Treatment For Common Conditions

ACL Injury

ACL Injury

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Plantar Fasciitis Treatment

Plantar Fasciitis Treatment

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Prolapse Treatment

Prolapse Treatment

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Endometriosis Treatment

Endometriosis Treatment

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Bursitis Treatment

Bursitis Treatment

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Rehabilitation Exercises

Rehabilitation Exercises

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Fibromyalgia Treatment

Fibromyalgia Treatment

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Sciatica Treatment

Sciatica Treatment

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Post Natal Recovery

Post Natal Recovery

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Headache Treatment

Headache Treatment

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Knee Pain Treatment

Knee Pain Treatment

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Shoulder Pain Treatment

Shoulder Pain Treatment

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Hamstring Strain

Hamstring Strain

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Neck Pain Treatment

Neck Pain Treatment

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Hip Pain Treatment

Hip Pain Treatment

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Arthritis Treatment

Arthritis Treatment

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Other Treatable Conditions

Nerve pain can be very severe and debilitating. It may be associated with either a compressed or inflamed nerve.

In the early stages of acute nerve pain medical management is often required. The role of physiotherapy is to identify the reason why you have nerve pain and to manage the problem based on these findings.

The nerve pain may be related to:

  • structural pathology like a disc prolapse, degenerative changes such as stenosis
  • inflammation of a nerve
  • postural and muscle control factors also play a role in functionally provoking the nerve

Most nerve pain disorders resolve with good management.

Where there is a progressive loss of muscle power, skin sensation or altered bladder/bowel function, medical consultation is required.

At Body Logic Physiotherapy, our team will make a thorough examination and management plan for you.

Injuring yourself playing sport is frustrating and can lead to weeks and even months off the sporting field to recover.  Every sport has different risks and varying injuries relating to that sport but at Body Logic Physiotherapy we do our best to help with getting you back as safe and as quick as possible.

It is important to consider all the factors that relate to the injury and then create an individualised program addressing all these issues.

We use all our resources to help develop the most updated and evidence based approach to getting back to sport.  We use a combination of ideas that are also used at the West Coast Eagles Football Club, WAIS Track and Field and all our other elite affiliates that can be used for everyone we see regardless of what level of sport or activity they do.

Things we include in our sports injury treatments include

  • massage
  • stretching and mobility work
  • specific strengthening of key muscles
  • weekly planning to help coordinate the rehab into your life
  • cross training ideas
  • running drills
  • agility and change of direction drills
  • training load discussions
  • discussions with coach
  • return to sport fitness tests

Our aim is to get people back to the exercise and sport they love and even help them improve the performance when they do return.

What is back pain?

Back pain is a term that relates to a pain problem that occurs anywhere between the rib-cage and the buttocks. It may also be associated with pain referring down the legs and to the groin region. Common labels of back pain are disc degeneration, disc bulges, disc prolapses, facet joint arthropathy or arthritis, annular tears and sciatica.

Back pain is really common (80% of people will get back pain at some point in their lives) and for many people (up to 30%), it may be very distressing, persistent and disrupt many aspects of a person’s life.

Risk factors for back pain:

Unaccustomed loading of the spine, being too sedentary, sustained stress and tension, poor sleep, depressed mood. These factors can make the spines structures sensitive.

Treatment of back pain:

At Body Logic physiotherapy have world leading clinical researchers in the treatment of back pain (link to POS, JP).

It’s very important to understand that back pain usually gets better with the right treatment. Physiotherapists at Body Logic Physiotherapy play a very important role in the treatment of back pain. This may include identifying the key factors linked to your symptoms, hands on techniques to relax you and get you moving, coaching in body relaxation, restore relaxed fearless movement, resumption of physical activity and sleep rehabilitation.

A long-term plan is the key to preventing back pain from recurring and stop it interfering in your life.  We also work with your doctor if additional care is needed.

The great news is that there are lots of effective treatments that our physiotherapists at Body Logic Physiotherapy can offer for knee pain.

Firstly, we identify the key factors contributing to the pain and identify what structures are affected.

