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Frozen Shoulder. . . In winter!?. . . . Ouch!!!!

Otherwise known as adhesive capsulitis, frozen shoulder is a nasty problem to deal with.

In a nutshell. . . .

Often for no obvious reason, but sometimes following surgery or a period of no movement, the capsule surrounding the ball and socket joint of your shoulder becomes inflamed, stiff and thickened. This prevents most of the movement available in the shoulder.

 

What to look out for:

Difficulty with general shoulder movement, in particular reaching above your head, reaching your back pocket or difficulty brushing your hair. There may also be pain when lying on the shoulder and the pain may be worse at night, or in the cold weather.

The long and short of it. . . .

Left untreated, frozen shoulder can last up to 2 years, the longer it stays in the system, the more likely it is that the muscles around the shoulder joint shorten, weaken and stop functioning.

What can physio do for you?

Most importantly, a Life Ready Physiotherapist can assess and correctly diagnose your shoulder problem. There are many other disorders that be be disguising themselves as adhesive capsulitis.

Treatment includes things like soft tissue release, dry needling, joint mobilisation, capsule stretching and home stretching exercises. An overwhelming majority of cases can be treated effectively with good physio care.

 

Don’t leave that shoulder pain untreated, come in and see one of our fantastic physiotherapists pronto!

Jess

Welcome Scott Garvey to Life Ready Perth CBD

Life Ready Physiotherapy and Pilates is excited to welcome Scott Garvey to the team. Scott will be based out of our Perth City/ CBD location helping people reach their best quality of life.

You can learn more about Scott at our staff profiles page or at our Perth CBD/ City services page

http://www.lifereadyphysio.com.au/staff-profiles.html

Winter is here.Tips to keeping fit and healthy over the winter months.

We all know that once it hits winter-time it is much more difficult to find the motivation to exercise. When the alarm rings and it’s cold and dark outside the urge is to click snooze, but resist!

Throughout the winter months research shows a significant increase in joint pain, lethargy, psychological effects and many more negative weather-related symptoms, giving us all the more reason to stay fit and healthy to combat these effects!

Mindset:

Focus on and remind yourself of the benefits of exercising over winter. Just some of the many benefits include:

  • Reducing your chance of catching the common cold or flu
  • Improves your mood on those gloomy days
  • Reducing your stress levels
  • Increasing your energy levels
  • Keeping you from being overwhelmed by weight gain

You may have your own reasons for wanting to stay fit over winter, write these down and keep them somewhere that will continue to reminder you of the benefits.

Set a goal:

Having a goal to reach will remarkably increase your motivation to exercise. Your goal may be to loose a few kilos, or to increase how many times a week you’re exercising, or you may be training for an event, e.g. a Fun Run.

You may also want to fit into that bikini by the time summer comes around, or look the way you did a couple of years ago, if so find a picture and place it alongside your benefits of exercising as a visual reminder of your goal.

Dress well:

It may seem simple but a small investment into the correct clothing for winter exercise can be the difference between choosing to hit snooze or taking the leap to get out of bed and into exercise. Knowing you are getting out in the cold to exercise but are wearing clothes that will keep you warm can be motivating in itself.

Find something you enjoy:

Exercising in winter doesn’t have to mean a boring workout at the gym, winter might just be the perfect time to find a new activity that you enjoy or to return to a sport that you once loved. For example:

  • Badminton
  • Cycling, indoor or outdoor
  • Dancing
  • Fencing
  • Fitness Classes
  • Football
  • Pilates
  • Yoga
  • Martial Arts
  • Tennis
  • Squash
  • Swimming

 

Eat well:

We all have the urge to enjoy hearty pastas and lavish desserts in the winter months, which  you must reward yourself with on occasion after all that exercising! A great way to reduce your intake is with yummy, warm soups, these give you that cosy warm feeling as well as being packed with nutrients.

