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Find neuropathy relief with doctors preferred treatment for neuropathy in legs and feet in Pennyhill, DE

For many Americans, living with neuropathy is one of the greatest challenges they face. Present in about 8% of people around the world, neuropathy - or peripheral neuropathy, to be more accurate - can affect anybody. In the United States alone, there are more than 40 million people with neuropathy, with health costs surpassing $4 billion each year. Approximately 10% of people over 40 years of age get neuropathy, as do 50% of diabetics and 20% of patients receiving cancer chemotherapy. In fact, the number of people with neuropathy is only increasing as diabetes becomes more common, the population ages and people with HIV/AIDS live longer.

While some patients have a higher risk of developing specific types of peripheral neuropathy, it does not discriminate between race, sex, age, personal circumstances, or medical history. Fortunately, neuropathy awareness is growing, and by proxy, so are new treatment options. If you've been suffering from the symptoms of neuropathy and are in search of a solution, Kennedy Health Clinic can help with our doctors preferred treatment for neuropathy in legs and feet in Pennyhill, DE. From advanced therapies to state-of-the-art technology, we utilize the latest advancements in pain management to help you regain your quality of life.

But to truly understand how neuropathy treatment can help, it's important to first understand the disease and how it affects your nervous system.

Peripheral neuropathy is a term used to describe nerve disorders that affect a specific part of your nervous system. There are several conditions that can lead to peripheral neuropathy, resulting in a variety of symptoms. The symptoms and the body parts affected by peripheral neuropathy depend on the underlying cause.

Peripheral neuropathy can manifest in a variety of ways. It has the potential to impact a single nerve, a group of related nerves, or numerous nerves in several areas of the body. The specific symptoms will vary based on which type of nerve signals are affected, and it is possible for multiple signal types to be involved.

Symptom types include the following:

  • Sensory and Pain
  • Motor
  • Autonomic

Now that we've covered some of the most difficult symptoms to live with when you have neuropathy, you're probably wondering how Kennedy Health Clinic can help. Before recommending treatment, your neuropathy doctor will suggest one or more diagnostic tests for a full-body analysis. Doing so will help our team provide better neuropathy treatment for both short and long-term needs.

People living with neuropathy have to deal with difficulties that most men and women in America don't ever think about. It's understandable, then, that they may become tired and even depressed because of their condition. That's where Kennedy Health Clinic steps in - to provide advanced neuropathy treatments and, ultimately, enhanced quality of life.

Living with nerve pain can be incredibly challenging. If you've been experiencing it for a long time, you may feel hopeless, sad, angry, or even depressed due to the constant pain. This can cause you to withdraw from the people you are close to and stop doing the things you used to enjoy. If you're struggling to cope with the emotional impact of your nerve pain, here are three suggestions on how to take charge of your emotions and gain new perspectives.

At Kennedy Health Clinic, we're dedicated to improving the overall health and well-being of our patients. We offer effective pain management treatments and holistic healing options to provide comprehensive care. Our commitment to our patients has made us a trusted partner in health and wellness - and we're ready to help you, too.

If you're suffering from nerve pain or other symptoms due to neuropathy, it's time to seek professional help. Our advanced neuropathy treatments are tailored to your body, your health needs, and your neuropathy goals. That way, we can give you the most effective and efficient care possible. When you trust our team of knowledgeable doctors, you're taking the first step toward a normal life without the painful surprises caused by neuropathy. Contact our office today to get started.

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Neuropathy 101

Peripheral neuropathy is a term used to describe nerve disorders that affect a specific part of your nervous system. There are several conditions that can lead to peripheral neuropathy, resulting in a variety of symptoms. The symptoms and the body parts affected by peripheral neuropathy depend on the underlying cause.

Neuropathy Treatment Pennyhill, DE

The Anatomy of Neuropathy

The nervous system in the human body is divided into two parts - the central nervous system and the peripheral nervous system. The central nervous system comprises the brain and spinal cord, while the peripheral nervous system includes all other nerves present in the body. That includes those that travel from the spinal cord and brain to supply the face and other parts of the body.

Whenever there is any condition that affects the peripheral nerves, it is referred to as peripheral neuropathy. Healthcare providers often use the terms "neuropathy" and "polyneuropathy" interchangeably with "peripheral neuropathy." It is important to note that peripheral nerves, being the farthest from the central nervous system, tend to show the earliest and most severe effects of these conditions.

How Does Neuropathy Affect Your Body?

In order to comprehend the impact of peripheral neuropathy on your body, it's useful to have some knowledge about neurons - a crucial type of cell that forms your nerves. These neurons utilize electrical and chemical signals to transmit and relay messages throughout your nervous system. Each neuron in your body is made up of the following:

 Neuropathy Clinic Pennyhill, DE

Cell Body

A cell body is the primary part of a cell.

