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Hi guys, thanks for the numerous recommendations on this and other threads - an inbox full of PMs to welcome me back from studying the sympathetic nervous system and rib cage biomechanics for the last few days.

Replies have now been sent this evening. For reference: I work in Kentish Town, North London.

http://www.complete-physio.co.uk/clinics/kentish-town-la/services/cycleclinic

Look forward to meeting and hopefully helping some of you in the near future.

Michael.

Hi guys, thanks for the numerous recommendations on this and other threads - an inbox full of PMs to welcome me back from studying the sympathetic nervous system and rib cage biomechanics for the last few days.

Replies have now been sent this evening. For reference: I work in Kentish Town, North London.

http://www.complete-physio.co.uk/clinics/kentish-town-la/services/cycleclinic

Look forward to meeting and hopefully helping some of you in the near future.

Michael.

I will be running a late clinic on 10th March and as normal from 17th. Unfortunately will be on leave until then. Let me know if the 10th is convenient.

Hi Dan. Key clinical signs of a meniscal injury include swelling, joint line tenderness and possible locking / giving way. Usually traumatic in nature, sometimes degenerative. Manage as per any acute injury for first 72hrs, PM me with specific symptoms / queries if it doesn't settle. A good clinical exam is as accurate as MRI for meniscal diagnoses. I expect your symptoms will subside. If kneeling continues to cause problems then I'd advise a professional review. Hope this helps. Michael.

Hey there - whats the latest time on a Thursday evening one could get a slot with you?

I usually finish at 8.30 or 9pm but am happy to extend the clinic to those travelling from afar. The building itself closes at 10pm so a 9.30 appointment would be the absoulte latest.

Conversion kit received - bring in your Moultons / Bromptons and other smaller wheeled rides.

I've signed up for London to Paris (3 day option = 100miles< daily) in aid of Action Medical Research. Please check out my link for more information. Any support would be much appreciated.

http://www.action.org.uk/sponsor/michaelcrebbin

Thank you in advance,

Michael.

I know a lot of you ride fixed (ironic for a fixed-gear forum!) and therefore have solid axle hubs which are not allways compatible with turbo trainers.

For this reason I also have rollers (with fork bracing for ease) for fitting and assessments.

I'm also awaiting delivery of an adaptor for the turbo so will also be able to accomodate 20 and 24 inch wheels.

Think I'll stay out of this one.

more questions: my girlfriend has bugged me to take up running for ages and I think i'm about to give in and accept.

So, good or bad idea for the knees? As usual the internets is utterly contradicting, but another form of exercise part from cycling would be nice. I'll make sure to get some properly good shoes and take it very very gentle in the start, also would try to do most running in clissold park on paths

Cross-training is a great idea for musculoskeletal well-being.

If you've kept up your flexibility and hip stability work and your knees are currently fine then there is no reason to avoid running but as you stated - ensure your biomechanics are optimised. You will be using new motor patterning with running so expect things like calf and gluteal aching. Be pain free but progressive with intensity. Start on the flat and increase the time by small increments every week if pain free.

Let me know how you go. Good luck.

Michael

I am doing some part-time studies over the next few weeks so will only be checking the thread intermittently. I will try and respond to messages each evening but apologies if there is some delay in replies.

The clinic remains open as normal.

Michael.

I've just been for an assessment at the british school of osteopathy (BSO) in Borough http://www.bso.ac.uk/mm3appt.htm. Only £10, get treated by students and a doctor/professional. Very good, they spent a lot of time trying to get to the root of my problem. I've had seemingly inexplicable headaches and shoulder discomfort after an bike accident 4 years ago.

I've heard good reviews of the clinic and it certainly offers good value for money if you are seeking Osteopathic treatment and don't mind seeing students under supervision.

Feel free to carry me off the rolla's tonight (Kilo night!) in exchange for injury advice.

Won't hurt anymore than what we've done in clinic. Would be interested to hear an Osteopaths perspective on your presentation and what they'd recommend. Shouldn't be any different but a second opinion is never a bad thing (especially when it's free).

Let me know how you get on.

Big influx of runners in the clinics at the moment for pre-marathon MOTs. Highlights the need to cross-train through the winter to ensure balanced physiology.

If all you have is a hammer then all you see is a nail.

Good stuff. I will be in for a fitting late Feb if possible (after some travel).

Happy travels, see you on your return.

I do own-bike fittings in my clinic, usually for patients but also for pain-free cyclists. I don't however have access to parts / spares. Check-out the website for more details:

http://www.complete-physio.co.uk/clinics/kentish-town-la/services/cycleclinic

Happy New Year Everyone.

Clinic is almost full this week due to x'mas break. Can squeeze people in if needed though.

Safe winter training / commuting to one and all.

Merry Christmas to all! Thanks for all your support over the past year.

Some slots available tomorrow before the holiday period. Next week the Gym will be closing at 4pm so available hours will only be 2-4pm next week.

Michael.

I struggled. Good to catch up with fellow Rolla's during my brief appearance .

I might have some space this afternoon:
www.complete-physio.co.uk

Professional updates available here:
http://twitter.com/mcrebbin

Early closing this week and have nothing after 7.30 due to x'mas party. Still a couple of earlier slots available.

Patella subluxation can cause sub-chondral irritation so I'd recommend a graded to return to full riding intensity. (In English - if your knee caps pops out of place you can bruise the surface beneath the knee cartilage. This can be slow to settle and doesn't like too much too soon)

Back on topic, here's a link from my massage therapist about a technique that seems to offer some relief for some types of knee pain which tends to be perceived as joint pain. He's very keen for other massage professionals to try the technique and give him some feedback:
http://www.massageprofessionals.com/profiles/blogs/misconceptions-about-knee-pain

Nice technique. Transverse frictions / massage are really useful for breaking up soft tissue adhesions and releasing fascia, something you can't allways achieve with home stretches.