Welcome to our site. We provide musculoskeletal therapy, rehabilitation, performance training and education to members of the public and health and fitness professionals via one-to-one appointments and both formal and informal group workshops. Start here if this is your first visit.

Fit for LIFE

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Feeling well begins with being as fit for life as possible, as life is the foundation that everything else is built upon. It is quality before quantity. It is the efficient, fundamental function of your body. It is well aligned posture and movement competency. It is balance and control. It is resilience to the day-to-day tasks and the stresses and loads life places upon your body. Develop a better functioning body and you'll become better at whatever you choose to use that body for!

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Fit to MOVE

Fit to move builds upon a sound foundation by placing increased demands upon the body to develop enhanced levels of control, strength and endurance across more demanding and complex movement patterns. It is increased resilience and the capacity to master control of oneself. Fit to move is tuning the high performance human.

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Fit for PERFORMANCE

Fit for performance focuses on the development of high level activity-specific attributes. Be it for your sport, the physical demands of work or that challenging event you've signed up for. Injury typically increases with activity specificity, particularly when combined with repetition. Fit for performance provides the capacity to perform at extremes whilst minimising any compromise of technique, control and subsequent risk of injury.

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18 September 2022
** usual opening caveat: it is well beyond the scope of this short piece to address myriad pretexts and contexts and as such this represents one opinion aimed at ‘most people, most of the time’. Today is a little introduction to some of the lovely sounding words which the training and rehabilitation industry has enjoyed using, and over-using, for the last ten or fifteen years. This is not with a view to being critical of the concepts. Neither is it to disparage their use. It is only to hopefully add a little clarity and simplicity to some terms and ideas which have, in some cases, been used to complicate and pizzazzify* things unnecessarily. *the irony of making up such a word in the opening paragraph I love all the topics I’ve listed but let’s keep things simple. Physiology and Biomechanics Shorter version: I mention these together as they come as a great pair. In this context, physiology and biomechanics are, simply put, the study of human structure and movement. They are not secret witchcraft and neither are they necessarily ‘advanced’. I remember once being confidently informed by a lovely lad that his approach was “biomechanics-based”. That’s a little like describing a kick as “leg-based”. Every single motion of the human body can be described using physiology and biomechanics. They are not branches of advanced movement; they are every movement. Longer version: Physiology; the study of the functions of every structure of the body. Whilst we (we speak for ourselves here) are most concerned about the function of bone, ligament, tendon and muscle, the study of physiology pertains to the function of every single cell in the body and includes every function of those cells. Biomechanics; the study of the mechanical element of all body systems although we (speaking for ourselves again) are primarily interested in how the mechanical function of bones, muscles, tendons and ligaments interact to produce force and movement and how we can manipulate that function in order to improve health, wellbeing and performance. In simple terms, if we understand anatomy, physiology and biomechanics we become better equipped to manipulate the development, transference and control of the forces which the body can produce and as such move more efficiently whether getting up from a chair or running a marathon. Fascia We’ve been told to train it, release it, mobilise it and had it impressed upon us that it holds the key to our dreams and our demise but what on earth is this mystical web of ‘funkshunul’ goodness and is it true that one of the Kardashians has got two? Shorter version: essentially, fascia is a web, or a net, of tissue which surrounds all the muscles and bones of the body. There are deep layers of this net around muscle fibres and bundles of muscle fibres, a mid-layer around individual muscles and a more superficial layer around groups of muscles. If you were to imagine a very dense spider web, this is how your fascia would look if you could remove all your bones, and muscles and organs. A web of sheets and strings of tissue. Longer version: Fascia is made by, and surrounds, all our cells and runs from our heads to our toes in one continuous system. Far removed from the notion that one muscle with distinct attachments directly affects one or two joints, a knowledge of fascia has helped us view the body and our capacity for movement in a more holistic manner (‘Holistic’ should have a paragraph of it’s own). Even the layers described above are not truly distinct layers, they are all part of one connected system of tissue which transmits information about where we are in space, how much tension there is in any given part of our body and transmits and responds to forces and motion to facilitate movement by modulating the amount of tension around the body and holding everything together. Fascia transmits information around the body and is a means of communication between different body segments with over 5 times as many nerve endings in fascia than in your muscles. Similar to muscles however, it can add elasticity to movement and can remodel itself according to the demands placed upon it. Kinetic chain Short version: This is another term which has developed an association with “advanced” movement and exercises and in spite of being born around the 1950s is often viewed as new (and sparkly). In it’s most fundamental form, the kinetic chain describes the fact that the body is a stack of segments each with it’s own attributes and potential contributions to movement. As such a strong consideration for whether each segment is behaving as per it’s capacity and contributing to movement proportionally is key to efficient motion. A good starting point for this consideration is whether the stable segments are stable and the mobile segments are mobile; both statically and, crucially, dynamically.  For the slightly longer version you can read a little more about that here There are of course many more examples of over-egging the pudding but these have definitely grown to be the ones I hear the most. In an industry where there is more than ample opportunity to come across confusing, ill-interpreted, “beefed up” information, it’s more important than ever that professionals avoid bulking out explanations with unhelpful sparkle and pizzaz. Just to reiterate, I love all the things listed above but I firmly believe knowledge is best shared narrow and deep not wide and shallow. We need to brush off the glitter and impart better understanding. Causing a state of bewildered admiration might massage the ego but it does nothing for clients, patients and students. Let’s keep it simple. I hope that helps.
1 February 2022