 Neuropathy Doctor Pennyhill, DE

Axon

An axon is a long, arm-like projection that extends from the cell body of a neuron. At the end of the axon, there are several finger-like extensions called synapses, which convert the electrical signal in the neuron into a chemical signal. These synapses then transmit the signal to other nearby nerve cells.

 Neuropathy Therapy Pennyhill, DE

Dendrites

Dendrites are small, tree-like extensions on the cell body that receive chemical signals from nearby neurons' synapses.

 Neuropathy Treatment Center Pennyhill, DE

Myelin

This is a protective covering made up of thin, fatty chemical compounds that surround the axon of many neurons.

Neuropathy Treatment Pennyhill, DE

The development of peripheral neuropathy and how long it takes depends on its underlying cause. If the cause is an injury, it can develop instantly or within a few hours. However, some forms of peripheral neuropathy caused by toxins or inflammation may develop rapidly over days or weeks. In contrast, most other conditions that cause peripheral neuropathy take months, years, or even decades to develop. Regardless of the cause, modern advances in medicine give patients hope for recovery, using doctors preferred treatment for neuropathy in legs and feet in Pennyhill, DE.

The Most Common Symptoms of Neuropathy

Peripheral neuropathy can manifest in a variety of ways. It has the potential to impact a single nerve, a group of related nerves, or numerous nerves in several areas of the body. The specific symptoms will vary based on which type of nerve signals are affected, and it is possible for multiple signal types to be involved.

Symptom types include the following:

  • Sensory and Pain
  • Motor
  • Autonomic

Curious what type of symptom you or a family member is suffering from? Let's take a closer look at each type of symptom below.

Motor Symptoms of Neuropathy

The peripheral nervous system in your body carries motor signals that originate in your brain and are sent to your muscles. These signals allow you to move around and carry out various physical activities. For your muscles to remain healthy and function properly, they require nerve connections to the brain. Some motor symptoms include:

 Neuropathy Clinic Pennyhill, DE

Atrophied Muscles

Nerve connection loss causes your muscles to weaken and shrink. With peripheral neuropathy, this happens most often in your lower legs, feet, and hands. Occasionally, patients will experience deformities in their hands and feet due to muscle loss.

 Neuropathy Doctor Pennyhill, DE

Muscle Paralysis and Weakness

Muscle weakening is a common issue caused by nerve deterioration from peripheral neuropathy. This condition can result in paralysis, making it difficult to move toes or causing foot drop and hand weakness. Additionally, it can also affect muscles in other areas of the body, such as the thighs and arms.

 Neuropathy Therapy Pennyhill, DE

Uncontrollable Movements

When nerves lose a connection to your brain because of your neuropathy, they can become hyperactive, resulting in uncontrolled muscle movements and cramps.

Autonomic Symptoms of Neuropathy

Did you know that your body has several processes that happen automatically without your conscious effort? These automatic functions are known as autonomic processes, and they include things like sweating, digestion, and blood pressure control. Autonomic nerve fibers are responsible for carrying signals for these automatic processes. However, disruptions in these signals can cause your body's automatic processes to malfunction. Some of these processes may work intermittently, while others may not work at all.

Some autonomic symptoms of neuropathy include:

 Neuropathy Treatment Center Pennyhill, DE

Changes in Blood Pressure

Your body naturally regulates blood pressure, but damage to your peripheral nerves can cause sudden drops in blood pressure or increases in heart rate, especially upon standing up.

Neuropathy Treatment Pennyhill, DE

Bladder and Bowel Issues

Autonomic signals control bowel and bladder function involuntarily. Nerve fiber disruption from neuropathy may affect your ability to control your bladder and bowel movements.

 Neuropathy Clinic Pennyhill, DE

Issues with Sweating

Your body has a natural mechanism to regulate its internal temperature, which involves sweating to dissipate heat. However, if you suffer from peripheral nerve damage, it can disrupt this process and cause you to sweat excessively or not enough.

 Neuropathy Doctor Pennyhill, DE

Intimacy Dysfunction

Sexual dysfunction is a known symptom of neuropathy because your autonomic nervous system is in control of your sexual arousal.

Sensory Symptoms of Neuropathy

Your peripheral nerves are responsible for transmitting information about the outside world to your brain in the form of nerve signals. This information is then processed by your brain, allowing you to sense and perceive the world around you. However, when you have peripheral neuropathy, it can interfere with your ability to pick up sensory information or communicate it with your brain, leading to disruptions in your senses

 Neuropathy Therapy Pennyhill, DE

Numbness

This is one of the most common symptoms of neuropathy and is caused when your nerves can't relay or send signals properly, causing sensation loss.

 Neuropathy Treatment Center Pennyhill, DE

Pain

Peripheral neuropathy can result in nerve damage that affects the way pain signals are sent, causing pain signals to be more intense (hyperalgesia) or triggered too easily (allodynia). It can even cause nerves to generate pain signals spontaneously, leading to what is known as "neuropathic" pain. Patients cite this as the most disruptive and challenging symptom of peripheral neuropathy.

