HELP! Why does the side of my hip hurt??

2019-09-18Physio Tips No Comments

Are you struggling with persistent hip pain that is not getting better?

Do you get hip pain lying on that side in bed?

Do you suffer for a few days after a long walk or going up lots of stairs?

You could have a gluteal tendinopathy!

What is a gluteal tendinopathy?

Gluteal tendons live on the outer aspect of the hip and connect your big glute muscles to the hip bone. Their job is to stabilise the pelvic and hip during activity. Tendinopathy is characterised as tiny micro tears within the fibres of the tendon where it attaches onto the bone. The tendons job is dissipate load evenly onto the hip bone as the muscle contracts. When the load becomes to great for the tendon we get a very sore tendon that starts to break down over time. Typically this type of injury affects highly active population or sedentary females aged 40-60.

Symptoms of gluteal tendinopathy?

Soreness over the outer aspect of the hip that is often noticed during or after the following activities:

  • Prolonged walking or fast walking
  • Getting up after prolonged sitting
  • Sitting with your legs crossed
  • Getting out of bed first thing in the morning
  • Sleeping on your side
  • Navigating a lot of stairs
  • Pain that starts with an activity like running that gets better once you warm up.
  • Tenderness touching outer hip bone and muscles.
  • Gym programs involving jumping work or lots of single leg strength exercises.

What causes gluteal tendinopathy to develop?

  • Poor lumbo-pelvic control.
  • Weakness in hip muscles: Specifically glute medius and minimus.
  • Poor daily habits: Standing positions or sitting with legs crossed.
  • Sitting in low chairs prolonged periods.
  • Running load: Increasing speed or hill training or weekly kilometres.
  • Holidays: Yes that trip to Europe with all that walking is common spike that can make tendons unhappy.
  • Starting an exercise program with a little too much motivation.
  • Age: As you get older your tendons get weaker generally and handle changes in load less.

Any questions about an  injury shoot us a message, give us a call on (02) 4751 9127 or book a session online here.

Written by Georgia King

(Physiotherapist)

 

Severs Disease – Is your child complaining about sore heels?!

2019-09-02Physio Tips No Comments

Does your child limp after sport or activity?
Are they complaining of sore heels post activity and sport?
Do they limp after periods of running or jumping?

They may have Sever’s Disease.

Don’t worry this is not as bad it sounds.  Severs disease a condition commonly affecting the feet of children 8-14 who are growing and active. It’s typically associated with pain at the heel bone where the achilles attaches. The pain is due to inflammation at the growth plate where the achilles tendon attaches to the calcaneal apophysis due to traction and overuse.

 

Why do kids get Sever’s?

  • Growth spurt: Bone naturally grows faster than muscle. Therefore the muscle cannot maintain optimal length at the attachment point of the tendon when kids are growing. This creates a traction effect where the tendon joins onto the bone. The pain will usually occur towards the beginning of the growth spurt so you may not have noticed the spurt yet.
  • Training load: Training load can vary depending on training schedule, sessions per week or training intensity. Watch out for rapid spikes in training or at the start of new sport seasons,
  • Muscle tightness: Tight calf muscle are often a big factor with severs. The tighter they are the more it will pull on the achilles attachment point.
  • Gender: Unfortunately, boys get this more than girls!
  • Footwear: Change of footwear can also play a big role in the development of heel pain in kids. (Try aim to keep them in shoes where the heel is slightly higher than the toe box).

What does Severs look and feel like?

  • Tenderness over the base of the heel.
  • Pain with prolonged running and jumping activities, typically towards the end of a training session or game.
  • Walking with a mild limp or on their tippy toes after sport.
  • Heel pain that goes away an hour or so after they stop exercising.

Any questions about an injury shoot us a message, give us a call on (02) 4751 9127 or book a session online here.

Written by Georgia King

(Physiotherapist)

 

5 Favourite Strength Exercises for Runners

2019-08-20Uncategorized No Comments

Strength Training + Running

 


 

Did you know 79% of runners each year have at least one injury?

Runners often ONLY want to run & not do the 1%’s that keep them injury free!

Being injury free = More running 🙂

Strength training is routinely prescribed to help treat running injuries!

