Golf Physio EISC

Carys Irvine

Carys Irvine, 15 next month, is a pupil at one of our local high schools. She was introduced to golf at the age of 9 and obtained her first official CONGU handicap of 33 at the age of 12. Now, as she approaches her 15th birthday it sits at 7. She has won many junior and ladies competitions at club, regional and national levels. Here are a few of her achievements from 2014 to date.


Handicap winner of the Stephen Gallacher Foundation U18 order of merit.
Runner up of the scratch order of merit and East lothian U18 girl’s champion.
Overall winner at U18 girls competition at Carnoustie.
Member of the Scottish Golf Academy.


Represented Scotland against a very experienced England team, and was the only Scottish player to win her match.
Winner of the first two ladies competitions of the season at Baberton Golf Club; The Jubilee Cup and The Dunedin trophy.
Winner handicap prize at the Ladies Munross Trophy at Montrose links.
Made the cut to the final of the U18’s Stephen Gallagher Foundation Vase at Macdonald Cardona golf Course. Finished 12th.
Winner of the Milne Cup and Hawthorn Cup and leading qualifier in the junior championship at Baberton Golf Club.

More events still to come this year; East of Scotland Girls Championship and Midlothian Junior Championship, Scottish Girls Amateur Championships, The Faldo Series, Scottish U16 Girls Open Championship and Scottish U16 Junior Tour.

Edinburgh Sports Injury Clinic

male incontinence

There are certain conditions which affect mainly women. Breast Cancer and urinary incontinence are 2 of these. They, however, are not exclusive to women.
One cause of urinary incontinence in men is prostrate surgery/ treatment. Regaining pelvic floor control for a man can be difficult as it is often a form of exercise that they have never experienced before. We have found the use of the Real Time Ultrasound invaluable for this. It is so much easier to do an exercise correctly when you can see the muscle working.

In the words of one of our patients :

“I have a pelvic floor! I had a green laser prostatectomy that left me urinary incontinent. My visits to ESIC have taught me the basics of pelvic floor exercises. This has resulted in a great lessening of the condition. I feel that I will be completely normal in a few months. The exercises and tuition I have received have been first class. The explanations behind my treatment have been clear and very sympathetic.
My pelvic floor is responding well! I would recommend all men with urinary incontinence discover their pelvic floor”.

Robert, age 72

Edinburgh Sports Injury Clinic

Concussion in Sport

Concussion is an alteration to how your brain normally works. It is caused by a blow or jolt to the head, which in turn causes the brain to shake inside the skull. Whether and athlete is suffering from concussion or not is a question which commonly occurs in contact sports. Direct contact with the head however is not always required for concussion to occur. A force applied to the body producing a whiplash effect, as in a rugby tackle, can have the same results as a direct blow to the head sustained in a boxing match.


If concussion is suspected during competition or training, the athlete should be removed from play and medical attention should be sought immediately. The athlete may initially appear well with symptoms arising in the first 24-48 hours following the incident. Should this be the case, medical attention should be sought at that time, regardless of the assessment which took place at the time of the incident.


There are many symptoms of concussion, with lack of consciousness being only one of them. These symptoms include:- headaches, dizziness, sickness, drowsiness, loss of balance and coordination, weakness, numbness, slurred speech, loss of memory, change in emotional state, behavioural changes, confusion, seizures and visual disturbances.


If concussion is suspected or diagnosed then the athlete should be carefully monitored. They should not be left alone, allowed to drive or drink alcohol. They may use paracetamol for a headache (under advisement) but no aspirin or anti inflammatory medication. They should rest and avoid all strenuous activity.


With rest, most people fully recover from concussion. Some may take a few hours, others several weeks. Sport should not be commenced until all symptoms of concussion have gone and the player has been checked out by a doctor. Return to activity should be gradual and monitored.

Edinburgh Sports Injury Clinic

A child’s physiology and anatomy is different in many ways from an adult. Here are 10 differences:

A child’s physiology and anatomy is different in many ways from an adult. Here are 10 differences:

1) When a baby is born there are still gaps in the bones of the skull. The shape of the head can therefore be altered by constant pressure on it especially if the baby is always lying the same way in a cot.

Vitamin K and clotting factors are less in a newborn. Newborns are often given a vitamin K injection straight after birth.

2) The nerve endings in the retinas are not fully developed so blurred images and shapes are seen in the first few weeks of a baby’s life. A baby will generally only start to smile at you when he clearly sees you smiling. This may take a couple of weeks.

