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Floss Banding. A new technique.

Floss Banding.  A new technique.

Floss banding!

Thank you to Australian Medical Supplies and Sanctband for coming to chat to us about a new concept, Floss banding.
This may be a new and innovative way of improving recovery and reducing injury.
Your MoveForward Physio’s will keep you posted @ Move Forward Physiotherapy

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Ankylosing Spondylitis (AS)

Ankylosing Spondylitis (AS)

Ankylosing Spondylitis (AS)
Who:
• Males more likely than Females
• Most commonly occurs in those in their late twenties but can occur as late as 45yrs of age

What:
Ankylosing Spondylitis (AS) is a condition which causes pain and inflammation in joints, primarily in the joints of the spine. The term ankylosing means fusion of 2 bones, and the term spondylitis means inflammation of the spine joints. Hence this condition commonly causes permanent stiffening of the spine over time. Inflammation of the bones that make up joints (such as the spinal vertebrae) will overtime cause new bone growth around these joints, resulting in fusion of 2 bones into 1, thus causing stiffness and lack of mobility.

How:
The exact cause of AS is still unknown, however there appears to be a strong genetic link. Persons who carry the HLA-B27 gene appear to be at a much greater risk of suffering from AS, than those without. Being a carrier however does not necessarily mean a person will get AS, as studies have shown only 1 in 8 persons who carry the gene get AS.

Management:
AS will be diagnosed by your doctor, through both blood tests and medical scans, such as x-rays or MRIs. If these results appear positive your GP will refer you on to a Rheumatologist who specialise in these types of conditions.

Medications are usually prescribed to help control inflammation and reduce pain within the spine and other affected joints. In conjunction with this a physiotherapist will further help pain relief through treatment techniques such as heat, dry needling, and soft tissue release.

Once pain has been effectively reduced and inflammation controlled, your physiotherapist will then being to restore normal joint range of motion. Maintaining normal joint mobility and range is essential in preventing stiffness of the spinal joints. Postural correction and muscle strengthening will also play an important role in regaining full movement and then maintaining it.

In summary, once diagnosed with AS,  physiotherapy will play a vital role in long term health and preventing worsening of symptoms associated with AS. Depending on the severity of your condition and which joints are primarily affected, your Move Forward physiotherapist will provided you with a detailed outline of your own individualized treatment management plan. Your treatment may include a combination of the following;
• Rest
• Ice/ Heat
• Brace/ off-load taping
• Soft tissue massage
• Mobilizations
• Dry needling
• Stretching & strengthening exercises, which can be performed within the gym located at Move Forward Hillarys Physiotherapy
• Activity and exercise modifications to improve lower limb mechanics and posture, which can be performed within our pilates studio at Move Forward Quinns Physiotherapy or Jindalee Physiotherapy

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Biceps Tendinopathy

Biceps Tendinopathy

Biceps Tendinopathy

Who

  • Bodybuilders/ powerlifters
  • Physical jobs, tradies such as carpenters, scaffolders etc.
  • Elderly
  • Athletes involved in throwing sports
  • Swimmers

What

Bicep tendinopathy is a broad term used to describe injuries to the biceps tendon including,

  • Biceps tendonitis
  • Biceps tendinosis
  • Biceps tenosynovitis
  • Biceps tendon tear or rupture

The biceps muscle has two heads, a short and a long head. It is most often the tendon of the long head of biceps that gets injured. The tendon, arising from the biceps muscle, runs along the top of the arm bone and attaches onto the shoulder capsule. Thus, the long head of biceps acts to both bend the elbow and also stabilize the shoulder. Inflammation or irritation to the tendon, or the protective sheath around the tendon, usually occurs as a result of chronic overuse. In some case it can also be injured as a result of direct trauma.

When & How

Injury to the biceps tendon usually occurs in combination with other conditions such as rotator cuff tears, shoulder impingement, SLAP lesions, labral teats or shoulder instability. These conditions can occur for a number of reasons including;

  • Altered or poor body mechanics
  • Weakness or injury to the shoulder rotator cuff muscles
  • Age related changes affecting the neck and shoulder joints
  • Changes in exercise programs, such as new exercises or sudden increases in activity
  • Activities requiring repetitive overhead movements such as throwing or swimming

With these conditions the biceps tendon can be subject to compression, pinching, shearing or excessive tension. This result in micro damage occurring at the tendon, overtime this repetitive stress to the tendon begins to irritate it resulting in swelling and pain.