Neuropathy Treatment Pennyhill, DE

Tingling

When your nerves can't carry signals to your brain properly, it can cause tingling. Think of it like radio static that you hear when you're losing a radio signal.

 Neuropathy Clinic Pennyhill, DE

Problems with Balance

Did you know that nerves help your brain keep track of where your hands and feet are? Even though you may not realize it, these sensations are crucial for your balance and coordination. If you lose these sensations, you might struggle with balance, especially in the dark, and have trouble using your hands.

Types of Diagnostic Testing Needed for Doctors Preferred Treatment for Neuropathy in Legs and Feet in Pennyhill, DE

Now that we've covered some of the most difficult symptoms to live with when you have neuropathy, you're probably wondering how Kennedy Health Clinic can help. Before recommending treatment, your neuropathy doctor will suggest one or more diagnostic tests for a full-body analysis. Doing so will help our team provide better neuropathy treatment for both short and long-term needs.

Diagnostic tests for neuropathy include:

Complimentary Thermoscan

During your initial complimentary consultation, our healthcare providers will conduct a free thermo scan, which is a diagnostic tool used to monitor foot temperature. This test is particularly useful in detecting warning signs of potential foot complications, especially for those with diabetic neuropathy who develop foot ulcers.

 Neuropathy Doctor Pennyhill, DE

Nerve Conductive Study

At Kennedy Health, we use a procedure called a Nerve Conduction Study (NCS) to determine the speed of electric impulses traveling through your nerves. This diagnostic test aids in detecting any nerve damage and helps our neuropathy doctors administer appropriate treatment for nerve reactivation.

 Neuropathy Therapy Pennyhill, DE

Discover Poor Blood Flow Locations

Poor blood flow can cause nerve pain and damage. To find out exactly where the blockages or tears are, our providers use an ultrasound to map out the veins and arteries in your leg. This helps identify weak or strained areas and allows us to find the exact location of poor blood flow in your lower extremities.

Depending on the severity of your neuropathy, you may qualify for one or more of the tests above. Once our team has a better understanding of your conditions and symptoms, we can provide advanced treatment recommendations for your neuropathy.

 Neuropathy Treatment Center Pennyhill, DE

Kennedy Health Clinic's Doctors Preferred Treatment for Neuropathy in Legs and Feet in Pennyhill, DE

People living with neuropathy have to deal with difficulties that most men and women in America don't ever think about. It's understandable, then, that they may become tired and even depressed because of their condition. That's where Kennedy Health Clinic steps in - to provide advanced neuropathy treatments and, ultimately, enhanced quality of life.

Neuropathy Treatment Pennyhill, DE

Some of our most popular neuropathy treatments include:

This device is designed to improve blood and oxygen flow, which in turn promotes optimal nerve and nervous system functionality. As a result of the healthy, oxygenated blood, damaged or weak nerve endings receive a rejuvenating boost, which may be experienced as a slight tingling sensation.

Did you know that infrared lights have amazing benefits for our bodies? They can help repair cells and improve the circulation of oxygen-rich blood, which in turn promotes faster healing of deep tissues and relieves pain.

For individuals dealing with diabetic neuropathy, the primary objective is to either reverse diabetes or decelerate its progression. Functional medicine involves incorporating lifestyle modifications to maintain blood sugar levels consistently at a healthy range, which all but eliminates diabetes. Choosing functional medicine recommendations is almost always preferred over invasive and more complicated treatments, and our team is here to help you get started.

Our providers may suggest advanced cellular therapy as a final option for those who have tried other treatments without success and are suitable candidates. This therapy can assist in improving the healing and treatment process of individuals who are experiencing neuropathy.

Living a life free of neuropathy symptoms doesn't have to be a pipe dream - it can be an achievable goal with the help of our advanced neuropathy therapies. Contact Kennedy Health Clinic today to schedule your free initial consultation. Before you know it, you'll be well on your way to long-term recovery and pain relief.

Four Positive Ways to Manage Stress from Nerve Pain

Living with nerve pain can be incredibly challenging. If you've been experiencing it for a long time, you may feel hopeless, sad, angry, or even depressed due to the constant pain. This can cause you to withdraw from the people you are close to and stop doing the things you used to enjoy. If you're struggling to cope with the emotional impact of your nerve pain, here are three suggestions on how to take charge of your emotions and gain new perspectives.

 Neuropathy Clinic Pennyhill, DE

Invest in Self-Care

Surrounding yourself with friends, family, and supportive people is essential for your well-being. Engage in activities that make you happy and bring you joy. You should also consider exploring mentally stimulating activities like reading books or solving puzzles. It is important to maintain balance in your life and focus on your overall well-being - not a single body part affected by neuropathy.

