Physio Blogfrom the team at South Coast Physiotherapy

 
Thursday, 04 April 2019 21:59

Ankle Sprains - By Guy Agutter

Ankle sprains (aka “the rolled ankle”) present as the most common musculoskeletal injury in active populations and one we as physiotherapists see often. A sprain involves damage to the ligaments between the bones surrounding the ankle, and this is most commonly on the lateral side as these ligaments are not as strong as those on the inside of the ankle. Furthermore it is less common for us to roll our ankle ‘out’ compared to rolling our ankle ‘in’. Almost everyone has had these injuries at some point throughout their lives, and depending on the severity of the injury some may have healed completely or some people may have suffered ongoing ankle issues since. Pourkazemi et al. (2014) suggests that in the year following an ankle sprain you’re greater than two times more likely to re-injure the same ankle, with rates greater in those higher risk sports like basketball. Therefore it is crucial to follow a full rehabilitation program to help reduce these rates of recurrence and get yourself back to full function as soon as possible. Image courtesy of The American Board of Lower Extremity Surgery (2015) Injury Severity The degree of injury can generally be evaluated by your physiotherapist and can help us determine your return to sport or everyday function. These are: Grade 1 - Mild tear to the ligament. Grade 2 - Moderate tear of the ligament. Grade 3 - Severe tear or complete rupture of the ligament. Pain and swelling is generally localised to the injured ligament however initial swelling may make this less clear. The pain is worse with weight bearing and can generally be palpated by the physiotherapist. If the pain is higher up the ankle or lower down the foot you can suspect a differential or additional diagnosis. Pain is generally a poor…
Tuesday, 05 February 2019 20:27

Is Running Safe for my Knees?

For a long time running has been associated with increased risks of degenerative hip and knee injuries, in particular Osteoarthritis (OA). This association has been so ingrained into public and professional perception that health practitioners have gone as far as advising people to avoid running in a bid to reduce the risks of OA changes. However these beliefs have been recently questioned when researchers compared a sedentary group of non runners with a group of recreational runners and found that the non runners suffered significantly more OA changes than the running group. It is important to note that these studies were carried out on healthy subjects with no pre existing knee injuries and also that when they looked into elite runners they found increased risks of OA changes. As health professionals these findings allow us to reassure patients that they can take advantage of the multiple health benefits of running and have less risk of OA than if they were sitting on the couch. Even if there are preexisting injuries to the knees we can get people back running with a suitable rehabilitation regime and a gradual return to running program. With our new running software at South Coast Physiotherapy we are now in the perfect position to offer assessments and programs to get people back running. Give the clinic a call and take advantage of all the benefits that getting back to running can offer.
Sunday, 02 September 2018 09:07

We are now a fully Registered NDIS provider

The National Disability Insurnace Scheme (NDIS) offers government support for people with disability, their families and carers. South Coast Physiotherpy is now fully registered with NDIS allowing us to provide physiotherapy services to those eligible.
Monday, 04 December 2017 22:00

Congratulations to Raquel

Big Congratulations to Raquel and her daughter Justine who completed the Arthurs Seat Challenge last weekend.
Monday, 04 December 2017 21:04

bebetter HEALTH

Jen Baker Jen will initially be available on Mondays, Tuesdays and Thursdays. Contact reception to book an appointment.
Sunday, 27 August 2017 09:49

Catastrophizing

How making mountains out of molehills will hinder your rehabilitation We live in a society where we are constantly bombarded with information, be it on the TV, on social media or in old fashioned printed newspapers. News has reached such a saturation point that journalists and news organizations seem to be predicting a global catastrophe at every opportunity in order to get our attention. As well as this exaggeration of negative outcomes being rife in the media it also plays a role in the treatment and management of injuries and illnesses. It is well documented how catastrophizing about pain, function or diagnosis following an injury plays a negative role in rehabilitation. Studies have shown that it leads to worse pain outcomes, increased disability and increased emotional stress. Many of these negative beliefs are a result of real fears and vulnerabilities, which are associated to trying to return previous activity levels. Fear of re-injury and fear of failing to return to a level of function required for a sport or work place, can all create low self-confidence and foster an environment for catastrophizing and even lead to a point where patients can obsess over injuries they may not even have. An example of how this can happen is shown in the table below. Logical thought and reasoning. -> Semi Logical thoughts with increasing fear avoidance. -> Catastrophising and fear avoidance ‘I have a sore back. Maybe I shouldn’t have lifted that table yesterday. I should avoid lifting heavy things for a day or 2.’ ‘I think I need a scan. I could have blown a disc. I had better rest and avoid all lifting.’ ‘The disc could be pressing on a nerve and my back feels unstable. I shouldn’t bend or lift anything.’ ‘My disc has popped out and has compressed…
Sunday, 13 August 2017 10:41

Golf with Ashley Clinch

How do you practice golf? If you have a regular job, with a family your time would be limited. Play on the weekend, practice after work one night a week in winter if you are lucky. Do you go to the range and hit a bucket or 3? Is that helping you improve? Most likely not. Tee it up, hit it, tee it up again, hit it. Ask yourself honestly what would improve your golf game? I know for me at the moment my putting needs to improve to shoot lower scores. I need to make more putts in the 6 to 12 foot range. Tour pros make around 65% of putts from 6 feet and 30% from 10 to 15 feet. So my plan is 3 fold to improve my putting check in with my coach to see that my technique is sound. work on my mindset - yes even a psychologist can improve on this. work on some practice drills on the putting green to help in this range - the Spieth/McCormack gateway drill is a good one i have seen recently. What is your plan for improvement? Contact me to book in for a Performance session.
Monday, 17 April 2017 08:57

Sporting Injuries in the Younger Athlete

Pain in young athletes is a common occurrence, which is often described as growing pains and can be viewed by coaches, teachers and parents as part and parcel in becoming an athlete. With children growing up in a society of sporting heroes who live celebrity lifestyles the attraction of pursuing sporting careers has never been higher and therefore so to is the risk of picking up adolescent injuries. Young Bones A major reason for these injuries is due to the structure of their growing bones compared to the structure of a fully matured adult bone. The articular surfaces and the body of the bone all respond differently to stresses and loads when compared to mature bone. Immature bones also have growth plates that are vulnerable to shear forces and can interfere with the growing process. Added to this is an imbalance between the faster growing muscle and slower growing bone that can create traction forces at muscle attachments. All these factors create injuries that are unique to younger athletes and need to be diagnosed by professionals to ensure that long-term impairments are prevented. Sedentary lifestyle The prevalence of these injuries remains high even though there is good understanding of how they are caused and how to manage them. One of the reasons for this is an increased sedentary lifestyle. Children today are less likely to be walking too and from school, playing in the park or cycling to friend’s houses. Sedentary activities such as playing computer games and watching TV box sets are becoming more and more common. It can certainly be argued therefore that while participation in sports and school activities may have increased this sedentary lifestyle outside sport has lead to the kids of today having spikes in load from sedentary activities to high demand running and jumping…
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