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Sports Injury Clinic Melbourne

sports physiotherapy
By Michael Hall

Australia is a country of sports lovers and Melbourne is often called the sports capital of the world. In Melbourne, sport has a special place in our culture and lifestyle. Whether it be aerobics, swimming, cycling, jogging, golf, tennis, soccer, netball or Australian Rules Football, Australians love to be involved in either watching or playing sports. An unfortunate consequence of this however, is a sports injury. Simply stated, a sports injury is an injury that is sustained while playing sport. A sports injury may involve muscles strains, joint sprains, stress fractures, knocks, bumps, dislocations, tendinopathies and overuse injuries. While there are some similarities between sports injuries and those sustained while doing other life pursuits, sports injuries do have some unique characteristics that make it a specialized field of medicine.

What are the similarities?

The location of injuries

For example, an ankle sprain sustained playing tennis is basically the same as one sustained falling downstairs.

The severity of injuries

No matter where or how an injury has occurred, there are three grades of strain (muscle) or sprain (joint). These are:

• Grade I – involves 50% or less of muscle or ligament fibers torn

• Grade II – 99% to 50% of muscle or ligament fibers torn

• Grade III – is a complete rupture of the muscle or ligaments

The healing pathway

No matter where or how an injury has occurred, the body will attempt to heal it by going down the same healing pathway. There are four stages:

1. Bleeding Phase: relatively short time immediately following injury;

2. Inflammatory Phase: where the immune system is activated to protect the body against infection and clear the area in preparation for the laying down of new tissue;

3. Proliferation Phase: which involves the laying down of the repair tissue;

4. Remodeling Phase: where the repair tissue is organized and normalized.

How sports injuries are different

However, sports injuries are also different in a number of ways.

1. The location of injuries with some being related to particular sports (e.g. tennis leg = calf strains; jumpers knee = patella tendinopathy; swimmer shoulder; tennis elbow; golfer’s elbow etc.)

2. The start and end point of the injury. In other words, the people sustaining sports injuries are likely to be “fitter” and they will likely need to be in better physical shape and need a higher level of rehabilitation to return to their sport than those people who do not play sport.

What to do immediately after a sports injury

You can save yourself weeks and perhaps even months of treatment if you correctly use the RICE principles immediately after sustaining an injury. Here’s what to do:

Rest - From aggravating movements

Ice - Apply ice or a frozen gel pack wrapped in a damp towel for 15 minutes every one to two hours to reduce bleeding, swelling and further tissue damage

Compression - Firmly bandage the area to control swelling

Elevation - Elevate your injury higher than your heart to reduce swelling

At the same time, you must avoid HARMing your injury, especially within the first 72 hours. That is, you need to avoid:

Heat

Alcohol

Running

Massage

Sports injury treatment – taking the next step

Sports injury treatment must vary from other injury treatment programs in that the starting and end points require a much higher level of conditioning. What sets sports apart from other life pursuits is that the forces involved can be both extreme and varied.

Successful sports injury treatment must therefore take into account your physical characteristics and condition. In addition, successful sports injury treatment must also take into account the physical demands of your sport as these will often determine the type and severity of injuries that are sustained.

Your treatment, rehabilitation and training must then be geared to address and exceed the specific demands of your sport so that you have a reserve capacity which protects you when you are fatigued or your game goes to the next level.

The Bodywise Health Advantage

If you want the fastest healing, the best repair and the most complete recovery, Bodywise Health is uniquely positioned to assist you best. Bodywise Health is set apart from other sports injury clinics such as Sports Injury Melbourne, the Sports Injury Clinic Melbourne and Melbourne Sports Injury Clinic by better understanding you, your wants needs and goals.

Like Sports Injury Melbourne, the Sports Injury Clinic Melbourne and Melbourne Sports Injury Clinic, we use cutting edge technology and the latest evidenced based, proven treatment techniques to get you the best possible results in the fastest possible time.

For than 20 years, Bodywise Health has been delivering exceptional sports injury results to thousands of elite and recreational sports people in the Bayside suburbs of Hampton, Brighton, Sandringham, Highett, Cheltenham, Elsternwick, Elwood, Black Rock, Beaumaris and more generally Melbourne. With such a track record of achievement, you can have confidence that you will also experience exceptional results at Bodywise Health.

The contact details for Bodywise Health may be found by googling sports injury Melbourne, sports injury clinic Melbourne, Melbourne sports injury clinic, sports injury Bayside, Sports injury Brighton, Sports injury Hampton and sports injury clinic Cheltenham.

Let’s get started...

Whether you are a weekend warrior or an elite athlete competing at the highest level, the therapists here at Bodywise Health can design the perfect treatment and rehabilitation program to get you back to your sport fast.

Your recovery begins with the formulation of your optimal Recovery Action Plan. This includes a:

1. A comprehensive assessment to identify the sources, causes and healing stage of your problem as well as determine your physical strengths and weaknesses and the demands of your sport;

2. Clarification of your goals, concerns and aspirations;

3. The formulation of a treatment plan with an agreed timeline;

4. The implementation of the treatment program, with frequent re-evaluations to ensure

Your Recovery Action Plan is invaluable as it gives you peace of mind and a sense of certainty knowing that you are on track and to meet and exceed your goals.

If you want the best, fastest results; if you want the most optimal recovery possible; if you want to take your performance to the next level, call us here at Bodywise Health on 1 300 BODYWISE (263 994). We look forward to working with you so that you achieve everything that you want and more.

For more information or for an appointment, please call Bodywise Health on 1 300 263 994.

Please note:

• Rebates are available through your private insurance extras cover;

• For complex or chronic conditions, you may qualify for the EPC (Enhanced Primary Care Program) allowing you to receive 5 allied health services each calendar year with a referral from your doctor. For more information, please call Bodywise Health on 1 300 263 994.

