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Setting Up Your Online Treatment Session- A Simple Guide

An online treatment session, also known as a Telehealth consultation, is a great way interact with our Chartered Physiotherapists, Chiropodists or Podiatrists. We use Zoom for our online sessions. It’s a powerful tool: safe, secure, super easy to use and best of all it’s free for you to use! If you are new to Zoom, here are the simple steps to follow to get yourself ready.

 

 

 

 

Using Zoom On A Desktop Computer

 

Step 1

Find the link that you have been sent by us. It will look like this:

 

Total Care Physio is inviting you to a scheduled Zoom meeting.

Topic: Zoom Meeting

Time: Apr 14, 2020 08:00 AM Dublin

Join Zoom Meeting

https://zoom.us/j/12345678910abcdefghij

Meeting ID: 123 456 789

Password: 0123456

 

Step 2

If you are not taken straight to the Zoom app then add the meeting ID to the box.

 

Step 3

If you have never used Zoom before then you will be prompted to download and run Zoom. Click on this link.

If you have the app installed, then you will be given a message “Do you want to allow this page to open zoom.us ?”. Select allow.

 

Step 4

Allow Zoom to be installed or opened and wait for your host to begin the session. Make sure that you have selected the ‘join with video’ and join with audio.

 

Using on a Mobile Device

 

Step 1

Begin by downloading the Zoom App. You will get a link to this when you get your booking appointment confirmation email from us.

 

Step 2

You will get an email invitation for your Zoom session. It will look like this:

 

Total Care Physio is inviting you to a scheduled Zoom meeting.

Topic: Test Zoom Meeting

Time: Apr 14, 2020 08:00 AM Dublin

Join Zoom Meeting

https://zoom.us/j/1234567?

Meeting ID: 123 456 789

Password: 0123456

 

 

Step 3

Open your App and click on the ‘Join a Meeting’ button

 

Step 4

Enter the meeting ID from Step 2 and click ‘Join’

Before you do so make sure that you have selected the check boxes regarding audio and video un-selected

 

Enjoy and if you need us we are here to help on 061 530 030, or info@totalcarephysio.ie

 

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Total Care PhysioSetting Up Your Online Treatment Session- A Simple Guide
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For All Our Patients Concerned About Covid -19

To protect your health, our clinics are currently closed to the public while social distancing measures remain in place.

We have a great tele-health service to support you  in the meantime.

This is a 2 way video call with your therapist from the comfort of your own home. You get  all the supports you would get from us normally:

  • Dedicated one to one support
  • A clear plan to get you back on track
  • Top tips for what you can do to help your condition
  • Guided exercise and a personalised program

You can book online now at:  https://total-care-physio.selectandbook.com/ 

Given these unprecedented times, we are charging a discounted rate until 29th March 2020:

 

  • Chartered Physiotherapy Tele- health Consult: €45
  • Chiropody & Podiatry Tele-health Consult: €25

 

If you have any queries, please contact us on 061 530 030 or info@totalcarephysio.ie 

 

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Total Care PhysioFor All Our Patients Concerned About Covid -19
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Corona Virus Update For Patients

Important Patient Information Regarding Covid-19

 

The health and safety of our staff and patients is at the forefront of our care. 

 

We follow the Health Protection Surveillance Centre  advisories so if you are concerned that any of the following factors apply to you, please ring us before you come in and we will advise you how to proceed:

 

  • recent travel to places with presumed ongoing community transmission to COVID-19
  • recent contact with anyone with confirmed COVID-19
  • recent work  or visits to a healthcare facility where patients with confirmed COVID-19 were being treated
  • If you  have any of the following symptoms – fever, cough, shortness of breath or any other features of an upper respiratory tract infection such as nasal discharge or frequent sneezing.

 

We are also asking all patients to wash their hands in the sink provided in reception  when entering and leaving the clinic. Thank you for your cooperation.

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Total Care PhysioCorona Virus Update For Patients
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Should I Worry About My Child’s Flat Feet?

 

In today’s blog, in-house Chiropodist and Podiatrist, Sarah Kerrane, talks to us about flat feet in children and what to look our for as a parent.

 

What Are Flat Feet?

Flat feet, also known as pes planus, is the name given to feet where there is no arch present.

