SPRING 2011

Q: I suffer from back . Q: My mother fractured her wrist. The plaster has just 25 Wantirna Road What should I do? come off. When should she start physio? RINGWOOD25 Wantirna VIC Road 3134 PHRINGWOOD (03) 9870 VIC 8193 3134 A: Have your back problem www.physica.com.auPH (03) 9870 8193 assessed by a physio as soon as SPRING 2011 you can. Treatments such as manual therapy (to free up stiff and Dear Patient, www.physica.com.auHOURS painful spinal joints), mobilizing exercises and exercises aimed at WelcomeDear Patient,to our newsletter and The practiceHOURS hours are strengthening your core muscles can help a lot of back problems. Medications such as pain killers and anti-inflammatory can thanksWelcome for comingto our newsletter to see us for and your physio needs. MON-FRI:The practice 7.00am hours - 8.00pm are be useful but don’t actually fix the problem. Don’t rely on thanks for coming to see us for your PROBLEMS Yourphysio ongoing needs. health is very important MON-FRI:SAT: 8.00am 7.00am - 1pm- 8.00pm theses passive measures. Take control by consulting your A: Start physio straight away. Your mother needs to get the physiotherapist. wrist moving and to regain strength as soon as possible so that toYour all ofongoing us here health at the is clinic. very importantWe hope (Please SAT:ring for8.00am an appointment) - 1pm See your physiotherapist for a quick recovery she can get back to normal activity. Leaving physio off for too thatto all this of newsletterus here at thewill clinic.help keep We hopeyou (Please ring for an appointment) up to date with information about Q: I sit at a desk all day. My long may lead to ongoing pain, weakness and stiffness in the that this newsletter will help keep you CONDITIONS TREATED physio-related health matters that may There are a number of reasons why your shoulder can neck gets stiff and sore. Will wrist and hand. up to date with information about be of interest to you and people you become painful. Theses can include disease, , YouCONDITIONS can have the TREATED following physio-related health matters that may conditions treated at our clinic:- exercises help? know. We hope you enjoy it! overuse, wear and tear and pre-existing structural You can have the following Q: I get a lot of shin be of interest to you and people you know. We hope you enjoy it! problems. Physiotherapy can help you over come a conditions treated at our clinic:- A: Neck strengthening exercises pain since I started If you have any queries, please call us. Manipulative Therapy for the If you, or someone you know, have a shoulder injury or recover after . Treatment of: can definitely help you overcome chronic or recurrent neck running. How can I If you have any queries, please call us. Manipulative Therapy for the physio related problem, please call us. pain. These exercises need to be tailored to your specific needs. overcome this? If you, or someone you know, have a Treatment of: We would be more than happy to help Here is an outline of some common problems physiotherapists Spinal Problems Seeing a physio to set you up with a program is definitely worth physio related problem, please call us. you out in any way we can. deal with and some information you may find helpful. Spinal Problems considering. Hands-on treatments, such as joint mobilization A: Shin problems like this We would be more than happy to help Sports you out in any way we can. and even manipulation can also help. can occur due to a combination of factors. They include overuse, Please feel free to pass this newsletter on to your family and friends. Shoulder dislocations and unstable Sports Injuries poor foot wear and poor recovery. They can also be due to Please feel free to pass this newsletter Treatment of Neck Related This is when the (arm bone) pops out of its socket. Q: I tore a muscle in my leg. My tightness or weakness in the surrounding muscles, like the calf. on to your family and friends. Treatment of Neck Related With kind regards It can occur during a fall or a collision. Some people have Labral tears doctor didn’t really say what to Poor foot mechanics, such as pronating rear feet, can also be Headaches With kind regards very lax joints and the shoulder dislocates very easily with The cartilage that makes up part of the socket is Postural Assessment do. Should I see a physio? implicated. The good news is that physio can help greatly. The Physiotherapists and Staff at out much force. Once the dislocation is reduced (sometimes called the labrum. This cartilage can tear following injury and Postural Assessment The Physiotherapists and Staff at Treatment of Work Injuries PHYSICA SPINAL & this occurs spontaneously