Physio Depot’s top tips to help acute neck pain!

2020-04-28Physio Tips No Comments

 

 

 

 

I just woke up…
Now I cannot turn my head at all..
and it hurts like hell… HELP!
Sounds like a Wry Neck!

 

A wry neck is one of the most common neck issues we see in our community. It’s characterised by severe limitation in neck movement and excessive muscular spasm. And it hurts…. A LOT!

What causes this reaction is trivial movement or a sustained position of your neck eg. sleeping in a car or twisting your neck quickly for something. The facet joints of your neck lock up due  excessive spasm in the surrounding muscles causing pain and loss of movement.

Good thing is they don’t last long with proper management and the quicker you restore that movement the quicker the pain dissipates.

Our top tips to you fix your wry neck?


1. Get moving as soon as possible!

  • The longer we wait to start moving the longer it generally takes to resolve.
  • It will be sore but trying to move the neck in the directions that are less painful is a good start.
  • It’s very rare for all directions of movement to be severely limited.

2. Heat packs will be your best friend 

  • Keeping heat packs applied regular or hot showers is a very effective way to limit the amount of muscular spasm.
  • Ensure you don’t burn yourself but there is no limit to how much you can do this.
  • The quicker the muscle spasm settles down the quicker the neck movement will be restore.

3. Gentle PNF Stretches (We will explain what that is!)

  • Gentle muscle contractions and movement will help this resolve quickly.
  • Find a spot on the floor.
  • Use your hand to create a pressure against your hand – Do a little contraction.
  • Let your head fully relax.
  • Then try and turn your head a little bit. Repeat this process as far as you can. (You can see a video on our insta or facebook page)

4. Seek treatment as soon as possible

  • The quicker you restore your movement the better and Physio can help with this immediately.
  • Massage treatment to settle muscular spasm.
  • Joint mobilisation to restore joint movement.
  • Advice, education and reassurance surrounding your condition.
  • Exercises to help you manage this at home so you get better faster.

 

 

If you have any questions shoot us a message or book an appointment online!


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 Patrick Lincoln

(Physiotherapist)


Helpful tips for working at home!

2020-04-08Physio Tips No Comments

 

Rather than our usual ergonomic office set-up, working from home during self-isolation means many of us are spending our days slouched in bed with our laptops or working from the kitchen table, and are moving less than ever throughout the day.

These prolonged hours of these often slouched, and static postures can result in significant discomfort.
Setting up a work space at home that considers your posture and incorporates some simple exercises throughout the day is extremely simple, and will have positive effects on your health, movement and productivity.

 

Keep your monitor at eye height

The most important aspect of your desk set-up is getting the screen at eye height. Often in the office, people use monitors or stands for their laptops. Though, at home you can use some stacked books to raise the laptop to eye height, then connect a keyboard and use a mouse. This set-up will assist in maintaining your upper back, head and neck in a neutral position, minimising muscle fatigue.

 

Think about your desk set-up

Though it might be comfortable initially, always avoid slouching on the sofa or lying in bed to do your work. You should always use a solid desk or kitchen table to work from. The height of your chair should be adjusted so your feet sit flat on the floor and your thighs parallel to the floor – you can always use a small step to raise your feet. Your elbows should be able to rest comfortably at a 90-degree angle on the table. If you don’t have lumber support, place a pillow behind your back to support your natural lumbar curvature.

Alternate between sitting and standing

If you can, it’s always best to alternate between working from a sitting and standing position. For those that do not have a standing desk, use your kitchen bench, and again, stack some books to ensure that the laptop is at eye height. Working from a standing position will reduce hip flexor tightness and lumbar spine compression associated with sitting for extended periods of time.

Keep moving

Our bodies are made to move, so our number one tip – keep moving and take regular breaks every 30-60 minutes. Working in any position for an extended period of time will cause muscle fatigue and discomfort, so go for a walk, get some fresh air and reset. We also recommend incorporating some stretches at your desk to decrease joint stiffness, muscle tightness and improve postural awareness.

