# Tivoli Chiropractic > Chiropractor Physiotherapist Cheltenham Gloucestershire ## Posts - [Training for Your Menstrual Cycle: Evidence, Trend, or Something In-Between](https://tivolichiropractic.co.uk/training-for-your-menstrual-cycle-evidence-trend-something-inbetween/): In recent years, social media has exploded with infographics, colour-coded calendars, and promises regarding the menstrual cycle, and that “cycle syncing” your workouts will unlock new strength and better performance. As a sports therapist, I often wonder what I can do to help my own performance and wellbeing, but also my patients who have similar questions.  The reason this is still such a debate is mainly due to the fact that women’s health does not have enough research. The statistics don’t lie, in 2022, when comparing male and female research within sports nutrition, only 23% of participants were women, additionally […] - [Stronger with Age: Why Strength Training After 50 Matters](https://tivolichiropractic.co.uk/stronger-with-age-why-strength-training-after-50-matters/): As we enter our golden years, the idea of strength training might feel a bit daunting – perhaps even like it’s something reserved for the younger crowd. But for many of us, staying active becomes not only more important with age – it also becomes more challenging. You might notice subtle changes. For example, stiffer knees, a sore back, or the sense that recovery from simple tasks like gardening or walking takes longer than it used to. What many people don’t realise is that strength training can be one of the most effective ways to support your health, independence, and overall […] - [Breathe Better, Feel Better; The Power of Diaphragmatic Breathing](https://tivolichiropractic.co.uk/the-power-of-diaphragmatic-breathing/): For most of us, breathing is second nature and not something that we spend any mental energy on, but did you know that the way we breathe can actually affect our energy, stress levels and overall health? Modern habits such as spending a long time sitting, sucking in our tummies to get that perfect waistline or always rushing from one place to another can lead to a gradual change in the way that we breathe from ‘diaphragmatic breathing’ to what we call ‘accessory’ breathing. What is the diaphragm? The diaphragm is a dome shaped muscle that sits just under the […] - [Hidden Signs of Hypermobility](https://tivolichiropractic.co.uk/hidden-signs-hypermobility/): Hypermobility is a spectrum of disorders, ranging from mild ligament laxity in some joints, to system-wide connective tissue disorders. By definition, the word hypermobility means “excess movement”. In a medical context, we are talking about excess elasticity of connective tissues. Within the musculoskeletal system, this means that the ligaments attaching bones together and forming joints are too elastic. So there is excess movement within joints. Note that this is different to flexibility as this more commonly refers to the ability of your muscles to lengthen. Muscular elasticity, or lack of, is different to joint (meaning ligament) elasticity. As a Chiropractor, […] - [Sports Massage to the Rescue: 5 Injuries It Can Help Treat](https://tivolichiropractic.co.uk/sports-massage-to-the-rescue-5-injuries-it-can-help-treat/): Whether you are a seasoned athlete or a weekend warrior, the risk of injury is always a possibility. From quick sprints to intense weightlifting, our muscles and joints endure a lot of stress during physical activity. Fortunately, sports massage can be a game changer when it comes to recovery and injury prevention. Runner’s Knee (Patellofemoral Pain Syndrome) Runner’s knee is a common injury in runners, cyclists and athletes. It presents with pain around or behind the kneecap and is often aggravated by running, squatting or going up and down stairs. It is typically caused by overuse, muscle imbalances or misalignment. […] - [Why Strength Training Is Vital for Healthy Ageing](https://tivolichiropractic.co.uk/why-strength-training-is-vital-for-healthy-ageing/): I often hear the phrase ‘old age doesn’t come alone’. For many they are referring to aches and pains or health conditions they once didn’t have. But what if you could change that narrative for yourself and those that look up to you as you enter into your golden years. One of the most effective and empowering ways to do this is through resistance training. Often overlooked by the aging population, resistance or strength training is one of the most important components to aging healthily. It gives more benefit than just to your muscle health. Why Resistance Training Matters As […] - [Gait: Put a Spring in your Step this May](https://tivolichiropractic.co.uk/gait-spring-in-your-steps-this-may/): Whether you’re enjoying local walks, gardening, or simply getting out more, your gait (the way you walk) plays a significant role in your overall posture and spinal health. What many people don’t realise is that even subtle imbalances in the way you walk can create strain throughout your body, potentially contributing to long-term musculoskeletal issues. Below, we explore why your gait matters, the tensional loading pattern and how it influences posture, and what you can do to keep moving well this season and beyond. What Is Gait and Why Is It Important? Gait refers to the coordinated pattern of movement […] - [Got a ‘Knot’ in Your Muscle?](https://tivolichiropractic.co.uk/got-a-knot-in-your-muscle/): Got a ‘knot’ in your muscle? What is it and why does it happen? What is a muscle knot? Everyone gets sore muscles sometimes and I’m sure most of us have even used the phrase ‘muscle knot’ ourselves. But what actually is a ‘knot in the muscle’? The technical term for one of these ‘knots’ is a trigger point. These are areas within a muscle which are constantly contracting and are unable to relax, forming a palpable firm nodule which is often painful when pressure is applied. However it is possible to have a latent trigger point which, although not […] - [Rehabilitation After Surgery: Accelerate Post-Op Recovery](https://tivolichiropractic.co.uk/rehabilitation-after-surgery-accelerate-post-op-recovery/): Recovering from surgery can be a long and challenging process but with the right rehabilitation plan in place you can significantly speed up your recovery and return to your normal activities faster. Whether you’ve just undergone joint surgery, soft tissue repair or any other type of surgical procedure, sports therapy can play a crucial role in accelerating your recovery. Sports Therapy involves the assessment, treatment and rehabilitation of musculoskeletal injuries and conditions. It focuses on improving mobility, strength and flexibility, helping individuals recover from injuries, surgeries and preventing future injuries. For post operative recovery, Sports Therapy is centered around rehabilitating the injured area, restoring […] - [Gout & Diet: Eat Smart, Feel Better!](https://tivolichiropractic.co.uk/gout-diet-eat-smart-feel-better/): Gout is a type of arthritis. It occurs when uric acid crystals form in the joints, most commonly at the base of your big toe. Redness, swelling, and intense pain are common symptoms of gout. It develops in people who have high levels of uric acid in their blood. Gout is typically associated with high levels of meat consumption. However in recent years we have seen an increase in cases, but a decrease in meat consumption. Recent research has revealed gout is more likely related to metabolic syndrome and eating a highly processed diet full of grains, sugar, industrial seed oils, and alcohol […] - [Is Yoga Right For You?](https://tivolichiropractic.co.uk/is-yoga-right-for-you/): For those that do not know, I love yoga. I first discovered it during lockdown. I devotedly practiced every day, as well as triathlon training and a lot of hiking. Needless to say, my exercise routine looks rather different these days. But my love for yoga has stuck. So much so that I recently underwent my teacher training in London under the AMAZING Adam Husler and Michael James Wong, in order to learn more about the practice and possibly help others to love yoga just as much as I do. When we talk about yoga, most people think of nice stretching […] - [The Importance of Proper Gym Form](https://tivolichiropractic.co.uk/the-importance-of-proper-gym-form/): January is looming over us, and most of us are probably gearing up for those New Year’s resolutions, health kicks, and fresh fitness regimes. The gyms will be packed, but going all in without the right approach could backfire. When it comes to working out, many people focus on the intensity of their training rather than the mechanics of their movements. While pushing limits is key for progress, incorrect gym form can lead to significant pain and injury, undermining your fitness goals and overall health. Let’s discuss how improper technique can affect your body and what you can do to […] - [SAD No More: Regain Your Winter Sparkle](https://tivolichiropractic.co.uk/sad-no-more-regain-your-winter-sparkle/): As the days grow shorter and the weather turns colder, take a moment to consider how you can protect your physical and mental health this winter. This month, we’re giving you the run-down on Seasonal Affective Disorder (SAD), a common condition experienced during this time of year.  