Clinical guidelines on the treatment of osteoarthritis are fairly uniform. The treatment patients receive is less so.
For our Clients
The difference between these three terms may sound like just an academic exercise. In truth, a better understanding of these terms can help many people achieve their goals.
It is a popular belief that the wear and tear of running spurs osteoarthritis of the knees and other joints. In 2013, we reported how the National Runners Health Study followed nearly 90,000 runners and found that running did not increase the rates of osteoarthritis.(1) In fact, compared to walkers, runners had half the risk of osteoarthritis.
Did you know that people who get over shoulder pain on their own or just with pain meds will have the same or worse problem again 52% to 73% of the time?
Some experts define physical activity as any movement that increases energy use while reserving the term exercise for planned, structured physical activity.(1) Regular exercise is thought to prevent or delay Type 2 diabetes.(2) In active Type 2 diabetes, exercise improves blood glucose control, reduces cardiovascular risk, contributes to weight loss, and improves well-being
As our population ages, the number of Australians with osteoarthritis is expected to rise from 2.2 million in 2015 to 3.1 million by 2030.(1) The condition ranks as the most common form of arthritis
With exercise physiologists on staff, Advanced Physiotherapy is specially prepared to help people with a broader range of health challenges including COPD.
Are you ready for telehealth physiotherapy? People have been researching telehealth for years, including using it to extend physiotherapy practices. In our case, telehealth will involve paid, professional, one-to-one consultation delivered over the phone or by videoconferencing.
Generally speaking, when there is abnormal contact between your thighbone and your hip, this is called hip impingement. More specifically, we are referring to femoroacetabular impingement (FAI).
Fall injuries present a serious health risk for seniors who are losing strength, conditioning, and coordination due to age, but does improving gait result in improved health? The research of Susan Hardy, MD and colleagues says “yes
Most injuries to the arm are FOOSH injuries.(1) FOOSH stands for Fall On Outstretched Hand. As people fall, they tend to throw their hands out to catch themselves
How serious is an ACL injury anyway? One good surgery, some rehab, and you’re back in action, right? Unfortunately, no. Prevention of ACL injuries is important because those injuries can have lifelong consequences.
One recent study suggests the healthcare industry needs to change the advice being given about elbow, wrist, and hand pain. When we seek healthcare, the common advice is to rest to allow things to heal. As with other “injuries” such as low back pain this approach has been questioned.
There is a plethora of evidence regarding the need for muscular mass and strength in the elderly population, to combat sarcopenia and reduced functional capacity1. With this in mind researchers are looking into the effect of muscle mass and strength on other chronic disease conditions. They are also trying to elucidate the protective physiology muscular strength and mass.
Did you know that research shows standing for just one extra hour a day greatly reduces the risk of disability, especially for retirees?
Last year saw an explosion of scientific articles about diabetes remission. These studies are describing medical results where people with adult-onset, type II diabetes go months and even years with normal A1C values, without needing glucose-lowering drugs.1-6
A report published recently in the Medical Journal of Australia finds that Australia has the highest incidence of anterior cruciate ligament (ACL) reconstruction surgeries in the world.
Australia has the highest incidence of anterior cruciate ligament (ACL) reconstruction procedures in the world.1 From 2000 to 2015 our annual rate grew 43%. Among patients under 25 years old, the rate skyrocketed 74% in that same timeframe
What is knuckle cracking exactly, and is it bad for your hands?
Many people know carpal tunnel syndrome has something to do with wrist dysfunction. But what is it, really, and what can be done about it?
Psychologist Michael Breus, PhD, makes this case in his book “The Sleep Doctor’s Diet Plan: Lose Weight Through Better Sleep.” There is a well established correlation between reduced sleep hours and higher body mass index
In New South Wales, fall-injury deaths appear to be on the rise. Compared to 2001, fall-related mortality among people age 65+ is up 72%.
Did you know that more than 80% of the scientific literature on tendinitis has been published in the past 20 years? Our understanding of this condition has improved in important ways.
COPD affects the lives of roughly 5% of the population.1 It stands for chronic obstructive pulmonary disease. COPD is more of a catchall term encompassing chronic bronchitis, emphysema, and/or asthma. In medical writings, sometimes the terms CAO (chronic airflow obstruction) or CAL (chronic airflow limitation) are preferred. Whatever you call it, the condition can severely limit a person’s life.
The answer is Pilates classes at Advanced Physiotherapy. Consistent with our philosophy of giving every client elite-athlete-level attention, Pilates is an exercise method first developed as training and rehabilitation for dancers in the performing arts
Low back pain (LBP) is common and costly. It occasionally causes missed work days or lower work performance, which, when combined with its commonality, makes it one of the world’s most disabling conditions
Fall injuries stand out as a major health risk for people age 65+. Among this age group, nearly one out of three people fall each year.1 The problem is even worse for seniors with dementia.
Osteoporosis is often called a silent disease because there are no symptoms until a bone is broken. Osteoporosis means “porous bone”. The disease is on the rise, so let’s take a moment to talk about risks, prevention, and recognition.
