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Sep 14, 2014

Are you 'running into problems'?

Iliotibial band (ITB) Friction syndrome is one of the most common causes of lateral (outside) knee pain that we see, especially in runners. It’s also probably one of the most frustrating problems both for myself and for the patient. It is largely an overuse injury due to the repetitive nature of activities such as running. It often starts out as a little ‘niggle’ however gradually worsens & worsens until it quite literally will stop you in your tracks.

(READ FULL BLOG HERE)

Categories General Issues Knee Tags knee pain ITB running overuse ITB friction syndrome physiotherapy massage exercise

Jun 3, 2014

Shoulder Impingement Syndrome

It’s got many names…. rotator cuff tendinitis, swimmers shoulder, throwers shoulder, subacromial impingement or subacromial bursitis. These are all smart, intelligent sounding names for pain that occurs deep in the anterolateral shoulder (anterior meaning front & lateral meaning side… so to the front and side)

Lets do a little anatomy recap: The shoulder is a ball and socket joint; likened to a golf ball on a golf tee. The humerus or upper arm bone sits against a small socket called the glenoid. It’s an inherently unstable joint which is why we are able to perform all the weird & wacky movements with our arms.

The rotator cuff are a group of 4 muscles: supraspinatus, infraspinatus, subscapularis and teres minor. Their role? to depress the head of the humerus essentially assisting the joint capsule and shoulder ligaments to hold it snug in its socket.

READ FULL BLOG HERE

Categories shoulder Exercise & fitness Health and Wellbeing Tags shoulder pain rotator cuff impingement tendonitis shoulder physiotherapy strengthening stretching massage dry needling

Feb 10, 2014

Don't be 'hamstrung' by hamstring injury

The rugby season is rapidly approaching… training is back in full swing… the club is finally showing a few signs of life again; felt a little like a ghost town during the off-season… and the best part? (Insert sarcasm here) I trade sunny Saturday afternoon’s lazing poolside for sweaty footballers, strapping tape and deep heat.

In most professional sports these days a lot of time and money is invested into ‘injury prevention programs’. Players are screened individually with data used to create personalised gym programs  tailored to suit each athletes specific strength and mobility needs…. All this in attempt to try and keep players on the field week in week out.

A big focus in all codes of rugby and also football (or soccer as I like to call it) has been preventing hamstring strains and tears. Easily one of the most common injuries that can sideline players for weeks and furthermore when correct rehabilitation doesn’t take place the chance of re-occurrence can further delay return to play.

To develop an effective ‘prevention’ program we need to address the reasons why hamstrings seem to be so vulnerable to injury.

READ FULL BLOG HERE

Categories Exercise & fitness General Issues Tags hamstring hamstring strain hamstring tear massage strengthening pre season training gym dry needling physiotherapy

Dec 2, 2013

Quite literally a pain in the butt

I seriously love my job. Yes of course I have days where my sunny courtyard is much more appealing than the inside of a physio practice, If I didn’t I wouldn’t be normal. The thing I love most; apart from the insanely awesome team I work with, is that no two days are the same. The only common thing? They are all suffering pain.

It’s bizarre how life goes, and this has happened to me several times now. I’ll have someone present with a condition that I haven’t seen for a AGES; suddenly within that week 2-3 more people will walk through the door with the exact same problem. It’s as if it becomes the ‘trending’ injury for that week.. and then I won’t see another one for another few months!!!

I have had one of those months. This months ‘trending’ injury is quite literally a pain in the ass.

Piriformis Syndrome

People with this problem usually come in complaining of ‘sciatica’ that starts deep in their bottom. Just to clear a few things up because people often get this confused, sciatica is not a diagnosis as such; but a set of symptoms. Basically if someone says they have sciatica it means they have pain running down the back and/or outside of their leg. This can originate in the lower back due to a variety of things or it can start deep in buttock area. It’s caused by an irritation of the sciatic nerve at some point along its windy path from the lumbar spine (lower back) to the foot.

 

READ FULL BLOG HERE

Categories Back General Issues Tags piriformis syndrome sciatica leg pain buttock pain muscle spasm massage physiotherapy sciatic nerve pain

Oct 21, 2013

Reflexology: Are you walking on the solution to your health problems?

As a physiotherapist massage makes up a pretty significant portion of my days work, and a lot of people may find it odd but I find giving massages strangely therapeutic… most of the time; the 100kg footballer wanting a deep tissue massage maybe not so much. The worst part about it is that I get insanely jealous of the person on the table thoroughly enjoying an hour of zen time while I am lost in thought about what I would do to trade places with them.

 finally did it. Thursday night late night shopping of all places, in search of an outfit for the races, next minute I was dozing off in a reclining chair enjoying a 40 minute reflexology foot massage. Best $45 I ever spent. (and no I didn’t find a dress for the races that day). While in my sleep like state I did manage to notice that there were certain points on my feet that were incredibly painful compared to the rest and I couldn’t help but be curious about what these particular points meant in the world of Chinese medicine. Unfortunately I didn’t get any groundbreaking information from it, all my tight areas corresponded to neck, shoulders and back which are generally stiff and sore as a result of my work.