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Workplace Injury Treatment Melbourne

work injury treatment,  the injury clinic
By Michael Hall

Workplace injury has its own unique stresses, demands and requirements. This is why work injury treatment is governed by the Work Injury Management Act. The Work Injury Management Act details the steps as to how work injury treatment is to be administered for a workplace injury. It is a recognition that business pressures, time deadlines, physical, psychological and chemical stresses, productivity concerns and relationship tensions make treating work injuries challenging and complex.

Let’s start at the very beginning...

The best place to start is how to prevent a workplace injury. Doing a work place audit to analyze a work place environment as well as the physical, psychological and chemical stresses, can be invaluable in identifying potential work place hazards, long before they turn into injuries and preventing the need for work injury treatment in the first place.

Coupling this knowledge with the knowledge of the physical (and psychological) capacity of workers, will highlight whether particular people might be at risk. This will enable changes to be made proactively, perhaps through the retraining of staff, ergonomic alterations or adjustments made to systems.

Ok, a workplace injury has occurred, what do I do next?

First aid! This means ensuring the area is safe, before assisting the injured worker. Checking for vital signs (Airway, Breathing and Circulation) is of paramount importance as is calling for assistance.

If the injury is one that is musculo-skeletal in nature, weeks and perhaps even months of treatment may be saved if the RICE principles are correctly applied immediately after sustaining an injury. Here’s what to do:

Rest - from any aggravating movement

Ice - Apply ice or a frozen gel pack wrapped in a damp towel for 15 minutes every one to two hours to reduce bleeding, swelling and further tissue damage

Compression - Firmly bandage the area to control swelling

Elevation - Elevate your injury higher than your heart to reduce swelling

At the same time, you must avoid HARMing your injury, especially within the first 72 hours. That is, you need to avoid:

Heat

Alcohol

Running

Mssage

Even if the injury is not life threatening, it is still imperative that supervisor(s) are notified and that a written report is made. Following this, it is advisable for the injured worker to have a medical examination. This enables the doctor to then direct treatment, and to ascertain whether the worker might require further medical investigation or perhaps be referred directly for rehabilitation.

The Bodywise Health advantage

By listening to your concerns, understanding your fears, determining the diagnoses, identifying your needs, analyzing the demands and clarifying your goals, enables us to personalize treatments and implement targeted rehabilitation plans that deliver real results, both for you and your organization.

The systems that we have developed working with some of Australia’s biggest companies including Myer, Australia Post and Coles in the InjuryNet program over the past six years, has enabled us to assist people to stay at work whilst enabling them to get better, often within four treatments, saving thousands of dollars and much stress and anxiety in the process.

Getting better quickly is the only choice. It saves time, money, stress and prevents worry and misunderstanding and provides the best possible outcome for all parties.

Work injury treatment – taking the next step towards recovery

What sets work injury treatment apart from the treatment of injuries sustained in other walks of life is the fact that they occur as part of person’s work. Successful work injury treatment not only requires an intimate understanding of the injury, it also requires an understanding of the work environment, the physical demands and biomechanical considerations of the work itself as well as other physical, psychological, chemical and social factors. For example, a gardener with a back problem will need a different conditioning program to a fireman. Consequently, each rehabilitation and conditioning program must be tailored not only to each person’s needs, but also to the demands of the work that they do.

The Bodywise Health Advantage

If you want the fastest healing, the best repair and the most complete recovery, Bodywise Health is uniquely positioned to assist you best. From assessing your injury, to determining the diagnosis, to providing fast relief, optimal healing, targeted rehabilitation, work ergonomic assessment and work specific conditioning, our therapists have the knowledge, skills, equipment and passion to help you achieve the best results at the fastest possible rate.

Let’s get started...

Whether you are a builder, baker or a banker, the therapists here at Bodywise Health can design the perfect treatment and rehabilitation program to get you back to your work fast.

Your recovery begins with:

1. A comprehensive assessment to identify the sources, causes and healing stage of your problem as well as determine your physical strengths and weaknesses and the demands of your sport;

2. Clarification of your goals, concerns and aspirations;

3. The formulation of a treatment plan with an agreed timeline;

4. The implementation of the treatment program, with frequent re-evaluations to ensure

Not only does this set clear expectations, it gives you a sense of control and certainty knowing that you are on track and it gives us a target to meet and exceed.

But it all begins with you. You must take the first step. Once on board, we will be there to help you every step of the way. The sooner we begin, the sooner you get back to doing what you want to do. Let’s get started...

For more information or for an appointment, please call Bodywise Health on 1 300 263 994.

Please note:

• Rebates are available through your private insurance extras cover;

• For complex or chronic conditions, you may qualify for the EPC (Enhanced Primary Care Program) allowing you to receive 5 allied health services each calendar year with a referral from your GP. For more information, please call Bodywise Health now on 1 300 263 994.

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Headache Treatment Melbourne

acupuncture melbourne
By Michael Hall

Of all treatments, headache treatment probably ranks as probably the most misunderstood and confusing. Few complaints are more common than headaches or head pain. Yet, despite their frequency, much confusion and ignorance still surrounds the source and cause of headaches as well as to what constitutes the most effective headache treatment in Melbourne.

In fact for many years, the neck was completely ignored as a possible source of headaches by all the medical literature despite a considerable amount of evidence to the contrary. And indeed when headache was described it was given an incomplete, vague description, often only being referred to as tension headaches. Yet, this is despite the fact that muscle tension is not painful, but may lead to other structures such as joints and nerves to becoming painful.

Classification of Headaches

Many headache specialists in Melbourne classify headaches according to their presentation. This is important as it directs the most effective treatment for each condition. This classification includes:

1. Non-recurring headaches

2. Recurring headaches

(i) Migraine (vascular) headaches type

(ii) Headaches originating from cervical spine (neck) dysfunction

(iii) Combined migraine and cervical spine headaches

The Difference between migraine and cervical spine headaches

As physiotherapy treatment or physical therapy for headaches is most effective with neck related headaches, they must be differentiated from migraines which respond best to migraine headache treatments. These differentiating features include:

Periodicity: Neck headaches display a history of increasing periodicity and do not abate with age. In contrast, migraine headache periodicity hardly changes until they abate later in life. Headaches due to the jaw joint (TMJ) have an irregular periodicity. This factor differentiates cervical headaches from migraine headaches more reliably than any other factor.

