Services

Physiotherapy

Physiotherapists help people affected by injury, illness or disability through movement and exercise, manual therapy, education, and advice. They maintain health for people of all ages, helping patients to manage pain and prevent disease. The profession helps to encourage development and facilitate recovery, enabling people to stay in work while helping them remain independent for as long as possible. Physiotherapy is a science-based profession and takes a ‘whole person’ approach to health and wellbeing, which includes the patient’s general lifestyle. At the core is the patient’s involvement in their own care, through education, awareness, empowerment, and participation in their treatment. You can benefit from physiotherapy at any time in your life. Physiotherapy helps with new or chronic injury, managing long-term medical condition, and in preparing for sport. A chartered physiotherapist is a qualified member of their professional body, the Chartered Society of Physiotherapy (CSP). Through this membership they have committed themselves to providing high quality services. All physiotherapists in the UK must be registered with the Health and Care Professions Council (HCPC). This is a condition of using the title ‘physiotherapist’ and practising physiotherapy anywhere in the UK. Is your physio registered with the Health and Care Professions Council (HCPC)? You can check online at https://www.hcpc-uk.org/. Dr Ian Burton both a member of the CSP and registered physiotherapist with the HCPC.

Injury Prevention Screening

This service focuses on identifying and addressing musculoskeletal issues before they turn into serious injuries, helping you stay in peak condition and perform at your best. We will start by analysing the specific needs and demands of your sport, and your overall training loads. We will perform specialised orthopaedic tests, biomechanical assessments and use evidence-based injury screening tools to assess your musculoskeletal system and functional performance thoroughly. This assessment will identify any muscle weaknesses, joint restrictions, range of motion limitations, poor movement patterns or deficiencies, and potential early signs of injury. We will then develop a customized plan tailored to your specific needs to address any deficiencies identified to help prevent future injuries or stop any niggling areas of concern you have progressing to a potential injury. Prevention is always better than cure and less costly than rehabilitation. Our goal is to catch potential injuries at the earliest stage possible and address them before they develop into major setbacks.

Sports Performance Enhancement

This service is an expansion of our injury prevention screening, going further to also help improve sports performance. We will start by conducting a thorough needs analysis assessment of your sport to understand your specific needs, training loads, nutrition requirements and history of any previous injuries. We will then conduct a comprehensive assessment to identify any underlying issues that may not only lead to a potential injury, but may be hindering your sport performance, preventing you from performing at your true potential. Through a combination of functional movement and biomechanical analysis, orthopaedic tests, and in-depth hands-on assessment of your musculoskeletal system, we will pinpoint areas of concern, such as strength, mobility and stability imbalances, tightness, or weaknesses, allowing us to create a targeted treatment plan. Treatment will be addressed at correcting any deficiencies identified and will include hands on manual therapy techniques, detailed instruction on specific exercises and how to progress them, nutritional plans specific to your sport needs, and correction of any movement deficiencies identified. We will also provide a written report of our findings, a copy of your specific exercise program with videos of exercises, and video analysis of any issues identified such as posture, gait, functional and sport specific movements. We will also offer free email follow-ups should you have any concerns or run into any issues with your individualised plan. Sport specific analysis can be taken even further for endurance athletes by utilising the running, biking, and swimming analysis offered by the Total Endurance coaching staff if required, at a discounted price. No stone will be left unturned with this comprehensive assessment, allowing us to come up with a complete plan specific to your individual needs, allowing you to perform at your full potential.