My very western orientated medical brain doesn’t really believe that releasing pressure points in the hands and feet can treat the range of medical conditions it says it can BUT I am trying the whole be ‘open minded’ and the more I read about it the more it interests me.

What is reflexology?

Reflexology is a form of massage that involves releases pressure points in the hands and feet which coincide with certain areas of the body. Basically our feet and hands are maps which correspond to parts of the body including our organs and vital systems such as the nervous and circulatory system.

(READ FULL BLOG HERE)

Categories General Issues Health and Wellbeing Tags reflexology massage trigger point reflex points foot massage de-stress deep tissue massage

Sep 2, 2013

Why stress can be a real pain in the neck.

Sydney can, at times, be a very overwhelming place to live. Don’t get me wrong I LOVE this city and quite frankly I probably would choose it over any other place in the world especially to live my current lifestyle.

I like the hustle and bustle, the chaos, the crowds; but there are a lot of people I know who just don’t cope with the fast paced society many of us thrive on. Interestingly it’s these same people who seem to suffer ALOT with stress related problems.

The most common presentation that we get that’s driven by stress is neck / upper back pain quite often associated with headaches. So called ‘tension’ headaches are a combination of physical and emotional stress resulting in tight overactive muscles through the neck and shoulder region. This dull ache precipitates behind the eyes and feels like a tight band around the forehead can turn what you were hoping to be a productive days work into a nightmare where you literally can’t sit still and have concentration levels of a 5 year old.

 

(READ FULL BLOG)

Categories General Issues Health and Wellbeing Tags stress headache muscle tension neck pain pain physiotherapy massage

Aug 13, 2013

5 ways to give your sore, aching muscles some TLC

Were you one of the 85,000 Sydney siders that took to the streets yesterday to participate in one of our nation’s most famous foot races?

A windey, up and down 14km track from leafy green Hyde Park to picturesque Bondi Beach. We were blessed with a delightfully sunny winters day.. From the pro’s to the novice runner; there were superhero’s; fairies; mums and bubs; and an unusual abundance of the latest it garment the ‘onsie’! It’s one of those days where just about anything goes, and most defiantly the only day of the year topless smurfs are allowed to run a muck in Bondi’s best pub the Beach Road Hotel!

So you finished the race and of course immediately, in true City 2 Surf tradition, headed straight for the nearest watering hole… and no I’m not referring to the sandy shorelines but rather the closest pub serving ice cold beer! Re-hydration is the key to recovery right?

A lot of the time muscle soreness following exercise that you are not usually accustomed too simply requires time. Unfortunately boy and girls this post exercise soreness tends to be worst 48 hours post exercise so if you are struggling today, don’t expect too feel much better tomorrow…BUT it’s all downhill from there I promise.

Despite feeling a little worse for wear today there are a few little things you can do to give those sore aching limbs some TLC. (READ FULL BLOG HERE)

Categories General Issues Health and Wellbeing Tags City2Surf recovery stretching massage sauna running magnesium

Jun 2, 2013

Do you suffer from Cramps?

Cramps have got to be one of the single most uncomfortable, uncontrollable experiences EVER, usually because they tend to arise at very INCONVENIENT times… like when there is 5 minutes to go in a crucial rugby game…or when you’re fast asleep cosy under the blankets and bang your calf goes into spasm and you’re thrust into the cold pulling your foot this way and that way to try and stretch it out. Sleep ruined.

By definition a ‘muscle cramp’ is an involuntarily and forcibly contracted muscle. Often they can be accompanied by a visible or palpable hardening of the muscle.
Lasting for anywhere between a few seconds up to 15 minutes often one will experience multiple cramping episodes before they finally resolve.

Cramps can take on several different forms however for the purpose of this article I’m just going to focus on what are known as true cramps.

True cramps involve a muscle or group of muscles that work together to produce or bring about movement of a particular body part. These can in response to several factors.

READ FULL BLOG HERE

Categories General Issues Tags cramps muscle spasm exercise stretching electrolytes magnesium massage

May 12, 2013

Are you hilariously under-prepared for Sunday's half marathon?

So you have woken up this morning and realised that YES its less than a week till the Sydney Morning Herald half marathon that you were meant to be training super hard for over the last 3-4 months but with work and the kids and the cold dark mornings your training and preparation has been average to poor…..And now you’re seriously contemplating just pulling the pin and signing up for the next one??

STOP…… DON’T PANIC… This situation CAN be resurrected…… and yes you will be on that start line next Sunday morning!

READ FULL BLOG HERE

Categories General Issues Tags half marathon training race day hydration Sydney Morning Herald preparation running tapering massage

Mar 12, 2013

Do 'special physio creams' work?

We are constantly sent samples and sachets of the latest special ‘healing’ creams. Most of them promise a natural solution to relieve muscle and joint aches and pains.. but do these often overpriced creams actually work?  and is there any science behind them whatsoever?

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Categories General Issues Tags physiotherapy muscle pains ache massage herbal medecine arnica fisciocrem