Here is a handy link for more info on keeping fit over winter:

http://www.abc.net.au/health/features/stories/2008/06/24/2280049.htm#.UYms578zklI

 

 

 

Welcome to Life Ready South Perth

Hello all and welcome to Life Ready Physio South Perth!

We are very excited to have opened the doors of the newest addition to the Life Ready Family and our first clinic south of the river.

The Life Ready mission to inspire our patients to strive for their highest quality of life remains central at South Perth. This will be achieved by our commitment to providing exceptional patient care.

Our clinic is located in the iconic building that has been well known in the South Perth and Como region as Bourke’s Real Estate for over 20 years.

We have spent the last few months preparing for what we believe will be our most appealing clinic yet. Patients arriving early for an appointment will be able to sit back on our comfy couch, enjoy a freshly brewed Nespresso coffee and relax before continuing their healing process!

As well as the usual ‘hands-on’ physio techniques, we will be offering individual and small group Clinical Pilates classes.

We are also excited to announce that we will be working in conjunction with podiatrist Dr Ben Morrell and a massage therapist, who will assist us in offering the optimal care for patients, as both will be operating from our South Perth clinic.

Life Ready South Perth will bring a fresh, vibrant approach to physiotherapy care in the South Perth / Como area and we hope to service the surrounding suburbs of Kensington, East Victoria Park, Mount Pleasant, Applecross, Bentley, Karawara, Manning, Salter Point and beyond! We will be a clinic for all ages, occupations and lifestyles.

We will stay actively connected and work in partnership with local businesses, community groups and sporting clubs around South Perth and Como as we feel this is crucial to achieve our mission of inspiring people towards their best quality of life.

With ample on-site parking, please feel free to come in, have a coffee and a chat and see what our clinic has to offer.

Tom Harrington

 All the best from Tom and George

 

Pass the Sugar

Easter is just around the corner and, for what seems like months, grocery stores have been stocked full of chocolate bunnies, hot cross buns and other sugary Easter treats.  I am willing to bet that most of you have already had your fair share of Easter lollies. I know I have. Who can resist? They taste wonderful! And if taste weren’t enough, the visual and olfactory appeal further eggs on consumption.

But let’s be honest. It doesn’t take Easter, or any other holiday to consume our fair share of sugar. Worldwide sugar consumption is on the rise. Over the past 50 years consumption has tripled! One reason being the amount of processed food we eat. Sugar finds its way into our bellies by many forms: sports drinks, juice, yogurt, cereal, canned fruit/veggies, nutrition bars, crackers, virtually all processed foods, and even some prescription medications will list some type of added sugar on the label.  Read the labels in your pantry and you will be surprised by the amount of food that contains added sugar.

So what’s the big deal?

A healthy diet will contain many naturally occurring sugars, which is not harmful to the body.  But the average diet includes too many processed foods with excess added sugar. Overtime this becomes harmful to the body.  Some examples include:

  • Hypertension
  • Pancreatitis
  • Obesity
  • Malnutrition
  • Cardiovascular disease
  • Gout
  • Fatty liver disease
  • Skin irritation
  • Fatigue
  • Headaches
  • Depression
  • Dental caries
  • Increased risk of cancer

Sugar is also thought to act on the brain in a variety of ways. Some of which include dulling the brains ability to realise you are full. So, you reach for seconds, maybe thirds, and continue snacking throughout the evening. It is also thought to stimulate the hormone serotonin and neurotransmitter dopamine.  This creates feelings of happiness, pleasure and reward. Sugar can become addictive in this way as the brain seeks more of this reward.

Sugar is not new to our diets. It has been long consumed since ancient times. And we should continue to enjoy it – so long as it’s in moderation with a well-balanced diet. Current recommendations for sugar consumption are 10% or less of your total energy intake.