Intensity of Pain: Neck headaches may be as painful as migraine headaches, though their intensity is more variable. The intensity of migraines is always severe.

Response to Painkillers (analgesia medication): A decreasing response to analgesics suggests a cervical origin. Migraine headaches in contrast respond minimally to compound analgesics (e.g. Panadeine Forte) and not at all to simple analgesics.

Onset: The onset of migraine headache is usually related to puberty whereas neck headaches may occur at any time in life.

Non-Diagnostic Features

Location of Pain: Both types of headache may refer pain to any part of the head. If pain encroaches on to the face it may also be referred from the TMJ.

Nature of Pain: Both headaches may present with the same pain characteristics including throbbing, pressure, pounding, gnawing and sickening sensations.

Triggers: Neck headaches can be triggered by all the migraine trigger factors.

Accompanying Symptoms: Neck headaches and migraine headaches commonly display the same symptoms such as visual disturbances, tinnitis, vomiting and dizziness.

The Sources of Headache

Migraine Headache

Pain arises from the dilation (that follows initial constriction) of pain sensitive arteries in the head. The cause of this vasoconstriction is not yet known. Headache is never the only symptom and may not even be a feature of the attacks. Migraine headache treatment is therefore directed to avoiding the triggers of migraine headache and preventing the migraine causing vasodilation of blood vessels.

Neck Headaches

Degenerative changes in the joints of the upper cervical spine (i.e. the 1st 3 cervical spine joints) are the primary source of neck headaches. The reason for this is that at these levels there is the greatest overlap of the nerves which supply sensation to the face and head (i.e. the cervical and Trigeminal nerves). Consequently, any irritation of structures close to these nerves may cause these nerves to transmit pain and lead to headaches. This irritation may occur in a single injuring event (e.g. whiplash) or over many years of poor posture and repetitive movement patterns. Through this, the lower cervical and thoracic spines may be a secondary source of headaches as if they become stiff (through poor posture), the upper cervical spine has to compensate by moving more, and it is this compensation which leads to degeneration and pain.

The Best Headaches Treatment

Bodywise Health headache physiotherapists have been delivering effective relief from headaches to people in the Bayside suburbs of Hampton, Brighton, Sandringham, Highett, Cheltenham, Elsternwick, Elwood, Black Rock and Beaumaris for more than 20 years.

The contact details for Bodywise Health may be found by googling migraine headache treatment, headache treatment Bayside, headache treatment Bayside, headache treatment Brighton, headache treatment Hampton and headache treatment Cheltenham.

Headache treatment gives the best results when it is guided by your presentation, a comprehensive, professional assessment and the clinical findings, your goals as well as your ongoing response to treatment.

The most effective physical therapy for headaches involve a combination of “hands on” therapy, electrotherapy, as well as physical conditioning and movement/relaxation retraining. This last point is extremely important because often it is poor posture/movement patterns which either perpetuate pain and dysfunction or cause it in the first place. It follows therefore that if the causes of headaches are not corrected, then only short term relief will be experienced.

If you live in the Bayside suburbs of Hampton, Brighton, Sandringham, Highett, Cheltenham, Elsternwick, Elwood, Black Rock and Beaumaris or more generally Melbourne and you want to achieve sustained relief from your headaches; if you want to be shown the physical, nutritional and psychological keys which will help to free you from headaches forever; if you want to take back control and reclaim your health and your life, then call us here at Bodywise Health on 1 300 BODYWISE (263 994) and begin your journey back to living your life without headaches.

For more information or for an appointment, please call 1 300 BODYWISE (263 994).

Please note:

• Rebates are available through your private insurance extras cover;

• For complex or chronic conditions, you may qualify for the EPC (Enhanced Primary Care Program) allowing you to receive 5 allied health services each calendar year with a referral from your GP. For more information, please call Bodywise Health now on 1 300 263 994.

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Foot Pain Treatment in Melbourne

Pain Treatment in Melbourne
By Michael Hall

Walking, running and in fact every time you put your feet on the ground, involves a complex interaction of the joints, muscles and nervous system control of your whole body. It stands to reason therefore, that all injuries which involve having your feet on the ground especially foot pain problems and foot pain from walking, must involve an assessment of the activity as a whole as well as an examination of each muscle and joint involved in the process.

This is the physiotherapist advantage.

Physiotherapists can analyze your standing, walking and running as a whole as well as break each movement down to its component parts. Physiotherapists can assess the mobility of your joints, the strength of your muscles and the control of your movements enabling them to determine deficits and analyze causes.

Physiotherapists can then use “hands on” techniques to free up specific joints, loosen specific muscles and mobilize your nervous system, techniques all designed to create the optimal environment for healing. These techniques also make rehabilitative exercise more effective, which makes postural and movement correction more effective. Consequently, all the treatment that we perform at Bodywise Health is not just directed at getting your back, hip or knee better, but importantly directed at getting you back doing the things you love to do whether be hiking in the country, walking in the park or going for a run.

The problem

Up until this stage there have been two problems.

The first problem was that assessments of foot pain problems and foot pain when walking often weren’t optimally objective, often involving observation or even video-taping a person as they walked or ran on a treadmill. These assessments still involved estimates of the biomechanics of the body.

The second was that assessments simply weren’t relevant. A plaster cast was made of the feet in sitting or standing, which had absolutely no relevance to walking or running. Therefore this type of assessment couldn’t adequately provide a solution for leg and body problems associated with these activities.

The solution

Gait scan has now changed all of this. Now assessments of foot pain when walking are both relevant and objective. Gait scan scans each foot, measuring the amount and timing of pressure from each part of the foot at 300 times per second as you stand, squat or walk. This objective data has been validated and verified and an enormous data bank of information has been gathered in the 25 years it has been used in Canada. By comparing your gait scan data with the existing data and combining this with information gained through a clinical examination, accurate, objective clinical findings can be made not just for your foot, but for your knee, hip and even your back.

