6 FOAM ROLLING MISTAKES YOU KEEP MAKING – AND HOW TO FIX THEM

6 FOAM ROLLING MISTAKES YOU KEEP MAKING – AND HOW TO FIX THEM
Relieve sore muscles with these expert tips

Feeling tight and achy after your hard workouts? Get yourself a Foam Roller!

Foam rolling, a form of self-massage that breaks up knots in muscles and surrounding connective tissue (called fascia), “is great for recovery and has the ability, when coupled with the right exercises, to improve your posture and functional performance,” says David Reavy, a physical therapist and founder of React Physical Therapy in Chicago, Illinois. 

All that’s required is a high-density foam cylinder and a bit of time spent working your muscles over it.

The process seems simple enough, but it’s easy to use improper technique when starting out – which leads to ineffective recovery.

Here are the most common foam rolling mistakes, plus expert tips on how to fix them.

1. Rolling out your lower back or neck

Why It’s Bad: Placing a foam roller beneath your lumbar spine (your lower back) or neck can cause strain and hyperextension. 

Doing this can produce more stress on the spine by taking it out of neutral posture. Whenever you’re rolling, it’s important to stay stable through the core and maintain spinal integrity.

What to Do Instead: If you have discomfort in your lumbar spine, work on releasing knots in your hip flexors, quads, and upper back instead, as tightness in these areas often leads to aches in your lower back.

Pain in your neck? That’s often caused by tightness in your trapezius (the muscle in the center of your upper back and shoulders), which is a much safer muscle to massage. 

2. Only rolling up and down across a knot

Why It’s Bad: You risk making the problem worse.

If you only roll up and down over a painful knot, the muscle will react by reflexively tightening up further to protect itself.

What to Do Instead: While you’re working an area, stop rolling and move that muscle in its range of motion with pressure applied to it to dig into the knot. 

For instance, when you hit a tender spot on your quad, stop there and—maintaining pressure with the roller—bend and extend your knee until you feel the knot start to relax.

3. Only rolling at night

Why It’s Bad: It’s not necessarily wrong to roll out in the evening; in fact, doing so can relax your body and lead to better sleep. 

But not rolling in the morning means your muscles won’t function as well as they could throughout the day.

What to Do Instead: Roll right when you wake up.

Releasing your muscles first thing in the morning will allow for improved use of your entire body more efficiently for the rest of your day. Doing so will help increase your range of motion and motor control, and improve your flexibility.

4. Starting your rolling session on the muscle that feels tightest

Why It’s Bad: The muscle that feels tight or hurts is often not the muscle that you need to unwind. For instance, hip flexors can cause a lot of discomfort elsewhere. 

The hip flexors cross eight joints and when they become too tight, they limit the mobility in all of these joints. 

What to Do Instead: Regardless of where you notice tightness, start rolling by unwinding your hips, then move out to your glutes, hamstrings, mid- and upper back, and then quads. 

5. Foam rolling too quickly

Why It’s Bad: Just as with only rolling up and down on a muscle, you risk causing a muscle to tighten up if you roll too quickly. 

Plus, rolling too quickly means you likely won’t be able to target the deep tissue where tightness is really a problem. 

It will only address the superficial layers of fascia and not induce the positive change in the muscle tissue that we’re looking for. 

Typically it takes 30 to 60 seconds of rolling in one spot on a tight muscle to get it to relax. 

In the beginning, it might take you longer to release a muscle, depending on how tight or inflexible you are to begin with. 

What to Do Instead: Spend a full 30 minutes on foam rolling during a rest or recovery day, followed by stretching. 

If you only have a few minutes to devote to rolling, your time is better spent releasing just a few muscles in a slow, controlled way. 

6. Staying on a tight muscle too long

Why It’s Bad: If a knot doesn’t seem to be releasing, continuing to work on it will likely just cause more soreness. 

What to Do Instead: If a knot won’t release, try working above or below that muscle instead. 

