However, we also support sporting clubs and associations further afield, such as Hockey WA, where we send our physios to help the Black and Gold in their pursuit of success in national competitions. Our physios have donated their time and cooking skills to the Ronald MacDonald House, and will bend their backs gardening at the Dogs Home in Shenton Park.

Move Well Physiotherapy also offer prizes for graduating physiotherapists, and participate in research to improve the care of their patients. Move Well Physiotherapists live and work in your community and are passionate about their profession and helping others. Here are some of the charities we have recently supported.

Move Well Physiotherapy is pleased be a long term supporter of the physiotherapy program at Notre Dame University.

As part of our ongoing community support, we love to sponsor charity events and special activities, such as the Make a Wish Children’s Christmas Party & Lions Cancer Institute Children’s Christmas Big day Out.

Move Well has also been proud to sponsor junior state sporting teams in both hockey and baseball to help our Western Australian junior athletes travel interstate to represent the black and gold.

Understanding Tendinopathy – Part 3: Lower Limb Tendinopathies

DID YOU KNOW?

70% of Achilles Tendons that rupture have been completely asymptomatic prior to rupture. So if your tendon is sore you have a decreased chance of rupture.

• For insertional tendinopathies, reduce compression ASAP.
• 4cm heel raise until pain is under control then gradually decrease this.

Achilles Tendon Risk Factors

1. AGE: The peak age for Achilles tendon rupture is ages between 30 – 40
2. SEX: Achilles Tendon rupture is up to 5 times more likely to occur in men than women
3. SPORTS: Achilles Tendon injuries occur more often during sports that involve running, jumping, and sudden start stops like hockey

Contact your Move Well Physiotherapist today If you are struggling with Achilles tendon pain. Move Well physiotherapists can assist in diagnosis, treatment and rehabilitation from tendon associated injuries like Tennis elbow &  Golfers elbow plus Patellar, Achilles and Plantar fascia problems.

Understanding Tendinopathy – Part 2

What are the symptoms of Tendinopathy

1) Specific pain on the tendon itself
2) Pain during and/or after an activity
3) Pain and stiffness in the tendon during the night or in the morning when you wake up
4) Area may be tender, warm or even swollen

Why is it important to follow a rehabilitation program?

It is essential to follow a well-designed tendinopathy rehabilitation program set out by your physiotherapist as mismanagement often results in a prolonged recovery process.

A tendinopathy may take anywhere between 6-9 months to fully recover even when you follow the program religiously.
The aim of your program will be to regain all strength and fitness that has been lost while your tendinopathy has been restricting your daily activities.

Your Move Well physiotherapist will prescribe a full body rehabilitation program to retrain your proprioception,balance and any muscle weakness that you may have.

Move Well physiotherapists can assist in diagnosis, treatment and rehabilitation from tendon associated injuries like Tennis elbow &  Golfers elbow plus Patellar, Achilles and Plantar fascia problems.

Understanding Tendinopathy

What are Tendons?

Tendons are tough fibers that connect muscle to bone and are capable of withstanding tension. Tendon injuries usually occur near joints such as the ankle, knee, elbow and shoulder.

What causes Tendinopathy:

• Ageing
• Overuse
• Tendinopathies in athletes can occur as a result of suddenly increasing the amount of training per week or change in technique
• Wear and tear of the tendons- this injury can be brought about as a result of extensive repetitive motion.

See our other posts about Tendinopathy, or check back soon,  and if you have any questions please contact your local Move Well Physiotherapist.

We can assist in diagnosis, treatment and rehabilitation from tendon associated injuries like Tennis elbow, Golfers elbow, Patellar tendontis, Achilles and Plantar fascia problems and plantar fascitis.

When you phone to make the appointment, make sure you ask specifically for the ViMove assessment. Book in to see exactly how your spine and pelvis are moving in one session. Longer assessments can be arranged with discussions with your Move Well physiotherapist.

A handful of enthusiastic Move Well Physios spent a Sunday evening cooking up a storm for the families staying at the newly opened Ronald MacDonald House in Nedlands.

All the food was prepared on site, cooked, and then served by the physios to the hungry masses. All the pots and pans, bench tops, plates, bowls and cutlery were then cleaned and packed away.

A great way to spend the afternoon and evening while helping out in the local community.

Colles’ fracture is a fracture of the distal radius and ulna (the bones of the forarm), which occurs after a fall onto an outstretched hand. It is most common in the older population but can also occur in young sports people. In the younger person, because the force required to fracture such strong bones is great, young athletes often also suffer intra-articular (inside the joint) fracture with this injury.

Confirmation and Treatment

Fracture is confirmed with X-ray and the treatment involves anatomical reduction and immobilisation for 6 weeks in a cast that covers the distal half of the forearm, the wrist and the hand, leaving the metacarpophalangeal (MCP) joints, or the knuckles, free. If the reduction is not accurate or if there is imperfect alignment of joint surfaces or inadequate restoration in length, internal fixation (surgery) is required. X-rays are usually taken every 2 weeks to ensure that the position in the cast is maintained.

Following Cast Removal

Once the cast is removed the wrist is usually very stiff with restricted range of movement in all directions. There is also marked weakness of the wrist muscles in all directions, and patients will have trouble opening doors or jars, or lifting coffee cups. Often the hand itself is also stiff and weak with grip strength is also greatly diminished.

