Comprehensive and specialised physiotherapy services

Kevin Durant: when is it too early to return to sport?

As most NBA fans know, Kevin Durant experienced another right calf injury during Game 5 of the NBA Finals, and it is looking like an Achilles tendon tear at this stage. This means that Durant will not only be missing the remainder of the NBA Finals, but potentially a good portion of the next season.

Watch it in slow-mo here

Durant initially injured his right calf over a month ago while playing against the Houston Rockets, and hasn’t played competitively until yesterday’s game. This leads to the question; was he ready to play, and if not why was he cleared by the Golden State Warriors medical staff?

It is not always straight forward when providing clearance for sport following an injury, and it is always difficult to tell if a re-injury or a secondary injury will occur or not. The first thing that must take place after an injury is a comprehensive rehabilitation program. This not only involves exercises to increase joint movement and muscle strength, but must also include sport-specific exercises which replicate the same movements and scenarios that a player will experience when in a competitive environment.

Once a player has completed the majority of their rehabilitation program, it is time to start implementing return to sport testing, which is currently the most valid tool available to determine the risk of a re-injury. These tests are performed by health professionals such as physiotherapists and sports doctors, and involve high-level movements that can assist in determining if an athlete is ready or not. They can also help determine the mental preparedness of an athlete, which may show if an athlete is confident in their own ability to return to sport. This will also ensure that they are not rushed as was the case for Kawhi Leonard when he played for the Spurs.

At this stage it is unfair of the media and health professionals to judge the medical staff of the Golden State Warriors as we currently have no way of knowing if he was ready to return to play or not, or if he was just unlucky. Either way Kevin Durant’s career will likely be seriously affected by this injury, and we hope he bounces back and returns better than ever.

Physio West | Physiotherapy, exercise therapy and massage services in Adelaide, South Australia.If you have recently sustained a sports injury and want to find out more about return to sport testing, come see one of our physiotherapists at PhysioWest who will work with you to get back as soon and as safely as possible.

Published by Spencer Davis, Physiotherapist.

You can book online with Spencer here

 

 

The Physio Job You Don’t Want

Picture this; You are working in a practice with no other physios, you’re alone, no support, no mentoring, no one to go to and share you patient wins with. There are times when as a young physio you think, ‘Gee… I would love some help with this tricky presentation’.

You love going to the APA’s PD nights, but you would also love to learn from people every day. Your room is small, possibly even without a window. You have a small area to prescribe exercises which you know your patients won’t do. You are desperate to have a Friday night drink with colleagues. You haven’t had a holiday in ages, and your new roster means you can’t play social netball, soccer, or footy. You don’t even make it to the gym most days and are starting to be the person who will need a physio themselves.

You work, work, work, without someone saying ‘Hey, good job!’, or better still, being rewarded financially. You have this burning passion for physiotherapy, the profession, the patients, and getting great outcomes, but you can feel it slowly dying…

Sounds like you, or someone you know? Don’t let the flame blow out! There are better things on the horizon in practices that are changing the physiotherapy profession for the better!

At PhysioWest we are passionate professionals with a team first mentality. That’s why we provide:

  • Individual light filled treatment rooms
  • 200 sqm of gym space including cardio, weights, open space and Pilates studio onsite
  • Free gym access to all employees
  • Discounts on remedial massage for you and your family
  • Weekly PD sessions
  • Weekly 1:1 mentoring sessions
  • Quarterly Team Pow-Wows
  • Weekly Team Huddles
  • Regular social events
  • Designed roster to suit your life (and no Saturdays)
  • Above award salary package with an incentive package on top
  • Diversity of patients and treatment models, including telehealth
  • Not to mention the best first day!

 

Contact us now, and change your lifestyle!

 

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

Rebecca Clare
08 8352 3582
0405 112 959
bec@physiowest.net.au

What does the latest research say about treating low back pain?