The arch is like the foundation for the body and ensures that pressure, when we are walking and standing, is evenly distributed along the sole of the foot.

 

Are Flat Feet Normal In Children?

Flat feet in toddlers and children is very common.

Firstly, children are born without arches in their feet. The foot is made up of cartilage and a fat pad is present along the sole of the foot until the age of five years. This fat pad helps the foot while the bones are developing.

At the age of five or six, as children grow and walk, the soft tissues start to tighten, the bones start to harden and fuse together and this gradually shapes the arches of the feet. By the age of eight, the arches should be fully developed.

In some cases, children never develop an arch. This can be a normal variant, i.e some people simply have flatter feet than others. It often is nothing to be concerned about and does not mean your child will be prone to problems with their feet later in life. It is very much an inherited condition and generally does not cause pain.

 

When To Get Help

If your child is complaining of pain in their feet or are having difficulty performing certain activities, this may be a sign of a more serious problem. If this is the case, we would strongly recommend that you get your child’s feet evaluated by a specialist Podiatrist. Our specialist podiatrists in Limerick and Tralee are here to help if you have any queries.

© Total Care Physio 2018, All rights reserved.

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Total Care PhysioShould I Worry About My Child’s Flat Feet?
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Top 5 Exercises To Prevent Back Pain

In today’s blog, our resident physiotherapist Kevin Hartigan (MISCP) shares with us his favourite exercises to help prevent back pain.

Back pain is a very common problem that affects most people at some stage in their life. Back pain can vary from a simple niggle that becomes a nuisance, to life limiting conditions.  In fact the Central Statistics Office recently reported that back pain was the most commonly reported chronic health condition in Ireland.

Back pain can strike at any age, and often at the most inconvenient time!! So with the busy festive season fast approaching, it is well worth knowing some simple exercises that can minimise the risk of developing back pain.

Here is my  5 top exercises to maintain a strong, healthy lower back and core.

 

1.Cobra

Place your hands directly under your shoulders. Keeping your hips on the floor, push up through the hands to straighten the elbows, allowing your back to arch. Breathe out at the top of the movement and slowly lower yourself down.

Cobra Stretch. Image Curtosy of Salaso

 

Knee Roll

This exercise will increase the flexibility of your lower back and hip muscles. Lie on your back with your arms to the sides and knees bent. Roll your knees side to side slowly and with control.

Knee Roll. Image Courtesy of Salaso

Bridge

This exercise will strengthen the gluteal and core muscles. Your lower back should remain in a neutral position (neither arched nor rounded) throughout the exercise. A straight line should be formed between your shoulders and knees. Push through your feet to raise your hips until they are in line with your knees and shoulder. Lower back down with control.

The Bridge – Image courtesy of Salaso.

 

Bird Dog

This exercise will improve your core muscle strength and control. Kneel on all fours and draw your lower abdominal muscles towards your spine. Slowly extend your opposite leg and arm until your ankle is in line with your hip and hand in line with your shoulder. Hold (pause) bring your leg and arm back to the ground.

The Bird Dog Exercise – Image courtesy of Salaso

Cat Stretch

This exercise will stretch the muscles of your back. Slowly sit back on your heels, keeping your hands on the floor. Allow your head to drop down between your arms. Hold and release the stretch.

Cat Stretch- Image Courtesy of Salaso

 

If you are currently suffering with your back, the above exercises can be  a good tool kit to help. However never do the exercises if they are causing you more pain.

There are many back issues and injuries that our expert Chartered Physiotherapists treat regularly clinic so If you have any queries on your back or any other aches and pains, we are more that happy to help! 

For any more details on our physio services you can check our page here or contact our dedicated team on 061 530030 for Limerick or 066 71 06 303 for Tralee.

We are also now taking online bookings so you can see our diary live, and book  a time that suits you best quickly and hassle free!

Thanks to the excellent Salaso.com for the use of their exercise prescription software.

© Total Care Physio 2018, All rights reserved.

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Total Care PhysioTop 5 Exercises To Prevent Back Pain
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Beware The Diabetic Foot!

In the first of our 2 part mini series on diabetes and its effects on the foot, our inhouse Chiropodist and Podiatrist, Sarah Kerrane MSCPI takes us through what this condition is, and it’s most common effects on the feet.

