massage

Physiotherapy – The holistic healing method

Head, shoulders, knees and toes: physiotherapy is used for numerous illnesses, injuries and functional disorders and makes an important contribution to the healing process. Especially when it comes to healing procedures for rehabilitation, for example after an accident or a stroke, physiotherapy is indispensable. However, it can also be used preventively to avoid physical limitations or pain. The different areas of application of physiotherapy make an important contribution to the amplitude of movement and functionality of the musculoskeletal system, and help to restore or maintain mobility.

What is physiotherapy?

Physiotherapy is mainly understood as the so-called movement therapy. It is a useful alternative or supplement to surgery or drug treatment. Physiotherapeutic applications can be carried out actively or passively. In active therapy, the patient’s independently performed movements are used to prevent or cure complaints. In passive therapy, this is done through treatment by a trained therapist.

What are the areas of application of physiotherapy?

Physiotherapy is mainly used for prophylaxis, therapy and rehabilitation. For the prevention of dysfunctions or injuries, for example, occupational malpositions can be counteracted with physiotherapy. Physiotherapy also helps to accelerate the healing process of orthopedic diseases and thus improves the quality of life. In addition, physiotherapy treatments are used for rehabilitation after prolonged illnesses or after accidents.

What effect does physiotherapy have on the body?

  • Support of metabolism and blood circulation
  • Pain relief or even relief from pain
  • Increase of physical fitness, coordination and mobility
  • Restoration and strengthening of mobility

Known tools in physiotherapy

 

Massage

Massage can be used to relieve all forms of tension in the muscles. Using special massage techniques, pain is reduced while blood circulation and metabolism are stimulated.

Lymphatic drainage

Lymphatic drainage uses special massages of the lymphatic system to activate the lymphatic vessels and reduce swelling or water retention. The healing process is accelerated, the tissue can be better supplied with blood and mobility is restored.

Manual therapy

Manual therapy remedies functional disorders of the musculoskeletal system, such as restrictions in mobility or pain during movement. Mobility can be restored with targeted mobilization as well as stretching exercises to relieve pressure.

Yours Michael Boettcher

Krankengymnastic am Gerät

Pelvic floor training

Why the pelvic floor muscles support our entire body center

Pelvic floor muscle dysfunctions are widespread in our society, but are still kept out of public talk. Women are most often affected, especially after one or more pregnancies. But the muscles of the pelvic floor also slowly weaken in men over the age of 75. Targeted exercises can provide relief and help those affected to enjoy a better quality of life.

What is the pelvic floor?

In medicine, the pelvic floor is the area in the pelvic cavity between the pubic bone and the coccyx, which is interwoven with connective tissue and muscles. The pelvic floor consists of several layers of muscles, tendons and tissues, holds the organs in place and ensures controlled opening and closing of the body’s orifices.

What muscles are there in the pelvic floor?

The muscles in the pelvic floor are arranged in three layers that effectively close the entire pelvic outlet. These three layers stabilize the position of organs in the abdominal cavity and the back. If the pelvic floor is overly stressed, problems such as bladder weakness can occur. This happens, for example, during childbirth, but can also be triggered by obesity or heavy lifting.

How does a weak pelvic floor feel?

In women and men alike, the pelvic floor can be weakened by obesity, physical overload, poor posture, pelvic surgery and, in some cases, medication. The most common symptoms that occur with a weak pelvic floor include, urinary incontinence and lower abdominal pain.

What are the possible consequences of weakened pelvic floor muscles?

Overstretching and overloading the stabilizing muscle layers in the pelvic floor can lead to bladder weakness or even lowering of the internal organs. Accordingly, such pelvic floor weakness can have serious consequences. For prevention, regular pelvic floor exercises under the guidance of a physiotherapist are advisable.

What treatment options are available?

Regular pelvic floor exercises can help to strengthen the weak muscles in the pelvic floor. If the symptoms are already present, they can be treated well with targeted exercises for the pelvic floor. The physiotherapist can create an individual exercise program for this purpose and accompany the execution of the exercises accordingly. The pelvic floor can only function properly when load and resilience are in balance.

Yours Michael Boettcher

 

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Stretching – lengthen your muscles

Stretching exercises maintain the flexibility of muscles and the mobility of joints, which is a prerequisite for a healthy musculoskeletal system. Stretching can also improve training performance, relieve tension and reduce stress.

An indispensable part of professional sports

That’s why stretching exercises are a must in professional sports. If the sport requires particularly explosive movements or flexibility, stretching afterwards is indispensable. It increases flexibility, reduces muscle shortening and has a positive effect on performance. Stretching should be done for at least five minutes after each fitness session to promote recovery. One-sided movement patterns and incorrect posture can also be corrected through stretching exercises.