Gait scan is a fantastic tool for foot pain walking problems as it provides the objective clinical details needed to provide long term orthotic solutions for foot pain problems. These include problems such as plantar fasciitis, heel spurs (pain on the under surface of the foot), hallux valgus (big toe pain), meta-tarsalgia (toe pain), mid-tarsal joint arthritis, chondromalacia patellae (knee cap pain), iliotibial band fasciitis (pain on the outside of the knee) and many others.

Gait scan orthotics permanently change the physical stresses on your body every time you stand. By doing this, they can permanently unload or eliminate the stresses on your painful body part, thereby providing permanent relief. Combined with “hands on” soft tissue and joint techniques as well as precise corrective muscle activation training, balance, walking/running and functional retraining, gait scan orthotics provide the ultimate in long term relief and improved physical performance of many activities.

Experience permanent relief, not just a quick fix

Gait scan orthotics permanently remove the physical stresses on your foot pain problems every time you stand, walk, squat, lunge and run, thereby providing you with permanent relief. Combined with “hands on” soft tissue and joint techniques as well as precise corrective muscle activation training, balance, walking and running retraining, gait scan orthotics provide the ultimate in long term relief from foot pain from walking as well as improved physical performance of many activities.

So if you experience foot pain problems, especially foot pain from walking or have long term foot, ankle, knee, hip or even back problems, gait scan orthotics may be the answer that you are looking for. They may save you months of therapy and years of pain.

For more information or an appointment, please call Bodywise Health on 1 300 BODYWISE (263 994).

Please note:

• Rebates are available through your private insurance extras cover;

• For complex or chronic conditions, you may qualify for the EPC (Enhanced Primary Care Program) allowing you to receive 5 allied health services each calendar year with a referral from your GP. For more information, please call Bodywise Health now on 1 300 263 994.

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Chronic Pain Treatment Melbourne

east brighton physiotherapy
By Michael Hall

Chronic pain is pain that is constant, relentless, draining pain for longer than 12 weeks. Unless you have had it, you can’t imagine it. It may involve back pain, neck pain (whiplash), migraine / headaches, tinnitus (ringing in the ears), phantom limb, fibromyalgia / fibrositis, chronic regional pain syndrome (CRPS) pain.

Chronic pain may affect every part of life, from sleeping, to morning to night. Every posture, movement, every activity, every word, every thought, every moment may be coloured by its presence until it becomes all consuming,

Chronic pain is serious

So pervasive, so invasive is chronic pain that it can wear you down, until it breaks you. Apkarian et al (2004) showed that people with chronic low back pain had lost 5-11% of neocortical brain matter, or 1.3cm3 of brain grey matter for every year of chronic pain. This is equivalent to 10-20 years of normal aging. The seriousness of dealing appropriately with chronic pain could not be more apparent.

Chronic pain is complex

One thing that is clear is that chronic pain is complex involving a complicated interplay of almost every bodily system. The sensations that we experience through our senses (sight, touch, hearing and smell), are transmitted to the spinal cord and then on to the brain. In the case of a severe pain, a response may be initiated from the spinal cord (reflex) directly as in the case of pulling our hand away from a fire. The brain also receives the information and on-sends it to all many different areas for processing, interpretation and the initiation of a response. These responses may affect all systems of the body from the activation of a movement, to changes in the immune system, to changes in the autonomic system. Essentially these responses have to do with either a protective response (fight or flight) or a nurturing growth and repair response.

Fight or Flight Vs Growth and Repair

The response that is activated depends upon how the stimulus is perceived. Our most primitive, automatic response is one of fight or flight. In the case of a perceived pain, threat, or fear, our body is readied to fight or take flight as our awareness is heightened, our heart pumps harder, breathing quickens, perspiration increases, muscles are tautened. At the same time, blood is diverted away from the digestive system and the nervous system is put on alert as the immune system is “deactivated”. In other words, our need to survive is prioritized ahead of every other need of the body, including growth and repair. This survival instinct, in the case of short term threats to our safety, is appropriate to help us stay alive. However, with repeated exposure to this pain, threat or fear, and repeated activation of the fight and flight pathway, our body’s ability to grow and repair may become impaired.

The brain is a computer with no delete button

The brain learns from every experience and may draw on the learning not just of this sensation, but of how the sensation is perceived you felt about this experience in the future. This means, just thinking about the experience is enough to trigger a response, irrespective of whether there is a problem with the body’s tissues or not. Moseley (2008) found that just imagining a body part worse than it is can increase the swelling and perceived pain, whilst imagining it better than it is can reduce the swelling and perceived pain. Maihofner et al (2006) also found that not only could the pain be magnified but that its location couldn’t be accurately identified. And further research has also shown that chronic back pain is experienced in a different location of the brain when compared with acute back pain (Moseley 2008).

Other studies have shown that using the reflection of an unaffected limb has reduced the pain experienced by individuals with their affected limb. Amputees have also been shown to have reduced phantom limb pain when their “legs” are projected walking underneath them on to a screen. What these studies show is that pain may not just be experienced at the local level but that chronic pain changes the brain biochemistry and actually rewires the brain’s neural pathways. This has major implications for the treatment of chronic pain and necessitates a holistic, multidisciplinary approach, if treatment is to be successful.

So where to begin

Given chronic pain’s complexity, chronic pain treatment or chronic pain management must tackle chronic pain on multiple levels, psychologically, physically and socially. Having said this, these levels may fall into two broad categories. The first is to discourage an environment of excessive or abnormal stress which may lead to a fight or flight response. The second is to encourage an environment of healing, repair, growth and building capacity.

