Category Archives: Uncategorized

Safe Lifting Technique

Safe lifting techniques

Low back injuries are a common injury seen by physiotherapists, often caused by repetitive poor safe lifting techniques, but there are some simple steps you can take to keep your back protected.

 

  1. Use your legs, not your back!

Your back muscles (called extensors) are actually quite small muscles when compared to your thigh muscles or buttock muscles. When your knees are straight and you hinge from your hips and pelvis to lean forwards and pick something up your low back muscles are taking the force and pressure.  When you are standing up straight there are ~100 millimeters of mercury(mm) of pressure on your back, when you lift with bent knees there is ~350mm of pressure on your back, however, when you hinge at your hips and keep your knees straight there is an extra 100mm of pressure on your back. If this pattern is repeated continuously it can lead to injury to muscles, tendons, or even the discs or nerves of your low back.

The safest way to lift objects is to bend your knees with your hips should be pushed out behind you.

 

  1. Keep a neutral spine

It is common for people to bend their knees, push their hips out behind them, but then curve their back to reach down. Unfortunately, this is putting similar pressure on the spine as mentioned above. When picking objects off the ground or lifting in general it is important to keep the spine in a neutral position; this means that the spine is inline, the ribs or low back are not curved or arched. In this position there is even pressure on all the tissues of the spine, reducing any risk of tissue injury such as disc bulges.

 

  1. Knees in line with toes

When squatting down low for an object on the ground it is best practice to keep your heels on the ground, this allows you to activate your hamstrings, calves, and buttock muscles, which as mentioned above are part of the large muscles groups that can provide the most strength in assisting you to lift an object. Also, when you lift your heels off the ground and have all your weight on your forefeet, you increase the pressure to the inferior aspect of the knee cap and can cause inflammation of tissues inside the knee. Even with the heels on the ground, it is still safest for the knees to stay inline with the toes and not move any further forwards, again to prevent excess pressure on the tissues within the knee joint.

 

If you would like any further information or assessment of your lifting technique, please contact Dr7 physiotherapy and podiatry on 9349 1777.

Workers Compensation

Workers Compensation

Have you been injured at work?
We are here to help!

The Physiotherapists at Dr7 Joondanna are qualified health professionals with years of experience treating patients who have been injured at work. We are familiar with the protocols and procedures of Workers Compensation injuries in Western Australia and can provide the services to help you with a speedy recovery.

We welcome all patients referred for a work-related injury.

What is a Workers’ Compensation claim?

Workers’ Compensation claims are implemented to protect the business and its workers. This type of insurance covers any costs related to job-related accidents and disease.

Who is entitled to a Workers’ Compensation claim?

You are entitled to a Workers’ Compensation claim “if you are a worker, suffer an injury or develop a disease at work and require medical treatment or time off work as a result.”

How do I make a Workers’ Compensation claim?

If you have sustained an injury or illness directly related to your workplace follow these basic recommendations:
1. Report your injury to your employer within 30 days of becoming aware of the injury/illness
2. Consult with your GP and request a work-related medical certificate
3. Consult with your GP and request a referral to your allied health professional (e.g. Physiotherapist)
4. Fill out a Workers’ Compensation claim form available from https://www.workcover.wa.gov.au/resources/forms-publications/worker-forms/#claimform – speak to your employer if you’re unsure

If you are considering a Workers’ Compensation claim and require more advice we recommend seeking legal advice.

How do I get referred to Physiotherapy?

When attending Physiotherapy services under a Workers’ Compensation claim it is important that you present with the correct documentation.

Before presenting to Physiotherapy you will need the following information:

A Doctors referral stating the following:

  1. Name of practice and practitioner you intend on seeing
  2. Date of accident
  3. Injured areas to be managed
  4. Modalities of treatment (e.g. Physiotherapy, hydrotherapy, exercise rehabilitation)
  5. Name of employer
  6. Name of the insurance company
  7. Claim number (if provided)

If you are unsure what information you need to provide, we recommended speaking to our friendly receptionist on (08) 934 1777 for more information today!

What costs are involved?

If your claim has been approved and liability has been accepted there are no gap-fees or out-of-pocket expenses for the patient directly. This needs to be confirmed with your employer and the insurance company funding your claim.

How can a Physiotherapist help?

