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

Evidence-Based Remedial Massage Therapy

How To Get The Best Out Of It!

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

Massage therapy is the most popular complementary therapy used by the Australian public. With research in massage therapy gaining significant attention over the last 30 years, clinical evidence exists to support the efficacies of massage therapy on many health conditions, including chronic low back pain. This growing body of research supports massage to become an evidence-based practice.

As a remedial massage therapist at PhysioWest, while pursuing a higher research degree in low back pain, I often wonder what evidence-based practice means in remedial massage. Importantly, what does it mean to you: a person considering remedial massage, or already enjoying remedial massage at our clinic? Let me expand this topic to offer some practical tips to help you get the best out of it!

Evidence-based practice is described as the thoughtful use of the best current evidence in making decisions about the care of the individual patient. In physical therapy, which includes massage and physiotherapy, the approach integrates clinical expertise and takes patient desires, values, and needs into consideration. A study published in the May 2018 volume of the Complementary Therapies in Clinical Practice Journal, states that although massage therapists in Australia have very good access to apply research evidence in their practice, the majority do not. Those that do are often those that undertake continuing professional education and are members with reputable Professional Associations.

In addition to research evidence, another form of evidence, often overlooked, is experiential evidence – that is, the clinical experience gathered by the therapist as well as the experience of the person who receives the treatment. Yes, your experience reflected back to the therapist is of crucial importance to getting the best out of evidence-based treatments!

Tips to get the most out of evidence-based practice of massage are:

  • Find and use a clinic whose practices are professionally accredited (e.g. partnered by health funds)
  • Book your massage with qualified remedial massage therapists (Diploma or higher)
  • Ask your therapist what type of massage he/she is trained in? (you want someone who can clearly explain their knowledge as applicable to you)
  • Ask if he/she is a member of an established professional association for massage therapists? (e.g. Massage and Myotherapy Australia, previously AAMT, or the Australian Natural Therapists Association, ANTA)
  • If all is safe and agreeable to your standards, trial the massage and take note of your experience during and after the massage
  • Afterwards, reflect and evaluate your “experiential evidence” on how you felt following the treatment (sometimes, the treatment plan may include 3 or more treatments)
  • Reflect and answer this for yourself: Is this treatment good for me? Trust your experiential evidence
  • If Yes, book another massage with that therapist at that clinic!

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 | 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)

Should I get an x-ray?

Do I need an X-ray for my lower back?

If you’ve ever had lower back pain before, you’ve probably thought about getting an xray. At the time it may seem reasonable given how severe lower back pain can feel in the first few days. The truth is that having imaging of your lower back may be doing more harm than good, and in most cases is entirely unnecessary.

 

If you have imaging such as an X-ray or MRI of your lower back, it is likely that the results will come back with scary words such as disc bulge or joint degeneration. Seeing these phrases can result in harmful behaviours such as avoiding movement in fear of further “damaging” your lower back. This will more than likely increase the level of pain that you are experiencing.

 

The reality is that these age-related changes are completely normal, and can be found in more than a third of people from 20-40 years old, and more than half of people over 40.That means that if I went and had an X-ray of my lower back, there is a good chance that the results would come back with some form of disc bulge or degeneration, even though I don’t have back pain!

 

So what should I do?

Lower back pain is usually very painful in the first few days, but the most important thing to do is to get up and get moving. The worst thing you can do is lie in bed or sit on the couch all day, thinking only about how sore your back is.

 

At PhysioWest, a thorough assessment of your lower back will be performed by a physiotherapist to determine the cause of your back pain, and will refer you for imaging if necessary. Imaging is usually only indicated if we suspect a more serious cause, or if your back pain is caused by trauma.

 

If you are experiencing lower back pain, book an appointment with a physiotherapist at PhysioWest who will be able to offer you some relief and get you up and moving. Book online or by calling 8352 3582.