but sometimes it requires a lot of overuse. It is subject to wear and tear (e.g. with swimming, A: Physio will usually help you get Q: I get recurrent chest Treatment of Work Injuries PHYSIOTHERAPYPHYSICA SPINAL CLINIC & effort), you will probably need physiotherapy to help settle tennis, repetitive work) and this may predispose you to injury. Treatment of TMJ (Jaw) Problems back to normal activity as soon as possible. Torn muscles need pain. My doctor said it was the inflammation and strengthen the muscles around the The damaged cartilage can be resected or repaired surgically to be properly rehabilitated to avoid slow recovery and repeated “musculoskeletal”. PHYSIOTHERAPY CLINIC Treatment of TMJ (Jaw) Problems shoulder. Unstable shoulders (where there is too much laxity in and physio may be required to rehabilitate your shoulder. SERVICES AVAILABLE tears. The body heals itself by laying down scar tissue. Very often Can physio help? PHYSIOTHERAPISTS the shoulder joint) can lead to pain and injury. Strengthening scar tissue can form badly, leading to ongoing problems and The physiotherapistsPHYSIOTHERAPISTS working at SomeSERVICES of the services AVAILABLE available exercises may help this. Frozen shoulders to you are:- further injury. Massage, stretching and strengthening can all A: If your doctor is sure that your this clinic are:- Some of the services available The physiotherapists working at Sometimes a shoulder can stiffen up after injury or surgery. help avoid this. A gradual return to activity can also help avoid chest pain is not due to , to you are:- this clinic are:- AC joint injury and pain Some shoulders stiffen up for no apparent reason. Having Orthotic Assessment & re-tears. Physios are experts in treating soft tissue injures like lung or other serious problems, then it is worth consulting a Warwick James Dip. P.E., Dip. Phys, Grad. Dip. Manip. Therapy This is the joint that the connects the collar bone () physiotherapy after injury or surgery usually prevents a frozen OrthoticPrescription Assessment & muscle strains, so contact your physio straight away. physiotherapist. In many instances, chest pain can be due to Warwick James Dip. P.E., Dip. Phys, Grad. Dip. Manip. Therapy to the shoulder. It can be strained or disrupted from injury. shoulder occurring. Once a frozen shoulder occurs, it can be very problems in the mid back (thoracic spine). Tightness, poor Gregory Collis-Brown Prescription B. App Sc (Phty) Sometimes an operation is required to repair the joint. Again, difficult to manage and can take a long time to get better (i.e. Home Visits Q: I suffer with . Can posture and overuse (e.g. Playing too much golf) can contribute. Gregory Collis-Brown M. Manipulative Phty. physio will usually be required. Sometimes the A/C joint can 12 months or more). Home Visits treatment to my neck help? B. App Sc (Phty) Nursing Home/Hostel Visits M. Manipulative Phty. become arthritic ( due to previous injury or overuse) and cause Darren Ross pain later in life. Physiotherapy can help restore pain free Shoulder Nursing Home/Hostel Visits A: Many headaches are due to problems DarrenB. Phty, Ross Post-operative Rehabilitation M. Manipulative Phty. movement in theses arthritic joints. Like all joints, the shoulder can become arthritic due to wear in the upper neck. Physio can help restore B. Phty, Post-operative Rehabilitation M. Manipulative Phty. and tear or disease (e.g. Rheumatoid arthritis). Physio can help Hydrotherapy pain free function in your neck and show Are you due to have Andrew Seymour problems you manage the ongoing and recurrent symptoms of arthritis. Hydrotherapy you exercises and other ways of looking AndrewB. Phty, Seymour Assessment and Treatment of orthopaedic surgery? M. Manipulative Phty. The small deep stabilising muscles of the shoulder can become after your neck in the future. B. Phty, Balance Disorders After most knee, shoulder, hip, back M. Manipulative Phty. painful due to injury as well as wear and tear. A cortisone If you suffer with a shoulder problem, see your Assessment and Treatment of Chris Tubb Balance Disorders and other joint surgery you should injection sometimes helps but physio will be required to physiotherapist as soon as possible so that you can get Exercise Prescription and Q: Why should I see a physio? What can they do for me? be having physiotherapy to enhance B.Chris Physiotherapy Tubb M.Musculoskeletal Physiotherapy rehabilitate the shoulder. If this fails, surgery can be required on top of your problem quickly. Monitoring of Gym Programmes your recovery. Ask your surgeon B. Physiotherapy Exercise Prescription and to either repair the damaged rotator