What to expect

How Treatment Will Affect You

Muscular anatomy illustrating how the different muscles interrelate to each other.


Before Treatment

We establish that you are safe to treat, take a confidential case history and undertake a postural and physical examination. Depending on the nature and location of the pain we may request you briefly undress to underwear during the observation phase of you’re the examination.

During Treatment:

Treatment seeks to improve the way your body functions. We will observe and palpate how you’re body feels and use the most suitable technique including manipulation, stretching, mobilization, thrusting and inhibitory. During treatment, some discomfort can be expected which we will monitor.

Work into stiff joints typically is gentle causing a little discomfort, however as necessary osteopathic cracking techniques may be applied that may feel quite strong.

After Treatment:

Following treatment, you may experience some soreness and aching which should be brief in duration. This discomfort is your body healing itself; gobbling up unwanted cells, fighting any infection and repairing any damage. Such activities require increased circulation and, as such, you will feel a warmth and perhaps a little soreness. Sports people experience this sensation

Collagen fibers bridging the tear between the tendon and tendon sheath.

the day after training with Delayed Onset Muscle Soreness (DOMS). Interesting to note that DOMs, as we experience post exercise, is not coming from the muscles rather the connective tissues which surround the muscle.

Dr. Robert Schleip researched DOMs by injecting ink into the tissues that were thought to be causing the pain, to increase the pain. To create the pain they made participants stand up onto a box using the same leg to step down repeatedly placing the Quadriceps under a lengthening contraction that particularly resulted in soreness. What Schleip and the researchers discovered that it was ink into the connective tissues which worsened the soreness, not into the muscles!

We recommend the conservative use of ice to help numb any pain and limit further inflammation unto 3 weeks post-injury. After that heat will help alleviate pain but must be used with caution as it opens up arteries encouraging further blood to enter the area. Chronic injuries that are not rheumatological in nature will benefit from the use of heat. Use Ibuprofen on your skin and with caution in tablet form.

Other Benefits:

You are more than just skin and bones. Therapy affects more than tight and sore muscles. Blood arrives in your arteries, is squeezed out and then before it returns to your heart either along your venous or lymphatics system, where the lymphatic system drains the liquid that is outside of your cells sometimes held in place by tight muscles. Where you are chair bound, sedentary or suffering contracted muscles this interstitial fluid can build-up creating toxicities and pain. Treatment can push or passively pull this liquid back towards your heart thereby allowing fresh blood to circulate where it is needed.


Pain or damaged tissues can cause an oversensitivity of your nervous system, where the increased sensory input can overburden the spinal segment. Your sympathetic nervous system regulates the tone of your arteries. Too much arterial muscular tone can subtly restrict the supply of fresh blood to your organs. Here an indirect link is made between pain or damage to your body to malnourishment of your organs. Therapy can reduce the damage to tissues, thereby reducing the arousal of your sympathetic nerves allowing more blood to nourish your vital organs.

Treatment seeks to directly improve how your body functions, allowing your body to literally heal itself. So how does health promotion help? Diaphragm health is an important issue for people, not only does it decrease air pressure in your lungs thereby pulling fresh air in, but its correct diaphragmatic movement squeezes directly your viscera downwards, but it also works in synergy with your pelvic floor and upper lungs, both diaphragms to create a stable base to allow the arms legs to move with the minimum of muscular effort.  The regular pressure changes caused by the diaphragms activation cause the 3 layers of the abdominal wall to resist the side-ways pressure exerted from the pelvic floor and respiratory diaphragms.

The Diaphragm forms a muscular barrier that on inhalation massages the viscera beneath.

Ice, heat, and painkillers:

If you cannot attend for treatment or your pain worsens then we recommend using ice and heat to limit your pain. Heat will dilate or widen your arteries encouraging more fresh oxygenated blood towards the source of your pain. Heat packs tend to reduce pain when applied. However, it is important to remember that to much heat will encourage excess swelling and therefore pain. Use a cold pack to constrict arteries and slow down the nociceptive pain signals. Avoid over-use of heat or ice packs. Limit the use of ice to 10 minutes every two hours. Use painkillers only when really necessary. Paracetamol and similar medications place a burden on your liver, an organ that you need to protect. Use anti-inflammatory drugs sparingly because these drugs interrupt the body’s inflammatory mechanism, and as such you will impact the whole immune system, i.e. taking anti-inflammatory drugs turns down the body’s immunity as well as reducing the inflammation causing your pain. We recommend using painkillers occasionally so that you feel the full benefit in times of particular pain.

Your prognosis:

If you have suffered a road traffic accident, trauma or injury your body will suffer a rapid deceleration or an impact. You will experience a period of swelling, heat, redness, and loss of function. Unless you are very unlucky the damage you have suffered will not be repeated. For example, if you cut your hand it should take thirty days for the healing process to finish. In the first 48 hours, the cut will form a clot to limit blood loss and limit infection. Next comes the inflammatory phase where the damaged cells are gobbled up or phagocytosed. Then the clot is replaced with granular and collagen tissues that fill the wound. New blood vessels are also formed. Lastly the wound contracts. This healing process is both complex and volatile and can easily be interrupted. Where the healing process does not finish chronic wounds occur. Often chronic wounds remain interrupted in the inflammatory phase. Often the interrupted healing can be caused by a repetition of the trauma. If you strain the muscles in your lower back by repeatedly lifting heavy objects in your job then your body will initiate the healing process to be only interrupted on a daily basis thus causing a repetition of the healing phase and an over proliferation of granular tissues. Granular tissues are pain sensitive. Where your daily living pattern is injuring your body the process of changing this formed granular tissue can take repeated treatments.

Looking At Your Posture:

Ask anyone to demonstrate poor posture and they may bring their shoulders forward, round their upper back while overarching their lower back and pressing their tummy forward. Then ask them to show you good posture and most of us would adopt a stiffened stand to attention stance. What and where is good posture? The first poor posture with its rounded back asks the body to consume more energy holding the body up against gravity. Best posture uses the least energy and maintains lines of symmetry centrally and side on.

Best side facing posture demonstrates a plumb line down through the ear hole, shoulder, lumbar spine, hip joint, knee, and ankle.

What Do We do?

At Derby Sports Injuries Clinic your posture is assessed at your initial consultation. For example, the level of your ears, shoulders, shoulder blades, elbows, hips and knees are examined. From this and further investigations we can better focus our examination. In addition to these bony landmarks, we will assess any bodily rotations, depressions, and elevations.

Why Does Your Posture Adjust?

Your body will attempt to resolve dysfunction by adjusting its position tightening and lengthening muscles and over timing changing the shape of its connective tissues. Tight muscles burn more energy than relaxed muscles as do weak and lengthened muscles. Eventually, poor position and inefficient muscles can lead to your body drawing your attention to its plight by warning you with pain. Pain it the tip of the iceberg where before pain arrives your body tries to resolve the problem without consciously involving you. Assessing your posture allows us to unpick where the problem is and treat better the cause.