Showing posts with label Clive Lathey. Show all posts
Showing posts with label Clive Lathey. Show all posts

24 November 2014

Texting: is it becoming a pain in the neck?

By Clive D. Lathey D.O MSc (Sports Medicine), Registered Osteopath and Director of The Putney Clinic

We are starting to see young patients at the Putney Clinic in the 18-36 year age group with repetitive strain injuries (RSI) from excessive use of computers, iPads, smart phones and PlayStations. Common conditions that we regularly treat are: inflammatory tendon injuries of thumbs and fingers; tennis and golfers elbow from excessive use of the forearm muscles, and low back and neck pain from prolonged sitting in poor postural positions.

The increasing use of computers and smart phones, particularly in the younger population, will inevitably lead to a rise in the frequency of low back and neck pain and repetitive strain injuries. There is also concern about the physiological effects of sedentary behaviour and the associated health risks such as obesity, cardiovascular and metabolic diseases. There is further concern about the link between sedentary behaviour and psychosocial health. Martin et al (2009 ), produced strong evidence linking increases in physical activity to improved mental health and psychosocial well-being.

We cannot turn the clock back and abandon our use of technology. However, we need to address prolonged sedentary behaviour as a new public health issue. Reducing sedentary time by encouraging higher volumes of light or moderate intensity physical activity is one of a range of measures which will help stop the decline.


If you are noticing any pain while (or after) using your smart phone, tablet or gaming console, you may be suffering from a repetitive strain injury. For appointments with our team of Osteopaths, call us at The Putney Clinic of Physical Therapy on 0208 789 3881. Alternatively, you can use our online booking system or send us an email to

24 April 2010

Running: the problem with blisters

Over the years I have taken part in a number of marathon events. Although I am not prone to blisters (losing toe nails is my problem), a number of my friends are. Below you will find some useful information on hydration and blister prevention/ treatment, written by my husband Clive Lathey MSc Sports Medicine.

  • Dehydration impairs performance and health.
  • Fluid loss during exercise dependent on exercise duration, intensity, temperature and humidity. Body size and fitness levels also affect loss.
  • Pale to very pale yellow urine is an indication of good hydration. Dark yellow urine indicates advanced dehydration.
  • Always start exercise well hydrated. Continue drinking at regular intervals- ideally every 15mins. The aim is to match intake of fluid with the amount of fluid lost.
  • Exercise- more intense or lasting longer than 1 hour- solutions sodium + carbohydrate (Sports drinks), can speed up water absorption and provide additional fuel.


  • Always dry your feet; particularly between toes.
  • If you have moist feet, use surgical spirit daily to reduce sweat and toughen feet daily for 2 weeks prior to event.
  • Try and wear socks containing natural fibres and turn socks inside out to avoid irritation from thick seams.
  • Make sure shoes fit correctly. There should be a gap of approximately 1.5cm between the big toe and the end of shoe.
  • Use plasters over areas prone to friction, such as: heel, big toe and little toe.

  • Cover blisters with plaster or blister protector.
  • Do not burst blisters. This can lead to infection and, what's more, the fluid inside a blister aids healing.
  • If a blister bursts, clean it with warm salty water. Apply sterile antiseptic dressing and keep the affected area dry as possible until it has healed.
  • Black toenails usually resolve. The nail may fall off and discolouration can last 12 months.
  • If a blister is very large and painful, seek professional medical advice.