Finding the right treatment for low back pain can be tricky, especially because there are so many different options from a wide range of health professionals and therapists. A recent study has
outlined which treatment methods have been shown to be effective in treating low back pain and the findings are summarised below:

1. Advice to remain active and education should always be provided regardless if the pain is acute or chronic

2. Exercise should always be prescribed, and it doesn’t matter what type of exercise it is

3. Hands-on therapies such as massage, joint mobilisation and manipulation can be used as an adjunctive treatment

4. Pain medication such as paracetamol and opioids should not be used to treat low back pain, whereas anti-inflammatories can be used as an adjunctive treatment

5. Low back pain should be addressed by primary care practitioners such as a GP or physiotherapist first who can screen for more serious pathologies

6. Imaging such as X-rays and MRIs are rarely necessary for most low back pain presentations

The bottom line is that if you are experiencing low back pain for either a short or long period of time, you should be trying to stay active as much as possible. You should also see a health professional or therapist such as a physiotherapist who can provide education on your condition and pain in general, prescribe exercises based on your individual needs, and treat your acute symptoms with hands-on therapy.

Let us help you find the right treatment for your pain. Make an appointment online today.

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

Blog produced by Spencer (Physiotherapist, PhysioWest)

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

Beginning in the Gym? Steps to Success

As a beginner, getting started at the gym is usually the hardest part of meeting your fitness goals. Here are a few tips for beginners to get on track to meeting your goals for the New Year and finally getting started in the gym.

1. Set S.M.A.R.T. goals
Goal setting is vital when you first start going to the gym as it gives you something to work towards. Goals need to be Specific, Measurable, Attainable, Realistic, and Timely (S.M.A.R.T.). It is a lot harder to stay motivated to reach a broad goal such as “I want to get fit” when compared to a S.M.A.R.T. goal such as “I want to be able to do 10 consecutive push-ups by the end of 3 months”. S.M.A.R.T. goals allow you to measure your progress towards reaching your goals, and make any changes to your routine or seek advice if you unsure that you’re on track.

2. Consult with a health professional
Seeking advice from a health professional prior to getting started at the gym is important, particularly if you have a pre-existing medical condition that may be affected by exercise. A health professional such as a physiotherapist can offer advice on how to prevent injury if you have not been in a gym environment before.

3. Have someone look at your form
This step is particularly important if you would like to start lifting weights. It is always a good idea to seek advice from a trained professional such as a physiotherapist, exercise physiologist or a personal trainer at your gym. These professionals can offer you advice on how to perform exercises correctly, and how to prevent injury.

4. Don’t go too hard too quickly
When starting out, a big mistake that a lot of beginners make is lifting too much weight or going too hard too early. It is vital that you gradually increase the weight you lift, the time spent on the treadmill, and the amount of repetitions that you perform. This is to prevent an avoidable injury from occurring from doing too much too soon.

5. Have fun!
A great way to stay motivated for your fitness goals when first starting out is to find an exercise routine that you enjoy. Don’t be afraid to mix up your gym routine with exercises including cardio, resistance training, pilates, Tai Chi, yoga and anything else that you can think of.

If you would like a physiotherapist to set you up for success with a winning gym routine, book an appointment at PhysioWest online or by calling 8352 3582 and get on track to achieving your goals!

Physio West | Core Exercise Class | Physiotherapy, exercise therapy and massage services in Adelaide, South Australia.Physio West | Stretch Exercise Class | Physiotherapy, exercise therapy and massage services in Adelaide, South Australia.Physio West | Mile End Clinic | Physiotherapy, exercise therapy and massage services in Adelaide, South Australia.

Written by Spencer Davis

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

How’s your heart?

Why your physiotherapist wants to talk about your general health and blood pressure

I went to the GP the other day and they told that my blood pressure went up (luckily only a little bit). I had no symptoms; there was nothing to let me know that was the case. I then started thinking about what affects blood pressure; I know there are several things that can cause high blood pressure including lack of physical activity, eating lots of salt, drinking lots of alcohol, family history and stress.