So this Easter, don’t feel guilty for eating that chocolate bunny. But be conscious of your overall consumption and don’t forget to account for those hidden sugars among processed food.   If you’re looking to cut down your intake here are some ideas:

  • Cut down on processed foods and eat more green, and natural whole foods – when you feel healthy you won’t want to eat junk food
  • Take up regular exercise, a regular routine will have you craving healthier foods. Refer to Shane’s previous posts for ideas on how to get started
  • Drink more water, thirst is often mistaken for hunger
  • Do a sugar cleanse for a minimum of two weeks, once your body remembers how it feels to be sugar free you won’t want to go back

Wishing everyone a happy and healthy Easter long weekend!

Tisha

PS

Check out the links below for some additional information:

http://www.cbsnews.com/video/watch/?id=7403942n&tag=contentMain;contentAux

http://www.hungryforchange.tv/article/how-to-spot-sugar-on-food-labels

http://articles.mercola.com/sites/articles/archive/2010/04/20/sugar-dangers.aspx

 

Time to join a gym!

Ok so summer has officially been and gone and a lot of us have joined a gym (or at least thought about joining). The gym is a great way to get in shape, stay fit, healthy and keep us evil physios away. Whether you train alone at home or if you have a personal trainer, having some understanding about your gym training will help you reach your goals.

Firstly it is quite daunting to join a gym. You can feel self-conscious about your own body when seeing so many fit young ones. Remember, everyone feels like this when they first join. Don’t be discouraged! This feeling will go. Remember to concentrate on your own workout and reaching your own goals. Otherwise there are other options such as joining a smaller gym, you could go to the gym at off peak times or working out at home.

Set Goals to keep motivated and monitor progress!

Once you have joined a gym, you need to set your goals. Determining whether you want to lose weight, build muscle, tone up or increase your fitness will shape your training. Keeping motivated is the hardest part of maintaining a healthy lifestyle. The best way to do this is to set small, realistic, achievable goals that are directly targeted to reaching your overall goal. For example; if you want to get fitter, aim to increase your running distance or speed every week. If you want to improve your strength, then keep a note pad and document your weight increase. If you want to lose weight, keep a weight log and set small, easy goals for each month.

Personal trainers:

Personal trainers are a tremendous help to stay motivated, to increase your productivity and to guide you through personalised routines. However some caution needs to be applied. Again, know your own goals and work with the PT to reach them. Remember the PT is there to facilitate your own goals, not theirs. Finally, know your own limitations and inform the PT if you have any problems. Remember getting your PT to contact your Physiotherapist, is a great way to tailor a gym program to suit your needs and to prevent injury.

Starting out:

Everyone has to start their gym program at a very low intensity. Ensure your weights or cardio level is low enough for you to have good technique. One of the most common complaints we see is that people try to push themselves too quickly during their first few sessions and begin to develop problems due to bad technique. By starting out light, you will build good technique and a good foundation of muscle strength and control and will actually improve your muscle strength/ fitness much quicker than if you start with heavy weights.

How many days will you train?

This will determine what muscles you work on each day. Remember larger muscles need a longer time to repair. Your muscles grow while they are repairing after they have been trained, so over training a muscle will not improve your muscle gains. Once a muscle has stopped being sore and tender to touch, then this usually means it has recovered and is ready to train again. Generally smaller muscles such as your calf, biceps, triceps and abdominals are all small enough to be trained multiple times a week. Other muscles such as your gluteals may require a full 5 days to repair.

Overtraining:

If you wake up tired in the mornings and have trained excessively hard, then there is a good chance that you have over trained your body and you need a rest. For best gains, ensure you have adequate sleep and rest between sessions. Overtraining can affect your immune system, can make you feel tired and will reduce the effectiveness of your seasons. Progress your exercises wisely, ensure for slow, gradual increases.

Cardio:

Pick a cardio exercise that you enjoy doing to ensure you stay motivated. Again try to vary your cardio exercises, to prevent overuse or injury.

Working complimentary muscle groups:

By choosing an exercise that involves more than one muscle group, you can maximise the effectiveness of your workout time and get a full body workout with only a few exercises. These exercises are actually more functional, as we rarely use just one muscle at a time. Compound exercises include: squats, lunges, chin ups, rows etc.