What is SAD? As the name suggests, SAD is a seasonal disorder which typically worsens in the winter months. It is a type of depression which coincides with the changes in environment that happen in the colder times of year. It affects 1 in 3 people in the UK and can vary greatly […] - [Vitamin D: The must have supplement!](https://tivolichiropractic.co.uk/vitamin-d-the-must-have-supplement/): What is it? Let me start by telling you a bit about vitamin D… the boring bit. Vitamin D is a fat-soluble vitamin which is made by our skin when sunlight directly touches it. As the vitamin is synthesised (made) by the body, it strictly isn’t a true vitamin and is actually considered to be a hormone. It is responsible for increasing gut absorption of calcium, magnesium and phosphates, contributing towards bone health and remodelling. Other positive effects include influencing cell differentiation (the process in which cells become specialised to perform specific functions), neuromuscular and immune functions AND reducing inflammation. […] - [Understanding Muscular Imbalances](https://tivolichiropractic.co.uk/understanding-muscular-imbalances/): Muscular imbalances occur when there is a difference in strength, size or function of the opposing muscle groups. This can lead to uneven distribution of stress and force on the body. Often resulting in poor posture, decreased performance and an increased risk of injuries. An example of a muscular imbalance would be if the muscle in your quadriceps (thigh muscles) are weaker on your left side compared to your right side. This can be the reason for some knee pain. Causes of muscular imbalances 1. Poor posture Prolonged sitting or standing can lead to over use of certain muscles. 2. […] - [To stretch or not to stretch?](https://tivolichiropractic.co.uk/to-stretch-or-not-to-stretch/): We have all been told to stretch at one point or another and stretching is important in some cases, but is it all it’s cracked up to be? And should we ALL be stretching more? Or is this a stretch of the truth (pun intended)?! The short answer is no, stretching is not going to help everybody and every problem, and can in some cases be exacerbating the very problem. In this blog I’d like to explore some of the situations in which stretching may not be totally appropriate, why this is and give some alternatives which may be more […] - [Nadene's Postnatal Insights](https://tivolichiropractic.co.uk/nadenes-postnatal-insights/): This blog is my third and final part of a series relating to my experience of pregnancy, childbirth and the postpartum phase. The information I’m sharing could be very different to conventional things you may have already heard. I feel privileged to have an insight into a different world due to the fact I am a Chiropractor. Chiropractors stereotypically have a more alternative and natural belief system. Please remember this is just a detailed account of what I did and what worked for us. It should not be used as medical advice. There is a mixture of topics in this […] - [What to Do for an Acute Gym or Sports Injury](https://tivolichiropractic.co.uk/what-to-do-for-an-acute-gym-or-sports-injury/): Experiencing an acute injury in the gym or while playing sports can be both distressing and painful. Knowing the best action to take quickly and appropriately can help minimise damage and speed your recovery. Here’s a step-by-step guide on what to do if you find yourself injured: Step 1: React Quickly Stop the activity: As soon as you feel a pain onset that feels abnormal, stop what you’re doing. Continuing the activity can worsen the injury. Remain calm: It’s important to stay calm and composed. This is going to help you make a decision on the next step and quickly. […] - [What is causing my leg pain?](https://tivolichiropractic.co.uk/what-is-causing-my-leg-pain/): Leg pain is a common complaint that we see as Chiropractors. There are lots of different causes for this, some easier to identify than others. But did you know that the pain can originate and refer from lots of different areas of the body. This is where it can get a little more confusing… So let me shed some light on this common, but often puzzling symptom. Local Pain Yes, let’s start with the glaringly obvious. Leg pain can indeed come from the leg. This can be foot, ankle, calf, knee, hip or thigh pain. It can originate from your […] - [Nadene's Birth Prep](https://tivolichiropractic.co.uk/nadenes-birth-prep/): Following on from my home birth story, I thought some might be interested in hearing my preparation for it. My biggest advice is that you DO need to prepare if you wish to have a physiological birth. I knew through hearing countless experiences in clinic that the medical system does not prioritise this, and so readily interferes with birth with interventions that most of the time, are not necessary.   Now for a warning, what I’m about to share might challenge the normal modern-day narrative associated with childbirth. Like when writing my birth story, I feel the need to state a […] - [Walking Your Way to Better Health!](https://tivolichiropractic.co.uk/walking-your-way-to-better-health/): Spring has sprung, and it is a great time of year to start some healthy habits and get yourself moving more! Why not make the most of the lovely long evenings ahead and get those steps in? Often taken for granted, walking offers a variety of benefits for both physical and mental health, improving our overall well-being. Physical Health Benefits: Improves Cardiovascular Health: Regular brisk walking can help lower blood pressure, reduce the risk of heart disease, and improve circulation throughout the body. Strengthens Muscles and Bones: Walking engages various muscle groups, including those in the legs, core, and back. […] - [Matwork vs Refomer?](https://tivolichiropractic.co.uk/matwork-vs-refomer/): Pilates has evolved into a multifaceted discipline with various approaches. Matwork and Reformer Pilates stand out as the two most popular forms of Pilates. Whilst they both aim to enhance core strength, flexibility, and overall well-being, they diverge in terms of equipment, resistance, and the overall experience they offer. Matwork Pilates Matwork is the typical form of Pilates that forms the backbone of the practice.  It focuses on body weight resistance, controlled movements, and precision. This form of Pilates is accessible to everyone, requiring only a mat and a dedicated space.   The foundational principle of Matwork is the engagement […] - [Most Common Rugby Injuries](https://tivolichiropractic.co.uk/most-common-rugby-injuries/): Rugby is a sport known for its intense physicality and demands a unique combination of strength, agility, and resilience. However, this rough-and-tumble nature also exposes players to a range of injuries. From bone-crushing tackles to strategic scrums, the rugby field can be battlefield where injuries are not uncommon. With the Six Nations upon us, when could be a better time to explore some of the most common rugby injuries and discuss ways to prevent and manage them?! First up, we have… Concussions: Rugby is a high-impact sport, and concussions are a significant concern. Head injuries can occur during tackles, collisions, […] - [Supporting your body through pregnancy](https://tivolichiropractic.co.uk/supporting-your-body-through-pregnancy/): Exercise alongside regular chiropractic care can help to reduce or prevent common ailments in pregnancy such as back ache and pelvic girdle pain, and is a way of taking some time out for yourself and prioritising your needs. Women at low-risk pregnancy are encouraged to keep active during pregnancy. If you have been active before pregnancy, you can carry on your pre pregnancy training, or if you are looking to start getting active it is sensible to gradually build how often you exercise and intense your activity levels are. There are several research based benefits of exercise during pregnancy (1), […] - [Is my back pain serious?](https://tivolichiropractic.co.uk/is-my-back-pain-serious/): A very common question amongst those experiencing back pain. The short answer is…probably not! Back pain can be a frightening experience as it can be extremely painful, seemingly unexplained and prevent you from doing the things that you love or previously did with ease. For this reason, it can be easy to worry about all the scary things that could be causing it or to think that you have seriously damaged your back. As chiropractors, one of the most important parts of our job is recognising the signs of underlying disease, damage or condition which needs