Here are 7 guidelines of how chronic pain therapy and chronic pain clinics must deal with chronic pain

  1. The first rule of many chronic pain management clinics is to acknowledge that chronic pain is real. Sometimes not being believed is the most difficult thing to deal with especially as chronic pain can’t be seen, imagined or picked up on a scan.
  2. Have hope that chronic pain can be overcome. Gaining an understanding of the complex mechanisms behind chronic pain can help to give this sense of hope as well as a sense of control and empowerment.
  3. Change your attitude and change your behavior. Easier said than done, it is important to see yourself not as a victim of chronic pain, but as a person who has choices and things that they can control. If you can focus on those things that you have control over and your control them perfectly, many of the things you can’t control will go away.
  4. Create an environment which encourages nurturing, growth and repair. Being supported by and feeling connected with others is important as is sleeping well when most growth repair occurs. Food which reduces inflammation (fish/krill and flaxseed oil, turmeric and ginger) and which assists with growth and repair (vitamin C, Activated B and adequate amounts of protein) may also assist. Relaxation techniques, meditation, prayer or even warm baths can all be used as strategies to help to reduce tension and promote an optimal healing environment.
  5. Whilst there is no evidence that hands on techniques (such as remedial massage and mobilization) and modalities such as heat is of benefit, at Bodywise Health we have found that they may help exercise to be more beneficial by reducing sensitivity and increasing exercise tolerance.
  6. For maximal benefits, exercise should first be directed towards increasing joint mobility, improving muscle length and balance with the objective of correcting and optimizing posture and movement patterns. For these exercises to be effective, they may be performed under the pain cover of heat, cold or electrical stimulation and must start at an intensity which is below pain thresh-hold. Then using the overload principle, this postural exercise program should be increased first in volume and then in intensity, so that a training effect may be experienced which carries over to sustained physical improvement.
  7. Taping or bracing may be used to “unload” hypersensitive body tissues and enable assisted accommodation of correct posture, further reducing physical forces on the body’s structures.

Chronic pain management doctors and the chronic pain specialist in chronic pain management clinics across Melbourne may prescribe non-steroidal anti-inflammatories and opioids to manage chronic pain.

Chronic pain management Melbourne may abide by the evidence which suggests that non-steroidal anti-inflammatory (NSAIDS) medication should be considered as an appropriate treatment for chronic low back pain. However, whilst there are demonstrated benefits, there are also significant side effects that may have meaningful clinical consequences. NSAIDS are favoured over opioids both in terms of cost and safety. (Roelofs et al 2008)

Whilst dealing with chronic pain is extremely challenging, it is important to know that hope is at hand.

With Bodywise Health providing physical, nutritional and psychological services, we are well placed to assist chronic pain sufferers. Whilst medication may have its place, it doesn’t empower you as to how to avoid chronic pain stresses nor build your capacity to tolerate stress. Unless you are enrolled into an appropriate, graduated, progressive and empowering physical, psychological and nutritional training program, it is likely that your ability to cope with everyday life will decrease over time.

Unlike medication which can become a “crutch” upon which the body becomes dependent to cope, Bodywise Health’s philosophy is to empower you, your body and mind, by giving you the knowledge, training and resources that enables you to get stronger, physically, mentally and nutritionally.

Bodywise Health has been providing chronic pain management solutions to the people in the Bayside suburbs of Hampton, Brighton, Sandringham, Highett, Cheltenham, Black Rock, Beaumaris, Elwood Elsternwick and more generally across Melbourne.

Bodywise Health contact details can be found by googling chronic pain management Melbourne, chronic pain management Bayside, chronic pain management Brighton, chronic pain management Hampton or chronic pain management Cheltenham.

Bodywise Health will work with any chronic pain specialist or chronic pain management doctors in Melbourne to ensure that you experience the best results possible.

The Bodywise Health chronic pain management program has had great success in assisting hundreds if not thousands of people over the past 20 years. It can help you too.

For more information or an appointment, please call Bodywise Health on 1 300 BODYWISE (263 994).

You have nothing to lose except your pain.

Please note:

• Rebates are available through your private insurance extras cover;

• For complex or chronic conditions, you may qualify for the EPC (Enhanced Primary Care Program) allowing you to receive 5 allied health services each calendar year with a referral from your GP. For more information, please call Bodywise Health now on 1 300 263 994.

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Child Birth Preparation & Exercises During Pregnancy

ergonomic advice
By Michael Hall

Physiotherapists play an important part in the antenatal care of pregnant women and their preparation for labour, birth and parenting. Physiotherapists educate women about the need for good posture during pregnancy and the principles of back care, teaching appropriate lifting skills, lifting and standing postures. Physiotherapists also educate women about the role of the abdominal muscles in supporting the back, and teach exercises to maintain adequate strength for these muscles.

An important role of the physiotherapist is to educate pregnant women about pelvic floor function, correct exercise techniques and the importance of regular exercise. Physiotherapists provide information about general exercise during pregnancy, what can be done safely and what should be avoided, as well as teaching specific exercise techniques to maintain flexibility and strength.

Physiotherapists help to prepare pregnant women and their partners or support people for the physical work of labour. Physical relaxation skills are taught in conjunction with breathing awareness, encouraging women to remain active in labour. Women are taught a variety of labouring positions to allow gravity to assist, but offering comfort and the ability to relax.

They provide information about the use of TENS during labour, giving women the opportunity to use effective analgesia in labour without the risk of the side-effects of drugs.

The final role of the physiotherapist in antenatal education is to prepare couples for the early days in hospital and the first weeks at home with the new baby. The importance of daily rest is emphasised, in conjunction with some gentle exercise to help women return to optimal fitness and physical wellbeing. Couples are taught correct lifting techniques and how correct posture can be maintained when breastfeeding or attending to the needs of the baby. Couples are also informed about baby massage and the importance of the prone position in child development.

For more information or for an appointment, please call Bodywise Health on 1 300 263 994.

Please note:

• Rebates are available through your private insurance extras cover;

• For complex or chronic conditions, you may qualify for the EPC (Enhanced Primary Care Program) allowing you to receive 5 allied health services each calendar year with a referral from your GP. For more information, please call Bodywise Health now on 1 300 263 994.

Read more...