Our Physiotherapists at Dr7 Physiotherapy & Podiatry Yokine are trained to deliver the following services:
1. Physiotherapy: assessment, manual therapy, exercise prescription, equipment prescription, education, advice
2. Hydrotherapy: assessment, water-based exercise, water-based stretching, relaxation
3. Exercise Rehabilitation: assessment, strengthening programs, functional training, exercise programs [These sessions are undertaken in a local gym]

Benefits of Physiotherapy

• Reduce symptoms and pain levels
• Educate injury
• Design management plan with the patient
• Increase muscle strength, tone, and conditioning
• Support during the return-to-work program
• Reduce risk for future exacerbation
• Provide strategies to cope with the process
To find out more information about your work-related injury visit the Workcover website today

www.workcover.wa.gov.au
References:
1. https://www.workcover.wa.gov.au/workers/understanding-your-rights-obligations-entitlements/making-a-claim/

Cricket shoes Dr7 Physiotherapy and Podiatry

What to look for in cricket shoes

Cricket players, and in particular pace bowlers, subject their lower legs and body to a range of different forces, which often result in overuse and acute injuries. Footwear is extremely important for pace bowlers to ensure they reduce the risk of injury. Studies show in the bowling phase, the front foot is more prone to acute injuries, whilst the back foot may be more susceptible to overuse injuries due to the multidirectional forces placed upon it throughout foot contact. Here we look at some of the top tips to look for in cricket shoes, and the hottest shoes on the current market.

Top tips when looking for new cricket shoes:

  1. Purchase shoes with high quality material on the upper surface. Ideal materials include Polyethylene (PU), Microfiber or high quality synthetic material. All are lightweight and provide durability for all cricket surfaces.
  2. Cushioning – majority of cricketers will run between 2-5km per game, so cushioning is very important to reduce forces experienced on the lower legs. Ideally cushioning should be centred on the heel and midsole.
  3. Stability – some brands of cricket shoes have medial arch support to help reduce pronation through the bowling phase which in turn reduces forces experienced at the level of the inner ankle, knee and hips
  4. Ventilation – to increase circulation of air and properly ventilate your feet during the hot summer days
  5. Spikes – for batsmen half-spikes are better as they are lighter and more responsive. For bowlers full-spikes are recommended for grip and stability

The best cricket shoes currently on the market for bowlers are:

  1. Adidas – Adipower Vector. This is the first-line choice for many bowlers including Jimmy Anderson and Stuart Broad. It’s developed with leather PU upper and high-quality midsoles to provide maximum cushioning and stability.
  2. Asics – Gel 300 Not Out. Asics utilise gel cushioning throughout the shoe to provide maximum cushioning. It is also fitted with Flytefoam technology to reduce the weight of the shoe, thus improving comfort and performance
  3. Asics – Gel Speed Menace. Fitted with both forefoot and rearfoot cushioning, the Gel Speed Menace is great at providing shock absorption. It has a more rigid forefoot which reduces forces on the forefoot (reducing risk of stress fractures) and allows forward propulsion.
  4. New Balance – CK10. Built on lightweight and responsive cushioning, New Balance is versatile enough to use on any surface. New Balance also comes in 2 different widths, allowing increased comfort for bowlers with wider feet.

Majority of cricket shoes also allow us podiatrists to fit orthotics into them, providing you with extra comfort, support and cushioning.

Best of luck to all cricketers this season. Should you require any further advice or need a review of your cricket biomechanics, pop in and see us at Dr7 Physiotherapy and Podiatry Yokine.

 

Regards

Angelo Velho

SENIOR PODIATRIST

Dr7 physiotherapy and podiatry are open

Open for business

Dr7 Physio and Podiatry are still OPEN for all your physio and podiatry needs.

Our patient’s and staff’s health and safety are our top priorities!

We are taking stringent precautionary measures to ensure everybody feels safe and comfortable during these trialing times. We are adhering to all additional government health regulations and are taking extra caution with all aspects of cleanliness and hygiene within our practice.

We have implemented new procedures and measures to ensure further protection for all visitors.

Please refrain from visiting if you have been abroad or interstate in the last 14 days or if you are feeling unwell. We apologise but the practitioners will have to refuse to treat you if you meet these criteria. If you don’t feel comfortable coming into the practice, we are also offering telehealth consults over the phone.

Our opening hours remain from 7am – 7pm Monday to Fridays and Saturdays 8am – 12pm. (However, the hydro pool is closed until further notice).

Please don’t hesitate to call us if you have any concerns or queries.

Stay healthy and happy!

Dr 7 Physio and Podiatry team.

Yoga/Pilates class Dr7 Physiotherapy

Yoga/Pilates

Our physiotherapist Katie has started her yoga/pilates classes.

Her next series of classes will commence on Saturday the 21st of March at 7am.

