Christine Mowbray

BSc(Hons) Pysiotherapy
MCSP AACP HCPC Registered

Bell Lane Physiotherapy Clinic

Christine Mowbray

BSc MCSP AACP HCPC registered

As you can see in this image of Christine working on a patient modesty towels are provided for client comfort.
Physiotherapy & Sports Therapy Services
Massage

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Gua Sha

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Massage

Details about Strategic Pain Management services will be provided shortly.

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Acupuncture

Acupuncture

Acupuncture is a form of dry needling where very fine, stainless steel needles are inserted into specific points in the body to effect positive change. Acupuncture is used to treat a wide range of physical conditions, particularly those which cause pain and/or inflammation.

NICE guidelines (2009) recommend a course of ten sessions of acupuncture for persistent, non-specific low back pain. NICE also recognised the benefits of the use of acupuncture in the treatment of migraines and tension-type headaches in 2012.

Acupuncture can be effective when used alone or in combination with a range of other physiotherapy modalities of treatment such as myofascial release, joint and spinal manipulation, deep tissue massage, exercises and stress management.

How Acupuncture Work

Acupuncture works by stimulating the production of chemicals such as endorphins and oxytocin in the body which relieve both pain and stress. It also stimulates the release of serotonin, which may create a sense of wellbeing, and melatonin, which may encourage sleep.

Acupuncture stimulates the blocking of pain signals to the brain. It also helps to reduce the sensitivity of painful areas of the body.

Needles and Feelings

Acupuncture needles are very fine (between 0.2 and 0.3mm in diameter) so the sensation when inserted is not like that of having an injection. Patients often report a mild, temporary pricking sensation followed by a "heaviness, mild aching or pins and needles". The experience of acupuncture is individual. Sensations felt by one person may not be experienced by another.

It is common to feel temporarily light headed, relaxed or tired following a session of acupuncture.

The process of Accupuncture Treatment

Before receiving any physiotherapy treatment you will undergo a thorough assessment and screening process. Your physiotherapist will ask you about your current condition, take a full medical history and perform a thorough physical assessment. You will be asked to fill in an acupuncture consent form. This is because there are certain conditions which, if present, may affect the type of treatment available to you.

It is very important that you let your physiotherapist know if you have or have ever had any of the following conditions:

  • Epilepsy/seizures
  • Pacemaker
  • Bleeding disorder e.g. haemophilia
  • Heart valve problems
  • Weak immune system
  • Blood disorders or infections
  • Pregnant/trying to conceive
  • Diabetes
  • Cancer
  • Problems with blood pressure
  • Metal allergy
  • Needle phobia
  • Skin problems

You will also need to give your physiotherapist a list of any medication you are taking.

Very fine stainless steel needles will be inserted into the skin, either at the site of the problem, away from the site of the problem, or a combination of both. The number of needles used (usually between 1 and 10) and length of time they are in situ (up to 20 minutes) will vary dependant on the desired effect. Your physiotherapist will explain the process and communicate with you throughout the session.

When the needles are removed you will be asked to rest for a few minutes before you leave.

Safety

The Physiotherapists at Bell Lane Physiotherapy Clinic who are trained in acupuncture are members of the Acupuncture Association of Chartered Physiotherapists (AACP). They are required to attend regular courses to update their knowledge and adhere to strict health and safety guidelines set.

They are bound by the professional code of conduct set out by the Chartered Society of Physiotherapy (CSP) and regulated by the Health and Care Professions Council (HCPC).

All acupuncture needles used at Bell Lane Physiotherapy Clinic are single use and individually packaged. After use they are stored in a clinical waste sharps box and destroyed by incineration.

Possible Side Effects

Any side effects are usually mild and do not last for long.

They may include tiredness, light headedness, bruising, localised bleeding and skin soreness or reddening.

If the side effect of tiredness continues after treatment, it is recommended that you do not drive or operate heavy machinery.

Your physiotherapist will be happy to discuss any concerns you have about side effects.

Number of Sessions recommended

The number of sessions varies depending on your condition and response to acupuncture. Individual patients respond differently.

A course of six to eight treatments is common although some patients may only require one or two sessions. By contrast, some patients with long term physical conditions, may request regular acupuncture as a method of pain control.

Benefits

Everyone responds differently. Some patients will experience a marked improvement after only one session, whilst others may need several sessions in order to see the benefits of acupuncture.

The effects of acupuncture are cumulative. A greater effect can be seen over time as the number of sessions is increased. Although acupuncture has been shown to be effective in reducing pain, it does not work for everybody.


References

If you want more information on acupuncture we can recommend the following books:

  • Kaicun Zhao, “Acupuncture for the Treatment of Insomnia,” International Review of Neurobiology 111, (2013): 217-234.
  • Lin JG, Chen WL. “Acupuncture analgesia: a review of its mechanisms of actions,” American Journal of Chinese Medicine 36, no.4 (2008): 635-645.
  • Acupuncture Association of Chartered Physiotherapists patient information leaflet: www.aacp.org.uk
Deep Tissue Massage

Details about Deep Tissue Massage services will be provided shortly.

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Electrotherapy

Ultrasound Therapy

Ultrasound therapy involves the use of high frequency sound waves to aid healing and improve extensibility of injured soft tissue.

