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ITB Syndome_Physio_On_Miller_Cammeray

ITB Syndrome

What is ITB Sydrome?

Iliotibial Band Syndrome (ITB Syndrome) is a common issue among athletes and individuals engaging in repetitive lower limb activities. This condition occurs when the iliotibial band, a thick band of connective tissue that runs along the outside of the thigh, becomes tight or inflamed causing compression of adipose tissue and therefore pain. ITB Syndrome often manifests as pain on the outer side of the knee, limiting one’s ability to engage in physical activities. Fortunately, physiotherapy offers effective management strategies for alleviating pain and promoting recovery.

Pain and Symptoms

ITB Syndrome can cause sharp or burning pain on the outer side of the knee, often exacerbated during activities like running or cycling. The pain may intensify with each stride, making it difficult for individuals to continue their chosen exercise routine. Ignoring these symptoms may lead to more severe complications, hindering overall mobility.

How Can Physio Help?

Physiotherapy plays a crucial role in managing ITB Syndrome by addressing the underlying causes and providing targeted interventions.

    1. An Assessment and Diagnosis is performed by your Physio to understand your biomechanics, muscle imbalances, and contributing factors. This helps in formulating a personalized treatment plan.

    1. Stretching and Strengthening Exercises are important to target the muscles surrounding the IT band. Targeted stretches for the iliotibial band and strengthening exercises for the hip and thigh muscles help alleviate tension and correct imbalances.

    1. Manual Therapy techniques such as Hands-on massage, myofascial release, and joint mobilization can help reduce tightness in the iliotibial band and surrounding tissues. These techniques improve flexibility and promote healing.

    1. Biomechanical Analysis is used to analyze the individual’s movement patterns during various activities to identify any abnormal biomechanics contributing to ITB Syndrome. Corrections in movement patterns can help prevent the recurrence of symptoms.

Benefits of Exercise for ITB

Benefits of regular exercise, as prescribed by a physiotherapist, are very noticeable in people with ITB Syndrom. Reducing inflammation and associated pain with ITB Syndrome has been shown with exercise. Improved Flexibility by stretching reduces the risk of further irritation. Enhanced strength at the hip and thigh muscles improve overall lower limb strength, improving stability
and support around the injured area. By addressing underlying biomechanical issues, physiotherapy helps prevent the recurrence of ITB Syndrome, allowing individuals to resume their activities with confidence.

Foam Rolling & ITB Syndrome

Lets talk about Foam Rolling. A very common method previously prescribed for ITB pain in theory to release the tight muscles and therefore reduce pain. Recently it has been found that Foam Rolling the ITB was in fact compressing the underlying tissues causing even more pain, very similar to the mechanism of ITB syndrome which we need to avoid. Yes foam rolling can feel good afterwards however it most likely has a placebo effect. It is not recommend to Foam roll your ITB, there are other ways we can help with your tight ITB.

ITB Syndrome can be a significant obstacle for those who enjoy an active lifestyle. However, with the right physiotherapy intervention, individuals can effectively manage and overcome this condition. If you’re ready to connect with a skilled team of physiotherapists
who can guide you on your recovery journey please get in contact with us or book online.

Mastitis and Blocked Milk Ducts

Mastitis and Blocked Milk Ducts – How can Physio help?

Mastitis 
Nearly 1 in 5 breast-feeding women are affected by mastitis. Mastitis is an
inflammatory breast condition that may or may not be associated with infection. A blockage generally occurs when accumulated breast milk is unable to drain from the breast, resulting in thickening of stationary milk and blocking the associated milk ducts.

Symptoms of mastitis can include:

  • Symptoms of mastitis can include:
  • Small palpable lump that is usually tender and hard
  • Redness
  • Fever, fatigue, general feeling of being unwell


What can cause a blocked milk duct to occur?

There are several factors that can contribute to increase risk of mastitis including:

  • Infrequent, missed or rushed feeds
  • Sore or injured nipples
  • Infant latching difficulties
  • Fatigue, stress and lack of sleep
  • Breast compression (EG. Tight clothing, handbags or poorly fitting bras)

How can Physio help?

At Physio on Miller, our physiotherapist will take a detailed history and assess the affected breast to determine the best treatment option. Treatment options include:

  • Education – causes, risk factors, improving feeding postures and techniques
  • Continue regular breastfeeding on the affected side (if able).
  • Heat packs
  • Gentle self-massage
  • Therapeutic Ultrasound – A therapeutic ultrasound may be used to help open the ducts and increase circulation to improve the flow of milk. By increasing the milk flow, it can reduce pain and swelling. Most women see improvements with ultrasound in the pain and lump size with 2-3 sessions.
  • Stay hydrated
  • Kinesiology taping
  • Gentle stretches and breathing exercises

To see one of our physios call us or book online.

Can Physio Help Tennis Elbow?

So you’ve got a pain in your elbow and you’re wondering if physio can help tennis elbow? You’ve all probably heard of Lateral Epicondylitis also known more commonly as Tennis Elbow. There is a high prevalence of this injury especially in individuals older than 40 years old, as well as those who play racquet sports i.e tennis and squash. It is also common in those who undertake repetitive movements of wrist extension and/or gripping such as painters or carpenters.