For example, if you hit a stubborn knot in your quads, roll just outside of it, or work more on your hip flexors. 

It can be better to work around the affected muscle to get to it. 

 

Foam Roller
Latest News Update

Our prices are changing on the 1st of April 2024.

We have kept increases to a minimum and not for every appointment type, so please see the table below for further details of the price changes.

The next Pilates class renewal will be at the current price & not increase until the renewal in May.

Thank you for all your support - it really means the world to us all and keep scrolling down to see some exciting news below…


New Mum & Baby Pilates Class

We’re very excited to be launching our ‘Mummy does Pilates’ Postnatal Mum & Baby Clinical Pilates Class!

⭐️ This amazing 7-week course will be taught by Women’s Health Physio & Mummy MOT Practitioner, Tania Pendreich.

⭐️ Babies are welcome until they are on the move, or you can leave them with a loved one…
⭐️ Full screening questionnaire before starting (so Mums who are new to Pilates, and/or are having postnatal struggles eg. Leaking urine or abdominal separation can book a 1:1 Pilates or Women’s Health appointment beforehand)
⭐️ Thursday Mornings 11.00-12.00…Starts after Easter on the 11th April 2024.

⭐️ Location: West Worthing Baptist Church - Large Hall

⭐️ Baby changing and café facilities available
⭐️ Places are limited so secure your space ASAP!


New Men’s Pelvic Health Service

We are delighted to announce this new and valuable service at Sussex Physio Pilates. Ruth Smith, who is a very experienced Pelvic Health Physiotherapist, now offers Men’s Pelvic Health appointments on Wednesday afternoons.

It is important for men to know they are not alone when it comes to Pelvic Health and with proper diagnosis and treatment, improvement to quality of life can be significant.

Diastasis Recti - What, Why And How To Fix It!
image of Diastasis Recti

So what is Diastasis Recti?

Diastasis Recti occurs when the main abdominal ‘6 Pack’ (the Rectus Abdominis) separates down the middle due to the over-stretching of the line of connective tissue (the linea alba) that joins the 2 sides of the muscle together.

It often occurs in Pregnancy, although not exclusively. During Pregnancy the rectus abdominis muscle stretches greatly, up to 50cm!  This can give a ‘stretch weakness’, which together with an increase in the intra-abdominal pressure (ie. the weight of the baby, womb etc) can cause the muscle to divide as the diagram below shows

Sometimes it’s just a small separation, that you may not even realise you have whilst you’re still expecting (or even afterwards). Other times it’s a wider or longer division, in which case a hernia (bulge) can sometimes be felt or seen.   

Either way, you are not alone, as it is pretty common, occurring in between 30 – 66% of ALL Pregnancies (Boissonnault & Blaschak 1998). You are also more at risk if it’s not your 1st baby (and your core was already weakened),  if you had a large baby, have a small pelvis or if you did exercises that over-strained the rectus abdominis during pregnancy.

The good news is...

Many separations will naturally close during the first few weeks after having a baby. Many others need a little help with protecting against further strain and correctly re-training your abdominals (see the advice below).

If all that fails your GP can refer you for a surgical repair. This is not rushed into however, as you’ll usually need to have completed your family before a doctor will consider it, and you’ll still need to re-train your abdominals after surgery.

So how can I check if I have it?

If you’re reading this after you’ve recently had your baby, and you think you may have a diastasis recti,  then I strongly recommend you ask your midwife or GP to check (or one of our Women’s Health Physiotherapists who treats Pregnant and Postnatal Mums).

Remember that this isn’t a vanity issue (well, maybe partly – but that’s FINE too!) - having separated abdominal muscles can contribute to low back pain and prolapses, as well as lowering self-esteem.

So what does it look like?

It may be that several weeks or months after giving birth you still have the same post-baby tummy (and possibly have been asked when you’re due!!). A ‘Mummy Tummy’ of sorts is pretty normal despite what the media would have us believe!... In the early days, we're often not that bothered about ‘getting back in our jeans’…. looking after our new bundle of joy is the priority.  It’s also normal to still have more fat than before lying on top of your tummy muscles (it's part of pregnancy, then the hormone Cortisol has a lot to answer for here, but I’ll save that story for another day...).

