27 Haven Lane, Ealing, W5 2HZ

Tel: 0208 997 1555

Email: info@w5physio.co.uk

Keeping us all safe – clinic COVID-19 rules

May 28, 2020 by  
Filed under W5 Physio News

We’re thrilled to be open again from this Monday (1st June). But to keep you and our staff safe, please remember there are a few rules that we need everyone to adhere to… 

1. Firstly, please book only via phone or email. DO NOT use the online booking system. This is so that we can manage bookings and ensure we have a minimal number of people in clinic at one time and that patients’ arrival and leaving times are staggered. 

2. We’re ONLY accepting card payments which will be taken over the phone.

3. All patients will be required to sign a COVID-19 Consent to Treatment form prior to their session.

4. All patients will be asked to wear a face covering when entering the clinic and to use the hand sanitiser provided on entering and leaving. 

5. Clients will be unable to wait in reception before their appointment time. Please therefore only arrive at the clinic at the time of your appointment, when you will be taken straight through to your treatment room.

6. Unfortunately our toilet facilities will not be available to visitors for the time being.

7. Previously, we have sometimes been able to provide shorts and other clothing for our clients – this will not be possible for now, so please wear/bring appropriate clothing for your appointment. 

8. Online consultations will still be available for our most vulnerable patients. 

Thank you in advance for helping us to run the clinic in accordance to government guidance. We really look forward to seeing you soon. 

Five minutes with Louise

May 1, 2020 by  
Filed under W5 Physio News

We’ve recently interviewed some of W5’s physios, but this month it’s the turn of Practice Manager, Louise O’Leary. Self-confessed ‘mum’ of the team, Louise, has been with W5Physio since the very beginning and their opening in 2011. She’s the go-to person in the clinic, handling everything from ‘front of house’ and bookings, the ordering of supplies and equipment, to things like payroll and HR issues. What would we do without her? Here, we get to know a little bit more about this key member of Team W5! 

Not only the ‘mum’ at W5, Louise has three children of her own. She describes herself as bossy, loud, organised and approachable, and also admits she can be a bit of a Rottweiler! But it’s all part of her ‘get things done’ attitude which has contributed to the success of the practice over the years. 

Louise loves her team and is proud of the fact that they all get on so well. “During this time of lockdown, I’m really missing everyone!”

She’s also a people person and one of Louise’s favourite things about working at W5 is when the team is able to help someone fast. “Sometimes it’s possible, depending on an individual’s problem, to fix them really quickly. I like nothing more than when they come in in pain but leave with a smile on their face as their pain has subsided.”

Having three kids means weekends can be very busy with lots of washing and ironing! “I’ve been married for twenty years” Louise laughs, “so that can take a lot of work too!” But, when she does get some time to herself, Louise loves walking and training her (very large!) German Shepherd Mastiff Cross and watching either a good crime documentary or sport on TV. She’s a fan of American Football, Formula One and Liverpool FC, and also enjoys watching the Olympics and Winter Olympics – much to the despair of her husband. 

Louise wasn’t a massive fan of the gym, but perhaps working at W5 has encouraged her, and in January, she took the plunge and joined “Gymnaphobics.” Now loving the whole gym experience, she tries to attend as often as she can and even admits she’s missing it since being in this period of lockdown. “I never thought those words would ever come out of my mouth!!”

A great achievement of Louise’s is being a Scouting leader for in excess of 30 years. It’s seen her working with lots of different people and youngsters over the years, whilst taking on lots of fun and memorable activities. She’s even attended two Queen’s Garden parties at Buckingham Palace because of her keen involvement. 

Perhaps her greatest achievement, however, is beating breast cancer – testament to this lady’s strength and determination, both inside and outside of the W5 clinic. 

If you would like to make an appointment with W5Physio, chances are it’s Louise who’ll help. Contact us today for an online consultation and we look forward to being able to welcoming you back into clinic for face-to-face appointments really soon. 

