The Barefoot Therapist

The Barefoot Therapist A runner fuelled by Werthers and Hot Chocolate. A Sports Therapist that thinks outside the shoebox ๐Ÿ“ฆ Provision of Sports Massage is from a home clinic.

Sports Therapist with 40 years experience of athletics, running and physical body management, and dedicated to an active life, which endeavours to get to the source of the problem to assist the body to heal itself. Sports therapist for AEGON International Tennis Championships 2009-12, and International Davis Cup Tennis July 2010. Clients from all walks of life (juniors up to 90 years of age), and as a sub three-hour marathon runner; I understand the mind performance required to achieve championship results. Regular clients include:ยท International and County Tennis Players, and liaisons with tennis coach and personal trainers,ยท International Running Athletes and County level Road Runners,ยท International Tri-athletes, and Cyclists,ยท Former Four times Olympian Fencing ChampionContinued Professional Development includes weekly session with Sports Massage Teacher.

Running and the effect on knee joint cartilage ๐Ÿƒโ€โ™€๏ธ๐Ÿ‘ฃ๐Ÿ‘ A summary below, and there are many other reviews that indicate ru...
26/03/2026

Running and the effect on knee joint cartilage ๐Ÿƒโ€โ™€๏ธ๐Ÿ‘ฃ๐Ÿ‘

A summary below, and there are many other reviews that indicate running itself is not the cause of knee cartilage wear and tear โคต๏ธ

โœณ๏ธ Objective: Although running can cause inevitable stress to the joints, data regarding its effect on the cartilage of the knee are conflicting. This systematic review and meta-analysis aimed to evaluate the effect of running on knee joint cartilage.

โœ…๏ธ Conclusions: Running has advantages in promoting nutrition penetrating into the cartilage as well as squeezing out the metabolic substance, such as water. The study found that running had a short-term adverse effect on COMP (carti7lage oligomeric matrix protein) and did not affect cartilage volume or thickness.

Click here for the full scientific review โคต๏ธ
https://pubmed.ncbi.nlm.nih.gov/33279802/

Nb this sculpture was created without knees..just incase you were wondering... name the location if you can? ๐Ÿค”๐Ÿ–ผ๐ŸŽจ๐Ÿ‘ฉโ€๐ŸŽจ๐Ÿ“– ๐Ÿ˜

๐Ÿ’ช๐Ÿƒโ€โ™€๏ธ
๐Ÿคž๐Ÿ‘๐Ÿ‘ฃ

COLD WATER IMMERSION ๐Ÿ’ง ๐ŸŒŠ๐Ÿงœโ€โ™€๏ธ๐Ÿ’™Cold water may be one of the simplest ways to train your body's adaptability. But most peop...
25/03/2026

COLD WATER IMMERSION ๐Ÿ’ง ๐ŸŒŠ๐Ÿงœโ€โ™€๏ธ๐Ÿ’™

Cold water may be one of the simplest ways to train your body's adaptability. But most people are doing it wrong.

Here is what actually happens inside your body the moment you get in:
In one lab experiment, volunteers stepped into cold water for just a few minutes. When researchers drew their blood immediately after, norepinephrine had spiked by more than 200%. Some hit 300%. From a single exposure.

Norepinephrine is the hormone your brain releases when it needs to survive something. It sharpens focus, increases alertness, and prepares your muscles to work harder. Cold water triggers it more powerfully than almost anything else short of intense exercise.
But that is just the beginning.

๐Ÿง  Dopamine rises more slowly and stays elevated long after you step out. This is why people describe an "afterglow" that lingers for hours.

๐Ÿ”ฅ Behind your collarbones and near your kidneys sits brown fat, a tissue most people never think about. Cold water is its on-switch. It burns calories to generate heat, pulls sugar from your bloodstream, and improves insulin sensitivity. Ten days of mild cold exposure improved insulin sensitivity by roughly 40% in one study. That is what some diabetes medications promise.

โšก After just one to two weeks of regular cold exposure, people shiver less, warm faster, and their brown fat becomes more active. The body is not just tolerating the cold. It is learning from it.

The science on what is actually happening inside the body is far more nuanced than the social media version of "cold plunge equals good." Metabolic shifts, immune adaptations, thermoregulatory changes: context and dose determine outcome. Like most things in biology, more is not always better.

