Comprehensive and specialised physiotherapy services

Concussion in sport – who should I see?


Not a topic we often like to talk about but in reality it happens more than you think

AND you don’t have to be knocked unconscious to suffer a concussion.


I’m sure we have all cringed watching the footy when there is a big clash of players tackling in a pack or going up for a courageous mark. There have been some sickening blows televised over the years, but what about the ones that go un-noticed?


Approximately one third of athletes who play contact sports may have had a previously undiagnosed concussion. Whether it was a ball to the head, a knock on the ground, or a heavy bump, concussions can be easily missed. Given their seriousness, managing them appropriately is vital.


Obvious signs can be picked up in the moment, such as a loss of consciousness, loss of balance, and confusion. Despite this, not all concussions will present this way, and many can often be more subtle symptoms.

These include:

  • Mood swings,
  • fogginess,
  • neck pain and
  • nausea (along with a list of other symptoms) can also indicate concussion.


No concussion should be taken lightly, as they all have potential of a more significant brain trauma – scary I know. Similar to pregnancy, because you are 10 weeks pregnant doesn’t make you “a little pregnant”. You are either pregnant or not. No ifs or buts.  You can’t just be a little concussed, you either are or you aren’t.


Youngsters are particularly important, as their growing brains need more time to recover. Any child or adolescent under the age of 18 should wait at least 3 weeks before medical clearance and return to sport after being diagnosed with concussion.


A thorough assessment should be carried out to establish a baseline of your concussion as soon as possible, to help outline the most appropriate management. A gradual return to sport program is then implemented, to ensure a safe return once symptoms have cleared.


So if you or your child have copped a head knock on the weekend and are feeling a bit off, speak with one of our physiotherapists today. We take the time to walk you through an assessment, and refer on to a medical doctor or emergency department where appropriate.

Physio West | Physiotherapy, exercise therapy and massage services in Adelaide, South Australia.

Published by: Matt Nowosilskyj

Physiotherapist, PhysioWest



Make the most out of your movement

You get out of bed, stumble around the house getting ready for work and making a coffee. When you sit in the car or the train you might be a little drowsy still, leaning your head to the side to remember that glorious feeling of having your head back on the pillow. You get to work and sit or stand at your work area, pouring all your concentration into your tasks. At the end of the work day you feel an annoying ache in your back. You think to yourself, how can I be so sore? I did nothing out of the ordinary. You didn’t sleep in, you traveled to work and you went about your tasks normally….


You may not have realised but throughout the day your routine movements could improve your physical well-being if undertaken ‘mindfully’.  My tip is, throughout the day, utilise your body to move in the most competent, resourceful way.


I’m asking you to spend a minute sweating the small stuff. It is as simple as:

  • Engaged your core muscles to smoothly get up out of bed,
  • Squeeze your bum muscles and make your glutes work as you are walking up the stairs.
  • Kept your chin a little bit tucked on that boring ride to work this morning
  • Get up and walk to the printer rather than asking your colleague to grab it on their way past.
  • Try adjusting your work seat and sit in a different position.

It is amazing the difference that can be made by stopping to think about the small things. This may reduce current pains and prevent future pains.


If you are struggling at the end of the day with an achy neck or back, a physiotherapist can look at the way you move and help you pick it apart to be more efficient. If you would like some help making the most out of your movement, book in to see us today.

Physio West | Headaches and Migraines | Physiotherapy, exercise therapy and massage services in Adelaide, South Australia.


Laura Hundertmark, Physiotherapist

Special interest in posture, movement efficiency and brain retraining

Physio West | Back Pain | Physiotherapy, exercise therapy and massage services in Adelaide, South Australia.

Back pain, can it come from your organs?

Most of us will suffer an achey back from time to time. Maybe you’ve spent your Sunday slouched in the couch watching movies, or lifting heavy bags of cement on and off a trailer. Most commonly, back pain will come on due to a mechanical overload . As physios we are often asked if the cause of back pain could be related to something a little deeper?


The answer is YES.

We refer to this as visceral pain.

Visceral pain refers to pain generated from our internal organs. While our bones and muscles are prone to aggravation through trauma or gradual overloading, our organs can also contribute to our body’s pain response.


