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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.

Confined to Run – running during Coronavirus

Over the last few weeks one positive that has surprised us in the clinic is the number of people seeking our expertise for exercise related injuries. It seems that half of North Sydney has managed to dust of their running shoes and hit the pleasantly empty streets.

With gyms closed, CEO’s working from home and a temporary hold on the school run, time has been created for the most important thing – the self. New work out routines and self-imposed running schedules are abundant.

With all of this in mind I thought it would be a good idea to provide some encouragement and education on how to prepare for your run, progress as a runner and how to keep version 2.0 of yourself running, exercising and meditating when the virus is nothing but a distant memory.

Preparation:

Our clients are so keen to lace up the runners and race at the door that many of them are missing the most important part of the run. The old phrase ‘fail to prepare and prepare to fail’ rings true.

School PE lessons would have us take a few laps around the oval and then some good old-fashioned hamstring stretch and this is exactly that – old fashioned.

Instead ask your self – how’s my butt? The glut muscles are the powerhouses of the body. Not only do they keep our pelvis aligned, contribute to single leg balance and knee alignment when running they also serve to drive us forwards and thereby taking the stress of those sore calves you are plagued with!

The series of exercises below should be completed prior to starting your run. They can also work, as a set of exercises to be used when taking a mini-break from your desk as those hours spent sitting will have your backside snoozing.

1. Single leg bridge

2. Lying hip abduction (With or without resistance band)

3. Single leg dead lift.

Bonus point:

Before you put on your running shoes spend 2 minutes rolling the base of your foot with a lacrosse/spiky ball. This simple movement will re-awaken your constricted feet and begin to mobilise the 26 bones, 33 joints and 100 tendons, muscles and ligaments.

How to increase running distance:

If you’re completely new to running then the Couch to 5KM is the most commonly used program that has people up and moving in no time. (https://www.nhs.uk/live-well/exercise/couch-to-5k-week-by-week/).

If you’re already pounding through 5km and, the proverbial carrot is not getting any closer, then keep reading. Every time we increase our running routine whether its distance, time or speed we also increase our likely hood of picking up an injury. But good news, there is ways to prevent this.

1. Increase running distance by no more than 10% each week. So if you’re running 10km this week – next week you can do 11km.

2. Ensure you are wearing well-fitted running shoes that are suitable for your running style. Head over to Pace Athletic (https://paceathletic.com/) for a running gait analysis and a pair of runners made for you.

3. Cool down – this is more important than most people realise.  Aim to complete a cool down that is 10% of you’re workout – add an additional 1km to your workout at a slower pace gradually reducing to a walk.

4. Implement a preventative programme including, stretching, Pilates, good nutrition, hydration and adequate sleep.

Upgrading version 2.0

Now you’re running at version 2.0 its time to keep upgrading.  It is commonly thought it takes 66days to form a new habit. The length of time public health restrictions have been going on for means we are almost there!  When events are up and running (excuse the pun) and we can start to be more human by gathering outside there is a few ways you can push your exercise to new heights.

1. Join a running club

2. Park run – The world’s biggest running event. A free, weekly 5km in open spaces and parks around the world. Park run offers a positive, welcoming experience. Feel free to walk, jog, run, volunteer or spectate. (https://www.parkrun.com.au/)

3. Sign up to an event – This single most effective way to give yourself a purpose. 5km, half marathon, mud-run or sponsored walk. Put it on the calendar and keep working!

Now you have managed to find time for all your new healthy habits – exercising, connecting with food in your kitchen, listening to and engaging as a family – I hope that life doesn’t return to the way it was.

Benefits of Remedial Massage

Benefits of Remedial Massage

I recently had a discussion with a client whether Remedial massage is a luxury or a necessity. Some people view Remedial Massage as a luxury “I will book a massage as a birthday present”, whilst others see it as a necessity because they have an ongoing or chronic issue. There are many benefits of remedial massage that our clients receive.

Why should we get a Remedial Massage?

The majority of my clients sit in front of a computer every day, or are mums who look after small children and run back and forth for them, in which they don’t have any ‘me time’. I am a father of a gorgeous baby girl and have a 25 months very active boy, who love to run around the house and play. I need my fortnight massage routine to keep my body in good shape.

I always ask my clients a simple question – “What do you do when your car breaks down, or it needs a service?” I get the same answer most of the time, “we make an appointment to get it serviced”. Most of us rely on our car, so we don’t hesitate to book it in.

Benefits of Remedial Massage

One of the primary benefits of remedial massage involves accelerating the rate at which your muscles recover. If you recently suffered an injury to your muscles, you will see an even greater benefit in your recovery. The increased blood flow will lead to reduced swelling and pain, while promoting healing. You will also gain mobility and flexibility.

Massage also helps to reduce stress. Most people have a lot going on in their lives when you consider work, family, and financial situations. Sometimes we need to get away from it all, and remedial massages give us that opportunity.