Start small. Stay consistent. Let adaptation lead.๐Ÿ‘Œ๐Ÿ’ง๐ŸŒŠ๐Ÿงœโ€โ™€๏ธ๐Ÿ’™

Thank you Dr. Laurie Marbas for the details of why we feel like we do๐Ÿ‘Œ๐Ÿซถ๐Ÿ’ง๐ŸŒŠ๐Ÿงœโ€โ™€๏ธ๐Ÿ’™

๐ŸŒŠ๐Ÿงœโ€โ™€๏ธ๐Ÿ’™
๐Ÿซถ๐Ÿ‘Œ๐Ÿ‘

RUNNING WITH KNEE PAIN ๐Ÿ˜ฌ๐Ÿ˜’๐Ÿ˜ช๐Ÿฆต๐Ÿฆด๐Ÿ‘€ :-  WHAT IS OSTEOARTHRITIS๐Ÿค”Osteoarthritis is the Knee Painโžก๏ธ Let me explainโ€ฆThe first thin...
24/03/2026

RUNNING WITH KNEE PAIN ๐Ÿ˜ฌ๐Ÿ˜’๐Ÿ˜ช๐Ÿฆต๐Ÿฆด๐Ÿ‘€
:- WHAT IS OSTEOARTHRITIS๐Ÿค”

Osteoarthritis is the Knee Pain
โžก๏ธ Let me explainโ€ฆ
The first thing I would like to make clear to any reader that has been diagnosed with osteoarthritis as a cause of their knee pain, is that the pain you feel is absolutely real, in many cases it can be severe, causes an awful lot of disability and most importantly, it deserves an explanation.

It is my strong belief that osteoarthritis is one of the most over-diagnosed, and mis-understood conditions that I see. A simple diagnosis of osteoarthritis can change someoneโ€™s life, and not for the better. ๐Ÿ‘

So letโ€™s put osteoarthritis in the dock, charged with meaninglessness and creating undue fear, and partake in a bit of cross-examination.

โ–ถ๏ธ The Word Osteoarthritis is Meaningless
Letโ€™s start this investigation with some definitions.๐Ÿ”Ž

Weโ€™re are looking at the most common form of arthritis; Osteoarthritis. โ€œOsteoโ€ means related to bones. โ€œArthroโ€ means related to joints and โ€œitisโ€ means inflammation.
So the term literally means bony / joint inflammation. Now the problem I have with this word is two-fold:

Bone/joint inflammation is more of an observation than a meaningful diagnosis. It doesnโ€™t tell us anything about WHY the person is in pain.๐Ÿค”

It creates fear๐Ÿ˜ฌ. The word osteoarthritis is synonymous with getting older, wearing out, crumbling away, disability, decreasing mobility and progressing e.g. it only gets worse.

โžก๏ธThere are no โ€˜badโ€™ exercises for knee pain, or any condition for that matter. Itโ€™s just about understanding that some exercises are more stressful on the joint, than others, and additional factors such as adding weight, increased repetitions, duration, speed, surface, footwear will also effect the stress going through the joint.

Well worth a read, including rehab and stress loading exercises โคต๏ธ
https://www.kinetic-revolution.com/knee-osteoarthritis-running-what-you-need-to-know/

Also, just watch a cat...they have got it right! Sleep, move, stretch, stare, eat, and repeat โ˜บ๐Ÿˆ๐Ÿ˜ผ

Sharing for a few friends .....๐Ÿ‘Œ๐Ÿซถ๐Ÿค—
SydSnippets

  ? ๐Ÿ‘ฃ๐Ÿ‘ฃ๐Ÿ‘ฃ When the morning weather may not be inviting, sea fog, mist and chilly, change your attitude about how you 'see'...
23/03/2026

? ๐Ÿ‘ฃ๐Ÿ‘ฃ๐Ÿ‘ฃ When the morning weather may not be inviting, sea fog, mist and chilly, change your attitude about how you 'see' things. It would seem it's jade today๐Ÿ˜, and it also warms up by the end of your run (inside and outside ๐Ÿƒโ€โ™€๏ธ๐ŸŒž๐Ÿ’ช).