Tennis elbow is the most common type of elbow pain people present with, characterised by pain on the outside aspect of the elbow. It can vary from low grade occasional discomfort to high grade continuous pain. Tennis elbow is an overuse injury where the common extensor tendon and the extensor carpi radialis brevis tendons are subjected to repetitive loads causing microtears and pain. It can be very painful and debilitating, affecting your day to day activities which is why it is very important to seek treatment earlier rather than later. If not treated appropriately it can develop into a chronic condition.

Treatment for Tennis Elbow favours conservative management with majority of tennis elbow injuries resolving within 12 months. There is a high recurrence rate if not managed appropriately. The aim of treatment is to initially manage load (relative rest), control inflammation, manage pain and patient education. The next stage is to re-introduce appropriate loads through specific wrist and elbow exercises with the goal to return to pre-
injury strength and function. It is necessary to strengthen above and below the elbow as well as allowing adequate recovery of the area.

Come and visit one of our team members to help you on your road to recovery.

Sports Physiotherapy Rehab Exercise Classes ACL Injury Prevention Physiotherapy Cammeray, Physio On Miller

ACL injury prevention and physio

A big focus in our clinic is injury prevention, in particular ACL injury prevention. With the run of ACL injuries we’re treating we’re highlighting the importance of ACL injury prevention.

Many of our clients are active sports people and we’re keen to see our clients succeed in their sport and most importantly injury free. There’s been an abundance of research into the success of injury prevention programs and fortunately many physios, coaches and athletes are adopting these programs. In particular there’s been a lot of research around ACL injury prevention and the significant reduction of injury in athletes who regularly complete a prevention program.

When it comes to ACL injury prevention it is important to include strength, agility, proprioception (balance) and plyometrics. In addition these programs need to be completed regularly, for at least 10 minutes prior to playing sport and continue for 6 weeks or the duration of the sports calendar (whichever is longer).

There are many sport specific programs that have been developed with the knee and ACL in particular in mind.

Netball: https://knee.netball.com.au/

Soccer FIFA 11+ and Santa Monica PEP

AFL – FootyFirst

With this in mind if you’re joining a team this season, have a previous ACL tear that needs rehab or a weekend warrior come see one of our fantastic physios to get your program started. To book an appointment click here.

Hip flexor stretch - Physio On Miller, Cammeray

How to improve your hip mobility – Hips don’t lie

As humans we are the most adapted and have potential to be the best movers on the planet. Yes, we cannot jump up a fence like a cat or sprint like a cheetah but we can throw a Frisbee, tie a shoelace and loco mote on 1,2,3 or 4 limbs.
As a species we evolved for long distance migration (walking and running) yet, foot, knee and Achilles ‘over use’ injuries have never been so prevalent. So why is this? Sadly, the majority of us have lost the ability to do everything that our body has evolved to do and, as a society, we take our movement for granted.

The body is a highly adaptable machine. It allows us to move, even with joint restrictions in place, but it is only a matter of time until it begins to break down and you go to see your physiotherapist.
When walking (and running) form follows function. If we lack movement in the lower limb – especially in the hips we begin to compensate. This leads to
increased transmission of force in the joints and ligaments and our doctor or other health care provider diagnoses us with ‘jumpers knee”, Achilles tendonitis or some kind of plantar fasciopathy we are unable to pronouce.

Lower limb and lower back injuries almost always have a hip component. Because we do not regularly use our body for the purpose it has evolved for and the 90° lifestyle that has become the norm, think sitting, prevents us from accessing the full function of our hips.
The many hours we spend sitting causes us to loose hip mobility and in turn hip stability. Our hip flexors and lower back begin to tighten and our pelvis starts to tip forward. This in turn leads to an inability to extend our hip and thus propel us forward in and efficient manner when walking or running. If our hip cannot extend we cannot access the full power of our gluts and then other, less suited muscles take over leading us down the path of over use injuries and metal joints.
It’s not all bad news! To adapt means to “make (something) suitable for a new use or purpose” or “become adjusted to new conditions”. With this in mind it tells us that we merely have to change the conditions to change our destination.
Listed below are a few ideas of how to reclaim your hip movement and prevent yourself from injury. While this list is not exhaustive it is a great start and seeking the advice of a health or movement professional should not be avoided altogether.

  1. Reduced the amount of time spent sitting at 90°. Sitting can be divided into optional and non-optional.

Optional:

  • E-mails
  • Netflix
  • Park

Non-optional:

  • Car
  • Meeting (where everyone sits)
  • Work

For those times where sitting is optional think about a different position you could adopt: standing, sitting on the floor, walking etc

2. Offset the amount of time spent sitting with hip extension stretches.
Spend 1 minute in the modified hip flexor stretch for every 1-hour you spend sitting on any given day.

  • Kneel on the Left knee.
  • Right knee at 90.
  • Drive the hips forward and keep
  • The core engaged.
  • Squeeze the left glut and feel the
  • Stretch in the left hip flexor.
  • Hold 1 minute – change leg

3. Obtain hip dominance and glut activation in standing – Complete 2 x 5s hold on each leg.

  • Stand on the left leg.
  • Pull the right knee to the chest using the hands.
  • Squeeze the left glut and keep the left knee straight.
  • Release the Right knee and hold for 5 seconds.

These are a few ideas for you to reclaim you hip mobility and once you have done the hard work of obtaining it, all you have to do to keep it is to use it.

So you are at a fork in the road – do you want to run yourself to injury or do you want to move yourself to health.  Like with all things health, prevention is better than cure and remember…. Embrace progress, no perfection.