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Back and Neck Pain

When patients present to their doctors for neck and back pain physiotherapists are the health professionals that are most commonly used to treat these conditions.

Neck and back pain can be attributed to a number of pain sensitive structures in the spine including joints, discs, ligaments and muscles. Each one of these structures can be injured as a result of excessive physical stress on the spine, poor posture or as a result of acute trauma. Additional causes of pain include degenerative discs, arthritic joints and muscle weakness and tension.

Physiotherapists have extensive university training in the assessment and treatment of spinal conditions.

There are a variety of techniques that physiotherapist use to treat neck and back pain. Some of these include joint mobilisation, (a safe and gentle form of manipulation), deep tissue releases to surrounding muscles, mechanical traction, exercises and heat. Additionally, advice can be provided on poor postural habits which can aid in relieving pain by correcting its cause. More Info

Arthritic Pain

Have you been told there is nothing you can do about your arthritis?

Osteoarthritis is the most common form of a variety of different types of arthritis. This type of arthritis involves cartilage break down within the joint over time due to degeneration (wear and tear). When this type of arthritis worsens, it will involve bone on bone wearing and significant pain, swelling, inflammation and stiffness. The joint stiffness and loss of range of motion is often the main reason for pain and this is where physiotherapy plays a role. Joint mobilisation techniques, strengthening and stretching as well as anti-inflammatory modalities can help reduce the stiffness leading to a reduction in inflammation and swelling and overall pain within the injured joint. More Info

Sports Injuries

Sporting injuries that are left untreated can often lead to persistent problems that can affect your ability to perform at 100%.

Sporting injuries, whether they are new or old, that continue to cause problems need to be assessed professionally and managed correctly to prevent any further issues.

Injuries which are treated incorrectly/not at all can often lead to long term issues. These include joint stiffness, scar tissue development, muscle inadequacy and muscular tightness.

Physiotherapists are university trained and experts in the assessment, diagnosis and treatment of sporting injuries and traditionally are called upon by doctors to aid in the rehabilitation of many musculoskeletal injuries.

Thanks to our extensive knowledge of tissue pathology and healing as well as biomechanics, physiotherapist play a vital role in the rehabilitation and prevention of injuries for all elite sporting teams in all sports from A-grade cricket all the way up to our Olympic team.

Our physiotherapists have a large amount of experience with both elite and non-elite athletes and can provide a structured rehabilitative program to get you back to your best as quickly as possible. More Info

Headaches (Cervical)

Spinal joints in the neck can develop stiffness and other problems which can cause headaches.

The joints within the neck can become stiff, irritated and inflamed; this has a direct influence on the surrounding tissues and muscles. This local pain is then radiates to different areas around the head.

Physiotherapy can effectively treat cervical headaches.

The following symptoms could indicate that the spinal joints are the source of your headaches:

  • Your pain originates from the back of your head and radiates forward
  • Prolonged sitting postures aggravates your headache (e.g. sitting at the computer)
  • Repetitive movements or prolonged postures aggravate your headache
  • Your headache is worse on one side of your head (however it may also be symmetrical)
  • There are persistent headaches even after your doctor has cleared other causes.

Cervical headaches can be treated very successfully with physiotherapy. Specialised techniques including joint mobilisation, deep tissue releases, stretching and strengthening as well as advice on posture aim to decrease stiffness and inflammation in the joints within the cervical spine. This has a direct effect on reducing headache frequency and intensity and restoring your life to normal. More Info

Knee Injuries Physiotherapy

can successfully treat a variety of knee injuries and conditions. These include tendon and muscular strains as well as cartilage and ligament problems. Physiotherapists are university trained in the assessment and treatment of knee issues. Listed below are three of the more common types of knee injuries:

Ligament strains/tears – Within the knee joint, ligaments provide additional stability to the knee. Excessive forces acting on the knee cause the small fibres within the ligaments to be damaged. This will result in pain, swelling, loss of movements and instability.

Cartilage (Meniscus) tears – Within the knee joint, cartilage acts as a shock absorber as well as providing additional stability to the ligaments. Cartilage can be injured acutely or occur as a result of prolonged excessive force.

Knee-Cap Pain – Anatomically, the patella or knee cap, glides within a groove which is located in the bottom of the femur (thigh bone) whenever the knee is moved. However, often, the patella does not glide smoothly within this joint therefore causing inflammation and pain around the knee cap. This abnormal movement of the patella can be caused by a variety of biomechanical abnormalities, including flat (pronated) feet, muscle imbalances between inner and out thigh muscles as well as poor pelvic control. The pain will initially be felt as a dull ache and generally will worsen as activity continues.