 Neuropathy Doctor Pennyhill, DE

Control What You're Able to Control

Reducing inflammatory foods can improve physical and mental health. Try decreasing or eliminating dairy, gluten, or products with sugar. If neuropathy is affecting day-to-day activities like sleeping, try making small changes. Adjustments like wearing thick socks can alleviate nerve pain and discomfort and help you sleep better. Also, try to establish a routine to focus on daily tasks and goals. Doing so can help you deal with and prevent depression and emotional distress. Last but not least, try to stay positive and hopeful. An effective treatment for your neuropathy might be closer than you imagine.

 Neuropathy Therapy Pennyhill, DE

Talk About Your Feelings with Friends, Family, and Counselors

It's important to be honest with your loved ones about how you're feeling, both physically and emotionally. They can offer support, listen to you, and help you cope. You may also benefit from talking to a professional counselor for objective guidance on managing your physical pain. The biggest takeaway here is to express how you're feeling - don't bottle it up inside. It will only make your condition worse.

 Neuropathy Treatment Center Pennyhill, DE

Seek Help from Neuropathy Doctors

You don't have to live with nerve pain. Kennedy Health Clinic offers several effective solutions for treating neuropathy. Our doctors preferred treatment for neuropathy in legs and feet in Pennyhill, DE improves blood flow, relieves pain, and can help give you a new lease on life. These aren't fly-by-night treatments. They're proven to be effective for neuropathy.

Trust Kennedy Health for Doctors Preferred Treatment for Neuropathy in Legs and Feet in Pennyhill, DE

At Kennedy Health Clinic, we're dedicated to improving the overall health and well-being of our patients. We offer effective pain management treatments and holistic healing options to provide comprehensive care. Our commitment to our patients has made us a trusted partner in health and wellness - and we're ready to help you, too.

If you're suffering from nerve pain or other symptoms due to neuropathy, it's time to seek professional help. Our advanced neuropathy treatments are tailored to your body, your health needs, and your neuropathy goals. That way, we can give you the most effective and efficient care possible. When you trust our team of knowledgeable doctors, you're taking the first step toward a normal life without the painful surprises caused by neuropathy. Contact our office today to get started.

Latest News in Pennyhill, DE

What does the future hold for the Weldin House?

It will probably need a two-year gestation, but the historic Weldin House is expected to enjoy a rebirth that residents of the Penny Hill and Fox Point areas north of Wilmington will appreciate, this time as a meeting place for community organizations.Renovations, for which the state has appropriated $1.35 million, are about to begin – first exterior, then interior – and should be complete by the end of 2022.By then, the state Division of Historical and Cultural Affairs, the house’s owner, expects to sign a le...

It will probably need a two-year gestation, but the historic Weldin House is expected to enjoy a rebirth that residents of the Penny Hill and Fox Point areas north of Wilmington will appreciate, this time as a meeting place for community organizations.

Renovations, for which the state has appropriated $1.35 million, are about to begin – first exterior, then interior – and should be complete by the end of 2022.

By then, the state Division of Historical and Cultural Affairs, the house’s owner, expects to sign a lease agreement with a local organization, which would then have responsibility for day-to-day use of the building, pay the utility bills and take care of routine maintenance.

“It’s not a grandiose building. It’s pretty modest but it has enough space for community meetings,” says New Castle County Councilman John Cartier, D-Brandywine East, who formerly lived around the corner from the house and was among the neighbors who fought against its demolition nearly two decades ago.

"It's historic preservation, it's a helping hand for nonprofits, and public access makes it a good use of taxpayer dollars." - Brett Saddler, Claymont Renaissance executive director.

The model for the Weldin House’s future use, according to Timothy Slavin, director of the Division of Historical and Cultural Affairs, will likely be a state-owned historic structure four miles to the north, the Darley House in Claymont, the 19th-century home of illustrator Felix O.C. Darley where author Charles Dickens stayed for two weeks on his 1867 visit to the United States.

The division has been leasing the Darley House to the Claymont Renaissance Development Corporation for about 10 years. Claymont Renaissance uses the building as its office and, in the past, has subleased space to a Claymont business owners association and the Claymont Historical Society, with the rent payments used to cover utility bills, according to Brett Saddler, Claymont Renaissance executive director.

The Darley House is available for use by community groups. Each Claymont-area civic association is invited to use it for their meetings once a year “and they almost always take us up on the offer,” Saddler says.

The state has not made a commitment to any potential lead tenant for the Weldin House, but Slavin said his division might want to set up a small office presence there. As one possible candidate, he mentioned the Eastern Brandywine Hundred Coordinating Council, a social welfare organization that assists in community development and preservation of historic sites. Last August the council donated $22,000 to the state to assist in the house’s restoration.

“We don’t necessarily need an office, but we can have meetings there, and we can go in and out every day” to provide a presence and a measure of security, says Terry Wright, chairman of the coordinating council. Some area residents have suggested creating a Brandywine Hundred museum on the site, and others have mentioned setting up an archive filled with records of local organizations and opening it up to researchers, he adds.