Try some simple chin tucks, shoulder rolling and seated rotations that can all be done from your desk.

 

If you have any questions shoot us a message or book an appointment online!


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 Patrick Lincoln

(Physiotherapist)


We’re open for Business + Online Consultations!

2020-03-24Physio Tips No Comments

COVID-19 + Recent changes to keep you safe at The Physio Depot!

 

As a community everyone is hurting right now and the best way to act help each other is to support small business, buy a take away coffee and reach out to those you know who are struggling!

As a clinic we are still operating to serve our community with our amazing customer service in the SAFEST way possible!

  •  Extreme hygiene measures
    – Washing hands pre and post every patient
    – We wipe down beds after every treatment
    – Wiping of reception area, chairs and doors regularly 

    – Wiping down gym area and equipment 
  • Social distancing in waiting room 
  • We are a low volume clinic with max 4-6 people here at any one time
  • If you have travelled in the last 14 days – reschedule your appointment 
  • If you are sick, feeling unwell or have a fever – reschedule your appointment 
  • Try to just bring yourself to the appointment rather than the whole family so we can keep an eye on social distancing  

 

Introducing Telehealth at The Physio Depot 

Online appointments are more relevant to our business more than ever as more people self isolate and restrictions tighten up. It’s perfectly normal to feel anxious, scared and uneasy in these times. With this in mind we are hoping to provide our same friendly physio advice, education, treatment plans and exercise recommendations via online appointments!

We all love hands-on therapy but in fact it is always our goal to quickly transition our patients toward self management so that they can become empowered and in control of their physical health.


 

Why choose Online Consultations?

  • Anytime and anywhere – All you need is your phone or internet connection.
  • Professional education, advice and management.
  • Personalised management plans delivered with individual goals for your recovery.
  • We send you documents, pictures and videos regarding your rehab exercises.

Is Online Physiotherapy for me?

Online physiotherapy is perfect for you if you fit the following criteria:

  • You have a smartphone, tablet, laptop or computer with a video camera
  • You have a valid email address
  • You require ongoing education, advice and exercise progression but can’t make it to our physical location
  • You are unable to make it to a physical consult due to a busy lifestyle but still need some things you can do to make progress on your physical wellbeing
  • You would like guidance on your exercise technique and self treatment program
  • You want to know what your problem is and whether it is important to have it assessed in further detail at our physical location
Do I need to be good with computers to use this service?

Not at all! Our video consultations are hosted by Coviu which is incredibly user friendly. All you do is click a link sent to your email and then your done 🙂

Can I claim Online Physiotherapy sessions under my private health fund?

Please check with your specific provider – It’s a mixed approach from health care providers. Given the current climate watch this space as it will change quickly!

What about Medicare EPC and NDIS coverage?

Currently Medicare does not cover physiotherapy under it’s telehealth scheme but this is currently being pursued closely by the Australian Physiotherapy Association in the midst of the COVID-19 pandemic.

 

If you have any questions shoot us a message or book an appointment online!


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 Patrick Lincoln

(Physiotherapist)


WHAT IS HIP IMPINGEMENT?

2020-03-12Physio Tips No Comments

WHAT IS HIP IMPINGEMENT?

 

 

Femoroacetabular impingement (FAI), also known as hip impingement, is a movement or structural problem of the hip which results in the catching or squashing of cartilage/tissues in the hip joint between the Sockey (acetabulum) and thigh bone (femur).

 

What causes impingement?

 

People with hip impingement often have variations in the shaping of the ball-and-socket hip joint. (this may be a bony enlargement on the head of the femur or a deeper hip socket). This variation may be genetic or may have developed over time as an adaptive response to repetitive and large hip movements during adolescense. This is common in certain sports/athletes that involve repetitive kicking in front of the body, and extreme flexibility (football, soccer, dancers, gymnastics, martial arts).

Over time, repetitive “bumping” or impingement of the thigh bone on the rim of the socket during certain movements leads to cartilage and labral irritation. Hip impingement often presents following an increase in training volume, combined with weak and tight muscles around the hip, which over time disrupts the natural glide and roll movement of the femur within the hip capsule.