cuff and/or to A: Physiotherapists are university trained when you should commence this M.MusculoskeletalAnthony D’Aloisio Physiotherapy Monitoring of Gym Programmes excise bony spurs and other tissue that may be pinching and Clinical Pilates health professionals. They use a range of (usually as soon as possible). You can also request that you have B. Physiotherapy your physiotherapy carried out at this clinic. Anthony D’Aloisio damaging the tendons. Clinical Pilates treatment modalities to help you overcome B. Physiotherapy Massage and Myotherapy Carlos Bello this pain and injury. This may include joint B. Physiotherapy Massage and Myotherapy Carlos Bello Neck problems can cause shoulder pain manipulation, massage, exercise, postural FURTHER INFORMATION KateB. Physiotherapy Walters Your neck can refer pain into the shoulder so your physiotherapist advice, electrical therapy, dry needling, FURTHER INFORMATION Referring others to our clinic MassageKate and Walters Myotherapy will always assess whether your neck can be contributing to issue Preferred Provider for HBA, MBF taping, splints and braces, to name just a If you know someone with any of the problems outlined in this Massage and Myotherapy your shoulder pain in any way. Physiotherapy on your neck may andPreferred Medibank Provider Private for HBA,- HICAPS MBF few. Physiotherapist will involve you in the newsletter, please let him or her know about our clinic. Daniel Zwolak Shoulders ...... page 1 B. Physiotherapy therefore help your shoulder pain. availableand Medibank for most Private health - HICAPS funds treatment process, so that you can attain a better, We are very grateful for any referrals we Daniel Zwolak Foot and ankle problems ...... page 2 M.Musculoskeletal Physiotherapy - available we bill the for health most healthfund for funds the quicker outcome for your problem. receive and we will endeavour to B. Physiotherapy Nurse’s back ...... page 2 rebate - you pay gap amount only provide patients referred to us with M.Musculoskeletal Physiotherapy Fractures - we bill the health fund for the Daniel Geilings Types of conditions seen by physios ...... page 2 rebate - you pay gap amount only the highest quality of care. B. Physiotherapy Broken bones can occur during trauma to the shoulder. Most Cards Accepted Physiotherapy offers a safe, gentle Daniel Geilings Maintenance treatment research ...... page 3 The information in this newsletter SianB. Physiotherapy Percy Sometimes the fracture needs to be reduced (bones put back Most Cards Accepted is for general patient interest. If and effective treatment approach into proper alignment) and sometimes they need to be pinned Do you need a “tune up” ...... page 3 EFTPOS Facility Available for a variety of conditions. B. Physiotherapy you have a problem you should Sian Percy or wired to help them heal up properly. Physiotherapy should First aid ...... page 3 B. Physiotherapy 159EFTPOS WIN 2011 Facility Available get it properly assessed by your Brendon McCarthy commence as soon as possible so that you regain function and Dear physio ...... page 4 ©The information in this newsletter is subject to copyright and may not be physiotherapist or family doctor. B. Physiotherapy reproduced159 WIN in any 2011 form or used without prior approval from Leading Edge Brendon McCarthy avoid complications. 4 Health Care 4A Byron St Glenelg 5045 eureka! 08 8356 1122 J: | 79538 B. Physiotherapy 1 SPRING 2011 SPRING 2011 SPRING4 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING 2011 NURSE'S FOOT AND ANKLE PAIN DOES MAINTENANCE TREATMENT Good first aid THINGS YOU SHOULD KNOW! WORK?... SOME NEW EVIDENCE will get you BACK? It is surprising how many They can be very effective Regular maintenance therapy is considered, by back on track people have a foot and in helping foot and ankle many experienced physiotherapists, to be a way of ankle problem and either pain as well as pain further effectively managing a range of chronic and recurrent don’t know what to do, up the leg. problems. These problems include , neck quicker Call Your Physio or they don’t actually do pain and arthritis (see article below). Clinically, this anything about it. Here ANKLE SPRAINS approach seems to work well, but is there hasn’t been Nurses are one of are some things worth The in the ankle any research to back this up. the most trusted and knowing about your feet can be torn (sprained) valuable professions. and ankles. when you roll over on A new study is Nursing can be a very your ankle. This can lead providing evidence rewarding career but, POOR FOOT WEAR to pain and swelling. to support what unfortunately, it has Poor shoe selection can be