Reading and Tilehurst's Physiotherapy, Spinal, Sports and Pelvic Specialists

 

Tilehurst Clinic4 Chapel Hill, RG31 5DG
Reading Clinic Sports Park, University of Reading, RG6 6UR

 

0118 9310053

(phone and online services available 24/7)

email: info@corebodyclinic.co.uk

 

 

About Our Treatments

At Core Body Clinic, Reading we balance our physiotherapy treatments to include 'Hands on' and manipulative therapies coupled with education, activity pacing and exercise to combine the very best in evidence based practice.  We also know that experience counts and the 'when to use and not to use' are important factors that research can not always help us with.  Research does not always help us with the 'individual' so we use evidence as a guide and apply our clinical experience to determine the best physiotherapy treatments. Our range of treatments include:

Formthotics Insoles

 

Core Body Clinic is now working in partnership with Formthotics to deliver this fantastic product. 

 

Formthotics insole orthotic solutions have been in use for the last 30 years and have provided physiotherapists with an immediate solution to foot, ankle and lower limb biomechanical problems.  These easy to apply and low-cost insoles can be added during your consultation to remedy an endless number lower limb problems. 

 

 

 

 

 

 

 

At Core Body Clinic we are trained to assess foot and lower limb posture to determine whether the Formthotics solution is right for you.  We have used this product oursleves for nearly 15 years after Adrian Wagstaff worked in New Zealand and was introduced to the founder of the Formthotics system, Dr Charlie Baycroft.  Dr Baycroft wanted a simple solution for his patients.  Adrian was amazed by the low-cost alternative to the costly and often over priced custom built insoles that offer little over these easy to fit orthotic solutions.  Adrian who has worn insoles himself for ankle and knee pain for the last 20 years gives his full backing after dicovering this product while in New Zealand.  He has not been able to recommend another product over this one in 15 years. 

 

 

 

These easy to fit insoles can be molded to your shoes and more importantly to your foot in a matter of minutes using a special heat molding machine that we have at both our clinics in Reading and Tilehurst. This saves time, allows you to rehabilitate pain free instead of waiting The machine softens the insoles cauing them to deepen at the appropriate sites to allow the foot to be manipulated, dropping the joint of the big toe down and supporting the instep of the foot, therby creating an arch support.  

Using foot lowerr limb biomechanical knowledge, it is possible to influence the foot and dramatically enhance the efficiancy of the lowerr limb allowing a quick solution to running and lower limb pain. 

 

 

Formthotics can be fitted to almost any shoe from ski boot to work shoe, from welly boot to running trainer.  We use a combination of tests to understand how your leg moves and foot distorts through walking and running.  It is essential that we fit the correctly shaped orthotic with the appropriate firmness, width and for the activity type. 

 

Your trainer or sports shoe may have come with an insole.  The firmness and quality will depend greatly on the shoe manufacturer.  Over the years, products have been released to the market with a lesser quality insole with many company’s opting to leave the decision for the individual as to whether they continue to use the insole already with the shoe or a more custom fitted product.

 

What can Formthitics be used for?

  • Planterfasciitis
  • Achilles Tenonitis / Tendinopathy
  • Knee pain / Patella pain
  • Shin Splints
  • Runners Knee
  • Lower Back Pain (where there is a clear biomechanical issue)
  • Bursitis of the Hip and Knee

 

Treatment

Insoles are often used in combination with a treatment regime to help you to continue to train, function or rehabilitate with less pain.  It is sometimes necessary to continue to wear the insoles long after your treatment is complete.  Some patients may only require the insoles for a short period and the product can be removed after treatment is complete.  However, the mechanical and preventative properties of the Formthotic system means you may continue to use the system because of the enhanced mechanical posture of the foot and lower limb. We often recommend you extend these benefits to all walks of your life by fitting formthotics to all of your shoes.  

What does the reseach say?

Research has proven Formthotics™ to be effective in reducing pain, treating and preventing injuries and improving patient comfort. In many cases they have been found to be as good, and in some cases better, than custom casted orthotics in the treatment of lower extremity dysfunction.

Larsen et. al 2002 found that customised Formthotics™ drastically decreased incidence of back pain by 20% and lower limb injury such as shin splints by over 10% in military recruits.

