physio 1st

New FREE Injury Demo Clinics!

Jul 23, 2012
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Free Demo Injury Clinics!


As promised, we have arranged several more demo clinics for you to attend. Check them all out below, and follow the links to our Facebook page for further details!


30/7/12 – Park Inn Hotel  (Innaction Gym) // West Bromwich // 17.00-19.00 // Facebook
1/8/12 – Bannatyne’s Health Club (Brindley Place) // Birmingham // 17.00-19.00 // Facebook
6/8/12 – Village Health & Fitness // Shirley // 17.00-19.00 // Facebook
8/8/12 – Gym Nation // West Bromwich // 10.00-11.00 // Facebook
13/8/12 – Gym Nation // West Bromwich // 10.00-11.00 // Facebook
15/8/12 – Firewalker Fitness Club // Wolverhampton // 17.30-19.30 // Facebook





Jul 13, 2012
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With just days to go until the London 2012 Olympic and Paralympic games, athletics-fever is set to sweep across the UK  in what has been an already phenomenal year of sport! However, with activity comes the risk of injury; all the athletes who will perform at London 2012 will be thoroughly monitored by an elite field of medical and sporting professions, ensuring that they perform at their best and are looked after in the unfortunate event of an injury. But…who’s looking after you?


This summer, Physio 1ST will be holding several FREE injury clinic demonstrations across our network of clinics, offering you an opportunity to be screened by our team of professional therapists to make sure that you stay at your best, or are put in the safe hands of a Physio 1st therapist to help you return to top form.


No matter if you’re a budding amateur or a world-class athlete, you deserve the highest level of support you can in order to stay on top of your game, and we are here to provide that! We currently have demonstrations organised in the following venues (dates and times to be confirmed):


  • Shirley – Village Hotel & Fitness
  • Birmingham – Bannatyne’s Health & Fitness
  • Wolverhamptom – FireWalker Health Club


Keep checking back on this blog, our Facebook and Twitter pages for further information about these and upcoming demo’s in your area – spread the word to all your friends, team-mates and family!


Physio 1ST

Training & Team-Building Day in Birmingham!

Apr 20, 2012
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The entire team of therapists descended upon our clinic in Bannatyne’s Health Club in Brindleyplace for a day of in-service training, before heading off to the Birmingham Wheels outdoor karting circuit for some light-hearted (and in some cases, very serious!) competitiveness….here’s what we got up to!

Training: Spinal Manipulations

The session was delivered by Alex Jones, and covered a variety of topics including the theory and science behind these techniques, as well as all the health & safety parameters that must be adhered to.


Upon this, the floor was then left for the therapists to practice both the assessment and treatment techniques upon each other, proving to be an invaluable experience for both old-timers and those new to the Physio 1st team.



Furthermore, this was the first time in which many of the therapists had been introduced to each other, so it was highly beneficial in bringing the team closer together, allowing some of the more senior members of the team to impart some advice and wisdom on to the recent additions!

Team-Building: Go-Karts!

Once training was complete, the team ventured across to the Birmingham Wheels outdoor karting circuit for an afternoon of fast & furious fun!



After being suited up (with some people looking more comfortable in the one-piece overall and helmet than others), we set about a few laps in order to adapt to the cars/track and – more importantly – to set a qualifying time for the half-hour grand prix.


Ready to race…

Physios in pursuit!

Once the positions had been settled and the countdown completed, the lights indicated the beginning of 30 minutes of barrier-hitting, corner-cutting, kart-spinning, high octane thrills. Some took the competition seriously, some just enjoyed the ride…and some were shocking. Needless to say, only one can become winner, and – much to the dismay of one company director – first place went to Joe Korge. The team then retired into Moseley for a meal and light refreshments before dispersing back home across the country.



A thoroughly enjoyable day for all, with the Physio 1st team looking forward to the next all-day training later this year; many thanks to Birmingham Wheels Grand Prix Karting for hosting us! 