Tips for keeping fit during lockdown

April 20, 2020 by  
Filed under W5 Physio News

Lockdown can be a testing time for all of us, especially if you’re used to leading an active and busy lifestyle. Many of us have been forced into slowing down the pace of life, and spending more time at home can mean more time in front of the TV, mobile phones and tablets, and can be the perfect excuse for us to reach for that treat cupboard in the kitchen a little more frequently than we normally would.

If you’re worried about becoming less active, stiffening up or adding on a few extra pounds during these unusual times, here are our simple suggestions for keeping an eye on your fitness levels during lockdown. 

1.Break up sitting time – avoid prolonged sitting bouts. Instead, aim to get up every 30-45 minutes or so (unless the film is engrossing enough to keep the kids quiet for a while longer!). Regular movement around the house or garden boosts glucose metabolism. Any active break helps, but the more intense the better, which leads us to tip two…

2. Be active regularly throughout the day – we’re all entitled to leave the house for one decent stint of exercise per day, so definitely take advantage of that. But rather than just taking one long walk or run, then sitting for the rest of the time, did you know it’s actually more beneficial to have as much time standing and walking throughout the day as you can? So, yes, do the long walk, but then throw in a few exercises like careful squats, reverse lunges and sit-to-stands to get your heart rate up regularly.

3. Try not to keep remotes and phones near you – this is a really simple solution to keeping you moving. It means that whenever you need to change the tv channel, check or answer your phone, you’re forced to get up and move.

4. Participate in online classes – the popularity of online and remote fitness classes has skyrocketed over the past few weeks. Get involved! There are thousands of excellent bodyweight exercise classes, cardio and yoga classes on YouTube. Why not factor in a 20-40 minute (depending on your fitness level/goal) on each weekday? If in doubt, we’re still here to help! Get in touch for advice on the best form of exercise for you. 

5. Look after your mental health too – healthy body, healthy mind…it’s more than just a cliché. We can’t stress the importance of keeping active enough, as this will not only benefit your physical fitness but your mental health too. Make sure you break up the sedentary nature of lockdown by getting up from your desk or sofa regularly and stay in frequent contact with all your friends and family. Overall, use these unusual times to try out the things you don’t normally have time for! These times will pass and we’ll be back to hectic routines before we know it! 

Remember that although we’ve had to temporarily close our clinic for a little while, our physios are still here to help. You can book an online session with one of our team via email or phone, or if you have a specific question or need advice regarding your health and wellbeing during lockdown, don’t hesitate to get in touch. We look forward to hearing from you. 

Five minutes with Greg

March 2, 2020 by  
Filed under W5 Physio News

Greg’s not only one of our most experienced physios, but also one of the owners and co-founders of our clinic. He’s obviously been with the organisation since it started in 2011 and alongside helping lots of our clients back to fitness, he’s responsible for overseeing the business management and direction as well.

Now having played an important role in helping the clinic to grow and develop over the past nine years, he says he loves working here because of the great fun environment!

We managed to grab five minutes with Greg to find out a little more about him…

Greg told us his passion for physio was first triggered way back in school when he demonstrated a natural interest in anatomy and physiology. Like many of the physios at W5, Greg also had a genuine desire to help people and says, “I get a real buzz out of helping people to lessen or get rid of their pain and achieve their own personal health and fitness goals.”

Having had experience of working alongside a number of professional athletes and celebrities, Greg is particularly proud of working at the Sydney Olympics and the Commonwealth Games in Glasgow. 

“I was also Greg James’ physio for his ‘Pedal to the Peaks’ challenge for Sport Relief, 2018.”  Greg was proud to support and advise the Radio 1 DJ throughout the ‘Gregathlon’, described as: 1 man. 3 mountains. Lots of cycling. (Physio) Greg played a pivotal role in working with (DJ) Greg through extreme exhaustion and an unprecedented red weather warning. 

But what about Greg outside of work? Well, practising what he preaches, Greg’s keen on his fitness. He regularly cycles and climbs an impressive four to six times a week, and also likes to attend the gym. He explains to us that he absolutely loves spending time snowboarding and being in the mountains/outdoors too.

When Greg sits still for long enough, he can be found watching Marvel movies with his two boys. He says, “Spending time and hanging out with my kids is all I want to do at the weekends.”