further investigation or management. […] - [Empowering Recovery](https://tivolichiropractic.co.uk/empowering-recovery/): The Role of Strength Training in Recovery Strength training is a fundamental component of Sports Therapy that plays a vital role in empowering individuals on their journey to recovery and better physical function. Gone are the days when sports therapy and physiotherapy solely focused on passive treatments. Today, strength training takes centre stage, offering a proactive approach that enhances muscle strength, stability, and overall well-being. Understanding Strength Training Strength training, also known as resistance or weight training, involves using various exercises and equipment to strengthen muscles, tendons, and ligaments. This form of training is tailored to meet individual needs and […] - [Tivoli's Toolkit - IASTM](https://tivolichiropractic.co.uk/tivolis-toolkit-iastm/): Many of our patient’s may have had an experience of the Instrumented Assisted Soft Tissue Mobilisation (IASTM) tool, which is sometimes nicknamed “the blade” or “the scraper”. But what does it actually do? In order to use the IASTM tool you have to have had training. Our Chiropractors learn this during their university degrees. It is a relatively new method of treatment but it’s popularity, alongside positive outcomes, are growing. IASTM is the use of an instrument in the process of manipulation of the skin, myofascia, muscles and tendons by various direct compressive stroke techniques. When an injury is healing, the […] - [Nadene's Home Birth Story](https://tivolichiropractic.co.uk/nadenes-home-birth-story/): Writing my birth story has come at a good time as Fern McCann has just been slammed for being ‘completely unrealistic’ during a recent TV show where she shared her positive home birth story. Unfortunately, we live in a society where the majority of women seem to have experienced a “traumatic” or “horrible” birth and it has come to be expected. People are only more than happy to share these types of stories with someone who is pregnant, but then appear offended if they hear a story to the contrary. I can’t count the number of times someone made a […] - [The Mummy MOT](https://tivolichiropractic.co.uk/the-mummy-mot-2/): What postnatal care are you missing? Did you have a baby and all the support and attention you were given through the pregnancy suddenly disappeared once your little one arrived? The Mummy MOT is a full body postnatal assessment. We check your posture, muscle strength, breathing, abdominal muscles, scar tissue (caesarean or vaginal) and pelvic floor. It is based on the French model of care where all women that have had a baby receive 10-12 sessions of physiotherapy afterwards to help them recover. You deserve the same care. Who can come for a Mummy MOT? Anyone can come for a […] - [Staying Active as the Days Get Shorter & Colder](https://tivolichiropractic.co.uk/staying-active-as-the-days-get-shorter-colder/): September hosts National Fitness Day, a campaign which highlights the importance of exercise and leading a more active, healthier lifestyle. We all know that we should be doing regular exercise, however, it can be so difficult to fit into our busy lifestyles, especially at this time of year as the days draw in. As summer comes to an end and autumn rolls in, many people find it more difficult to achieve their daily activities. We all know exercise is great for our strength, fitness, flexibility and more… But what specific health benefits does it have? It lowers you blood pressure, […] - [Maintaining Good Posture at School](https://tivolichiropractic.co.uk/maintaining-good-posture-at-school/): As parents and educators, we all want the best for our children. While we focus on providing them with fantastic education, it’s equally as important to pay attention to their physical well-being. One aspect often overlooked is the impact of posture at school on a child’s overall health and development. I am sure all parents want to ensure their children grow up with strong, healthy bones and a confident stride! Why Does Posture Matter? Good posture is more than just sitting up straight; it’s the foundation for a healthy body and mind. For children, who spend long hours in school, […] - [The superhero supplement - Vitamin B12](https://tivolichiropractic.co.uk/the-superhero-supplement-vitamin-b12/): Vitamin B12 plays a vital role in several processes in our body. However due to modern lifestyles and the quality of food we consume, we are seeing more and more people present with symptoms of low Vitamin B12. At Tivoli Chiropractic, we take a holistic approach to health care as we want you to feel great. In order to feel great, it goes far beyond pain levels. We are interested in your physical health, your nutrition and any stress factors at play for you. We give you tailored advice to suit your needs, however there is one key vitamin that […] - [The Pilates Breath](https://tivolichiropractic.co.uk/breathing-and-pilates/): Pilates, developed by Joseph Pilates in the early 20th century, is known for improving physical strength, flexibility, and overall well-being. While it is mainly thought just to involve different movements and exercises, one important aspect often overlooked is the art of breathing. The breathing technique in Pilates plays a vital role in enhancing the effectiveness of the exercises. In this blog, we explore the connection between the breath and movement, including the benefits that make it such an important part of Pilates. Mind-Body Connection: Pilates is more than just a physical exercise; it also embodies the mind-body connection. As we […] - [The Low Down on LPG](https://tivolichiropractic.co.uk/the-low-down-on-lpg/): What is Endermotherapy, also known as LPG? LPG is a machine that does therapeutic massage using mechanised negative pressure vacuum, in combination with suction, rolling and kneading movements. It gently lifts and stretches tissues while massaging the muscles. It is a patented treatment for injuries to muscles, tendons, fascia, nerves and their surrounding soft tissues. LPG was developed in France and stands for Louis Paul Guitay, the inventor of this technique. Improved Lymphatic Drainage The LPG ‘massage’ affects the connective tissue stimulating blood vessels and the lymphatic system. The lymphatic system is often overlooked, although it’s essential for our health. […] - [Heat vs Ice, Which One Should I Be Using?](https://tivolichiropractic.co.uk/heat-vs-ice-which-one-should-i-be-using/): “Should I be using ice or heat?” is one of the most common questions we get asked at the clinic. Below is my guide to help you, should you ever want an answer to that question. Although, like most dilemmas there are occasions where the answer isn’t always that straightforward. Ice What is it going to do to an injury? The main aim of icing an area is to reduce blood flow to the area. Which as a result stops inflammation (the body’s natural but sometimes unhelpful healing process) and relieves pain in the process. Ice is particularly useful in […] - [Summer Survival Tips for Travelling](https://tivolichiropractic.co.uk/summer-survival-tips-for-travelling/): With the summer season in full swing and children so close to breaking up from school, we all usually tend to take a step back from our usual routines. Whether this be to relax, chill on a beach in the sunshine, explore landmarks or try out new activities. We all deserve a holiday to indulge and treat ourselves, but often we come home feeling set back… So, if you are someone who normally leads a healthy lifestyle whilst you are at home, then why waste all your hard work and throw that out the window during summertime?! Dig deep and […] - [TMD - temperomandibular dysfunction](https://tivolichiropractic.co.uk/tmd-temperomandibular-dysfunction/): The temperomandibular dysfunction (TMD) is dysfunction of one or both of the joints of your jaw, the temperomandibiular joints (TMJ) and the surrounding muscles. Causes of TMD Stress Clenching your jaw Grinding your teeth Malocclusion (where your teeth don’t close together as they should) Arthritis Symptoms of TMD Pain around your jaw or temples Stiffness in your jaw Tension in the muscles around your jaw Headaches Clicking in your jaw Neck pain To assess your jaw for TMD, your chiropractor will observe your range of movement, assess the movement of your TMJ, palpate the muscles surrounding your jaw, observe the […] - [Scoliosis](https://tivolichiropractic.co.uk/scoliosis/): My inspiration for this blog is based off a weekend course I recently attended on the assessment, management and rehabilitation of the spinal Scoliosis. It was one of the best courses I’ve been on in a long time, as the information was all relevant, to the point and easy to put to use immediately. I suppose what helped was that the topic itself was not new information. Chiropractors, Osteopaths and Physios all learn about this spinal variation at