Jo Coulter Physiotherapy

08/08/2020

interesting article about the effect of hormones on brain function.

Dr Lisa Mosconi, whose ground-breaking research focuses on women’s brains, talks about the hidden health risk most midlife women don’t know about.

04/08/2020

New NICE guidelines for chronic pain. Good to see changes away from medication but we need to focus on patient centred care, meaningful activity, de-sensitising the nervous system, sleep, nutrition and exercise.

Guidelines recommends not using common painkillers for long-term pain

17/07/2020

This is from Australia but British women are equally lacking in post-natal pelvic heath care

16/07/2020

🤔 What’s wrong with the picture?
This is my toddler’s bike 🚲 She tall and solid for a two year old and this bike is too small 🤦‍♀️
I watched her trying to use it and she did a really good job with her body to compensate for the size.

It made me think 💭 many of my patients have been working from home in less than ideal workspace set ups. Most of the time the body can cope and compensate but...
🕰 too many hours in a cramped space
👨‍💻 Looking down at a laptop rather than a well positioned monitor
🪑 sitting on your dining room chair that isn’t adjustable
🚶‍♀️ no commuting so lacking your daily walk
Maybe you are starting to feel some aches and pains?
Would love to hear some of the home working compromises that you have had to make since the lockdown.

16/07/2020

🗣 thought I should do a little Facebook update to let you know that I am back up and running at the clinic

🙏🏻 Have actually been working with patients again for the past 5-6 weeks and thankfully all my lovely clients have come back, thank you 😊

😷PPE masks at the ready, with disinfection of hard surfaces between clients and a sanitation station on arrival.

23/03/2020

I am heartbroken 💔 but sadly had to make the decision to close the clinic doors. Ultimately the safety of the population as a whole is paramount. Thank you 🙏🏻 to my wonderful patients who have supported my little clinic. I hope to re-open as soon as it is considered safe to do so.

In the meantime I am opening a telehealth service which involves a video based consultation. We would follow the same procedures as in the clinic with an in-depth conversation around your symptoms and history of the condition. I can offer advice and self-treatment strategies, supervised personalised exercises and support.

Give me a call if you want chat about how I could help 07855942486

02/12/2019

Getting ready for Christmas 🎄

30/11/2019

Our thoughts and feelings can impact how we feel pain but it isn’t “all in you head”

Our thoughts about stress, anxiety and worry can make us more prone to getting back pain and less likely to recover from it

06/11/2019

There is an understandable amount of fear if you have been diagnosed with Pelvic organ prolapse POP. With the right education, understanding and support there should always be a way of keeping exercise in your life, in fact it is essential.

Do you need to stop exercising if you have ?
NO.

Many are under the impression that a POP diagnosis marks the end of one’s athleticism. This belief is fueled by well-meaning providers and online sources that, in an effort to promote “safety”, endorse an extremely limited list of appropriate activities. The “no” column is often miles long and filled with a person’s current or desired activities. It is typically assumed that these lists are set in stone and generalizable to all people with POP regardless of individual considerations.

We call BS.
Here’s the real deal:

✨You may or may not benefit from a shift in the way you move, but this is almost always temporary. It’s often “right now, you could benefit from focusing on this” vs. “you will never do this again”. We can use basic tenets of exercise science like progression, overload, individuality, and specificity to work back up to more challenging tasks.

✨There are a million ways to move your body. Even if it turns out that you decide something isn’t working for you, there is another fulfilling way to move that might.

✨You decide. Always. We don’t dictate, we provide evidence-guided education. We don’t tell you what to do, EVER. It’s your body and we want to help arm you with the tools and information to feel confident about what you choose to do in it.

✨How you execute a movement is as relevant (and often more so!) as the movement itself. Develop supportive strategies and watch your pool of accessible movement expand (p.s. can we get an invite to the pool party?!👙)!

✨Exercise has MANY benefits and you are an entire being who can profit from them in various ways. Expressing your physical capacity can be an essential component of keeping your pelvic floor - and the rest of you - functioning well.

Is exercise everything? No, but it’s often a significant and meaningful facet of one’s life. doesn’t mean it has to go away - it just might mean you learn to make exercise work (even better) for you.
💪💪🏻💪🏼💪🏽💪🏾💪🏿

23/10/2019

Springs and pulleys
When I was at uni back in the 90s 💿 we had a whole unit on the use of springs and pulleys. Only those who studied physio, or had physio before the turn of the century 😂 will remember the cages in physio departments 🏥that you could hang ropes and springs from.

However, the physics behind this equipment translates into the modern day Pilates Reformer and Tower. So thanks to that unit I can dream up all sorts of weird and wonderful exercise to challenge and assist body movement🤸🏻‍♂️.

21/10/2019

When pain persists beyond expected recovery times it is useful to look at pain sensitivity. Treatment directed towards understanding the multiple factors that influence pain includes investigating early life stress.

Researchers focused on stressful life events that might occur in children’s households during pregnancy or early childhood such as pregnancy complications, the death of a close friend or family member, marital problems or breakups, job loss or other financial hardships, or residential moves. Then,...