(07) 3511 6352

4/219 Given Terrace Paddington, 4064, QLD

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General and Family Physio

Physiotherapists are like a mechanic for the body. When you have a problem with your car, you take it to the mechanic – when you have a problem with your muscles or joints, or sometimes before you have a problem, then you should see a physiotherapist. At Paddington Physiotherapy our treatments achieve, maintain and restore maximum functional ability and movement. It is important for us to discover the cause or causes of the problem. This means we thoroughly assess, diagnose and treat the joint, nerve and muscle conditions that may be causing your problem.

We have a specialist in sports physiotherapy to help you bounce back from an injury or improve your current performance. Conditions we commonly treat include headaches, neck pain, ankle sprains, lower back pain, knee pain and injuries, foot pain, and shoulder injuries.

Treatment Techniques

Some of the techniques Paddington Physiotherapy use include:

  • Therapeutic exercise for flexibility, strength and control
  • Massage techniques such as deep tissue massage and trigger point release
  • Joint mobilisation and manipulation
  • Orthotic and footwear advice
  • Ergonomic advice for your office
  • Individualised exercise programs to assist in your recovery
  • Electro physical agents such as ultrasound
  • Advice and education about your condition and things you can do to help in your recovery

It's important to get checked for limited range of movement, muscle imbalances or muscle weakness, which all lead to problems such as reduced functionality or pain.

We can help you to understand ways you can reduce the risk of osteoarthritis, osteoporosis and age related injuries. There is often an increased prevalence of certain conditions as people age however age is not necessarily the reason for the condition occurring. For example; on MRI a high percentage of asymptomatic people have degenerative changes, so you can have degenerative changes on scan but no pain, and then a week later you can do something and have pain. This pain is very amenable to physio treatment – we can get you back to having no pain even though you have changes on X-ray.

We believe in early intervention and prevention – we help the weekend warrior do their first marathon, first triathlon or start a walking regime. We can check that your shoes are the right ones to suit your activity levels, your foot and your gait. If you want to know how Paddington Physio & Podiatry can help you, then call us today on (07) 3511 6352.

Your Physiotherapy Questions Answered

What are the injuries that you see the most?

At Paddington Physiotherapy we see a lot of lower limb injuries (hip, buttocks, hamstrings, quads, knee, calf, shin splints, heel pain and foot injuries). We can help with stopping bunions from progressing and can improve your function and strength in the lower limb. We endeavour to fit your exercise regime into your lifestyle as much as possible. If you don’t like Pilates we will not force you into Pilates classes you can get core stability in other ways. If you want to run, we will help you return to running. If walking is your chosen exercise regime we will assist you into a walking programme.

I’ve been told I need a total hip replacement (THR) or total knee replacement (TKR) but I’m too young – what do I do?

Joint replacements are generally thought to last about ten years prior to needing revision surgery. You cannot have multiple joint replacements on the same joint so it is most often beneficial to delay surgery. If you have a hip replacement you need to allow an extended period of time off work and spend time doing your rehabilitation so sometimes one of the benefits of delaying surgery is to fit it in when it is most convenient with your lifestyle and work commitments. Our physios can help you manage pain, regain some range of movement and strengthen up your hip area. Many of our patients have been able to put off having a hip replacement for over ten years without any increased levels of pain and with much better function.

I’ve been told I need a total knee replacement (TKR) but I am too overweight – what can I do?

It is a difficult position to be in when you need to exercise to help with weight maintenance or loss but cannot because of knee osteoarthritis or degeneration especially if a joint replacement is required but the risks are too high when overweight or obese. Our physios have helped many patients manage their knee condition so that they can return to exercise. Sometimes in losing the weight and doing the prehabilitation they have found that they no longer need the joint replacement. A programme of treatment with our physios can make your joint replacement surgery safer and sometimes gives you the choice to delay it indefinitely.

I have degenerative changes in my meniscus and knee should I have an Arthroscope?

The current research suggests that degenerative knees and degenerative cartilage symptoms in the knee do not benefit substantially from arthroscopic surgery but are more likely to benefit from physio management. Acute locking episodes and traumatic tears of the meniscus, however especially in younger patients, do still get better outcomes with surgery. Your physio can help you with the diagnosis of your knee injury and discussing your prognosis.

Can a physio help with Headaches?

There are a number of headache types that physio can assist in resolving they include;

  • Cervicogenic headaches, which are caused by the joints and muscles of the neck. These headaches will regularly refer to the eye socket and can often feel like someone is poking a pencil in your eye.
  • Tension headaches, which are caused by the muscles of the neck pulling on the muscles of the scalp.
  • Pre Migraine. A neck headache can be a trigger for developing into a true Migraine so often if you manage the neck headache early you can prevent it from progressing. Improvements in neck range and function may be able to help you reduce the number of migraine episodes you experience.
  • Post Migraine, many people experience a residual neck headache and restriction of neck range of movement after a migraine. This will respond quite well to physio management and can help faster recovery and help reduce further episodes of migraines.

Can poor posture led to injury?

It has been fairly difficult for researchers to definitively prove that posture has an effect on the development of injury, this is likely to be because some people just manage to get away with bad posture without injury and thus skew the research results. However, there have been plenty of studies that suggest that posture can affect mood and can affect the way other people perceive you. You can also easily demonstrate that your posture affects the amount of range that you have available for certain joints to work in e.g.: sit in a very slumped, C-curve position and try lifting both your arms straight up in front of you, you come to a stop. Then try sitting up tall with your head on top of your neck and lift both arms and you will find that you can easily make full shoulder range.

Clinically, we find that patients get much better, much more quickly if they are able to spend more time in a good position than in a bad position. Our spines have curves in them to increase the structural strength if we maintain those curves well we take the weight of our very heavy heads more easily.

