Mental Wellbeing In Injury & Rehab. It All Counts.

Chelmsford Physio • August 4, 2021

Last week, USA gymnastics champion Simone Biles stood down from competing in the Olympics, citing both physical and mental health reasons. Biles’ story dominated the headlines but her public commitment to the importance of mental health should also highlight to all athletes the critical role that mental health plays in your ability to perform. 


Despite the growing recognition of the importance of mental health, in physiotherapy we commonly see people who don’t prioritise their mental wellbeing or consider its importance when trying to improve their physical health after an injury. 


In addition to addressing the cause of, and physical rehab for, an injury, you can make any recovery faster and more effective by taking care of your mental health. For example, in consultations with my clients, I usually break this down into a few manageable things to consider. 


Sleep 

It is a basic need. Sleep-deprived people often feel worse than those who are well-rested. It could also be a reason why, according to recent research, sleep deprivation increases sensitivity to pain and in fact makes us hypersensitive to activities that may not usually cause pain. This hypersensitivity could exacerbate symptoms of persistent and non-specific pain, such as neck and lower back pain.


The argument for the importance of sleep doesn’t stop there. Studies suggest that inadequate sleep impairs maximum muscle strength, athletic performance, concentration, mood and bone health. A large comparative study completed in 2018 by Bonnar et al tested athletes in a range of skill sets. It concluded that performance and health in the general population were improved with between seven and nine hours of sleep per night. However, in the athletic population, the benefits were much higher in those sleeping for up to ten hours per night.


For both physical and mental recovery, it is clear that getting a good night’s sleep is of prime importance and could even reduce your risk of injury in the first place.


Stress 

Stress is a huge contributor to your ability to heal. In our clinic, we often see patients who are under a high volume of stress take longer to improve or on occasions not improve until their stress levels are better managed. Unhelpfully, stress and injuries also work together, as a patient’s stress tends to be heightened by an injury or the injury itself is a stress.


It is entirely natural to have varying mental health whilst going through rehab or training. However, the key is monitoring your stress levels. Firstly, assessing your training plan to identify any potential triggers of increased physical stress. Secondly, constantly assessing and supporting your mental wellbeing. For example, rest days are critical for both physical and mental recovery. Finally, we know that we can’t remove all stress from our lives, so acknowledging them and creating strategies to tackle them is vital. 


Belief & expectation 

These two areas are critical. Understanding your beliefs about what caused your issue and what is wrong as well as your expectations about what you require to improve are very important. In a consultation, we aim to make sure that you understand both of these points and that both clinician and patient are as aligned as possible. If not, it is important to take time and explore the reasons for any differences in opinion and, by ensuring there is a two-way conversation, we can agree a route forward together. 


By way of example, you may have a muscular injury because of weakness and your Physiotherapist might feel this requires strength work and a structure loading programme whereas you could feel it needs passive intervention. Here, our beliefs and expectations are not aligned and could lead both parties to feel discouraged. By identifying this at the outset and working together to agree treatment, we can ensure that you are mentally invested in your recovery. 


Physical and mental health cannot be treated in isolation. Although some individuals often see a rehab journey as primarily physical, we strongly believe in the need for holistically treating the whole individual, both mind and body. 


By Chelmsford Physio • October 27, 2026
In modern physiotherapy, clinical expertise remains fundamental, but technology is transforming how we assess, monitor and guide rehabilitation. One of the most valuable innovations is the use of force plate technology, and at our clinic we utilise the VALD ForceDecks to provide objective, reliable data throughout a patient’s rehabilitation journey. Rather than relying solely on observation or subjective feedback, ForceDecks enable us to accurately measure how your body produces and absorbs force. This allows us to identify movement deficits that may not be visible to the naked eye, track progress over time, and make evidence-based decisions regarding exercise progression and return to activity. What are VALD ForceDecks? VALD ForceDecks are dual force plates that measure the forces generated through the feet during a wide variety of movements. Using highly sensitive load cells, they capture detailed information about strength, balance, power, asymmetries and movement strategies. Common assessments include: Countermovement jumps Squat assessments Single-leg balance testing Sit-to-stand testing Isometric strength testing Landing mechanics Hop testing for return-to-sport decisions Within seconds, the software analyses hundreds of metrics that provide clinicians with objective insight into a patient’s physical performance. Why Objective Assessment Matters Traditional physiotherapy assessments rely on observation, manual muscle testing and patient-reported symptoms. Whilst these remain valuable, they can miss subtle deficits that increase the risk of delayed recovery or re-injury. ForceDecks allow physiotherapists to quantify movement rather than estimate it. For example, following an ACL reconstruction, a patient may appear to squat evenly. However, ForceDecks often reveal significant offloading of the surgical limb, reduced eccentric control or delayed force production. These hidden compensations can then become specific treatment targets. Objective measurements also improve communication between clinician and patient. Seeing measurable improvements in strength or symmetry provides reassurance that rehabilitation is progressing, even when symptoms fluctuate. Monitoring Progress with Precision One of the greatest benefits of ForceDecks is the ability to track rehabilitation over time. Instead of simply asking whether someone feels stronger, we can measure improvements in: Peak force production Limb symmetry Rate of force development Jump height Landing forces Balance performance Weight distribution This enables rehabilitation programmes to be progressed based on measurable performance rather than arbitrary timelines. Improving Return-to-Sport Decisions Returning to sport too early remains one of the biggest risk factors for re-injury. Research has consistently demonstrated that persistent strength deficits and movement asymmetries can remain long after pain has resolved. ForceDecks help clinicians identify these deficits before an athlete returns to competition. Objective testing can assist with: Assessing readiness to return to running Evaluating landing mechanics Measuring explosive power Identifying left-right asymmetries Monitoring fatigue Reducing the risk of subsequent injury Rather than relying on a single test, ForceDecks contribute to a comprehensive return-to-performance assessment that combines physical capacity with clinical reasoning.
By Ben Jones • October 27, 2026
On 23 and 24 October, I represented Chelmsford Physio at VALDCon London, held at Lord's Cricket Ground. VALD makes the ForceDecks force plates and DynaMo dynamometer we use in clinic to measure strength, power and left-right balance. The two days brought together physios and sports scientists from elite sport, including England cricket, British Athletics and professional football. They shared how they use testing to guide rehab and return to sport. Here are the takeaways most relevant to you, and how we're bringing them into the clinic. 
By Chelmsford Physio • October 14, 2026
Based at Riverside Leisure Centre in Chelmsford, we are excited to introduce our ultrasound-guided injection service.