It can be very helpful in the treatment of injuries such as sports injuries, repetitive strain injuries (such as tendonitis,) plantarfascitis, haematoma or soft tissue trauma.

High frequency sound waves are applied to the tissue via an applicator and coupling gel. The applicator is moved around in the gel over the area, keeping contact with the skin.

The treatment has been described by patients as comfortable, often soothing where occasionally very gentle warmth may be felt, depending on the settings used on the machine.

Electroacupuncture

The effects of acupuncture for the treatment of inflammation and pain can be enhanced with the use of an electroacupuncture unit.

Work by Professor JS Han has examined the beneficial chemical changes which take place in the tissues when certain frequencies of electric current are applied.

Electroacupuncture causes an increase in production of the body’s own pain killing chemicals at specific sites which help to reduce symptoms.

It is possible for the physiotherapist to select a particular frequency of current for a specific effect. Electro acupuncture can also be used to effect an involuntary muscle contraction which acts as a pump to reduce swelling.

During electroacupuncture, the needles are inserted in the same way as with normal acupuncture. Small electrodes are the attached to two or more of the needles.

After switching on the unit, the physiotherapist selects the appropriate program for the condition. The unit is then given to the patient who is encouraged to turn up the intensity to a level where the sensation is comfortable. The sensation has been described by patients as tingling, drumming, prickling or pins and needles.

The patient is in control of the intensity of the treatment throughout the session. The treatment should not feel unpleasant or uncomfortable. Relief of pain can be felt very soon after electroacupuncture. As with all treatments, patients are appropriately screened to ascertain whether any form of electrotherapy is appropriate.

References

If you want more information on electrotherapy we can recommend the following book:

  • JS Han, Differential Release of Enkephalin and Dynorphin by Low and High Frequency Electroacupuncture in the Central Nervous System. Science Int Journal (NY) 1:1923,1980

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Home Visits

Bell Lane Physiotherapy can carry out home visits. Depending on your needs this may be an option. Obviously some services cannot be carried out at your home.

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Relaxation and/or Stress Management

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Indian Head Massage

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Joint Mobilisation

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Rehabilitiation

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Reiki Healing

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Spinal Manipulation

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Sports Massage

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Taping

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Strapping

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Myofascial Release

What is Myofascial Release?

Myofascial release is a unique soft tissue approach to rehabilitation.

Fascia is a complex elastic network of fibres which sits in a gel like substance which is home to much biochemical activity. It is found in various forms throughout the body and it is the fascia within and around the muscles and tendons which must stretch in all directions in order for us to perform complex movement. If certain areas of this fascia become tight, symptoms of pain and inflammation may occur as a result. Fascia contains sensory nerves which pass information such as touch and stretch to the brain.

Myofascial release is a physical treatment where the soft tissues of the body are assessed through touch to determine which areas of the fascia are tight. The therapist is then able to apply physical techniques which influence the fascia in such a way that the tissues “let go” and allow a stretch to take place.

Running her elbow slowly up the side of the patient's spine to allow a stretch to take place.

The results of myofascial release can often be seen and felt immediately. Along with the expected result of pain and symptom relief, patients often report that they feel and look straighter.

When combined with a home exercise program and postural re-education myofascial release can relieve chronic pain caused by years of poor postural habit.

Patient being shown the exercises to do at home.

What Will Happen When I Visit my Physiotherapist?

As with all physiotherapy treatment modalities, you will undergo a thorough assessment. Your physiotherapist will ask you questions about your current symptoms and take a full medical history.

Your physiotherapist will then perform a thorough physical examination.

There are certain conditions which, if present may affect the type of treatment that is suitable for you. You should tell your physiotherapist if you are suffering from any of the following:

  • Rheumatoid arthritis
  • Fever
  • Any infection
  • Cellulitis
  • Osteomyelitis
  • Myositis ossificans
  • Circulatory conditions
  • Osteoporosis
  • Osteoarthritis
  • Deep vein thrombosis
  • Diabetes
  • Aneurysm
  • Cancer
  • Fractures
  • Open wounds
  • Haematoma
  • Neurological conditions

Myofascial release may be used a separate treatment or in conjunction with other treatment modalities.

Are There any Side Effects?

As with all manual therapeutic techniques, the patient may experience some treatment soreness at any point up to 73 hours after treatment. This is often reported as mild discomfort in the area that has been released and usually lasts for no longer than a day. The patient is advised to use their usual method of pain relief such as pain killers, exercise, heat or ice to reduce the symptoms.

How Many Sessions Will I Need?

The number of sessions varies depending on your condition and response to myofascial release. Individual patients respond differently. A course of six to eight treatments is common although some patients may only require one or two sessions. By contrast, some patients with long term physical conditions, may request regular myofascial release as a way of managing their condition.

When Will I See a Positive Change?

Everyone responds differently. Some patients will experience a marked improvement after only one session, whilst others may need several sessions in order to see the benefits of myofascial release. A greater effect can be seen over time and through repetition.

References

If you want more information on acupuncture we can recommend the following book:

  • John Annan “An Introduction to Myofascial Release Part 1 & 2” John Annan 2015.