A thorough assessment and diagnosis needs to be made so that treatment is as effective as possible. Treatment can include specific strengthening exercises to the quadriceps and gluteal musculature, deep tissue releases, the fitting of custom made orthotics to aid in the foot pronation as well as joint mobilisation. Anti-inflammatory modalities are also used to help speed up the healing and get you back to feeling normal as quickly as possible. More info

Shoulder Conditions

The shoulder joint is biomechanically designed to allow for a large amount of movement in all directions. This large range of motion, although beneficial, also means that the shoulder joint is easily injured.

Listed below are some of the more common shoulder injuries.

Impingement – The rotator cuff is made up of four muscles which stabilises the shoulder joint as it moves throughout its range of motion. With repetitive movements, these tendons can become ‘pinched’ within the shoulder at a specific location called the ‘subacromial space’. Resultantly, there will be pain, weakness and inflammation. If this is left untreated, a tear within the tendon may occur, therefore it is essential physiotherapy begins early.

Rotator cuff tear – A tear can occur as a result of overuse or acutely during injury to the shoulder. Early assessment, diagnosis and treatment is vital as some tears require surgery if they progress too far.

Frozen Shoulder (Adhesive Capsulitis) – This is a painful and incapacitating condition in which there is a large loss of shoulder movement in all directions. This condition can last up to 2 years and the cause is still predominately unknown. It is more common in women over 40 and in diabetics and can follow a shoulder injury or surgery. Shoulder specialists recommend physiotherapy as a vital part of management.

Arthritis – Generally this is seen in adults and occurs due to repetitive, regular forces through the shoulder joint affecting both the muscular and bony structures.

Physiotherapists have been expertly trained in the accurate assessment and treatment of the shoulder. A variety of ‘hands on’ techniques and individualized home strengthening and stretching program will be implemented in order to achieve the best possible outcomes. Anti inflammatory modalities may also be used in order to provide pain relief and enhance healing. Although early intervention is vital in treating acute problems and preventing long term issues, physiotherapy can also help even the most stubborn chronic shoulders and get you moving again. More Info

Foot and Ankle Conditions

Physiotherapists are university trained in the assessment and treatment of foot pain. There are many causes of foot pain ranging from joint and ligament problems to muscular and tendon strains, all of which can be treated successfully with physiotherapy

Some of the more common types of injuries are:

Ankle Sprains – This injury involves the ankle rolling sideways and stretching the ligaments beyond their normal limits. The result is ligament damage, joint swelling and inflammation, loss of range of motion and pain.

Plantar Fasciitis – Plantar fasciitis is a common source of heel and foot pain. It is an inflammation of the plantar fascia, which is the arch tissue on the bottom of the foot. The signs and symptoms of plantar fasciitis include heel pain, which is often worse in the morning, Stiffness in the morning and pain along the length of the bottom of the foot. It usually develops over time and is commonly a result of overuse, poor biomechanics or flat feet, tight calf muscles, poor footwear. Chronic plantar fasciitis caused heel spurring but these are rarely the actual cause of the pain. Custom shaped orthotics are often fitted to treat this problem and can be fitted in all of our clinics.

Foot Osteoarthritis – The human foot is made up of over 25 bones, all of which have small joints between them. Lining these joints is cartilage, which over time can become worn which leads to stiffness, swelling and pain. As with plantar fasciitis, poor foot biomechanics or flat feet can worsen this condition. Physiotherapy techniques used include joint mobilisation, stretching and strengthening as well as soft tissue massage and the fitting of orthotics.

Achilles tendonitis – Achilles tendinopathy is a term characterised by tissue damage and pain in the achilles/heel region. The Achilles tendon is an extension of the calf and soleus muscles on the back of the lower leg. During repetitive contraction of these muscles, excessive tension is placed through this tendon and as a result there is degeneration and inflammation. This may occur acutely due to a high force contraction through the tendon or due to consistent gradual wear associated with overuse. Physiotherapy can help treat this condition through specialised evidence based eccentric exercises as well as through the prescription of custom orthotics to re correct the underlying biomechanical problems

Physiotherapy Treatment – Techniques used in the treatment of foot and ankle problems can include; joint mobilisation, stretching, strengthening and proprioceptive exercises, soft tissue massage, and the fitting of affordable custom made orthotics to correct excessive foot pronation. Electrophysical modalities such as laser, interferential, compression therapy, ultrasound and heat may also be used to enhance healing and provide pain relief. More Info

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Other Conditions Treated Include:

  • Muscular and joint pain
  • Spinal scoliosis correction
  • Post-operative rehabilitation
  • Injuries suffered in the workplace
  • Core stability exercises
  • Third party (motor vehicle) injuries
  • Re-correction of posture
  • Tailored exercise programs
  • ‘Prehab’ or pre-surgery exercise
  • Fibreglass casting/splints following fractures

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