Although Greg has an extensive overall/general physiotherapy and anatomy experience, he does have a special interest in working with sports injuries including back and neck pain and shoulder and knee problems. If you’d like Greg to help you back onto the road to recovery, why not book an appointment with him today? 

We meet Physio, Taryn

February 21, 2020 by  
Filed under W5 Physio News

Physiotherapist Taryn Lee Schutz is just back from maternity leave. She’s had some time out from the clinic after giving birth to a beautiful baby girl last summer.

We thought we’d mark Taryn’s return with an article all about her…read on to learn more about Taryn’s love of physio, her achievements, hobbies and the favourite food she’s a little bit addicted to! 

Having been a practicing Physio since 2008, and with W5Phsyio since 2012, Taryn admits that she loves her profession.

“I love that I’ve been given the opportunity to change my client’s lives – whether that be their pain levels, their mood, their lifestyles or even their perceptions of pain, injury or exercise.”

She enjoys assisting people in achieving their fitness goals, helping them return to normal daily activities if they weren’t able to do so before.

She was first attracted to physiotherapy because of the problem solving involved, not to mention the fact that she could help people by encouraging them to be active and healthier through exercise. A big sports fan herself, Taryn enjoys walking/hiking with her husband, watching tennis and rugby, and keeping fit through running, attending the gym or doing home exercises.

She also enjoys squash and is particularly proud of having played the sport for her county. But another, perhaps more unusual sporting achievement, is that Taryn once represented South Africa as a Junior in Light Tackle Boat Angling! 

But despite her sporting triumphs, Taryn now says her biggest accomplishment is having a baby. Life away from physio, sports and fitness involves (when time out from being a mum allows) gardening and craft work, whether that be woodwork, needlework or beading. She describes Italy as her favourite place to visit and when it comes to favourite foods, Taryn’s rather partial to just about anything with cheese on it! She’s a fan of films Love Actually and Forest Gump, but admits being unable to watch the latter without shedding a tear! 

For Taryn, W5Physio is her home from home. She says, “I feel like I’m part of the family, not just an employee.”

With a special interest in in shoulder, ankle or squash-related injuries, she gives 100% to each and every client and enjoys empowering people to achieve goals they didn’t think they could. 

Taryn’s excited to be back in the clinic and to catch up with existing clients…and meet lots of new. If you’d like to arrange an appointment with her, you can do so here.

Tips for sticking to your new year workout routine

January 20, 2020 by  
Filed under W5 Physio News

Has this January seen you making a new year’s resolution to get fit? If so, you’re not alone…

A recent survey showed that the most common new year’s resolution for 2020 was to do more exercise. (And you can guarantee it’s been the most popular resolution made in previous years too.)

But would it surprise you to learn that despite being the most popular of new year’s resolutions, just 24% of people promising to do more exercise, actually stick to it? Although at W5Physio, we massively recommend exercise to our patients…we get it! We know starting a new exercise regime can be scary, it can seem like a chore and simply something you don’t have time for in your busy schedule.

That’s why we’ve pulled together our top tips for making exercise FUN! And perhaps more importantly, sustainable. Read on to learn how you can be one of the successful minority who actually who stick to their new year’s exercise resolution and reap the health benefits of getting fit this year.

The secret to success

The secret to success when it comes to exercise is to find an activity that you actually enjoy. A lot of people see their workout as something they just need to tick off their to-do list, either first thing in the morning or at the end of the day. It’s an errand, a duty, something they’d rather not do, but feel obliged to anyway.

Yet the NHS suggests everyone aged 19 to 64 should aim to be physically active every day. That includes two days of strength training and 150 minutes of moderate, or 75 minutes of vigorous, intensity activity a week. Sound impossible to stick to? Well, it really is tricky if you’re not enjoying the exercise regime you’ve chosen.

But, we’ve got good news for you…exercise can be fun!

Fitness that fits you

There’s no one-size-fits-all when it comes to exercise. The best form of exercise for you, is one you enjoy the most and that fits into your lifestyle. To begin with, try not to worry about hitting your targets in regard to NHS recommendations. Start small, build your fitness and your confidence and once you’ve found the right routine for you, picking up the pace and volume shouldn’t be that hard.

