Norwich Pain and Injury Clinic

23/09/2025

🧠📄 Proud to share our clinical commentary:
“THE Y-AXIS MANIPULATION—THE CLINICAL EFFICACY AND ASSOCIATED PATIENT SAFETY EXPLORED”

It was a privilege to co-author this with Giles Gier, Brogan Williams, and Jaimie Bowie—exceptional practitioners and mentors whose integrity and clinical insight made this work possible.

We tackled the rise of the Y-Strap technique head-on, questioning its safety, efficacy, and ethical use in practice. In a world of viral manipulation clips and marketing hype, this paper calls for evidence, transparency, and professional boundaries.

Grateful to be part of a team committed to protecting patients and elevating standards. Let’s keep pushing for ethical, evidence-based care.

ClinicalIntegrity

19/09/2025

🧠 Stretching ≠ Rehab

Stretching feels good. It can temporarily increase range of motion (ROM). But let’s be clear—it does virtually nothing to “lengthen tissues” in any meaningful, lasting way. Flexibility without control is just borrowed movement.

Just because you can move further doesn’t mean you’ve earned the right to load it. Strength and motor control are what make that range usable. Stability creates mobility. If something’s tight, something else is likely weak. Rehab means addressing both.

🚫 Yoga and Pilates are often thrown around as blanket solutions—prescribed by well-meaning but non-clinical individuals, and sadly, sometimes even by medical professionals. If your practitioner is telling you to “just stretch” without a diagnosis—or worse, using vague terms like “non-specific lower back pain”—it’s time to upgrade your care.

✅ Book yourself into Norwich Pain and Injury. Get assessed. Get a plan. Get better.

RehabIsNotStretching

09/09/2025

🧠💪 Deep Tissue ≠ Deep pain?


Deep tissue massage is NOT supposed to hurt, bruise, or leave you limping out the door.
Painful pressure doesn’t mean “effective” — it means tissue trauma, heightened sensitivity, and delayed recovery.

🔬 Excessive force can:
- Trigger inflammatory responses
- Sensitize nociceptors
- Disrupt healing cascades

In short? It’s counterproductive.
You’re not “breaking up knots” — you’re breaking down trust in your own body.

🚫 It’s not just unsafe. It’s unethical to injure a patient under the guise of therapy.
Massage should modulate the nervous system, not assault it.

✅ At Norwich Pain & Injury Clinic, we offer evidence-based deep tissue massage — tailored, respectful, and clinically sound.
Because precision beats pressure.
And professionals know the difference.

MassageTherapy

29/08/2025

🧠💉 Cures Arthritis in 60 Days? Not So Fast.

A viral claim says German scientists created a miracle gel, Crespine or ChondroFiller that regrows cartilage and cures osteoarthritis in 60 days. Sounds revolutionary, right?

🚫 Let’s set the record straight.

🔬 The real science? These gels are adjunct therapies used for small cartilage defects, not widespread OA. They require arthroscopic surgery, rehab, and have no proven regenerative effect in humans with osteoarthritis.

💪 They do not build joint capacity, improve load tolerance, or prevent degradation. And they’re not an alternative to exercise-based care.

✅ Real treatment focuses on:
- 🏋️‍♂️ Strengthening muscles to support joints
- 🧘 Manual therapy for symptom relief
- 🧠 Education to empower long-term management

Ethical, evidence-based care doesn’t chase miracle cures—it builds resilience.

🛑 Don’t fall for pseudoscientific shortcuts. OA isn’t “cured”—it’s managed through movement, not marketing.

OsteoarthritisAwareness

19/08/2025

🦸‍♂️ Shockwave Therapy: The Sidekick, Not the Superhero

Let’s set the record straight: shockwave therapy is not the hero of tendon rehab. It’s the Robin to progressive loading’s Batman — useful, but not the one saving Gotham.

Tendons are load-responsive tissues. They adapt when stressed appropriately and regress when left idle. Rest alone doesn’t heal tendinopathy — it deconditions the tendon. And while passive modalities like shockwave can help modulate pain and stimulate healing, they don’t build resilience. That comes from progressive overload, not lying on a plinth.

💥 Shockwave can:
- Reduce pain sensitivity
- Stimulate local tissue metabolism
- Help kickstart a loading program when symptoms are high

But it must be paired with a structured loading plan. Otherwise, you’re just treating symptoms, not solving the problem.

🎯 The real magic? A practitioner who knows how to progress and regress exercise based on tissue irritability, load tolerance, and functional goals. That’s where clinical skill trumps gadgets.

So yes, shockwave has a role — but it’s an adjunct, not a standalone fix. If your rehab plan relies solely on passive treatments, you’re not building a tendon that can handle life, sport, or load.

Resilience is earned. Not zapped.