Expert Tendon treatment

Dr Ian Burton has published extensively on the rehabilitation of overuse tendon disorders known as tendinopathy. Tendinopathies are particularly common in athletes due to high training demands and training loads repetitively placed on tendons. Tendinopathies are notoriously difficult conditions to treat due to tendons having slow healing times and there is often multiple factors involved which need to be identified. Rehabilitation often has poor outcomes, largely due to a lack of knowledge of the evidence-base by treating clinicians. We often see patients at our clinic with tendinopathies who have seen multiple therapists and failed to make progress, due to poorly structured rehabilitation. We take a comprehensive approach to managing tendinopathies, leaving no stone unturned and utilising the best available evidence-based treatments. The most common tendinopathies that we see and have great results in treating include:

Foot and ankle: Achilles tendinopathy, plantar heel pain (plantar fasciitis), peroneal tendinopathy, posterior tibial tendon dysfunction, foot extensor tendinopathy.
Knee: Patellar tendinopathy
Hip: Gluteal tendinopathy, hip flexor tendinopathy
Upper limb: rotator cuff (shoulder) tendinopathy, lateral (tennis) and medial (golfers) elbow tendinopathy, DeQuervain’s tenosynovitis (wrist).

Total Athlete Care Package

The Total Athlete Care Package is the one stop solution for serious athletes to take care of all your potential sporting needs, including injury prevention, rehabilitation and enhancing sports performance. Why attend numerous health professionals or therapists for different treatments when all your needs can be catered for under one roof at Total Endurance Sports Therapy with Dr Ian Burton, who can provide world leading expertise in sports medicine. Dr Burton uses his combined skill set of degrees in sports science and physiotherapy, clinical experience as an advanced practice physiotherapist in the NHS, and prior coaching experience working with elite athletes in sports development. Dr Burton has world leading research expertise in sports medicine, with over 20 scientific peer-reviewed publications in leading sports medicine journals, including highly cited publications in sports injury prevention, sports injury rehabilitation and sports nutrition. This allows a comprehensive range of services to be offered in one package for serious athletes including:

· Sports performance enhancement services

· Analysis of sport specific demands and monitoring of training loads.

· Nutritional analysis and plans for sports performance and weight loss.

· Psychological support and stress management

· Strength and conditioning programs and sport specific training plans

· Sports injury prevention screening to prevent injuries.

· Rehabilitation of sports injuries if they occur.

· Various cutting edge treatment techniques based on the latest scientific evidence.

· Expertise in the application of blood-flow restriction training for both performance enhancement and rehabilitation

· Hands on manual therapy and massage techniques for either injury prevention or rehabilitation.

· Advice on medical management of injuries when indicated: medications, injections, and surgery.

· Medical reports if needing referred to other services such as GP or orthopaedic surgeons.

· Referrals for diagnostic imaging such as X-rays, Ultrasound and MRI scans.

3 Months (£75 x 3 90 Minute appointments = £225, £15 savings)

6 Months (£70 x 6 90 Minute appointments = £420, £60 savings)

12 Months (£65 x 12 90 Minute appointments = £780, £180 savings)

Blood-flow restriction training

Blood flow restriction therapy (BFRT) involves the application of a pneumatic tourniquet cuff to the proximal portion of the arm or leg. This restricts arterial blood flow while occluding venous return, which creates a hypoxic environment that induces many physiologic adaptations. BFRT is especially useful in postoperative rehabilitation because it produces muscular hypertrophy and strength gains without the need for heavy-load exercises that are contraindicated after surgery. Low-load resistance training with BFRT may be preferable to low-load or high-load training alone because it leads to comparable increases in strength and hypertrophy, without inducing muscular oedema or increasing pain. Blood-flow restriction training (BFRT) has become an increasingly popular method of resistance training in recent years and has been shown to be an effective method for enhancing muscle strength and hypertrophy in healthy populations, athletes and in musculoskeletal rehabilitation. Dr Ian Burton is the only physiotherapist in Scotland who has published peer-reviewed research on the application of BFRT in rehabilitation. BFRT can be used by anyone, including athletes seeking to improve performance, older populations unable to engage with heavy resistance training and in rehabilitation. There is high quality evidence showing effectiveness of BFRT for treating osteoarthritis, knee injuries, muscle and tendon injuries, and pre and post surgery rehabilitation.