Blood pressure is a measurement of how much pressure there is in your arteries when your heart is at maximal contraction (systole) over relaxation (diastole). Blood pressure of 120/80 is considered normal. Blood pressure of 120/80 up to 139/89 is considered high-normal (where I was the other day), anything over this is considered to be a condition called hypertension (high blood pressure).

When you come in to see me, no matter why you are here, I will always ask about your general health. This will include asking you about your heart. Why? Because I am treating  you as a whole person, not just your back or your ankle. Also, because some physiotherapy treatments are contraindicated (not allowed) if you are taking certain medications or if you have a pacemaker.

Having high blood pressure puts you at risk of cardiac disease, kidney conditions or stroke. What can you do to prevent high blood pressure? One thing is commence a healthy level of exercise: that is where your physiotherapist is most excited to help! Having a healthy diet, ceasing smoking and reducing alcohol intake are all important too, and we are happy to chat to you about this and refer you on to other health professionals if you need.

If you don’t know what your blood pressure is, if you haven’t had a medical assessment, I recommend you contact your GP and get started. Your GP will chat to you about any medical options available, particularly if you do have very high or low blood pressure. GP’s will often refer you to us physios to get started or improve your current level of exercise. A recent study found that Physiotherapists are a GP’s most recommended Health Professional.

While we do treat ankle strains and back pain, physiotherapy does more than this.

There is a great website where you can find out more information on how physiotherapy may help your condition – whether it’s getting your musculoskeletal or neurological condition managed, or just getting healthier! See https://choose.physio/

Physio West | Multiple Sclerosis (MS) Treatment | Physiotherapy, exercise therapy and massage services in Adelaide, South Australia.

Blog Prepared by Laura Hundertmark (Physiotherapist)

Is your car seat driving you up the wall?

When achey pains and niggles pop up, you often find yourself hunting for answers as to what could be causing the problem. One thing that is often missed, particularly with spinal pain, is the importance of your seating position while driving your car.

Driving is something that most people do every day, anywhere from 5 minutes to the local shops, to an hours commute to work. Our body loves to be kept moving, and the longer it’s left in once position, the stiffer things become. If you are poorly set up in the car, this may speed the rate at which those areas tighten up, predisposing you to picking up injuries with simple day to day tasks.

So what to look for? Here are a couple of simple tips to consider in relation to your position while sitting in your car.

  1. Adjust your wheel position
    Reaching for the wheel or sitting to close, can both alter your sitting posture in the car. Have your hands just below shoulder height, with a small bend in your elbows as you place your hands at 10 and 2 o’clock on the wheel. Your shoulder blades should sit comfortably against the backrest of the seat.

 

  1. Adjust your reach to the pedals
    Sitting too close to the pedals can cause your hips and knees to be too flexed, while reaching for them can force you to strain to get there. Similar to the arms, position your legs so they rest in a slightly flexed position, such that your knees and hips are kept roughly level.

 

  1. Adjust the seat angle
    Once again, too far in either direction can create discomfort. Too much recline will encourage your upper back and neck to poke forwards. Sitting too upright will feel rigid and restrictive. Allow a small recline enough that you can keep your shoulder blades against the chair with your bottom in the back of the seat.

 

  1. Lumbar support
    Different backs will need different degrees of support above the pelvis. Play around with the feeling of a rolled up towel in the small of your back to avoid slumping, and giving your back extra support while sitting.

 

Car Assessments are undertaken at both our Salisbury and Mile End clinics. Mention this to reception when making a booking.

 

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

Blog prepared by Matt Nowosilskyj (Physiotherapist)

Is your Smart Phone killing you?

We all worry about EMF radiation from phones but this could be the least of your concerns!

As our new phones get smarter, faster and larger than ever before so too has our desire to use our phones and be in constant contact with others. More than ever we are becoming addicted to our phones.

We are spending a greater period of our day looking, using, researching and communicating on social media, phones are no longer a way just call someone.  If you look at any large building in the city at lunch time you see hundreds of people bent forward looking at their phones.