University. As a Chiropractor, we are also trained to take and read x-rays. Which in turn helps us identify and diagnose these […] - [Rehabilitation of Lower Limb Injuries](https://tivolichiropractic.co.uk/rehabilitation-of-lower-limb-injuries/): Lower limb injuries and conditions can significantly impact an individuals mobility and quality of life. Pilates is a low-impact exercise method that has gained recognition as an effective rehabilitation tool. There are numerous benefits that pilates offers in the realm of lower limb rehab, so keep reading to find out! Improved Core Stability Pilates places a strong emphasis on core strength and stability. This makes it an ideal exercise method for lower limb rehabilitation. Strengthening the core muscles helps to create a solid foundation for the lower limbs. As a result, this reduces the risk of injury and promotes better […] - [Coccydynia - Coccyx Pain](https://tivolichiropractic.co.uk/coccydynia-coccyx-pain/): Coccydynia is a pain felt in your coccyx. The coccyx is a small bone beneath the sacrum, at the very base of your spine. Did you know that the word ‘coccyx’ comes from the Greek word ‘cuckoo’?! This is because the bone looks like the beak of a bird pointing downwards! Symptoms of Coccyx Pain Pain in the coccyx can range from a mild, dull ache to a severe, sharp stabbing pain. The pain can be intermittent, occurring on certain movements. Pain may worsen when you’re opening bowels, sitting down and bending forward, whilst you’re on your period or during […] - [Headache Handbook: Types, Causes & Treatment](https://tivolichiropractic.co.uk/headache-handbook-types-causes-treatment/): Did you know that almost half of adults worldwide will experience a headache in any given year? (World Health Organisation, 2016) What actually is a headache? Headaches are defined as a pain or discomfort in the head, face or neck. There are over 300 types – with only 10% of these having a known cause! Whilst extremely common, headaches should not be put up with and are signal that your body needs something! What types of headaches are there? There are two main classification of headaches. Primary headaches, mean that the headache itself is the main medical problem. It is […] - [Don't Forget to Keep Moving!](https://tivolichiropractic.co.uk/dont-forget-to-keep-moving/): There are several scientific studies that prove one of the best ways to prevent injury is exercise! Did you know that by February at least 80% of people had given up their New Years resolutions?! Well the good news is, is that you don’t actually have to stick to those unrealistic goals and go to the gym everyday to keep moving and prevent injury! You can actually help yourself at home instead – how easy and convenient is that! It is important to remember that strength training and other intense exercise can cause injury if not completed correctly. However there […] - [Benefits of Postnatal Pilates](https://tivolichiropractic.co.uk/benefits-of-postnatal-pilates/): After I had my daughter 4 years ago, the impact of pregnancy and childbirth affected me both physically and mentally. I felt weak and was really struggling.  I had done lots of pilates in the past (including starting my APPI teacher training) but felt I would benefit from some physio-led classes to specifically work on my post-natal recovery. Eight weeks post-birth I joined a class and never looked back! It was amazing and gave me the chance to focus on pelvic floor strengthening, rebuilding my core and helping me adapt to my changing body, after having my daughter. There are […] - [Ten Tips for Neck Pain](https://tivolichiropractic.co.uk/ten-tips-for-neck-pain/): We see a lot of patients that present with tension in the neck and shoulder area, which is often accompanied by pain. A common cause of neck pain is that the facet joints can become restricted in movement, and muscles attaching along the neck become tight. Facet joints can become irritated or inflamed if they are not moving correctly, and we can develop trigger points in our muscles, which are areas of sensitive muscle fibres due to overuse or injury. The good news is there are plenty of things you can do to help your neck pain! 1. Check your […] - [Greater Trochanteric Pain Syndrome](https://tivolichiropractic.co.uk/greater-trochanteric-pain-syndrome/): Greater Trochanteric pain syndrome (GTPS) is an umbrella term which describes pain along the outer side of your hip. This is usually caused by an injury or irritation to the soft tissue structures that lie over the top of your outer thigh bone. The soft tissue structures that are commonly involved are the gluteus minimus and gluteus medius muscles and tendons and also the trochanteric bursa. One, or a combination of two or three, of these structures may be involved in this pain syndrome. Common symptoms can involve pain at night, especially if lying on your side. Additionally, other common […] - [5 Common Misconceptions of Chiropractic](https://tivolichiropractic.co.uk/5-common-misconceptions-of-chiropractic/): The Chiropractic profession has been around for over a century. Yet, there are still many misconceptions about what Chiropractors do and the benefits of care. Like many other industries, it has progressed over time and adapted to the more modern day version that we know today. The word “Chiropractic” comes from the Greek meaning “done by hand”. It is a form of alternative medicine related to the diagnosis, treatment and prevention of mechanical disorders of the musculoskeletal system.     Chiropractors can have a bad reputation with the high click bate, loud cracking adjustment videos posted on social media, or […] - [What is Endometriosis?](https://tivolichiropractic.co.uk/what-is-endometriosis/): Endometriosis (endo) is a condition where tissue similar to the lining of the uterus grows outside the uterus. Endo is diagnosed via keyhole surgery. However, women often suffer a long history of problems before they are diagnosed. Although it affects 1 in 10 women, nearly 75% of women with endo experience a misdiagnosis. Women with endo have an average of 2-5 surgical procedures related to it. Symptoms may vary from person to person. Severity can range from mild, to life limiting and debilitating. Symptoms of endo may include: painful and heavy periods, pain during sex, lower back pain, constipation or […] - [Weak Glutes and How They May Be Impacting Your Pain](https://tivolichiropractic.co.uk/weak-glutes-and-how-they-may-be-impacting-your-pain/): What are your glutes? Your glutes are a group made up of 3 muscles: gluteus maximus, gluteus medius and gluteus minimus. They make up the largest group of muscles in the body and are incredibly important for everyday activities such as walking, going up and down stairs and keeping you upright. Although the muscles are used constantly every day, they are extremely lazy and this is where problems can crop up! Without the proper use of your glute muscles, other areas begin to compensate and become super overactive. Did you know that anything from your joints, other muscles and tendons/ligaments […] - [What is Sports Therapy?](https://tivolichiropractic.co.uk/what-is-sports-therapy/): A vital part of staying fit and healthy is doing physical exercise and playing sports. However careful we may be when exercising, we still run the risk of injury. Injury can be caused by a variety of things. Such as, not warming up properly before exercises, pushing yourself too hard, or simply moving in an awkward way. Recovering properly from injury and pain is really important and this is where Sports Therapy steps in! Sports Therapy is a healthcare service that involves the prevention of injury. As well as rehabilitation to get a patient back to optimum levels of function […] - [Inflammation: How to Aid Your Healing and Recovery](https://tivolichiropractic.co.uk/inflammation-how-to-aid-your-healing-and-recovery/): Do You Want to Heal and Recover Faster? Did you know too much inflammation for too long is a bad thing? It can hinder your recovery, so it is important to help yourselves as much as you can in order to be at your best. As part of your chiropractic treatment, you should be feeling better and moving better. Once you’ve invested in yourselves to get to this point, we want you to stay feeling great. For a lot of the common conditions we see, the more longer lasting healing actually takes place after your initial phase of care, once […] - [Working From Home Tips and Exercises](https://tivolichiropractic.co.uk/working-from-home-tips-and-exercises/): Since the start of the pandemic in March 2020, a significant proportion of the population are still working from home. This includes those who are choosing to ‘hybrid’ work, which means working both in the office and at home.  In February 2022, 8 out of 10 workers who worked from home during the Covid-19 outbreak planned to still work from home or hybrid work (ONS, 2022).  