📙 link in bio

📱 07500 463890

TendonRehab

11/08/2025

🦾 Shoulder rehab isn’t just about getting stronger.
Strength matters — but without mobility and control, it’s like building a house on sand.

🎯 Rehab must be task-specific. Whether you're aiming to lift, swim, or simply sleep without pain, your rehab should reflect your end goal. Generic rotator cuff exercises pulled from the internet often miss the mark — especially when they ignore scapular mechanics, which are crucial for shoulder health.

👐 Manual therapy can help reduce symptoms, but on its own, it doesn’t build capacity or motor control. That’s where targeted rehab shines.

🚨 If you’re in pain, it’s no longer just a “fitness” issue — it’s clinical. Red flags need to be ruled out, and your plan should be guided by someone who understands the complexity of MSK care.

👨‍⚕️ Don’t guess. Get assessed. Rehab is more than reps — it’s strategy.

📙 link in bio

📱07500 463890

📍
💪

31/07/2025

🔍 Not All MSK Practitioners Are Clinicians—And That Matters

In musculoskeletal care, clinical practitioners like physiotherapists and osteopaths aren’t just movement experts—they're trained to identify red flags, conduct clinical assessments, and make appropriate referrals when serious conditions masquerade as MSK pain. Our 3–5 years of rigorous, university-level training ensures that we're not just treating symptoms—we're safeguarding lives. 🧠💪

We're also regulated by professional bodies (e.g. GOSC for osteopaths), holding us to standards in ethics, safety, and competency.

Contrast that with non-clinical practitioners such as:
- Pilates instructors
- Massage therapists
- Reiki masters
- Bowen therapists
- Sports therapists

While many offer valuable adjuncts in wellness or recovery, they are not qualified to clear red flags, diagnose pathology, or lead injury rehabilitation. ❌

⛑️ Patient safety must come before treatment modality. Misdiagnosing or overlooking serious medical conditions—like spinal cord compression, cancer, or infection—can have devastating consequences.

🔑 The key is honesty and role clarity. Non-clinical practitioners shouldn’t assume responsibilities outside their scope. Collaboration is powerful, but only when boundaries are respected.

✅ Seek qualified help. Ask about credentials, training, and regulation. In healthcare, being informed is being safe.

📱07500 463890

📙 link in bio

MSKcare

20/07/2025

🦾 SHOULDER PAIN ≠ ONE-SIZE-FITS-ALL FIX
Your shoulder isn’t just a joint—it’s a complex, coordinated system. Pain here can stem from rotator cuff overload, instability, impingement, postural dysfunction,tendinopathy or even referred issues from the neck. So slapping on a random external rotation exercise from the internet? That’s like trying to fix every engine problem with a single wrench.

🏹 The rotator cuff and the scapula must move in sync. If the shoulder blade isn't stable, the cuff can't fire properly. We need stability to unlock ability—restoring scapular control can be the missing link to pain-free function.

🎯 Rehab needs to be precise, evidence-based, and tailored. Every pathology has its own journey. Don’t chase symptoms—treat the system.

📚 Trust the process. Build stability. Earn mobility. Recover performance.

Stop doing random stretches ot inaffective unnecessary exercises and get assessed by the right clinician.

Book in to Norwich pain and injury clinic now to get rid of your shoulder pain for good!

📱07500 463890

📙 follow link in bio


rehabilitation

Expert in Acute/Chronic Injuries
Assessment | Treatment | Rehab
📍 Clinic in Drayton, Norfolk
📲 Book Online
www.norwichpaininjuryclinic.co.uk
5⭐️ Trust Pilot and Google Reviews

08/07/2025

💥 Subacromial Pain Syndrome (SAPS): Why Your Shoulder Pain Might Be Mismanaged

If you’ve ever felt a deep, nagging pain in your shoulder when reaching overhead, fastening a bra, tucking in a shirt, or sleeping on your side—it might not just be “wear and tear.” It could be subacromial pain syndrome, or SAPS.

Once called “impingement syndrome,” SAPS used to be explained solely by a narrowing of the subacromial space—the gap between your upper arm and shoulder blade. The old thinking blamed the bursa or rotator cuff getting “pinched.” Cue surgical decompression and bursal injections, often with underwhelming results.

But here's the shift in modern understanding ⬇️

🧠 Rethinking Shoulder Pain: It's Not Just About Space

Clinicians now take a broader, biomechanical view of SAPS. That includes:
- Thoracic spine mobility: A stiff upper back alters shoulder mechanics.
- Scapulohumeral rhythm: How your shoulder blade and arm move together matters.
- Muscular coordination: Raising your arm isn’t just about your rotator cuff—it’s a choreographed performance by the deltoids, trapezius, serratus anterior, and even deeper stabilisers.

Pain arises not just from irritation of structures, but from poor coordination, muscle fatigue, or altered movement strategies.

