Injuries can occur anywhere. From the home, to the sports field, and beyond. The importance of early, accurate diagnosis followed by effective intervention provides the best pathway to a smooth recovery and a return to full function. Whether the goal is high level competition, starting a fitness program, or simply playing with the kids, our highly qualified and experienced team here at Remuera Physiotherapy will take the time and care to give you the best treatment and advice to help you on your road to recovery.
Acute onset neck pain can arise from a number of different structures including the facet joint, muscle, or nerve and is typically characterised by painful and restricted range of motion in one or more directions. It may also cause referred pain into the shoulder blade and arm regions.
Lower Back Sprain
Lower back pain can present acutely following injury, or after a prolonged period of constant or periodic pain. Lower back pain has a large number of possible contributing factors which all need to be addressed, including the biomechanical (posture, strength, flexibility, tissue trauma etc) as well as psychosocial (stress, fear/avoidance behaviours, maladaptive movement patterns, anxiety etc).
Rotator Cuff injuries commonly cause pain at the front of the shoulder, particularly with arm elevation, lifting, or throwing activities. It is caused by injury to a group of tendons which arise from muscles originating from the scapula and wrapping over the humeral head. They can range from a mild strain to a significant tear and need to be treated appropriately (including onward referral if required) to ensure effective recovery.
Shoulder impingement refers to the compression of the subacromial bursa when the arm is lifted/elevated. It presents very similarly to Rotator Cuff Injuries as pain around the front aspect of the shoulder region.
Shoulder Instability (Subluxation)
Colloquially known as “popping my shoulder out” this injury is most common amongst athletes up to the age of 27 as this is when the shoulder is most flexible (and more vulnerable). It may require surgical repair, but can be managed in many cases without invasive intervention
Pain on the inside aspect of the elbow. Most commonly a repetitive strain injury from swinging a golf club, but can be caused by other activities.
Pain on the outside aspect of the elbow. Most commonly from overuse/repetitive strain. Can be from tennis, but more commonly from other repetitive movements/sports including gardening, DIY, or work related activities.
Wrist Strain & TFC Injuries
The wrist is a complex anatomical system which involves two rows of carpal bones, a large number of ligaments, a small meniscus, and a number of tendons running through this region from the forearm. For this reason there are a number of injuries that can occur, both acutely (often from falls or sporting trauma) or more slowly over time (repetitive strain and overuse). It requires in depth assessment and diagnosis to ensure the correct treatment is applied.
Hip Joint Replacement Rehab/Prehab
Hip replacement is extremely common and becoming more frequent. Post-operative care is very important to ensure optimal strength, flexibility, and function is regained. If possible, it is also advantageous to work with people prior to surgery as evidence clearly shows outcomes post-operatively improve markedly if able to do so.
Groin pain can arise from a number of different structures around the hip, abdominal and inguinal region. It is very common in sports that involve kicking (soccer, rugby, Aussie Rules) and often requires work to improve movement patterns though the lumbopelvic region to ensure recovery and prevention of future incidents. This usually involves assessing movement patterns and addressing deficits in strength, control and flexibility as needed.
Hip Labral Tear
The labrum refers to a small lining of cartilage around the border of the hip joint which works to deepen the socket and increase joint stability. This can get injured during sports, either from a fast twisting/turning movement or through impact. It presents as pain around the front of the hip/groin.
Common amongst sports people, but can also happen with falls or accidents off the sports field. Presents as pain around the inside of the thigh, often with bruising and pain on palpation.
Presets as pain on the outside aspect of the hip region. Overuse type injury that is painful with walking or running, but can have a “warm-up effect” meaning it eases once you get moving, but returns once you cool down.
Knee Joint Replacement Rehab/Prehab
Knee replacement is extremely common and becoming more frequent. Post-operative care is very important to ensure optimal strength, flexibility, and function is regained. If possible, it is also advantageous to work with people prior to surgery as evidence clearly shows outcomes post-operatively improve markedly if able to do so.
Knee Ligament Injuries – MCL, ACL & LCL
Ligament injuries are most commonly sports related, but can happen with accidents off the sports field as well. The 3 main ligaments are the Anterior Cruciate Ligament (ACL), the Medial Collateral Ligament (MCL) and the Lateral Collateral Ligament (LCL). They can range from a minor strain through to a full tear and require accurate diagnosis to ensure the correct treatment is provide
Meniscal Tear Management
The meniscus refers to 2 crescent shaped discs of cartilage that sit on the bottom surface of the knee. They are commonly injured in sporting activities that entail weight bearing rotation (sidestepping, jumping etc). They most commonly recover with effective rehabilitation, but can require arthroscopy on rare occasions.
Jumpers knee (Patellofemoral Issues)
Jumper’s knee refers to pain originating from the underside of the patella (knee cap) due to alignment issue of the lower limb. This can be corrected with appropriate strength and flexibility exercises to correct any imbalances.
Runners knee (Patellar Tendon Strain)
Patellar tendon issues are typically overuse related and come from repetitive use in a sporting or athletic endeavour (most commonly running). Specific exercises to strengthen the tendon are required, but alignment of the lower limb during activity also often needs to be addressed.
Osgood-Schlatter + Sinding-Larsen-Johansson
Swelling and pain around the front of the knee (Osgood-Schlatter) and achilles (Sinding-Larsen-Johansson) during adolescence. Occurs due to the malleability of the bony insertion site of the tendons creating traction on the region and subsequent inflammation.
Ankle Ligament Injury (Medial & Lateral)
One of our most common injuries, ankle sprains can vary from mild strain to multiple ligament ruptures. Treatment is very important not only to help regain full function and control, but also in preventing ongoing, recurrent episodes in future.
Pain around the achilles with movement (walking, running) and often has noticeable swelling around the affected region . Commonly worse in the morning and on the first few steps of movement, then “warms up”. Treatable with appropriate stretches and specific strengthening exercises.
Persistent pain around the base of the foot, often near the arch. Overus injury of the fascia that lies between the toes and the heel. Direct work to the fascia needs to be combined with exercises to alleviate the incorrect movement pattern causing the incorrect loading pattern of the foot and ankle.
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