 

Common symptoms:

 

Hip impingement generally results in hip stiffness, muscle pain, weakness and decreased performance.

Often including:

  • Deep aching pain in the groin + outside of hip
  • Irritated by movement such as deep squatting, stairs, lunges, kicking movements and running
  • Pain with prolonged sitting
  • Night pain
  • Clicking, catching and giving way

 

Treatment:

 

Fortunately, there are a number of things you can do to help relieve your hip pain and get you back on track! This is beginning with modifying activities, stretching/mobility work, and a strength/stability rehab program.

Every person with hip impingement presents differently and needs an individualized approach to their rehab. Have fun getting strong!

 

  • Restoring hip movement – There is a challenge of balancing restoring hip movement without increasing symptoms. This can start by gently working on restricted movements within a comfortable range. An exercise band around the upper thigh is used to increase joint space and improve the pain-free hip movement. 

  • Strength of the gluteal muscles  The glutes help support the hip and pelvis through dynamic movement, and assist the thigh bone to move freely inside the hip joint without jamming up on the front of the hip and causing pain. 
  • Releasing tight muscles  this commonly includes foam rolling the gluteal/deep hip rotator muscles which will help free up natural hip motion. 

  • Improving balance and control of hip movement – Once hip motion and strength has been restored, improving the control of the lower limb is essential to ensure you move/perform well through the movements that are essential to your goals!

 

If you have any questions shoot us a message or book an appointment online!


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 Kieran Fercher

(Physiotherapist)

MYTH BUSTING SQUATS!

2020-02-13Physio Tips No Comments

MYTH BUSTING SQUATS!

The squat is an exercise that is functional to everyday life. Naturally we should squat to pick things up from the floor, lowering onto a chair. Our modern day lives have meant that varying movement patterns have been formed during a squat which can place strain on joints and muscles.

There is a strong belief that the knees should never move over the toes when squatting. The knee is only a hinge joint, so it will only move forward based on movement that goes on at the ankle and hip. Instead of focusing so much on what is going on at the knee, we should really be focusing in on the hip and ankle joint when we squat.

  • Limiting forward knee travel simply SHIFTS THE STRESS from the KNEES to the HIPS/LOW BACK.
  • In order to reach FULL depth in the squat the KNEES almost ALWAYS have to move forward past the toes.
  • EARLY forward knee travel during a squat may indicate a mobility restriction or poor movement pattern.

Ways to keep you squatting around pain!

 

What people also tend to forget is that each type of squat is MEANT to have differing amounts of forward knee travel, due to the varying demands placed on the joints of the lower limb due to the different bar or arm positions.

In order of most to least expected forward knee travel in different versions of the squat:

  1. Overhead squat
  2. Front squat
  3. Goblet squat
  4. Back squat
  5. box squat
  6. Wall squat

If you are experiencing pain when squatting, try these variations as you recover!

 

Knee/Ankle pain

  • Wall squats
  • Box squats

Hip/Low back pain

  • Front squats
  • Goblet squats

 

How to improve your squat!

Ankle mobility

  • Grab a box and a resistance band.
  • Place the band around the top of the foot.
  • Drive your knee through the midline of your foot to increase ankle range.

Hip mobility

  • Grab a resistance band and place the band around the leg as far up the thigh as possible
  • Move outwards to create a strong pull on the band
  • Get in a lunge position and move the knee in and out

Hamstring flexibility

  • Laying on your back, supporting your thigh at 90 degrees.
  • Bend and straighten your knee until you feel a stretch.
  • Repeat this movement continuously.

Trunk control

  • Try squatting with a weight held straight out in front of you to offset your body weight.
  • This will challenge your trunk control to keep an upright torso.


If you have any questions shoot us a message or book an appointment online!


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 Kieran fercher

(Physiotherapist)

How to start a training program in 2020!

2020-01-13Physio Tips No Comments

 

Happy New Year!