Another obvious example of posture affecting your movement is at the shoulder. The scapula or shoulder blade is mainly held in place by muscles, which essentially means that you decide where you are going to put your shoulder blade. If you elevate it as you slump, it will not be able to move as well as you lift your shoulder and it will block the movement.

I hurt myself at work. What should I do?

If you have had a gradual build-up of symptoms it is often most convenient to see the physio as a private patient. If you have had an incident where you have injured yourself at work (or on the way to or from work) you should report it to your employer, see your GP for a medical certificate and a referral to physio and then lodge a claim with Workcover. We are able to assist most workers back to work having missed very few days. You may be able to go back to restricted duties, shorter hours or modified duties. If you seek physio treatment early you can usually resume your normal lifestyle faster.

I’m going to have surgery – should I see a physio?

There’s a lot of evidence emerging that prehabilitation, which is rehabilitation before surgery rather than afterwards, is beneficial in better, faster outcomes following surgery for a lot of different conditions. Some of the surgeries where it can be useful to see a physio beforehand include anterior cruciate reconstruction, total knee replacement, total hip replacement, rotator cuff surgery and ankle reconstruction.

Am I too old to see a physio?

Our Physios adapt their management according to your abilities, general health and your goals of treatment. Your age is taken into consideration but the abilities and goals of people the same age are vastly different. We have clients whose physical activity matches that of people 20 years younger than their chronological age so we match their capabilities. You are given exercises that you are capable of getting done without much hassle. Irrespective of your age, your range of movement and pain is likely to be improved with physiotherapy and just a small amount of targeted intervention could have a huge impact on your quality of life.

What about my GP? Do I need a referral to see a physio?

You do not need a referral to see a physio as a private patient. Your physio can refer you for most investigations you might need and can write you a medical certificate for the workplace or school. If required, we also liaise with your regular GP. You might need a referral if you are under DVA, Workcover or if you are covered under the Medicare EPC (Enhanced Primary Care programme) with a Careplan in place, or after a motor vehicle accident (although your referral might also come from your lawyer).

I hurt my shoulder but I can’t remember how I did it? Is my rotator cuff injured?

The rotator cuff is a group of four muscles that stabilise the shoulder and help keep the ball in the socket joint. They are prone to injury when you lift a weight out to the side like lifting your handbag off the passenger seat or when you reach behind you to put the seatbelt on or put on a heavy coat. Often you will do these movements and not really notice that you have injured yourself until the pain appears later. This is quite a common presentation. Your Physio will test the rotator cuff and other structures around the shoulder to determine what you have done and help you treat the pain, strengthen up and avoid aggravating movements in the future.

Is my bone broken or fractured? And what should I do?

A break or a fracture means the same thing and there is no difference in severity. If you have broken a bone it will be managed according to which bone it is and the severity and position of the fracture. The primary management may be a cast, a bandage, a brace, crutches, a sling or surgery. In the early stages a physio appointment may help you learn how to manage the fracture during the period of immobilisation. Some examples might be;

  • If you have fractured your shoulder you may need physio treatment of your neck for pain from the fall or from being in a sling. You will also need to be given exercises to prevent a frozen shoulder and to prevent wrist and elbow complications, as well as taught positions of comfort and what to do with the sling.
  • If you have fractured your ankle you may need to be taught how to use your crutches, what other muscles you can exercise during your time in a cast and you may need treatment for other areas that might have been injured at the same time for example your low back.
  • Some fractures you won’t be immobilised for and should commence Physio treatment immediately such as some avulsion fractures where a chip of bone is pulled off by a muscle.
  • After you come out of immobilisation you are very likely to require physio treatment to regain your range of movement and strengthen up. Stiffness and weakness after immobilisation need to be addressed.

Can Physio help low back pain?

Low back pain can respond really well to Physio treatment. Your Physio will help you settle the immediate pain and give you exercises for pain relief and to help you strengthen up. When you get low back pain, even for a short period of time, some of your core muscles can get inhibited. Your physio can help you to activate them properly and teach you positions of comfort and ways of avoiding back pain. Low back pain is common but it is not normal. It may have a recurrence rate of over 90% but the trick is to reduce recurrences and make future episodes less debilitating.

What is Chronic pain? Do I have it?

The word chronic is used as a measure of time not severity. Chronic means that the condition has been present for a period of greater than three months. Having chronic pain does not mean that you cannot get rid of it and resume your normal lifestyle. We see lots of patients with chronic pain, sometimes it is simply because they have not previously sort treatment. One of our patients was 21 years old and had an eight-year history of low back pain. She presented to Paddington Physiotherapy after going to a party where the conversation led to her finding out that not all people had back pain. She had thought that it was normal and there was nothing she could do about it. She responded well to treatment and was able to get rid of her back pain.

Do I need a TENS machine?

TENS machines are designed to give you an electrical impulse to distract the nerve from giving the sensation of pain. They will work while they are attached and have some residual affect after they are removed but they do not fix the condition causing the pain. TENS machines are not recommended for new (acute) pain or intermittent pain that is brought on by specific activities. For example if you get back pain every time you stand up from sitting that would not be something you would use TENS for, you would benefit more from physio treatment. If you had long-term (chronic) pain that was present all the time then that would be a situation where adding TENS to your management might be beneficial.

Book Your First Physio Appointment Today

Don’t delay in booking your first appointment, simply send through your enquiry using the short form on the right of this page, complete the booking request form or phone us on (07) 3511 6352.

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Paddington Physiotherapists':

  • Resolve chronic or recurrent injuries and prevent further injury
  • Optimise your return to daily activities and sport after injury
  • Enhance your sports technique and sporting performance
  • Increase your muscle control flexibility, and strength