** usual opening caveat: it is well beyond the scope of this short piece to address myriad pretexts and contexts and as such this represents one opinion aimed at ‘most people, most of the time’. What is plantar fasciitis (PF) and what is the plantar fascia? PF is a painful inflammatory foot condition affecting the sole of the foot resulting from repeated wear and tear of the plantar fascia; a thick sheet of tissue similar in nature to ligaments which spans the sole of the foot with attachment points at the heel and the balls of the feet/base of the toes. It’s role is to provide support to the medial longitudinal arch (MLA) of the foot. The foot actually has four arches but the MLA is the one we typically refer to as the arch of the foot as it is this arch which provides most of the characteristic arch shape we see on the sole of the foot. What causes PF? Whilst the factors associated with PF are numerous and complex, the majority of people experiencing this condition demonstrate some kind of biomechanical dysfunction which ultimately overloads the plantar fascia, eventually causing problematic wear and tear. This commonly includes dysfunctional patterns of gait, high arches, flat feet and tight muscles in the feet and lower leg. As stated though, these factors can occur for a multitude of underlying reasons. Given this complexity and the fact that feet rarely, if ever, get a day off and PF can often be very difficult to treat without considerable effort and dedication to the cause. Add to these dysfunctions, a hard sport or lots of recreational running and it might be enough to tip your plantar fascia over the edge. On the plus side, conservative interventions to improve movement control and function brings relief to almost 80% of PF cases. Have I got PF? PF typically presents as a gradually increasing pain at the front underside of the heel toward the inside edge of the foot. It will likely be tender when applying pressure to this area and pain may increase when the toes are dorsiflexed (pulled back) causing the fascia to stretch; such as when standing on the tip toes. Pain is often worse immediately upon moving after a period of inactivity – such as first thing in the morning - and eases off after a short while of moderate activity but returning later in the day after prolonged walking or more intense activity. The ankle and calves may feel tight and the arches of the feet could appear to drop or remain unusually high when weight bearing.  If this sounds familiar it will be worth finding a suitable professional to help with an accurate diagnosis in order to differentiate between PF and other common foot related issues including stress fractures, damage to your fat pad, bursitis and tendonitis in the achilles or big toe. Treatment and exercises are solely – pun intended – dependant on the underlying cause and as such won’t be included here but watch out for some general advice on flat arches, bare feet and similar coming soon….. I hope that helps. Remember: pain doesn't always mean STOP but it's a good idea to PAUSE until you find out what it does mean, just in case.
19 January 2022
** usual opening caveat: it is well beyond the scope of this short piece to address myriad pretexts and contexts and as such this represents one opinion aimed at ‘most people, most of the time’. The hexbar deadlift The hexbar deadlift is an often overlooked, underappreciated exercise which is suitable for many more people than it gets credit for. Myself and my friends and colleagues have used this exercise extensively with a full spectrum of clients for many, many years. Now, just to be clear, I don’t have any issues whatsoever with the more traditional straight bar deadlift; it’s a fantastic exercise for many reasons…. but… the hexbar (often referred to as a trap bar) presents us with an option which for many people, is safer, more appropriate and requires less time to perfect. Let’s begin with hip motion. The internet provides us the endless debate as to whether the deadlift is a back exercise or a leg exercise. In fact, it is said that the hieroglyphic characters discovered inside Tutankhamun’s tomb meaning ‘leg’ and ‘back’ are both represented by the depiction of a deadlift. Suffice it to say, this is not a new debate. My response to this question is that the deadlift is a hinge exercise. The hinge occurs at the hip. When the load (barbell/hexbar/kettlebell etc) is held in the hands the hinge motion comes from the hips and legs and the load is supported and maintained by the back and as such it is BOTH a leg and back exercise. How people choose to include deadlifts in their program is another debate entirely and ultimately depends on many individual factors; that’s definitely one for another day. The important point for today is that the movement occurs at the hip. With that in mind, the further forward the load is, the greater the sheer force experienced by the spine, in particular the lumbar spine. Whilst the lumbar spine is capable of withstanding sheer force (force transmitted across the spine), those large, wide vertebrae are most suited to withstanding axial load i.e load transmitted vertically down the spine as opposed to across the spine. In short, the hexbar exposes the lumbar spine – and the hip - to less stress because the weight is closer to the side and not as far forward out in front of the body. For most people, that’s a plus. Technical advantages Most of us in the gym/rehabilitation setting aren’t competitive powerlifters. With that in mind, the hexbar deadlift offers us a lift which utilises upper body mechanics which are closer to that which we find familiar in our daily use. Consider carrying several bags of heavy shopping on either side having picked them up from close to the sides of your body. That’s fairly close to the hexbar. The hexbar deadlift also requires a more upright torso than a conventional deadlift which could help to negate some of the risk of ‘rounding’ of the spine often associated with a poorly executed deadlift. These factors potentially make the hexbar deadlift easier to learn and safer to perform for most people. In addition to this, if the worst was to happen and something did go wrong, the hexbar offers a safer option to abandon mid lift due to the shape of the bar offering a safer space for the lifter to remain unaffected by the falling bar when compared to the straight bar which is more likely to contact with the lifter’s legs during a direct vertical drop to the floor. One other notable advantage to the hex bar is that many recreational lifters make rather a mess of ‘finishing’ the deadlift by hyperextending the low back without managing to achieve full hip extension. This is an area the hexbar offers greater ease due to the fact that at the terminal point of the lift the bar is still being lifted ‘upwards’ and not being pulled ‘upwards and inwards’. Considerations It is, of course, certainly not perfect and many people performing deadlifts are doing so with a view to working the hip and posterior chain of muscles and the hexbar does transfer more of the effort to the quadricep muscles than a traditional straight bar deadlift. This could be overcome using supplementary barbell hip thrusts or even the Glute Ham Developer. In summary, the hexbar offers several advantages for most people who have the desire to lift relatively heavy weights from the floor in a safe and relatively easy-to-learn way. Why not add it into your programs or at least give it a go and see what you think. I hope that helps. Remember: pain doesn't always mean STOP but it's a good idea to PAUSE until you find out what it does mean, just in case.
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Testimonials