Enjoying the exercise and feeling happy is much more effective than simply going through the motions of a workout because you feel forced into it. It’s well-known that exercise in any form releases endorphins (happy hormones) in the brain – the more you enjoy your workout, the more happy hormones will be released! As a result, you’ll want to exercise more.

If you’re not sure where to start when it comes to finding an exercise plan to suit you and your lifestyle, talk to one of our physios. All of W5’s physiotherapists have the qualifications and experience to help you discover the wide variety of exercise options available to you.

How to make exercise fun

Here are just a few of our suggestions of making the mundane feel more fun:

  • Want to start running? Find a ‘Couch to 5km’.

This running programme has become a bit of a phenomenon over the past few years. And it’s not difficult to see why. The thought of trudging down dark roads in the cold winter months doesn’t entice many people into taking up the sport. Instead, ‘Coach to 5km’ offer both online plans and apps for you to follow or in some areas, groups who meet to run together. The programmes work to build up your fitness and muscle strength gradually, preventing injuries and offering encouragement to participants. They can also offer advice on the right footwear and additional strength training to improve your running too.

  • Want to start weight training? Join a gym.

It may sound obvious but if you’re just starting out with weight training, the best and safest way to do it is to join a gym. Not only do you receive the advice needed through induction sessions and ongoing support, you get to meet a whole host of like-minded people who you can work out alongside too. Many gyms offer weight-based classes and often joining a class can be more fun and motivating that simply working out alone.

To help you stick to your weight training regime, it’s important to set achievable goals. Your physiotherapist of trainer can help with this and once you start seeing results, you’re sure to have the motivation to continue with your weight training for the long term.

Many gyms offer January membership offers, so now’s a great time to compare offers and find the right gym for you.

  • You want to learn a new sport. Join a club/team.

Many of us enjoy being competitive and that’s why competitive sports can add an extra element of excitement to our exercise. Sometimes, you become so enthralled in the game, you forget you’re even working out!

Take tennis for example. Lessons are a great place to starts and there are many affordable clubs across London that also offer all you need when it comes to finding the right equipment.

Also think rowing, football, rounders or bowls. Start with one lessons a week, and W5’s physios can provide you with some additional exercises that will build your strength and fitness so you’re increasing your activity lessons in no time at all.

  • Want to move to music? Join a class!

Many of us confess to loving music and there’s no doubt that exercising to your favourite tunes can be a great way to make your workout fly by!

From dance and yoga classes, to aqua aerobics, HIIT classes and spin, there’s an abundance of options on offer and bound to be a class not too far away from you.

Exercising in a group is proven to make people less likely to give up when it gets tough and the social C great health benefits too.

  • Want to work out at home? Download an app.

Let’s face it. Sometimes, no matter how hard we try, it’s really hard to physically fit a workout into our day! When that’s the case, don’t use it as an excuse to not exercise. Instead, try working out at home.

Nowadays there are thousands of online workouts to choose from, as well as fitness apps and home DVDs. Plus, how many of us have an exercise bike or rowing machine which is currently buried under a pile of clothes? Come on, make this year your year for dusting it off and putting that exercise equipment to good use. You can even do it whilst dinner’s in the oven or the kids are doing their homework!

Remember, exercise in whatever form should be part of everyone’s lives, but it doesn’t have to feel like a chore. Physiotherapy doesn’t just focus on improving injuries and getting people back to doing what they were doing before their problem started. It helps complement your exercise routine and our physios really enjoy helping people be the healthiest they can. With that in mind, why not have us tailor an exercise programme to suit your lifestyle? Let us help you to stick to that most tricky of resolutions…to get fit in 2020!

Get in touch with us today.

Common contact sports injuries

October 7, 2019 by  
Filed under W5 Physio News

In the midst of the Rugby World Cup, there seems no better time to discuss contact sports. 

Contact sports are some of the most exciting for spectators, offering a fast pace, twists, turns and lots of anticipation. For these reasons, it’s no surprise that contact sports, including rugby, football, hockey, boxing and martial arts are hugely popular amongst both participants and fans, but it’s probably no surprise either that because of their competitiveness, injuries are really common too. 