Improving foot function and minimising pain

Chia et al. 2009 and Landorf et. al 2006 found Formthotics™ to be very successful in the treatment of plantar fasciitis. Formthotics™ decreased plantar peak forces significantly providing better relief of symptoms than both custom moulded orthotics and competitor pre-fabricated products. Both these studies also found Formthotics™ improve general foot function and minimised pain, improving patient comfort.

Strengthening muscles and tendons

Formthotics™ also encourage “flat feet” to function more like that of a normal arched foot, in turn preventing injury through strengthening otherwise at risk muscles and tendons. This was confirmed by Murley et.al 2010 who compared activity of tibialis posterior and peroneus longus in those with flat feet with Formthotics™ and custom casted devices. He found that tibial posterior activity was significantly increased with use of both types of orthotics, however only Formthotics™ showed improvement of peroneus longus.

 

The cost of the custom insole formthotic system:  £45 (this is in addition to the session your are attending. It is a medical device and may not be covered by your insurer). 

 

Spinal Manipulation

Physiotherapists at Core Body Clinic are experts in the delivery of Spinal manipulation.  It is very useful for lower back pain, mid back pain and neck pain and is similar to that used by Chiropractors and Osteopaths.  It can also be used to treat shoulder pain by improving the dynamics of the thorax and rib cage.  

 

It is characterised by a sudden and sharp movement performed by the physiotherapist and is often associated with an audible 'click' or 'popping' sound.  It is almost always accompanied by pain relief.

The physiotherapists at Core Body Clinic are highly trained in the art of Spinal Manipulation having undergone post graduate training and 1000s hours of supervised clinical practice and application.  Adrian Wagstaff is the Lead physio at Core Body Clinic and is also a teacher of Spinal manipulation.  He teaches Masters students the theory and practice of spinal manual therapy, travelling both nationally and internationally.

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Electro-Acupuncture

Electro-acupuncture    Chronic Pain    Sciatica    Neuro-pathic Pain    Tennis Elbow    HIp Pain    Knee & Hip Arthtritis     Tendon Pain     Headache

Electro-Acupuncture (EA) is the technique of combining normal acupuncture, or dry needling, with the application of an electro stimulus delivered through the needles and into the skin.  Electro-acupuncture is a highly effective modality and has been used for decades to treat stubborn conditions.  At Core Body Clinic we use it to treat several problems finding it particularly useful in knee arthritis, tennis elbow, sciatica and headaches.  Manual needle stimulation works by driving an immune response in the body and increasing the concentration of endorphins thereby suppressing the levels of cortisol, stress hormone.  The aim is to lower the sensitivity of the nervous system and reduce pain.  Conditons like sciatica or more chronic and long term problems where the pain is neuro-pathic, EA has been found to be effective as because electro-acupuncture reduces pain on local, spinal and supraspinal levels.  Therefore, not only is local tissue inflammatory chemical release suppressed but the pathways carrying informaiton to the brain are inhibited. In the central nervous system it enhances the release of serotonin and norepinepherine.  

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Visceral Manipulation

Visceral Manipulation is a highly specialised therapeutic approach for the treatment of pain and dysfunction.  It encourages the normal mobility of the internal organs, also called viscera, and their connective tissuesaround them such as muscles, blood vessels and nerves. All tissues must be free to move in their anatomical way to prevent disease and dysfunction.  However, often our organs lose their normal mobility becoming tight and unable to move as they should within the body. When this happens the organs can give rise to symptoms and pain syndromes which can often mimic other 

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Sports Massage

At Core Body Clinic Sports massage is carried out by both sports mssage therapists and the physiotherapists.  As physiotherapists it is one of our core tools for dealing with for sports and general injury. 

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Joint Mobilisation

 

Physiotherapy joint mobilisations are part of the manual and hands-on therapies that we perform at our Reading clinics.  Our physiotherapists at core body clinic are experts in delivering these techniques.  They can be performed on any joint in the body and are used to treat pain and stiffness affecting the mobility of a spinal or peripheral (ie shoulder or knee) joint.  Mobilisations are graded oscillations of pressure directed at a joint an applied in a highly specific manner.  They are performed for a duration of 1-3 minutes and tailored according to a patient's pain level and tissue stiffness.  The purpose of mobilisation is to enhance movement by reducing stiffness and pain.  The physiotherapists at Core Body Clinic are trained to masters level and have undergone 1000's of clinical hours to perfect the skill of joint mobilisation.

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