Therefore it’s important to be mindful of your workplace set-up at home. Ensuring you are optimising your seating position will reduce the risk of developing pain. Which could occur in the form of back […] - [Gardening Top Tips and Exercises](https://tivolichiropractic.co.uk/gardening-top-tips-and-exercises/): Gardening is a great form of exercise. Weeding, digging, watering, lifting compost, pushing wheelbarrows involves all sorts of bodily movements. Such as stretching, strengthening, coordination and balance. Just like many other forms of exercise, it works all our major muscle groups such as the: legs, bottoms, arms, shoulders, neck, back and abdomen. Having recently had a few patients ask me “what can I do after gardening to help loosen me up?”, I am hoping this blog will answer that question! Like any exercise, to get the benefits of it we need to be doing at least 30 -45 minutes 5 […] - [Benefits of Chiropractic Care During Pregnancy](https://tivolichiropractic.co.uk/benefits-of-chiropractic-care-during-pregnancy/): What Are The Benefits of Chiropractic Care During Pregnancy? I’m going to assume you are reading this because you are pregnant, so congratulations! I hope your pregnancy journey to this point has been a smooth one. But my heart goes out to anyone that has had problems along the way or may still be trying. Pregnancy is one of the most magical things in the world. I mean, how amazing is the idea that a women can grow, carry and deliver a baby?! Why Might You Need Some Help During Pregnancy? As you progress through your pregnancy there are many […] - [Why Do I Have Knee Pain?](https://tivolichiropractic.co.uk/why-do-i-have-knee-pain/): Why do my knees hurt? Do I need to stop exercising to make my knees feel better? The simple answer is no. It might seem like the wrong thing to do, but exercise can be the best remedy for knee pain. Interestingly, knee pain is often caused by problems occurring above or below, so at the ankle or the hip. For example weakness and instability in the ankle may cause strain on the knee. Similarly weakness in the hip muscles causes strain on the knee which increases your pain. By strengthening and improving these weaknesses it may help to relieve the pain. […] - [Perineal Tears](https://tivolichiropractic.co.uk/perineal-tears/): During birth, vaginal tears are very common. Most deliveries cause some degree of tearing, though severe tears are quite rare. What is a perineal tear? The perineum is between the vagina and anus. A tear can happen a vaginal delivery and will happen spontaneously as the vagina and perineum stretch. Sometimes tears can happen inside the vagina, along the vaginal walls or at other parts of the vulva or labia. What types of tear are there? Tears can be of different severity and are graded accordingly. First-degree tear: A treat to the skin only. Although they are small and not […] - [How to Help Elbow Pain](https://tivolichiropractic.co.uk/how-to-help-elbow-pain/): Elbow pain is commonly caused by repetitive stress to the muscle groups that extend or flex your elbow. Here we will go through the different causes of the pain, explaining both Golfer’s and Tennis elbow, and what you are able to do to help yourself. Golfer’s Elbow Golfer’s elbow is the common name for Medial Epicondylitis. This condition involves repetitive stress onto the muscles that work during wrist flexion and pronation (rotating your forearm and palms down). This repetitive stress causes a change to the tendons of the wrist flexors and pronatorteres at their attachment point at the elbow. This […] - [Is My Posture the Cause of My Pain?](https://tivolichiropractic.co.uk/is-my-posture-the-cause-of-my-pain/): As practitioners, we find patients often ask: “Do I have good posture?” or “Is my pain because of my bad posture?” But, did you know that within scientific research there is little consensus of what good posture actually is. Most of us have been told at some stage to sit up straight and pull our shoulders back. But, research shows that sitting up straight has no correlation with less back pain. And those who tend to slouch often suffer less back pain than those that sit up tall. We used to blame different anatomical postural positions on pain. An increased inward […] - [The Importance of Ankle Mobility](https://tivolichiropractic.co.uk/the-importance-of-ankle-mobility/): Are your hips hurting? Knees feeling sore. Back pain. Well, your ankles could be the problem. The body works as a whole unit and if one area does not function at 100% it can affect other body parts. The ankle is an important joint as it helps to prevent knee and hip muscles from weakening which can result in injury. Poor ankle mobility can even cause poor posture and back pain. When someone has good ankle mobility, they are able to move their ankle through its full range of motion. Importance of ankle mobility Ankle mobility is important for performance […] - [Tennis Players, Are You Wimbledon Ready?](https://tivolichiropractic.co.uk/tennis-players-are-you-wimbledon-ready/): June is upon us and the buzz around the grass court tennis season is ahead. It is time to get the strawberries and cream at the ready, (and maybe the brollies too!). If you are inspired to get out on the courts, pilates can be of assistance. Pilates is a great complimentary form of exercise for both the seasoned, all weather tennis players and new starters alike. Experienced Tennis Player? Tennis is a dynamic, high impact sport requiring good postural awareness to adjust your technique. If you are a regular tennis player, it is important to maintain the flexibility in […] - [Postnatal Period: Mental Health](https://tivolichiropractic.co.uk/postnatal-period-mental-health/): Childbirth is commonly viewed and portrayed as a predictable, happy and special life experience. It is also a life-transforming event, often followed by a postnatal period of heightened psychological vulnerability. For many, it takes time to adjust to and can leave mums feeling overwhelmed, anxious and low. But when is this just normal, and part of the expected ups and downs, and when is it a problem? It is not unusual to romanticise childbirth, nor unusual to think it will be a beautiful event. It is easy to think of motherhood as a happy and joyous time. If the delivery […] - [Supporting Yourself Through The Menopause](https://tivolichiropractic.co.uk/supporting-yourself-through-the-menopause/): The menopause is when the menstrual cycle and the hormones cycle come to an end. It is a natural part of ageing. It usually occurs between the age of 45 and 55 as a Women’s oestrogen cycle declines. Common symptoms experienced during the menopause can include: hot flushes and night sweats, difficulty sleeping, vaginal dryness, reduced libido, low mood, anxiety and brain fog. Menopause is being spoken about more openly between friends and family, including men and women. It is also being more widely acknowledged in the work place. What are Isoflavones and how can taking them support the menopause? […] - [Top Tips For Dealing With Osteoarthritis](https://tivolichiropractic.co.uk/top-tips-for-dealing-with-osteoarthritis/): Osteoarthritis is where a joint ages over time. On an x-ray, the affected joint doesn’t look as perfect as it was once before. It is the most common type of arthritis in the UK. It can affect any joint from the spinal joints to the peripheral joints. Most commonly it causes problems in the knees, hips, shoulders and hands. Symptoms include: pain, stiffness, tenderness, swelling and crackling or grating sounds in the affected joints. It can affect all ages. Some people experience mild symptoms that come and go. For others the symptoms can be severe, making it difficult to exercise […] - [Balance](https://tivolichiropractic.co.uk/balance/): How good is your balance? Why should I improve it? 1. Injury Prevention Having good balance and ensuring you improve it has been shown to prevent injuries in a wide range of people and ages. It can start to slowly diminish in your 40s. Once you reach this age it is important to add some sort of balance training into your routine. In terms of importance, it is right up there with cardiovascular, strength and flexibility training. If you participate in any sporting activities working on your balance is associated with a dramatically lower risk of injury. A common injury […] - [Caesarean Section Recovery](https://tivolichiropractic.co.uk/caesarean-section-recovery-pregnancy-birth/): 33% of women give birth via Caesarean section. Although it is major abdominal surgery, the incision cuts through 7 layers including muscle.  