State Rep. Debra Heffernan (D-Bellefonte) said that community organizations like the Bellefonte Lions Club and “groups that help children in the area” would also receive consideration.

A selection process for choosing the lessee has not been established, she said.

Establishing lease arrangements that give community organizations a hand in maintaining state-owned properties is a preservation tactic that has succeeded in all three counties. Other partnerships include the Pencader Heritage Area Association at the Cooch House, near the site of the Revolutionary War Battle of Cooch’s Bridge; the Delaware Nature Society leasing Abbott’s Mill in Milford; the Friends of Fenwick Lighthouse managing the lightkeeper’s house; and the Friends of Belmont Hall managing the restored 1773 home of Delaware Gov. Thomas Collins.

Belmont Hall was once a state conference center, Slavin said, but years before it had been a place where Smyrna-area residents would gather. About 12 years ago, he said, the state nurtured a relationship with a Friends group, which now manages the property and opens it to the public.

Arrangements like these are “a win-win,” Saddler says. “It’s historic preservation, it’s a helping hand for nonprofits, and public access makes it a good use of taxpayer dollars.”

Making historic sites accessible strengthens bonds to the community, Slavin says. “If a community can’t access a property, it won’t be given a chance to love it,” he says.

“What’s important here,” says Wright, referring to the Weldin House, “is that it’s up to the community, and the community wants it preserved.”

Feeling Blissed Out at Pennyhill Park Hotel

12 February 2020 0 Comments Ting Dalton heads to Pennyhill Park Hotel & Spa and finds out if you can totally de-stress in just one day… Stepping into the swirling torrent of hot water and feeling the pressurised bubbles against my back, I let out a deep sigh. There was no one else in the outsi...

12 February 2020

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Ting Dalton heads to Pennyhill Park Hotel & Spa and finds out if you can totally de-stress in just one day…

S

tepping into the swirling torrent of hot water and feeling the pressurised bubbles against my back, I let out a deep sigh. There was no one else in the outside hydrotherapy pool which made it all the more luxurious as I began to relax. Looking out over the main outdoor pool to Pennyhill Park’s leafy clad manor house, it’s hard to picture the madness of the M3 motorway just minutes from this five-star hotel.

Located in Bagshot, Pennyhill Park offers up uber-luxe but tranquil surroundings tucked away in its own 123 acres of Surrey countryside. In the main house, expect chandeliers and elegant furnishings, as well as the Michelin-starred Latymer restaurant and decadent afternoon teas in the light-filled Ascot Room.

Move away from the country pile to the not so attractive extension opposite, and guests will find a hideaway full of pampering treats at the impressive spa. From saunas and herbal steam rooms, Romanesque heated rooms, foot spas, ice igloos, experience showers and eight indoor and outdoor pools, I found myself trying each one, while giving myself a break in between on the nap-inducing heated mosaic day beds. Everyone walks around in fluffy white robes and slippers. That’s the signature look – anything else and you’re overdressed.

I don’t know whether is was a good idea to have a Radiance Facial right before lunch, but after the therapist had replenished and soothed my dull looking skin, as well as given me a foot, shoulder and neck massage, I practically floated to the Themis restaurant. Given my rather dazed state, I sat for a time sipping lemon-infused water before seeing how much food there was on offer. Think healthy, organic and plentiful, rather than rabbit food, I feasted on three courses from the buffet selection. From a gourmet salad of quinoa and smoked salmon accompanied by roasted asparagus and hummus, I then had tasty baked sea bass with tomato infused parpadelle, all finished off with a small chocolate mousse. I was so full and feeling rather sleepy, it was imperative I head back to my lounger and rest by the huge 25 metre indoor pool.

After short respite, I felt re-energised enough to make my way around the multitude of different spa areas once again. I found it much harder to tear myself away from the heady floral aromas from the steam room and the comforting heat from the outdoor spa pool. Even having a hot shower with the complimentary toiletries and using the Dyson hairdryer [of which I so want one] was a pleasant ending to a super-chilled day. My skin feel squeaky clean and my mind recharged.

Although the weather was rather dreary and grey, my spirits were certainly lifted from my short but restorative break. Had it been a gloriously sunny day, sunbathing outside would have certainly upped the ante in the relaxation stakes. I would have esconced myself on a sun lounger and be fooled into thinking I was on holiday in the Cote d’azur rather than leafy Surrey. But still, Pennyhill Park Spa certainly proved a change is as good as a rest…

Spa days at Pennyhill Park & Spa start at £140 per person with overnight spa stays from £625 per person

Jonny Hill to face Wales despite missing out on England’s World Cup squad

Jonny Hill will play for England on Saturday against Wales despite missing out on Steve Borthwick’s official World Cup squad, with Ollie Chessum not ready to return from long-term injury.Guy Porter and Jonny May have also remained with the party as cover. Manu Tuilagi sat out training on Tuesday morning at The Lensbury Resort in Teddington ...

