Rotator Cuff Tears

By | 2017-09-05T06:11:22+00:00 September 28th, 2015|Kyle Michelle, Massage, Pain, Physiotherapy, Rehab|

A rotator cuff tear is a rupture of the muscle fibres located at the shoulder joint that are responsible for shoulder rotation, abduction and also general shoulder instability. The shoulder joint is a ball and socket joint which has the largest variety of range of all joints which leaves it predisposed to all types of injuries.   The rotator cuff is made up of four muscles that originate on the shoulder blade and attach at the head of the humerus (upper arm bone) which is known as the greater and lesser tubercles. These muscles are: Supraspinatus Infraspinatus Teres Minor Subscapularis Symptoms of a rotator cuff tear: Deep and sharp type of pain that can refer around the whole shoulder joint, towards the neck or down the arm towards the elbow. Shoulder weakness Excessive shoulder pain on movement Clicking noise on movement   Causes FOOSH injury (Falling on out-stretched hands) Tearing while under load such as shoulder exercises at the joint Repetitive movements   Immediate management After a rotator cuff tear you will experience a specific pain able to be pin-pointed at your shoulder joint and surrounding structures will begin to tighten up and will be extremely tender on palpation. There will be a varying degree of inflammation so it’s important to control this and let the shoulder heal with RICER (rest, ice, compress, elevate, referral to practitioner).   Treatment Plan After the injury has settled down, physiotherapy will be required to assess the severity of the strain to determine if medical imaging (MRI) will be needed and to work out a treatment plan. From here you will be referred to a myotherapist for soft tissue release massage, dry needling and joint mobilisations. There is always [...]

Upper Cross Syndrome

By | 2017-09-05T06:11:23+00:00 July 22nd, 2015|Pain|

This blog will look at upper cross syndrome that is a dysfunction causing muscle tension in the neck and shoulder region, which commonly affects people with poor posture, working at a desk and immobility. The human body really wasn’t designed to sit at a desk for 40-50 hours per week so it’s no wonder something’s got to give which usually is felt in the upper back, neck area. Upper cross syndrome is a really common condition and seems to be the 21st century posture with rolled forward shoulders and a forward-head posture appearance. This syndrome is caused from a muscle imbalance from over active muscles at the front of the neck/ chest region combined with weakened muscles at the posterior aspect of the neck and upper back region. Desk sitters traditionally will be affected due to their workplace setup but they are not the only ones more predisposed. Anyone who has poor postural habits and slumps forward through their workplace or through habits of daily life from bending forward will at some stage develop muscle imbalances causing pain through their upper back. To treat upper cross syndrome it’s a combination of loosening the overactive muscle tissue causing tension and strengthening the muscles that are being weakened. Massage, cupping, dry needling can all be used to loosen the muscles reducing the pull from the front of the neck and to reduce the tension at the back of the neck/ upper back region. Home care exercises and exercise prescription at the gym can also be issued to improve the strength of weakened rhomboid muscles. A big part of longevity to reducing tension and pain from desk sitting is posture. When you’re sitting at your desk, your ankle, [...]


By | 2017-09-05T06:11:23+00:00 November 24th, 2014|Knee Pain, Luke Anthony, Pain|

 Osteoarthritis is one of the most common forms of arthritis. Osteoarthritis is most likely to develop in people aged over 45 years, although it can occur in younger people. Many people will develop symptoms as they age. A joint is a structure that allows movement at the meeting point of two bones. Cartilage is a firm cushion that covers the ends of the two bones, absorbing shock and enabling the bones to glide smoothly over each other. The joint is wrapped inside a tough capsule filled with synovial fluid. This fluid lubricates the cartilage and other structures in the joint and keeps it moving smoothly. In osteoarthritis, the cartilage becomes brittle and breaks down. Some pieces of cartilage may even break away and float around inside the synovial fluid. Deterioration of cartilage can lead to degeneration in the joint. Eventually, the cartilage can break down so much that it no longer cushions the two bones. Symptoms of osteoarthritis The symptoms of osteoarthritis can vary from one person to the next. Some of the more common symptoms include: stiffness joint pain muscle weakness. Joints affected by osteoarthritis All joints can be affected by osteoarthritis. Most commonly, it is the weight-bearing joints that are affected, including: knees – sometimes due to an old injury hips – older people are most at risk spine – in the neck or lower back. hands – usually the end finger joints. Risk factors for osteoarthritis The cause of osteoarthritis is unclear, but some risk factors have been identified. These include: being overweight or obese a family history of osteoarthritis a previous injury, significant trauma or overuse of the joint. Diagnosis of osteoarthritis If you are experiencing joint pain, it is important [...]

Chronic pain, diet and supplementation

By | 2017-09-05T06:11:23+00:00 March 18th, 2014|Neil Minto, Pain|

As holistic therapists, we are always on the lookout for potential lifestyle factors that may be leading to pain and dysfunction with our clients yet it’s only in recent times has diet and supplements made a push to be recognised. Chronic pain which is defined by a period longer than 3 months is often described as an inappropriate or excessive inflammatory response to a stimulus and is associated with a myriad of pain complaints seen by therapists around the world. In 2007, the total cost of chronic pain in Australia was estimated at $34.3 billion. (Australian Bureau of Statistics) However old these statistics may seem, when contrasted to 1995 there was an 11% increase in the number of Australian adults who experienced chronic pain (57% to 68%). This upward trend is only set to continue as medicine has become more successful in treating the issues with surgery and pharmaceuticals but fails to prevent it. Medicine has also become great at treating chronic diet related diseases yet the prevalence of a Western style diet continues to create a larger diabetic, cardiovascular diseased, arthritic community. The Western diet is an exaggeration of the industrial/agricultural age, made in bulk, highly processed to prolong shelf life, artificial sweeteners and fats to create ‘flavour’, hormone fed animals, the list goes on. This diet is seen to be pro-inflammatory hence the connection created between inflammatory pain seen in the clinic and inflammatory disease within our culture. You can test for inflammatory markers within the blood but the process and specific markers are beyond the scope of this blog so I won’t go into details, feel free to discuss with your GP if you wish. Instead let’s look at a certain perspective [...]