Over the next few weeks - running through the first 3 weeks of November, the clinic will be opening for Monday morning but won't be open on a Thursday afternoon.  We hope that this does not cause problems for anyone.  Meanwhile my thoughts are turning towards the next few months.  Xmas is high on the agenda - with the Quiz already written (the subject this year is American cities) and the proceeds will be going towards a breat cancer charity - but we haven't chosen which one yet.  Around a similar time to the sale of the quiz, there will be the Christmas tree festival which we are planning to participate in again.  More about that nearer to the time.

Here is a little tale to keep your interest until those heady Xmas times!

Physio Fable 17

With a flourish of dog leads the young lady entered my clinic, introducing herself as Dolly Dawson, the dog walker extraordinaire from Dunham.  She told me that she had injured her right shoulder a couple of weeks ago and as a result was feeling sick as a dog.  Apparently she had been dawdling with a group of dogs – Dalmations, Dachshounds and Dobermans, when a Dandie Dinmont had appeared in the distance and one of the dogs had decided to dash over to make friends.  Sadly for Dolly, she was holding on to the lead, and as a result her arm felt as though it was being dislocated.

I took her through to a treatment room and examined her shoulder: I tested the range of movement, the strength of the individual muscles, the capsular pattern and the scapulothoracic movement.  I carried out some tests on her shoulder – the empty cup, the anterior and posterior apprehension, Speed’s, Yergson’s, the drop arm, the Neer impingement and the clunk test. I then palpated the ligaments and the muscles before sitting Dolly down and telling her the diagnosis: ‘Dolly’ I said (after all that was her name) ‘You have torn the posterior fibres of your deltoid muscle’ I went on to explain that it was this muscle on the back of her shoulder which had taken the brunt of the stretch when her dog had attempted to befriend the Dandie Dinmont.  Dolly delicately inquired if it was repairable – ‘definitely ‘ I said – ‘first of all we need to get rid of the poor healing that has already happened and we do this with a type of deep massage.  Then we need to both calm it down and encourage normal muscle repair using ultrasound or electrical stimulation. Finally we need to make sure that it doesn’t reoccur – so this is where stretching and strengthening exercises will play their part’. ‘That sounds great’ Dolly said, ‘but is there anything that will stop the shoulder disturbing my sleep?’ I thought for a moment and then in a flash inspiration hit me, ‘Strapping – that’s what you need.  I’ll apply adhesive strapping to the area to support it and hopefully that will reduce your pain.’ At this point Dolly interrupted me with a bewitching smile saying ‘people will think I’m done up like a dog’s dinner!’

If you are dog tired of your joint pain, either pop in to the Newark Physio Clinic, 2 Cartergate, or  ring 01636 610142 for advice or an appointment.