However, if you’ve been increasingly more active, have lost a bit of weight, been doing some exercise, and weeks, months or even years later your tummy isn’t budging… (or maybe it even seems like it’s bulging out a bit more),  then it’s worth checking for an abdominal separation.

The Checking Technique:

  1. Lie down on your back with your knees bent up, and feet flat on the floor

  2. Place 3 fingers into your belly button (as if you’re going to reach down into your tummy)

  3. Place your other hand behind your head

  4. Lift your head and shoulders off the floor (into a low sit up position) and feel with your fingers the width of the gap (you’ll be able to feel the sides of the muscles with your fingers)

  5. Repeat this above and below your belly button so you can assess the WIDTH and the LENGTH of the separation.

The naval (belly button) is a weak spot in the abdominal wall and is often where the ‘gap’ is felt.


So if I have it, what can I do about it?

LOTS! 
So don't just accept it.... You've just grown and birthed a baby.... you deserve to get stronger again!

Starting with what NOT to do - There are certain exercises to avoid - Any exercise that causes your abdominals to bulge out or ‘dome’ (always aim to draw the belly button inwards). These exercises (such as a full plank or raising both feet off the ground) increase the intra-abdominal pressure, so can make your diastasis worse. Prolonged stretches of the abdominals (ie. Upward dog or lying backwards over a gym ball) probably won’t be helpful.

Exercises that use the ‘sit-up’ or ‘crunches’ position – ie. raising your head and shoulders off the floor…
This does include SOME Pilates exercises, so it is vital that your Pilates teacher is aware of your Diastasis Rectiand modifies your exercises accordingly so they help you not hinder...

Heavy lifting - this includes baby in their car seat (they are heavy!) so if possible get someone to lift baby’s car seat for you, or plan ahead and ask your partner/a friend to put the seat in the car before you’re going to need it.
When lifting has to be done (baby from crib, washing etc ) bend your knees into a squat and hold in your deep core and pelvic floor first (see point 3) – We’re aiming to reduce the abdominal bulge.

Getting up out of bed – As above - hold in your deep core (see point 3) , roll onto your side and use your arms to assist you. Don't just use momentum to swing yourself up.

Wear a Support - This is never a popular one, (you probably won't feel your most attractive in it) but if your diastasis is over 3 fingers wide, it will help in preventing further strain on the connective tissue running down the middle of the abdominals, as well as encouraging your core to engagement and helping support your back.

A hospital Physio may give you a length of wide tubigrip to wear in the same way as a bump band, or you can buy them from on-line sites.

Watch your posture -

  • Standing correctly can help your deep core muscles hugely!

  • So practice standing (and sitting with your pelvic in neutral

  • Imagine your pelvis is a bowl full of water and you don’t want to spill any

  • Keep your weight through your heels.

  • Use your deep core and pelvic floor lift in everything you do!

Start re-training your deepest abdominals and Pelvic Floor - ALWAYSstart by working on the deepest layer of abdominals first, our ‘Transverse Abdominis muscle’ (TvA). This muscle wraps around our middle like a natural corset, and is the foundation of ‘core stability’. It works in harmony with your pelvic floor, and together with tiny muscles in your back and your diaphragm this forms our central ‘Cylinder of Support’ .  

However our TvA is s a subtle little fella, and requires some concentration to begin with.   In modified Pilates we always begin (and continue) with working our deep core/our TvA muscle, together with our pelvic floor.
Imagine your knicker elastic has just tightened up(holding in the area below your belly button without tilting your pelvis), and at the same time you’re stopping yourself from passing urine by lifting up your undercarriage!