3) At birth a baby has approximately 300 bones. They are formed mainly by a soft, flexible material called cartilage. As a child grows the cartilage is replaced by bone and some bones fuse together. By adulthood (approximately 25 years of age) there are only 206 bones in the body. Being active and having a healthy diet assists with this process. At the same time however when playing certain sports, protective equipment should be used. For example:

A helmet during bike and horse riding, skateboarding and rock climbing.

Wrist supports, elbow and knee pads as falling is a possibility.

Shin guards for hockey and football.

4) Children have proportionately a larger body surface area than adults. They can lose heat quicker. Their heads are proportionately larger than an adult, and as most heat is lost through the head, it is more important that a child wears a hat in cold weather. It is also one of the reasons that a new born baby is given a hat to wear.

Babies and infants also have a small amount of subcutaneous fat. They do not have the same ability as adults to sweat and shiver. Young children are therefore heavily dependent on adults to control their body temperature.

5) This also works in the opposite way. A child can be prone to overheating and dehydration in a warm climate. Water absorption in the alimentary canal is also reduced. When on hot summer holidays always make sure your child has enough water to drink. Try to encouraging them to drink more than normal. By the time they feel thirsty, dehydration has begun.

6) Children have much smaller airways but a larger tongue .This increases the chance of respiratory difficulties

For the first 6 months a child will tend to breathe through their nose. This can make a cold and a blocked nose very dangerous.

Tonsils and adenoids grow very quickly in children. Infection here can cause swelling and can restrict the movement of air in the smaller trachea, making the condition of tonsillitis very dangerous.

7) Very young babies can’t cry as the gland responsible for tears (lacrimal gland) has not properly developed.

8) The metabolic rate of a baby is far greater than an adult therefor so is the production of Carbon dioxide.

9) The breathing rates, for age, are on average (per minute):

babies- 30- 40
toddlers  20-40
young children   20-30
older children    15- 20
Adults 10-15


10) The heart rate of a baby is much greater than that of an adult, whereas their systolic blood pressure is very low compared to their parents. As a child grows the heart rate gets slower and the systolic blood pressure rises. A boy’s heart rate is generally slower than a girl’s, and this is pattern is shown throughout all ages.


Here is a summary of the average measurements

beats per minute             systolic measurement

Under 1 year –       120                    85-105
2 years                    110                     95-105
4 years                   100                     95-110
8 years                     90                     95-100
10 years                   90                     100-120
14 years                   80                     110-130
16 years                   75                      110-130
adult                        72                      110-130

Jamie Calder Sailing ESIC

Jamie Calder wins UK Youth National Championships (Laser Radial Class )

A huge congratulation to Jamie on winning the UK Youth National Championships (Laser Radial Class ) . Check out Jamie, one of our sponsored athletes, on

Golfing injuries and back pain

Golf injuries and back pain

The 2016 Golf Season has officially begun, but are you physically ready after the long winter layoff?

You may think that because golf is a low impact sport that your chances of injury are low. However recent studies showed that 60% of professional golfers and 40% of amateur golfers suffered from an injury each season.

So with spring upon us and the golf season underway, it is very tempting to get your clubs out and just start playing. Before you do that and risk your golfing season ending early with a back related injury contact our clinic to arrange a consultation to discuss a range of core exercises to help reduce the risk of injury.

For more information click here Recruitment patterns for sport



Tension Headache – Causes, Symptoms & Treatments

A tension headache is probably the most common type of headache which people complain about. It can be so common that some people look upon it as being ‘normal’ or expected. They put it down to being a ‘headachey type of person’. It is though that 1 in 3 adults have tension headaches up to 15 times a month. Tension headaches often affect both sides of your head. You may feel pressure behind your eyes or at the top of your neck. Although they may make you feel slightly sick, they generally do not stop you getting on with your day. The cause of this type of headache includes; stress, poor posture, poor eyesight, inactivity, poor lighting, lack of food and water.

Tension headaches will generally mean that life style changes have to be made. Awareness of posture is paramount, and regardless of the treatment being sought, re-education of posture should be addressed. The body has to be mobile enough to get into the right position and strong enough to hold that position. Exercises to mobilise the joints and stretch the muscles should be combined with strengthening the core. Together they should assist in maintaining good posture.

Stress and anxiety also have a part to play. Yoga, massage and relaxation are all useful.

Age related changes to the spine (wear and tear) can also trigger a headache. At our clinic we use techniques such as deep friction massage, joint mobilisations, fascial release and muscle energy work to reduce the tension in the neck and head. Not only can these techniques ease pain, they promote a more normal range of movement which in turn encourages a better posture.

For more information on headaches Brain and Spine Foundation