Injury and Pain Clinic

16/11/2025

There are a lot of factors that can contribute to healing after an injury. Here are a few!

27/10/2025

How a drop in oestrogen can impact on collagen health!

➡️ Low estrogen can result in poor tendon healing and a reduction in the integrity of the tendon.

➡️ In order to manage potential reduced tendon integrity, exercise is important including loading exercises such as walking.

➡️ If you are starting a new exercise routine it should be a gradual process and building up the load needs to be done in a safe way thus reducing the risk of injury.

➡️ Injuries to collagen can take longer to heal due to fewer cells being produced for repair.

13/10/2025

05/10/2025

Infographic showing what happens with injury.

➡️ The tissue tolerance to load eg walking is reduced particularly in patients with chronic pain.

➡️ Chronic pain creates a hypersensitive nervous system which impacts on tissue tolerance.

➡️ Chronic pain causes part of the brain (amagdyla) to be on ‘alert’ and thereby protecting the limb/region causing normal movement and touch to the skin to be painful.

21/09/2025

Facts!

➡️ Your spine is robust and meant to bend so don’t avoid using it. You have to ‘bend to mend’!

➡️ Everyone is asymmetrical. If people tell you that you’re out of alignment, this is fear inducing language and simply not the case.

➡️ Steroid injections can work but remember they are not a quick fix to a problem.

➡️ Remember MOTION IS LOTION!

➡️ Manipulation is a good tool to use in appropriate circumstances. If people tell you that manipulation can realign and readjust they are telling you incorrect information. Manipulation does NOT realign anything!

➡️ Pelvic tilts, spinal curves and leg length discrepancies are normal. We all have variations within our body.

07/09/2025

Osteoarthritis - the facts!



Infographics courtesy of Middleton Physio

31/08/2025

Prolonged achilles pain/injury!

➡️ Chronic Achilles tendinopathy on both sides can be a sign of systemic disease.

➡️ Achilles tendinopthy on both sides can be a sign of: diabetes, being overweight, rheumatology conditions such as rheumatoid arthritis.

➡️ Treatment would be blood tests to rule out other conditions and then focusing on building up tendon tolerance to load.

➡️ Achilles injury can be due to a sudden increase in exercise/activity level.

➡️ Treatment approach for Achilles injury/tendinopathy is about a gradual increase in load and should also consist of an holistic approach to prevent re-occurrence.

10/08/2025

Frozen shoulder and diabetes facts!

➡️Diabetics are 5x more likely to develop frozen shoulder

➡️ People with type 2 Diabetes were 4x more likely to to develop frozen shoulder.

➡️ The reason for diabetics being at more risk of developing frozen shoulder is due to an increase in systemic inflammation on top of an already heightened systemic response.

➡️ An increase in inflammation can cause fibrosis and contracture of the joint capsule.

➡️ Symptoms of diabetes can include:
- increased thirst
- increased urination
- unexplained fatigue
- weight loss
- blurred vision

➡️ Evidence shows that diabetics can have poorer outcomes regarding pain, motion and functional outcomes.

➡️ Steroid injections can help with pain from frozen shoulder but if your diabetes are poorly controlled then steroid injections might not be right for you due to the heightened risk of infection.