Until the distance of your abdominal separation is less than 2 fingers breadth avoid working your ‘sit-up muscle’ (rectus abdominis), although you can add working your next 2 layers of abdominalmuscles (your internal and external obliques/ your waist muscles)  as long as you don’t bulge your tummy – we’re aiming for a FLAT tum when we exercise (think holding your belly button into your spine).  Foot slides on all hands and knees is a good exercise, as is a bent knee fall out when lying on your back with knees bent up (feet flat on floor).

You also want to exercise your whole body, not just focus on closing the separation.

Think Strength and function rather than skinny!

Need some advice, or would like to book either a Physiotherapy appointment or 1:1 Pilates Session, then contact us now...

Menopause Masterclass 2023

Hormones, Pilates & Pelvic Health

Saturday 13th May 10.00am - 1.30pm

Join Claire Yuill and Rachel Boon at Salt Water Studios this May for an awesome Menopause Masterclass, covering everything you've ever wanted to know about your hormones, pelvic floor and genitourinary symptoms but were afraid to ask.

 

Our time together will look a little something like this:

  • Introductions from your hosts, Rachel and Claire who have 43 years collective experience in their respective fields of naturopathy, herbal medicine, physiotherapy and Pilates

  • A gentle, mindful Pilates practice to destress and start our morning together

  • 45 minute talk from Rachel about what's going on hormonally during the perimenopause, how to recognise signs of low or high sex hormones and how you can best support yourself nutritionally and herbally through this time of transition

  • 15 minutes for Q&A at the end to get your questions answered from Rachel, women's health specialist Naturopath and Herbalist of 18 years

  • 20 minute herbal tea and snack break (please state any special dietary requirements/alleriges or intolerances when booking)

  • 45 minute talk from Claire about genitourinary syndrome of the menopause (GSM), and issues with pain, leaking, hypertonic pelvic floors, over active bladders, vaginal dryness, vulvodynia, vaginal oestrogen preparations and more

  • 15 minutes for Q&A at the end to get your questions answered from Claire, clinical director of Sussex Physio Pilates, who specilaises in women's pelvic health, teaches clinical Pilates and has lectured at the University of Brighton on menopause and women's health

  • 30 minute Pilates lesson to finish with a focus on strengthening the pelvic floor and release, plus a chat about pelvic floor exercises and devices you can use to help yourself going forward

You will leave with a goody bag, a full slide deck from the day and, we hope, feeling informed and empowered to navigate your menopause transition as best you can.

 

What you need to bring:

  • Yoga mat for Pilates sessions

  • Blanket 

  • Water bottle

  • Note book and pen if you wish to take notes (full slide deck will be provided afterwards)

  • Optional cushion to sit on for your own comfort

 

The event will be held at the gorgeous:

Salt Water Studios, Stoke Abbott Road, Worthing BN11 1HE.

There are showers, toilets and changing facilities at the venue.

 

Cost of the Masterclass:

£49.00

 

We can't wait to welcome you to our supported safe space where we aim to educate and empower you on YOUR menopause journey!

 

Any other further questions about the masterclass, please email: claire@sussexphysiopilates.co.uk or info@rachelboon.co.uk

An Important Update About Our Pricing

We want to let you know that our prices are changing on the 1st of March 2023.

We haven’t made this decision lightly. The cost of supplies, utilities, insurance and many other parts of the business have soared dramatically over the past year, with increases of over 30% in many areas.

We have never compromised on the service we offer you and have invested heavily in the practice, such as the latest Allegro 2 Pilates reformer, new air conditioning/heating and the best massage lotions, sport tape etc.

We decided not to increase prices last year, but this does sadly mean we now have to make a change. This will allow us to continue to offer you an uncompromised service.

Please see the table below for further details of the price changes.

Thank you for all your support - it really means the world to us all.

Kindest Regards

Claire & Stuart

Winter Newsletter

Winter 2021 brings New Team Members and Continued Covid-19 Measures

Teamwork Makes the Dreamwork…

We've had some amazing Physios join our team recently and wanted to update you on who we are and what we all do!

