I r
ecently
hur
t
my
knee
playing
fo
otball
and
I8217ve
hadi
t
diagnosed
as
adamage
dAC
L.
Will
Ineed s
urge
ry
?
This
depends
largely
on t
he
extent
of t
he
damage
and w
hat
symptoms
if
any
you
are s
till
experiencing.
A
part
ially
torno
r
deficient
AC
L
(Anterior
Cru
ciateLigament)
usually
does
not
require
reconstr
uction.
However,a
complete t
ear
or
ru
pturem
ay
need s
urgery
if y
ou
are
experiencing
functionalp
roblems
suchas
gi
ving w
ay
and
instability
.A
ru
pturei
s
usually
associated w
itha
loudaudible
8216pop8217
and
immediate
swelling
due t
o t
he
AC
Lb
eing
intra-
art
icular
or
8216within t
he
joint.8217
Due t
o
the
natureo
fi
njur
y
mechanism
whichi
s
usually
a r
apid
change
in
direction
or
twist,more t
hanh
alf
of
AC
Linjur
ies
arecomplica
ted
by
associated
damage t
o s
ur
rounding
tissues
suchas
other
ligaments
or
cart
ilage.
Successful r
ecovery
from
knee
injur
ies
and s
urgery
r
equire
specific r
ehabilitation s
tart
ing w
ith
reducing t
he s
welling
and
increasing
range
of
mo
vement
and
mo
ving
onto
prog
ressive s
trengthening
and
finally
the r
etur
n t
op
revious
activities
such
as
football.
Canp
hysiotherapy
help w
ith w
hiplash?
The s
imple
answ
er
is
usually.However
it
depends
on y
our
symptoms.
Whiplashi
s
a r
elatively
common
cause
of
neckp
ain u
sually
associated w
ith
road t
raffica
ccidents,b
ut
sometimes
with s
port
ing t
rauma.
Whiplashassociated
disorder
(WA
D)i
ncludes
neck,shoulder
and
armp
ain,dizziness,headaches,
tingling
and t
hroat
pain.
The
extent
of
the
damage
is
largely
due t
o t
he s
peed
and
angle
of t
he
impact
plus
the
position
of y
our
neck.
For
example,in
aheado
ncollisio
n,the
body
is
stopped
abru
ptly
but
the
head
continues
tom
ove r
apidly
forw
ards
stretching t
he
ligaments
and
muscles
beforebeing t
hrownbackwards
which
cano
ften
causecompression
of t
he
spinalj
oints
.
Damage
may
alsoo
ccur
too
ther
str
uctures
part
icularly
if y
our
headi
s
also r
otated
at
the t
ime
of
impact
whichcauses
afur
ther
increasei
n
strain.
Initial t
reatment
should
include
consultation w
ith y
our
doctor
for
prescription
of
appropriatem
edica
tion
if r
equired.
Physiotherapy
can t
hen
be
start
ed
and w
ill
focus
mainly
on t
he
restoration
of
normalm
ovement
through
exercises.Theseareo
ften v
ery
uncomfort
able t
o s
tart
w
ithbut
will
ultimately
increase y
our
mo
vement,
therefore r
educing y
our
muscle s
pasm
and
pain.
9679
For
quality
and
convenient
healthcarei
n t
he
comfort
of y
our
ownh
ome
or
workplace,c
ontact
Ross
Tomkins
MC
SP
at
Therapy
Direct
Ltdo
n(
0191)
477-3776
or
info@therapydirect-uk.comTA
LK
WITH
CONSUL
TA
NT
PHY
SIO
THE
RAP
IST
RO
SS
TOMKINSBO
DY
ARRIA
GE
is
boring.
Desperately
boring
,
desperately
predictable.
Ic
ame t
o t
his
not-so-outrageous
conclusion
after
a r
ather
familiar
argument
in
volving
global w
arming.
So,for
anyone w
ho
canbear
with
me
for
possibly
the
most
mundane
passage
of
prosee
ver
wr
itten,what
follo
ws
is
mine
and
my
husband8217
s
tr
uly
scintillating
daily
routine8230
Chris
gets
home
from w
ork
beforem
e.