In less than two decades, the number of knee replacements in Australia has more than doubled – more than 50,000 surgeries per year. This can put a major strain on national healthcare spending.
Heel pain is usually just over-stressed tissue at the heel. Specifically, we are referring to the plantar fascia, the taut band of tissue that connects the heel to the forefoot and causes the arch of the foot to form.
A sprain means that some ligament fibres are torn. Sprains occur through trauma. Lateral ligament sprains occur when the foot is forced strongly into inversion (turned in).
It is common in clinical practice to be faced with patients who have indications that they have a lumbar herniated disc. This is often accompanied by nerve root compression and significant pain particularly pain, pins and needles and numbness.
The Complex is a portable muscle stimulation device. It is often used for pain relief, to prevent muscle loss after injury or surgery, and to improve muscle strength.
Therapists and surgeons alike have been exploring this question for decades andcontinue to investigate it today.1 It’s a seemingly simple question with an important answer
Physical activity is important during all stages of our lives. Exercise during pregnancy and in the postpartum period has been shown to have numerous health benefits for the mother and her baby
It is thought that both overtraining and undertraining will result in increased injury risk, reduced fitness and poor team performance (Gabbett, 2016). The ability to effectively plan and manage training quantities, frequencies and intensities will have a large effect on the factors above (Brukner et al., 2017).
Which Patients Are More Likely to Succeed with Conservative Treatment? Rotator cuff tears are a common cause of shoulder pain and may occur without traumatic injury
Headaches are a common cause of pain and discomfort. They can affect how well you are able to function. There are two main classes of headaches – primary and secondary
In order to succeed this winter sport season, you need to be prepared. In this blog we talk about some of the different ways you can get the most out of your body, while reducing your risk of injury.
Abstract: A recent study finds that physiotherapy within two weeks of a medical consult for nontraumatic knee pain correlates with reduced healthcare utilisation compared to no physiotherapy. Early physiotherapy reduces the chance of narcotic-taking by 33% and reduces the chance of surgery by 42%. Earlier referrals reduced the risks better than later referrals. The current study adds to a body of evidence demonstrating that earlier referrals to physiotherapy achieve better outcomes.
Hamstring strains rank among the most com- mon injuries in high speed running sports. With recurrence rates ranging between 20% and 33%, even with rehabilitation, interest in improving outcomes continues.
Medial tibial stress syndrome (MTSS) (‘shin splints’) is a generalised term for a condition which causes localised pain on the lower inner aspect of the shins. The condition can be seen to be on a continuum of pathology causing shin pain.
Hamstring strains rank among the most common injuries in high-speed running sports. With recurrence rates ranging between 20% and 33%,1-3 even with rehabilitation, interest in improving outcomes continues. Doctors frequently prescribe physiotherapy but with little official guidance on whom to refer, when to refer, or what to look for in rehabilitation programs.
October 2017 Abstract: Participants in a recent study of rehabilitation for cervical radiculopathy (CR) realised a 60% improvement in pain at four weeks and an 88% improvement in pain at eight weeks. While previous studies show rehabilitation helping patients with CR, the combined manual therapy and exercise therapy approach used in the current study may have resulted in outcomes improved over what is often seen.
Occasionally, patients with acute conditions may consider delaying physiotherapy. They commonly consider two rationales. One, there is concern that rehab during an acute injury phase may interfere with the initial healing response. Two, economic considerations tempt patients to see if their injuries can heal sufficiently without rehab, before electing physiotherapy. In truth, for many diagnoses, both of these rationales prove counterproductive.
When considering the number of years lived with disability, spine/neck/back pain stand apart as the most important disabling condition worldwide
A recent study correlates muscle-fat infiltration of multifidi with decreased physical ability among seniors with low back pain (LBP). This adds to previous studies finding that asymmetrical multifidus atrophy predicts low back pain recurrence and that lower muscle quality predicts decreased physical function among people without LBP. The persistence of multifidus atrophy and fat infiltration, even among so-called spontaneous resolvers, and its causal role in chronicity underscore the importance of active approaches toward LBP treatment.
Current evidence reveals that patellofemoral pain syndrome is common and exhibits a strong tendency toward chronicity. Targeted quadricep strengthening appears to be the most validated intervention at present, but evidence is building in support of other strengthening and stretching. Referrals for organised exercise intervention appear to add to the results of usual care plus patient education.
Custom-made, semi-rigid foot orthotics have been shown to relieve Achilles tendinosis symptoms up to 92% within one month. The exact mechanism by which this relief is achieved has been largely theoretical. The first-ever investigation of foot orthotics and Achilles tendon loading finds that orthotics significantly reduce the load on the tendon, the duration of maximum load, and the rate at which that load is applied.
Patients who receive a physiotherapy referral for uncomplicated low back pain cost $6,273 less than patients receiving an advanced imaging referral, even when the cases are propensity matched. Physiotherapy provides an active solution to LBP that gives patient’s confidence to stay active and reduce recurrence.