Here, we look at just a few of the most common contact sport related injuries we see in clinic, and how they can be avoided. 

  1. Muscle strains

Any sport can put stress on muscles but contact sports in particular demand a lot from them. From the speed needed to run from or attack your opponent, to the strength needed to tackle, scrum or pin down the opposition, our muscles are put to hard work, often without us even realising the vast extent of what they are allowing us to do.  

It’s no wonder then that quads, hamstrings and calf muscles are sometimes damaged, along with glutes, traps, delts and abs – all as a result of playing contact sports. 

2. Dislocations and fractures

Contact sports are high-speed and energetic, meaning that collisions and falls are common. Unfortunately, bad knocks can result in breaks or dislocations, with the latter being particularly common in sports like rugby due to hands-on tackling and scrums. Legs, arms and collar bones are some of the most popular breaks we see, whilst dislocations are prevalent in shoulders and knees. 

Whilst rest and time are often the best initial cure for fractures and dislocations, the good news is that physiotherapy can really speed up your rehabilitation following your injury and can help you to strengthen to prevent similar injuries happening again in the future. 

3. Sprains

Sprains, which are ligament damage (as opposed to strains which involve muscles or tendons), are often associated with contact sports and most commonly seen in ankles and knees. They occur most frequently due to twisting or sudden jerky movements, for instance, when changing direction to dodge an opponent. 

ACL (anterior cruciate ligament) sprains are widespread amongst footballers, along with MCL (medial collateral ligament) sprains. Often these injuries take a little longer to heal than a strain and can cause swelling and bruising too. 

4. Other injuries – bruises, cuts, concussion

There are a number of additional injuries that can happen as a result of playing contact sports. Again, because of a tendency to collide with opponents or fall to the ground, bruises and lesions are commonplace, and when they occur to the head, there is also the added risk of concussion. Whilst physio probably isn’t the first port of call for these types of problems, they’re worth mentioning as they’re amongst the most common of all contact sports injuries. 


Here are our top tips for preparing your body to play contact sports. 

Practise makes perfect

If you’re playing a contact sport professionally, practise is part and parcel of your job. But even as an amateur sports person, you should ensure you attend regular training sessions to gain the required skills. Understanding your sport well, knowing the rules, techniques and best practice is a good way of increasing your chances of staying safe when playing competitively. 

Warm up

It’s obvious, but crucial. Never undertake any kind of exercise without firstly warming up. You’ll increase blood flow to your muscles and enhance flexibility meaning your body’s ready to be pushed a little and you’re less likely to experience an injury. 

Strength train

Adding some weight bearing exercises into your training routine will build help you to protect both joints and bones. If problems do occur, your recovery time will likely be decreased if you’ve previously undertaken regular strength training. Think about the muscles most commonly used in your chosen contact sport, or any areas in which your experience weakness, and focus on those first. Our physios can recommend the most suitable exercises for you/your chosen sport. 

Do some cardio

Adding some cardio into your training routine (like running, cycling, cross training or aerobics) makes muscles more efficient and means you’ll be able to perform for longer before tiring. 

Protect yourself

If you feel weakness in any part of your body, or have an old injury, don’t be afraid to wear supports on knees, wrists, ankles, etc. to help you to feel stronger or prevent further injury. For more aggressive contact sports, like boxing and rugby, consider wearing more heavy-duty protective equipment like head guards and gum shields, too. Our physios are happy to advise on the best supports and protective equipment for your individual needs and choice of sport. 

Cool down

Your cool down following training or a match is just as vital as your warm-up. Give your body chance to recover and include stretching to increase your flexibility. The more flexible you get, the less likely you are to experience injuries from the sudden twists and turns often required in contact sports. 

Whilst the odd injury may be to be expected if you’re regularly participating in contact sports, don’t let it put you off. The health and wellbeing benefits of taking part in competitive sports well outweigh the potential problems and through putting the correct preventative measures in place you can significantly reduce your chances of causing any damage. 