Effects on the musculoskeletal system

In the long term, stretching primarily improves the mobility of joints and surrounding structures. Tendons and ligaments are strengthened, and muscular imbalances are corrected in the short term by lengthening shortened muscles, thus reducing tension in the muscle. Additionally, it can reduce stress and restore circulation.

In the field of physical therapy, stretching is used to reduce muscular imbalances and correct problems caused by muscle shortening, as well as speed recovery from injuries.

Stretching correctly

However, to avoid injury, some important rules should be followed when stretching:

  • Stretch dynamically before the fitness session, as the muscles are not yet warmed up and thus injuries can easily occur.
  • The movements should be performed slowly and in a controlled manner
  • It is better to do static stretches after the training session.
  • Do not forget to breathe
  • The pain should be sustainable at all times
  • Always stretch on a non-slip surface

Static and dynamic stretching

Static stretching involves trying to pull the muscle to be stretched as far as possible and holding this position for 20-30 seconds. Static stretching should never be done before a workout, as it can reduce performance and lead to injury. Static stretching exercises are also not recommended if muscle soreness is noticeable.

Dynamic stretching exercises, on the other hand, consist of gentle movements that could also be described as springy. The muscle is stretched for a few seconds, but can always contract again. This form of stretching promotes blood circulation and thus also the oxygen supply to the muscle and is therefore particularly suitable as a warm-up before the fitness session.

If you want to improve mobility and promote health through regular stretching, you should be patient in your approach. The muscles need a few attempts to stretch properly, so it’s better not to rush things.

Your Michael Boettcher

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Planking – Strong for the core

The plank is considered the supreme discipline of core exercises. As simple as the forearm support may look, if you try to hold it for longer than 30 seconds, you quickly realize how many muscles are working simultaneously to hold the position and how much effort it takes to persevere in a supposedly resting position. What started as a snap idea of two teenagers led to a real mass phenomenon around a strong body core. Today, planking is an integral part of an effective workout and an essential part of personal training.

What does Planking mean?

The Plank has become a pioneer of all core exercises for muscle building, because with only one fitness exercise and without any weights, not only the abdominal muscles are trained, but also the trunk, back, leg, hip, shoulder and chest muscles at the same time. So one exercise is enough to keep the whole body fit and at the same time train coordination and endurance. Planking is great for preventing back pain or strengthening overall fitness. Sit-ups, on the other hand, train only dynamic strength and are therefore unsuitable for back training. Planking is therefore the ideal exercise for a healthy spine.

Why is planking so effective?

The forearm plank is an isometric exercise. It is therefore performed without movement. Isometric exercises strengthen the so-called maximum strength and endurance. Due to the continuous muscle tension, which is held as long as possible, the muscle is under maximum permanent tension (isometric contraction). Back pain is often the cause of a too weak trunk or a permanent incorrect load on the spine, for example due to long periods of sitting in the home office. The result is pain. Planks help to compensate for imbalances in the spine and can improve posture. Not only is the core strengthened, but the entire body – especially the back.

What muscles are used in planking?

Planking strengthens the entire body, especially the core, back, leg, hip and gluteal muscles, as well as the shoulders and chest. The longer the position is held, the greater the endurance and maximum strength is increased at the same time.

How does the Plank work?

When doing the exercise for the first time, care should be taken to perform it without pain. Therefore, it makes sense to approach the exercise gradually in order to avoid injuries. The starting position of the Plank is in the prone position and supported on the elbows. The shoulders should be placed just above or in front of the elbows. The easiest variation is to lift the pelvis and support yourself with your knees. If that is too easy, you can straighten your knees and support yourself on your feet. It is important that the knees, hips and shoulders form a straight line, that there is no hollow back and that the pubic bone is drawn towards the sternum. Now it’s time to persevere! First, try to hold the position as long as possible without losing tension. After that, you can progressively extend the time and gradually incorporate additional movements.

What are the variations of planking?

Meanwhile, there are many variants that target different muscle groups and increase the difficulty of the exercise. The classic variation is a wide base between both elbows and between the feet. You can further challenge the abdominal muscles by progressively pushing the elbows further forward or statically pulling the elbows toward the pelvis. To target the oblique abdominal and back muscles, one can lift either one arm or one leg alternately. If someone wants even more of a challenge, the plank can be performed on an unstable surface. A pezzi ball or exercise ball is best for this. Due to the fact that the forearms are on the wobbly exercise ball, enormous strength and stability is required to keep the balance.