a major factor in Physiotherapy can help your recover from a sprained has been seen deteriorated to their pre-treatment state over the next its down sides. One of developing foot and ankle problems. Shoes need to ankle as quickly as possible. clinically. In this nine months. these is a syndrome we fit well, give adequate support and give adequate call “Nurse’s back”. study (Spine 2011 cushioning. They also need to suit your foot type. PROBLEMS Aug 15:36(18):1427- THE GROUP RECEIVING SHAM TREATMENT A third group of patient received sham manipulation Some people sacrifice comfort for fashion. This is There are a number of tendons around the foot 37), patients with Many older nurses undertook their initial training in for a month and then nothing else over the ensuing hospitals rather than at university, as happens now. especially a problem for those who spend a lot of time and ankle that can become painful due to injury or chronic nine months and reported no improvement. This hospital based training was basically slave labour. on their feet. Avoid falling into the trap of buying overuse. The most common tendon involved is the were given an initial Young nurses (usually girls) were expected the work shoes purely on the basis of price. Spending a little Achilles tendon. Again, physio can help with tendon burst of treatment WHAT DOES THIS TELL US? long hours and perform back breaking work such as extra to buy good appropriate shoes is usually worth problems. Orthotics may be required as well as consisting of regular If you suffer an injury, a knowledge of appropriate repeated heavy lifting of patients (no mechanical lifters the expense. changes to foot wear and activity. The conclusion of the study was that spinal first aid will minimise bleeding and further spinal manipulation for a month. They were then seen manipulative therapy is effective for the treatment of in those days!). The net result was that many nurses in at regular intervals, for spinal manipulation, over the damage. This in turn will help you overcome your their 40’s and older have terrible problems with their chronic low back pain. However, to obtain long term OVERUSE PLANTAR FASCIITIS next nine months. injury as quickly as possible. backs (among other things). A large number of foot and ankle problems arise from The arch of your foot is supported by tissue called the benefits, this study suggests regular maintenance They improved significantly after the initial burst spinal manipulation after an initial period of intense overuse. People who walk, stand or run excessively plantar fascia. This attaches to your heal. Pain and The basics of first aid can be summed up by remembering Whilst things have improved a lot in recent decades, of treatment and this improvement lasted over the treatment. nursing is still hard work. “Nurse’s back” is still alive and can easily develop foot and ankle problems especially inflammation at this attachment is called plantar following nine months. RICER for the first 48 hours. This stands for:- well! Many younger nurses are still developing “Nurse’s if they have poor foot mechanics, poor footwear or fasciitis. This can be very debilitating. Orthotics, local they do too much activity too soon (e.g. trying to get anti-inflammatory modalities, stretching, and activity It should be noted that this is only one study REST the injured part so that no further damage can back”, even though conditions have improved and there THE COMPARISON GROUP has been a major push for occupational health and fit). modification can all help. and has only been done to analyse the effect of occur. This may mean stopping work or sport immediately This group were compared to a second group of patients safety measures in hospitals. manipulative therapy on patients with low back and it may also mean applying some sort of splint to who were given the same initial burst of treatment POOR FOOT MECHANICS ARTHRITIS pain. It does provide some evidence to support prevent movement of the injured part. over a month but who were then given no follow If you are a nurse and you have, or want to avoid Many people have poor foot mechanics. In very Like all joints, the foot and ankle joints can become maintenance therapy for chronic and recurrent up treatment over the next nine months. This group developing, nurse’s back; here are some things you simple terms this means that they may have stiff arthritic. Stretching/mobilising the joints and problems. Again, clinically, this approach seems to ICE should be applied to the injured part for 15-20 got better initially, after the first month, but then should consider :- joints in the foot and ankle that don't move