We are a team of eight Physiotherapists, all chartered, registered, degree trained, of Senior level and with over 100 years of experience between them! - and of course Director & Practice Manager, Stuart!

We are all musculoskeletal Physios (ie. MSK - we all treat neck/back pain, sports injuries, post hip replacements, frozen shoulders, knee pain etc) but each Physio also has their speciality and areas of special interest.

From top left and across:

⭐️JULIE PILCHER- Clinical Pilates, Yoga-therapy, Mindfulness, Sports Massage

⭐️CHRISSY PILCHER - Scoliosis, Spinal Deformities, Neck Pain, Sports Exercise Rehab

⭐️HOLLY CLAYDON - Shoulder and Neck Dysfunctions, Exercise Rehabilitation, Pain Management

⭐️BECKY SUTTON - Running Injuries, Low Back Pain, Hand Therapy, Arm and Shoulder Pain

STUART HART- Practice Manager and Director (Stuart’s not a Physio but he’s a whizz at helping you decide who to see, sending you all the info you need and helping you when you visit us 👋)

⭐️CHLOE PADDOCK - Rheumatology, Arthritis Action Practitioner, Hypermobility (EDS), Orthopaedics, Menopause Management, Clinical Pilates

⭐️RUTH SMITH - Pelvic Health Physio: Ante and Postnatal, Bladder, Bowel and Prolapse (POP)

⭐️CLAIRE YUILL - Women’s Pelvic Health, Mummy MOT Practitioner, Clinical Pilates, Knee Pain

(Co-Director)

⭐️ELEANOR SHEPHERD - Clinical Pilates, Chronic Pain, Acupuncture, EDS


Continuing To Keep You Safe…

We'd like to reassure you that we continue to strictly follow stringent measures in keeping you, and us, safe from COVID-19.

We still:

- Wear full PPE (including new apron and gloves for each client)

- Ask all clients to wear a surgical mask (as NHS hospitals do)

- Disinfect equipment, chairs and treatment couches after each client

- Screen for COVID-19 symptoms

These measures have worked well since we reopened after the first lockdown over 17 months ago.

All of the Physios (and Stuart) and also fully vaccinated.

Physio in PPE

Keep updated by following our Social media channels below:

Running During Covid - Injury, Sleep and Stress

Running - Injury, sleep and stress

How important is sleep? Very!

Written by Physiotherapist and runner Becky Sutton

There is a well-established link between lack of sleep and injury risk, not just in running but in sport generally. Sleep helps to optimise performance and recovery – allowing us to rest and allowing our bodies to repair and regenerate. Poor sleep can disrupt recovery, reaction times, cognitive function and mood.  

Sleep duration and sleep quality are both important. However, having an injury can contribute to poor sleep itself –  you may be in pain, struggling to get comfortable, worrying about your injury, and so it becomes a vicious cycle. Whichever came first – poor sleep or injury - aim for that 8 hours a night as best you can! 

Likewise, stress has been linked to injury. It can affect energy levels, mood, concentration and behaviour, therefore, impacting performance. Prolonged stress can affect immunity and increase inflammatory levels. Being unable to run or do the activity you love due to an injury can in turn affect your mood greatly, again enhancing that vicious cycle. 

Injury is never just about the body part affected – it is about the person at the end of that body part, what it means to them and what else is going on in their life. So if you’re struggling (physically or mentally), go easy on yourself, seek some help, give yourself a rest day or some time out, get an early night, and take it from there. Of course, it’s not always that easy, but it may be a good place to start. 

Lady sleeping
Running During Covid - Injury

Running - Injury

Written by Physiotherapist and runner Becky Sutton

There is a range of different injuries but there are a few that rear their ugly heads more often than others, most commonly affecting the lower limbs. 

As mentioned last week, injuries can often (but not always) be attributed to training error - too much, too soon or too much change, too close together. 

