• Link to Facebook
  • Link to Instagram
  • Book Online
  • 03 5897 7044
GV Sportscare
  • Our Team
  • Services & Fees
    • Physiotherapy
    • Podiatry
    • Myotherapy
    • Acute Sports Injury Clinic – Ankle Injuries
    • Clinical Exercise (Pilates)
    • Mums & Bubs Clinical Exercise (Pilates)
    • Additional Services
  • Contact Us
  • Blogs/FAQ
    • Blog
    • FAQ’s
  • Menu Menu

Tag Archive for: lumbar

physiotherapy shepp

Clinical Exercise (formerly Clinical Pilates), what’s so good about it?

February 15, 2021/0 Comments/in Physio Shepparton/by Sophie

What is the difference between Clinical Exercise and Clinical Pilates?

Clinical classes are run by fully trained physiotherapists. Physiotherapists spend 4-6 years studying in depth anatomy and biomechanics in order to learn why and how the body should move. We then use these skills to assess injuries and how best to rehabilitate them.

Pilates has been well studied as a successful mode of rehab in particular for those with neck and back pain, but can be used for most injuries. Our Clinical Exercise classes are capped at a maximum of 6 participants, meaning that each person will be closely supervised in order to prevent poor quality execution of exercises and prevent further injury.

Each participant will perform their own individual program that has been designed by our Shepparton physiotherapists, in order to address areas of weakness or correct poor movement patterns.  The tailored program is progressed once quality of movement has been achieved. It is important to understand that at different stages of your life that your body adapts to increasing load differently and therefore progressions are carefully thought out by your physio.

Physios are also able to account for recent relapses or ‘flare ups’ of injury and alter your program accordingly to prevent further irritation. Physios are also able to manage multiple injuries and find a way to keep you exercising safely. We also have many clients who just like to exercise for general fitness under the supervision of a physiotherapist. For those who fall into more vulnerable groups eg pregnant, returning to exercise post pregnancy, returning to exercise post major surgery or illness, we can also account for changes in your anatomy, physiology and load tolerance to design an appropriate program.

For these reasons group physio classes is one of the only classes that are still funded by private health insurance companies as per the new government regulations.

What is a reformer and why is it so popular?

Joseph Pilates was the inventor of Pilates and one of the machines he developed to practice Pilates is called the Reformer. A Reformer has a carriage which is flat platform and rolls back and forth on a frame. The carriage is attached to one end by springs that provide differing levels of resistance. The reformer also has straps that you can use to push or pull with your arms or legs.

You may have heard that Pilates is a great way to train your core. With the Reformer the carriage which rolls along the frame and the springs that can be changed to provide more or less support which will challenge stability and core strength. The Reformer is designed in such a way that muscle is built but joints do not feel the same type of load that traditional exercise can place in them. Therefore people find that they can challenge their body more in Pilates and build strength easier. Our Shepparton physios can change how much of your body is supported by the Reformer which will change how much support your body will need to provide to perform the exercise.

One of the great advantages of the Reformer is that due to it’s versatility and design you can exercise is many different positions and it is adjustable for individual body types an

To summarise reformers are popular for a few reasons:

-it’s versatility means exercises can be tailored to many different fitness levels

-it’s gentle, many exercises can be performed lying down, sitting or standing. They are generally low impact however still count as ‘weightbearing exercise’ in most instances.

-it can also be really challenging, as your awareness and core strength improves the more challenging exercises you can master.

-there is much research to prove that Clinical Pilates is very beneficial in many musculoskeletal injuries, particularly neck and low back pain.

 

-Sophie Woodhouse

Physiotherapist Shepparton

GV Sportscare

https://gvsportscare.com.au/wp-content/uploads/2021/02/Clinical-Pilates-shepparton-1.jpg 1440 1440 Sophie https://gvsportscare.com.au/wp-content/uploads/2020/01/GV-SPORTSCARE_FULL-COLOUR-LOGO-Large.png Sophie2021-02-15 16:04:272021-07-07 17:23:49Clinical Exercise (formerly Clinical Pilates), what’s so good about it?
shepp physio

Cricket: Youth Pace Bowling Guidelines

September 15, 2020/0 Comments/in Physio Shepparton/by Sophie

Youth Pace Bowling Guidelines 🏏 ☀️

I know we are all keen beans to get back to sport, but for those fast bowlers amongst us, slow down a second 😉

Adolescent fast bowlers are more at risk of lumbar (lower back) stress injuries and how many balls you bowl per week for your AGE is very important! Now more than any other season we have the potential to overdo it given the lack of sport over winter.

As researched by Cricket Australia: ‘the frequency of bowling sessions (more sessions per week and less time between sessions) increases the risk of developing a lumbar stress fracture. This was a more prominent risk factor than the number of balls bowled’

🌟Guidelines for U/11’s through to U/19’s🌟

-Avoid bowling more than 2 days in a row where possible

-Avoid bowling more than 4 days in a week

-Allow one easy week (eg: 50% of target load) every 4-5 weeks

-Schedule a week off bowling after every 10-12 weeks of bowling to allow your body to recover

🏏 For further information on how many overs/match and ball/week fast bowlers in each age group should aim for see:

https://www.community.cricket.com.au/clubs/youth-pace-bowling-guidelines

🏏 For an in depth overview for elite level junior athletes:

 2019 20 Junior Bowling Guidelines Explained

Any questions or any early concerns of back pain in bowlers, should be addressed by your healthcare professional ASAP!

