& Health Supplies
Common Treatments
Common Treatments
Ankle sprain/post fracture
Ankle sprain/post fracture
Following thorough assessment, manual therapy, dry needling, Extracorporeal Shockwave or Laser may be used to control swelling and pain, soft tissues massage can be used and taught for swelling control. Passive accessory joint mobilisation may be used to restore joint mobility. Patients are prescribed appropriate exercises to strengthen muscles around the ankle and retrain proprioception. Advice is given on appropriate footwear, taping or bracing as necessary. Basic treatment can be given in 1-2 appointments or up to 4-6 treatments for more complex problems
Achilles Tendinosis
Taping can be used and taught to unload tissues and reduce inflammation. . After appropriate assessment muscle stretches and strengthening exercises may be prescribed.
Further treatment modalities after assessment may include manual therapy to ankle and foot joints, dry needling and shockwave to muscles and Laser treatment to inflamed structures.
Consideration is given to biomechanical causes such as over pronation and orthotics may be prescribed. Advice on footwear and shock absorbing inserts is given.
Arthritic Feet
Arthritic Feet
Careful assessment of biomechanics of feet. Consideration is given to the most appropriate combination of shoe and orthotic device if indicated. Stiff joints may be mobilised and advice given on ways of keeping arthritic joints mobile and controlling pain. Basic treatment requires only 1-2 appointments.
Plantar fasciitis (heel spur)
Thorough assessment including gait assessment and muscle length assessment. As indicated orthotics can be prescribed and fitted, taping can be used and taught to unload tissues and reduce inflammation. Muscles and fascia can be stretched and strengthened as appropriate. Advice is given on appropriate footwear. Usually require only 1-2 treatments.
Muscle Tears/Contusions
Muscle Tears/Contusions
Laser treatment or extracorporeal shockwave may be used to control pain and accelerate removal of inflammatory products/swelling associated with muscle tears. Stretching and strengthening exercises can be prescribed as appropriate to ensure maximal strength of healing muscle. Soft tissue techniques are used to facilitate healing of muscles. Advice is given on return to work/sport. Consideration is given to maintaining joint and neural integrity around the muscle.
Ligament Tears
A combination of all modalities may be used following ligament tears appropriate to the unique presentation and with the goal to create the optimal environment for healing. Consideration is given to methods of protecting from further damage such as taping and bracing. Muscle stretching and strengthening exercises are prescribed as appropriate to minimise strain on weak/healing ligaments.
Neck Pain
Neck Pain
Thorough assessment looking at muscle tension, strength, length and trigger points. Thorough assessment of joint mechanics looking at joint position, hypo and hypermobility, as well as function. Assessment of neural function. Treatment may include a wide range of joint mobilisation techniques, soft tissue techniques, as well as appropriate exercise prescription. Ergonomic and postural advice is also given as indicated. Treatment to necks is always gentle and does not involve cervical manipulation.
Cervicogenic Headaches
Cervicogenic Headaches
Thorough assessment as to cause of headache. Mobilisation and joint capsule stretching techniques to unload trigeminocervical nucleus. Advice on home exercises to control headaches. Ergonomic and posture advice given as necessary. NO THRUST MANIPULATIONS USED. Excellent results without risk associated with cervical manipulation. Often require only 1-3 treatments.
Tennis Elbow/de Quervain's Syndrome/other overuse injuries
Tennis Elbow/de Quervain's Syndrome/other overuse injuries
Thorough assessment looking at muscle length and strength, joint position and function, neural function, as well as sources of referred pain. Treatment may include a combination of restoring normal joint kinematics, a reconditioning program for muscles, as well as splinting and ant-inflammatory treatments where necessary.
Lower Back Pain/ SIJ/ Pelvic Pain/ Sciatic Pain/ Thoracic Spine/ Chest pain
Thorough assessment as neck pain. Treatments used include gentle L/S and Pelvic manipulations as indicated. Mobilisation and soft tissue techniques. Patients often require spinal muscle reconditioning program which are tailored to each patient. Ergonomic and posture advice is given as indicated. Patients with chronic conditions are given ways of managing and reducing their pain..
Incontinence
Incontinence
Instruction in pelvic floor exercises to assist with stress and urge incontinence. Appropriate referrals to specialist physiotherapists and continence medical professionals will also be offered as required.
Paediatric lower limb/gait/feet assessment
Paediatric lower limb/gait/feet assessment
Torsional deformities of the lower limb can be assessed and advice given on treatment options.