If problems do occur, remember W5’s physios have a wealth of experience in contact sport related injuries and are here to help. Get in touch today!

Lower back pain treatment & rehab

June 17, 2019 by  
Filed under W5 Physio News

As one of our previous recent articles explained, lower back pain is really common. Most often, this pain is caused by mechanical issues, but problems can also sometimes be non-mechanical, and can need further investigation by a medical professional to help with a diagnosis.  If you didn’t read our previous back pain blog, we suggest giving it a read first, here. 

Lower back pain will usually improve within a few weeks or months with some simple, temporary (or permanent, if necessary) lifestyle changes. Our physios will provide you with advice and a programme of exercises that will help to improve any reduced mobility and/or strength, and will use their knowledge and experience to make sure you have the right exercises and information to help improve your lower back pain and prevent reoccurrence. 


In the meantime, here are a few pointers that may help your back pain improve in the very acute stages or if you’re unable to get to a physio right away:  

  1. Don’t stop moving – moving is really important when you have pain because it keeps the muscles working. Try to keep moving as normal but if certain movements are too painful then try avoid them temporarily to allow the body not to get to oversensitive to the movement.
  2. Try some stretches – stretches and flexibility exercises can be very helpful when your movement is restricted or the muscles are very sensitive and tight.  At the end of this blog I’ll detail some stretches and exercises that may be helpful to improve your symptoms.
  3. Hot and cold treatment – this may help to reduce your pain and allow you to move better without pain. Your body may respond to one treatment or both, so give them both a try.
  4. Get professional help – if your symptoms are not improving, always seek a professional opinion. Usually, pain doesn’t mean permanent damage and a large percentage of back pain is in fact protective in nature. X-rays or MRIs are not always necessary – pain can be caused by many different structures that won’t present on a scan. But by getting a professional diagnosis, your physio or doctor will be able to advise on the best course of action to get you on the road to recovery.  
  5. Pain relief – use pain relief in the form of painkillers if prescribed, or as advised by your GP. 
  6. Stress relief – if life is very stressful and if you think it might be contributing to your pain, then it may be good to evaluate where you could make lifestyle changes and reduce stress levels.

Exercises and rehabilitation for Lower back pain:

It’s really useful to know what causes, affects or aggravates your lower back pain because this will guide your treatment. So, if your pain is aggravated by bending or sitting, it means that flexion-type activities should either be temporarily avoided or done differently to help reduce pain. Exercise could involve extension-based movements to help offload the painful structures. 

If leaning backward or rising from sitting type movement is the aggravating activity, then extension-based movements should be temporarily avoided or done differently to help reduce pain. 

Below are some safe exercises you can have a go at. Everyone’s pain is slightly different, so it’s worth trying one set of exercises first to see if they help. If they don’t, simply try a different set.

Lower back pain exercises that may help pain associated with bending/flexion. 

  1. MCKENZIE BACK EXTENSIONS:                                                                                                             
  • Lying on stomach, place hands in the press up position.
  • Slowly perform a press up lifting out the breast bone so as to achieve an even back extension.                                                                                                                                                    
  • Stop when the front of the pelvis starts to leave the floor.                                                                                     
  • Repeat 20-30 times up to 5 times per day if able and if relieving.                                                                                       
  • Progress by bringing the hands closer under the shoulders to start

Alternatively, this can be done in standing by pressing your hands on your lower bottom and supporting your weight as your lean back. Don’t hold the movement into pain.


  • Lying on your back with your knees bent, engage your deep abdominals. 
  • Roll the pelvis back and peel the spine up one segment at a time to rest on your shoulder blades; hold for up to 6-10 seconds using the bottom muscles
  • Gently peel back down, one segment at a time.
  • Repeat 10-15 times.
  • Be sure not to lift too high and arch your back into any pain. 

