t: 01453 755948
Open: Monday to Friday 8.30am – 7.30pm, Saturday 8.30am – 12.30pm

Physiotherapy Blog

Running is all in the Big Toe!

Osteopath, Adam Robertson, shares with us how running performance can be impaired with issues arising from your big toe.

Big toe issues

Big toe issues

The Problem: Big toe issues

When you run you have to move your big toes. If they don’t move as they should then your running performance will suffer. Tightness in the joint of your big toe, holds your stride length back by at least a few centimeters with every step. This matters, as over a distance of 10k those few centimeters add up to a frustrating slower time.

If ignored it can lead to:

The test:

When you are standing can you raise your big toe independently off the ground? (more…)

  Adam Robertson   Mar 24, 2017   Physiotherapy Blog   Comments Off on Running is all in the Big Toe!   Read More

Frozen Shoulder Syndrome

Physiotherapist, Phil Burton, shares with us information and treatment on frozen shoulder syndrome.

Pain of frozen shoulder syndrome

Pain of frozen shoulder syndrome

Should you have the misfortune to be diagnosed with a condition of ‘frozen shoulder syndrome’ you should be aware that this name is slightly erroneous. The shoulder is not ‘frozen’ and the ‘syndrome’ it refers to is a collection of symptoms that follow a particular clinical pattern. The ‘shoulder’ bit is actually correct

The more accurate clinic diagnosis is ‘adhesive capsulitis’.

Medical semantics aside what is this shoulder condition? what can the patient expect with this diagnosis? More importantly what can be done for what can be particularly debilitating and very painful presentation?This collection of symptoms mentioned above include, pain (constant, variable worse at night and occasional with cold weather), inflammation and variable loss of movement in the fibrous capsule surrounding the (shoulder) gleno-humeral joints.

Certain movements, sleeping positions and/or bumps can provoke episodes of tremendous pain. These are also associated with muscle spasm and cramping. (more…)

  Phil Burton   Oct 14, 2016   Physiotherapy Blog   Comments Off on Frozen Shoulder Syndrome   Read More

Glutes Not Firing or Working

Luke Stevens a strength & conditioning coach, shares his clinical expertise with us and deals with the often asked question: Glutes not firing?

Glutes not firing

Glutes not firing?

The answer is yes they are as long as you’re standing! The gluteal region is a general term which highlights an area comprising of 3 muscle structures. The Gluteus Maximus is the biggest muscle in the body (however not always the strongest) hence why problems start to take effect. The Gluteus Medius is slightly smaller and then finally Gluteus Minimus is consequently the smallest. Moreover, their actions (See Table) are very important and sometimes complex within the pelvis. This means if the gluteal is inhibited, lower back pain is a likely consequence.

  Luke Stevens   Jun 20, 2016   Physiotherapy Blog   Comments Off on Glutes Not Firing or Working   Read More

Knee Extension Mobility

Luke Stevens our Strength & Conditioning Coach shares his clinical expertise with us on knee extension mobility

Knee extension mobility

Knee extension mobility

Terminal knee extension muscle mechanics will allow the tibiofemoral joint to hyper-extend several degrees. There are certain mechanical structures that restrict the lateral screw action to lock. This, therefore, limits knee extension – “Screw home mechanism”.

  Luke Stevens   Jun 16, 2016   Physiotherapy Blog   Comments Off on Knee Extension Mobility   Read More

Injury prevention in the lower back

Luke Stevens our Strength & Conditioning Coach shares his clinical expertise with us on injury prevention in the lower back …………..

The number one gold standard approach to avoid repeated musculoskeletal injuries is corrective exercise rehabilitation and strength training. This will significantly reduce the risk of injury or consecutive injury in many cases.


Take the Lumbar spine for example. A recent NHS statistic for lower back pain (LBP) in the UK estimates 8 out of 10 people at some point will suffer from LBP. The lumbar spine, L1-L5 vertebrae are supported by local stabilizing muscles. These are some of the most complex and delicate muscles in the human body and work hard to support the weight of the upper body. Predominantly the muscles cope with compression forces and awkward functional movements in daily life. The onset of LBP is triggered through early fatigue of small muscle stabilizers as a result of insufficient strength initially. Movements such as bending awkwardly, lifting incorrectly and slouching while sitting are just some aggravations impacting on your spinal stabilising muscle groups.