He r
uns
a
ba
th u
sing
green
8216stress
relieving8217
Rado
x,
possibly
bought
from
the
corner
shop
if
he
is
lo
w
on
suppl
ies.
After
quickly
checking t
he
football
gossip
on t
he
Sky
News
website,he w
ill
hop
into t
he
ba
thand r
eadNuts
or
Zoo
,a
lsobought
at
the
corner
shop
.
After
relaxing
for
20
minutes
or
so
he
dries
off
and
goes
for
aquickl
ie
do
wn.
Follo
wing
aquickk
ip
he w
anders
do
wnstairs
,c
racks
open
aS
tellaa
nd
plonks
himself
in
front
of t
he t
elevision.
Ia
rr
iveh
ome.
I s
ca
venge
about
the
kitchen
like
a
madmanl
ooking
for
something
,
anything
,to t
hrow
intom
y
mouth.
Ifind
a r
ather
unappetising
cart
on
of s
oup/ready
meal,sho
vei
t
in t
he
microwaveand t
ake
it
through t
o t
he
front
room
on
a t
ray.
Ifeel t
horoughly
disappointed
at
what
Ihavej
ust
consumed,even
if
it
was
in r
ecord t
ime,a
nd
Idid
lick t
he
plate.
The
follo
wing
argumen
t
then
ensu
es:
Me:"I8217m
not
watching t
he
football/cricket/dart
s.
Him:"I8217m
not
watching
Gossip
Girl/
Ka
tie
and
Peter:T
he
Next
Chapter/
The
Hills."
We s
ettle
on s
omething
neither
of u
s
really
wants
to w
atch,usually
in
volving
SarahBeen
y.
We v
egetate,possibly
after
getting
a
Chinesechicken
cur
ry
,extra s
picy
with
no
mushrooms,from
Happ
y
Va
lley
restaurant.
Fa
st-forw
ard t
woh
our
s
and
Chris
is
ready
for
some s
leep
.
He w
anders
u
pstairs
,opens
every
windo
w
in t
he
houseand
gets
intobed.
Iput
the
alarmo
n,wander
upstairs
and
closee
very
w
indo
w
in t
he
house.
Igi
veh
im
alectureabout
the
heating
being
on,wasting
money
and
global w
arming.
Ic
limbintobed.
We s
leep
.
Botho
f u
s
wake u
pafter
Chris
presses
snoozeo
nh
is
alarmf
or
the
four
th t
ime.
Chris
has
amuche
arlier
start
t
han
me s
oIlanguishi
na w
armand
cosy
bed.
He r
attles
around t
he
house,
bru
shing t
eeth,sort
ing
hair
and
getting
dressed.
Ifall
in
and
out
of
consciousness,
only
tobeawoken
by
a t
oo-cheerful-
for-this-time-of-morning
Chris.
He w
ants
to s
ay
goodbyeand
gi
ve
me
akiss
.
So y
es.Marr
iage
clearly
is
boring.
Very
boring.
It8217s
alsop
redictable
and
sometimes
extremely
anno
ying.
But
all
it
takes
is
that
goodbyek
iss
to r
emind
me
exactly
why
wed
id
it.
And
I w
ouldn8217
t
sw
ap t
hat
for
the
world.WeddedBLISS?By
MiekaS
milesM
Email
me
at
Mieka@citylivingnortheast.co.ukCITYLIVING35
Page 1Page 2Page 3Page 4Page 5Page 6Page 7Page 8Page 9Page 10Page 11Page 12Page 13Page 14Page 15Page 16Page 17Page 18Page 19Page 20Page 21Page 22Page 23Page 24Page 25Page 26Page 27Page 28Page 29Page 30Page 31Page 32Page 33Page 34Page 35Page 36Page 37Page 38Page 39Page 40Page 41Page 42Page 43Page 44Page 45Page 46Page 47Page 48Page 49Page 50Page 51Page 52Page 53Page 54Page 55Page 56Page 57Page 58Page 59Page 60Page 61Page 62Page 63Page 64Page 65Page 66Page 67Page 68Page 69Page 70Page 71Page 72Page 73Page 74Page 75Page 76Page 77Page 78Page 79Page 80 Produced by PageSuite