Then women go home after a couple of days and need to recover whilst caring for a newborn! This is not always that easy, and for some women the recovery is harder than they had anticipated. Early Days recovery: It is so important to allow yourself to recover from the pregnancy, birth and the surgery. For a planned Caesarean, you may have had time to set up support for when you come home, but many have an unplanned […] - [Kinesiology Tape: What is it?](https://tivolichiropractic.co.uk/kinesiology-tape-what-is-it/): If you have watched sport you have probably seen athletes wearing tape. Whether this is the typical brown sports tape or bright colourful tape in various different patterns. But have you ever wondered why people actually use tape? Sports Taping For a number of years various taping techniques have been used for injury prevention and treatment of sports injuries. The aim is to provide protection and support to joints and muscles. There are different tapes that can be used. ‘Sports Tape’ which is the most common rigid tape style. Also non- elastic tape (Zinc Oxide), this can be used when less […] - [5 Top Tips for Sudden Lower Back Pain](https://tivolichiropractic.co.uk/5-top-tips-for-sudden-lower-back-pain/): Acute lower back pain can be so deliberating, make you feel double your age and stop you from joining in on all the fun at a party. Acute is defined by sudden onset of pain. An example of this could be that one minute you are walking around fine, minding your own business. The next, you can’t stand back up after being struck with electric pain in the lower back from reaching down to grab the tea towel you just dropped on the floor. And just like that, the rest of your day has been written off… and maybe more!   […] - [Foot Posture](https://tivolichiropractic.co.uk/foot-posture/): How can your feet affect your knees, hips and low back? Most people walk with their own different flare. But our foot positioning and how we contact the floor as we walk, can affect our legs and back.  Different walking patterns can make you more susceptible to an injury.  Some people may have a neutral walking pattern. This is where the foot hits the floor on the outer side of the heel, then slightly rolls inward to absorb shock and support your body weight. On the push off movement there is an even distribution of pressure through the front of […] - [Setting Goals When In Pain Or Recovering From Injuries.](https://tivolichiropractic.co.uk/setting-goals-when-in-pain-or-recovering-from-injuries/): How I started setting myself goals I never thought I would be someone that benefits from beating personal goals or records  when walking, running or cycling. It all started when I met my husband. He was very keen on his running and cycling. The only way I could ensure that we would spend some time together was if I started running and cycling too! So I joined his running club! Shortly afterwards I started attending the park runs with him on a Saturday morning too. After my first park run I was excited to receive my text to find out […] - [New Year, New Goals for 2022?](https://tivolichiropractic.co.uk/new-year-new-goals-for-2022/): Have you lost motivation and finding it difficult to keep focused?  Have you set yourself any goals for 2022? Perhaps  fitness goals you would like to achieve this year? How are things going?  Have your fallen by the wayside already? We all have good intentions in January (myself included!) and set ourselves goals or things we would like to achieve in the coming year.  Often the goals we set are difficult to achieve and make it easy to fail or lose focus.  This year I thought I would approach things differently and in doing so thought I would share some […] - [The Pelvic Floor](https://tivolichiropractic.co.uk/the-pelvic-floor/): Sometimes it’s good to go back to basics and not assume that everyone knows what the Pelvic floor muscles are, where they are located and how they function or how to exercise them. Unfortunately, this is something most of us were not taught at school and possibly not told about since. Let’s dispel some myths and give you some basic facts. No, you don’t have to ‘get on the floor’ to do your exercises,  Yes, men have pelvic floor muscles too And you’re never too old to do pelvic floor exercises. What Is The Pelvic Floor? It is a group […] - [You are not your MRI](https://tivolichiropractic.co.uk/you-are-not-your-mri/): What is an MRI? It’s a common misconception within the general non-medical population that an MRI scan paints a 1000 words. This isn’t always the case. Before we get to that, lets talk about what an MRI is. It stands for Magnetic Resonance Imaging. It cleverly uses magnetic fields and radio waves to produce detailed pictures of bones, soft tissues and organs without the need for surgery. This is the form of imaging that is considered the crème de la crème. They show much more detail, including many structures that are not visible on an X-ray. Another bonus is that […] - [Acupuncture: What is it and what does it do?](https://tivolichiropractic.co.uk/what-is-acupuncture-and-what-does-it-do/): What is acupuncture? There are different types of acupuncture including traditional acupuncture/ Chinese acupuncture or medical acupuncture. Medical acupuncture can also be referred to as dry needling.  Dry needling is what I use in the clinic. Defined as a ‘therapeutic modality involving the insertion of fine needles. It is an adaptation of Chinese acupuncture using current knowledge of anatomy, physiology and pathology, and the principles of evidence-based medicine.’ The positioning of the needle is decided by locating the myofascial trigger point* within the muscle. Sometimes, after the needle has gone in you can feel the muscle contract and relax, this […] - [What is a Sports Massage?](https://tivolichiropractic.co.uk/what-is-a-sports-massage/): There is a common misconception that Sports Massage is for individuals who participate in sport however this is not the case! It may assist in enhancing performance, aiding recovery and preventing injury. But it can also help individuals with muscular tension and pain that is not a result of participating in sport. Tightness in the neck and shoulders is common among people who work at a desk. This is the effect of sitting at a desk for a long period of time with a forward lean. Someone who stands all day may have tension in the lower back, legs and […] - [Are you Slope Ready?](https://tivolichiropractic.co.uk/are-you-slope-ready/): Get “Slope Fit” before your holiday and reduce the risk of injury and make it more enjoyable! The winter holiday season is just round the corner! If you are planning on hitting the slopes, strengthening your legs prior to your holiday is the best way to reduce the risk of injury.  The body needs to be prepared for the stresses it will be put through on a 9-5 day on the slopes! Skiing injuries account for 80% of all snow sport injuries, 30% of these injuries are likely to involve the knee. Knee ligaments being the most common.  Snowboard injuries […] - [The power of nasal breathing and the diaphragm!](https://tivolichiropractic.co.uk/the-power-of-nasal-breathing-and-the-diaphragm/): Have you ever considered how you breath? It wasn’t until I read James Nestor’s book ‘Breath’ that I realised how we breath plays such a vital role in our physical health (especially nasal breathing).This really was a thought pro-founding book and a highly recommended read if you haven’t already read it. In his book James exposes himself to an experiment. He spends 10 days mouth breathing by plugging his nose and then the next 10 days just nasal breathing by taping up his mouth. Before and after each stage of the experiment he recorded a series of tests. These included; […] - [The Mummy MOT](https://tivolichiropractic.co.uk/the-mummy-mot/): What postnatal care are you missing? Did you have a baby and all the support and attention you were given through the pregnancy suddenly disappeared once your little one arrived? The Mummy MOT is a full body postnatal assessment. We check your posture, muscle strength, breathing, abdominal muscles, scar tissue (caesarean or vaginal) and pelvic floor. It is based on the French model of care where all women that have had a baby receive 10-12 sessions of physiotherapy afterwards to help them recover. You deserve the same care. Who can come for a Mummy MOT? Anyone can come for a […] - [Osteoarthritis: What actually is it and do I have it?](https://tivolichiropractic.co.uk/osteoarthritis-what-actually-is-it-and-do-i-have-it/): What is Arthritis? The term arthritis means joint inflammation. The most common and well known type is osteoarthritis, this is a degenerative type of arthritis. There are hundreds of types of arthritis and many related conditions, including rheumatoid arthritis which is an inflammatory arthritis, infectious arthritis and metabolic arthritis such as gout. Arthritis gets referred to a lot. Generally, it is used as a diagnosis for complaints that are not sinister, but we still get scared when someone tells us ‘It’s probably a bit of arthritis’. This is probably because it is being described as nothing serious and is perfectly […] - [Soft Tissue Injuries](https://tivolichiropractic.co.uk/acute-soft-tissue-injuries/): How do you Treat Sprains, Strains, and other Soft Tissue Injuries?  