Physiotherapist led mat exercise group

  • Components of mindfulness and meditation
  • Yoga for full body stretching
  • Pilates for whole body strengthening

Prices are $150 for a 6 week block or $30 a session. You can claim a rebate back from your private health if you’re covered for code 560.

Limited to 8 spots so book now!

If you are interested please contact katie@dr7physioandpod.com.au

Yoga/Pilates Classes Dr7 Physiotherapy
Yoga/Pilates Classes Dr7 Physiotherapy

 

Congratulations to Nera Jareb

Dr7 Physiotherapy and Podiatry would like to congratulate Nera Jareb, one of our long term patients, for running 2nd in the Melbourne Marathon in October 2019. Nera has been attending Dr7 Physiotherapy for a decade now and has always been such a determined and talented sportsperson. We feel privileged to be able to help her on her journey. She finished the Melbourne Marathon in a time of 2:36:41 and beating her previous PB of 2:37:30 in the Gold Coast Marathon in July 2019.

 

 

 

Children’s Feet Footwear

Footwear and Developing Miletones in Children’s Feet

 

From a young age, children’s feet are constantly evolving and changing shape. As a result, footwear is very important as your child progresses from their first steps to running around playing sports. Here are some common milestones to look for in your kids’ feet, and what to look for in footwear.

 

6 months – 2 years

Your kids’ feet are soft and malleable with a fused bone structure. We highly recommend walking barefoot to strengthen the muscles and develop correct bone structure.

 

FOOTWEAR TIP: look for a soft, flexible outsole with minimal structure. This allows the natural motion of the foot.

 

2 years – 6 years

Each bone in the foot is starting to form. Fatty tissue surrounds the foot, which will eventually form the shape of the foot.

 

FOOTWEAR TIP: shoes need to be durable, lightweight and flexible. Firm heel counters are necessary to hold the heel in place,

 

6 years – 16 years:

The foot is now taking shape and requires more support. High impact activities can cause stress on their feet. This is worsened by poor fitted, unstable shoes.

 

FOOTWEAR TIP: sturdy heel counter, stable midfoot and flexibility in the toes are vital to support the foot during the gait cycle

 

16 years +

The foot has now fully developed into 26 bones and over 100 muscles/tendons/ligaments that require support

 

FOOTWEAR TIP: extra stability in the heel and midfoot to prevent over-pronation (flat footedness) whilst remaining flexible in the forefoot. Each shoe has different levels of stability to support the different foot types and shapes.

 

If you have had any issues or want to speak to a podiatrist about how to manage your child’s feet call us on (08) 9349 1777 to book an appointment with one of our friendly podiatrists today.

Dr7 Physiotherapy and Podiatry provides services to the suburbs of Yokine, Tuart Hill, Osborne Park, Stirling, Nollamara, Dianella, North Perth and surrounding suburbs. Our friendly Physiotherapists and Podiatrists have appointments available Monday-Saturday.

Bookings are available on our website or over the phone.

Plantar-Fasciitis

Plantar-Fasciitis

What is Plantar-Fasciitis?

Plantar-fasciitis is a common cause of pain in the region under the foot. It is irritation of the band-like structure located under the foot (the ‘plantar’ side of the foot), called your plantar-fascia. The word ‘itis’ translates to inflammation, so you can see the injury literally translates to “inflammation of the plantar-fascia”. The Plantar-Fascia is what gives the ‘arch’ of your foot its shape. Pain first thing in the morning when taking your first few steps of the day is one of the most common complaints we relate to this injury.

Anatomy

The plantar-fascia runs from the front of the heel, to the base of your toes. It is a fascial structure – which means it behaves like a sheath/spring-loaded structure, rather than a tendon, muscle or ligament. The plantar-fascia can sustain injury at either of its attachments points, or even tear/striate through the mid-portion of the fascia. This brings with it significant discomfort due to the inflammatory response the body produces in an attempt to heal the damaged structure. However, due to the fact that we need to keep walking the injury is often difficult to resolve (it doesn’t get the rest it needs in many cases).

Cause

There are many causes of Plantar-Fasciitis. You may have one, or many of these. Irritation occurs as the plantar-fascia is placed on stretch repeatedly. Each time you step, there is some natural/normal flattening of this arch, but excessive, repetitive and load-some flattening of this arch can cause damage to the plantar-fascia.

Gradually increasing exercise is key to ensuring the body can cope with the level of load placed on the arch. If you have excessively ‘high arches’ or very ‘low arches’, you are at a greater risk of developing plantar-fasciitis. Supporting your arch with good footwear is integral to minimising damage to the arch. In some cases, using an insert or orthotic may be necessary as a ‘permanent’ solution to providing better support to the plantar-fascia.

