/11/2025

It’s all about the sweet spot …….

With running (and rehab) it's usually better to start at an easy level and progress than to make it too hard and flare everything up!

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Saxon Pool And Leisure
Biggleswade
SG188SU

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