Sarah MCcallsiter
Case Study/ Total Reform
The problem
Sarah runs a small company based in Manchester. Her job requires lots of travelling and as she puts it: “way too much sitting down”.
The real problem for her began with a foot operation over 3 years ago. Over time, this caused all her major joints to go out of alignment culminating in chromic sciatica. (In her words; “a slow journey to hell over 2 years”.)
She had spent over 16 months trying unsuccessfully to resolve the problem, with a combination of Physio, Pilates and Yoga. Sarah explains: “The sessions helped tremendously, but I did not deal with the underlying issues caused by the foot operation until I was forced by the chronic sciatica, and I literally couldn’t get out of bed one day.”
After Sarah was advised to start her rehab with some Personal training sessions, booking in with us . Trang reviewed her notes with the Physio and prepared a session for her with modifications that would not aggravate the injuries and limitations of movement she was experiencing. However, when she arrived and began with the warm up phase of the session, she realised the extent of the pain that she was in.
Trang says: “From that moment on I realised that I had to tread very carefully and delve deeper into the symptoms and pain Sarah was experiencing”
The Solution
Trang continues: ”After the initial session I asked Sarah to provide a detailed list of the back issues that she had been experiencing from her Consultant Neuroradiologist. From this I could see that there was a myriad of issues that Sarah had, related to different parts of the spine. She was consulted with us about the best way to approach the sessions going forward and to gain a better understanding of the limitations of all of the injuries.
We decided that we will introduce the sessions with some element of strength training included so that the focus was on activation of the deep tissue core muscle, postural muscles of the posterior and the stabilising muscles around the pelvis and hips.
After assessing Sarah’s movement patterns, I also decided to include exercises to strengthen the calf and foot muscles, as the foot injury was the initial cause of her problems.
The Outcome
Sarah says: “I was really impressed with how tailored the sessions were to my needs, the amount of research Trang did on my condition, and the amount of consultation with the manual therapy team. I loved the sessions – the time flew by – and the programme really helped.”
Within a couple of months Sarah’s core strength and muscle activation had improved dramatically, as her leg strength. Trang gave her at-home exercises for the third month, as business commitments made it difficult to get to the Studio. But after a final checkout session at the end of the month, Trang was happy that Sarah was ready to resume exercising as normal – for her, a combination of Pilates and Lifting Ladies classes.
In short, Sarah has her life back. Though now with new levels of body awareness: “I feel so much better. My sciatica has completely gone away. I went back to basics in classics – both Pilates and Yoga – and pretended that it was the first time that I had done each class. I learnt so much from doing this and I think I am a much better student as a result. And the way that I move in general has changed, too. Standing up, siting and even the way that I walk – I have a greater awareness in these positions. Trang’s mantra of ‘engage core’ will stay with me forever. I would heartily recommend her to anyone.”