Management

Treatment at Dr7 Physiotherapy and Podiatry Yokine depends on the severity of the damage/irritation to the plantar-fascia. In simpler/less severe episodes of plantar-fasciitis some stretching, release techniques and anti-inflammatory awareness may be all that is required to fix the problem. The effect of this can be seen within a few days.

In more severe episodes, immobilisation (e.g. moon boot) may be required for an initial period of time which can be provided by Dr7 Physiotherapy and Podiatry Tuart Hill. This provides the arch a bit of “rest” which it would not otherwise get by continuing to walk on the damaged structures. After a period of immobilisation, the treatment then becomes similar to that outlined above. Footwear assessment and potential orthotics will also offer significant help to this problem supplied by Dr7 Physiotherapy and Podiatry Joondanna.

Assessment by your Dr7 Physiotherapist or Podiatrist Osborne Park is an important part of determining how severe your pain may be and therefore determining the best course of action going forward. Here at Dr7 Physiotherapy & Podiatry Dianella, we are perfectly positioned to help with this problem, as we have access to both health professionals which frequently work together for best management of this condition.

In more severe cases imaging (ultrasound) may be required to determine the best way forward. Both our Physio’s and Podiatrist’s are able to advise you if an ultrasound is required. Better yet, they are actually able to refer you for one as well, meaning no need for a GP visit!

If you think you are experiencing Plantar-Fasciitis book an appointment at Dr7 Physiotherapy and Podiatry Yokine.

Dr7 Physiotherapy and Podiatry provides services to the suburbs of Yokine, Tuart Hill, Osborne Park, Stirling, Nollamara, Dianella, North Perth and surrounding suburbs. Our friendly Physiotherapists and Podiatrists have appointments available Monday-Saturday.

Bookings are available on our website or over the phone.

Senior Podiatrist at Dr7 Physiotherapy and Podiatry

Podiatrist Angelo

WHAT DOES OUR PODIATRIST ANGELO TREAT

 

Having been a podiatrist for approximately 4 years, our Senior Podiatrist Angelo has been exposed to all aspects of podiatry at Dr7 Podiatry Yokine. From diabetic risk assessments and foot care, to paediatric sports injuries and disability rehabilitation, he has seen and treated patients from all ages and backgrounds. He has also worked alongside several soccer teams in Perth to provide acute management of lower leg injuries.

Over the past years, Angelo has developed a strong interest in pain and injury rehabilitation, with a particular focus on ankle injuries and rehabilitation. Having injured and fractured his ankle twice in 18 months, he knows from personal experience just how important it is to rehabilitate and treat the ankle with care to prevent long-term complications and risk re-injury. Angelo uses a variety of mobilisation, needling, massage and strapping techniques, along with isolated exercise and strength/conditioning programs to guide you through your rehabilitation and ensure you return to activities in peak condition and with full confidence in your body.

Ankle Pain

He also retains a special interest in paediatric podiatry. Having completed several courses and attended several paediatric-specific conferences over the years, Angelo is fully competent to diagnose, treat and provide long-term advice for kids ranging from 1 years of age through to adolescent years at Dr7 Podiatry Joondanna. He predominately treats ‘growing pains’ such as Severs Disease, Osgood-Schlatters and Freiburg’s Disease, and also works with a lot of state and district football, cricket, netball and soccer players for ankle, calf and foot injuries. Angelo’s main aim is to keep you playing without having to cease your activity levels. Injury management generally covers footwear changes and modifications, massage and release and providing strength and conditioning training for young athletes.

Other conditions Angelo is competent to assess and treat include but are not limited to:

  • Bunions
  • Rheumatoid Arthritis pain
  • Morton’s Neuroma and bursitis
  • Achilles tendinopathies
  • Peroneal tendinopathies
  • Patello-femoral pain
  • Metatarsal stress fractures

If suffering from acute/chronic injuries or pain, book in for an extensive biomechanical analysis and treatment with Angelo at Dr7 Physiotherapy and Podiatry in Yokine.

Happy feet
Happy feet

 

Dr7 Physiotherapy and Podiatry provides services to the suburbs of Yokine, Tuart Hill, Joondanna, Osborne Park, Stirling, Nollamara, Dianella, North Perth and surrounding suburbs. Our friendly Physiotherapists and Podiatrists have appointments available Monday-Saturday.

Bookings are available on our website or over the phone on 9349 1777.