Choose Free weights over machines:

Free weights are much more beneficial for your work for a number of reasons

- They are more functional

- They work more muscles

- They burn more calories

One study that appeared in the “The Journal of Strength and Conditioning Research,” showed that free weights exercises had a 58 percent greater strength increase than individuals who used resistance-training machines. The study also showed that free weight training had 196 percent increase in balance when compared to machine use only.

Vary your training:

The body is extremely good at adapting to exercises. If you continue to do the same exercise every session, you will soon hit a wall in terms of your gains. This is because the body quickly gets used to the exercise and becomes really efficient at it. For best results vary your work out!!! This will also prevent injury from bad technique or overuse.

Nutrition:

Nutrition is almost as important as the work out itself. A low fat, high protein diet will ensure weight loss and muscle gain. For both cardio and weight training, sufficient protein is required to build muscle. One myth that we hear a lot is that you should cut out carbohydrates. Carbohydrates are the body’s fuel and are needed to ensure you have an adequate energy level. High training loads require some carbohydrates.

Pre work out food:

As a general rule, you should eat 30 to 90 minutes before a workout. Keep it mainly in the carb family. Avoid high fibre meals as they are less easily digested.

If you work out in the mornings, make sure you wake up early enough to have breakfast. If you don’t have time for breakfast, sports drinks or bananas are a good source of energy. If you have to work out within an hour of breakfast, keep it light!

Cardio requires a higher carbohydrate pre work out to ensure you have enough energy to perform well. These are absorbed quickly and should be taken an hour before training. Strength training requires a higher protein intake which will take longer to absorb, so aim for 1-2 hours prior to working out.

Post work out!

The body needs protein to help build muscle. This means you should try to have some form of protein within 2 hours of training.

Hydration:

It takes the body a couple of hours to absorb water. Ensure you regularly drink water throughout the day not just while training!

Work harder not longer.

Try to keep your training down to around 45 minutes. This ensures that you can maintain a high intensity workout for the whole time. If you increase your work out time, you will have to increase your rest periods and the workout will become less effective.

So if you are sick and tired of waking up feeling like this: then maybe its time to get fit and try joining a gym!

I hope this information helps you to improve your understanding of your workout! A little knowledge will help you reach your goals so much quicker and with less effort. Please email us for more information or ask your personal trainer.

 ENJOY!

Swearing: Why it feels so good, when it hurts so bad!

Swearing: Why it feels so good when it hurts so bad!

Physiotherapists’ goal with treatment is to reduce pain and improve quality in life. Those who have experienced physiotherapy treatments would know that at times in order to reduce pain, we often have to perform certain techniques that cause discomfort in order to give overall relief.

Being “cruel to be kind” or “short term pain, for long term gain” are common phrases used by patients to describe their therapists’ methods, but of course it’s all about the end result.  In my experience patients have their own coping mechanisms to help them through these uncomfortable moments, some of these include:

  • Deep Breaths
  • Trying to find their “happy place”
  • Thinking about the glass of wine they will have once they get home
  • Teeth Clenching
  • Moans of discomfort

The most common coping technique used is a good old fashioned curse. I could fill this blog with a list of sensational profanities that I have heard resonate of the four walls of my treatment room, and it’s not always the people who you expect. So why does a good, not so old fashioned,  $@#! feel so good. Well new research has the answer.

A study by psychologist Richard Stephens at Keele University in the United Kingdom asked a group of college students to submerge their hands in freezing water for as long as they could bear.  The first time they were allowed to repeat a “control” word, a word chosen that might use to describe a table e.g. “Sturdy”.  The second time they were asked to repeat a swear word of their choice (I’ll let you decide what word you would use, I know mine). Researchers found that 73% of the participants kept their hands under water longer whilst swearing. Interestingly, however, the more frequently participants reported swearing during the course of their daily lives, the less effective cursing was at killing pain.