Management

To manage biceps tendinopathy your local move forward physiotherapist will assess your elbow, shoulder and neck to determine any factors that may be contributing to your injury. Following this they will prescribe you with an individualized program and treatment plan to best manage your injury and to prevent any ongoing long term pain. They will use a number of techniques throughout your rehabilitation which may include;

  • Deep tissue massage
    • Dry needling
    • Joint mobilisations
    • Stretching exercises
    • Strengthening exercises can be incorporated into a Pilates program at both our Quinns Physiotherapyand Jindalee PhysiotherapyMove Forward practices.
    • Heat and/or ice therapy
    • Taping
    • Specific activity modifications, performed under physio supervision at our Hillarys Physiotherapy, located just next to Whitfords Shopping centre within Healthy Life Gym.

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Sciatica

Sciatica

Sciatica

 

WHO?

  • Persons with acute or chronic lower back pain and/or hip issues
  • Active persons with chronic muscular tightness
  • Elderly, with normal age related changes to the body
  • Desk workers & persons with chronic poor posture

 

WHAT?

Sciatica is a condition that refers to pain felt along the back of the thigh and lower leg, which normally originates from the lower back.  The pain generally occurs along the sciatic nerve itself, which is the largest nerve in the body, and runs from the lower part of the spine, travelling along the back of the leg into the outer portion of the calf. Pinching and compression causes irritation to the nerve resulting in the above distribution of pain. Occasionally patients may complain of pins and needles and/ or numbness in the lower back, back of the leg or outside of the calf.

WHEN & HOW?

Sciatic nerve irritation occurs when the nerve itself is pinched or compressed by the surrounding soft tissue or bony structures. Pressure on the nerve can be caused by joint inflammation, arthritic or bony growths, or a locked facet joint in the lower back. Chronic tightness in muscles such as the piriformis or hamstring muscles can also cause irritation to the nerve resulting in flair ups. This often happens in persons who sit a lot and/or those with poor posture which results in these muscles becoming overly tight, causing compression to the sciatic nerve as it passes through the muscle.

MANAGEMENT?

To manage sciatica your local Move Forward physiotherapist will assess the entire lower quadrant to determine any factors that may be contributing to your injury. This will include a detailed look at the soft tissue structures, such as the hamstrings, glutes and calves, as well as the lumbar spine and hips.  An individualized program and treatment plan will then be prescribed to help reduce irritation to the nerve in order to best manage your injury and to prevent any ongoing long term pain. A number of techniques may be used throughout your rehabilitation, which may include;
• Deep tissue massage
• Dry needling
• Joint mobilisations
• Stretching exercises
• Strengthening exercises can be incorporated into a Pilates program at both our Quinns Physiotherapy and Jindalee Physiotherapy Move Forward practices.
• Heat and/or ice therapy
• Taping
• Specific activity modifications, performed under physio supervision at our Hillarys Physiotherapy practise

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Women’s Health Physiotherapy

Women’s Health Physiotherapy

Women’s & Men’s Health

One in three women who have had a baby experience urinary incontinence during their life. Contrary to common belief, bladder and pelvic floor problems are NOT a ‘normal’ part of being a woman.

 

No matter how long you have had symptoms it’s not too late to seek help.

The pelvic floor is important for bladder and bowel control and sexual function. Conditions such as pregnancy, childbirth, chronic cough, and abdominal surgeries can lead to pelvic floor dysfunction.

80% of women who experience back pain will also have some degree of pelvic floor dysfunction.

