Tag Archives: pain relief perth

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.

ACL

The ACL is an extremely important ligament that stabilises the knee joint during multidirectional movements such as pivoting, jumping/landing and direction changes. Injury to this ligament can be a devastating and expensive injury and can potentially be a career-ending injury for athletes. In high-level sport such as AFL, players will often undergo surgery and a 1-2 year rehabilitation before returning to play. But in lower levels of sport many people never return to play. Another major concern is that once you injure your ACL you have a higher chance of having another ACL injury to either knee.  There are many reasons for this, but put simply it often comes down to an inadequate rehabilitation/exercise program. This means that muscles of the leg and hip are often underprepared to cope with the demands of sport after a long period without playing.

Management:

Traditionally, ACL tears are repaired using surgery and replacing the ligament with a graft usually taken from either the hamstring or patella tendon. Although more recently there has been some debate as to whether every ACL tear requires surgery.

In any case, rehabilitation in the form of exercise is essential to return to normal activities and to prevent future injury. This exercise program must involve individualised, gradual and progressive strengthening exercises as well as a focus on balance and stability. Unfortunately many people either aren’t prescribed an appropriate exercise program or they fail to follow it through until the end.

At Dr7 Physiotherapy Yokine our physiotherapists can provide a structured exercise program tailored to your stage of recovery and your level of conditioning. Our therapists are also trained to progress your rehabilitation to a point where you are ready to return to play.

Markus Squat

In the early phase after your injury you will be given basic strengthening and balancing exercises. This will focus on muscles in your thigh, calf and hip. If you are in a brace or using crutches our therapists can also provide guidance as to how and when to wean off these supports.

Markus Single Leg Balance

During the middle phase of rehabilitation you will be provided with progressively harder strengthening exercises for your legs and if you have access to a gym our therapists can provide advice on weight training. During this phase there will also be a focus on balance and stability exercises and as you improve your therapist will start to challenge your single leg balance and stability. Towards the middle-to-late stage of rehabilitation you will also be provided with guidance and advice to return to activities such as running.

Markus Balancing Squat

Once you are ready to progress towards end-stage rehabilitation exercises our physiotherapists will start to introduce sports-specific exercises to train your body to cope with the demands of your specific sport/activity. At this point the exercises you receive will be highly dependent on you and on what activities you are aiming to return to. Your physiotherapist can test you for return to sport and outline specific criteria for you to return to sport. Typically at this point you will start to return to training and sport-specific tasks like kicking, change of directions and contact sports.

There are many biomechanical and modifiable factors that increase your risk of having an ACL tear. At Dr7 Physiotherapy Tuart Hill our physiotherapists can help you reduce the risk of an injury by providing advice/exercises on how to change these factors.

If you have had an ACL injury or want to speak to a physiotherapist about how to reduce your risk of suffering an ACL injury call us on (08) 9349 1777 to book an appointment with one of our friendly physiotherapists 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.

Rib Dysfunction

Rib Dysfunction

Rib Dysfunction

Have you ever felt a sharp sensation around your shoulder blade or mid-back during certain twisting, lifting and abrupt movements? Chances are you may be experiencing dysfunction around your rib joint/s. Read on to find out more…

 

What is rib dysfunction?

Rib dysfunction occurs when there is a misalignment of a rib/s on the thorax. This results in mechanical dysfunction, restriction, dislodgement or inflammation between your ribs and their attachment sites. Due to the anatomy of a rib joint, dysfunction of this area can cause immense, debilitating pain.

Anatomy

The thoracic (mid-back) region typically has 12 vertebrae and 24 ribs. These vertebrae connect and articulate with ribs via the costovertebral and costotransverse joints which are held together by ligaments. These joints have a blood and nerve supply which subjects them to a great deal of inflammation and pain when irritated.

Causes

Rib dysfunction is caused by a variety of contributing factors. These include:

  • Recent trauma
  • Recent illness that generates constant coughing motion
  • Prolonged, poor posture
  • Awkward sleeping patterns
  • Weak back muscles
  • Repetitive stress
  • Stationary desk work

What does rib dysfunction feel like?

Typically patients will describe a deep, dull ache around between the spine and shoulder blade. This pain will fluctuate or become sharp with activities such as coughing, sneezing, twisting, lifting or bending. At times symptoms may refer into the arm or neck, with tenderness reported around the front of one’s chest bone.

