Melanie Betts Physiotherapy

Melanie Betts Physiotherapy Physiotherapy practice specialising in spinal problems and sport injury management

Highly skilled, experienced CHARTERED physiotherapists
Excellent facilities
Thorough assessments and individual treatment plans
Rehabilitation to elite levels
Acupuncture and Manipulation treatments
AXAppp and BUPA preferred providers

11/09/2025

As part of our rebranding the telephone and reception services are now managed by Tudor physiotherapy. For appointments with Melanie Betts physiotherapy team continue to call 07703012146 . Just let them know your preferred physiotherapist and location and they will book you in. To contact Melanie directly please email melanie@melaniebettsphysiotherapy.com

27/08/2025

Imagine dedicating 37 years to helping others, only to suddenly need that same support yourself. That’s the reality for our colleague, Val Jones.

In June, Val was involved in a devastating accident that left her with life-changing injuries. Like so many across the physio community, we’ve been deeply shocked and saddened by what has happened.

We’ve been lucky enough to work with Val on several occasions. She is not only a gifted educator and world-class expert, but also a truly wonderful person to collaborate with. Always generous, kind, and inspiring.

Now, Val and her family urgently need our help. Please take a moment to read her story below. If you are able to contribute, no matter how small, it will mean the world to Val and those closest to her.

This is a sad and difficult time for our whole community. Our thoughts are with Val and her family, and we hope you’ll join us in supporting her on this journey.

👉 Support Val’s journey to home here: https://www.gofundme.com/f/val-jones-journey-to-home

EXCITING NEWS FROM MELANIE BETTS PHYSIOTHERAPY
25/08/2025

EXCITING NEWS FROM MELANIE BETTS PHYSIOTHERAPY

3 month post ACL reconstruction check up    happy. Still no running for another month ☹️ to protect the meniscal repair....
21/08/2025

3 month post ACL reconstruction check up happy. Still no running for another month ☹️ to protect the meniscal repair.

Grip strength directly correlates to longevity of life
20/07/2025

Grip strength directly correlates to longevity of life

A weak grip goes hand in hand with higher risk of heart attack and stroke, and is linked to everything from diabetes and obesity to muscle loss. Here’s what to do about it

18/07/2025

THE ROAR RECS FOR MAKING MUSCLE

All the cardio in the world won't cut it. Research on active women, especially past age 40, shows that even high levels of aerobic activity doesn't translate into any meaningful changes in lean body mass. The only solution is STRENGTH TRAINING. I mean high-intensity power training - heavy lifting for pure strength. This kind of training stimulates your neuromuscular system, activating the maximum amount of muscle fibers. It also keeps those high-energy, powerful type II muscle fibers engaged, which is essential because those are needed for speed, and they're the first to go. I hear from so many perimenopausal women that they feel as if they suddenly lost all strength and power (before any issue with losing lean mass). This is not a misnomer, we see that there is a distinct drop in force generation BEFORE we see any loss in lean mass. This is directly related to estrogen influence on myosin binding ability with actin (a weaker bond means a weaker muscle contraction), and the systemic loss of the anti-inflammatory effect of estrogen, reducing the regulation of muscle inflammation and the satellite cell function (meaning, more inflammation reduces the feedback for building new muscle cells) reduces the quality of the muscle, before overall lean mass loss.

The best part is that the benefits of strength training are nearly immediate. Even before your muscles get bigger and stronger, you wake up sleeping muscle fibers and develop neuromuscular connections that result in strength gains after just a few sessions.

How to optimize your strength-training results:
- LIFT HEAVY
Challenge and stimulate your muscles so they break down and repair bigger and stronger.
- HOW HEAVY IS TOO HEAVY?
Pick up a weight and lift it 8 times. How hard were the last two reps? You have chosen the right weight if you are barely able to eke out that final rep while maintaining good form.(Heavy Resistance Training is a journey, start consistent, with good form, then add load over time; we don't want injuries!!)
- LIFT OFTEN
Aim for 2-3 days a week.
- MIX IT UP
Variety is your friend when it comes to making muscle.

Anything you'd add?

​Study links:
https://bit.ly/4375CxQ
https://bit.ly/44twf2A
https://bit.ly/3GJHyd8
https://bit.ly/42Z1ykN
https://bit.ly/43hv19v

18/07/2025

Hamstring tantrums, also known as prone or supine hamstring exercises using a gym ball/pillow, are used to improve hamstring strength, recruitment, and coordination, particularly in the context of rehabilitation and athletic performance. They are often incorporated into training or rehab programs to enhance the hamstring's ability to handle high-speed movements and eccentric contractions, which are crucial for activities like sprinting.

17/07/2025

Still at it

Surgeon happy with wound as it stands. Phew! No more surgery. I decided to celebrate with a sneaky 20 mins gym session!
30/06/2025

Surgeon happy with wound as it stands. Phew! No more surgery. I decided to celebrate with a sneaky 20 mins gym session!

7week review and “wound decisions”. Had a brave dig around and clean out with Chlorex. Review in a few days. If still a ...
26/06/2025

7week review and “wound decisions”. Had a brave dig around and clean out with Chlorex. Review in a few days. If still a sinus then surgical clean. Other than that I’m a !