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

Published by Spencer Davis, Physiotherapist, PhysioWest

 

 

How to prevent injuries during netball finals

September is just around the corner, and we all know what that means…

FINALS TIME!

 

For those of you that belong to a sporting club or team, September can be one of the most exciting times of the year. Whether you’re a player gearing up for your chance at victory, a coach finalising your team strategies for the win, or a spectator making arrangements to support your favourite team, it can be a month full of determination, anxiety, optimism and hopefully joy and excitement when your team wins!

 

For me, finals are coming up in a couple weeks, and I’m seeking my second grand final win in a row for the Moonta Netball Club. The only thing more motivating than reminiscing about last years victory would have to be the recent under 21 Netball World youth cup, with Australia dominating throughout the tournament only to be defeated by the arch nemesis New Zealand by 3 goals!! The disappointment felt for these girls only makes me more determined to win.

 

One of the most disheartening events during finals time is injuring yourself in one of the final games of the round or even worse, the semi-final! The rate of injury for netballers is 14 injuries per 1,000 hours played with the most common being knee and ankle injuries. I have been unlucky enough to have sustained ankle injuries in more than one semi- final, and reluctantly had to sit on the bench to watch my team win the grand final without me. I wouldn’t wish this on any player, which is why I have come up with a few tips and tricks to help prevent injuries in the most important games of the season!

 

 

  1. Make sure you warm up properly

There’s nothing worse than admitting to your physio that you skipped the warm up at training or a game, right before you injured yourself. Heading towards the end of the season, players and coaches often move through the warm up quickly, or skip it all together in order to spend more time on “important” things like game play and tactics. A good warm up should consist of exercises and drills that target the four key elements associated with an increased risk of injuries in netball – take off, landing, deceleration and change of direction. If you’’re not sure what exercises or drills are best for injury prevention, Netball Australia’s Knee Injury prevention for Netballers to Enhance performance and Extend play (KNEE program) was developed to provide education and specific warm up drills and exercises to prevent lower limb injuries, in particular – the dreaded ACL injury! Speak to your physiotherapist to find out more information about the KNEE program, and how to implement it into your teams warm up.

 

  1. Hold off from buying new shoes for netball finals

I know some players or parents of players that have a tradition of buying new netball shoes right before finals. It can be motivating for the player, and yes – it may feel like you can run faster and jump higher with your brand new shoes, BUT… there is evidence to suggest that >50% of players injured whilst playing netball were wearing brand new shoes, or relatively new shoes. New shoes can decrease your body’s awareness of where the foot is, and therefore reduce your ability to correct your foot position to prevent injury. If possible, try to wear your new shoes to a few trainings first to wear them in before wearing them in a game, or save your purchase for next season!

 

 

 

  1. Wear appropriate ankle supports for training AND game

Physio West | Sports Physiotherapy | Physiotherapy, exercise therapy and massage services in Adelaide, South Australia.Ankle injuries are one of the most common injuries in Netball. You may have already sprained your ankle once or twice before. Having a history of ankle sprains or instability can increase your risk of re-injury. Wearing an ankle brace or taping your ankles can assist in preventing sprains in Netball. If you already tape your ankles or wear a brace, finals time should be no different – even if you have felt confident throughout the season. Better to be safe than sorry! If you are unsure about how to tape your ankle properly, speak to your physio. When it comes to tape vs brace… it comes down to personal preference as both have been shown as effective.

 

  1. See your physio about any niggling pain or injuries

If you have any ongoing pain or injuries that you have been pushing through, or trying to manage during the season, come and speak to us! We want you to play finals as much as you do, and can offer advice or hands on treatment to help you improve your performance and finish your season to the best of your ability. Seeking prompt treatment for injuries will not only enable you to start your rehab sooner, it will ensure you reach your full potential and ultimately make sure your team gets the win!

 

If you are about to embark on a finals campaign come and see us at PhysioWest at our Mile End or Salisbury clinics

Published by Megan Jones, 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