 

#shepparton #cricket #sheppartoncricket #bowling #fastbowler #physioshepparton #loadmanagement #gvsportscare #gv #goulburnvalley

 

Sophie Woodhouse

Physiotherapist Shepparton

GV Sportscare

https://gvsportscare.com.au/wp-content/uploads/2020/09/cricket-injury-physio-shepparton-scaled.jpg 1714 2560 Sophie https://gvsportscare.com.au/wp-content/uploads/2020/01/GV-SPORTSCARE_FULL-COLOUR-LOGO-Large.png Sophie2020-09-15 12:40:262020-09-15 12:50:22Cricket: Youth Pace Bowling Guidelines
Man with low back pain

Low back pain, when to get a scan?

May 1, 2020/0 Comments/in Physio Shepparton/by Sophie

Low back pain can be frightening especially when your pain is severe or you are experiencing it for the first time. The pain may feel intense and you may begin to worry there is something sinister going on. This is where your healthcare professionals should be utilised. Our Shepparton physiotherapists are well trained in recognising what is low back pain and what needs further investigation. Around 90-95% of low back pain is benign and usually related to either muscle or ligamentous tissue (Lateef & Patel., 2009).

It can be tempting to rush straight to an x-ray or MRI or another form of scan. However it is often unnecessary. In fact getting an MRI in the first 6 weeks of onset of your low back pain can actually be detrimental to your long term recovery. 

Recommendations for imaging and low back pain:

(From research into this area the following recommendations are made to both the medical and allied health professions)

  • In the first 4 to 6 weeks a lumbar (lower back) MRI should be used only if there are red flags present (which your healthcare professional will screen you for), or if you are aged <18, >65.
  • After 6 weeks lumbar MRI should be used to exclude serious pathology
  • Early imaging for low back pain results in:
    • poorer outcomes
    • poorer perceived prognosis
    • more likely to have surgery
  • Early MRI for non-specific low back pain is associated with
    • higher risk of receiving compensation and not working at 1 year
    • more likely to have early opioid use
    • higher overall medical costs

(Webster et. al., 2010; Webster et. al., 2014)

These are important things to consider as not only is a scan not essential to treat your low back pain it can actually reduce your overall recovery.

If you get a scan, make sure your results are explained properly.

A lumbar MRI needs careful explanation to avoid the danger of false positives. Your physio can explain your scan as often things that are reported on your scan have nothing to do with your pain at all and are found in individuals without pain. Around 57% of those 60 years and older who have no symptoms have an abnormal scan, disc bulge is a common finding (Baker et. al., 2014). In the younger age group of 20-39 year olds we see at least one disc bulge in the lumbar spine for those with no symptoms (Baker et. al, 2014). This highlights the fact that your scan needs to be read by your healthcare professional and explained so that you understand what is actually relevant to you and your pain experience. 

To summarise, low back pain is a common phenomenon and your physiotherapist can assist you to understand the acute management including whether a scan is required or not. In many cases reassurance and education can save time, money and most importantly improve outcomes for the short and long term.

Related links:

Australian Physio Association, choosing wisely.

Imaging for low back pain, American Academy of Family Physicians

References

Baker, A. D. (2014). Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. A prospective investigation. In Classic Papers in Orthopaedics (pp. 245-247). Springer London.

Lateef, H., & Patel, D. (2009). What is the role of imaging in acute low back pain?. Current reviews in musculoskeletal medicine, 2(2), 69-73.

Webster, B. S., Choi, Y., Bauer, A. Z., Cifuentes, M., & Pransky, G. (2014). The cascade of medical services and associated longitudinal costs due to nonadherent magnetic resonance imaging for low back pain. Spine, 39(17), 1433.

Webster, Barbara S., and Manuel Cifuentes. “Relationship of early magnetic resonance imaging for work-related acute low back pain with disability and medical utilization outcomes.” Journal of occupational and environmental medicine 52, no. 9 (2010): 900-907.

Sophie Woodhouse

Physiotherapist Shepparton, GV Sportscare

https://gvsportscare.com.au/wp-content/uploads/2020/02/LBP-scaled.jpg 1499 2560 Sophie https://gvsportscare.com.au/wp-content/uploads/2020/01/GV-SPORTSCARE_FULL-COLOUR-LOGO-Large.png Sophie2020-05-01 15:22:352020-05-07 12:07:52Low back pain, when to get a scan?
Popular
  • The Podiatry Difference at GV SportscareDecember 18, 2024 - 1:10 pm
  • shepp physio back pain pregnant
    Pelvic Pain in PregnancyDecember 1, 2022 - 12:19 pm
  • Join our team! We are hiring a receptionistJanuary 23, 2023 - 1:10 pm
  • shepp physio pregnant back pain
    A physio’s list of pregnancy, birth and newborn preparation...February 26, 2023 - 11:53 am

Blog Archives

  • GV Sportscare
  • Our Team
  • Service & Fees
  • Blog
  • FAQ’s
CONTACT US

Shepparton Physio & Podiatry

03 5897 7044
1/164 Welsford St, Shepparton, VIC 3630

AHPRA Certified
Scroll to top Scroll to top Scroll to top