Symptoms

  • Diffuse, deep, dull ache
  • Sharp, severe pain with laughing, coughing & sneezing
  • Abdominal and/or chest pain
  • Feelings of ‘clicking’ or ‘popping’
  • Difficulty breathing
  • Unexplained back pain
  • Postural imbalance

 

Treatment

Here at Dr7 Physiotherapy and Podiatry Yokine all of our practitioners have the expertise to correctly diagnosis, treat and manage symptoms associated with rib dysfunction. Most presentations will require a rib joint manipulation and soft tissue release around the site of injury. Some cases are resolved immediately with others requiring multiple treatments/adjustments to completely alleviate symptoms

Once the acute, sharp pain has been resolved our practitioners at Dr7 Physiotherapy Tuart Hill will undertake a biomechanical assessment and provide exercises and/or strategies to prevent further aggravation. It is important to correct the underlying structural abnormality to prevent frequent and chronic rib shifts.

 

When to consult with a Medical practitioner

If you are concerned about your chest / rib pain it is very important to seek medical advice from your healthcare provider or emergency department. Some examples are:

  • Patients with fever or a severe cough
  • Left-sided chest pain radiating into the jaw and left arm
  • Extreme difficulty breathing

 

Prevention

  1. Avoid awkward, sustained postures such as hunching and prolonged reaching as a desk
  2. Avoid lifting to holding objects with outstretched arms
  3. Review with a Physiotherapist at Dr7 to assess and correct structural abnormalities
  4. Strengthen the muscles that attach to and control the rib cage

If you think you are experiencing rib dysfunction 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.

$40 Initial Consults for Physio and Pod

Claim Instructions: (Only valid for booking on https://dr7physioandpod.com.au/)

  1. Click the “Book an appointment” button at the top right of Dr7 Physiotherapy webpage (https://dr7physioandpod.com.au/)
  2. Select Physiotherapy or Podiatry
  3. Select appointment time and specific practitioner if you wish
  4. In the reason for visit box, type “$40”
  5. Inform reception upon arrival that you are claiming ‘$40’ website special.
    *Terms and conditions apply. Valid only for new clients to Dr7 Physiotherapy and Podiatry clinic or past clients who have not visited greater than 3 yrs ago.

 

 

 

 

*Terms & Conditions
This offer is only valid for:
1. A limited time – from 9th April 2019 until 30th June 2019.
2. Online bookings ONLY through our web page (www.dr7physioandpod.com.au)
3. New private clients to the Dr7 Physiotherapy and Podiatry Business ( or clients who have not visited for more than 3 yrs).
4. Initial consultation and treatment only but does not include stock, equipment or any take home consumables. Eg, if your practitioner recommends braces, orthotics, creams etc, then these are charged separately upon prior discussion and approval from you.

You must inform reception upon arrival for your appointment of the “$40” special offer.

Elbow Pain

Elbow Pain

Why do I have elbow pain?

The most common cause of elbow pain is due to repetitive use of your forearm muscles, it is called Tennis Elbow or Epicondylitis. Other causes of elbow pain can be ligament sprains, bone bruising or inflammation of a bursa (a sack of fluid) within the elbow joint. The cause of your elbow pain can be determined and effectively treated by your Dr7 Physiotherapist Yokine.

 

What is a Tennis Elbow?

There are muscles in your forearm that start at your elbow and attach to your wrist and fingers. When we use these muscles repetitively at work or during sport and exercise these muscles become tight and lose their elasticity. When this happens the muscles become inflamed at the bone of your elbow, where it originates from. If this condition is left for too long it will get progressively worse and can lead to sharp pains, nerve symptoms and a loss of strength in the hand.

 Anatomy of the elbow

Is it common?

Tennis Elbow is very common occurring within 1-3% of the population at all stages of life however it is most common from 30-50 years of age.

 

What causes Tennis Elbow?

Common activities that can result in Tennis Elbow now days are the use of mobile phones, ipads and computers. Due to postural positions often held while using these devices as well as the repetitive movements required. Other activities can be related to repetitive movements during sport such as gripping and swinging the racket in tennis.

 

How long does it take to get better?

The duration of your symptoms can vary and depend on several factors such as length of pain before physiotherapy treatment, if work or sport postural issues can be modified, the number of triggers present and your adherence to your exercise program. If your symptoms are mild-moderate you could have full resolution in 6-8 weeks however if your symptoms are severe it could take several months. After your initial assessment at Dr7 Physiotherapy Tuart Hill, your physiotherapist will be better able to give you a more accurate estimate.