 

With a new year on the horizon, we all have new goals and ambitions for this year!
With New Years Resolutions comes new exercise goals and  training regimes to start the year right!
Although this starts with your best interests, it tends to lead to an increase in injuries!

 

Here are our tips for starting exercise WITHOUT getting injured!

SLOW AND STEADY WINS THE RACE

Increase your training volume steadily and slower than you think. Your bone, tendon and joints takes time to adapt to certain training loads. Irrespective of your exercise choice, a gradual return is always recommended. 

 

CHECK YOURSELF BEFORE YOU WRECK YOURSELF

Get any niggles or past history of injury sorted before you start. Typically preventative strengthening or flexibility programs to supplement your training will help reduce the likelihood of ending up injured whilst tackling your new years goal.


THE POWER OF CROSS TRAINING

Variety is the spice of life, by finding various ways to train it will help warn off any injuries. By utilising different muscle groups, movement patterns and planes of movement it helps prevent repetitive strain injuries from a new exercise regime.

 

RECOVER RECOVER RECOVER

Recovery is as important as the training itself, the time spent recovering is when your muscles are rebuilding, your tissues are getting stronger and tendons becoming robust to sustain more training. Start with a rest day between every training session. Initially you will feel like your body can keep training, but it may catch up with after a few weeks of consistent training.



USE A PROFESSIONAL TO GUIDE THE RETURN TO EXERCISE, SPORT OR ACTIVITY

Like anything using a Personal Trainer or Physio to help guide your return to exercise can be instrumental to returning without getting injured. Aside from providing structure to your training program it will provide accountability to ensure at end of January your not back into your old habits.

CONSISTENCY

Being consistent with realistic amounts of exercise over a long period is far more effective than setting unrealistic training volumes for a short period of time. Exercise and training should have a plan and have goals that are SMART (Specific, Measurable, Achievable, Realistic + Time based). 

 

If you have any questions shoot us a message or book an appointment online!


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 Patrick Lincoln

(Physiotherapist)

Planning on running into the new year?  

2019-12-09Physio Tips No Comments

 

Are you wanting to take up running in 2020?

 

We love seeing people out enjoying running and one of the great things is anyone at any level can run! BUT we hate seeing patients in the clinic who have started running and have ended up with an injury!

 

How to start your running program and avoid injury!

 

Consistency is key

Stopping and starting a training program often leads to injury. Make sure the program you start is going to be achievable in the coming months so that you stay consistent. Think about the number of sessions you have time for in your week and write the program to fit that.

 

Rest and recovery

Scheduling rest and recovery is extremely important as part of your program. Make sure you have allocated rest days each week. Recovery can look like many things depending on your program and could include a walk, swim or a yoga session (not sitting on the couch watching Netflix).

 

Training Load management

Too much load to soon is often the cause of many injuries we see in the clinic. This sudden increase in training volume leads to a variety of running injuries including achilles tendon issues, plantar fasciitis or gluteal tendinopathy. Start your training load at your appropriate fitness level and slowly build your load up. No more than a 10-15% increase in load per week. That load change could either be the speed of the run, distance covered or adding hills into your run.

 

Training Variability

Variety within a training program is great for the body and helps keep you in running pain free. Cross training such as yoga, swimming or running is a great way to get cardiovascular benefits without putting load through the same muscles used for running.

Strength Training

Strength training can help to prevent injury and make you a better runner. You don’t need to be lifting huge weights to get benefits form it. Just 1 strength session a week with some basic exercises can have huge benefit for your running performance and injury prevention. Read our 5 favourite strength exercise blog post for some strength exercise ideas you can do at home.

 

Happy Running Team 🙂

 

If you have any questions shoot us a message or book an appointment online!


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)

ARE SHOULDER PAINS, STOPPING YOUR GAINS?

2019-11-25Physio Tips No Comments

SHOULDER PAIN AT THE GYM??

What makes up the shoulder?

