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Injury Info.....

Our physiotherapists have put together some information on topics we thought may be of interest to you.  If there is something you would like us to cover please send us an email to:    

totalphysio@totalphysio.com.au




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DRY NEEDLING




What Is Lower Back Pain?
It is estimated that approximately 80% of people suffer from lower back pain (LBP) at least once in their life time, making it one of the most causes of pain and disabillity that we as physiotherapists treat. there are many causes  of LBP, which include disc prolapse (slipped disc), disc degeneration, lumbar joint sprain (facet joint), back muscle sprain and spinal stenosis. At Total Physio, our aim is to determine the source of your LBP to enable us to assess and treat your pain to the  best of our ability.

Disc Injury Versus Facet Joint Sprain?


What causes disc degeneration of prolapse?


It is estimated that 70% of lower back pain is disc in origin (Mackenzie...). There are multiple factors that contribute to the development of degenerative disc dieses. this nicludes natural degeneration that occurs with age, genetic factors and most significantly changes in hydration and collagen with in the disc overtime. When a disc is healthy and hydration and collagen with in the disc injury is reduced as forces through the lower back distributed. often degeneration is asymptomatic. If, however, degeneration persits over time then further disc injury such as prolapse or "slipped disc" may result. A seemingly  trivial activity activity such as trying your shoelaces, sweeping or bending over to pick up a light object may trigger off your disc prolapse and pain.

If the prolapse is significant the disc may press on a nerve resulting in a resulting in a radiculopathy. This most commonly occurs at L 4/5 and L 5/S1 levels (4th and 5th lumbar disc levels) and may result in the onset of symptoms including a sharp, stabbing pian or ache radiating down the side or back of the leg to below the knee.sufferers may also experience a pins and needles/numbness sensation in the above areas, or in more severe cases motor weakness and diminshed reflexes may occur. other common indicators of disc injury are lower back stiffness in the morning, increased comfort lying with the kneesbent, an increase in pain when standing after sneezzing and coughing. if you are experiencing any of these symptons it is advisable that you visit a physiotherapy clinic.

If you have or are currently experiencing changes in the saddle region between your legs, difficulty walking, changes in bowel/bladder function or impotence that is related to you back pain, you should immediately seek medical  attention.

Facet Joint Strain


Facet joint sprains occur less frequently and often envolve during quick or unplanned movements. most commonly  facet joint injury results in pian on one side of the lower back. fi the suffererbends backwards (extends) and to the side (side flexors) and their pain increases it is likely that they have facet join involvement. likewise these symtons often require physiotherapy attention.

Treatment Options For Lower Back Pain?

At Total Physio we offer a wide range of physiotherapy threatment options for LBP. this includes one on one quality treatment sessions contain all hands on treatment including massage, joint mobilisations,a nd take home excersises. our team also provides circuit and group based pilates programs which are specifically tailored to the individual as well as weakly hydrotherapy classes which are well worth your time and money!!

back tone


Is this what your mother always told you???  Mine used to dig her index
  finger(ever so gently, not!) into the middle of my back and say those words. 

  The consequences of poor posture are stiff necks, hunched shoulders and 
  tightness in the thighs, legs and ankles. Backaches, headaches, and other
  painful symptoms are often the unfortunate result.

  totalphysio has the answer!

  We offer a six week program of posture correction which involves:
  • Posture assessment and diagnosis
  • Home based Pilates exercises prescribed especially for you
  • Posture re-training using the new Australian BACKTONE device (with a biofeedback correction mechanism - when you slouch it beeps - when you stand/sit with correct posture it stops beeping)
Backtone logoWearing Backtone

Back Tone was designed and developed by local Occupational Therapist Lorraine Josey, whom we have been fortunate enough to have worked with over the last few years.  She developed Back Tone as a result of her dealings with patients with poor posture and chronic back and neck injuries. 

Today we use Back Tone to re-educate posture easily - with less fuss - no mess (tape is messy and painful when you rip it off).

Back Tone is available to buy $99 each or to hire $10 per week (usually required for 4 week periods). 


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Osteoporosis and Physiotherapy
FACTS
  • 1 in 3 women and at least 1 in 12 men will develop osteoporosis 
  • Every 3 minutes someone has a fracture as a result of osteoporosis
  • World-wide there were an estimated 1.66 million hip fractures in 1990 and it is estimated that this will rise to 6.26 million in 2050
  • Each year the numbers of people with osteoporosis seen by doctors include over: 70,000 hip fractures, 50,000 wrist fractures and 40,000 spinal fractures
  • Once a postmenopausal woman has had one spinal fracture, she is 5 times more likely to suffer another
  • Only a third of people with spinal fractures caused by osteoporosis come to medical attention    
        - a little about osteoporosis:

  • Osteoporosis literally means ‘porous bones’. 
  • The inside of bone looks like honeycomb, with blood vessels and bone marrow in the spaces between bone.
  • Osteoporosis occurs when the holes between bone become bigger, making bone more fragile and easier to break.
  • Osteoporosis affects all bones and commonly causes breaks (fractures) to bones in the wrist, spine and hip. 
  • The first symptoms of osteoporosis often involve the back because vertebrae are under such an enormous amount of pressure. 

  Our bones are at their strongest in our mid thirties after which some thinning occurs as we age. 

  •   people who exercise regularly are far less likely to suffer from it
  • in women there is a link to hormones since women who have gone through the menopause are far more likely to suffer from it. 

  Calcium and other minerals, essential for healthy bones, leak out
  leaving bones weak and more likely to fracture.  The loss of bone material   
  is not painful in itself but the fractures of the bones that result from 
  osteoporosis often are - particularly if nerves are trapped.