🌱 Common Presentations of SAPS

SAPS often shows up as:
- Pain when reaching overhead (e.g. placing items on shelves)
- Discomfort doing up bras or tucking shirts
- Night-time pain when lying on the affected shoulder
- Difficulty lifting or carrying, even light loads

Many patients have tried physio, injections, or even surgery—but still struggle. That’s where a modern, evidence-based approach canturn things around.

At Norwich pain and injury clinic you will recieve a full osteopathic assessment and treatment with a rehab plan to get rid of your impingement for good.

Book in today to get the solutions to your shoulder pain!

📙 www.norwichpaininjuryclinic.co.uk

📱07500 463890

30/06/2025

🚫 “Your pelvis is out of place”
We’re hearing this phrase more and more—but it’s time to set the record straight.

📉 This idea isn’t real musculoskeletal medicine. It’s an outdated theory that’s long been debunked by modern science. The pelvis is an incredibly strong, stable structure—secured by powerful ligaments and muscles. It doesn't simply "slip out."

⚠️ This kind of diagnosis is misleading and anxiety-provoking. It creates a sense of fragility that isn’t supported by evidence—and it often distracts from the real factors influencing pain and function.

🧠 At Norwich Pain & Injury Clinic, we don't lean on fear-based narratives. Instead, we use up-to-date knowledge, evidence-led assessment, and thoughtful clinical reasoning to support you.

👐 Our approach integrates manual therapy with guided rehab, strength work, and movement confidence—empowering you, not alarming you.

💬 If you’ve ever been told your pelvis is “out,” we’re here to talk, explain, and support you with clarity, not confusion.

📱07500 463890

📙 use link in bio

PelvisFacts

23/06/2025

🧠Understanding Osteoarthritis: Movement Beyond the Pain.

Osteoarthritis (OA) is the most common form of arthritis, often described as “wear and tear” of the joints. But the reality is more nuanced. It’s a complex condition involving the degradation of joint cartilage, changes in underlying bone, and low-grade inflammation. Commonly affecting the knees, hips, hands, and spine, OA can lead to stiffness, swelling, and persistent discomfort that interferes with daily life.

What can be done?
While osteoarthritis cannot be reversed, the goal of therapy is to slow progression, improve function, and reduce pain—restoring quality of life, not just managing symptoms.

🤲Manual therapy and targeted exercise play a vital role.A skilled clinician can use hands-on techniques to improve joint mobility and reduce soft tissue restrictions, while a tailored exercise programme can strengthen the muscles that support and protect your joints. Crucially, this isn’t just about working the affected joint.

Why the whole body matters.
Often, pain and dysfunction stem not only from the joint in question but from compensations elsewhere in the kinetic chain🦵🦶.

For example, reduced ankle mobility can lead to increased stress on the knees. Weak gluteal muscles can compromise hip stability, burdening the lumbar spine. A comprehensive approach that works upstream and downstream in the kinetic chain can restore balance and function where it's needed most.

💪The power of proper assessment.
Every body tells a story. A thorough musculoskeletal assessment identifies weak links, movement patterns, and compensations.

By understanding your unique presentation, clinicians can develop a treatment plan that’s both effective and sustainable—supporting long-term mobility and reducing the need for reliance on medication or surgery.

The outcome? You may not change the X-ray, but you can transform the experience. With the right plan, people with OA often report better mobility, lower pain levels, and improved confidence in their movement**—empowering them to do more of what they love.🙌

19/06/2025

Is Your Spine Crying Out for Help? Let’s Talk Spinal Instability.

Spinal instability is more than just a wobbly back. It’s when your spine can’t properly support movement due to **weak deep stabilisers like the multifidus**, **lax ligaments**, and **faulty movement patterns**. Think of your spine like a tent: if the guy ropes (muscles) and pegs (ligaments) aren’t doing their job, things get shaky—literally.

🔍 **Common symptoms** include:
– Pain when turning over in bed
– Muscle spasms and protective “locking”
– Sudden twinges during daily movement
– A constant need to “crack” or self-adjust

💣 **What NOT to do** (yes, even if it feels good short-term):
– Overstretching or deep yoga poses
– Pain-masking meds that ignore root causes
– Heavy manipulation of already unstable joints

🎯 **What works?**
– **Targeted stability training** to fire up the deep core
– Identifying and correcting painful trigger patterns
– **Manual therapy to surrounding joints** to offload the weak links
– Neuromuscular retraining to bring the system back online
– Breathing and intra-abdominal pressure control (yes, your diaphragm matters too!)

The key? Don’t chase the “pop”—chase function. Long-term relief starts with smart, intentional movement.💪🏻✨

📞 Call, test or DM or follow the link in the bio to book a consultation. Your spine will thank you.

📱07500 463890