properly, tissue around the foot and ankle can help. Orthotics work well for a variety of problems. minutes, every 30-60 minutes, to slow down bleeding and swelling. Make sure you avoid an ice burn by TREATMENT they may have very lax joints, they may have an and appropriate foot wear can also help. Activity excessively high arch or they may have an arch that modification is very important. Regular maintenance wrapping the ice in a damp cloth, so that it does not Don’t put up with “Nurse’s back”, see your physio and directly contact the skin. have treatment. This can reduce your pain, restore your collapses. Poor foot mechanics can predispose you to treatment can be helpful. pain and injury. movement and get you back on track. COMPRESSION will also help reduce swelling and PHYSIOTHERAPY A regular “tune-up” can help bleeding. This can be done by wrapping a bandage REGULAR MAINTENANCE ORTHOTICS If you develop a foot or ankle problem, a good first around the injured part or by compressing the injured If you have chronic or recurrent back problems, consider Inserts (that you put in your shoe) can help correct step in managing the problem is speaking to your site with your hand. having regular “tune ups” ( see page 3). This can make and support a fallen arch or high arch. These can be physiotherapist. you stay feeling better your life more enjoyable. supplied by either a physiotherapist or a podiatrist. If you have a chronic or “Tune-up” sessions will help ELEVATE the injured part so that bleeding and swelling IMPROVE YOUR FITNESS recurrent problem, such keep your joints mobile, flow away from the injured part. Improving your muscle tone, flexibility and cardiovascular fitness can help you avoid and/or as back pain, , will release tight muscles REFER the injured person to a health professional for overcome back problems. It is surprising how many headaches or arthritis, and will update your self further assessment and management. This would usually nurses are unfit and this needs to be rectified. Smoking What types of conditions a regular “tune-up” may treatment exercises, so mean to your family doctor or your physiotherapist. is a risk factor for back problems and impedes recovery, help you enjoy life more. that they are giving you so take this into consideration if you are a smoker. can a physiotherapist Physiotherapists are experts in managing sports and soft maximum benefit. tissue injuries such as bruises, sprained ligaments and PILATES help you with? Most of these problems strained muscles. Many back pain sufferers find that Pilates helps improve mentioned respond very Many patients find that their core stability and their back problems. Consider Many patients are unaware of the many conditions well to a course of physiotherapy. In conjunction, a tune-up session every few weeks can help Carry on this protocol for the first 48 hours after an regular Pilates to keep your back in check. that can benefit from physiotherapy. Below is a list of injury. Also, during this time, avoid HARM. This means some of the common problems that we help deal with:- your physiotherapist will usually give you self keep them feeling good and stop them having avoid Heat, Alcohol, Return to activity and Massage until OCCUPATIONAL HEALTH AND SAFETY treatment exercises, to help you improve your repeated acute episodes of pain. It is also more you are sure bleeding and swelling have stopped. Don’t be a hero or a martyr. Avoid performing activities problem and maintain this improvement. cost effective than having extensive treatment that damage your back or put you at risk. Make sure v Back and neck pain v Headaches v Sprained ankles v Injured knees to overcome an acute episode of pain. your work place is “back safe”. v Arthritic pain and stiffness v Shoulder pain v Tennis elbows v Tendon Unfortunately, spinal problems and arthritic problems v Muscle tears v Hand and foot problems v Bruising pain can recur and can make your life miserable. If you feel you would benefit from regular v Fractures v After joint replacements v After joint and bone surgery Did you know? If this is the case with you, or someone you maintenance treatment, please ring to Did you know? Your thumb is the same If you have any of the above problems, and you want to improve as quickly as know, then regular maintenance treatment book a time to discuss this with your The storage capacity of human length as your nose. possible, have an assessment from one of the physiotherapists at this clinic. (or “tune-up” sessions) should be considered. physiotherapist. brain exceeds 4 Terabytes

SPRING2 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING 2011 SPRING3 2011