Physiotherapy on Macquarie

02 9252 5770
reception@ssop.com.au
Level 7, 139 Macquarie Street, Sydney

Physiotherapy on Pitt

02 9264 4153
pittst@ssop.com.au
Suite 1, Level 5, 321 Pitt Street, Sydney
 
Sydney Sports & Orthopaedic Physiotherapy

Welcome to our Blog


At Sydney Sports and Orthopaedic Physiotherapy we want to stay connected. In addition to this website, our Facebook page, our LinkedIn account and our newsletter, we thought that a BLOG would be a great way to share our thoughts on Physiotherapy, Pilates, Common Injuries and other topics of interest.


You can follow your favourite physio here and stay up to date with latest news, trends and thoughts from the accessible and highly trained staff here at Sydney Sports and Orthopaedic Physiotherapy. Enjoy.

Preparing for Raceday. A guide for runners on how to make your event one to remember for the right reasons!

Top Tips for Race Day – the essential points to get you to the start line prepared and ready to go.

The Autumn half marathon and marathon season is well under way and I felt this would be a good time to go over the final steps you can take to make all the training over the past months worth their while.

What you do in the final 24 hours will impact on your result. It’s as simple as that. Stress, change in routine, lack of sleep patterns or diet can impact heavily both physically and mentally before the event so it’s important to take measures to minimize them.

I like to be prepared. It doesn’t matter if it’s a 5km fun run right up to the full marathon, I follow the same basic steps over the last day or so to ensure my best chance of enjoying my race.

So here are my Top Tips for Success:

  1. Your race number and chip. Check with the race information packs well in advance of the race day to see how you are supposed to pick up your racing chip and number. Sometimes these will be posted out and other times you will need to register either on race day or the days leading up to it. The last thing you want is to turn up without these and not be allowed to run.
  2. Plan what you are going to wear. Most of us will have broken in our racing shoes but make sure to have worn your shorts, socks and singlet/t shirt on a few long runs. You never know how these will be until you’ve tested them (see my Vaseline point in the Race day pack section below).
  3. Set an Alarm. Even set two alarms! The last thing you want to do is have to rush. You will be nervous as it is and rushing leads to stupid mistakes
  4. Plan your travel time. You will need to leave your house allowing plenty of time to get to the event. I remember my first ½ marathon was in London. The start was at the Millenium dome in East London. On this particular morning the Jubilee Underground line was closed due to a train coming off it’s tracks. This led to both myself and another 15,000 odd runners frantically trying to get to the start line on time via any means necessary. The buses were rammed full so I ended up banding with 4 other runners to catch a cab but a friend of mine had to walk/run 4km just to get to the start line. Probably a longer warm up than I’d advise. So do you research especially if you are not from the area the race is being run. If you are driving plan parking. If you are taking public transport allow time for delays. Don’t leave it to chance
  5. Meals. Try not to stray too far from what your body is used to eating before a run. Leading up to the event it’s ok to try different options and see what works best but the last thing you want to do is change your diet and experiment the night before or the morning of the race. So maybe save that chicken tikka masala until after the race.
  6. Race day pack or bag. Most events will have secure storage facilities for your pre race gear that will be accessible after you’ve finished. Be sure to pack a change of warm clothes and a towel (there is nothing worse than a trip home in wet gear on a rainy day). Vaseline and bandaids/plasters are a great idea for high friction areas especially if its wet. I once finished a race in the rain with blood pouring from both nipples. Aside from being quite a painful it ruined a perfectly good running singlet. I’d also recommend bringing something to eat and drink as well as a roll of toilet paper for the portaloos. Enough said!
  7. Make sure you are clear with what you want to achieve form the race (and stick to that). This is something that you would have been thinking about well before race day. Is it just to finish? Finish under a certain time? Regardless in your preparation you should have an idea of what you want to achieve. My advice is stick to the plan. All the hype, buzz and adrenaline on the day will tempt you to push yourself (particularly at the start when the crowds rush off). Starting at a faster pace than you’ve been preparing for will affect your working heart rate for the rest of the run causing you to work 10-20% harder than you are used to. You don’t need to be a genius to figure out this can have dire consequences on the latter part of the race. So don’t get caught up in chasing the crowds, run conservatively and stick to the pace you’ve been training at (even slower for the first couple of kilometers). If there is still energy in the tank in the last few kilometers, that’s when to use it.
  8. Once you have crossed the line take a moment to get your breath but soon after begin thinking about recovery. Hydrate, get some carbohydrates into your body, do a cool down jog/walk and even try using compression tights. Once you have cooled down get yourself in warm clothing.
  9. Lastly enjoy the run. You’ve trained hard for this and deserve to have a great day. Good luck!
Posted in Ben Waldock, Physiotherapy, Running | Tagged , , , | Leave a comment

Physiotherapy on Pitt is up and running!!