So why not put into your training consistently to bullet proof your running!

 

What we hear everyday from runners about strength work!

  • Isn’t running itself enough strength work for me to do!
  • Strength training will make me too heavy to run!
  • I will get too bulky to run!
  • My legs will get to sore and effect my running!
  • I know I should be doing it but I can’t find time in my training!

 

Our 5 favourite running strength exercises!

  •  Bulgarian Split Squat
    – Focus on tilting your chest over the front leg in order to utilise the glute muscles.
    – You should feel a quad stretch in the back leg.
    – Focus on a 2-3 second pause at the bottom and drive up.
    – Adding weight into the opposite hand ensures the stance leg glutes work hard.

  1. Single Leg Romanian Deadlift
    – Tilt over the stance leg ensuring you do not bend your knee too much.
    – Focus on kicking the back leg out as if pushing over a wall with your heel.
    – Bonus points for doing this one barefoot.

 

  • Single leg sit to stand
    – No excuses for this one as all you need is a chair.
    – Not a difficult one stand up and sit down on one leg.
  • Loaded calf raises– Find a weight 5-10% of your body weight.
    – Focus on coming up on your tippy toes and down slow.
    – Bonus points for doing both a straight leg and bent knee version.

 

  • Side plank leg lift
    – Get into a side plank position on either the side of your bottom knee or foot (pictured below).
    – Lift top leg up and down keeping your foot behind the bottom leg.
    – Don’t hold your breath and focus on quality over quantity.

 

If you need a strengthening plan to complement your training or in the lead up to an event please give us a call on (02) 4751 9127 or book a session online here .


 

Written by Patrick Lincoln

(Physiotherapist)

Pre Pointe Assessment

2019-08-05Uncategorized No Comments

Pre Pointe Assessment

 


 

It’s the dream for many dancers to dance on pointe!

It takes lots of work and preparation to be ready for the challenge!

 

 

 


 

What is a Pre Pointe Assessment?

The assessment involves the following:

  • Identify the stage of physical development of the dancer.
  • The quality of trunk, abdominal and pelvic control during specific movements.
  • The quality of lower limb alignment during all important positions.
  • Strength and flexibility testing of the foot and ankle.
  • Assessment of training load, intensity and duration.

 

 

 

 

 

 

 

 


Why is a Pre Pointe assessment needed?

The reason for pre pointe assessments is to ensure that the dancer is physically ready to progress her training to pointe. If it is determined the dancer is not ready than a program will be developed to help prepare her for pointe. Injury risks increase in dancers on pointe due to the physical demands of the sport. Young dancers are growing so it’s paramount that they have adequate strength and control to go onto the next stage of their training.

 


Whats involved?

The assessment takes place inside the clinic by qualified Physio 🙂

  • Detailed history of dance training.
  • Current dance classes and load.
  • Physical assessment of core strength, flexibility and lower limb muscle strength.
  • Calf muscle strength criteria.
  • Assessment of alignment in demi point, 1st, 2nd, 4th and 5th positions
  • Assessment of hips and pelvic control throughout all positions.
  • Assessment of grande plie, demi pointe, retire en rise, pose forward into retire.

From this detailed assessment a recommendation on the dancers readiness for dancing on pointe will be made along with recommendations for any exercises needed to improve readiness. We guarantee a smooth transition to pointe classes without injury!

 

 

 

 

 


Any questions about an injury shoot us a message, give us a call on (02) 4751 9127 or book a session online!

Written by Georgia King

(Physiotherapist)

Myth Busting Osteoarthritis!

2019-07-16Uncategorized No Comments

Myth Busting Osteoarthritis

 


 

Our population is definitely not getting any younger and therefore joints are wearing out and getting replaced more and more regularly. Everyone reading this probably knows one person with a knee or hip replacement. 

 

FIRSTLY… What is osteoarthritis and how do I know if I have it?

Osteoarthritis is a natural wearing process in which the protective cartilage that cushions the ends of your bones wears down over time. This is a by product of years of movement, friction and mechanical pressure over the joint surfaces. People can have osteoarthritis and not even know where as other people can suffer dreadfully with arthritic aches and pains. 