 

What is Diabetes?

Diabetes is a long term medical condition that causes high blood sugar levels. It is very common. In 2013 it was estimated that over 382 million people world wide have the condition. Diabetes can affect many parts of our body including the feet.

Here are some of the main ways that diabetes can affect the feet that I would regularly see in clinic.

 

Poor Wound Healing

Diabetes causes the blood vessels of the leg and foot to become narrow and hard. This means that blood flow from the heart to the foot is reduced. The impact of this is that it can make the foot less able to fight infection and heal, which is critical for when we get small cuts on blisters on our feet.

 

Nerve Damage

Diabetes can also cause nerve damage.  This lessens the ability to feel pain, heat or cold.  You may cause damage to the skin of the foot with a bruise or cut and not even be aware of it.  This can become a big issue as a small blister can develop into an ulcer if not dealt with quickly.

 

Hands on Feet

Checking your sensation daily in a critical part of managing your foot with Diabetes

 

Cracked Sore Skin

Diabetes also damages the nerves that control the moisture of the foot. This can cause the skin to becomes very dry, cracked and sore.  It commonly can lead to calluses building up on high pressure point areas which need to be carefully pared and filed back.

 

Our Podiatrists & Chiropodists  clean and file away hard skin.

Thick Nails

As a result of poor blood flow, the nails can become thickened and discoloured with Diabetes.

 

Nail Care

 

 

Foot Ulcers

Without proper care, the skin of the foot can easily break down which leads to an open wound that becomes infected. This is called an ulcer.  Ulcers can be very very hard to get rid of and often need hospitalisation to get right.  Prevention is very definitely the best cure here so daily checking of the feet is key.

 

If you have Diabetes, it is very important to take good care of your feet. Checking it with your GP, Chiropodist or Podiatrist is highly recommended. If you have any queries on your feet, we are more that happy to help! 

At Total Care Physio, our Podiatrist performs a Diabetic Foot Screen which is an overall check-up of you feet, the circulation in your feet, your sensation and your risk of ulceration.

For any more details on our Chiropody and Podiatry Service check our page here.

Tune in in the coming days for Part 2 of Sarah’s top tips for protecting your diabetic foot at home.

 

© Total Care Physio 2018, All rights reserved.

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Total Care PhysioBeware The Diabetic Foot!
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New Clinic Now Open In Tralee

Expert Chartered Physiotherapy, Chiropody & Podiatry in Tralee

We are delighted to announce the opening of the Tralee branch of Total Care Physio!!

Our new clinic is located in Moyderwell Medical Centre, just across the road from Moyderwell Primary School.

 

We get you back on track, fast!

 

Why Moyderwell Medical Centre?

Moyderwell is anchored by the excellent, Dr. Bridget O’ Brien and Dr. David O’ Brien with a combined 40 years of General Practice medicine experience. The medical centre is in the heart of Tralee and has been newly refurbished to the highest standards. It has really easy access with  loads of free parking onsite and is fully  wheelchair user friendly.

As always we bring our usual dedication with out of hours service, late openings, guaranteed quick appointments and hands-on expertise.

 

Chartered Physiotherapy

We are delighted that the highly experienced Rob Hanley MISCP is leading up our Chartered Physiotherapy service in Tralee and is delighted to answer your queries on all things physiotherapy.

 

Chartered Physiotherapy in Tralee

Chiropody & Podiatry

Sarah Fleming SCPI is heading up our Chiropody and Podiatry Service and we are very excited about her bringing her special skill set in treating foot problems.

 

Chiropody & Podiatry in our Tralee Clinic

For any more information, please do not hesitate to contact our dedicated team  on 066 71 06 303.

For directions and further details on our Tralee clinic, check out here:  https://www.totalcarephysio.ie/tralee-clinic/

We are also now taking online bookings so you can see our diary live, and book  a time that suits you best quickly and hassle free!

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Total Care PhysioNew Clinic Now Open In Tralee
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Plantar Fasciitis, What Actually Is It?

 

 Today, our in-house chiropodist & podiatrist, Sarah Kerrane SCPI, talks us through Plantar Fasciitis Home Tips 

Plantar Fasciitis is the most common cause of heel and/or arch pain.