We are happy to announce the opening of a second Sydney Sports and Orthopaedic Physiotherapy clinic at Suite 1, Level 5, 321 Pitt Street. This state of the art, newly refurbished clinic offers all the same high quality service that Macquarie Street and SSOP have become renowned for, just in another convenient location.

Physiotherapy of Pitt is around the corner from Town Hall Station and just minutes walk from Pitt Street Mall. We have fitted it out with the best Pilates and treatment equipment, including real-time ultrasound, to objectively assesses your problems and treat you as effectively and quickly as possible.

Check out our Facebook page to see how we changed a former law office into a modern clinic with a splash of paint, a few mirrors and some new carpet…. Or if you have time, drop on in and we’d be happy to show you around.

For now I (Geoff Brockenshire) am the only physio practicing out of these premises, but with the rate we are going it will not be long before we get more staff on board to help with the amount of patients coming through the door.

We hope that the opening of this new centre will give our patients the ability to recieve the best of care no matter which end of the CBD is easier for them to access. If you have any questions please call Macquarie Street on 92525770 or Pitt Street on 92644153.

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Barefoot Running

When the fifth person presented into my room, complaining a of lower leg running related injury, with the common factor ‘read this book’, I decided I needed to read the book.

 

If you have read the book ‘Born to Run’ by Christopher McDougall you are likely to be ready to throw away your corrective cushioned shoes, drastically change your running technique and start clocking up some long kilometers in almost nonexistent shoes.

 

The latest ‘barefoot style’, minimalist shoe wearing is showing an increase in different running related injury presentations to the clinic. So…. lets help you out if you are deciding whether to trial the, ‘less is best’ approach to your running.

 

As for everything, what is good for one person will not be good for everyone. Before taking the leap there are some important things to think about:

- Do I have an existing problem?

- How supportive have my shoes been?

- How far have I ran in the last month?

- Is my pelvic and hip stability adequate?

- What are my mechanics like?

- What are my goals?

 

Evidence:

Wearers of more expensive running shoes is associated with higher prevalence of running-related injuries. (Robbins and Gouw, 1991)

 

Standard running shoes reduce sensory feedback.

There is no significant reduction in ground reaction force with heel cushioned shoes.

 

So……

If you want to go minimalist, I would suggest rebuilding from the start. Walking with less supportive, cumbersome shoes first. Check your strength and running technique, start small and build slowly. The body needs time adapt.

Posted in Running | Comments Off

On Wednesday 14th March our physiotherapists gave a lecture on Running Analysis & Biomechanics.  You can read the presentation by clicking the below link:

Introduction to Running Assessment

You can also check it out, and read our other latest news on our website.

Posted in Ailish Toomey, Brad McIntosh, Geoff Brockenshire, Kerry Jacobs, Physiotherapy, Running, Stuart Baptist | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , | Comments Off

Higher level core training video

I found an interesting video on vimeo from a Canadian PT called Jon-Erik Kawamoto. I’ve been watching his home made video’s for a while now. Some of the exercises he shows are similar to ones that we give in our Athletes pilates class.
I would recommend these exercises to people who are painfree and want to push themselves a little harder.
Worth a look as he does gave great postural control.

Posted in Common Injuries, Physiotherapy, Stuart Baptist | Tagged , , , , , , , , | Comments Off

Exercise Adherence Techniques

50% of people who start exercise programs will drop out within 6 months.
Effective physiotherapy treatment involves the use of ongoing home based exercise programs and will always encourage an increase in overall activity levels.

See the problem??

So….To help….Here are a list of 8 techniques to help you stay on track for longer and get better results.

1.You are more likely to stick with your program if it is fun and convenient. Choose the most convenient time to exercise with the least distractions. Find activities that you enjoy.
2.Start gently…Studies have demonstrated you are less likely to continue your program if you exercise at higher intensities too soon
3.Establish a routine so physical activity becomes a habit and if you feel like NOT working out, agree to yourself to have a very short, light workout instead. BUT DO SOMETHING
4.Perform a variety of exercises and activities and include your friends.
5.Set Goals. (both short, medium and long term – if you dont know how to your physio/trainer can help you)
6.Monitor your progress. Make time to review your aims and goals and ensure that you are moving forwards by setting up reviews with your physio/trainer.
7.Reward yourself for being compliant and sticking to the program.
8.We all know that rehab exercises are more boring than general exercise so mix the boring exercises in with the more fun stuff.

Remember outcomes happen providing your stick to the program for long enough.
Keep on exercising!

Posted in Stuart Baptist | Tagged , , , , , , | Comments Off

Have you started training for the Sydney Morning Herald Half Marathon yet?!

With only just over 12 weeks to go, it’s the perfect time to start a training program to get you strong and fit for this. As everyone knows, Sydney is a hilly place, so the stronger your legs are, the easier you’ll find it to get through the 21.1km.