Nutritionist in Melbourne

best physiotherapy

By Michael Hall

When you think about it, the two most basic building blocks of life are oxygen and food. Without them, your cells simply cannot repair, grow or live. Whilst you may have limited choice with what type of air you breathe, here in Australia we are blest with having an abundance of food choices. And those food choices have a very real effect on your ability to overcome injury and illness as well as maintain good health generally. Plainly, if you don’t take in the nutrients needed to build new tissue, your cells cannot heal, no matter how much treatment you might have.

Whilst making good food choices is important for good health, just as important as a good diet is the issue of when and how you eat. Digestion is often taken for granted. However, research has shown that it is not just what you eat but when and how you eat it that influences greatly your body’s ability to absorb and use the nutrients of food.

Having the best physiotherapy, clinical pilates, exercise rehabilitation and remedial massage is one thing and then add to this the best nutrition and suddenly health and recovery are taken to a whole new level.

Food is not just the fuel for the body; the quality of your food ultimately determines the quality of your health and therefore the quality of your life. Whether your body survives or thrives is very dependent on what food it is fed.

This is the same for your recovery. Because food provides the basic building blocks needed for repair and healing, the type and quality of your food can have major implications for how well and how fast you recover from injury and illness. The better the type and quality of your food, the better your outcomes. It is the next evolution in the treatment of physical problems and illnesses and requires not just a knowledge of the nutritional components of food, but also an understanding of the biochemical processes of healing, a zeal to be at the cutting edge of research and a passion to make a difference.

It is this knowledge, understanding, zeal and passion that you can count on to receive from a Bodywise Health nutritionist.

Finally, if you sign up to the Bodywise Health Research Report, you will receive weekly the latest in treatment, optimal health and nutritional research. At Bodywise Health, we don’t just want you to be able to make better health choices, we want you to be able to make the BEST health choices.

For more information or for an appointment, please call Bodywise Health on 1 300 263 994.

Please note:

• Rebates are available through your private insurance extras cover;

• For complex or chronic conditions, you may qualify for the EPC (Enhanced Primary Care Program) allowing you to receive 5 allied health services each calendar year with a referral from your GP. For more information, please call Bodywise Health now on 1 300 263 994.

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Optimal Wellbeing Programs Melbourne

ergonomics physiotherapy
By Michael Hall

Is optimal well being a dream or a reality for you? Many people think that it’s about having the perfect body and the perfect physique. However, good looks don’t necessarily translate into good health or good function. Rather, optimal well being blends the harmonious interaction of ideal biomechanics with optimal control, strength, flexibility and fitness. And as with all aspects of the human body, physical health does not occur in isolation, but is intimately linked with many other systems of the body including the nervous, circulatory and digestive systems.

In everyday life, optimal well being may be experienced as a vitality and freedom that enables you to feel strong, confident and secure, with a reserve of energy that enables you to meet and exceed everyday demands.

Whilst this is a goal of Bodywise Health, our initial purpose is to help you overcome your physical problems so that you get to a position where optimal physical health is a possibility. What many people fail to appreciate is that exercising at the wrong time, in the wrong way and with the wrong intensity, may do more harm than good. Consequently, an initial objective might be reduce inflammation and protect against re-injury before promoting healing.

Once healing has begun to take place, then corrective rehabilitation exercises may be implemented to remedy imperfect biomechanics and optimize every day functional movement habits. Then, the best way to prevent further physical health problems is to stay in good shape, physically, nutritionally, and psychologically, that is, to live optimally.

If optimal physical health is to become a possibility for you, everything must be taken into account in treating, resolving and preventing physical problems,. Posture, movement patterns, muscle balance, muscle activation, joint mobility, muscle flexibility, stabilization, co-ordination, balance, strength, endurance, recovery / rest, stress, nutrition are just some of the factors that must be addressed if you are to achieve the physical results and lifestyle outcomes that you want.

Your treatment doesn’t stop with the elimination of pain either. It doesn’t end when your knee or back or neck or... is better. Your goals are OUR goals and that means you returning to, achieving and / or exceeding the lifestyle goals that you want.

To us, it is no good if your shoulder is better, but that you can’t play tennis, or that your knee is pain-free, but you can’t enjoy fun runs, if these are the activities that you want to do. Good health is more than just the absence of pain, injury or disease. It is about having choices to be and do the things you want, when and where you want to do them.

By treating and resolving injuries, aches and pains every day, physiotherapists are in a unique position. Having a detailed knowledge of anatomy, biomechanics and pathology and being experienced in exercise rehabilitation and clinical pilates, gives physiotherapists the advantage of being more likely to know what works and what doesn’t, not only with fixing or preventing physical problems, but also with tweaking exercise programs so that they give better results.

Having studied heart, lung and neurological as well as bone / muscle treatment and rehabilitation, means that physiotherapists are able to draw on each of these areas to fine tune training programs and get achieve better health and lifestyle outcomes.

There are many examples of this specialized contribution to training, but some common ones include:

  1. The use of Real Time Ultrasound to assist in the activation of the deep abdominal (transverse abdominus) and lower back (multifidus) to provide better low back stability;
  2. The use of biofeedback to help activate the inside quadriceps muscle (vastus medialis oblique) to get better knee control and strength;
  3. Analyzing and correcting shoulder blade movement to improve the effectiveness and strength of lifting the arm overhead;
  4. The use of Swiss balls came from the physiotherapy treatment of children and then was applied to strength and conditioning exercise programs;
  5. Educating and instructing in correct posture, movement patterns and every day functional activities such as standing, walking, squatting, lunging, lifting etc. both from a corrective and preventative point of view.

Physiotherapists are not just on about how long, how fast, how strong, how powerful a movement is. More importantly, physiotherapists are on about HOW WELL the movement is performed.

Physiotherapists view movement quality as important as movement quantity, because it often poor movement quality that leads to mechanical stress and physical injury. And not only that, but poor movement quality will often mean that a movement will have less endurance, speed, strength, power anyway. Good posture and optimal quality of movement is the foundation upon which good performance is based. You cannot have one without the other.