For pain aggravated by backward bending or leaning, try the following exercises: 

  1. KNEES TO CHEST:    
  • Bring both knees (one at a time) towards the chest and hold for 20 seconds.
  • Repeat 5 times and do 2-3 times a day.
  • You may add a side-to-side roll to release the lower back

2. CAT

  • On all fours check your alignment and engage your deep abdominals
  • Gently curl the tailbone under and allow the rest of the spine to follow into a comfortable cat stretch position
  • Hold for a few seconds then slowly return to neutral, and gently to arch the other way into extension.
  • Repeat 20 times and do 2-3 times a day

Alternatively, these exercises can be helpful for both:

  1. LUMBAR ROTATIONS (KNEE ROLLS):                                                                 
  • Lie on your back with both knees bent up and connected together.  Arms are out to the side and the shoulder blades are anchored on the mat.
  • Engage the deep abdominals. Gently roll the knees to one side, allowing the head to roll in the opposite direction and return to middle.                                                                                       
  • Repeat to the other side.
  • Continue alternating 10-20 times in each direction and do 2-3 times a day.


  • On all fours, engage your abdominals. Then slowly sit back onto your heels.
  • Press your hands forwards to feel a stretch along the sides of your body and try get your bottom to touch your heels.  
  • Hold this for 3-5 seconds and then come out of the position and rock forwards a little while arching your back a little as shown in the picture below.
  • Repeat 20-30 times and 2-3 times a day if you can.

Here are some simple strengthening/activation exercises to start getting your back, gluteal and abdominal muscles working better:

  • Lie on your back with your knees bent up.
  • The spine should be in neutral and the deep abdominals engaged.
  • Gently squeeze the buttock muscles and roll the pelvis to flatten the low back into the mat.
  • Hold the position for 2-3 seconds but don’t hold your breath, then return to neutral.   
  • Repeat 20 times slowly 1-3 times a day.

      2. LEG LIFTS

  • Align the body in neutral and engage your deep abdominals.
  • Without allowing the upper abs to tense or the pelvis to move, float one leg up to 90 degrees.
  • Repeat 8-10 each side.


  • Perform your squat by leaning forwards with your hands and upper body and folding back(sitting back) at the hip joint, not the spine. The spine should stay in its neutral position.
  • Ensure the kneecaps stay in line with the hips and second toe. Return to the start position pressing through the heels to activate the inside quadriceps and buttock muscles.
  • Repeat 10-12 times slowly and up to 3 times a day to start. Then you can slowly increase the repetitions and do more at once to fatigue the muscles more.
  • If this is too hard then first add a chair to sit down on to help with support or if it feels too painful then don’t perform this exercise.

Remember that these exercises are simply guidelines. If you experience more pain while trying them, stop immediately and consult with your GP, or book an appointment at our clinic.  We’ll happily advise on treatment options. 

Causes of shoulder pain

June 3, 2019 by  
Filed under W5 Physio News

Mobility over stability

The upper limbs are crucial. They help us to explore the world, allowing us to reach, pull ourselves up, push open doors and save ourselves if we fall. Without even thinking about it we use our upper limbs to carry out hundreds of different tasks each day. Perhaps it’s no surprise then that a lack of shoulder stability is a common issue.  

To explain the shoulder in a little more depth, it’s a complex system comprising three joints and three bones: the humerus (upper arm bone), the clavicle (collarbone), and the scapular (shoulder blade). The size of the humeral head (the bulbus bit of the bone at the top) is approximately the size of an orange and the surface it articulates on is the size of a 50 pence piece. So how does the large humeral head (the orange bit) refrain from slipping off or falling out from the small 50p-sized joint surface?  

Well, firstly, there’s a really cleverly designed rim known as the labrum. The labrum increases the surface area of 50p and two muscles (and a group of muscles collectively referred to as the rotator cuff) hold it in place. Additionally, a membranous cover (called the joint capsule) which surrounds the 50p also helps to hold everything in place. As well as this there are liquid filled sacks called bursa which aim to reduce friction between the muscle tendons and the bones. A miraculous combination of all of the above working together results in the shoulder being quite an extraordinary apparatus!

Causes of shoulder pain

With so many different components working simultaneously to make our shoulders function, it’s understandable that problems can occur. Linked to the anatomy described above, some of the most common difficulties include:

1. The rotator cuff tendons can be overloaded and become problematic (they can swell, thicken and eventually degenerate). This problem is referred to as “tendinopathy”.