Time to spread one's wings ready to fly ๐Ÿชถ

22/03/2026

To , or โค๏ธ๐Ÿค•โ“๏ธ
A good question, and needs individual assesment on a case by case merit๐Ÿค”๐Ÿค•
Personally, I have a preference for & ๐Ÿซถโค๏ธ๐Ÿ‘Œ
While the R.I.C.E. protocol remains a valuable framework for injury management, recent evidence and evolving perspectives suggest that a more individualised and active approach may be more beneficial. Read all about it in this newly updated Physiopedia page on the topic

A good read ๐Ÿ‘‰ โคต๏ธ
https://www.physio-pedia.com/RICE

๐Ÿ’ฅBunion Rehab๐Ÿ’ฅ๐ŸŽฏ A bunion, also called "Hallux Valgus", is a progressive foot deformity in which the first metatarsophala...
21/03/2026

๐Ÿ’ฅBunion Rehab๐Ÿ’ฅ

๐ŸŽฏ A bunion, also called "Hallux Valgus", is a progressive foot deformity in which the first metatarsophalangeal (MTP) joint is gradually "subluxed" (pushing the joint out of its normal position), resulting in the "growth" we see pointing inwardly at the big toe

๐Ÿšจ However, this isn't actually a "growth", but positional changes in the bones of the joint that cause it to look this way

๐Ÿ“Œ Development of a bunion is often caused by repetitively wearing too tight of shoes, and is further made worse if the person either lacks ankle mobility and/or arch strength, which can lead to a compensatory flattening of the arch and flaring out of the toes so that the person rolls off the inner edge of the toe rather than the middle portion

๐Ÿ“Œ At it's later stages, this positional change can lead to pain and functional impairments, such as difficulty walking and running

โœ… The first line of treatment is physical therapy, which may consist of:

๐Ÿ”น Adjusting footwear to those with a wider and deeper toe box
๐Ÿ”น Increasing extension mobility of the 1st MTP joint (big toe)
๐Ÿ”น Increasing ankle dorsiflexion mobility
๐Ÿ”น Orthotics to unload the area and support the arch
๐Ÿ”น Gait training (Focused on depressing and rolling off of the ball of the big toe)
๐Ÿ”น Strengthening of the intrinsic and extrinsic arch muscles of the foot

๐ŸŽฅ Today's post includes exercises that focus on improving extension mobility of the 1st MTP joint (big toe), improving ankle dorsiflexion mobility, and arch control/strength:

1๏ธโƒฃ Great Toe Extension Stretch - Open Chain
2๏ธโƒฃ Great Toe Joint Mobilisation
3๏ธโƒฃ Great Toe Extension Stretch - Closed Chain
4๏ธโƒฃ Active Great Toe Extension - Seated
5๏ธโƒฃ Great Toe Abduction Stretch
6๏ธโƒฃ Ankle Dorsiflexion Mobilisation - Foot on Bench
7๏ธโƒฃ Standing Short Foot with Band - 2 Feet

Thanks for the share Dr. Caleb Burgess DPT, OCS, CSCS ๐Ÿ‘Œ๐Ÿ‘

๐Ÿ‘ฃ๐Ÿฆถ

20/03/2026

โซ๏ธ STAIRS โฌ๏ธ

Youโ€™re walking past an opportunity for a workout every single day. ๐Ÿ’ช๐Ÿฆด๐Ÿ‹โ€โ™€๏ธ๐Ÿ‘Œ

Stairs build bone density (impact triggers osteoblast activity).

โœ…๏ธThey spike heart rate (4-minute heart benefit). ๐Ÿฉท
โœ…๏ธThey strengthen legs (the muscles that predict your independence). ๐Ÿ’ช
โœ…๏ธThey improve balance (fall prevention).โš–๏ธ
โœ…๏ธThey clear blood sugar (large muscle activation).
And theyโ€™re already in your house.๐Ÿก Take the stairs twice a day with intention. Not as a chore. As a prescription. Every step is a deposit into the body youโ€™ll need in 20, 40, 60 years.

As a Sports Therapist working upstairs in a treatment room, I use the stairs a minimum of 4 x per client, and have done for the last 25 years, I think I'm getting a good work out! ๐Ÿ’ช๐Ÿ˜

Obviously walking down the stairs is as good a good a work out too, especially with no hands, however, only if your balance is as good as the cat! ๐Ÿˆ๐Ÿ’ช๐Ÿ˜

๐Ÿฆด๐Ÿ’ช๐Ÿƒโ€โ™€๏ธ๐Ÿ‹โ€โ™€๏ธ๐Ÿคธโ€โ™€๏ธ๐Ÿšดโ€โ™€๏ธ๐Ÿ’ช๐ŸซถEvery joint, every tendon, every muscle keeps a quiet record of how you treat it. Every sprint, ever...
19/03/2026

๐Ÿฆด๐Ÿ’ช๐Ÿƒโ€โ™€๏ธ๐Ÿ‹โ€โ™€๏ธ๐Ÿคธโ€โ™€๏ธ๐Ÿšดโ€โ™€๏ธ๐Ÿ’ช๐Ÿซถ
Every joint, every tendon, every muscle keeps a quiet record of how you treat it.
Every sprint, every heavy lift, every day you ignored recovery gets written down and by the time you reach your 50s or 60s, the consequences show: stiffness, aches, slower reflexes, and lost mobility.