It seems that swearing may help relieve pain by activating the brains’ endogenous opioids, the natural pain-relieving chemicals whose effects on the brain are similar to pain drugs like morphine and oxycodone. But as with opioids, repeated swearing may increase people’s tolerance to their effect.

So next time your in your physiotherapists room and they are reciting “no pain, no gain”, whilst improving your well being, I suggest swearing as way to help get through it. Just let the therapist know that it’s a part of the “oral medication”, and make sure its not directed at them of course. I might also suggest minimising volume if possible, the new patient in the waiting room does not need to hear it. But remember, it only works if you don’t swear often, so save those swears during the week, maybe start a swear jar, and when its time to use them, try make them creative for my benefit.

Matt Thomas

Summer Runnin’

Summer Running

It seems like summer is on its way, and with the dawn of summer comes a renewed desire to get fit before the beach season hits hard, as well as the sundowners and festive season where everyone tends to over indulge!

So with ‘getting fit’ and ‘looking good’ sitting on our shoulders like annoying pests, many people will try anything to fast track their fitness and lose weight by turning to running, which many consider to be the quickest and most effective method of losing a couple of kilos (obviously in conjunction with a sensible diet, minus the donuts!).

There are a couple of things to think about when taking on a running program if you are new to the sport.

1. Footwear.
Here are a couple of points to consider.
A. If you can easily compress your current shoe lengthways from front to back then you probably need a new pair of sneakers!
B. Before buying a pair of sneakers, take a look at the sole as this will give you and idea as to the type of shoe you require. For example, if it looks like you have worn out the outer edge, you may be supinating, requiring a neutral cushioned shoe. If you wear out the inside edge, you may be over pronating, requiring a shoe with motion control. If the wear pattern is fairly uniform through the middle then a neutral shoe could be fine (www.therunningadvisor.com).

Everybody is different. Our feet have different widths and arch heights, which will affect how we load our feet and absorb shock. Other things that will come in to play are the surfaces you run on, your weight and of course your biomechanics i.e. how your body is aligned.

Footwear can be loosely classified into 3 areas. These are the degree of motion control, stability and cushioning. Some shoe stores will have a motion control assessment tool that can analyse your load through your feet which can be helpful in choosing the footwear which is right for you. Other stores will analyse you within the shoe and get you to do various activities such as walking, running and single leg squatting.

In a normal foot, the individual first applies pressure on the outside border of the heel and rolls inwards to distribute weight and absorb shock. This foot would not require a shoe with motion control, but a neutral shoe such as The Brooks Dyad, Ghost or Launch; or the Mizuno Wave Creation may be appropriate. Obviously the best shoe for you has to be comfortable.

For a foot with has a lower arch or is quite flat, the individual strikes on the outer heel edge and rolls inwards beyond the norm. This is called pronation. Often people who have flat arches can go about their daily lives without any issues, however, sometimes if these people increase their training loads without the necessary support then this can cause problems. Issues frequently seen in runners, complicated by pronation include shin splints, anterior knee pain, iliotibial band friction syndrome and hip pain. In these cases it is important to address the lack of control in the foot by prescribing a shoe which will suppliment the deficiency in the arch. This is where motion control shoes can help. Often there will be a reinforced, firmer part to the sole to reduce the pronation in the forefoot. Some shoes which can perform this job well are the Brooks Beast or Addiction, as well as the Mizuno Wave Alchemy.

On the opposite side of the coin are those people with a very high arch or supinated foot. Why would this be a problem I hear you say? Because these feet lack the mechanism to absorb shock and subsequently these feet require more cushioned footwear (http://www.runnersworld.co.uk).

If you currently wear orthotics, it’s a good idea to bring them with you when trying shoes. This will give you a more accurate idea of how the shoe feels as comfort is the most important aspect to consider. If you’re going to be spending time in those shoes you don’t want to be thinking ‘my toenail feels like it’s going to fall off’ or ‘is it time to turn around yet?’.

Local stores such as Sports Fever or The Athlete’s Foot should be able to help you out.

