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Monday 9:30am - 10pm Tuesday 9:30am - 10pm Wednesday 9:30am - 5pm Thursday 9:30am - 10pm Friday 9:30am - 10pm

DC Injury Clinic

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Wroughton
DC Injury Clinic

No-nonsense injury assessment, treatment and rehabilitation in Wroughton, Swindon

DC Injury Clinic is an Injury & Rehabilitation Clinic in Swindon, offering treatment of all manner of injuries - from soft tissue manipulation to joint mobilisations. On this page I will look to share the most recent evidence (often without opinion!) in injury treatment; post links to interesting blogs and articles; question some dubious practices; and also keep you up to date with appointment availability.

20/10/2025

It’s very easy to get caught up in treatment plans led by how it ‘feels’ to us therapists.

And you should know - top secret 🤫- it’s very very easy to assume and then diagnose that every muscle we see is ‘tight’ ...

This is because simple objective tests and measures are still commonly misused, misinterpreted, or simply ignored.

And I think it is *because* they are simple that they are being forgotten, as the health and fitness industry insists on over-complicating.

There is a beauty in simplicity.

Know - and nail - the basics 👍🏼

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🤜🏼 In Clinic and Online appointments available, Link in bio

16/10/2025

The most common running injuries are essentially a mismatch between the load applied, and the load capacity of the body.

This load applied represents physical, psychological and lifestyle demands placed upon the runner and can account for individual runs or sessions, or training blocks or training plans, taking place over days, weeks, months or years.

The load capacity represents the ability of the runner – or more specifically the tissue structure of the runner – to tolerate the repetitive applied load.

Injury development can be a unique experience for each individual as each runner has a particular load tolerance, however each runner’s load capacity will reduce upon a continuum from Full Capacity, to Acute Fatigue, Microscopic Tissue Damage, Macroscopic Tissue Damage, until structural tissue failure occurs.

The best way to protect from this?

We can either decrease load/running (that's a big No No thankyouverymuch), or INCREASE LOAD TOLERANCE; get strong for running!

📄 The effect of selective muscle fatigue on sagittal lower limb kinematics and muscle activity during level running, Kellis & Liasson, 2009

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💻 Sign up for my Strength & Conditioning for Runners Workshop to learn how 💪🏼

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⛔ This is not medical advice, and is for educational purposes only. Any exercises are carried out at your own risk.

10/10/2025

IT'S BACK! 😁

For the first time in too long, I am really pleased to announce that my STRENGTH & CONDITIONING WORKSHOP FOR RUNNERS is making a comeback - again!

By attending this 2 hour workshop, you will;.

🏃‍♀️ Learn the key components of Strength and Conditioning, aimed specifically at running.
🏃‍♂️ Appreciate the importance of why we as runners should strength train.
🏃 Leave with a full repertoire of equipment free, body weight exercises designed to keep you doing the thing you love – running!
🏃‍♀️ Help reduce your risk of injury
🏃‍♂️ Improve endurance, and speed
🏃‍♂️ Understand where and how S&C fits into your program
🏃‍♀️ Critically appraise some myths about common training and therapy concepts! (or how to spot the BS!)

DATE: Friday 7th November
TIME: 19:00
LOCATION: Washbourne House Therapy Centre
COST: £30

GROUP DISCOUNTS AVAILABLE - PLEASE DROP ME A MESSAGE TO DISCUSS

Please visit

https://dc-injury-clinic.uk2.cliniko.com/bookings

to secure your spot (Group sessions, scroll to November 7th)

06/10/2025

In my opinion there is often a grey area where PTs/Coaches refer their clients - who are getting pain when squatting - to Physical Therapists/Massage Therapists who know very little about squatting, or who have never met a barbell.

The truth is I can often tell you all you need to know about your squat technique without seeing you squat.

And if you are a coach, I can show you exactly how to screen your clients to maximise this aspect of their training.

Just because you, or your clients, are injured it doesn’t mean you have to stop training - you just need to train smarter.

Rarely do I fully remove an exercise when someone is injured.

There is almost always a modification to be explored first.

And squatting is no different.

