Tel: 01707 888 229

London Marathon 2017/18 Injury Clinic – The Hatfield Practice.


London Marathon Injury clinic- The Hatfield PracticeThe Hatfield Practice has been chosen as a 2017/18 London Marathon Injury Clinic.  Although you certainly do not have to be training for a marathon in order to come and have treatment. We will ensure you are pain free and back in action in the shortest possible time.

 Are You Training Hard !! All going well? or have you developed Muscle, Back, Knee or leg pain while training for the London Marathon or your sporting event? Are your muscles like you have spent a week in boot camp? Body joints or tendons sore after or during a run? Or does it all feel like a dam hard slog?

”I have never been anywhere, quite like the Welwyn and Hatfield Practice and i would certainly never go anywhere else. They always try 110% ”

Dave . Hertford

 We know that the secret to getting over a running injury is discovering the underlying cause ! That’s not rocket science. In order to discover the underlying cause of a running related injury we offer our patients  a complete biomechanical analysis. Sore all the time? Well it’s really important that you find out the cause of the pain and learn how to fix it or it may become a chronic (pain in the ar*se) problem. Your first assessment will involve examining and identify main factors that may cause or contribute  to your injury.This may well be your  training programme, general  joint and or muscle stiffness, your diet / supplementation, muscle imbalances and many more subtle factors can that lead to further injuries and fatigue. We will  get to the root  cause of your problem and will ensure you are pain free and back to running in the shortest possible time.

“I’m a triathlete, runner and cyclist. Over the years, Ian has treated me for a number of injuries. He understands the importance of getting me back training and racing as quickly as possible. On several occasions I expected to be advised to stop training, but after an examination Ian told me I could continue. In each case I went on to make a full recovery following his treatment.”

Graham. St Albans

 The Hatfield Practice has a special interest in the treatment of sports injuries . Our professional and experienced team of Physio’s, Osteopaths, Acupuncturists and Sports Massage therapists work as an integrated team. Our Practitioners will work together when needed if your problem is complex. If you don’t respond well we will put our heads together and ask why. We have always worked this way – We know in general two heads are better than one and not one specialism cures all ! Providing our sporting patients with long term solutions is important to us. We will get to the root cause of your condition – beyond the symptoms, because we don’t want you to spend your life on a treatment table. With over 25 years of clinical experience you can be rest assured that you are choosing the right Practice.


 We’re used by local league sides, occasional joggers and sporting beginners are well as having worked with numerous elite athletes and with Local professional football clubs such as Stevenage FC, senior rugby sides , numerous athletic squads and team members

You may find choosing a treatment to start with a little difficult?  Call the Hatfield Practice reception or ask to speak to one of our practitioners ? on 01707 888229 to discuss your requirements before you make an appointment. However if your therapist feels that another approach might be more effective, he/she will be more than happy to ‘cross-refer’  to another specialist through our in house “Triage” referral system.

”Such enthusiasm… Thank you for your advice and support. I think the surgeon would of got his own way if i hadnt of found you. Always a relaxing happy place “.

Alistair (Top Level Sprinter) Welwyn Garden City.

 Rest is not always best ?

Our approach at the Welwyn &  Hatfield Practice can be as comprehensive as you wish, anything from providing a couple of treatments to aid recovery up to a full specialist treatment, rehabilitation after injury and fitness programme.We will discount if money is tight or if your a student.

We pride ourselves in managing acute pain or calming down and speeding of the healing time of  over – training  injuries. This method involves a combination of Acupuncture , lymphatic  neuro- muscular techniques , taping, instructed self massage techniques and specialist electro – therapy if needed. This can be extremely useful in the run up  to any important event.

Injury can affect your bones, muscles, joints or the connective tissues that hold them together – the tendons and ligaments tend to heal slowly as they dont have forced blood supply like muscles. Most of the time the cause of your injury is very often easily established. Intensive treatment up to the minute scientific advice/exercises and a hey presto recurrence prevented.You will understand why your injury happened or why it previously did not resolve.  It needn’t stop your fitness programme for long. But it’s vital you don’t ignore injuries and simply ‘soldier on’ as this may leave you with a chronic condition that’s far harder to treat or needs surgery.