Jonny Hill will play for England on Saturday against Wales despite missing out on Steve Borthwick’s official World Cup squad, with Ollie Chessum not ready to return from long-term injury.

Guy Porter and Jonny May have also remained with the party as cover. Manu Tuilagi sat out training on Tuesday morning at The Lensbury Resort in Teddington and Joe Marchant spent the first part of the session with a member of the conditioning staff.

Hill, a British and Irish Lions tourist in 2021, came off the bench in Saturday’s 20-9 loss in Cardiff. He has been called up because David Ribbans failed a second-half head injury assessment at the Principality Stadium and faces a compulsory stand-down period, leaving England light on locks.

Chessum has not played since March, when he suffered a fracture dislocation to his ankle during an England training session, and Borthwick is evidently reluctant to rush him back into action.

Tuilagi also appears likely to be held back for the weekend’s fixture at Twickenham, with England undoubtedly keen to manage his body due to a history of injuries. The 32-year-old only started one warm-up game in 2019, coming off the bench in two others.

In the absence of Henry Slade, a high-profile omission from Borthwick’s official World Cup squad, that would leave Porter joining Ollie Lawrence, Elliot Daly and Owen Farrell as midfield options.

There is a precedent for players stepping up to feature in warm-up fixtures despite not being part of an official World Cup squad. Four years ago, Marchant, Charlie Ewels and Matt Kvesic all played part of the last two games, against Ireland and Italy, before the squad flew to Japan.

“There are a couple of players who are still confirming exactly what games they’re going to be available for,” Borthwick explained on Monday after the unveiling of England’s 33-man party.

“Dave Ribbans is unavailable this weekend with an HIA. There is potential that players stay around the squad at this stage. That will be assessed on a weekly basis. Will players away from the squad be monitored? Yes.”

While airing his most powerful midfield may now have to wait until one of the final two warm-up matches against either Ireland or Fiji, Borthwick confirmed on Monday that he has considered assembling a centre partnership of Tuilagi and Lawrence.

“Yep, I think they can [play together]; Manu at 12 and Ollie at 13,” said the England head coach. “That was Ollie’s first ‘proper’ Six Nations, as in being involved every week. He did really well before unfortunately having to go off in the France game with a hamstring injury.

“Ollie brings carry but he is also a very good defender. He rates exceptionally high as a defender on all the systems we use to analyse performances across the Premiership. We know Manu’s strengths and experience and I think they can play together in a specific way.”

Bake Off: The Professionals 2019 - Meet the chefs

Bake Off: The Professionals, Tuesdays at 8pm on Channel 4KIMPTON FITZROY LONDONThe Kimpton Fitzroy London team is made up of Team Captain Thibault and his team mate Erica. Originally from France and Italy, both Thibault and Erica moved to London to pursue their passion for Pastry and met working at Dominique Ansel’s Bakery. Having worked together on and off for three years, they consider themselves to be good friends and great communicators, which they feel gives them the edge on the othe...

Bake Off: The Professionals, Tuesdays at 8pm on Channel 4

KIMPTON FITZROY LONDON

The Kimpton Fitzroy London team is made up of Team Captain Thibault and his team mate Erica. Originally from France and Italy, both Thibault and Erica moved to London to pursue their passion for Pastry and met working at Dominique Ansel’s Bakery. Having worked together on and off for three years, they consider themselves to be good friends and great communicators, which they feel gives them the edge on the other teams. Thibault is a master of chocolate work. Erica is a very creative, talented and determined chef, always looking for the extra detail and texture on taste profile.

They are both perfectionists and push themselves to the limit to discover new flavours, techniques and create things that have never been seen before. Thibault is a seasoned competitor, most recently competing in the World Chocolate Masters Junior.

PENNYHILL PARK

Sarah is the Head Pastry Chef at the five-star Pennyhill Park Hotel and Spa in Surrey. She leads a team of 10 pastry chefs in the hotel's kitchens. She was formerly the Head Pastry Chef at Yauatcha. She first met Leyre when she interviewed her for a position there. However, Sarah soon left Yauatcha to join Pennyhill and offered Leyre a job there instead. Sarah has been involved in competitions before, coming second in the Chocolate Masters in 2017 and also winning the Movenpick Gourmet Dessert Chef of the year award in 2012. After working under Sarah at Pennyhill, Leyre left to become head pastry chef at South Lodge Hotel. Previously, she worked at Ladurée in London and high-end Spanish patisseries like Mama Framboise in Madrid and Escriba in Barcelona. Sarah and Leyre are great friends and believe they have complementing styles, as well as matching tattoos!

SOUTH PLACE HOTEL

Nelson and Evaldas represent South Place Hotel in London. Nelson is the head pastry chef at South Place, with Evaldas working under him as sous chef. Nelson started his culinary career as a kitchen porter and has worked his way through the ranks to become head chef. He learnt everything he knows through experience and from the chefs he’s worked with and has never taken a pastry course. Evaldas came second in the ‘Best Lithuania Chef’ competition and was then selected to compete in the ‘Young Chef Olympiad’ competition in Luxembourg, as part of the Lithuanian National Culinary Team. The two have a great working relationship, with Nelson admitting that when he is out of the kitchen Evaldas is one of the chefs he trusts with maintaining his high standards.