Whether you’re dealing with knee pain, hip pain, low back sensitivity, or post-surgical limitations, modifying your squat can allow you to maintain strength, promote recovery, and stay consistent.

There are a number of modifications we can consider when squatting through or around injury.

I've attached a few to get you going, here 💪🏼

If you want to know more, for yourself or your clients, I have something for you.

Drop me a message 🤜🏼

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💪🏼 In pain and want that to change? Drop me a message on here!

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🚫 This is not medical advice, and is for educational purposes only. Any exercises are carried out at your own risk.

02/10/2025

HOW TO READ A RESEARCH PAPER

Being an Evidence Informed Practitioner is much more than just reading Papers – but it absolutely does include use of current best research evidence when making decisions about the care and progress of individual patients and clients.

Now more than ever, the ability to critically appraise what is put in front of you is vital.

Critical appraisal is understanding what constitutes a “good” or a “not so good” paper, but more than that, is it understanding how that is relevant to you and your practice.

And then, when we have developed that skill, its how you use the paper in front of you to benefit not just you but the people asking for your help.

It’s learning to be open to altering your behavior, and also those that are paying for upfront and honest advice which they want to help them improve in some way.

If you have never been shown how, I have just the thing for you.

Drop me a message 👍🏼

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💻 In clinic and remote/online appointments are available, Link in bio

29/09/2025

I don’t make the rules, I just enforce them.

Well done once again to all the Swindon Half Marathon runners 💪🏼👍🏼

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💻 In clinic and remote/online appointments are available, Link in bio 👍🏻

22/09/2025

I haven't run a half marathon since 2021, and - just to get my Big Book of Excuses (TM) out early - training has been ... sporadic ... at best, for a number of reasons which I'll probably talk about at a later date.

And *obviously* now my knee hurts for no good reason 🙄

I am not "racing" in any way shape or form; I, like many, just want to support a new event for our town, to enjoy the day (where possible🫠 ) and to be a part of the amazing Swindon Community Running ❤️💙

If you see me walking on the middle 5 miles of hills, do not be surprised.

But I am really looking forward to Sunday, and seeing so many people I have had the privilege of helping in some small way over the past few months, them having worked hard to make the start line. It's no mean feat to train for a half, and you should be proud to have made it to the 'victory lap'.

Let me know if you are running, so we can maybe share a double espresso at the Race Village? (You're buying👍🏼 )

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💻 In pain and want that to change? Drop me a message

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18/09/2025

May I blow my own trumpet? Thanks.

If all you have is a hammer, all you see is nails 🔨

I don’t shout about it very often, but I am very proud to have extensive training and experience in a huge range of treatment modalities, which means I don’t need to rely on any particular treatment, and can tailor everything to your individual needs.

The skill set often isn’t the treatment itself; it’s the ability to choose the right approach for the right person at the right time 👍🏼

And with the outrageous and often conflicting and contradictory and confusing amount of information out there, you can rely on me simplifying where we can, with your wellbeing (and pocket) in mind.

(170%, btw)

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💻 In pain and want that to change? Drop me a message on here!

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#170

16/09/2025

I’m sure like many of us, I would like to run and hide from social media at the moment.

It is a hotbed of misinformation, and a world of opinion, which of course can not all be right all of the time.

And (to try and focus on my little world) the health and fitness industry is rife with it.

But when something sounds too good to be true, it usually is (sorry!) 😬

So how do you know who to trust?

Here are a few questions and things to be mindful of, but the best advice I think is; if the person giving the information is not happy to openly discuss the ‘why’ of their message, it is worth getting another opinion.

Let’s not lose the ability to have discussion 👍🏼

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💻 In pain and want that to change? Drop me a message on here!

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⛔ This is not medical advice, and is for educational purposes only. Any exercises are carried out at your own risk.

08/09/2025

… 👀 😬

Despite how some on social media can portray 'miracle cure' physical therapies, with amazing looking before and after images, not every pain presentation in clinic is purely mechanical, and needs clicking or rubbing better.

And definitely not the at shockingly regular intervals that are so common!