Regular massage can help your digestion and your body’s ability to expel toxins, which is essential for healing. It can also assist in improving your sleep quality.

A massage can help relieve some of the tension in your back, allowing you to improve your posture and sit straight.

As you can see there are a lot of reasons to consider getting regular remedial massages.

I am registered for all health funds – this mean you can claim Remedial Massage on the spot. Click here to book online.

How often should I attend to get the benefits of Remedial Massage

The frequency of a regular massage can vary for each client but whether it’s weekly, fortnightly or monthly, is essential to keep your body in good shape.

Our new Loyalty Card


Here at Physio On Miller we have introduced a “Loyalty Card” where you get 50% on your 5th treatment and even better, family members can use it!

Tradies National Health Month

Tradies National Health Month

It’s Tradies National Health Month and as physios we always want to help prevent injuries for all our clients. So as part of this month we’re encouraging all our tradies to get active and get checked.

If you’re a tradie no doubt you make sure your tools and ute are in top shape but what about your biggest asset – you? The best way to look after you is get fitter and stronger and be aware of ways to prevent injury.

Tradies National Health Month

Get Fitter

Throughout Tradies National Health Month why not challenge yourself to increase your step count. There are great devices on the market to keep track of your steps (Fitbit, Garmin to name a few) and they can help to keep you accountable and motivated. A simple goal can be to increase your steps by 10% each week throughout Tradies National Health Month. You might even find this becomes a habit and you continue past August.

Another simple trick is to increase your incidental exercise throughout the day. Park further from your site, hop off the bus one stop early or walk around the block when you get lunch are just a few simple examples of ways to increase daily activity.

You could even go a step further and sign up your fellow tradies to a local sports competition and improve mental and physical health and team bonding. It’s win win!

Get Stronger

In such a physically demanding job it pays to be strong. Not only does it make the job easier but can also reduce the risk of injury and pain. With heavy lifting, carrying, overhead activity and squatting many muscles need to remain strong to protect your joints. Joining a gym can definitely help but there are also exercises you can do at home with no equipment (or even use your tools) so there’s no excuse. Our physios can tailor an exercise program for your work tasks to make you stronger.

Prevent Injury

Unfortunately nearly 3 in 5 serious workplace injuries involve a tradie so it’s important we’re looking after your physical wellness. Obviously ensuring your tools and equipment are in safe working condition but ensuring your body is in great working condition is equally as important.

Learning how to do manual tasks safely, pre-work warm-ups and setting up your workplace ergonomically can help to prevent back injuries, knee pain and many other injuries.

Get Checked

Finally if you are suffering from an ache or injury make sure you get it checked. Your body is vital to your work and to not be on you’re A game can lead to other aches, pains and injuries and might lead to time off work. Our physios can assess and treat your injury/pain and give you simple strategies to make your work day pain-free.

Continue to check out of Facebook page and blog throughout Tradies National Health Month for more advice on how to look after yourself.

Best desk setup

Tips for your best desk setup

Many clients ask us about the best desk setup to prevent pain and injury. But have you considered changing your computer workstation recently or thought it was time to change those bad work habits you have developed? Poor workspace design or posture can lead to discomfort in our back, neck, shoulders and wrists.

These are our tips for your best desk setup either at home or in the office:

Adjustable Chair

  • Change the height to keep your feet flat on the floor with your hips and knees bent to approximately 90deg (you may need a foot rest!)
  • Try to have a chair with back support that can be adjusted to support the natural curve of your lower back

Keyboard

  • Bring it close to you – directly in front of your body
  • Aim to have your forearms parallel or sloping down to the keyboard without resting them on the desk

Mouse

  • Keep this close to your body (similar to your keyboard); you don’t want to be reaching for the mouse
  • If possible, alternate between left and right hands to reduce overuse

Computer Monitor

  • Monitor screen should be approximately one arms length away from you when sitting – directly in front of you
  • The top of the monitor should be 5-10cm above seated eye height

Do you have 2 monitors?

  • If you use dual monitors equally – sit centrally, directly between both to reduce neck tension from repetitive turning to one side
  • If you use one monitor more frequently and occasionally use a second monitor – have the priority monitor directly in front of you

Helpful Hints:

  • Use a document holder to avoid working from documents flat on your desk
  • Have your phone within comfortable, easy reach if used frequently (maybe even consider a ‘hands-free’ headsets option?)
  • Re-arrange your desk so frequently used items are close (within arms reach)
  • Can you ‘touch type’? Maybe it’s time to learn? It might be gentler on your neck instead of repetitively looking down
  • Try to take regular breaks – maybe take a short walk around the office or have a 2 minute stretching break every 30 minutes

If you’re still wondering how to help prevent pain and injury from working at a desk despite having the best desk setup have a read of our recent blog on exercises to undo the effects of a day at the office.