At Bodywise Health, you can participate in specialist exercise programs designed to address conditions such as:

•Headaches

•Neck pain

•Back pain

•Arthritis

•Osteoporosis

•Sports injuries

These programs are delivered via the exercise mediums of:

Clinical Pilates

Hydrotherapy

Sports specific and exercise rehabilitation exercise programs

Whilst “hands on” treatment provides short term relief, exercise rehabilitation and training reinforces these gains making them more permanent. As an athlete’s body adapts to the training that they undertake, so can your body adapt to your treatment and training program so that you can overcome and prevent causes of your problem. Hence, it is only corrective exercise with postural / movement correction reinforcing “hands on” treatment that will give permanent relief and better long term functional and sporting performance.

Finally, if you subscribe to the Bodywise Health research newsletter, you will receive fortnightly articles, tips and research on current and the latest in treatment and optimal health. This knowledge will help give you the power to make better health choices, so that you can live a better life and that is optimal physical heath is all about.

For further information on how you can benefit from Bodywise Health Optimal Well Being Programs or for an appointment, please call Bodywise Health on 1 300 BODYWISE (263 994). We look forward to helping you achieve outstanding results.

Please note:

• Rebates are available through your private insurance extras cover;

• For complex or chronic conditions, you may qualify for the EPC (Enhanced Primary Care Program) allowing you to receive 5 allied health services each calendar year with a referral from your GP. For more information, please call Bodywise Health now on 1 300 263 994.

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Bodyflow Therapy Service in Melbourne

bodyflow therapy
By Michael Hall

“Post-operative swelling is the bane of my life” said one orthopaedic surgeon recently. He was complaining that whilst modern medicine has made great advancements with shoulder replacements, hip replacements, knee replacements, ankle replacements and in fact replacements for almost any part of the body, swelling, or the accumulation of fluid following surgery continues to hamper healing, impede recovery and limit the outcomes achieved.

The cause of swelling

Swelling (oedema) following surgery or injury is associated with the healing response of the body. This healing response can be divided into 4 stages - a bleeding stage, inflammatory stage, re-growth/proliferation stage and the re-modeling/maturation stage.

Swelling is primarily associated with the bleeding and inflammatory stages. In these stages, the capillaries (smallest blood vessels) become more permeable to allow white blood cells out into the spaces between the cells to defend the body against infection as well as to clear the area of damaged tissue so that new tissue can be laid down on a clean area. As white blood cells pass through the capillaries, so too does fluid (plasma), causing the area to expand (swell).

The problem of swelling

The problem with swelling is that as that it can:

  1. Increase the pressure (hydrostatic) in the area so much that it shuts down the circulation and hinders the supply of oxygen and nutrients so essential for healing;
  2. Create an acidic environment, leading to the breakdown of protein and impede the laying down of new tissue.

The inflammatory stage however, is also essential to healing as the complex chemical interactions associated with it help to protect and clear the area of damaged tissue whilst also stimulating the re-growth/proliferative phase, the next stage of healing.

Is reducing inflammation the answer?

Inflammation can be reduced by a number of strategies. These include:

  1. Corticosteroid and steroid medication;
  2. NSAIDS or non-steroidal anti-inflammatory medication;
  3. Creams including corticosteroid, non-steroidal anti-inflammatory and “natural” (arnica) creams;
  4. Cold therapy including ice packs, ice massage and ice baths. Whilst these strategies attempt to dampen the activity of the immune cells and enzymes that breakdown tissue, they also slow down the healing rate. Steroids and NSAID's for example have an inhibitory effect whilst cold packs slow the rate of metabolism.

Is there a better way?

Dealing effectively with swelling falls into two categories:

  1. Preventing the build-up of swelling in the first place, and;
  2. Mobilising or moving the fluid so that it doesn’t accumulate;

One way to prevent fluid from building up is to physically compress an area with a bandage, compression stocking (e.g. TED stocking) or other compression garment (Jobst garment). By swelling, compression aids in circulation and thereby hastens healing, improves the repair and accelerates recovery.

Another way of preventing swelling is to ensure that the channels that carry the fluid (lymphatic vessels) remain open and viable. This fluid can then be encouraged by the use of precise massage techniques called lymphodema massage. This involves gentle stroking and “milking” of the fluid in certain directions to encourage optimal flow, better circulation and maximum exchange of nutrients and waste products.

Whilst lymphodema massage is very effective for reducing swelling in itself, its effect is enhanced further when it is combined with specific bandaging and specialized pressure garments (Jobst garments). The combined techniques of lymphodema massage and compression bandaging is called Lymphatic Drainage and it has been proven to massively improve the repair and post- surgery and post injury outcomes.

Bodyflow therapy, the ultimate answer?

Probably the only down side of lymphodema massage and Lymphatic Drainage is the reliance that it creates on a therapist to perform the techniques. New technology has gotten around this down side by enabling people themselves to be able to move fluid, improve circulation and therefore healing with Bodyflow.

Through electrical stimulation, Bodyflow causes the contraction and relaxation of the smooth muscles in arteries, veins and lymphatic vessels, making them squeeze and release. This pulsing, forces fluid along the vessels, thereby eliminating swelling, improving circulation and optimizing metabolite exchange. Like lymphodema massage, it creates the best possible environment for repair and like Lymphatic Drainage, it can be combined with compression bandaging, stockings and garments.

The advantage of Bodyflow is that it can be performed in the convenience of your own home (or any location), at any time you want and as many times as you want. For best results, twice a day for 20 minutes is recommended.

Already, Bodyflow has been proven to recovery following intense training as well as reduce the stay in hospital by two days following knee replacement surgery. In fact, so good are the results of Bodyflow Therapy that four weeks of Bodyflow Therapy post-surgery is now being mandated by many orthopaedic surgeons across Melbourne.

Bodyflow Therapy is also used by elite sporting clubs such as Collingwood and Carlton and even by the Great Britain Olympic Team to speed up recovery following intense physical exertion thereby enhancing physical adaptation and physical performance outcomes. It is therefore likely that it could help you to achieve a better, faster recovery from your injury, surgery or sporting event.