Sports Massage

Sports massage is the term applied to the discipline of using massage for the specific benefit of all sports participants. It covers the management, manipulation, and rehabilitation of the soft tissue of the body. Throughout all aspects of sport the participant can have sports massage administered during conditioning, training, pre/inter or post competition, post-travel, injury prevention and injury recovery. The aim of sports massage is to optimise sports performance. It does this by: assisting in the recovery of serious training or competition; improving metabolic imbalances; reducing oedema; increasing a joint range of motion; keeping soft tissues in a healthy state; helping with pain relief; inducing a relaxed mind set and reducing stress. In addition to massage, manual therapy is any hands-on treatment provided by your physiotherapist. Treatment may include moving joints in specific directions and at different speeds to regain movement and reduce pain or stiffness. These treatments include joint mobilisation, manipulation, and muscle stretching.

If you are suffering from an injury or experiencing pain then it is appropriate to book in for a physiotherapy assessment prior to any sports massage treatments.

Strength & Conditioning

Strength and Conditioning is a style of athletic coaching, and training that has grown in some popularity over the last few years. Essentially it is the physical, and physiological development of athletes for elite sport performance. Our role as S&C coaches is to pass the theory of sports science, and sport specific training to the athletes, helping them to maximise their full athletic potential. S&C can help anyone. The end goal is that clients become fitter, faster, stronger, more powerful, more agile, more co-ordinated, and have maximal conditioning to optimise performance and reduce the risk of injury.

Dr Ian Burton is a Certified Strength & Conditioning Specialist (CSCS), certified through the National Strength & Conditioning Association (NSCA), which is considered the world leading strength & conditioning accreditation.

Medical reports & referrals

Medical reports and referrals for other services can be provided upon request. This can include reports for your employer on your fitness to work or for your sports club or coach, providing details on assessment findings, diagnosis, recovery timescales and recommendations. Referral letters for other services can also be provided including for GPs, Orthopaedic surgeons or other medical practitioners. This can include providing recommendations for other medical treatments which may be suitable including medications, corticosteroid injections, diagnostic imaging such as X-ray, MRI and ultrasound, and surgery.

Common conditions

Although physiotherapists are qualified to treat any condition affecting the musculoskeletal system, there are conditions that we see more frequently and have developed particular expertise in treating, including:

Low back pain, sciatica/radiculopathy (nerve related leg pain), osteoarthritis, disc injury, muscle strain
Neck pain: radiculopathy (nerve related arm pain), thoracic outlet syndrome, osteoarthritis, disc injury, muscle strain
Shoulder conditions: rotator cuff pain, frozen shoulder, osteoarthritis, ACJ injuries, labral injuries, biceps injuries, humerus fractures, thoracic (mid back) and shoulder blade pain and stiffness
Elbow conditions: Tennis and Golfers elbow (tendinopathy), ligament injuries, osteoarthritis, elbow fractures
Wrist/hand conditions: Wrist tendinopathy, TFCC (cartilage) injuries, carpal tunnel syndrome, wrist fractures, osteoarthritis
Hip conditions: osteoarthritis, femoroacetabular impingement (FAI), gluteal tendinopathy or greater trochanteric pain syndrome (GTPS), hip flexor injuries, athletic groin pain, labral tears, hip replacement, hamstring tendinopathy, pelvic pain, SIJ pain
Knee: patellofemoral pain (anterior knee pain), patellar tendinopathy, bursitis, ligament strains or tears, ACL tears or reconstruction, knee replacement, meniscus (cartilage) injuries
Foot and ankle: Achilles tendinopathy, plantar heel pain (plantar fasciitis), peroneal tendinopathy, posterior tibial tendon dysfunction, foot extensor tendinopathy, ankle sprains, ligament injuries, fractures, metatarsal pain
Muscle strains and tears: Commonly affecting the hamstrings, calf, quadriceps and low back muscles
Prehab and post surgery rehab