We get stressed when we send a text or message to someone and they don’t answer straight away. In our grandparent’s day, you would send a letter to someone and if you got a reply in a week you were impressed.

 

We go to the Gym to get fit and exercise but these days you see people doing one 30 second rep on a machine and then will sit and look at their phone for the next few mins and then do another rep of exercise. We need time in our day when we are Phone free and move freely not bent over looking at our Phones.

Having more time in your day taken up sitting or walking while looking down using your phone, means there is less time to be active. In a society where Obesity is at epidemic levels and is causing more medical problems such as Diabetes and Heart disease, the extra time we spend not being active and playing on our phones is a slow silent killer.

There should be an app designed that tells people how much shorter there life is calculated on the hours you spend on your phone.

So, if you find that at the end of you day you have tired shoulders, arms hurting, stiff neck and a head ache it may not be your job but your addiction / love affair for your phone.  As with people who work at work stations all day they need breaks and to do exercises to free up their tight and tired muscles and joints. The same can be said for extended use of your smart phones.

Physiotherapist’s are able to assist people to set a stretching and strengthening program in place to help with issues around using your Smart Phones. And you can even book online using your Smart Phone!

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

Published by Glenn Watson, Physiotherapist, PhysioWest

Remembering Betty

Raising Awareness for Multiple Sclerosis & Moving better with Neurological Physiotherapy

Life is what you make of it, whether you are completely healthy or whether you have a neurological condition. Evidence of this lies with Betty Cuthbert, who was a four time Olympic Gold Medallist who passed away this month at the age of 79. Betty was diagnosed with Multiple Sclerosis in her 30s and an active campaigner for Multiple Sclerosis. In her 50s, Betty’s mobility was limited to her wheelchair, but that didn’t prevent her from being a final torchbearer at the Sydney 2000 Olympic Games.

Betty was quoted as saying “Never give up, never give up – Think of what you can do.”

This beautifully encapsulates one of the main principles in neurological physiotherapy. Rather than focusing on a persons’ impairment, we look at the whole person and focus on what they can do to help them live their life to the fullest. All physiotherapists integrate this principle from the International Classification of Functioning (ICF).

As shown the in above diagram, there are two sides to every element of health and functioning. For example, take the body structure of your quadriceps (the muscle group in the front your thigh which helps you stand and walk). If you hurt this muscle group, an activity such as standing at the sink to do your dishes might be too hard, and you might not want to participate in going for a long walk down the beach with your friend or partner. But this doesn’t necessarily mean you are bed ridden. You may still be able to go for shorter walks or stand with the assistance of an aid. If you have an acute injury such as a sports injury, the activities you do might change just over the short term. But with a neurological condition such as MS, your activities and participation might change over the long term, and may fluctuate over time; this is understandably frustrating. What is needed here is to analyse what you can do (maybe do a shorter walk) as well as what personal factors (a determined mind) and what environmental factors (good walking shoes, maybe a stick or crutches) will help you keep moving.

 

Betty Cuthbert was an inspiring Australian athlete who followed this principle of looking at the whole picture to make the most of her life. PhysioWest would like to recognise Betty’s inspiring work and send condolences to all who knew Betty.

 

If you would like more information on Multiple Sclerosis, please visit to MS Australia Website: https://www.msaustralia.org.au/

 

If you or someone close to you has a neurological condition such as MS and would like some help to get moving consult at PhysioWest today! I have a special interest in Neuro Physiotherapy and consult Monday to Friday at both our Mile End and Salisbury clinics.

 

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

Published by Laura Hundertmark, Physiotherapist, PhysioWest

 

Credit:

Diagram credit: http://www.arsalis.com/rehab-scales/images/blocks/1176903286/image-1.png?1176975371

Image credit: http://www.nowtolove.com.au/news/latest-news/honouring-golden-girl-betty-cuthbert-39800

 

 

 

 

Joel Selwood’s ankle injury explained

As the Swans increased their top 4 hopes after beating the Cats last Friday night, it was the sub-plot down at Geelong that made all the headlines in Saturday morning’s newspaper. Inspirational captain, Joel Selwood, hobbled off in the third quarter, picking up a nasty ankle injury.