PALÉ HALL HOTEL

Palé Hall Hotel in Wales is represented by head pastry chef Adam and commis pastry chef Sam. Since joining Palé Hall Adam has been given free rein to design the dessert menu at the young age of 23. He not only developed the à la carte menu, but also went on to create the afternoon tea menu, guest chocolate boxes and luxury birthday cake service.

Sam has wanted to be a pastry chef and studied professional cookery at college. Sam is deaf and he hopes that by taking part in the series he can inspire other deaf people to pursue the career of their dreams and not feel limited by their disability.

Adam and Sam have worked together for 8 months. Adam was impressed by Sam's passion for pastry when they first met and has taken a lot of additional time outside of working hours to train him.

FOUR SEASONS AT TEN TRINITY SQUARE

Representing Four Seasons at Ten Trinity Square in this year’s competition are Jake and Kevin. Jake is British but was raised in Paris, which is where he discovered his love of pastry. After completing a diploma in culinary arts at Ferrandi school, Paris, Jake worked at several Michelin starred restaurants such as Epicure in France and Celeste in London. His proudest achievement is being part of the team at The Lanesborough when they achieved their first Michelin star, where he was sous chef. Another career highlight was making the cake for David Beckham’s retirement party. Kevin has also worked in several Michelin star restaurants and hotels. He moved from France to the UK to find a new challenge. Jake is head pastry chef of the private members club at the Four Seasons, Kevin works in the main pastry kitchen assisting the executive chef. The pair met 18 months ago when Jake was drafted in to help the main kitchen and clicked instantly.

CHILTERN FIREHOUSE

Hannah and Martina make up the team from Chiltern Firehouse in London. Despite only being 22, Hannah has already risen to the role of Head Pastry Chef at the exclusive eatery. She is so determined to be the best that she often spends her holiday allowance working at other high-end establishments, to gain experience.

Martina is currently studying Food Science at university whilst working at Chiltern Firehouse with Hannah. She has worked with Hannah since January. She started in the main kitchen but then was spotted by Hannah and recruited into the pastry section. Martina worked at various high-end restaurants in Sydney before starting at Chiltern Firehouse.

THE COURTHOUSE CHESHIRE

As the youngest team in the competition, Sanjam and Exose feel they have a lot to prove. Both of these young chefs have a huge amount of drive and passion, with Sanjam becoming a Head Pastry Chef and Exose starting his own business, both before the age of 21. Having met at college, Sanjam and Exose have been close friends for 5 years and have always continued to push each other to learn and improve as they have grown as chefs. Exose loves experimenting with flavours, whereas Sanjam has an eye for decoration, making them the perfect pair. Sanjam had always envisioned herself following a more academic career path, until her Dad saw her love for pastry and encouraged her to pursue her passion. Exose is one of 9 brothers and sisters and garnered his love of pastry and baking from his family.

TIGERLILY

Pauline and Robert have worked together at the boutique hotel Tigerlily in Scotland for 5 months. Pauline is the head pastry chef and Robert is the head chef. Pauline initially trained as a chef, but her passion for pastry prevailed. She loves bold flavours and is inspired by her travels. She loves the creative freedom of the patisserie industry, and creating spectacular creations from scratch.

Robert has worked at Tigerlily for two and a half years. Pauline describes Robert as ‘a big kid in a playground’ when he’s in the kitchen as he’s so enthusiastic about everything. He loves trying out new imaginative ideas and he is very confident with sugar blowing and pulling.

Tigerlily’s menu offers upmarket dining with Asian influences. It’s listed as the best bar/hotel in Edinburgh by The Telegraph and has excellent reviews on TripAdvisor.

ANGES DE SUCRE

Reshmi began her professional career as an investment banker. She took a sabbatical to train as a professional chef in Paris and decided to remain in the food industry. Reshmi started Anges de Sucre from home, first making and selling macarons via post, and then expanding into making cakes for all occasions with a small team, eventually becoming an official cakes supplier to Selfridges. Anges De Sucre has over 50K followers on Instagram and has featured on the front cover of Time Out magazine.

Daisy specializes in cake sculpting and collaborates with Anges de Sucre on occasion to create bespoke orders. She created a cake for the Princess Royal and in April 2018 she won Best in Show at the Ideal Home Exhibition for her wedding cake. Both have backgrounds in cake, and working on larger scale projects, heavily influenced with story-telling, which they believe will set them apart from the more traditional pastry chefs.

