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The 4 basics Below is a very simple and quick outline on four basic principles that help with sleep. Get a Routine and Relax A ‘winding down’ routine can help prepare the body mentally and physically for sleep. Cut down distractions, especially electronic ones Think of 2-3 restful and soothing activities to make into a routine and signal ‘almost bed time’Example: Warm bath & gentle relaxing stretches, then get into bed. Write any worries, niggling tasks or concerns on a piece of paper before getting into bed and set it aside for the morning/ another day to resolve. Practice breathing…
Sleep is often viewed as one of the top 3 issues for people we see at the pain self-management service, and because sleep is so necessary to our health and general well-being it makes it a high priority in establishing the best quality of sleep possible. Click on the links below for helpful information The 4 basics  How to sleep well with pain Getting a good night's sleep Sleep problems guide The 4 basics Below is a very simple and quick outline on four basic principles that help with sleep. Get a Routine and Relax A ‘winding down’ routine can…
What is it? Pulmonary rehabilitation (PR) is a supervised programme of exercise and education, designed for the treatment of people with a long-term lung condition who are troubled by breathlessness.  Who is it for? If you have any of the following conditions you may benefit from Pulmonary Rehabilitation: • Chronic Obstructive Pulmonary Disease (COPD) • Interstitial Lung Disease (ILD) • Bronchiectasis Who and where we are we? The Pulmonary Rehabilitation services within Wye Valley NHS trust is run by the Physiotherapy team who deliver the Pulmonary Rehab programme to patients throughout Herefordshire.  It is currently based off site at Hinton…
Aromatherapy is a great way to individualise your birth environment and to help you feel more relaxed.  Relaxation is key in labour, as this can help you release more oxytocin - the love hormone which helps labour progression. The use of aromatherapy in labour and birth has been found to reduce the need for stronger forms of pain relief. One study found that the need for opioid pain relief reduced from 6% down to 0.4% (Burns et al, 2000). Aromatherapy is a complementary therapy that uses essential oils, derived from plants, for their therapeutic benefit.  The benefits are wide-ranging and…
When dealing with a chronic health condition or the management of persistent pain it is best to consult with a physiotherapist to find the best exercises that work for you. Persistent pain (over three months) should not be treated the same way as acute pain. Staying active and mobile Keeping active maintains fitness and improves physical and mental well-being, both of which are of critical importance in the management of pain.   An excellent resource by ‘HealthTalk’ challenges some of the myths related to pain and exercise. It includes videos and shared experiences of those living with persistent pain. Also,…
Occupational therapy provides practical support to empower people to facilitate recovery and overcome barriers preventing them from doing the activities (or occupations) that matter to them. This support increases people's independence and satisfaction in all aspects of life. "Occupation" as a term refers to practical and purposeful activities that allow people to live independently and have a sense of identity. This could be essential day-to-day tasks such as self-care, work or leisure. Occupational therapists play a critical role in helping people of all ages overcome the effects of disability caused by illness, ageing or accident so that they can carry…
Physiotherapists identify and maximise movement potential through health promotion, preventative healthcare, treatment and rehabilitation. Physiotherapy is an autonomous profession and practice is characterised by reflective behaviour and systematic clinical reasoning, both contributing to and underpinning a problem solving approach to patient centred care. Your Physiotherapist will: Assess current levels of function Identify treatment aims Devise and offer a treatment plan Liaise with and signpost to other professions where necessary Treat a wide spectrum of conditions including musculoskeletal, neurological, rheumatology, paediatrics, mental health, respiratory, palliative care and orthopaedic conditions. Accessibility / Acceptability Physiotherapy services can be accessed by all service users…
Francis Martin, chair Frances Martin became chair of Wye Valley NHS Trust on 1 April 2026, following previous roles at the Trust as non executive director and deputy chair. Having originally trained as a mental health nurse, Frances has spent the majority of her career working in senior leadership roles in health and social care. With a lifelong commitment to enabling joined up, ‘personalised care’, her professional roles have included working in acute, ambulance, community and primary healthcare in operational, regulatory, commissioning and strategic roles. Two years as sales and operations director in a manufacturing company expanded her knowledge of the…
Inflammatory arthritis activity can vary and there will be times when it is manageable and other times when you may experience flare-ups. A flare-up of your inflammatory arthritis may include symptoms such as worsening of joint pain, swelling, stiffness, fatigue and general “unwell” feeling. Flare-ups are unpredictable and can start suddenly or after an illness such as a chest or urinary infection or a stressful period (physical or mental). Triggers may not always be identifiable. You must seek urgent medical attention if you have a joint that becomes red, hot, swollen, and painful and a fever, as this may suggest…

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