Soft tissue injuries are a common occurrence in sport, exercise and recreational activities.  These injuries can vary in severity and type, but commonly include joint sprains including ligament injury, muscle and tendon strains and contusion resulting from a blow or impact.              Following injury, it is key to manage the injury correctly in the first few days to minimise further damage and to maximise healing and recovery time of the soft tissue. Early stage of a soft tissue injury is known as the acute phase […] - [Sex Life Dried Up?](https://tivolichiropractic.co.uk/sex-life-dried-up/): ‘If you have a vagina there is an 80% chance you will experience vaginal dryness at some point in your life’! This is far more common than many people realise, and can cause problems that many women just put up with. It is unlikely to come up in conversation with friends over a coffee. Well maybe after a few gins if you’re feeling brave enough? Although it may not seem like a big deal, it can actually cause daily discomfort or soreness, irritation, burning, stinging or bleeding.  As a result it can lead to painful sex (dyspareunia) or persistent pelvic […] - [Sleep Hygiene](https://tivolichiropractic.co.uk/sleep-hygiene/): As a Chiropractor, I really care about my patient’s sleep. This comes down to the quality, amount, and position. When it comes to addressing someone’s pain or problem, all of these factors are important.  Sleep can be such a precious thing for some too, especially if you have young kids. Here are some hints, tips and tricks to improve your sleep!  Sleeping Position  Your sleeping position has a big part to play in the function of our musculo-skeletal system, very similar to the effects of sitting at a computer screen 9-5. Not moving for 6-8 hours means that tension can build […] - [Simply Sciatica](https://tivolichiropractic.co.uk/simply-sciatica/): What is sciatica? Sciatica is used as an umbrella term to describe pain down the back of the leg. It is generally used as a diagnosis but is actually more of a symptom descriptor. Sciatica refers to pain that travels along the path of the sciatic nerve. The sciatic nerve originates from your low back and branches through your pelvis, buttocks, down either side of your legs and into your calf.  However, not all pain down the back of the leg is classed as sciatica. There can be other conditions that are causing this pain which is why the questions I ask […] - [Are you suffering with Shoulder Pain?](https://tivolichiropractic.co.uk/are-you-suffering-with-shoulder-pain/): Shoulder impingement: How long will it take for my shoulder to feel better? Hands up if you have had or are suffering with shoulder pain? You won’t be the only one. Shoulder related pain is really common and a horrible problem to experience affecting many of  your daily activities. The good news is, with appropriate advice and rehabilitation most cases of shoulder pain get better! The shoulder is made up of several joints, tendons and muscles all of which work together to provide brilliant range of motion. Because of its complexity the shoulder is prone to a variety of problems. […] - [Tennis Elbow and How to Fix It](https://tivolichiropractic.co.uk/tennis-elbow-and-how-to-fix-it/): What is Tennis Elbow? Tennis elbow, clinically known as lateral epicondylitis, is a condition that causes pain on the outside of the elbow and can travel down into the forearm. Tennis elbow is the most common cause of persistent elbow pain, accounting for two-thirds of cases. It affects both men and women equally and can resolve without intervention but on average can take 6 months to 2 years to settle. What is the cause?  The main cause of Tennis Elbow is often from overuse or repeated actions of the extensor muscles of the elbow and forearm. Tennis elbow, as the […] - [Muscular Trigger Points - What is a Knot?](https://tivolichiropractic.co.uk/muscular-trigger-points-what-is-a-knot/): Muscular Trigger Points – What is a knot? Knots in muscles are extremely common, we all have them, but what is it and how do these “trigger points” come about?   Firstly, your muscle has not actually twisted itself into some fancy knot that only the most experienced of sailors would recognise. Knot is the simplified name given to trigger points that form in your muscles. What are they? A trigger point is a hyper-irritable spot in a muscle. It will be a palpable nodule and can theoretically occur in any muscle in the body. Trigger points are painful to […] - [Urinary Retention: Is Your Bladder Bothersome?](https://tivolichiropractic.co.uk/urinary-retention-is-your-bladder-bothersome/): Urinary Retention: Is Your Bladder Bothersome? Women’s Health Physio, Louise, discusses why your bladder might be bothersome and how to stop it taking over your life! Sorry… I need the loo again! Do you fully empty your bladder when you go to the loo? Sometimes when you go do you feel like you can’t get the last bit out, or do you get up after going and dribble a bit when you stand up? What about if you’ve been to the loo, but a few minutes later you feel like you need to go again and you pass a bit […] - [Self-Management: How to manage your pain](https://tivolichiropractic.co.uk/self-management-how-to-manage-your-pain/): Back Pain Self-Management How To Look After Your Back Outside Of The Treatment Room   As a chiropractor, the most common issue I see in clinic is lower back pain, which is not surprising considering 1 in 10 people suffer. I want my patients to feel empowered to take control of their pain and look after their spines outside of the treatment room. It is important to maintain the changes that have occurred through treatment by also helping yourself. Not only is being able to self-manage your pain a valuable aspect of your recovery but it is also important in the longer […] - [What Is Pilates?](https://tivolichiropractic.co.uk/what-is-pilates/): What Is Pilates? When I worked in London, I ran weekly with a colleague of mine around Richmond park. It was lovely. She only ran once a week with me. However, she suddenly seemed to be running faster and faster, leaving me panting and puffing behind. Eventually, I quizzed her on her performance. I wondered if she was sneaking some additional practice in but no, she said that she had recently started pilates. She felt it was becoming easier to run. I couldn’t believe it! So what was this pilates thing and is it true, can it make you run […] - [Self-Cracking: Is it any good for you?](https://tivolichiropractic.co.uk/self-cracking-is-it-any-good-for-you/): Self-Cracking: Is it any good for you?  Most of us have heard the saying that if you keep cracking your knuckles, that you will end up with arthritis. I don’t know where this originally came from, but I do believe that there is a theory behind this statement. However, the few bits of research done on this hypothesis have proven it to be nothing more than an ‘old wives’ tale.   But, what is the cracking sound?  Within all our joints is synovial fluid, which is encompassed in a lining surrounding the joint. It helps lubricate the the joint for […] - [Frozen Shoulder - Do You Actually Have One?](https://tivolichiropractic.co.uk/frozen-shoulder-do-you-actually-have-one/): Frozen Shoulder is a term that can get thrown around by people describing any problem or pain in the shoulder. You can have pain and loss of movement in the shoulder without it necessarily meaning it’s frozen. Frozen Shoulder is a layman’s term used to describe a medical condition known as Adhesive Capsulitis. This means that the capsule of the joint has an inflammatory reaction. This leads to the joint fluid freezing, hence the word adhesive. You’ll be pleased to know that it’s not the same type of adhesive used on a building site.   How do you get a frozen […] - [Active Walking And The Benefits](https://tivolichiropractic.co.uk/active-walking-and-the-benefits/): Active Walking & The Benefits I love walking. Being outside in the fresh air, knowing that I am reaping so many benefits from walking, and the wonderful buzz and happiness that you feel after a long active walk. If I had time I would walk at least 45 minutes everyday. Everything seems sharper after a good walk; my energy, sense of clarity and ability to generate ideas, my mood, and that lovely slightly tired and warm feeling you feel in your muscles after exercise. Yet, don’t you feel there are days when you just don’t have time to exercise? The […] - [Dynamic Warm-Up For Running](https://tivolichiropractic.co.uk/dynamic-warm-up-for-running/): Dynamic Warm Up for Running Ok so lets start with some honesty, I don’t always warm up before running! I grab the dog lead, put on my trainers and we are out the door. I just want to get running! This may be so I can get it over and done with or because it’s a new route and I can’t wait to explore.   