 

How can Dr7 Physiotherapy help?

Your Dr7 Physiotherapist in Yokine will be able to provide you with some pain relieving techniques that will also regain the length and elasticity of the muscles in your forearm/s. We can teach you how to reduce your pain throughout the day but most importantly how to modify work postures and movement to resolve your pain and prevent reoccurrence. All our physiotherapists are trained in treatment techniques such a dry-needling (acupuncture), sports taping, lazer therapy and manual soft-tissue techniques. Call 9349 1777 for further information.

If you think you are experiencing elbow pain 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.

$40 special

$40 Physio and Podiatry Initial Consulation

$40 Physio and Podiatry Private Initial Consultation

Claim Instructions: (Only valid for booking on https://dr7physioandpod.com.au/)

  1. Click the “Book an appointment” button at the top right of Dr7 Physiotherapy webpage (https://dr7physioandpod.com.au/)
  2. Select Physiotherapy or Podiatry
  3. Select appointment time and specific practitioner if you wish
  4. In the reason for visit box, type “$40”
  5. Inform reception upon arrival that you are claiming ‘$40’ website special.
    *Terms and conditions apply. Valid only for new clients to Dr7 Physiotherapy and Podiatry clinic or past clients who have not visited greater than 3 yrs ago.

 

 

*Terms & Conditions
This offer is only valid for:
1. A limited time – until 1st March 2019.
2. Online bookings ONLY through our web page (www.dr7physioandpod.com.au)
3. New private clients to the Dr7 Physiotherapy and Podiatry Business ( or clients who have not visited for more than 3 yrs).
4. Initial consultation and treatment only but does not include stock, equipment or any take home consumables. Eg, if your practitioner recommends braces, orthotics, creams etc, then these are charged separately upon prior discussion and approval from you.

You must inform reception upon arrival for your appointment of the “$40” special offer.

Shin Splints

Shin Pain

Shin Pain

Here at Dr7 Physiotherapy and Podiatry we treat a variety of different injuries ranging from acute strains to overuse injuries. With the weather improving people are starting to ramp up their exercise regime to shed a few kilos gained over the winter. While we definitely encourage people to participate in regular exercise, beginning a new program can put people at risk of developing pain. This is because the tissues of the body take time to adjust to an increase in load. Known as repetitive stress, it can be a trigger for developing pain. For some people it’s their knee, for some it’s their heel or their hip or their back. For others it’s shin pain. Many people have probably heard of the term shin splints, but what is it?

Shin Splints, or Tibial Stress Syndrome is a condition where excessive stress and pressure is applied to the outermost layer of the shin bone. This layer, called periosteum becomes sensitive, painful and inflamed during tibial stress syndrome and the individual will experience pain along the shin bone. The condition is usually related to an increase in running or walking. The pain can be on one side or both and is often described as a dull pain.

What causes Shin Splints?

Many muscles that control the movement of the ankle, foot and toes attach onto the periosteum. When we exercise these muscles pull on the periosteum and when we exercise at a level greater than what the tissue can cope with it becomes sensitive, painful and inflamed. There is usually a combination of factors and conditions that occur to trigger an onset of shin splints. There are many factors that can contribute to shin pain and our physiotherapists can help you identify what factors are relevant to each specific patient. Risk factors can be categorised into intrinsic and extrinsic groups:

  1. Intrinsic: Age, Gender, Weight, biomechanics of the hip, knee and ankle
  2. Extrinsic:
    1. Training load such as overloading or sudden change in load (eg. resumption of exercise post-illness or after a holiday)
    2. Type of exercise, change in training conditions such as running surface, footwear, inclines
    3. Type of exercise
    4. Weather conditions

How Dr7 Physiotherapy can help:

As there are other injuries that can cause a similar type of pain it is important to have an assessment from one of our physiotherapists. The physiotherapist will check for differential diagnoses such as stress fractures, compartment syndrome, muscle strains and nerve entrapments.

Once these have been ruled out they will diagnose you with Shin Splints and help identify factors contributing to your pain. Usually an assessment will involve a biomechanical observation, assessment of your hip and knee strength, assessment of muscle tightness and a balance assessmet.