The shoulder joint (Glenohumeral joint) has the greatest range of motion of any joint in the body. It is made up of three bones the humerus, scapular (shoulder blade) and clavicle (collar bone). These bones make up 3 main joints the gleno-humeral, sterno-clavicular and acromio-clavicular joints. The gleno-humeral joint is the large ball and socket joint and the socket is made deeper by surrounding cartilage. These bones provide some stability around the shoulder however majority of the shoulders stability comes from the surrounding muscles, tendons and ligaments. The muscles that move the humerus provide more stability to the shoulder than all the ligaments and capsular fibres combined. The rotator cuff muscles are the primary mechanism for supporting the shoulder joint.

A lot of people with the tasks we perform as a society, now have shoulders that are rounded forward. The problem with forward-rolled shoulders is that it puts the shoulder into an unstable position that limits the capacity to create external rotation and stability around the shoulders. The external rotators of the shoulder become overstretched, weak and stiff which can lead to acute shoulder pain at the gym.

Fortunately there are a number of things you can do to help relieve shoulder pain at the gym beginning with modifying activities, mobility work and a strength/stability rehab program.

How to reduce shoulder pain in your gym program!

The three main ways shoulders are trained are through pulling, pushing and pressing movements.

  • Shoulders find pulling work the easiest as it opens the front of shoulder up and works on keeping the shoulders in a neutral position which is best for force production.
  • Pushing work increases the load on the shoulder more than pulling work and therefore this type of load should be limited if the shoulder is painful.
  • Overhead pressing work is the hardest for the shoulders to perform with the shoulder in the least stable position.
  • Taking some time away from overhead work, limiting your pushing work and really working on your pulling work can make a huge difference in settling down your shoulder pain at the gym.

Shoulder Mobility Exercises!

Working on the mobility restrictions around the shoulder to increase the range of motion will also help to restore the shoulders to a neutral position to help optimise force production.

 

Shoulder capsule release
Position a lacrosse ball right behind your shoulder, just above your armpit, apply as much pressure as needed to release this tissue.

 

 

Flexion stretch kneel in front of a box with your arms facing toward your body and elbows positioned next to each other, keep elbows together and drop your head down between the box and yourself.

 

 

 

 

Banded Lat stretch: Hook your wrist through a large band, fold your body in half with your arm overhead and lean away from the band to stretch your lat.

Strength Exercises for Shoulder Pain!

Stability and strength will allow for you to keep your shoulders happy whilst training at the gym and through life. Start with stability and slowly increase the difficulty of exercises you train.

  • Shoulders like a 2:1 ratio of pull:push work. Pulling work is where you will develop your shoulder stability which will allow you to do the pushing work pain free.
  • The stages of strength and stability rehabilitation around the shoulder:
    • Isolate the shoulder = rotator cuff activation exercises and scapular control exercises both in a small range of motion.
    • Get the shoulder stronger = Start in neutral positions with exercises like static bear crawls, chest press from the floor and modified push ups on a bar.
    • Increase difficulty/stability = Change the exercises to have harder positions such as dynamic bear crawls, shoulder taps and mini Turkish get ups
    • Resume pressing = add a band around your wrists to increase your rotator cuff activation during your press movements to begin with and then reintroduce kettle bell press and Arnold press’.

These stages should take you between 6-12 weeks to rebuild the shoulder stability and strength. After this it is important to maintain your pulling work so that your shoulders don’t slip back into a forward rolled shoulder position. Neutral shoulder position will allow for the greatest force production pain free.

 

If you have any questions shoot us a message or book an appointment online!


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)

Are your shins painful when you run or hop? It sounds like shin splints!

2019-11-01Physio Tips No Comments

SHIN SPLINTS
– Also known as that god-awful pain you get in you shin when you run!

Shin splints is the slang term used to describe pain experienced on the inside of your shin. The technical term is medial tibial stress syndrome. Typically this injury occurs gradually with the onset of increased training volume and repetitive stress to the shin.

There is sliding scale of injury when diagnosing shin splints and the management changes for each end of the spectrum. It can vary from muscle overload to an actual stress fracture of the tibia.

It is crucial you have an accurate diagnosis prior to undertaking a rehabilitation program.


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 Pat Lincoln

(Physiotherapist)

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)