It has since been confirmed that Selwood sustained a “syndesmosis” injury, ruling him out for the remainder of the home and away season, and a doubt for finals. A dagger to the heart of many Geelong fans I’m sure. So what is the “syndesmosis”?

An ankle syndesmosis injury is often called a “high ankle sprain”. It refers to the ligamentous structure or fibrous sheath which holds the two bones of your leg together (the tibia and fibula). The syndesmosis is commonly injured under an extreme dorsiflexion and external rotation force (wedged rotation), as Selwood found with his foot wedged under Franklin on Friday night.  This forceful compression causes the two bones of the leg to wedge apart, compromising the syndesmosis.

Like with any ligament injury, their severity is graded. Unfortunately for Joel, surgical intervention was decided, indicating a high grade injury or rupture to the tissue. This surgery usually involves pinning the two bones together, allowing the ligament to scar over in a shortened and stable position. For the average punter, 3-6 months rehabilitation is recommended, but at the elite level the boundaries are always pushed.

So will we see Selwood again this year? The Cats doctors and physios will be optimistic of Selwood featuring in their finals campaign, but it will certainly be pushing it. This is not your classic ankle sprain so caution must be taken.

This time last year, the Bulldogs Tom Liberatore missed 4 weeks with the same injury, before playing four weeks of finals and lifting the Premiership. Stephen Coniglio of GWS however hasn’t been as lucky, missing 6 weeks at the start of this season followed by 10 weeks mid year after re-injury in his second game back. Cats fans will be crossing their fingers for a Liberatore story here.

If you have injured your ankle, be sure to consult with your physio.  As in Selwood’s case, it may be more complex than anticipated, and a thorough assessment and rehab will minimise the risk of ongoing troubles in the future.

 

Our team at PhysioWest are skilled in the assessment and rehabilitation of ankle injuries. If you or someone you know is suffering from an ankle injury be sure to book online today!

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

Prepared by Matt Nowosilsky, Physiotherapist, PhysioWest

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

My back is out… Where did it go?

As physio’s, we hear some really strong and scary language when it comes to describing injuries.

“I’ve thrown my back out”

 “My knee is gone”

“It’s grinding bone on bone”

“I have a pinched nerve”

“My back is out of whack – you need to realign it”

“I was told my nerve is being crushed by a huge buldging disc”

Maybe you’ve been told these things by a medical professional, or maybe you are just describing the way it feels because it really, really hurts. Either way, there are some pretty scary thoughts there. Pinching, grinding, crushing – Makes me sore just thinking about it. As nasty as they may sound, how realistic are they?

 

Pain science research is growing at the speed of knots, with some real shifts in the way we think about pain. One thing is clear:

Pain does not always equal damage.

Pain is our body’s protection mechanism to threat or danger.

When our brain detects a perceived threat, it will send out a pain response to that area as a warning signal. This will cause us to move and behave differently to look after that spot, minimising the risk of damage. So as much as pain sucks, you can see it is actually a very important protective response.

 

Tricky to get your head around, I know.

 

I’m not saying your pain isn’t real, or that it is all in your head, but the power of language cannot be under-estimated, as it often feeds the pain response and reinforces those negative images. Scary language can add to the threat of an injury, increasing your pain.

 

As physiotherapists, we can help you unravel some of those more threatening thoughts like your back being out, to dampen down the threat, leading to less pain.

 

If you are having trouble with pain that you can’t get on top of, come in for an assessment with one of our physiotherapists who will help determine the source of your symptoms, and help you understand them better to assist your recovery.

 

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

Published by Matt Nowosilkyj

Physiotherapist, PhysioWest

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