The people you see running at 75 didnโ€™t push recklessly in their 30s, they trained with care, respected their limits, and prioritised recovery.

Too often, we are told to โ€œjust take it easy,โ€ and then wonder why stairs, sidewalks, or carrying groceries feel risky. Recovery is a strategy that protects your independence, your bones, and your freedom.

Thanks for the reminder Dr. Howard Luks ๐Ÿ‘Œ๐Ÿซถ

The important extra.....MAKE IT FUN ๐Ÿ˜‰๐Ÿ˜๐Ÿคช
Thanks Kate for embracing the important extra ๐Ÿ˜๐Ÿ‘Œ๐Ÿฉท๐Ÿ‘

*Proximal Hamstring Tendinopathy * ๐Ÿ˜ฌ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜”๐Ÿซค  Today is about     "A pain in the butt!! ๐Ÿ˜ณ๐Ÿ˜ฌ๐Ÿ˜“A some point in your running life...
18/03/2026

*Proximal Hamstring Tendinopathy * ๐Ÿ˜ฌ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜”๐Ÿซค


Today is about
"A pain in the butt!! ๐Ÿ˜ณ๐Ÿ˜ฌ๐Ÿ˜“

A some point in your running lifetime you will probably experience hamstring or glute injuries or niggles....sad BUT true. Especially after an event or race...and it's that time of year, Centurion Running TCS London Marathon and so on...๐Ÿ‘ฃ

See below for an in-depth article about how these muscle groups work, and more importantly HOW to and get back to running again....... ๐Ÿ™๐Ÿ’ช๐Ÿ‘Š๐Ÿ‘ฃ๐Ÿƒโ€โ™€๏ธ๐Ÿƒโ€โ™‚๏ธ




Click here โคต๏ธ https://www.physio-pedia.com/Proximal_Hamstring_Tendinopathy

17/03/2026

*Sports Massage* What is it? ๐Ÿค”

This weeks blog is looking at . It analyses what sports massage really is. It looks at what therapists think it is, and queries whether our clients understand what it is. It also looks at why this particular type of might be so confusing. โฃ
โฃ
The blog discusses a considered view of what sports massage can be, so if any of you are confused, and would like to understand what sports massage really is, read a well written blog that provides a great insight by clicking the link below ๐Ÿ‘‡โฃ

https://www.susanfindlay.co.uk/what-is-sports-massage/

Thank you Susan Findlay a great summary๐Ÿ‘Œ๐Ÿซถ
๐Ÿ’ž ๐Ÿ™๐Ÿ‘ฃ๐Ÿƒโ€โ™€๏ธ
๐Ÿ˜ฌ

16/03/2026

SPRING 2026 REHAB ALERT *Back Pain* ๐Ÿ˜ฌ๐Ÿ˜ณ๐Ÿ˜ฐ ๐ŸŒฑ๐Ÿƒ๐ŸŒท๐Ÿชป๐ŸŒผ

Working with a client, I found this article to be very useful for the rehab exercises I suggested. It makes sense to share it with others...especially all of you trying to stay active or returning to fitness from injury....๐Ÿ‘ฃ๐Ÿ˜Š๐Ÿ‘ .

Pain or weakness in the lower back, any restrictions with hip flexors? Then this a great little article to help strengthen the sacroiliac joint (SIJ).
Or as Syd would say.... ๐Ÿ˜ผ๐Ÿ˜บ๐Ÿˆ or (chasing your tail in the video below ๐Ÿ˜‰๐Ÿ˜๐Ÿˆ๐Ÿ’ช)



There are several muscles that connect to the sacrum, hip bones, or p***s bones and help support the pelvis and sacroiliac joint, including those in the groin, thighs, abdomen, and lower back. If these muscles are poorly conditioned and unable to adequately support the SI joint and pelvis, pain may develop....and usually does!!

SydSnippets


Click below for the full article โคต๏ธ https://www.spine-health.com/wellness/exercise/strengthening-exercises-sacroiliac-joint-pain-relief

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