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How to treat an Acute Injury

 

For years, people have been advised complete rest following injury. The most well known acronym for the management of acute injuries is the R.I.C.E principle. This stands for Rest, Ice, Compression, Elevation. However, in 2012 a new study was published that indicated the best care for an acute injury is now P.O.L.I.C.E. Lets explain what this means:

Protect:

Look after the site of injury, be more vigilant and conscious not to twist, turn or roll the joint. It may be helpful in this period to use crutches, braces, casts etc to allow the area to heal.

 

Optimal Loading:

This is the key difference. While rest may be beneficial in the very short term, it can lead to increased joint stiffness, muscular tightness, weakness and decreased balance and stability. Optimal loading will facilitate a healing response from your body and stimulate tissue repair. It is important to remember that this is not the case for all injuries, for example a fractured bone will need to be casted alone. However, with a simple ankle sprain you may be able to begin balance and strengthening exercises immediately. We recommend in clinic to begin loading as pain allows. Avoid living in fear of pain. You do not need to be 100% pain-free before beginning your rehabilitation journey.

 

Ice:

This is always a popular topic. Unfortunately there is no conclusive evidence that the application of ice reduces swelling post injury. We do know that it can certainly provide local pain relief by numbing the area. Please be careful with this, as over application can cause a skin burn. We recommend a 10-minute application with a cloth between the ice and your skin. If this isn’t a viable option, keep moving the ice to cause some friction.

 

Compression:

Another topic where there is inconclusive evidence. However, compression is very important in conditions such a lymphoedema for reducing swelling and therefore from clinical experience we do recommend its use. Remember not to apply your compression bandage too tightly as it can restrict circulation.

 

Elevation:

A simple but very effective method of managing swelling. The aim is the keep the injured area above the level of your heart.

 

Remember, complete rest isn’t always the answer. The next time you get an injury, think about the P.O.L.I.C.E principle. As always, P.O.L.I.C.E is not applicable for all injuries and we recommend seeing a professional for advice.

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Very knowledgeable physio Team! Was in London on a business meeting and ended up visiting James for some urgent treatment on my lower back. Delighted with the service. James put me at ease straight away. His treatment was paramount in getting me through what was a hectic weekend. Could not recommend enough. Will definitely be back when in London again!
Funky Inflatable Co.
Funky Inflatable Co.
17:29 11 Sep 18
Went to "Flawless Physio" two weeks ago for back pain that I'd been carrying for months. Three sessions later, it's all gone! The staff was very pleasant, professional and gave me a series of simple exercises to do at home. I definitely recommend them. I'll be back, hopefully not too soon ;)
Charles Muzard
Charles Muzard
13:04 24 Sep 18
I was recommended to see James by my consultant following surgery to my ankle. He was extremely professional and knowledgable. He motivated me throughout the process and I have now returned to long distance running thanks to his help. I would recommend his services to anyone
David Burns
David Burns
19:32 08 Sep 18
Awesome team. I ended up having to seek out treatment when my back went into spasm (on going problem) whilst down visiting friends. I saw James and he was very professional and through with his treatment. More importantly he gave me a better understanding about what was going on and how to manage my injury in the future. Highly recommended!
James Tatham
James Tatham
08:03 20 Sep 18
I received treatment from Vicky for a very stiff and painful neck, possibly brought on by tension. I felt confident that my therapist was knowledgeable. The service was very friendly and professional and I felt good progress from the first session already. Vicky recommended some exercises and explained how to do them with very clear diagrams and instructions. I would highly recommend Vicky
Tiziana Guffanti
Tiziana Guffanti
17:23 29 Aug 18
I would highly recommend Flawless Physio. Excellent knowledge/treatment and also brilliant customer care - following up and giving advice. Tailored rehab to suit the type and level of sport as well as lifestyle. My wife & I have been treated by both James & Victoria and they have both been great. Will continue to use for any future injury & rehab.
Joe Gomes
Joe Gomes
19:11 30 Mar 19
I saw Victoria for my dodgy shoulder, and she was brilliant. Very professional And knowledgeable, she really took time to explain what was going on and to treat it. She followed up with me to check I was getting on well with the exercises. She is also really accommodating with timings for appointments. I couldn't recommend more highly, thank you Victoria!
Fiona Hall
Fiona Hall
08:35 27 Mar 19
First class. Had 4 or 5 appointments with Victoria that were always late in the evening, although you wouldn't know it. She took her time, whether that be on soft tissue work, explaining how to do an exercise, or the purpose behind it. A genuine person that wants to help and she clearly knows her stuff.
Jamie Moles
Jamie Moles
21:14 20 Jan 19
Went to flawless physio and vic was great! Training for a marathon and she was very understanding and helpful. Living in the Twickenham area so was in great location! Her specialist knowledge in knee injuries was able to get me back running in two weeks 🏃🏼‍♀️
Ruth Herlihy
Ruth Herlihy
23:44 25 Jan 19
I injured my leg (ITB) training for the Berlin Marathon and then made it far worse it by trying to run it. Victoria has been essential in my recovery, helping me understand how to strengthen the right muscle groups and get back to running. I have been very impressed by the depth of knowledge and insight. This weekend I will run the Cancer Research 10km. Thank you!
Paul Carpenter
Paul Carpenter
17:02 28 Jan 19
Really impressed with the service provided at Flawless Physio. Vicky was knowledgeable, professional and her invaluable treatment and advice got me to the start of this year’s marathon when I’d had to stop running with 8weeks to go. Without the advice and care I received at Flawless Physio, at best I’d have limped my way round the course and at worst, not been able to take part at all. Definitely recommend!
Katy Gomes
Katy Gomes
11:03 30 May 19
James helped resolve a hamstring injury that had troubled me for the best part of a year. I'll certainly use Flawless Physio for any future issues. Highly recommended.
Sandeep C
Sandeep C
18:02 30 Apr 19