 

Yours Michael Boettcher

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Pain in the knees from running

Many of our customers complain about knee pain while running. They often describe the pain as dull around the knee joint or as a twinge at the kneecap. Most often, the pain occurs during running or immediately following exercise. Clients often try stretching exercises or using a fascia roller to loosen the surrounding muscles and get rid of the pain that way. Unfortunately, the pain can be persistent and, in the worst cases, force them to take a longer break.

Causes of knee pain

The most common reason for knee pain is overuse of the lower leg extensor muscle quadriceps. If the muscle is used too frequently, so-called trigger points develop. These are small nodules in the muscle that have poor blood supply and cause a characteristic pain pattern. If there is overuse of the quadriceps, the pain tends to feel dull and is located around the knee. If the fascia is stuck or tight, the pain tends to be located on the sides of the knee or just below the kneecap (patellar tendinitis). In both varieties, the pain occurs during and after running.

Our holistic approach

Our strategy for this situation is first to lower the tension in the muscles by dry needling and massage. This is done by working on the fascia with a special tool to loosen it up and release any adhesions. With special tests we can determine if the connection between the nerve and the muscle is working properly. If this connection is inactive, the muscle will be overloaded or misloaded again and the discomfort will return even after the therapy is finished.

Functional Movement Screen

Once we have the local discomfort under control, we do a Functional Movement Screen and look at the patient’s overall movement amplitude. This gives us the opportunity to identify and target further faulty movement patterns. Through corrective exercises at home, discomfort and thus pain can be prevented in the future. Yours Michael Boettcher
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Nutritional Advice

Food plays a central role in our lives. It provides not only our body, but also the soul and the spirit with nutrients and energy. Like everything else in life, nutrition must remain in balance, which is the only way to achieve optimal health. Healthy eating has been proven to contribute to your health and fitness. In our practice, in addition to therapeutic treatments and personal training, we also offer nutritional counseling. So that you can master everyday life with more energy and zest for life.

MetaCheck

With the new metabolic analysis we can determine the exact meta-type and then create an individual nutrition plan. At the beginning, we record all important data and create a profile. Then we analyze together the previous eating habits, which are recorded in a kind of diary over a period of seven days. Afterwards, we look together at where and how we can optimize your diet and which foods you’d better keep your hands off in the future. In this way, we can work together on good eating habits and change your diet in the long term.

Nutrition and therapy

Healthy nutrition not only affects your figure, it is also an essential part of a healthy and functioning musculoskeletal system. Even in the field of therapeutic applications, nutrition can become an important component. Especially when it comes to the joints, it is important to pay attention to a healthy diet and regular exercise. In general, it can be said that healthy nutrition has a positive effect on the treatment of pain through physiotherapy, physiotherapy, acupuncture or chiropractic applications.

Body in motion

In addition to metabolic analysis and nutritional counseling, we offer a variety of exercise options in our practice that can help with weight loss or musculoskeletal restrictions. Here, we pay special attention to the execution of fitness exercises that are easy on the joints. Our qualified staff will guide you through each exercise. We also have a wide range of training equipment and weights. These factors allow us to offer an individual and varied training and accompany you on your journey to a better and pain-free body.

Yours Michael Boettcher

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The cause-consequence chain

The cause-consequence chain describes a state of irritation of the tissues in the musculoskeletal system that is directly related to an injury and has an effect on surrounding structures (a kind of chain reaction).
A general distinction is made between ascending and descending chains. An ascending chain is often triggered by trauma to the lower extremities, such as supination trauma (twisting of the ankle). Thus, there is sometimes a link between an old foot injury and acute hip symptoms.

Accordingly, in sports medicine there are also descending cause-and-consequence chains, such as discomfort or dysfunction in the hip, which can lead to pain in the knee. These are usually triggered by a dysfunction of the temporomandibular joint. This is followed by a protective posture with increased stress on the unaffected structures in order to minimize pain as well as further irritation of the affected structures.

Over a longer period of time, overload symptoms can occur, which are often characterized by local pain. However, these can also manifest globally in adjacent structures. This type of chain reaction can ensure that local therapeutic measures remain unsuccessful, as the actual cause of the pain present is often not included in the treatment planning.

It is therefore even the more important to include surrounding structures such as joints, muscles or ligaments in the initial examination as well as in the treatment and to structure the therapy holistically. Over the long term, better therapy goals can therefore be achieved and the quality of life sustainably improved.

If you have any questions about the cause-effect chain or would like to make an appointment for treatment, please feel free to call us!