When to see us for Women’s Health Physiotherapy:

  • Incontinence & Pelvic Floor issues (ultrasound guided)
  • Ante natal & Post natal care
  • Abdominal muscle separation (RAD)
  • Breast feeding / postural issues – including mastitis
  • Lower back, pelvic girdle, sciatic, postural, neck pain
  • Core muscle retraining
  • Return to safe exercise

Pelvic Floor and Continence Physiotherapy helps with:

  • Urine leakage when you exercise, laugh, cough, sneeze.
  • Frequency issues: The need to go to the toilet frequently
  • Urge issue: Trouble reaching the toilet in time
  • Difficulty emptying your bladder or bowel
  • Difficulty controlling wind or your bowel
  • Pre-operative and Post-operative management following gynaecological surgery such as hysterectomy

Real Time Ultrasound (RTUI)

Using RTUI to assess and manage pelvic floor dysfunctions is invaluable. This method of assessment is non-invasive with the probe being positioned across the lower belly. It allows you to visualize your pelvic floor and core muscles to make sure you are performing the exercises correctly. Research shows that 40% of people with pelvic floor dysfunction push their muscles down rather than lift the muscles upwards. Repeating the incorrect contraction can lead to further pelvic floor problems so it is important to practice the correct pattern of contraction from the beginning.

womens-health-2

What we can offer you at Move Forward Physiotherapy:

Assessment of your core and pelvic floor function using RTUI which allows us to individualised treatment for your unique musculoskeletal issues including development of personalised exercise programs to strengthen your core and/or pelvic floor muscles to assist with incontinence or other womens health issues. There is also the option of 1:1 Pilates or exercises training sessions to continue progressing your rehabilitation.

Women’s health physiotherapy is offered at both our  Quinns Physiotherapy practice and Hillarys Physiotherapy practice.

For more information visit:  Women’s Health

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Hamstring Origin Tendinopathy

Hamstring Origin Tendinopathy

Hamstring Origin Tendinopathy

 

WHO?

  • Sports with repetitive running/ kicking requirements
  • Gym rats (heavy squatters/ deadlifters)
  • Desk workers & persons with chronic poor posture

 

WHAT?

The hamstrings muscle group is the large bulk of muscle on the back of the thigh, made up of the semimembranosis, semitendinosis and biceps femoris muscles. All three muscles attach at a common point at the pelvis, the ischial tuberosity, via the hamstrings tendon. They then run down the back of the thigh and cross the knee joint. Due to its attachments, this group is responsible for both extending the trunk, at the hip, and bending the knee. When there is constant, repetitive strain placed on the hamstring tendon it starts to become inflamed and irritated resulting in tissue damage and pain.

 

WHEN & HOW?

Hamstring tendinopathy occurs when, over time, the tendon undergoes repetitive damage but is unable to fully recover. This usually occurs as a result of a previous strain or tear to one of the hamstring muscles, or as a result of chronic inflammation at the tendon which causes gradual degenerative changes to the structure and composition of the tendon.

Due to the hamstrings being responsible for straightening the hip and bending the knee, runners, jumpers and kickers are often more susceptible to hamstring strains and thus hamstring tendinopathy. In sports such as AFL, it is common to see players suffering from tears or strains as a result of excessive tension being placed on the hamstring muscle when kicking or sprinting continuously.

On the opposite side of the spectrum, the hamstrings tendinopathy can be worsened in persons who sit for prolonged periods such as desk workers and very inactive persons. The development of this condition has also been linked to persons with poor core strength and pelvic dysfunction.

 

MANAGEMENT?

To manage hamstring tendinopathy your local Move Forward physiotherapist will assess the hamstring muscle and its attachments, whilst also evaluating the entire lower quadrant to determine any factors that may be contributing to your injury. An individualized program and treatment plan will then be prescribed to help reduce the strain placed on the hamstrings muscle group and its attachment on the pelvis in order to best manage your injury and to prevent any ongoing long term pain. A number of techniques may be used throughout your rehabilitation, which may include;
• Deep tissue massage
• Dry needling
• Joint mobilisations
• Stretching exercises
• Strengthening exercises can be incorporated into a Pilates program at both our Quinns Physiotherapy and Jindalee Physiotherapy Move Forward practices.
• Heat and/or ice therapy
• Taping
• Specific activity modifications, performed under physio supervision at our Hillarys Physiotherapy, located just next to Whitfords Shopping centre within Healthy Life Gym.

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