Staff Profiles

/Staff Profiles

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 [...]

Osteoarthritis

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 [...]

Stretches To Keep You Moving

By | 2017-09-05T06:11:23+00:00 August 30th, 2014|Kyle Michelle, Rehab|

Muscle length, connective tissue flexibility and joint mobility are all factors that can influence you chances of developing an injury.  By undertaking regular stretches for those areas that 'tighten up' you can help maintain or improve your mobility.  Sometimes when we are in pain we can become avoidant of moving in fear of hurting ourselves further.  In some cases this can be true, however regaining your mobility and normalising your movement can help to get you back to your functional baseline. The following stretches are good for targeting common muscle groups which commonly are issues for many people.  The evidence for how long you should stretch for is unclear, however the general consensus is to hold your stretch for a minimum of 20-30 seconds.  Holding a mild-moderate stretch for a longer duration gives your tissues the opportunity to adapt and relax into the stretch. If you find stretching aggravates your symptoms it is important you cease your exercises an seek further advice from you physiotherapist or myotherapist. Lower Back Stretch On your knees with your hands outstretched in front and crawling your hands forward for extra pull while your butt sits back against your heels   Hip Flexor Stretch Kneeling on one knee & bringing the opposite leg out in front of the torso at a 90o Leaning the hips forward towards the front knee while twisting the back in the opposite direction & leaning the torso backwards for a deeper hip-flexor stretch Note: a square box from a side view should be seen along front leg & thigh from the back leg.   Gluteal Stretch  For right glue: Lying face up with right ankle placed on left knee Bring the left [...]

Physiotherapy In Stroke

By | 2017-09-05T06:11:23+00:00 March 27th, 2014|Luke Anthony, Physiotherapy, Rehab|

Stroke Facts and Figures Stroke is Australia’s second biggest killer after coronary heart disease and a leading cause of disability. 1 in 6 people will have a stroke in their lifetime. These people are someone’s sister, brother, wife, husband, daughter, son, partner, mother, father… friend. Behind the numbers are real lives. In 2012 about 50,000 Australians suffered new and recurrent strokes – that is 1000 strokes every week or one stroke every 10 minutes. In 2012 there were nearly 130,000 or 30% of stroke survivors under the age of 65 in the community. [In 2012 there were over 420,000 people living with the effects of stroke and 30% of these people were of working age.] In 2012 there were over 420,000 people living with the effects of stroke. This is predicted to increase to 709,000 in 2032. Stroke kills more women than breast cancer and more men than prostate cancer. 65% of those living with stroke also suffer a disability that impedes their ability to carry out daily living activities unassisted. In 2012, the total financial costs of stroke in Australia were estimated to be $5 billion. The estimate of $49.3 billion in burden of disease costs for stroke is comparable to the $41 billion burden of disease costs that Deloitte Access Economics estimated for anxiety and depression in 2010. The FAST test is an easy way to recognise and remember the signs of stroke. Using the FAST test involves asking these simple questions:   Face Check their face. Has their mouth drooped? Arm Can they lift both arms? Speech Is their speech slurred? Do they understand you? Time Time is critical. If you see any of these signs, call 000 straight away   What [...]

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 [...]

Get To Know Neil

By | 2017-09-05T06:11:23+00:00 December 6th, 2013|Staff Profiles|

Myotherapy Remedial Massage Dry Needling Postural Assessment Trigger Point Therapy Myofascial Cupping Where did you study? Australian College of Sports Therapy. What do you like about the job? The emotional reward of taking someone who walks in the door visibly in pain and having them leave with a smile on their face because it’s the most relief they’ve had for a period of time. Most rewarding experience on the job:  Having clients bring in baking from home to share! Why did you get into manual therapies? By dumb luck I guess, Sports Therapy sounded pretty cool. Favourite condition to treat?   Lower back pain is always an interesting condition. 3 words to describe yourself:   Average Athletic Nerd When you’re not at the clinic what are you most likely doing during the day: Sleeping. Worst injury you’ve had: Shoulder subluxation. Hidden talents: Yet to be determined. Favourite food for dinner:  Can’t go past a good parma. If you could be any animal, what would you be and why.  Snow leopard, loved them as a kid. Rock, paper or scissors? Rock

Get To Know Mark

By | 2017-09-05T06:11:23+00:00 December 3rd, 2013|Staff Profiles|

Myotherapy Remedial Massage Dry Needling Postural Assessment Trigger Point Therapy Myofascial Cupping Where did you study? Australian College of Sports Therapy What do you like about the job? Improving on people conditions and making a difference Most rewarding experience on the job:  The positive comments from clients and how much improvement they experience. Why did you get into manual therapies? I was always good with my hands and manual therapies was the direction I wanted to take. Favourite condition to treat?   All conditions that involve the shoulder. 3 words to describe yourself:   Understanding, Committed, Relaxed When you’re not at the clinic what are you most likely doing during the day: Further studies and spending time with family and friends. Worst injury you’ve had: Sudden onset of inflammation to the hand due to boxing. Hidden talents: Unknown. Favourite food for dinner:  Pasta If you could be any animal, what would you be and why.  A Wolf as they hunt in packs. Rock, paper or scissors? Rock    

Carpal Tunnel

By | 2017-09-05T06:11:24+00:00 July 23rd, 2013|Luke Anthony, Tendinopathy, Wrist Pain|

Carpal tunnel syndrome is a painful disorder of the hand caused by pressure on nerves that run through the wrist. Symptoms include numbness, pins and needles, and pain (particularly at night). Anything that causes swelling inside the wrist can cause carpal tunnel syndrome, including repetitive hand movements, pregnancy and arthritis. Possible treatments include rest, splinting, cortisone injections and surgery.   What Is Carpal Tunnel The carpal tunnel is a narrow passageway in the wrist, which opens into the hand. It is surrounded by the bones of the wrist (underneath) and the transverse carpal ligament (across the top). The median nerve runs through the carpal tunnel and gives feeling to the thumb, forefinger, middle finger and half of the ring finger. Many tendons also pass through this carpal tunnel and if any swelling occurs, the large median nerve can easily be compressed, causing carpal tunnel syndrome. Flexor tendons run through the carpal tunnel into the hand. These tendons are covered by a smooth membrane called the tenosynovium and allow hand movement. Any thickening from inflamed tendons or other causes of swelling can reduce the amount of space inside the carpal tunnel. If left unchecked, the median nerve is squashed against the transverse carpal ligament until the nerve cannot function properly. Numbness and pain are the result. It can affect one or both hands. The muscles of the thumb are also serviced by the median nerve. A person with advanced carpal tunnel syndrome may find they cannot properly use or move their thumb any more, and may find it difficult to grasp objects. Symptoms Of Carpal Tunnel Syndrome The symptoms of carpal tunnel syndrome include: Numbness Pins and needles Pain, particularly at night [...]