Secondly, we develop a plan to manage your knee pain. This will involve a graduated strengthening exercise program to the muscles that control your knee, and a plan to get you physically active based on your preference. It’s really important to get you fit, confident and strong as this results in pain relief and increased functional capacity.

For knee pain we also offer the GLA:D program.

What is chronic pain?

Chronic pain is a term that relates to a pain problem that persists beyond 3 months. In some cases, this pain may arise from an injury such as a joint sprain or fracture but persists beyond natural healing time (8 weeks).  In many other cases, pain may emerge at a time of stress, emotional distress, lack of sleep and fatigue causing sensitisation of the nervous system. Common examples of chronic pain are back pain, pelvic pain, neck pain, headaches, knee pain, hip pain, tendon pain and widespread pain or ‘fibromyalgia’. Chronic pain can be very distressing, exhausting and disrupt many aspects of a person’s life.

Risk factors for chronic pain:

Sustained stress, negative mindset towards the pain, poor sleep, fear of pain, depressed mood, activity and movement avoidance. Together these factors over time can result in changes in the nervous system resulting in the persistence of pain.

Treatment of chronic pain:

It’s very important to understand that the pain associated with chronic pain usually does not relate to any tissue damage. Therefore, directly treating and protecting the specific tissues provides no long-term benefits and may be unhelpful.

Our physiotherapists at Body Logic Physiotherapy play a very important role in the treatment of chronic pain, including identifying the key factors linked to your symptoms, coaching in body relaxation, breathing techniques, relaxed fearless movement, graded activity and sleep rehabilitation. A long-term plan is the key to controlling this problem and it may take up to 3-6 months to make this plan work. We also work with your doctor and/or a clinical psychologist if additional care is needed.

Ankle injuries are extremely common, it has been suggested that ankle injuries account for 10-30% of all sports injuries. Lateral ankle sprains are the most common, accounting for 77% of all ankle sprains (Fong et al., 2007).

Early assessment and beginning a rehabilitation program is paramount to ensure appropriate return to sport and prevent re-sprain or further injury. The re-injury rates are reported to be as high as 34% (van Rijn et al., 2008).

If the rehabilitation is not adequate or the return to activity or sport is too rapid there is the potential for chronic ankle instability which can lead to early onset osteoarthritis (Harrington, 1979).

Treatment and rehabilitation needs to focus on restoring joint mobility, muscle length, muscle strength, joint stability and functional stability before a return to sport.

Myths:

  • Resting and stopping school / activities will help me to recover quicker.
  • The fatigue is all in my head.
  • Chronic fatigue will be with me for life.

 

Facts:

  • Chronic fatigue is often triggered by an illness, and subsequent vicious cycle of reduced activity, loss of fitness, worry and fatigue.
  • Exercise is safe, and one of the best ways of overcoming fatigue.
  • Engaging in school, work, sports and other fun activities is important.

 

How can Body Logic Physiotherapy help you?

  • We can identify the factors linked to your chronic fatigue.
  • Set a plan to help you control and overcome your fatigue.
  • Work with your school and family to create a supportive environment for getting well.

Myths:

  • Mobile joints and ligament laxity always cause pain.
  • Mobile joints means that I can’t control my body.
  • Mobile joints are for life.

 

Facts:

  • Ligament laxity and joint hypermobility is common in young females (children and adolescents).
  • It’s really helpful if you want to dance and do gymnastics.
  • Our research has shown that it doesn’t cause chronic back or neck pain.
  • It can increase the risk for strains and injury to the shoulders, ankles and knees if the muscles around the joints aren’t strong and well coordinated.

 

How can Body Logic Physiotherapy help you?

  • We can help you identify the factors linked to your pain.
  • We can give you exercise programs to get you really strong and in control of your body to do the things important to you.

What is incontinence?

Incontinence is a term that describes any accidental loss of urine from the bladder (urinary incontinence) or bowel (faecal or bowel incontinence).