DREAMWORLD CAKES PATISSERIE

Dreamworld Cakes Patisserie was founded by Richard and his fiancée Bernadett. Having met whilst working together at Nadell Patisserie, Richard and Bernadett have gone on to relocate to Newcastle, start a business together and have a baby. It was their dream to start their own patisserie, which they have achieved with Dreamworld Cakes Patisserie. Richard spent a year working with Graham Newbold, Prince Charles and Princess Diana’s personal chef. Bernadett once made a cake for the Duchess of Cornwall, in celebration of Seven Stories – National Centre for Childrens’ Books charity.

1884

Team ‘1884’ is made up of Hull born Steven and Connor. Steven was named head pastry chef at the restaurant at the age of just 23. He has competed in multiple international competitions including ‘World Skills’ in Abu Dhabi. His specialty is sugar work and chocolate showpieces.

19 year old Connor has competed successfully in a number of competitions, the highlight being winning a bronze medal for the World Skills competition despite competing against people twice his age. He has been selected to represent team UK in Russia in the Worldskills/Skills Olympics competition and is in the process of starting his own cake business.

HONORÉ PATISSERIE

The team from Honoré Patisserie have decades of experience in the world of pastry. Gaetano and Mark are great friends and have a terrific working relationship, even going as far as to say they are like ‘husband and wife’. Mark admits he’s taking part to prove he is as good as he thinks he is. As the oldest of the teams, they are out for a bit of recognition and to prove they can still cut it with the rest.

Mark has worked at Honoré Patisserie for 14 years. Naples-born Gaetano has worked there for 17 years. They have worked together for years and Gaetano really looks up to Mark – Mark is Gaetano’s hero.

Honoré Patisserie is a high-end business which has been running for 27 years, specializing in supplying fine patisserie and cakes to premier sporting events.

Eight young chefs achieve the Graduate Award in 20th anniversary year

The Craft Guild of Chefs has revealed that five chefs have achieved its Kitchen award and three passed the Pastry exam in its 2022 Graduate awards.The announcement was made at the 20th anniversary awards lunch at the Royal Lancaster hotel in London earlier this month in front of the finalists, examiners, sponsors, the media and industry friends.Achieving the 2022 Kitchen award are:Achieving the 2022 Pastry exam:The highest achiever in the Kitchen exam was Jonathan Smith and in the Pastry event Ana Catarina Nogueir...

The Craft Guild of Chefs has revealed that five chefs have achieved its Kitchen award and three passed the Pastry exam in its 2022 Graduate awards.

The announcement was made at the 20th anniversary awards lunch at the Royal Lancaster hotel in London earlier this month in front of the finalists, examiners, sponsors, the media and industry friends.

Achieving the 2022 Kitchen award are:

Achieving the 2022 Pastry exam:

The highest achiever in the Kitchen exam was Jonathan Smith and in the Pastry event Ana Catarina Nogueira De Melo. They will enjoy a trip to Lyon courtesy of Grande Cuisine, where they will visit the Paul Bocuse market, dine at a Michelin-starred restaurant and have a tour of the state-of-the-art Athanor factory.

All the chefs who achieved the award received a framed certificate from the Craft Guild of Chefs, an achievers' plate from Villeroy and Boch, a personalised tour of Fortnum & Mason with tea tasting, and opportunities for stages in one of many restaurants. All finalists received one year's membership to the Craft Guild of Chefs, a personalised Continental Chef Supplies (CCS) jacket and a Robert Welch chef's knife.

George Blogg from Gravetye Manor was revealed as the winner of the Kitchen Mentorship Award and Ben Christopherson, senior lecturer at the University of West London, received the same accolade in the Pastry exam.

Founder of the Graduate Awards and vice-president of the Craft Guild of Chefs Steve Munkley said: "I feel extremely proud to be celebrating 20 years of the Graduate Awards. We've not missed a single year since it started, despite the challenges the industry has faced during this time.

"One of the reasons it remains so successful is that every year we look at ways we can improve and update the event to reflect the needs of young chefs and the industry. I love following the careers of those who take part in the Graduate Awards and know from my work across the industry how valuable it is for a young chef to have this achievement on their CV. In a time when hospitality is struggling to attract and retain chefs and skills, it is vital to have events like this to celebrate, inspire and encourage young talent."

Guests at the event received a goody bag which included the 20th anniversary recipe book with dishes from more than 60 of the chefs who have achieved the Graduate Award since it was founded by Steve Munkley in 2002.

Top photo: Top row: Will Torrent, pastry chef mentor, Steve Munkley, Russell Bateman, kitchen mentor (outgoing) Middle row: Alex Doyle, Marcus Belgravia, Harry Donnelly, the RAF Club, Miles Slater, Pennyhill Park Hotel and Spa and Billy Etheridge, Belmond Le Manoir aux Quat'Saisons Bottom row: Benjamin Mabley, Hartwell House Hotel and Spa, Jonathan Smith, Gravetye Manor, Ana Catarina Nogueira De Melo, Intercontinental Park Lane and Katrina Atienza, University of West London

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