And I am firmly of the opinion that if someone is getting "fixed" every 2-4 weeks by their Therapist … then they are not in fact getting "fixed". This may trigger some.

You simply wouldn't accept that from your car mechanic, or plumber, and we should ask if there is something else that is being missed, or if there is perhaps an alternative approach.

Pain management treatments can be worthwhile - and instant pain modification treatments can be vital in the short term - but it is very, very easy to insidiously become reliant (even addicted) to treatments that have little to no long term benefit.

Always be confident enough to ask us therapists why we choose the approach we do; what the expected prognosis is; and what the (exit) plan is long term 👍🏼

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💻 In pain and want that to change? Drop me a message on here!

🙏 Find this useful? Like, Share or Save for later.

⛔ This is not medical advice, and is for educational purposes only. Any exercises are carried out at your own risk.

05/09/2025

I wrote this a few years back, and I wonder if anything has changed… 🤔

We need to do better.

“Women wait longer for pain medication than men, wait longer to be diagnosed with cancer, are more likely to have their physical symptoms ascribed to mental health issues, are more likely to have their heart disease misdiagnosed or to become disabled after a stroke, and are more likely to suffer illnesses ignored or denied by the medical profession.”

I am absolutely not throwing all medical professionals under any bus here - and none of the brilliant professionals I know would want to admit to this - but this (often unconscious) bias is seen in many areas of medicine, including rheumatology where "Currently, the average delay to diagnosis in AS [axial spondyloarthritis] is ∼6–8 years. Although the age of onset of AS is similar for men and women, women have a significantly longer delay in diagnosis compared with men (median 9–14 vs 5–7 years)"

Does more research need to be carried out with a female population, rather than a male bias? ("Women weren’t included in clinical trials until the 1990s. While we make up 70% of chronic pain patients, 80% of pain medication has been tested only on men.")

Or do we simply need to listen better?

Happy to hear thoughts and experiences 👇

📄 S*x and gender differences in axial spondyloarthritis: myths and truths, Rusman et al., 2020

📄 S*x and gender differences in axial spondyloarthritis: myths and truths, Gaffney et al., 2021

🖥https://www.theguardian.com/books/2019/sep/02/why-dont-doctors-trust-women-because-they-dont-know-much-about-us?fbclid=IwAR3EkYm0MouMQCPJKnY9SN6KXlE26-TsaZWP8MsxEehNmfygmZ-CnIsU3CI

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💻 In clinic and remote/online appointments are available, Link in bio 👍🏻

03/09/2025

We as therapists have to, from time to time, deliver hard news that no-one wants to hear, and we have weeks where it seems the room is filled with tears 😔

Be it that someone is looking at 12 months away from the game they love; that they have a lump which needs further investigation; or even - sometimes – that they need to go straight to A&E.

But for some Therapists the hardest thing to say is still “I don’t know”.

It is a brutal truth that a lot of our 'Special' diagnostic tests aren’t that special (or specific, or sensitive).

And it is similarly brutal that a lot of pain is non-specific in its nature and presentation.

And sometimes things hurt for no obvious reason – certainly not related to any tissue damage.

And this is completely fine.

The righting reflex is strong in us Therapists, but I honestly believe that we are sometimes better admitting we simply can’t say with 100% certainty why someone is in pain, rather than feeding them a narrative which suits us, the therapist, not them, the person in pain.

Get people moving; support their endeavours; listen to their concerns; help them overcome their challenges and apprehensions; and encourage them to forget they were ever with us.

Until something else hurts 😀

Let’s understand and stay within our remit; acknowledge our weaknesses; and sometimes be brave enough to say “I don’t know” 💪🏼

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💻 In pain and want that to change? Drop me a message on here!

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Address

Washbourne House Therapy Centre
Wroughton
SN49JU

Opening Hours

Monday	9:30am - 10pm
Tuesday	9:30am - 10pm
Wednesday	9:30am - 5pm
Thursday	9:30am - 10pm
Friday	9:30am - 10pm

Telephone

+447810483005

Website

https://dc-injury-clinic.uk2.cliniko.com/bookings

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