  Luke Stevens   Jun 07, 2016   Physiotherapy Blog   Comments Off on Injury prevention in the lower back   Read More

Pilates! What is Pilates

Gemma Singleton with over 14 years as a Physiotherapist shares her clinical expertise with us on what is Pilates and the benefits of a Physio led class as opposed to one in your local village hall…………..

What is pilates

What is pilates

Pilates is an exercise that concentrates on improving posture and strengthening your core muscles. It does not make you sweaty, or get you out of breath, but instead you do have to concentrate on what you are doing. It has been proven to help with back pain and reduce the risk of injury.


  Gemma Singleton   Jan 28, 2016   Physiotherapy Blog   Comments Off on Pilates! What is Pilates   Read More

Death by desk….sitting well

One of our Sports Therapists, shares their clinical expertise with us on sitting well …………..

Sitting Well

Sitting Well

Posture at your desk

We have all read and been informed of how we should sit at our desks. Addressing certain postural positions can help reduce some of the upper body stresses associated with desk work. We cannot avoid the brutal demand placed on our hip flexors whilst sitting.

“Death by desk” is quite a harsh title but it’s a serious problem seen at Five Valleys Clinic on a daily basis. Its ramifications can lead to many muscoskeletal problems which are avoidable.

How can sitting be so harmful? Well, when you sit you place your hip flexors into a shortened position (see image). You have three hip flexors – psoas, iliacus and rectus femoris. These all work together to flex your body. They are the same muscles used when we raise our knees to our chest. These muscles respond to stress placed on them, so sitting for long periods of time allows these muscles to shorten (tighten) as the muscles feel this is the correct thing to do.


  Admin   Nov 23, 2015   Physiotherapy Blog   Comments Off on Death by desk….sitting well   Read More

What is the best treatment for Achilles Tendonitis

Jane Breen-Turner, with over 18 years as a Physiotherapist, shares her clinical expertise with us on treatment for Achilles Tendonitis…………..

treatment for Achilles Tendonitis

treatment for Achilles Tendonitis

We are often given the diagnosis “Achilles Tendonitis” which suggests the tendon is inflamed. This has never been found to be the case – so what is meant by this term and what effects does this have on treatment & management?

The Achilles is a tough band of fibrous tissue formed by both the deep calf muscle, Soleus, and the more superficial calf muscle, Gastrocnemius. Small sacs of ‘bursa’ cushion it against the heel. It is a contractile tissue that attaches these two muscles to the heel bone, the ‘Calcaneus’. It’s the largest and strongest tendon in the body but seems more vulnerable to injury than expected. Its function is to act as a lever around the ankle joint allowing you to stand up onto your toes while walking, running or jumping. One possible reason for its vulnerability are the high tensions and loading we place through it. Coupled with the fact it doesn’t have as good a blood supply as muscle, therefore can take time to heel. Most important is getting the diagnosis correct so that the most effective treatment and management can follow.


  Jane Breen-Turner   Nov 10, 2015   Physiotherapy Blog   Comments Off on What is the best treatment for Achilles Tendonitis   Read More
  • How to find us

    We are located just outside the town centre at Ebley Wharf, on the ground floor of the Stroud District Council building. Follow the A419 to the Cainscross roundabout and then take Westward Road (B4008). Turn left to Ebley Wharf.

  • Opening times

    Monday to Friday
    8.30am – 7.30pm

    8.30am – 12.30pm

  • Stroud Clinic

    Ebley Mill
    Ebley Wharf
    Stroud Glos
    GL5 4UB

    Tel: 01453 755948
    Email: mail@physiofive.co.uk

  • Gloucester Clinic

    Riverside Sports & Leisure Club
    St Oswald’s Road
    GL1 2TF

    Tel: 01453 755948
    Email: mail@physiofive.co.uk

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