Sports Injury Centre

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Birkdale Physiotherapy and Sports Injury Centre can help you with
muscle pain, joint pain and sports injuries

Contact Us:
01704 550977 or 07932799668

or by email:

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David Wordsworth


42d Liverpool Road, Birkdale,

Southport. PR8 4AY

Tel: 01704 550977


"Muscular slips from iliacus and psoas, piercing or covering the femoral nerve, were found in 19 specimens (7.9%).

The more frequent variation was piercing of the femoral nerve by a muscular slip (17 specimens, 7.0%).

The less frequent variation found was a muscular slip or sheet covering the femoral nerve as it lay on iliacus (2 specimens, 0.8%).

Each disposition may be a potential risk for nerve entrapment."

"The purpose of the current paper is to present 2 cases of saphenous nerve entrapment at the adductor canal and to highlight a nerve tension technique to aid in the clinical diagnosis of this condition."


- Saphenous nerve entrapments are a very rare condition within today’s body of literature, and the diagnosis remains controversial.

- The saphenous nerve is a purely sensory nerve, and is the longest terminal branch of the posterior division of the femoral nerve, arising from the L3 and L4 nerve roots.

- The distribution of pain in saphenous nerve entrapment patients has been reported as at the knee (90%), thigh (7%) and calf (3%)

- Those undergoing ACL repairs are at risk of damage to the saphenous nerve at a rate of 30% – 59% depending on the technique utilized...

- Currently the main treatment options include surgical debridement and corticosteroid injections, however there is a body of evidence supporting the use of many manual therapy techniques for the treatment of various nerve entrapments throughout the body.

- Nerve tension testing may prove to be an aid in the diagnosis of saphenous nerve entrapments within a clinical setting in order to decrease time to diagnosis and proper treatment.

Plus many more in this full text paper: CLICK IMAGE FOR LINK

The human head weighs about a dozen pounds. But as the neck bends forward and down, the weight on the cervical spine begins to increase. At a 15-degree angle, this weight is about 27 pounds, at 30 degrees it’s 40 pounds, at 45 degrees it’s 49 pounds, and at 60 degrees it’s 60 pounds.

That’s the burden that comes with staring at a smartphone —
the way millions do for hours every day.

Neural Tension for the Unimaginative.

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                       Sue Gates - Dave help me with my back problem which I had for a while now it is so much better . He knows his stuff would highly   recommend him.

                                Julie Potter - Top bloke! David Works wonders on my injuries. Tells me to keep doing the stretching exercises which really helps.

                          Paul Keefe - Great physio. Helped me through a back injury. Would also make a fantastic wrestler!!!  

                           Karl Robins - A session to never forget! Not to mention his knowledge and humour when your in pain!

                           Cheryl Hornby - David Wordsworth is a Brilliantly Talented Physio ! He is honest, reliable and sympathetic. I cant recommend highly enough.


                           Mark Purdy -  It takes a long time to find a physio who knows what they are talking about and Dave knows his stuff.

                           Jonny Johnstone - Exceptional knowledge and a great help to me, highly recommend David. Thanks.  

                                Pete Day - You, sir, are a worker of miracles. Pain-free for the first time in weeks.


                            Emma Newton-Thorpe - Sorted out my back/leg problem quickly and professionally. In fact the results are so good it was as if a mini miracle was

                            Anji Willey - The man is a genius! I've attended physios for 30 years and he's the best there is. I can even reverse my car again!


                          Bella Sanderson - I have suffered pain in my lower back for years I saw David on Friday my back pain has gone feel amazing I recommend anyone with any                           back pain etc to visit David he's fantastic thank you so much David x


                               Annie Bushell - He sorted out my shoulder problem in one visit, and just by talking found out the cause, what my symptoms were  and then treated it.                           Walked out feeling 10 feet tall. Would thoroughly recommend!

                               Nicole Marshall - Had neck pain for years, never understood why or how to treat the cause. At last I know why and understand how to improve it. Thank you
                          I feel so much better after today's visit.


Read Our Reviews:

Efficacy of Manual Therapy Including Neurodynamic Techniques for the Treatment of Carpal Tunnel Syndrome: RCT, May 2017

"Both therapies had a positive effect on nerve conduction,

pain reduction, functional status, and subjective symptoms in

individuals with CTS. However, the results regarding pain reduction,

subjective symptoms, and functional status were better in the MT group."

     Read Article:

What Causes Hand Pain and Numbness?

The carpal tunnel is a structure in the wrist that contains the tendons that control the fingers and then median nerve, which innervates the thumb and first two fingers.

When the carpal tunnel is too small and/or inflammation occurs in the tendons that run through it, the median nerve becomes compressed, causing symptoms such as pain, numbness, and tingling in the wrist, hand, and fingers.

Symptoms of Carpal Tunnel Syndrome

Symptoms of carpal tunnel syndrome include, but are not limited to, the following:

Carpal tunnel syndrome is treated with nonsurgical methods such as splinting, ice therapy, and behavioral modifications. It can also be treated surgically with a procedure called carpal tunnel release.

 Carpal Tunnel Syndrome

Great day at Royal Birkdale Golf Club: Entertaining three old friends who bought a round of golf in a charity auction in aid of Jack's Journey
Great local cause.

‘TEXT NECK’ is becoming an epidemic and could wreck your spine!

                   Lumbar disc movement  - NOT what we would expect!

Check out this out - bulging of the lumbar intervertebral disc in flexion.

We took this video during a cadaver experiment on the lumbar nerve roots.  As an aside, we simulated flexion to illustrate the characteristic bulging at the front of the lumbar disc.  The back of the disc bulges less because it is pulled taught and follows a more direct course between the upper and lower vertebral bodies.

Acknowledgement: Prof Tom Van Hoof, Ghent University, Ghent, Belgium.

                                                                     Insights into Neural Tension.

   Courtesy of Neurodynamics