The King Clinic

The King Clinic The King Clinic
A well established multi disciplinary clinic, providing . Osteopathy, Physiotherapy

27/08/2025
19/07/2025

How long did it take your sciatica to heal?

14/07/2025

Anterior View of Thoracolumbar Junction: “All lumbar and sacral nerve roots originate at the thoracolumbar junction, where the spinal cord ends as the conus medullaris. In the lumbar central canal, the posterior and anterior rootlets of a given lumbar or sacral mixed root descend as part of the cauda equina and traverse across the intervertebral disc that is located above the pedicle below which the mixed root exits; the dorsal root ganglia lodge within the exit foramina.” The genitofemoral nerve arises from the L1–2 roots and upper lumbar plexus. The main nerve trunk (or its individual ge***al and femoral branches) then ventrally perforates the psoas major, often at or near the level of the L3–4 disc. The nerve innervates the cremaster muscle, which can be monitored in both men and women during the transpsoas approach.
Doctor of physical therapy ”

13/07/2025
12/07/2025
11/07/2025

If the sciatic nerve runs through the piriformis muscle, instead of below it, you may be more likely to develop sciatica pain.

01/07/2025

Key Points for Perfect Driving
Doctor of physical therapy

24/06/2025

🛑 BAKER'S CYST
📍 Also known as Popliteal Cyst

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🔤 Name Origin & History
👨‍⚕️ Named after Dr. William Morrant Baker
🕰️ Described in the 19th century
📍 Fluid-filled swelling in the popliteal fossa (back of the knee)

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🔍 Definition
💧 A Baker’s cyst is a collection of synovial fluid that forms behind the knee due to joint inflammation or knee pathology.
🔗 It communicates directly with the knee joint capsule.

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🧠 Pathophysiology
🌀 Fluid moves into a bursa between:
➡️ Medial head of gastrocnemius
➡️ Semimembranosus tendon
🧩 Often secondary to:

🦴 Osteoarthritis

🩺 Meniscal tear

🔥 Rheumatoid arthritis

🤕 Knee injury or trauma

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📌 Common Causes
⚙️ Joint inflammation (OA, RA)
⚙️ Meniscal damage
⚙️ Cartilage tear
⚙️ Synovitis
⚙️ Previous trauma

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⚠️ Signs & Symptoms
🔹 Swelling behind the knee (soft or firm lump)
🔹 Stiffness or tightness when bending/straightening
🔹 Pain radiating down to the calf (may mimic DVT)
🔹 If ruptured → bruising & swelling in calf

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🔍 Risk Factors
👵 Age over 40
⚽ Sports or heavy activity
📈 Obesity
♿ Past injuries or arthritis
🦠 Inflammatory joint diseases

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🧪 Diagnosis
👨‍⚕️ Clinical examination
📸 Ultrasound or MRI
❗ Rule out Deep Vein Thrombosis (DVT) if severe calf swelling

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🧴 Physiotherapy Management
🎯 Goals:
➡️ Reduce pain
➡️ Improve mobility
➡️ Address root cause

🧊 Ice therapy
⚡ TENS / IFT
🏋️ Quad & hamstring strengthening
🧘‍♂️ Stretching (especially calf & hamstrings)
🤸 Knee mobilization
🎯 Patella tracking correction
🎯 Taping & kinesio techniques
📚 Patient education

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🦿 Orthosis Support
🛡️ Knee brace to reduce joint pressure
🧦 Compression sleeve for swelling control

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🏡 Home Advice
🚫 Avoid prolonged standing or deep squatting
🛏️ Elevate leg to reduce swelling
❄️ Cold compress: 10–15 mins/day
🌀 Gentle home ROM exercises
⚖️ Maintain healthy weight
🦯 Use walking aid during painful episodes

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🔚 Prognosis
✅ Often resolves with conservative treatment
🔁 May recur if underlying cause is untreated
🔪 Surgery rarely needed (aspiration or removal if persistent)

---✅Physio Masud

📢 Hashtags

05/06/2025

Sitting Posture and Health

Sitting posture has a big impact on physical health, productivity and well-being especially with prolonged sitting common in modern life. Poor posture can lead to pain and long term issues, while good posture has benefits, according to Journal of Physical Therapy Science (2021) and NIH.

Poor Posture: Slouching or hunching strains the spine, increases lower back pain by 25%, according to Spine Journal (2020). Forward head posture stresses neck muscles, causes discomfort in 30% of office workers, according to Springer Nature. It reduces lung capacity by 10%, limits oxygen flow, according to Journal of Applied Physiology. Poor posture also compresses abdominal organs, slows down digestion by 15%, according to American Journal of Gastroenterology (2019) and causes fatigue and reduced focus.

Good Posture: Sitting up straight with shoulders relaxed, back supported and feet flat aligns the spine, reduces back pain by 20%, according to Journal of Orthopaedic Research. It improves circulation, boosts energy by 12%, according to NIH. Good posture improves breathing efficiency, increases oxygen to the brain for 10% better cognitive performance, according to Journal of Neuroscience. It also supports healthy digestion, reduces bloating, according to Nutrients (2020).

How to Improve Sitting Posture:

Ergonomic Setup: Adjust chair height so knees are at 90°, backrest supports the lower back. Monitors at eye level, 20-30 inches away, according to Occupational Health Journal.

Take Breaks: Stand and stretch every 30 minutes for 1-2 minutes to reduce muscle tension by 15%, according to Journal of Sports Science.

Strengthen Core: Practice yoga poses like Cat-Cow to strengthen spinal stability, according to Yoga Journal.

Mindful Sitting: Check posture hourly, ears should align with shoulders and hips.

Tips: Pair with a nutrient rich diet (25g fiber/day, e.g., spinach) and 2-3L water to support muscle health, according to USDA. Use a lumbar roll or ergonomic chair for extra support. Practice 10-min daily mindfulness to reduce stress which worsens posture, according to Psychoneuroendocrinology. Standing desks can reduce sitting time by 20%, according to American Journal of Preventive Medicine.Tips: See a doctor if pain persists, it may be a spinal issue, according to NIH. Don’t overcorrect posture which strains muscles in 5% of cases, according to Journal of Clinical Orthopaedics. If new to exercise start slow to avoid injury. Make sure ergonomic setup fits your body.

Good sitting posture is natural comfort, health and productivity.

https://apple.news/AVCfuRCBUS7ycIy9vwJfGlw
28/05/2025

https://apple.news/AVCfuRCBUS7ycIy9vwJfGlw

Who’s acquainted with their vagus nerve? If you’re on Instagram or TikTok, you’ll know that you need to “reset” the thing to soothe your nervous system and reduce anxiety, and that investing in “vagus massage oil” or a vibrating bracelet or pressing an ice pack to your chest will do it...

Address

119-121 High Street 1st Floor
Epsom
KT198DT

Opening Hours

Monday 9am - 6pm
Tuesday 10am - 7pm
Wednesday 9am - 7pm
Thursday 10am - 7pm
Friday 9am - 6pm
Saturday 9am - 2pm

Telephone

+441372743333

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