Common types of incontinence are

  • Stress urinary incontinence, which is bladder leakage with coughing, sneezing or during exercise or sport.
  • Urge urinary incontinence is bladder leakage associated with a strong urge to empty the bladder “when you have to go, you have got to go!”
  • Post prostatectomy incontinence which is bladder leakage following prostate surgery.

Risk factors for incontinence:

Pregnancy, childbirth, menopause, aging, constipation, chronic coughing, being overweight, recurrent bladder infections, pelvic surgery such as prostate and gynaecological surgery.

Treatment of incontinence

Our physiotherapists at Body Logic Physiotherapy play an important role in the treatment of incontinence. There is strong evidence that physiotherapy management is effective and should be the first line treatment for incontinence.

For bladder and bowel incontinence treatment includes pelvic floor muscle training. In some cases the pelvic floor becomes over active and in other cases it becomes weak. We use real time ultrasound to show you how best to work your pelvic floor muscles.

There is also strong evidence for the importance of developing a healthy lifestyle including regular physical activity, sleep, diet and stress management.

A progressive exercise program and self-management plan is the key to controlling your symptoms.

Myths

  • Pelvic floor exercises are easy to do.
  • I go to Pilates so my pelvic floor should be strong.
  • I do core exercises at the gym so I don’t need to do pelvic floor exercises.
  • If you leak you need to squeeze your pelvic floor muscles really strongly.
  • You need to do 300 pelvic floor exercises a day.
  • Pelvic floor exercises need to be done every day for the rest of your life.
  • Because I am older, pelvic floor exercises will not help me.
  • I have tried pelvic floor exercises on my own but they didn’t help my problem so I need to have surgery.
  • Pelvic floor muscles get weaker as you age and there is nothing you can do about it.
  • Pelvic floor exercises cannot help prolapse, you need to have surgery.

 

The facts

  • Pelvic floor exercises are difficult to learn from just reading a leaflet.
  • Many people perform pelvic floor exercises incorrectly and may even worsen their condition.
  • Performing MORE pelvic floor exercises is not always the answer, you have to do the exercises CORRECTLY.
  • It is not just about the strength of the pelvic floor muscles, some people have difficulty relaxing the pelvic floor.
  • If you leak when you cough, sneeze or do exercise, pelvic floor exercises can help.
  • If you have urgency to get to the toilet on time or urge leakage, pelvic floor exercises can help.
  • If you have prolapse symptoms such as heaviness and pressure pelvic floor exercises can help.
  • Difficulty relaxing the pelvic floor muscles can result in difficulty emptying the bladder and cause pain with intercourse.
  • Learning to relax the pelvic floor muscles can improve bladder emptying.
  • Learning to relax the pelvic floor muscles can help to reduce pain.
  • Correct pelvic floor exercises individually taught and supervised by a physiotherapist has the best outcome for managing symptoms of incontinence, prolapse and pelvic pain.

 

How can Body Logic Physiotherapy help you?

  • Identify the factors linked to your problem.
  • Set a plan to help you improve your condition.
  • Teach you how to perform pelvic floor exercises correctly.
  • Personalise and guide you through a structured program.
  • We can help you achieve your goals!

What is pelvic pain?

Pelvic pain is a term that relates to a pain problem in structures related to the pelvis such as pelvis, lower abdomen, bladder, bowel or genitalia. The pain may be persistent or recurrent. Common examples of pelvic pain are bladder or urethral pain, irritable bowel or rectal pain, vulval pain or vulvodynia, penile or testicle pain, coccyx or tailbone pain or pudendal neuralgia. Many people experience more than one pelvic pain condition.

Chronic pain can be very distressing, exhausting and disrupt many important aspects of a person’s life.

Risk factors for persistent pelvic pain:

In many cases pelvic pain may emerge at a time of stress, emotional distress, poor sleep and fatigue causing sensitisation of the pelvic structures.

A person’s response to pain such as negative mindset towards the pain, fear of pain, depressed mood, activity and movement avoidance, can set up a vicious cycle of distress and ongoing sensitisation.

Treatment of pelvic pain:

It’s important to understand that pelvic pain is complex and often multiple factors need to be considered.