 

How do I know if I have Osteoarthritis?

  • It can effect all joints but typically the knee, hip and hands are the most common areas.
  • Painful or aching joints.
  • Swelling and tenderness surrounding joints.
  • Palpable heat or inflammation within the joint.
  • Restricted movement or mobility that may be painful. 
  • Clunking or clicking in the joint. 
  • Gradual building pain or loss of function. 

 

 

 

 

 


 

6 Myths surrounding managing arthritis!

 


 

  1. Load bearing exercise is ‘bad’ for joint health.
    Load bearing exercise at times have been given bad press  in regards to the management of arthritis. I agree that at times when your symptoms are playing up it can be ill advised. But on the whole  weight bearing strengthening exercises have shown to increase muscle strength, joint and cartilage health. Bone like a muscle will respond to structured gradually loading and get stronger  💪
  2. I should avoid exercise in case I make my Osteoarthritis worse.
    Exercise plays a key role in the management of Osteoarthritis with structured programming targeting muscular strength. Mobility exercises and stretching also form an integral role for good joint health. Weak and stiff joints tend to more symptomatic and painful than mobile and strong joints!
  3. Osteoarthritis should only be managed with anti-inflammatory medications.
    This is a very 2 -dimensional medical approach to managing your Osteoarthritis. There is definitely a time and place for anti-inflammatory medications along the arthritic journey. Using medications to manage a flare up of symptoms is appropriate if in short time frames with clear guidelines. You don’t want to get stuck on the anti-inflammatory train taking them every day to get by – If you’re doing this it may be time to visit the surgeon!
  4. Surgery is the only option to help my symptoms.
    For advanced arthritis that is effecting your quality of life, sleepless nights due to pain are the norm and you’re eating anti-inflammatories like lollies then again you may need to call the surgeon! If you have mild or early stage arthritis surgery is NOT your only option. Physiotherapy plays a vital role in helping improve joint health, muscle strength and joint range of motion. This will not only help in the immediate phase to resolve symptoms but in the unfortunate result of needing surgery your efforts pre-surgery tends to make life post surgery much easier.
  5. Osteoarthritis only effects elderly people.
    Your family history, surgeries in your younger years, traumatic injuries and obesity can all lead to osteoarthritis in younger people.
  6. Running can lead to osteoarthritis.
    There has been numerous studies showing no evidence that running increases the chances of getting osteoarthritis. It’s actually shown it can help lessen the likelihood of OA due to keeping body weight low, regular exercising to strengthen muscles and the impact loading can help create resilience in the cartilage.

 


 

Any questions about an injury shoot us a message, give us a call on (02) 4751 9127 or book a session online!

Written by Pat Lincoln

(Physiotherapist)

Training for a running event? Find out how MASSAGE can help!

2019-07-09Uncategorized No Comments

Are you preparing for your next Running Event?

City to Surf?

Blackmores Marathon or Half Marathon?

Glenbrook Trail Marathon? 

 

Do you think massage therapy can help your race prep?

Our massage therapist Brett has run several marathons himself and here is what he has to say regarding sports massage & how it can help preparing for your next running event  🙂 

 


 

Running  and massage make good friends. The repetitive nature of running causes an enormous amount of joint compression and muscle fatigues so it’s no wonder your legs feel tight, sluggish and sore the next day.

 

How can massage help your race preparation? 

  • Address muscle tightness and delayed onset muscle soreness after big training weekends.
  • Improve range of motion to joints, fascia and muscles lessening the risk of injury.
  • Increase circulation and oxygen delivery to working muscles and help with recovery.
  • Addressing upper body movement, trunk rotation and shoulder tightness that can impede running performance.
  • Massage improves the  effectiveness of the circulatory system. This system is responsible for oxygen transfer, nutrient delivery, and waste removal at the cellular level.

When is the best time to get a massage surrounding a running event?

  • 3-5 days either side of an event is optimal for getting a sports massage.
  • This allows for optimal recovery after the event and after the massage prior to the event

What to expect with a sports massage?