Bodywise Health is one of a select groups of health-care facilities in Bayside Melbourne to provide Bodyflow Therapy to people in the Bayside suburbs of Hampton, Brighton, Elwood, Elsternwick, Sandringham, Highett, Cheltenham, Black Rock and Beaumaris and more generally Melbourne.

Bodywise Health may also be found by googling Bodyflow Melbourne, Bodyflow Bayside, Bodyflow Hampton, Bodyflow Brighton, Bodyflow Highett, Bodyflow Sandringham and Bodyflow Cheltenham.

Whether you are an athlete striving for personal bests or a patient concerned about achieving the best health outcome following injury or surgery, Bodyflow Therapy has the proven research evidence to show that it can help take your health to the next level and give you a physical performance edge.

Whatever your health circumstances, if you want the best possible physical health results, give Bodyflow Therapy a trial. You will be glad that you did.

For more information or for a trial of Bodyflow Therapy, please call Bodywise Health on 1 300 263 994.

Please note:

• Rebates are available through your private insurance extras cover;

• For complex or chronic conditions, you may qualify for the EPC (Enhanced Primary Care Program) allowing you to receive 5 allied health services each calendar year with a referral from your GP. For more information, please call Bodywise Health now on 1 300 263 994.

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Sports Specific Rehabilitation & Conditioning

rehabilitation services melbourne
By Michael Hall

Successful sports injury rehabilitation requires an intimate understanding of all the physical, psychological and social implications of the injury itself as well as a detailed knowledge of the physical demands and biomechanical considerations of the sport. For example, a tennis player with a shoulder problem will need a different conditioning program to a footballer. Likewise, the sports rehabilitation therapist needs to condition an elite athlete to a higher level than a recreational sports person. Consequently, each sports conditioning and rehabilitation program must be tailored not only to your needs, but also to the demands of the sport that you play.

Sports Therapy Rehabilitation – Going to the Next Level

The fastest way to recover from injury is to teach you how to stop the things which cause it in the first place. Clues as to the source and cause of your problem are often gained through getting a detailed history of your condition. These clues can then be tested by a variety of techniques and tools to determine the cause of your problem.

Bodywise Health – The Best Sports Rehabilitation Centre?

At Bodywise Health, we take sports and rehabilitation therapy to the next level. Just some of the examination techniques that we use include:

  1. Comprehensive Biomechanical Examinationto analyze your body’s alignment;
  2. Real Time Ultrasoundto determine that correct timing and activation of your core supporting muscles;
  3. Electromyographyto give feedback as to whether muscles are contracting at the right time and with the right intensity;
  4. Posture Pro, a software program, which gives a computerized analysis of the stresses on your body;
  5. Video Analysiswhich involves filming movement (e.g. golf / tennis swing) so that it can be analyzed and any abnormal patterning can be corrected;
  6. Gait Scanwhich measures the amount and timing of foot pressure during walking and running and helps identify and rectify problems to do with the feet and legs.

By combining the results of each of these tests, enables us to identify both the source and cause of your problem which allows a targeted sports rehabilitation program to be devised and implemented.

Person specific, movement specific and sport / function specific, your sports and rehabilitation therapy program is performed one on one under the instruction of your sports injury therapist to make sure that the “injuring” stresses are eliminated and that your movement becomes as effective and efficient as possible.

Your posture, movement patterns, muscle activation, joint control, balance, power and grace will be monitored, perfected and progressed, ensuring that you enjoy the energy and freedom of a body working optimally. This not only prevents the reoccurrence of your physical problem, but helps to deliver sustained improvements in movement, function and sports performance.

The Bodywise Health Advantage

If you want the fastest healing, the best repair and the most complete recovery, Bodywise Health Sports Rehabilitation programs are uniquely positioned to assist you best. From assessing your injury, to determining the diagnosis, to providing fast relief, optimal healing, targeted rehabilitation and sports specific conditioning, our skill sports rehabilitation therapists have the knowledge, skills, equipment and passion to help you achieve the best results at the fastest possible rate.

If you are looking for the best Bayside Sports Injury Clinic, you need go no further than Bodywise Health. The Bodywise Health sports injury therapists combine a detailed knowledge of your sport, its physical demands and the competitive edge that you need with the latest evidence based clinical techniques and cutting edge technology so that you can get back to your sport faster.

Since 1997, Bodywise Health sports rehabilitation therapists have been delivering sports injury results to the recreational and professional athletes across the Bayside suburbs of Hampton, Brighton, Sandringham, Highett, Elsternwick, Elwood, Black Rock, Beaumaris and more generally across Melbourne.

You can find Bodywise Health contact details by googling Melbourne Sports Injury Clinic, Bayside Sports Injury Clinic, Sports Injury Clinic Brighton, Sports Injury Clinic Cheltenham and Sports Injury Clinic Hampton.  

Let’s get started ...

Whether you are a weekend warrior or an elite athlete competing at the highest level, the Bodywise Health sports rehabilitation therapists can design the perfect treatment and rehabilitation program to get you back to your sport fast.

Your recovery begins with:

  1. A comprehensive physical and injury assessmentto identify the sources, causes and healing stage of your problem as well as determine your physical strengths and weaknesses and the demands of your sport;
  2. Clarificationof your goals, concerns and aspirations;
  3. The formulation of a treatment planwith an agreed timeline;
  4. Theimplementation of the treatment program, with frequent re-evaluations to ensure that you are on track to achieving the results that you want in the time that has been forecast.

Not only does this set clear expectations, it gives you a sense of control and certainty knowing that you are on track and it gives us a target to meet and exceed.

But it all begins with you. You must take the first step. Once on board, we will be there to help you every step of the way. The sooner we begin, the sooner you get back to doing what you love to do. Let’s get started...

Please note:

• Rebates are available through your private insurance extras cover;

• For complex or chronic conditions, you may qualify for the EPC (Enhanced Primary Care Program) allowing you to receive 5 allied health services each calendar year with a referral from your GP. For more information, please call Bodywise Health now on 1 300 263 994.

Read more...

Bodywise Health

364 Hampton St,

Hampton

Victoria. Australia 3188

03 9533 4257

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