Running is high impact and can put great stress on the lower back and lower limbs. Any imbalance in the muscles of the legs and hips can cause pain and injury to a runner, especially in the knee and hip.
Pilates focuses on pelvic and hip stability and improving core control during lower limb movement. Improving the recruitment of key muscle groups and the flexibililty of muscles that tend to become tight and overused while running , will help prevent injury.

As any of you who have worked out on a pilates reformer or chair will know, they are one of the best ways of strengthening your quads and glutes in a controlled way, to help you power up those hills.

Our next term ( 8 weeks) of pilates classes starts the week of Monday 12th of March. The Cardio Pilates classes will be aimed at strengthening the legs so will be a great way to compliment your training, if you are planning to run the half on Sunday May 20th.

In the mean time, an exercise to get started on to improve your stability is ‘swimming’:

- Come down onto your hands and knees and settle your lower back into its’ neutral position. Also ensure that your head and neck are in the correctly aligned position.

- Inhale and as you exhale, gently switch on your core.

- Inhale again to prepare, and then while exhaling, slowing slide one leg and the opposite arm away from each other, and then hover them off the floor.

- What to watch for is that you don’t let your back arch while lifting the leg, you don’t let the shoulder of the supporting arm hitch up towards your ear, and your don’t lean over to the side of the supporting leg!! Not much to ask….really!

- And then lower the arm and leg down as you breathe in again.

- Alternate sides. Repeat 15 on each side.

….basically, you’re challenging yourself to stay as still as possible as you stretch one arm and the opposite leg away from each other.

If switching on your core, neutral position and correct alignment make no sense to you…it’s time to start doing pilates!!!

Posted in Ailish Toomey, Pilates, Running, Uncategorized | Comments Off

The Best Exercises for the Gluteus Maximus and Gluteus Medius

A recent study from the Journal of Strength and Conditioning Research looked at the electomyographic activity in gluteus medius (stabilizer) and gluteus maximus (phasic muscle) during different exercises. This information is helpful when deciding which exercises to perform. Do you need/want to improve stability around the hip? Or increase the fast twitch global strength?
Based on the results of this study, we can identify exercises that produce the highest amount of EMG activity.

Gluteus Medius
Side-lying hip abduction – 81%
Single limb squat – 64%
Lateral band walk – 61%
Single-limb deadlift – 58%

Gluteus Maximus
Single-limb squat – 59%
Single-limb deadlift – 59%
Sideways, front, and transverse lunges – 41-49%

In addition to the manuscript, there are good video demonstrations of the exercises and a PowerPoint presentation which are freely available at the JOSPT website.
Clinical Implications
So what do we take from this study?
1. Side-lying hip abduction is a great entry stage isolational exercise. EMG activity was almost 20% higher than the next exercise.
2. The single limb squat and single-limb deadlift exercises activated high amounts of EMG activity for both muscles, and would be a logical progressional stage
3. The clam exercises produced EMG activity between 34-40% for both muscles. While this is low in comparison to other exercises, the authors did not use resistance during testing. I would still use this as an early activation/isolation exercise but add a resistance band around the thighs to upgrade it to a mid stage strength exercise.
4. The lunge exercises produce a moderate amount of EMG activity and are likely good early-stage exercises to progress to prior to the single-leg squat and deadlift exercises, the twisting lunge is also a great final stage functional sport specific exercise.

If you have any specific hip issues and want a chat about them, feel free to e-mail me at stuartbaptist@ssop.com.au

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What Pillow is best for me?

This is a really common question for us physios to get.

The answer is (as you would expect…) not so simple! There really is no one best pillow. The concept of a pillow is to support the natural curves of the spine when you are sleeping.

Of course then the most important question is then…how do you sleep?

On your side…
You would benefit from a medium to firm pillow that will not compress unduly (like soft down pillows) with the constant pressure of the weight of your head. These types are worthy of a mention but you would be wise to go to a shop and try before you buy as we are all different sizes and it is often beneficial for wider shouldered individuals to have a small flat pillow as well as this to make up the size gap.

On your back…
In this position you would benefit from a memory foam pillow. Firmer than the sidesleeper’s requirements by a stretch.

On your stomach…
You are the bane of physios lives!!! This is a shocker of a position and no real pillow can offload the fact that you are face down rotated 90 degrees just to breathe! However this body pillow can work to coerce you into more of a sidelying position.

Most people with neck pain will definitely benefit from reviewing their pillow type. However I still think that improved active postural control throughout the day is an even better management strategy to improve neck pain in the long term. There is never a magic cure all…Good outcomes inevitably takes effort too.

Happy zzzzzzzzzz’s

Posted in Head and Neck, Physiotherapy, Stuart Baptist | Tagged , , , , , , , , , | Comments Off

A quote from the man himself…..

“I must be right. Never an aspirin. Never injured a day in my life. The whole country, the whole world, should be doing my exercises. They’d be happier.” – Joseph Pilates

Posted in Ailish Toomey, Pilates, Uncategorized | Comments Off

Sydney Sports & Orthopaedic 	Physiotherapy