Creatine Supplementation- Not just for the boysCreatine supplementation can offer significant benefits, especially for o...
18/02/2025

Creatine Supplementation- Not just for the boys

Creatine supplementation can offer significant benefits, especially for older women, both physically and mentally, based on a growing body of research. Given your interest in sports, specifically as a long-distance triathlete, and considering the effects of menopause on your body, creatine may enhance performance and support overall well-being. Here’s a breakdown of the primary benefits:
1. Enhanced Muscle Strength and Power
As we age, muscle mass and strength tend to decline, a condition known as sarcopenia. This is particularly evident in postmenopausal women, where reduced levels of oestrogen contribute to muscle loss and a decrease in strength (Parise et al., 2001). Creatine supplementation has been shown to counteract this decline by promoting muscle hypertrophy (growth) and improving strength, even in older populations. A study by Tarnopolsky et al. (2007) indicated that creatine supplementation in older women helped improve muscle strength and endurance, which is especially useful for maintaining or improving performance in endurance activities like triathlons.
2. Improved Bone Health
Bone density naturally decreases with age, particularly in postmenopausal women due to the drop in oestrogen levels. Some studies suggest that creatine may have a positive effect on bone health. A study by Chilibeck et al. (2003) found that creatine supplementation, combined with resistance training, improved bone mineral density in older women. While more research is needed, these findings are promising for protecting against bone-related conditions, such as osteoporosis, which women are more prone to as they age.
3. Cognitive Benefits
Creatine is not only beneficial for physical performance; it also has potential cognitive benefits. Research has shown that creatine supplementation can improve cognitive function, particularly in older adults. A study by Rae et al. (2003) demonstrated that creatine supplementation enhanced short-term memory and reasoning ability in healthy older adults. In the context of menopause, where cognitive changes such as brain fog and memory issues are common, creatine could help maintain cognitive function and mental clarity.
4. Mental Fatigue Reduction
Mental fatigue is another challenge for older individuals, especially athletes like yourself. Long training sessions or competitive events can lead to both physical and mental exhaustion, which may be exacerbated by age-related changes in the brain. Creatine has been shown to reduce mental fatigue and improve focus and concentration, particularly in demanding tasks (McMorris et al., 2007). For a long-distance triathlete, this could be especially helpful during the latter stages of a race, where mental clarity and sustained focus are critical.
5. Enhanced Endurance and Performance
While creatine is commonly associated with short bursts of high-intensity activity, it can also be beneficial for endurance athletes. Creatine plays a role in energy production by replenishing ATP (adenosine triphosphate), which is the primary energy source for muscle contractions. Studies have suggested that creatine supplementation may improve performance in endurance sports by reducing the reliance on anaerobic metabolism, potentially improving fatigue resistance (Graham et al., 1994). This could translate to better energy management over the course of long training sessions and races, making it a valuable supplement for long-distance triathletes.
6. Support for Recovery
Recovery is a critical component of training, especially for endurance athletes. Research has shown that creatine can aid in recovery by reducing muscle damage and inflammation after intense exercise. A study by Cooke et al. (2009) found that creatine supplementation reduced markers of muscle damage in older adults following strenuous physical activity. For a triathlete, this means potentially faster recovery times and reduced muscle soreness after long sessions or races.
7. Safety and Dosage
For older women, creatine supplementation has generally been shown to be safe when taken at appropriate doses. The typical dosing regimen of male athletes and body builders involved a loading phase of around 20g per day for 5-7 days, followed by a maintenance dose of 3-5g per day. The loading phase has been associated with weight gain due to fluid retention and as such put off many female athletes. However a microdosing regime for the health benefits above has been shown to be effective and not have the detrimental effects of weight gain and bloating. Taking just 3 mg daily. No significant adverse effects have been reported in long-term studies involving older populations (Steenge et al., 2000), making it a reliable supplement choice for menopausal women.
Conclusion
In summary, creatine supplementation can provide both physical and mental health benefits for older women, particularly in the context of sports and endurance activities. From improving muscle strength and endurance to supporting cognitive function and reducing mental fatigue, creatine is a well-supported supplement for older athletes, including long-distance triathletes like yourself. Always ensure to consult with a healthcare provider before starting supplementation, especially to tailor the dosage to your individual needs.
Personally, I microdose with a 3.4g measure per day. Taken after training. I havent noticed any side effects but have noticed significant recovery improvements; wish I had started it earlier!.

This is the current brand I use, mixes well and no taste.

https://amzn.to/4hUTruc



References:
• Chilibeck, P. D., et al. (2003). "Effect of creatine supplementation and resistance training on bone mineral density." Journal of Strength and Conditioning Research.
• Cooke, M. B., et al. (2009). "The effects of creatine supplementation on muscle damage and inflammation following resistance exercise." Journal of Strength and Conditioning Research.
• Graham, T. E., et al. (1994). "Creatine supplementation and exercise performance: A brief review." Sports Medicine.
• McMorris, T., et al. (2007). "Creatine supplementation and cognitive function." Neuropsychology.
• Parise, G., et al. (2001). "Effect of creatine supplementation on muscle mass, strength, and endurance in older adults." Journal of Gerontology: Medical Sciences.
• Rae, C., et al. (2003). "Oral creatine monohydrate supplementation improves brain performance: A double‐blind, placebo‐controlled cross‐over trial." Psychopharmacology.
• Steenge, G. R., et al. (2000). "Long-term creatine supplementation does not affect kidney function in elderly men and women." Journal of Gerontology: Medical Sciences.
• Tarnopolsky, M. A., et al. (2007). "Creatine supplementation and resistance training in older adults: Effects on muscle strength and quality of life." Journal of Gerontology.

Address

Stratford-Upon-Avon
CV379RJ

Opening Hours

Monday 9:30am - 7pm
Tuesday 9:30am - 8pm
Wednesday 9:30am - 7pm
Thursday 9:30am - 8pm
Friday 9:30am - 5pm

Telephone

+447703012146

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