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CrossFit Rehab – physiotherapy/acupuncture by Anders Agerbeck, CrossFit Copenhagen

How do your methods work?
The goal of physiotherapy/acupuncture is to alleviate pain syndromes or dysfunctions in the musculosceletal system. This is done by taking a detailed patient history, to assess the nature and severity of the injury. The history is followed by a thorough musculosceletal examination, to see if the patient has impaired movement of the affected area, reduced strength, a posture that can contribute to injury, or an imbalance in the muscles around a joint.
The treatment consists of joint mobilization or stabilization, instruction in correct posture and exercises to ensure correct coordination of the joint, exercises to strengthen the weak and prolonged postural muscles and stretching of the strong and tightened muscles. 
Acupuncture supplements physiotherapy very well. Acupuncture works by activating nerve fibres that will overrule the nerve fibres responsible for transmitting the pain on a spinal and cerebral level thereby reducing the pain. Also acupuncture causes capillary dilatation and increased local blood flow, which promotes faster tissue healing.  
How long have you been a therapist?
I have been a therapist since July 2007.
Whats the most typical CrossFit related problem that people have when they come to you?
The most typical CrossFit related problems I’ve seen are shoulder injuries and lower back injuries. Shoulder injuries due to instability of the shoulder and/or a shoulder with postural muscles and joint capsule not strong enough to meet the requirements of the chosen intensity. Lower back injuries due to a strain or sprain when doing heavy (5 RM or less) deadlift, push press or push jerk. If the athlete lifts too heavy a burden and so compromises the posture during the exercise, then the lower back is in danger of suffering an injury. 
How often should you get a therapy session?
In my opinion the best way to cure an injury is to prevent it, and the second best way to cure it is to start the treatment as soon as possible after the injury is sustained. You should seek a therapy session if you sustain an injury that doesn’t heal in a couple of days or if you feel like you are prone to sustaining an injury. This could be because of unusual or prolonged soreness after a workout or feeling of loseness or tightness of a joint.
A treatment course usually takes between 2 to 12 sessions in a period of 1 to 6 weeks. On average, I use 5 sessions in a treatment course. My general rule is that if my therapy hasn’t helped in any way in 2-3 sessions, I refer to somebody I believe more qualified or specialized to help that particular type of injury. 
Can your methods help crossfitters perform better in CrossFit workouts?
The athlete who manages to stay free of injuries and dysfunctions will on the long term perform better than the athlete who must periodically interrupt his or her training to treat injuries or dysfunctions, so in that way, therapy can have a beneficial effect on perfomance, although therapy does not offer any “shortcuts” to achieve a higher performance level.
Anything else you would like to add?
Train smart, listen to your body and if you have the misfortune to sustain an injury, don’t hesitate to contact a physiotherapist.
Anders Agerbeck
Agerbeck Fysioterapi
CrossFit Copenhagen
Griffenfeldsgade 7A
2200 København N
Phone: +45 20 89 45 62