  • Sports massage are individualised for different training regimes and different athletes.
  • Your therapist will take a brief history regarding injuries, niggles, training loads and particular areas of tightness.
  • Time can vary between 30 or 60 minutes.
  • Your therapist uses massage to apply pressure and long strokes to target the deeper layers of muscle and connective tissue.

 

RUN EFFICIENTLY
RECOVERY FASTER
REDUCE INJURIES

 


 

Any questions about an injury shoot us a message, give us a call on (02) 4751 9127 or book a session online!

Written by Brett Dwyer  (Massage Therapist at The Physio Depot)

Calf muscle tear! OUCH! Find out how physio can help!

2019-06-06Uncategorized No Comments

Running along and then BANG and your calf is torn?

What to do next?

Well first thing is stop running!

Get home and follow the next few steps!

 


 

How to know if you have torn your calf muscle?

  • A snap or pull felt at the time of injury.
  • Pain and weakness in the calf area.
  • Swelling in the area.
  • Bruising.
  • Weakness in the calf when trying to walk, climb stairs or stand.
  • Limping when walking.

What’s a calf muscle and where does it live!

There are two muscles that make up the calf, the gastrocnemius and the soleus.

Both these muscles attach into the achillies tendon that inserts at the heel.

 

 

 

So I have torn my calf….. What now?

Ice

  • Applying ice wrapped in a towel for 10 minutes a few times during the day will help to reduce inflammation and reduce pain.

 

Rest

  • Depending how bad the tear is you might need to use some crutches for a few days. It’s always best to get back walking normally as soon as possible, take as much weight as you can through your leg and slowly wean off the crutches.
  • If it’s not to bad and you want to continue with some exercise riding a bike is usually a good place to start as long as its pain free.
  • Prolonged rest does not help. The quicker you get moving the better!

 

Move + Strengthen

  • MOVE as quickly as you can!
  • When sitting slide your heel forward and back gently, often during the day.
  • Ankle pumps = Moving your foot back and fourth throughout the day.
  • The quicker you begin pain free loading the better.
  • Whether it be a partial tippy toe raise, pushing against a theroband and pointing your toes.

 


When should I start Physio??

—-> As quick as you can start your rehab the quicker you can return to play

 


What will the Physio do on the first visit?

–> Assessment your injury
–> Test muscle capacity and diagnose the grade of injury.
–> Educate you on appropriate exercises and form a management plan.
–> Taping to offload the injured calf muscle.
–> Soft tissue treatment around the injured area.

 

Any questions about an injury shoot us a message, give us a call on (02) 4751 9127 or book a session online!

Written by Georgia King (Physiotherapist at The Physio Depot)

Don’t start your day off on the wrong foot

2019-05-27Uncategorized No Comments

Don’t start the day with heel pain!

Plantar fasciitis has a multitude of ever changing names but the condition itself is characterised by tissue irritation in which the plantar fascia attaches to the heel bone. The plantar fascia is a band of connective tissue attaching from the inside of the heel bone, along the base of the foot into the toes.

The role of the plantar fascia is to help us propel the body forwards by supporting the bones and joints within the foot. If it becomes irritated the heel can become very tender with prolonged standing and walking.

How to know if you have Plantar fasciitis?

  • Heel pain with the first few steps when waking up in the morning.
  • Heel pain after prolonged periods of sitting.
  • Sharp pain on the inside aspect of the heel.
  • Tenderness to touch the inside of the heel.
  • Pain with extended standing or walking.

 

 

What you need to know to get better!

 

TIMEFRAME

– Plantar fascia conditions take a long duration to completely rehabilitate.
– 6-8 weeks generally to settle acute flare up of heel symptoms.
– Anywhere from 3-9 months for a full recovery.

STRENGTH

– Intrinsic foot strength is crucial (These are the little muscles that reside in the foot).
– Plantar fascia and calf complex strengthening.
– Graded loading of foot and ankle complex.
– General HEAVY load and LOW rep training in the gym will help.

MOBILITY

– Big toe stretches.
– Ball releases under the arch of the foot (avoiding the sore spot).
– Calf stretching.