Prehabilitation to rehabilitation

I value Zak not only as someone who looks after my wellbeing but as a friend who puts himself before others. Zak managed my transition from a worn out hip to a shiny new one. He prepared me for the hip replacement and helped with a faster recovery. His holistic approach is backed up by his skills in many areas. My wife and I had already been his clients for years before.  We had benefited from his skills of diagnosis, treatment and analysis of outcomes. As I was getting worse waiting for a hip replacement, he slowed my decline.  He gave me exercises to keep me mobile, strengthening muscles around my hip.  This reduced the pain I experienced. He did therapy on leg muscles which were working harder. He used Kinesio tape to support muscles around back and knees. The benefits of his work were demonstrated on the day after my operation.  I was able to impress the hospital physio and the NHS wanted to send me home that evening. After the operation, he concentrated on making me walk properly.  This impressed the post op NHS physio who thought my movement and my response to new exercise was really good. Zak is to blame for both of these.

I would recommend Zak not only as a PT, but as a therapist, his dietary advice, and councillor.  He sees you not as a body part with a problem but a whole person.


A A. Sheffield


I have worked with Zak for a few years now, having seen him work with clients for many years before that. I began 121s for core and alignment. What I didn't realise was how much more I would gain! I learn so much in every session, not just about anatomy and my body but also from Zak as a wise and wonderful human being. I've gained confidence in body movement when Zak challenges me which has given me the confidence to try new things. He has an amazing understanding of movement and the body and is keen to help me understand this too. I say that everyone needs a bit of Zak in their lives. As a wellness coach and personal trainer myself, I refer my own clients to Zak and would recommend his services to anyone. Even if your goals are to simply move better, prevent injury, have someone review how you move, you will find you get your money's worth time and time again and who doesn't want to live to their 80s and 90s and still be as active as ever? I certainly do! Thank you Zak for your part in that.


HF, Health and Fitness Professional

I originally attended a workshop relating to movement hosted by Zak in my local gym and was genuinely staggered by the quality of the information. Having spoken to many therapists, doctors and consultants I asked a question about an existing knee issue and I was given information and advice I had only ever received once before by my final consultant who was reputed to be the UK’s top knee specialist and who’s status was definitely reflected in his fees. I would highly recommend Zak as a first port of call for such consultations. If I'd found him sooner I would have saved hundreds and hundreds of pounds and have gotten to the bottom of my problem much sooner!


RG, Workshop Attendee 

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