Other areas to address are muscle imbalances – our bigger powerful muscles have a tendency to take over, leaving our crucial stabilizing muscles flagging behind. The gluteal muscles are a prime example of this. When not at optimum strength, the pelvis is not as supported as it needs to be during movement which can lead to more pressure on the hip, knee, ankle or foot ultimately presenting as pain. Weak tired muscles can also become tight and painful over time. 

Likewise, our calves may not have sufficient power and control in them for what we are asking – combine this with sprinting or hill running where we use our calves more and you may find they start to get uncomfortable. This can then impact on your Achilles (tendinopathy) or foot arch (plantar fasciitis). 

Sometimes, we can put a bit of blame on running style. Overstriding puts more pressure on your knees (patellofemoral pain at the front of the knee), while scissoring or knocking knees can also stress knees as well as hips.  

Occasionally a runner may develop a stress fracture – typically affecting the shin bone (tibia), small bones in the feet (metatarsals), the thigh bone (femur) and sometimes other areas. It is important to get checked out if you are worried about this – it may not be obvious and you may even still feel able to run initially, albeit with pain. 

So lots to think about, but many of these things can be addressed with simple, specific exercises. Some niggles will settle as quickly as they started, while other issues can be a little more stubborn, so keep at that rehab and give it time!

Next week – what else affects our running? Time to talk about stress and sleep. 

Running During Covid - Training and Injury

Running During Covid - Training and Injury 

Written by Physiotherapist and runner Becky Sutton

As mentioned last week, running motivation has changed during Covid, as have our running behaviours and in turn our injury risk. It is the change to these running behaviours that have led to an increase in injury. 

During the pandemic, those experiencing injury had greater changes to the training and running environment. This change could be the amount of running, the duration of running sessions, the intensity of sessions, new routes or changes in the running surface such as road/trail.  

Having less time to run due to changes in the work environment also led to more injury. Hypothesizing suggests this may have been due to increased work pressures, stress and the addition of homeschooling, followed by higher intensity exercise to compensate for the reduced frequency.  

Prior to this research, it has been well documented that the majority of running-related injuries are due to training ‘error’ – too much load for your body or too much change, too soon. Covid has exacerbated this. To add, other risk factors are, a history of prior injury (so get those niggles seen to) and being a relatively new runner, with less than 2 years of experience.  

The message to take home - be careful with your build-up and overall training schedule. Don’t overdo volume, intensity, and mix up the terrain all at once. If you’re a seasoned runner, still bear this in mind if you’re ramping up the training for the return to events. Of course, not everyone will sustain an injury (so don’t let this put you off!), but when it happens it can sometimes come as a surprise – not always linked to a specific session but after a few months of activity. Your body may cope for a while and then start to protest.  

So what running injuries might we encounter?

More on this next week! 

Running During Covid - Motivation

Running During Covid - Motivation

Written by Physiotherapist and runner Becky Sutton

Running is a bit like marmite, you either love it or hate it (sometimes both!). For some, you hate the thought of doing it but love the feeling afterwards. Running has a huge number of benefits for physical and mental health as well as socially. During the Covid pandemic, there has been a real surge in people finding the love for running (or being forced into it during lockdown when all other sporting options were shut). For those that were running previously, it has meant changes to training. 

There have been two interesting research studies published this year looking into running motivation, behaviours and running-related injury during Covid, parts of which I will touch on here and next week. Reportedly, motivation for running has changed during this period – rather than training for events and the social aspect that comes with running, we have used it to occupy free time, for stress relief and fitness. Personally, I can certainly relate to this – I have always run for times and a personal sense of achievement but now it is so much more than that – it is my escape, my happy place, my sanity.  

What drives you to lace up and get out there? Has running helped you to keep going during this crazy time? Is your mindset changing again now with the return of face to face events? I can definitely feel my competitive edge coming back having already done a few Covid-friendly events! Perhaps running is long forgotten with the reopening of gyms and other forms of exercise?  

Whatever your story, this recent running boom is great if it is keeping people happier and healthier. However, we can’t ignore the risk of injury. Has this changed during Covid too?

More on this next week!