But a warm up has a purpose! Warming up helps to increase flexibility, blood flow and oxygen, as well as reducing your risk of injury. The purpose of a warm up is to get your […] - [An Introduction to EFT Therapy](https://tivolichiropractic.co.uk/an-introduction-to-eft-therapy/): Kathy introduces us to EFT Therapy. She explains how it can help with issues of anxiety, insomnia, on-going pain, trauma, relationship problems, disordered eating, fertility problems and more… EFT Therapy: What is it and how can it help me? All of us suffer from stress, anxiety and overwhelm at moments in our life. We can’t think straight, thoughts constantly churn around in our brains and we can struggle to make decisions. When our brain tells our body to go into fight-or-flight mode, there are often physical symptoms that occur. These can include a racing pulse, sweaty palms, irregular breathing, tearfulness […] - [What is Plantar Fasciitis?](https://tivolichiropractic.co.uk/what-is-plantar-fasciitis/): What is Plantar Fasciitis?  Plantar Fasciitis is a common cause of heel pain in adults. Also known as Policeman’s heel, the condition is usually a result of excessive stretching of the plantar fascia ligament which is located on the bottom of the foot. This pain is often caused by collagen degeneration at the origin of the plantar fascia in the middle part of the heel. This degeneration is due to repetitive micro-tears of the plantar fascia that overwhelm the body’s ability to repair itself.  Plantar Fascia Pain…  Occurs on the bottom of the foot, around the heel and arch It […] - [Stiffness with Hyper-mobility: What does this mean?](https://tivolichiropractic.co.uk/stiffness-with-hyper-mobility-what-does-this-mean/): Have you ever been told by a manual therapist that you are hyper-mobile, really flexible or maybe even too flexible? Most people are surprised to hear that there is such a thing as being TOO flexible. A misconception is that the more flexible you are, the better it is for you, or the “fitter” it makes you. Of course, having some degree of flexibility is very important. This will help with ease of movement, balance and longevity with quality of life. However, if the movement allowed passes normal “text book” ranges of motion or does not have the strength of […] - [Lockdown Baby = Lockdown Mummy](https://tivolichiropractic.co.uk/lockdown-baby-lockdown-mummy/): A Lockdown Baby Also Means A Lockdown Mummy Having a baby is a huge change for any mother and comes with challenges at the best of times. But these are not the best of times. Everything is different in lockdown. And lockdown is bringing additional challenges. Postnatal support is vital, but sadly what we might have expected, or need, is not currently possible. Every new mum is missing out on support from family, friends and their community. It’s just not the same showing off your beautiful new baby to everyone on Zoom! With so many mixed emotions, it’s easy to […] - [What is Osteoporosis?](https://tivolichiropractic.co.uk/what-is-osteoporosis/): Osteoporosis occurs when the formation of new bone cannot keep up with the loss of old bone. This causes our bones to become more fragile and brittle. This fragility increases the likelihood of fractures occurring. An osteoporotic fracture can be caused from minor falls, a small bump and in severe cases even just a sneeze. Does everyone have osteoporosis? Our peak bone health occurs at around 20 years of age. When we hit 35 our bone health progressively starts to decline. This happens to everyone, but some lose their bone density much faster than others. That is why some people […] - [Foam Rolling: What is it and what are the benefits?](https://tivolichiropractic.co.uk/foam-rolling-what-is-it-and-what-are-the-benefits/): Foam rolling  can play a key role in keeping your muscles in top condition, but what exactly does it mean? Firstly, a foam roller is a light weight, cylindrical tube of compressed foam.  There are three main types of foam roller to choose between, smooth, trigger and vibrating. Rollers come in different sizes and degree of firmness.  A smooth foam roller is usually gentler and works well if new to using one.  What are the benefits of using a foam roller?   Foam rolling is a form of self- myofascial release or self- massage (deep tissue).  The idea is the foam roller […] - [The Modern Neck](https://tivolichiropractic.co.uk/the-modern-neck/):   We cannot discuss what is now deemed as the modern neck without considering how our lives have changed in the past few decades. With technology advancing and our use of technology increasing our bodies have changed and adapted alongside these progressions. Some of you may have heard of the term text neck, this is a new expression developed by an American chiropractor to describe the repeated stress and pain in the neck that has resulted from excessive use of handheld devices. A person spends on average 3 hours and 23 minutes on their phone with this increasing to an […] - [Which running trainers should I buy?](https://tivolichiropractic.co.uk/which-running-trainers-should-i-buy/): We are absolutely spoilt for choice when deciding which running shoes to buy. It can be really quite confusing. Do I buy a cushioned shoe, a motion control shoe, a support shoe, a minimalist shoe? The options are endless. But I have flat feet? In the past it was believed there were three main foot types, the “flat” or “pronated foot”, the “normal” or “neutral” foot and the ‘high arch’ or ‘supinated’ foot. We now know this model of categorising foot type is hugely simplified. Runners were (and often still are) advised to check their foot type and trainers were […] - [Let's Talk About Urinary Incontinence](https://tivolichiropractic.co.uk/lets-talk-about-urinary-incontinence/): Incontinence and other bladder issues affect women of all ages. Specialist Women’s Health Physiotherapist, Louise Rahmanou, discusses why we don’t discuss it but why we really should. Don’t make me laugh… I might wet myself! Back in the old days, when you were able to go for drinks in a pub with a group of people from outside your household… I met up with a group of mums from school. After possibly a few too many beverages, one mum burst out laughing. Then trying to hold back, she blurted, “Don’t make me laugh so hard… I’m going to wet myself!”  That comment opened the flood-gates (pardon the pun!) to an important topic that was most likely encouraged thanks to some Dutch courage. One by one everyone started […] ## Pages - [Friends of Tivoli Chiropractic Clinic](https://tivolichiropractic.co.uk/friends-of-tivoli-chiropractic-clinic/) - [Blogs](https://tivolichiropractic.co.uk/blogs/) - [COVID-19](https://tivolichiropractic.co.uk/covid-19/): COVID-19 We would like to reassure you that the clinic will remain OPEN during this period in accordance with Government and Professional Association guidelines, so your care and treatment plans will not be disrupted. The Government have encouraged the public to continue attending their routine and necessary healthcare appointments, with a visit to Tivoli Chiropractic Clinic deemed an essential medical appointment. Our strict COVID procedures outlined by Public Health England have been well and truly rehearsed since reopening in May, making them feel very much part of our new normal. We have carried out comprehensive risk assessments and are following […] - [Contact](https://tivolichiropractic.co.uk/contact/): Contact us Email enquiries@tivolichiropractic.co.uk Phone 01242 329 949 Address 32 Andover Road, Cheltenham, GL50 2TJ - [Privacy & Terms](https://tivolichiropractic.co.uk/privacy-terms/) - [Pilates](https://tivolichiropractic.co.uk/pilates/) - [Shockwave](https://tivolichiropractic.co.uk/services-treatments/shockwave/) - [Services & Treatments](https://tivolichiropractic.co.uk/services-treatments/) - [Bookings](https://tivolichiropractic.co.uk/bookings/): Bookings Please click here to book an appointment. If you’d prefer to speak to us before making an appointment, please call us on 01242 329949. To amend or cancel your appointment please call 01242 329949. Please give 24 hours notice if you are unable to attend an appointment. Late cancellations or missed appointments will incur a 50% appointment charge. - [Pricing](https://tivolichiropractic.co.uk/pricing/) - [About](https://tivolichiropractic.co.uk/about/): About us At Tivoli Chiropractic, our mission is to get you feeling happy and healthy. We take the time to get to know you and understand your lifestyle so we can provide the most effective patient-specific treatment plan for your unique conditions. - [Massage](https://tivolichiropractic.co.uk/services-treatments/massage/) - [Physiotherapy](https://tivolichiropractic.co.uk/services-treatments/physiotherapy/) - [Chiropractic](https://tivolichiropractic.co.uk/services-treatments/chiropractic/) - [Home](https://tivolichiropractic.co.uk/): Contact 01242 329 949 32 Andover Road, Cheltenham, GL50 2TJ enquiries@tivolichiropractic.co.uk Opening Hours Mon-Fri Sat 8am-7pm 9am-12pm [comment]: # (Generated by Hostinger Tools Plugin)