Management of Shin Splints aims to relieve the pressure and stress placed on the periosteum. Dr7 Physiotherapists can provide treatment such as massage, soft tissue release, dry needling/acupuncture to manage any muscle tightness. The physiotherapist may also apply taping to your foot and ankle to improve the biomechanics of the foot and unload the shin. Your physiotherapist will also give advice regarding appropriate ways to modify your training and advise you in self-management techniques such as foam rolling, stretching and icing/heating. Finally the therapist will give you  exercises to improve strength and control at the foot, ankle, knee and hip.

How long will my pain last?

Unfortunately the best answer is: it depends. Your recovery time very much depends on how sensitised the shin bone is. If you have had shin pain for a long time it’s likely to take longer for the shin bone to become less sensitive. It is also very dependent on your activity level. If you continue to push through painful activity it will add continued stress to the shin bone and your condition will take much longer to settle. Your Dr7 Physiotherapist will be able to give you an indication of your prognosis once they have performed a clinical assessment.

 

If you think you are experiencing shin pain book an appointment at Dr7 Physiotherapy and Podiatry.

 

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.

$36 Physio and Podiatry Private Initial Consultation

$36 Physio and Podiatry Private Initial Consultation*

Claim Instructions: (Only valid for booking on https://dr7physioandpod.com.au/)

  1. Click the “Book an appointment” button at the top right of Dr7 Physiotherapy webpage (https://dr7physioandpod.com.au/)
  2. Select Physiotherapy or Podiatry
  3. Select appointment time and specific practitioner if you wish
  4. In the reason for visit box, type “$36”
  5. Inform reception upon arrival that you are claiming ‘$36’ website special.
    *Terms and conditions apply. Valid only for new clients to Dr7 Physiotherapy and Podiatry clinic or past clients who have not visited greater than 3 yrs ago.

 

 

*Terms & Conditions
This offer is only valid for:
1. a limited time – until 31st December 2018.
2. online bookings only through our web page (www.dr7physioandpod.com.au)
3. new private clients to the Dr7 Physiotherapy and Podiatry Business ( or clients who have not visited for more than 3 yrs).
4. Initial consultation and treatment only but does not include stock, equipment or any take home consumables. Eg, if your practitioner recommends braces, orthotics, creams etc, then these are charged separately upon prior discussion and approval from you.

You must inform reception upon arrival for your appointment of the “$36” special offer.

 

Headache

Headache

Can Physiotherapy fix your headache?

Did you know that a physiotherapist can help you with assessing the cause of your headache? And in some cases, can even help manage it!

Headaches are a very common problem and can make it extremely difficult to concentrate, work, sleep or perform normal day to day activities.

There are many different causes of headache, some of which can be addressed by your Dr7 Physiotherapist Yokine. In fact, The International headache society (yes, it’s real) has a classification system that can help differentiate types of headaches and help guide management.  Examples include migraine, tension-type headache, cluster headaches and cervicogenic headaches.

What is a cervicogenic headache?

Cervicogenic headache is a headache caused by a non-traumatic disorder involving any structure in the neck, including bony, muscular and other soft tissue elements.

Typically cervicogenic headaches consist of pain in one side of the neck, head and face. Often pain will exist in the back of the head, temples and radiate to the face and eye. The headache can be acute, or it can be present for weeks or months. Symptoms can also include reduced range of movement of the neck as well as sensitivity around the base of the skull.

Is it common?

Data relating to the incidence of cervicogenic headache is mixed, with some studies showing that up to 20% of chronic headaches could be cervicogenic in nature.

What causes cervicogenic headache?

The exact cause of the headache is usually unknown, but it is likely that a combination of factors contribute to the onset of cervicogenic headache. Physical factors such as acute neck strains/sprains, repetitive strain, prolonged postures (such as sitting at work all day) have the potential to irritate the muscles and joints of the neck and trigger a headache. Non-physical factors such as stress, anxiety and diet are likely to contribute to the onset of cervicogenic headache and can prolong recovery.

How can Dr7 Physiotherapy help?

Your Dr7 Physiotherapist Joondana will assess your headache and identify contributing factors. They will also exclude any other causes for your pain.

At Dr7 Physiotherapy Balcatta we can treat the joints and muscles of the neck using manipulative therapy and myofascial tissue therapies such as massage and dry needling. We can also advise you on the best exercises and stretches to improve your pain and reduce your risk of re-injury.

How long does it take to get better?

The duration of your symptoms can vary and depend on several factors. In most cases you will feel a significant reduction in both headache and neck pain within a few treatments. Generally if you have had cervicogenic headache for a long time it will take longer to improve, whereas acute headaches will get better very quickly.