 

LOOK UP THE CHAIN

– What’s happening beyond the foot is important to assess hip and trunk stability.
– Poor control beyond the foot can lead to excessive loading on the foot

 

TRAINING LOAD AND ACTIVITY MODIFICATION

RUNNING: Decrease intensity and speed work can make your symptoms
STANDING: Long periods of standing and walking can exacerbate your symptoms.
PROLONGED INACIVITY: Keep moving little and often throughout the day.

 

Any questions about an injury shoot us a message, give us a call on (02) 4751 9127 or book a session online!

Written by Georgia King (Physiotherapist at The Physio Depot)

What’s that painful lump on my kid’s knee? It’s Osgood Schlatters Disease!

2019-05-01Uncategorized No Comments

Osgood schlatters disease is a knee condition affecting generally growing 12-14 year old children that highly active. It’s typically associated with pain at the front of the knee and a bony prominence can form on the top of the shin bone. The pain is due to inflammation at the growth plate in which the quadricep tendon attaches at the top of the tibia.

When kids are growing the tendon creates extra tension at the insertion which leads to pain and inflammation (See picture below).

 

 

 

 

 

WHY DOES IT HAPPEN?

  • Growth spurts: A bone grows faster than muscle therefore the muscle cannot maintain optimal length at the attachment point of the tendon. This creates a traction effect in where the tendon joins onto the bone.
  • Training load: This typically ramps up after school holidays and we see an increase in these types of conditions this time of year.
  • Muscle tightness: Tight quadriceps and hip flexors are often contributing factors.
  • Muscle strength imbalance: Poor quadricep strength and gluteal strength can increase the likelihood of suffering from osgood schlatters.
  • Gender: Unfortunately, boys get this more than girls!

WHAT ARE THE SYMPTOMS

  • Point tenderness at top of the tibia.
  • Prominence at top of tibia (Bony knob below knee).
  • Difficulty kneeling or sensitivity to tapping the knee.
  • Pain with running and jumping activities.
  • Dull ache after activity and sport.

HOW CAN PHYSIO HELP?

Getting the correct diagnosis is key to make sure you’re treating the right condition and there is no involvement with the patellar tendon or knee cap issues.

Once we know what’s going on a combination of all these ideas can help manage your condition:

  • Soft tissue releases to take pressure off the bony prominence!
  • Taping techniques!
  • Anti-inflammatory ideas!
  • Stretching protocols!
  • Strengthening exercises!
  • Ice!

With the start of so many sporting seasons in the winter months that involve hopping, jumping and sprinting it’s a common problem we see in the clinic this time of year!

If you have any questions about your kid’s injury shoot us a message, give us a call on (02) 4751 9127 or book a session online!

Written by Pat Lincoln (Physiotherapist at The Physio Depot)

 

Upper back feeling tight? Try these 5 quick tips!

2019-04-14Uncategorized No Comments

Sitting by day, stiff by night!

 

Do you spend a lot of your day sitting at a desk or in the car?
Are you suffering with neck pain?
Do you find your upper back stiff and you just can’t get it to go away?
Struggling to lift that weight overhead?

We understand how annoying that can be!

Here are some tips on how to improve your upper back mobility and reduce your symptoms!

 

Foam Roller stretch!

Spend a few minutes each night opening the thoracic spine using a foam roller. Simple and effective way for reducing your symptoms. Aim for 2-3 minutes working in a variety of different spots.

Regular work breaks!

When working at a desk try to get up often during the day, go for a walk to the printer, grab yourself a glass of water or go and say hi to a friend! Our body is designed to move and likes to be up and about during the day.

Computer screen height!

Ensure that your computer screen is at the right height so you don’t fall into a hunched position. The top of your screen should be at eye level.

 

Work stretches in sitting!

Rotate your upper body around pulling with your arms and keep your hips forward. Hold for 10 seconds and complete 3 big breaths aim for 3-4 per side.

Bow and arrow stretch!

Lay on side with top knee resting on foam roller. Rotate upper body around and take a deep breathe, come back to starting position and repeat 15-20 x per side.

 

Any questions about an injury shoot us a message, give us a call on (02) 4751 9127 or book a session online!

Written by Georgia King (Physiotherapist at The Physio Depot)