SBG Physio

03/05/2016

Hello All! I have just returned from travelling and have started working in Personal Health, a Physiotherapy Clinic in Rathmines on Rathgar Road. Should you wish to make a Physiotherapy appointment with me call the number is 01 4964002 or email info@personalhealth.ie
Additionally, Pregnancy Pilates, Pregnancy Yoga, Pink Ribbon Cancer Pilates, LSVT Big Parkinson's, Cardiac Rehab and Fitness for all are available at the clinic. Along with Women's Health Physio.

20/09/2015

Massive Well Done to all the guys competing last night!! Super stuff!

09/09/2015

SBG Physio is very much so looking forward to returning to SBG on Monday after the holidays! Well rested and ready for work!

22/07/2015

Please find the next information piece attached article...the topic of choice is Thoracic Mobility and Flexibility. Please share it if you find it helpful!

10/11/2014

Please click below on the 2 images for my next article update- this is related to sartorius muscle dysfunction which can be a cause of pain on the inside of the knee. If you have any questions or queries please email me. Enjoy!

30/09/2014

Meniscal injuries

Two menisci lie within the knee joint. They are very important stabilisers of the knee acting as shock absorbers and protecting the knee joint surfaces from damage. Additionally, the menisci provide the knee joint with nutrition and lubrication resulting in reduced friction during movement.

Menisci injuries are common in athletes, these injuries can occur in isolation or along with ligament injuries (MCL and ACL being the more common). The most common mechanism causing meniscal injury is a twisting injury with the foot anchored on the ground. Some individuals can experience a tearing sensation. Small tears may result in no immediate symptoms, however pain and swelling can develop over the following 24 hours. The more severe the tear is, the greater the symptoms. Pain and loss of movement can occur soon after the injury. Locking of the knee can also occur whereby the knee feels stuck in a position. This is due to the torn flap of the meniscus blocking the movement.

Commonly, an MRI is recommended in order to establish the degree of damage and type of tear. The degree of damage depicts how the meniscal tears will be managed, ranging from conservative management for smaller tears and surgery for the larger more extensive tears.

The goals for conservative management are to remove the swelling as soon as possible in order to regain the full movement of the knee joint. Restoring normal hip, gluteal, quadriceps and hamstring strength. Improving the individuals proprioception (awareness of the joint’s position during movement) and functional abilities.
Exercise which would feature in the latter stage of the rehabilitation program for meniscal injuries include:
• Bridging
• Lunges
• Squats: single leg and double leg
• Arabesque squats
• Single leg balance on foam cushions/wobble boards
• Jumping onto-blocks, off blocks, over blocks
• Agility work with ladders and running drills

Should you have previous injured your meniscus and are hoping to return to sport or are currently experiencing any of the symptoms outlined above, please do not hesitate to contact me in order to organize an assessment.

22/07/2014

A common shoulder injury- impingement of the rotator cuff

The shoulder is a ball (the head of the humerus) and socket (the glenoid) joint, which in itself isn’t very stable. As a result the shoulder capsule and surrounding muscles and ligaments are relied upon to offer stability and to allow effective shoulder function. The rotator cuff muscles comprising of supraspinatus, infraspinatus, teres minor and subscapularis ensure that the humerus head stays within the socket, often counter-acting the role of the deltoid muscle in order to achieve this.


An area where I place a lot of emphasis is the role of the muscles which control the shoulder blade. The shoulder blade plays a very important and influencing role in the movement pattern of the shoulder joint. Many clinicians would agree that the shoulder joint in fact starts at the shoulder blade. A stable shoulder blade, provides a stable foundation for the muscles which act upon the shoulder joint, including all 4 of the rotator cuff muscles mentioned above. The muscle which control the shoulder blade include trapezius, serratus anterior, rhomboids, levator scapulae and pectoralis minor. These muscle groups should be given direct attention in training programs.



Commonly in the sportsperson, impingement can occur when the muscles responsible for the stability of the shoulder blade become deficient, either due to weakness or poor motor control. This causes the shoulder blade to move in an abnormal pattern, often causing narrowing of the subacromial space. The relevance of this is that the tendons of the supraspinatus and infraspinatus travel through this subacromial space and as result can become irritated as they no longer have the same freedom of space to move in. This can worsen if the pectoralis minor muscle is tight, as this pulls the shoulder blade forward, further narrowing this space.



Signs and symptoms of impingement to recognise include:
• Pain with overhead activity
• Discomfort placing hand behind back
• Catching as you as you lift your arm up sideways especially between 70° and
120 °

If you are suffering from any of the above symptoms, please feel free to email me to organise an assessment.

Dee Ryan is the in-house Physiotherapist at SBG Concorde.

22/05/2014

The reasoning and importance behind Flexibility Training

I hope the following rationale will give some insight into why I place such an important emphasis on flexibility training. In my eyes flexibility training is equally important as strength and cardiovascular training.

The flexibility of our joints and muscles is necessary for normal movement. This is pretty straight forward, in order to move freely, we need to have the movement available in our joints and muscles. The body is a complex structure whereby no component truly exists in isolation, similar to a row of dominoes, and so normal range of movement is required at each segment of the body in order for optimal alignment and function throughout the whole body.

The vary nature of repetitive movements along with decreased recovery times, poor movement patterns or technique and repetitive trauma unfortunately all promote muscle imbalances. This can lead to muscle shortening and tightness, along with joint stiffness. To add to the lack of muscle length, it also means that the muscles become relatively weaker as they can no longer generate the same amount of force due to their shortened position. Dysfunction develops as a consequence of these imbalances and the body, as spectacular as it is, tries to compensate for the lack of movement or strength available in one location by compensating and overloading another area, again this goes back to the row of dominoes.

The purpose of flexibility training is to target these imbalances by regaining or maintaining full movement of our joints along with the functional length of all our muscles. This maintenance of joint range of motion relieve the stresses which pass through the joints and prevent further muscle imbalances from occurring. All in all, breaking the injury cycle and minimising the risk of further injury.

When you sweat you shower, when your hungry you eat, when your thirsty you drink, beginning to see the pattern…..when your train you stretch. An athlete that truly dedicates time to warm-ups (including stretching with movement), cool-downs and static stretching is an athlete that can invest most time training due to wasting no time being injury as a result of inflexibility.

19/05/2014

I would also like to say a very big Thank You for the kind reviews, much appreciated!

19/05/2014

Hello all, as you know this page was a while coming so that it's at last in operation I want to make it as interesting as possible. The plan is to add an educational (and hopefully interesting) component every fortnight. I want to make it as specific as possible so if anyone has a particular area of interest or equally an area they would like to know more about e.g. causes of back pain, risk factors for knee injuries, benefits of icing please private mail me. This weeks topic will be flexibility, I think its only fitting that this be the first topic as flexibility certainly has been a common contributing factor to a large number of injuries that I have seen so far! I hope your excited ....

19/05/2014

Dee Ryan is the in-house Physiotherapist at SBG Concorde.