17 May 2022
Edge Hill Graduate Paloma Gioia Hits the Ground Running
Society Member Paloma Gioia has kick started her Sports Therapy career by securing, not one, but two roles within high level football: Sports Therapist for England Schools FA Girls U15s International Football, and Head Therapist for Connah’s Quay Nomads Football Club – Cymru Football, National League of Wales.
Impressively, she has managed to achieve this, alongside setting up her own private practice clinic: PG Sports Therapy (Flintshire, Wales) within just one year of graduating from Edge Hill University!
We asked Paloma to tell us more about her different roles, how she secured them and what they each involve.
Tell us about your journey since graduating from Edge Hill University – How did you first get involved in high level football?
Since graduating from Edge Hill University, my life has been nonstop, definitely in a good way. I feel like my journey started from the moment I had my mind set on becoming a Sports Therapist. I gained a first aid qualification through the FAW and became Crowd First Aider at Connah’s Quay Nomads Football Club for all of their home games. I used to watch their First Team Therapist, and this was something I aspired to be.
I then applied to University, where the real hard work began. During year 1, I independently approached Connah’s Quay to observe their Sports Therapist during training and matches. Then through year 2, COVID-19 happened. It was really difficult to access placements through my University during this period, so again, I decided to reach out and find one myself at a more local football club. Despite the circumstances, this was probably one of my favourite placements, masked and gloved up with an apron on, taking players temperature checks and taking daily COVID checks, I was being exposed to an environment I wanted to work in.
As year 3 came, I was offered the position as the Academy Matchday Therapist for Connah’s Quay, this was perfect as it wasn’t too demanding so I could still focus on my dissertation and other exams, but it was allowing me to work pitch side and provide First Aid independently on the field of play to academy players at the club, where I had responsibility and a duty of care.
Soon following graduation from University, I was offered the First Team Head Therapist position at Connah’s Quay which I couldn’t believe as a new graduate! I was walking into the full time, professional Cymru Premiers back-to-back league champions as their Sports Therapist to assess, manage and treat all of their first team players as part of a multidisciplinary team alongside management staff, Sports Scientist, Strength and Conditioning Coach and Club Doctor. Some fellow classmates said to me ‘how can you do it, how do you know what to do?’ but I felt ready to embrace this new challenge, having worked so hard through University, getting a First and gaining confidence through all the experience I had gained over the recent years.
What would you say are some of the key differences, in terms of your practice as a Sports Therapist, when working with adult male football compared to youth female football?
Nothing changes clinically in regard to how I carry out my assessments or treatments. From a 15-year-old schoolgirl representing England, to your star footballer of the Welsh Premier League squad, I’m always performing the same role, but in a different environment. However,have noticed that psychologically I undertake a different role with the Youth Female athletes. I have noticed that this may be due to the increased pressure they experience at this age, potentially bringing on anxiety, which I have seen to be subconsciously manifested as an ‘injury’, after assessing the player. This may be related to the Female athlete experiencing hormonal changes at this age, affecting their moods, behaviour, and predisposition to injury.
In contrast, working with Adult Male Professional footballers, I have experienced many conflicts of interests between both management staff and players regarding player availability. This can happen both on and off the field of play, where a player has presented with enough clinical signs to be removed from the field of play but insists they remain playing, whilst the manager is on the touchline telling them to continue with play. My role is to always remain focused on the players safety and welfare with their best interests at the forefront of my mind. This sometimes proves difficult when I’m the only medical staff present, though this is a fundamental part of my role as a Sports Therapist and with hindsight this is more often than not respected when justifying my decision.
What about travelling internationally with the England U15’s – Do you travel as part of a multi-disciplinary team? Do you take on additional responsibilities which draw upon the breadth of your practice as a Sports Therapist?
Yes, the management team is made up of professionals across the UK who come together and travel to all international duties. We conduct meetings throughout the season in order to keep up to date, due to staff living so far apart and the Girls being at their home RTC’s.
When on international camps or tours, I am responsible for managing all squad medical records. These are all kept confidential and travel with me for data protection purposes and so that I always have them to hand to refer back to, as you always need things when you least expect it!
Prior to the event, I will liaise with each player’s RTC Physiotherapist, Sports Therapist or Doctor to make myself aware of a players injury status and establish if they are currently injured or undergoing treatment, to ensure a safe transition with their rehabilitation.
Each day, I will conduct a wellness check with each player. This covers questions regarding general health, symptom complaints, sleep quality and feelings. I feel this has been beneficial as it allows me to hold 1:1 conversations with players, giving them an opportunity to talk to someone whilst away from parents for a period of time, being aware of the FA Safeguarding Policy and demonstrating a duty of care.
You also find time to run your injury clinic “PG Sports Therapy” – what type of clients do you work with here? Athletes, general public, gym goers or a mix?
Having my own injury clinic and working within this sort of environment exposes me to a wide range of injuries from people of all ages from under 8 years old up to 78 years old. The type of patients I work with include a mixture of sporting and non-sporting populations.
I have worked with sporting athletes, both recreational and elite, such as gymnasts, Olympic weightlifters, footballers, rugby players, ex-Olympic skiers, netball players, figure skaters, dancers, musical theatre performers, boxers, and martial artists. Non-sporting athletes include your regular gym goers, office workers, nurses, dentists, magistrates, and teachers.
All of these patients present with different injuries, some including post-ACL reconstructions, ankle arthroscopies, patella degenerations, lower back pain, neck injuries, fat pad syndromes, nerve impingements, wrist fractures and plenty more! Though I get a lot of knee injuries which present as the same ‘textbook injury’, it highlights the importance of a thorough assessment as each injury presents differently even if they sound the same subjectively, which then changes my justification for treatment.
You’ve achieved a lot in a short period of time since graduating – what top tips would you give to SST Students who are approaching the end of their degree studies and hoping to seek employment in the coming months?
My top tip would be going the extra mile in everything you do. Throughout University, I always aimed to increase my knowledge surrounding different areas of sports therapy. I did the work, I engaged in extra reading, actively engaged with the SST website, completed tasks, made my essays that bit more challenging by pushing myself because I aspired to be an autonomous practitioner.
As a student I gained exposure within different clinical settings that I could potentially work in during the future. Yes – sometimes it was daunting and yes, I thought at times “how am I ever going to be like the therapists I am observing?”. I knew that by doing that extra reading or getting that experience, whether it be observational, hands-on, or even practising your skills at home with parents, it all adds up and makes that extra difference.
University is like the foundation before you journey as a full member of the Society really begins. Since University last year, I have learnt so much, which I’m now sharing with students whom I have taken on myself for placements. I don’t think I will ever get to the end of learning because there is just so much literature and evidence out there which is always changing, but as long as you know that you have done everything you can for yourself, exams, placements, etc. you’re in the right direction for success!
Photograph credit: Nik Mesney – NCM Media
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