ACL Injury – Nemanja Vidić

Feb 25, 2012
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In sports that require much twisting/turning and changing direction, a complete tear (rupture) to the Anterior Cruciate Ligament (ACL) is a commonly sustained injury to the knee. A recent example of this injury at an elite/professional sporting level is that of football’s Nemanja Vidić, central defender and captain of Manchester United, who suffered an ACL rupture during United’s Champions League defeat to FC Basel in early December 2011. This blog will take an in-depth look at where the ACL is and what it does, how an ACL rupture occurs and what the key symptoms are, how it is diagnosed and how it can be treated.


Where is the ACL? What does it do?

The ACL attaches the shin bone (tibia) to the thigh bone (femur) and sits deep within the knee joint. It acts to ensure the tibia does not move too far forward in front of the femur, also preventing too much rotation of the knee joint itself, which gives the ACL a key function of maintaining stability within the knee.


How can I rupture my ACL?

ACL ruptures can arise in several different ways; in sports such as football, basketball, skiing and gymnastics, the most common cause is twisting a partially-bent knee after landing from a jump, or landing on an over-extended knee.

© / A.D.A.M

Direct impact to the knee when the foot is planted in sports such as American football and rugby can also cause this injury; other methods include suddenly stopping when running, and sudden transfer of weight from one leg to another.  It is very common for other knee injuries to occur at the same time as an ACL rupture due to the mechanism of injury. The most likely injuries that happen alongside ACL damage are tears to the knee cartilage (meniscus) and the Medial Collateral Ligament (MCL), and together are known as the ‘unhappy triad’! Other combinations of knee injuries exist depending on the cause; a large impact to the inside of the knee may rupture the Lateral Collateral Ligament (LCL), with a stronger force causing the ACL and, in severe cases, the Posterior Cruciate Ligament (PCL) to rupture also.


What are the symptoms of an ACL rupture?

At the time of injury: The player may hear and/or feel a ‘snap’ deep down in the knee joint followed by severe pain. The player will not be able to continue to play their sport due to the pain and the immediate instability to the knee – see ‘Where is the ACL? What does it do?

Injury + 2 Hours (approx): The player’s knee may become very swollen; however, this is not always the case. Strangely enough, even though there has been extensive damage to the knee joint, the player is usually pain free at this stage. This is because the nerve innovation of the ACL has been severed and therefore the brain does not get sent the message of pain; some people have even admitted to having a night out on the town the night of the injury!   Due to the rupture of the ACL the stability of the knee is vastly reduced. This means, even though a player may not feel any pain when they start doing activities like twisting to cross a ball or changing direction to side-step an opponent the knee can very often ‘give way’.


How is an ACL rupture diagnosed?

At Physio 1st, we see ACL injuries at different stages; some as they happen at pitch-side, some a few days later, and some even years after the initial injury. In each case, the assessment process is very similar. The subjective history is the most useful tool in a physiotherapist’s arsenal when it comes to diagnosing an ACL injury – this is why we ask so many questions! There are a number of tests that can be used to determine an ACL injury:

  • Stress tests on the knee ligaments: The therapist can apply pressure at different angles to the knee joint, with the degree of movement at the joint (laxity) compared to the uninjured side used to indicate an ACL injury. For the ACL, the most commonly used  stress test is the Anterior Drawer Test.
  • Scans/Investigations: an MRI (magnetic resonance imaging) scan is the preferred choice of investigation if an ACL rupture is suspected.

However, should the scan generate an unclear image, an arthroscopy can be used to examine the joint directly; this involves inserting a small tube with a camera one end that transmits an image through to a TV monitor, and can help identify the cause of the pain, swelling, tenderness and/or weakness.


How is an ACL rupture treated?

Treatment for an ACL rupture is usually managed with Surgery. The surgeon will normally take a tissue graft from the hamstring or the patella tendon and use this to create a ‘new’ ACL.

© ADAM /
© ADAM /

Following surgery, intensive physiotherapy is needed. This rehabilitation process usually takes around 6 months to complete. That is why Nemanja Vidić is not due to return for Manchester United in June 2012.


Images © Evening News