  Most people with osteo:

  • shrink and become shorter
  • several vertebrae may fracture with the result that the spine eventually becomes noticeably rounded. 
  Physiotherapy treatment for osteoporosis has   been shown to:
  • positively affect bone mass
  • slow down bone loss
  • reduce back pain 
  • decrease the risk of falling  
  • increase muscle strength
  • increase flexibility and co-ordination
  How can physiotherapy help with Osteoporosis?

   PAIN RELIEF
  • Control pain levels
  • Modalities for pain relief are wide in a physiotherapist repertoire
  • Treatments are simple to enable patients to continue at home

  • Self management in the form of
    :                       
    1. Tens
    2. Heat  
    3. Hydrotherapy
    4. Postural correction
POSTURAL CORRECTION

   Advice with requard to:

  • Sleeping positions with particular attention to the cervical spine and hips,
  • Use of McKenzie rolls for the lumbar spine when sitting and travelling
  • Ergonomic advice re sitting positions

BREATHING EXERCISES

  • Patients who experience pain from vertebral fractures on deep inhalation and coughing consequently reduce the depth of inhalation and are at further risk of chest infection.
  • Active cycle of breathing and simple diaphragmatic breathing is effective.

RELAXATION

  • The use of imagery and the Lara Mitchell method can be very useful
  • Contract relax methods have been subjectively reported by patients to increase pain levels due to the level of muscle tension prior to starting the relaxation technique.

REGULAR PHYSICAL ACTIVITY AND BALANCE RE-EDUCATION
  • Osteo sufferers may feel that too much exercise will cause fractures.
  • Patients need to load trabecular bone areas especially with gravity and weight to stimulate osteoblast activity.
  • Physical activity, particularly weight bearing exercise, improves bone density, making the bones stronger and less likely to fracture.
  • Physical activity increases muscle strength, so people are less likely to have falls that may result in bone fractures.
  • Improved balance and mobility prevents further fall and fracture.
  • Exercising in the hydrotherapy pool reduces the risk of falling and fracture is reduced .
  • Balance can be enhanced by the use of turbulence and using a woggle
  • Immersion results in pain relief
  • Bouancy assists range of movement
  • A land based exercise programme should be continued independently
  • Pilates is a great exercise which is weight bearing on the skeleton to increase bone density and improve balance
  • Weight bearing exercise can also include:
  • Resistance exercise - to strengthen bones and muscles. This usually involves lifting weights or moving the body against a source of resistance such as a weight-training machine.
  • Impact exercise - involves activities where the skeleton is forced to bear high impact upon landing.
  • Some level of physical activity becomes part of your daily routine.
  • It's important to consult an exercise expert (such as a physiotherapist) to get an individual assessment and help to develop a program to prevent injury.

         
Reducing the risk of osteoporosis


Calcium - three serves a day & Vitamin D are also important to reduce the risk of osteoporosis.






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Hydrotherapy

    Hydrotherapy (also known as Aquatic Physiotherapy) is the    
    physiotherapist supervised treatment of a wide range of conditions in a
    heated pool (32 degrees Celsius).    

    Hydrotherapy utilises the warmth (to relax muscles), the buoyancy (to
    assist or resist movement) and the weightlessness (to decrease pain and
    decrease stress on joints) of the water.

    Hydrotherapy is suitable for people of all ages and fitness levels and as        
    our pools are at safe depth you do not need to be able to swim to benefit
    from Hydrotherapy.  Your head does not go under the water and your feet
    can remain firmly on the ground if necessary. 

Aims and Benefits of Hydrotherapy:
  • Relaxation - release muscle spasm and decrease muscle tone
  • Pain Relief
  • Strengthen muscles
  • Improved circulation and respiration
  • Increased freedom of movement - increased joint range
  • Support for painful limbs and joints
  • Feeling of security and safety
  • Balance and vesitbular retraining
  • Safe environment for reintrouving co-ordinated movement patterns - reaching
  • Confidence boosting and overcoming fear of falling
  • Allows running and bouncing actvities with no jarring of joints
  • Improves general fitness
  • Promotes sounder more relaxed sleep patterns
  • Improves psychological health and general well being
  • Provides fun and social interaction
Conditions that may benefit from hydrotherapy:
  • Arthritis-osteoarthritis and rheumatoid
  • Back and neck pain
  • Post surgry - knee, hip, shoulder, spinal
  • Parkinsons
  • Stroke
  • Sports injuries
  • Specific sessions for patients with back pain, knee problems, shoulder problems plus a general exercise group are provided.
Is Hydrotherapy like Aqua Aerobics?

No...It is hands on physiotherapy treatment just like on land. The   
physiotherapist is in the water with you mobilising joints, massaging
muscles and monitoring movements.

So what happens now?

Call us and ask for a consultation with a physiotherapist. Initially you will be reviewed on land (30 minutes) and we will discuss your individual requirements and hydrotherapy programme. Each session of hydrotherapy generally lasts up to an hour.

Remember to bring a swimming costume and a towel!

Health Funds


HICAPS

Hydrotherapy may be covered by your private health fund and is also available under Veteran Affairs, Workcover and CTP claims. 

Our physiotherapists run 5 session each week  Sessions are available at Kawana Aquatic Centre daily at 1pm and at Caloundra Aquatic Centre on Thursdays at 1pm.   

All patients must be assessed on land first to ensure the hydrotherapy programme is tailored to your needs. We don't require a doctor's referral, however, we liaise closely with your GP at all times. 

Ben Jones and Shane Tompson conduct hydrotherapy sessions at Kawana and Caloundra Aquatic Centres.

Please contact us on 54936031 for any enquiries.
                   










totalphysio --- a hands on approach to pain

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This material may not be copied or used in any form without express permission from totalphysio, Sunshine Coast, Queensland, Australia