When our internal organs are put on excessive stretch, experience a reduced blood supply, or are inflamed, our bodies can elicit a pain response. This pain can be felt in areas away from the organ, giving a dull, vague ache that is difficult to pin point. This can often be misleading, presenting as superficial back pain, rather than something more.


Visceral pain tends to be stubborn and usually responds poorly to physiotherapy treatment, which can be costly and frustrating.Pancreatitis, or inflammation of the pancreas, is a common example of an inflamed organ that can refer pain to the lower back.


At PhysioWest, your physiotherapist will take you through a thorough assessment of your presentation to determine the true source of your symptoms. Where appropriate, our therapists will refer on for further investigation, or make contact with your GP to ensure you have the best management possible.


If you are concerned about your back pain, make an appointment at PhysioWest today.

Physio West | Physiotherapy, exercise therapy and massage services in Adelaide, South Australia.

Author – Matt Nowosilskyj, Physiotherapist, PhysioWest

Physio West | Physiotherapy, exercise therapy and massage services in Adelaide, South Australia.

Remedial Massage – More than just a luxury

Massage Myth Debunked

Recently I overheard two mothers chatting while their kids were taking turns on the terrific Flying Fox ride at Bonython Park.  The first mother said that she had been feeling a bit run down of late, feeling sore through her back and was thinking of booking a massage. She asked her friend, “What do you think?”  The second mother replied, “I have always found facials more relaxing for me than massages. But then I have only had a few massages when away on holidays…”


Physio West | Physiotherapy, exercise therapy and massage services in Adelaide, South Australia.

While relaxation techniques are very individual, the conversation made me think of how often people I meet view massage as a luxury “relaxation” item that they indulge in only on holidays. The truth is that massages performed by properly qualified remedial massage therapists, offer much more than relaxation. I would even go as far in saying that regular massages are an essential maintenance therapy for your well-being. Remedial massage can be used as a form of ‘maintenance treatment’  to support optimal well-being.


In 2016, an American complementary therapy journal published a review on the use of massage therapy. They found beneficial effects on a wide range of varying conditions including prenatal depression, autism, pain syndromes including arthritis and fibromyalgia, hypertension, and multiple sclerosis. The study discussed that the benefits may relate to the stimulation of pressure receptors used in massage therapy that enhances vagal nerve activity and reduces cortisol levels.

Reading this, I smiled and thought, I must go back to Bonython Park soon and share this study with two mothers.



Use your private health insurance rebate towards remedial massage therapy at PhysioWest. 

Physio West | Physiotherapy, exercise therapy and massage services in Adelaide, South Australia.Alan Quek, Remedial Massage Therapist, PhysioWest


Physio West | Workplace Injuries & Motor Vehicle Accidents | Physiotherapy, exercise therapy and massage services in Adelaide, South Australia.

Reoccurring knee injuries?

Don’t you hate it when you’ve just returned to sport and that same old injury pops up again? 

It could be coming from your foot or hip. Have you had these areas checked? 


That niggling knee pain that has been bothering you on and off for years but you just can’t get to the bottom of it. Despite relief with physio treatment, nothing seems to help in the long run. Maybe it’s time to treat the big picture?


When we were young, we all sang that song… “The hip bones connected to the, knee bone. The Knee bones connected to the, ankle bone. (ok admit it….you sang it in your head as your read it!) This theory can not only be applied in the primary school classroom, but also in the physio treatment room.


The hip, knee and ankle all work together through complex bio mechanics to move your legs day to day. Whether it be walking, running, getting up from a chair, or in and out the car, they work best when they’re working together.


If one member of the trio lets the team down, you can expect the others to suffer. With the knee being the central joint, it is easily overloaded by the joints either side. If your feet are on the flat side, or you are weak through your hips, these factors will need addressing for your knee pain to resolve.


At PhysioWest, your physiotherapist will carry out a thorough assessment to uncover these hiding contributing factors, and help you achieve your goals faster.


Physio West | Physiotherapy, exercise therapy and massage services in Adelaide, South Australia.

Author – Matt Nowosilskyj, Physiotherapist, PhysioWest