If you fancy doing a bit of research check out brooksrunning.com or mizuno.com.au for some descriptions of neutral, motion control and cushioned footwear.

2. Niggles
With any new activity, increase in load or change in surface, we can be prone to niggles. The key is not to allow these niggles to turn into something more serious. The rule of thumb should be, ‘if it hangs around, check it out’. Most post activity soreness should resolve after the first couple of days, but if this is not the case and if it continues to happen, it’s best to see someone about it. It may be that you’ve just gone too hard too soon or maybe you have some underlying weakness or tightness. Whatever it is, at least you can get on top of it sooner so that it doesn’t interfere with your goals.
If you are struggling with any sporting injury, our physios can help. Just click on the links to any of our practices for our contact details, or even flick us an email. We’re here to help!

3. Adequate warm up and stretching
There is no firm evidence to support cold pre-workout stretching, however dynamic stretching can be beneficial as it increases your heart rate, body temperature and blood flow. Before your actual run, do a gentle 5 minute run and then follow with some leg swings and stretches. Following your activity you should dedicate some time to a proper stretching session for 20 minutes if possible to prevent injury. Check out this link on the Runner’s world website for a video on various types of dynamic stretches http://m.runnersworld.com/article/0,7120,s6-241-287–13442-0,00.html

I hope this has been helpful. Go on, get your run on!

Benefits of Clinical Pilates

Clinical pilates is a rehabilitation form of treatment focusing on restoring normal movement, posture and muscle balances within the body. This is targeted at specific areas  to promote healing, to prevent re-injury and improve overall mobility and function.

Chronic Spinal Pain: If you suffer from ongoing back or neck pain its likely clinical pilates exercises are for you! The exercises facilitate segmental spinal mobility meaning we get you to move at each segment of your spine, which will decrease stiffness and therefore pain. Focus will also be on strengthen surrounding muscles and posture to offload pressure on the spine and prevent this stiffness/pain re-occurring.

     

Athletes: Clinical pilates is commonly used in athletes recovering from injury from initial rehab exercises to facilitating their return to sport. It is also used for preventing injuries by assessing athletes posture and movement and starting sport specific exercises to improve muscle balances and control in order to enhance performance and eliminate potential of injury.

Pre and Post Natal: During pregnancy there are changes in hormone levels which affect posture and can result in musculoskeletal pain. To prevent this it is important to continue with gentle exercises which your physio can provide you specific to your stage of pregnancy. For new mothers clinical pilates works on strengthening lower abdominal and pelvic floor muscles which are weakened during pregnancy and birth. Abdominal diastasis (separation of the abdominal wall) is a common side effect following pregnancy. There are a number of clinical pilates exercises which will help to strengthen the lower abdominals and facilitate realignment of the abdominals.

Postural Retraining: The majority of aches and pains are caused from poor posture, but we all know it takes a lot of concentration to change your posture, which in reality rarely ends up happening! Your physio will help you find your posture by stretching and lengthening tight muscles and strengthening weaker postural muscles. By doing a regular class under the supervision of your physio, you will be able to strengthen yourself in this position and you will soon find it carries over into everyday life.

                                       

‘Core’ Strengthening: Whether your a gym junkie or you live a sedentary lifestyle your poor ‘core’ muscle control could be the cause of your frequent injuries! People can be strong in their global (bigger muscles) but still be weak through their local (smaller postural muscles.)  If these muscles aren’t working properly to hold your body in a good position, you then take more stress through the ligaments and joints increasing the risk of injuring them. Your physio can provide you a program to get these muscles back on track!

Pre and Post Surgery: Before surgery it is beneficial to strengthening surrounding muscles as they can assist your body during recovery. Following surgery the muscles at your incision site are weakened and you may have decreased movement through the area. Clinical pilates rehabilitation will help strengthening these muscles and assist you to a speedy recovery.

Call us today on 9276 6155 to book your initial assessment and we can formulate you a program specific to your needs.

Katie :)