Here are some of the commonest causes of injury, the quickest route to rehabilitation, and the experts who can help.

What causes injury?

One common cause of injury, especially in contact sports, is trauma – in other words, bad back , a twisted knee, a sprained ankle, stiff muscles, swollen spinal joints, disc damage,trapped nerves etc..

Traumatic injuries are usually the result of impact and collisions, and typically occur suddenly, so generally there’s not much you can do to prevent them (although in most games or sports one of the aims of the rules is to reduce the risk of injury, so following the rules should make you safer). But other injuries occur over time, and as a result of easily  identifiable problems  are preventable in many cases.

The risk factors that lead to injury are usually classified as being extrinsic (outside the body) or intrinsic (personal to your body).

Typical extrinsic factors include:

  • Excessive load on the body. The tissues of the body are capable of withstanding considerable stress: more than three times your weight can go through the body even when jogging slowly. But tissues that aren’t accustomed to such forces won’t have adapted to withstand them and are likely to be injured when they’re applied. When deciding how often, how hard and for how long to exercise, you need to consider the impact on your muscles and joints. Build up gradually to avoid injury.
  • Poor technique. A number of so-called ‘overuse injuries’ are related to sports or exercise technique. Indeed, some injuries are even popularly named after their sport (for instance, tennis elbow). Often it’s the repetition of an action with faulty technique that results in excessive load on tissues and subsequent injury.
  • Poor or inappropriate equipment, especially footwear and, in some sports, headgear. If your activity involves impact (things such as running and jumping) then wearing proper footwear that supports your feet and cushions your body from shock is vital. Your need for specialist footwear – or other sports equipment – may be determined in part by intrinsic factors such as ‘over pronation’ (see below).
  • Failure to warm up and warm down. Many of the body’s tissues (particularly muscle) respond better to loading when they’re warm. The warming-up process should include whole body exercise that increases blood flow to muscles and makes them more responsive. At the end of every training session, you should also warm down, bringing your body back down to normal, usually through low intensity activity, followed by flexibility exercises.

Intrinsic injury risk factorsinclude things such as the shape and structure of the major joints. For example, weakened or stiff muscles caused by hours of sitting, mechanical problems such as feet that ‘pronate’ (roll inwards) or have a weak arch often contribute to lower leg, shin and knee conditions in runners, as do ‘knock knees’ (genu valgus) or ‘bow legs’ (genu varus).

Other injury risk factors include:

  • Leg length discrepancy
  • Muscle weakness or imbalance
  • Limited flexibility
  • Joint laxity – not being able to control and stabilise joints throughout their full range of motion
  • Being overweight – this increases the load on muscles, tendons, ligaments and joint structures during weight-bearing activities


What should I do if I get injured?

Obviously a serious trauma injury, such as a broken bone or ruptured ligaments, will require immediate medical attention, but most injuries are not so dramatic. Most respond simply to gentle treatment, acupuncture or rest.

When you get injured, there is typically swelling, redness, tenderness and increased temperature. This inflammatory response is how the body tries to heal itself – it is the body’s attempt to dispose of blood (from torn tissue) and damaged cells. Our treatments help the body “compensate” without further injury. Acupuncture inhibits prostaglandin ( inflammatory products) and stimulates the release of endorphins which are released by the body to control pain. Endorphins are three times more powerful than morphine !

Excessive swelling (oedema) can interfere with the initial healing process, so it’s important in the early first aid treatment of sports injury to help limit this swelling.

Very Basic First Aid

  • N = non-steroidal anti-inflammatory drugs, such as ibuprofen, which reduce inflammation and swelling, and alleviate pain (remember to check the label for contraindications).
  • I = ice, or cold therapy, since this decreases pain and limits the extent of the swelling. Ice should never be placed directly against the skin. The time for which a tissue should be cooled depends upon the site and severity of the injury.
  • C = compression, usually in the form of a compression bandage. This mechanically limits the amount of swelling by restricting the amount of space in and around the injury.
  • E = elevation. This also helps control swelling since fluid is drained more effectively from the injury.
  • R = restricted activity. To allow the healing process to proceed, the injured area must be rested initially