2. The rotator cuff can tear, often due to acute overload. This doesn’t always mean lifting a heavy weight but can happen with things like gardening or putting flat-pack furniture up with the wrong tools. 

3. The bursa (those fluid filled sacks that reduce friction between the tendons and the bone) can become inflamed due to an occurrence such as a fall. 

4. The joint capsule (the cover round it) can become inflamed and contract causing what is known as a “frozen shoulder”. A frozen shoulder goes through a number of stages of pain and stiffness before eventually resolving and the condition is much more prevalent in women than in men. It’s seen most frequently in females above the age of 40 and although there are a few theories for this, the medical world is yet to agree on exactly why this is the case. 

5. A break, fracture or dislocation to the bones/joints. Skiing season means we see a lot of impact fractures (referred to as Hillsachs lesions) to the humeral head due to patients falling onto the shoulder, elbow or an outstretched arm. If you’ve taken a fall onto hard ground whilst skiing or playing another sport and your shoulder pain continues, get it checked by your GP or physiotherapist. An X-ray may be necessary to rule out a Hillsachs lesion.

Less frequent problems include:

6. Arthritis in the joints. Arthritis can occur in the main joint between the humerus and acromion, the acromioclavicular joint or the sternocalvicular joint. What a mouthful! Best to get checked out for an accurate diagnosis on this one! 

7. Referred pain from the neck. This is most commonly seen in patients who have problems with organs, such as liver disease or duodenal (small intestine) which can cause right shoulder pain. Slightly less commonly experienced is referred pain under the right shoulder blade which is the result of gallbladder or gallstone issues.

8. The big C. Cancerous tumours can cause shoulder pain, but again, thankfully, these are extremely rare.  

As you can see there are a number of structural and functional problems than can cause shoulder pain. Shoulders are complex, so don’t be tempted to self-diagnose. It’s important that to arrange a thorough examination with a GP or physiotherapist. At W5Physio, we will ask you lots of the right questions, plan a physical examination and recommend any further investigation such as ultrasound imaging, X-rays, MRI or CT scans. If in doubt, come and get checked out! 

Why hydration is so important to our health

June 1, 2019 by  
Filed under W5 Physio News

We all know that water is essential for any living thing. Humans, animals, plants and trees all need to stay hydrated in order to survive.

The NHS recommends that adults drink between six and eight glasses of water daily. Two-thirds of the human body Is made up of water, so it’s important we’re keeping topped up, and especially so if we’re active.

Athletes can lose between six and ten per cent of their body weight when taking part in professional sports, and that’s just from perspiring. But even if we’re not all the next Usain Bolt, if you’re carrying out any form of exercise, it’s best practice to replace any fluid lost – and that’s in addition to the NHS’s recommended daily intake.

A survey carried out by the RNLI (Royal National Lifeboat Institution) showed that out of the 2000 British adults who took part, 17% didn’t drink any water at all during the average day. Only 8% consumed 1.5 litres (approx. 7.5 glasses), whilst just 6% drank two litres.

Men, it seems, are less hydrated than women, with 20% of men who were surveyed claiming they drink no water at all in comparison to 13% of females.

Yet the health benefits of good hydration are widely publicised. Water doesn’t damage teeth like hot or sugary drinks can, it’s calorie-free and is cheap! When it comes to taking care of our joints, water ensures that they are lubricated and cushioned and drinking a good amount of water also provides protection for tissues and the spinal cord. Good hydration has been proven to regulate body temperature and maximise physical performance whilst improving strength, power and endurance.

Research has further shown that it boosts energy and activates metabolism, and taking on water after a massage can reduce soreness as well. Some studies even claim that drinking water can help you to lose weight.

So, what are you waiting for? Water has many more benefits than simply quenching your thirst. And with a number of fitness and wellbeing apps now available that will remind you to drink, it’s easier than ever to reach your hydration goals. Keep a jug on your desk, or a water bottle in your bag. And see what a difference H20 will make to your health and performance.


For more advice on reaching your health and fitness goals why not make an appointment with one of our experienced physios? Or read another of our blogs. 













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