Plantar Fasciitis is inflammation of the plantar fascia band located along the sole of the foot. The plantar fascia is a band of fibrous tissue, like a ligament, that connects the heel bone to the bones in the ball of the foot. Its function is to support the arch and absorb shock when standing or walking.

Causes

  • Foot shape, i.e. flat feet, fallen arches or a high arched foot
  • Footwear that lacks a good sole, cushioning and arch support
  • If you stand and walk for long periods
  • Training on a different surface
  • Increasing activity
  • Tight achilles tendon/ tight calf muscles
  • Trauma to the heel for example, jumping off a high wall

Symptoms

Pain in the morning when getting out of bed or pain after periods of rest. The pain usually subsides with rest. The heel can also be tender to touch.

Treatment

Treatment for plantar fasciitis is focused on reducing the pain and inflammation and may be based on a biomechanical assessment by our Podiatrist. Treatment options include

  • Rest and ice
  • Anti inflammatory’s – if necessary
  • Exercises
  • Orthotics, heel pads and arch supports
  • Therapeutic ultrasound
  • Taping the foot
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Total Care PhysioPlantar Fasciitis, What Actually Is It?
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Plantar Fasciitis Home Tips To Help You Get Back On Your Feet.

 Today, our in-house chiropodist & podiatrist, Sarah Kerrane SCPI, talks us through Plantar Fasciitis Home Tips 

  • Rest: it is very important to take a period of rest from weight bearing activity to allow the inflammation within the plantar fascia band to reduce. Therefore, avoid long periods of walking, running and standing.
  • Footwear: Wear shoes that cushion the heel and support the arch and avoid wearing shoes that are too flat
  • Avoid walking barefoot: this can cause sudden stretching of the sole which can cause further inflammation of the ligament
  • Heel pads: You can purchase soft heel pads to place on the heel of all footwear to raise the heel and provide cushioning. You can also purchase simple insoles over the counter with cushioning for the heel and support for the arch.
  • Medication: anti inflammatories, for example Ibuprofen, can be taken to help reduce inflammation and provide temporary pain relief. Also, the use of anti inflammatory gels and creams like Voltoral can be applied to the heel for the same effect.
  • Massage: place a bottle of water into the freezer and let it turn to ice. Remove shoe and sock, and roll the bottle of iced water along the sole of your foot for 15 mins. This can work well to reduce inflammation and provide relief. Alternatively, you can use a tennis ball or a golf ball.
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Total Care PhysioPlantar Fasciitis Home Tips To Help You Get Back On Your Feet.
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Top Stretches To Beat a Sore Neck

Neck pain is very common. Today,  Chartered Physiotherapist, Rob Hanley, takes us through his top 3 stretches to help relieve neck pain.

 

Our Poor Necks

Our necks have it tough. We spend our lives in positions that our necks don’t really like; crouched sitting in front of computers, watching TV, driving, bent over browsing on our phones.

 Neck Pain is Common

It’s no surprise then that neck pain affects a lot of us, 70% of us, at some point in our lives. The real problem with it though is that up to 85% of us can get some degree of ongoing pain for many years after our first bout of it

 Top 3 Neck Stretches

So much neck pain can be prevented however. There are lots of exercises that can really help to keep our necks flexible and free. Here are my 3 of my favourites.

Note: Stretches must be pain free and never  provoke symptoms

Upper Traps Stretch

Great For:

  • Tight trapezius muscles
  • Pain when you look left and right

For this stretch, gently bring your ear towards your shoulder. Hold for 30 seconds.

 Upper Back Stretch

Great For:

  • Loosing up a tight mid back
  • Taking the pressure off the neck

 

For this stretch, a foam roller is really helpful, or a rolled up bath towel if you don’t have a foam roller. To do the stretch, place the roller between your shoulder blades and bend backwards gently to loosen out your upper back.

If you have medical conditions that cause you to bruise easily or have brittle bones, it is best to seek professional advice before doing this exercise

Front of Neck Stretch

Great For:

  • Loosening out the muscles on the front of the neck

For this stretch, please see the excellent youtube video from rehabmypatient.com here:

 

We love these exercises.

If you would like to chat to our expert physiotherapists on your neck  problem you can contact us below. We’re happy to answer any questions you have.

 

 

 

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Total Care PhysioTop Stretches To Beat a Sore Neck