Our physiotherapists at Body Logic Physiotherapy play an important role in the treatment of persistent pelvic pain conditions, including identifying the key factors linked to your symptoms, coaching in body relaxation, breathing techniques, relaxed fearless movement, graded activity and sleep rehabilitation.

A long-term plan is the key to controlling this problem and it may take up to 3-6 months to make this plan work. We also work with your doctor and or a clinical psychologist, if additional care is needed.

Myths:

  • Rest is what I need to heal.
  • The surgery has fixed my problem, and it takes time to get right.
  • The amount of pain I feel reflects the damage done.

 

Facts:

  • Graduated movement and exercise is critical for the best possible outcome following surgery, and helps promote healing.
  • Surgery is the first step – but rehab is the next step back to living again.
  • How much pain a person feels is influenced by lots of things like your sleep, thoughts, emotions and activity levels.

 

How can Body Logic Physiotherapy help you?

  • We can set you up with a rehab plan to gradually get you back to the things in life that you love to do….rehab is a journey, we will travel with you.

Your Temporomandibular Joint (TMJ) is the most used joint in the body. Your TMJs (jaw joints) are involved with eating, talking, breathing and, probably most importantly, expressing our feelings and emotions. When it is affected in its ability to function normally, it is known as Temporomandibular Disorder (TMD).

How does TMD present?

People often seek help with their jaw for a variety of reasons and it does not always involve pain. Common complaints include:

  • clicking, popping sounds of the jaw
  • grinding/clenching
  • limited opening
  • pain with eating, chewing
  • Pain can be localised or more spread along the jaw and into the face

It is important to know that headaches, ear pain dizziness and upper neck pain often accompany jaw pain.

The physiotherapists at Body Logic are able to identify the cause as well as the contributing factors of your presentation. Just to name a few: Dental surgery, prolonged mouth opening e.g. dental procedure, poor cervical posture, myofascial pain, stress and trauma.

Management

TMJ treatment and exercises to address:

  • Posture improvement and neck treatment
  • Relaxation
  • Muscle releases
  • Joint mobilisation
  • TMJ movement pattern retraining is an important part of self-management
  • TMJ strengthening and stretching exercises.

Your specific management will be individualised according to your presenting problem.

The Myths:

  • You just have to live with it.
  • All TMJ pain complaints need a splint.
  • Clicking and popping sounds of the jaw are a sign of damage.
  • TMJ is caused by grinding your teeth.
  • TMJ pain will go away once you rest your jaw.

 

The facts:

  • The temporomandibular joint is the most used joint in your body.
  • Teeth alignment, orthodontic treatment, teeth grinding, trauma, poor health and nutrition, and joint laxity are known contributing factors.
  • TMJ pain is usually linked to things like:  being stressed and tense, run down, sleeping poorly, and low mood.
  • People often seek help with their jaw for a variety of reasons and it does not always involve pain.
  • Common complaints include clicking, popping sounds of the jaw, grinding/clenching, limited opening, and pain with eating/chewing.
  • TMJ pain can affect your jaw, ears, head, and more.

 

How can Body Logic Physiotherapy help you?

  • Identify the factors linked to your jaw pain or limitation.
  • Set a plan to help you control your pain. This might involve hands on work, but always an active management plan.
  • Take you on a journey of understanding why it your jaw is sore and what we can do to help you.

Myths:

  • Whiplash means your neck is damaged.
  • With whiplash you need to rest and avoid moving to let your neck heal.
  • Whiplash needs a lot of treatment.

 

Facts:

  • Whiplash can be scary and painful – but it rarely results in long term damage to the neck structures.
  • Whiplash is associated with a strain to the soft tissues (ie muscles and ligaments) that get better with the right treatment.
  • Resting, worrying, protecting the neck, and avoiding movement are the worst things to do following whiplash.
  • Too much treatment can make things worse.

 

How can Body Logic Physiotherapy help you?

  • We can provide you with strategies to relax your neck, be confident, get strong, and moving normally again.
  • We can help get you back to enjoying life as quickly as possible.
  • We don’t over treat whiplash – we know it doesn’t help.