Your Michael Boettcher

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Reflexive Performance Reset – not only for competitive athletes

Reflexive Performance Reset, or RPR is more than just an ordinary therapy. It activates muscles that have a key function in our musculoskeletal system via certain reflex points. These key muscles give our body more support, bounce, energy and lead to more mobility in the long term. The Reflexive Performance Reset consists of different breathing exercises and the stimulation of certain nerves in the body, which help to increase the training success and prevent injuries.

When we are under constant stress and give our body little time to regenerate, it is inevitably put into stand-by mode. In this state, the body has little energy and performance is significantly reduced. Reflexive Performance Reset can help to bring the body back to its performance peak, reduce pain caused by compensating for poor posture, improve mobility and increase resistance to injury.

By activating specific reflex points that bring the body out of these damaging compensation patterns and targeted breathing exercises, the muscles can recover faster, you have more energy and are more resistant to stress. Whether you are a competitive athlete, an athlete or simply a sports enthusiast, the RPR concept is so simple and yet so promisingly designed that it can be implemented at any time. Just contact us!

Yours Michael Boettcher

Nutrition Coaching

Cold season – defying the weather with exercise and nutrition

The winter period is characterised by cold weather and little sunlight and tugs at our energy.
Warm clothing and long walks outside are good for health and general well-being. If you want to protect yourself against colds in winter, you should pay particular attention to a healthy diet and get plenty of exercise. In our practice for alternative medicine and physiotherapy we offer a wide range of possibilities for exercise and relaxation as well as nutritional advice. Defy the cold weather and say goodbye to your cold!

The right diet is essential

Food plays a central role in our lives. It supplies not only our body, but also the soul and spirit with nutrients and energy. Like everything else in life, nutrition must remain in balance, only in this way can optimal health be achieved. Especially during the cold season, you should pay more attention to your vitamin intake to strengthen your immune system. The body needs sunlight to produce vitamin D. In the winter months, the daily sunshine hours are few and often there is no opportunity to use these few hours for outdoor activities. The consequences are: Exhaustion, lack of drive or concentration problems. With our nutritional advice tips, we help you to bring your health and your diet back into balance.

Exercise is the key to optimal health

Regular exercise is not only good for our musculoskeletal system, but also stimulates the metabolism. This in turn leads to increased performance and, in the long term, to more energy. Movement is therefore essential for health. Physical processes such as digestion, circulation and respiration are strengthened – and ultimately so is the immune system. With the special personal training in our physiotherapy practice, we combine ambitious training with the latest scientific findings from sports and movement medicine. With your personal training goal in mind and a mobility test, problems are recognised and corrected, mobility is improved and fitness is increased.

Relaxed through the day

When it comes to strengthening the immune system, relaxation is an important part of our health, along with exercise and nutrition. Stress and lack of exercise can lead to muscle tension and attack our immune system. With massages, we release all forms of tension in the muscles. In this way, we help you with tension pains and at the same time stimulate the blood circulation and metabolism. The immune system is activated and cold viruses have no chance.

If you have any questions about nutritional advice, personal training or massages, please call us or make an appointment via our website.

Your Michael Boettcher

Krankengymnastic am Gerät

Medical rehabilitation training – effective and gentle on the joints

What is medical rehabilitation training?

Medical rehabilitation training is generally used after injuries and operations to restore mobility and treat diseased areas of the musculoskeletal system. Targeted training units are used to improve strength, mobility and endurance in the long term. The specially developed medical build-up training for therapeutic purposes is considered part of rehabilitation treatment and is often accompanied by a doctor.

For whom is medical rehabilitation training recommended?

In general, medical rehabilitation training is prescribed by a doctor after an injury or operation on the musculoskeletal system. However, it can also be used for persistent pain in the joints or back. The physiotherapist draws up an individual training plan tailored to the problem area and person. Medical rehabilitation training is also suitable for the prevention of painful muscle tension and resulting damage to the spine.

What is trained in medical rehabilitation training?

Depending on the type of training, medical rehabilitation training trains balance, coordination and posture, strength, flexibility, speed or endurance. The essential components of the medical rehabilitation training are: mobilisation and mobility training, strength and stabilization training, coordination training, endurance and cardiovascular training.

What equipment is used for medical rehabilitation training?

The medical rehabilitation training uses training equipment that is easy on the joints and yet highly effective, while putting optimal strain on the muscles and joints. Additionally, computer-controlled training devices such as the Power Plate or EMS allow a targeted training of the deep muscles and can be used, for example, for muscle building before an operation.

In our practice for physiotherapy we offer medical rehabilitation training for therapeutic purposes. Do you have any questions or would you like to arrange an appointment? Call us, we will be happy to assist you!

Yours Michael Boettcher