Rehabilitation

Leaving the patient to rehabilitate their wrist on their own following a Colles’ fracture can lead to delayed and incomplete recovery. Physiotherapy treatment can assist the rehabilitation of the wrist in many ways. Specific mobilisation to the carpals and the inferior radio-ulna joint can improve joint range in all directions. Active assisted, active, and active resisted exercises are introduced to enable the patient to perform self joint mobilisations at home on a regular basis. Exercises are also prescribed to increase strength through all ranges, particularly pronation and supination which are essential for simple every day activities such as turning a door-knob. Exercises to improve grip strength are also able to be performed at home by the patient

• Overuse conditions of the lower limb
• Childhood growth type injuries
• Some acute ligamentous lesions
• Recalcitrant conditions, which have progressed to the chronic stage
• Postural lower limb dysfunctions

Mechanisms of injury: Predisposing factors.

1.Training error: doing plyometrics too early, progressing too quickly, changing technique.
2.Equipment: inappropriate footwear (no support where they need it), new shoes (not run in – should have 2 pairs going simultaneously).
3.Environment: camber of the road (the leg running on the high side has increased pronation/internal rotation and vice versa), surface (grass vs turf vs concrete etc), the “give” of the surface, the smoothness of the surface (rate of shock absorption), the evenness of the surface (grass needs improved proprioception/coordination to run on it), adding in hills if usually runs on the flat, etc.
4.Biomechanical features: in the subjective, check the past history, for example as children did they have any lower limb problems with birth or development, any recurrent problems.

Management

Management may involve a variety of interventions, including:

• Orthotic prescription
• Stretches for the muscles of the lower limb
• Mobilisation of the lumbo-pelvic region
• Core stability retraining (lumbo-pelvic region)
• Increase of hip ROM
• Balancing muscle lengths and strengths of the lower limb
• Correction of training technique
• Balance retraining, proprioceptive retraining
• Liasing with the coach

Physiotherapists can effectively assess and treat rib injuries from the acute presentation through to chronic rib lesions. Acute rib injuries are usually traumatic and occur most commonly as a result of a sporting incident. However, rib injuries may also be of insidious onset and gradually get worse without any specific incident of note.

Presentation

With an acute rib injury the patient usually presents experiencing sharp fairly localised pain with deep breathing and coughing. Pain may be felt at the costovertebral joints in the middle back, the sternocostal joints at the front of the chest, or right through the chest wall. A rib fracture will be painful over the site of the injury, which is usually on the side of the chest wall.
A localised acute inflammatory condition, chondritis, can also occur at the sternocostal joints at the front of the chest, particularly in females. Often there is palpable swelling and extreme tenderness over one or more joints.
Chronic rib injuries can be the result of repetitious activities placing stress upon the costo-vertebral or costo-sternal joints over a period of time, eventually leading to pain and dysfunction.

Treatment

Treatment of rib injuries varies depending on the diagnosis and severity of the condition, and whether the condition is acute or chronic.
Acute rib injuries respond well to ice and anti-inflammatories combined with physiotherapy treatment. Physiotherapy treatment involves mobilisations, contract/relax resisted muscle activity, and taping. Ice is usually the most relieving home treatment combined with gentle muscle and joint exercises as prescribed by the physiotherapist.
Chronic rib injuries also respond very well to joint mobilisations or manipulations.
Chronic rib injuries may indicate that there is an underlying biomechanical dysfunction of the thoracic region. Treatment in these cases will also involve addressing the biomechanical imbalances (usually restricted joint ranges and muscle weakness) related to the rib injury. However, the lumbo-thoracic junction (usually too much movement) and the cervico-thoracic junction (usually too stiff) are also areas that can be prone to developing rib problems above or below the region.

Please contact us at one of our Movewell Clinic Locations if one of our physios across Perth can assist.
Link to downloadable copy of this information.

(c) Move Well Pty Ltd

Situated within the Apollo Health Medical Centre at Joondalup Gate, it is part of a brand new, multidisciplinary clinic that includes GPs, Dental, Imaging, Pathology, Podiatry, Pharmacy and of course, the most importantly, Physiotherapy.
 
 
Move Well Physiotherapy Joondalup Gate is owned by Nathan Cliff and Gavin Kerruish in partnership with Move Well.  The clinic is currently staffed by Gavin and Emily Nicholson, both of whom have been with Move Well for a number of years.  The clinic offers the same excellent service you expect from all Move Well Practices. We offer ‘hands-on’ treatment for:

• Lower Back Pain
• Neck Pain
• Sports Injuries
• Work Injuries
• Headaches
• Hydrotherapy
• Clinical Pilates
• Dry Needling
• Osteoarthritis and Joint Pain
• Pre and Post-Op Rehabilitation
• Motor Vehicle Accident Injuries

We Bulk Bill for EPC, Worker’s Compensation and Motor Vehicle claims and DVA as well as being accredited with all major Health Funds, with HICAPs (claim on the day directly) available.  Move Well Physiotherapy Joondalup Gate is open until 7pm on weekdays as well as Saturday mornings, so there is plenty of opportunity for clients to see a Joondalup physio after work hours