When to see a physiotherapist

A new year a new beginning….

This is the time of year for New Year resolutions with many based on improving our health and fitness. It can be a bit of a challenge to stay committed and motivated, so here at Physio Extra we will be helping you reach your goals with our weekly blogs packed full of useful info such as self-help techniques, basic first aid, info on common conditions and so much more… We would love to hear your comments, feedback and please do get in touch if you have any questions.



This is a very common question, which can be difficult to judge. “Do I wait as it could get better?” or “If I leave it will it get worse?” is the dilemma we can face especially as many of us can experience aches or pain which can be resolved with some form of self-treatment or rest.

The following four questions may help you with your decision:

  1. Is your pain mechanical?

Mechanical refers to the problem being made worse or aggravated by certain movements, activities, or even maintaining certain positions i.e. wrist pain being made worse by repetitive use of a keyboard; knee pain made worse by running; back pain increasing by prolonged sitting such as driving. If there is a mechanical component to your pain a physiotherapist will be able to help you through a biomechanical assessment, then if appropriate, treatment and teaching you exercises to increase your strength and endurance.

  1. Is the pain not changing or getting worse?

Any mechanical pain that is not getting better or even becoming worse would benefit from a physiotherapist’s assessment and diagnosis. This would help with understanding the cause of the problem, working out the approximate recovery time, working on a treatment plan, and taking preventive steps to ensure the problem does not return.

  1. Is the pain very severe and affecting your movement?

If the pain you are experiencing is affecting your daily functional activities i.e. washing, dressing, going to work, a physiotherapist will be able to assess you, form a diagnosis, treat the problem and give advice on the best way to reduce your pain and get you back to full functional ability as quickly as possible. Physiotherapists will also screen you for any signs of serious underlying pathology or problem, which may require you to go to A&E or seek medical advice.

  1. Has the pain been ongoing for a long time and is it preventing you from physical activities and sports?

Often we can feel unable to return to a sport or activity following an injury because the perception of being too weak or being worried about the risk of re-injury. Long-term mechanical problems and chronic pain can cause a restriction in movement due to biomechanical changes like muscle strength or length. A physiotherapist can assess muscle strength and muscle length, which will help formulate specific home exercise programmes. In addition, reduced proprioception i.e. balance and coordination can cause the feeling of being unstable when performing an activity. Through strengthening and balance exercises, Physiotherapy can improve proprioception and help you return to your sports and activities.

Hopefully the above questions will help you with your decision. If you have any questions please do give us a call, we are always happy to help.

Nim Ragbir Bsc (hons) MCSP MHCPC
Chartered Physiotherapist

Smiling through the rain…

The Physio Extra crew were at their monthly stall at Ham Parade Market on Saturday.

Braving the persistent rain, Leon, Johnny and Nim offered local residents free massages and consultations for aches, pains, injuries, or general health and fitness questions.

They’ll be back again on the first Saturday of the month – and hopefully the weather will be kinder.

Free massage at Ham Parade Market!

Food, fun… and physio!

Free massages and physio consultations will be on offer from Leon and the Physio Extra crew at Ham Parade Market this Saturday, October 6.

They will be out in force this month as the market is celebrating its first anniversary and has turned into a very successful local event.

You will find the team opposite the Texaco petrol station at the Tudor Drive end of the Parade.


So if you have any aches, pains, injuries, or general questions about your health and fitness, why not drop in for a chat with Leon, Claudia, Johnny and Nim.

Leon Almasham






‘Absolutely phenomenal!’


After eight months of being unable to walk and after countless other treatments, Franco Gasparotti turned to Leon Almashan at PhysioExtra – and today Franco is setting off on an expedition to Mount Kilimanjaro.

Franco suffered Post Traumatic Stress Disorder after being seriously injured in the Coldstream Guards in Ulster. His weight ballooned to 27 stone as a result.

After losing an incredible 17 stone and reducing his waist size from 72 to 32 inches he is now a fitness consultant

He still needs skinfold removal surgery and is raising funds through the Kilimanjaro expedition.

The whole trip was put in jeopardy due plantar fasciitis.

“My heels were so bad, I could hardly walk,” says Franco. “I tried everything, then heard about Leon’s Shockwave treatment at PhysioExtra. I could hardly walk 12 feet, but the day after the first session I walked 12 miles and I’ve been walking 15 miles a day ever since, catching up on eight months of missed training.

“I can only describe the results of Leon’s treatment as absolutely phenomenal!”

For further information about Franco’s appeal: https://www.gofundme.com/francoappeal


Thai Yoga Massage

[from a post to our Facebook page https://www.facebook.com/pages/Physio-Extra]

Last week I had a massage from Adela who recently started at my local physio studio, PhysioExtra.

Despite doing my best to set up an ergonomic workstation, tapping away all day at a screen means I end up with chronically tight neck and shoulder muscles, not to mention my lower back and hips, so the occasional massage is a real treat.

To be honest, at first I was a bit sceptical about the “Thai Yoga Massage” Adela practices. I’ve had a lot of massages while travelling in Thailand and not much has come close to their standards in England, but she certainly knows her stuff.

The hour-long session was on a mat in the gym with some relaxing music. I was actually so relaxed that I almost nodded off.

Adela has a really pleasant manner. You basically relax and leave it all to her as she stretches and manipulates your back and limbs, working from head to foot.

She doesn’t faff around and presses deep into knots of tension, managing to be firm and gentle at the same time.

Talking to her, you can tell she has a lot of knowledge and passion about what she does.

She calls it yoga massage because a lot of the stretches are similar to those in yoga, but because she is helping you stretch it’s more dynamic than anything you’d be able to achieve in a yoga class – at least as a beginner.

I came out of my session feeling relaxed and lighter. I quickly realised that my usual aches had dissipated. Not surprisingly, they are back again after a week in front of the screen.

In an ideal world, everyone would get a massage like this every day…

Physio for Neck Pain

Neck pain is a common and debilitating condition, and massage therapy is commonly used to treat it, yet there is little quality research on the optimal dose of therapeutic massage for neck pain.

Randomizing 228 patients with chronic neck pain to five different groups receiving various doses of massage for a [Read more…]