Opening Hours : Mon-Thu: 8.30am - 7.00pm Fri: 8.30am - 1.00pm Sat: 9.00am - 12.00pm
  Contact : Ph: 03 9707 4452 Email: reception@physiofit.clinic

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GLA:D program STARTS SOON, book your spot now!

GLA:D®, from ‘Good Life with osteoArthritis in Denmark’, is an education and exercise program developed by researchers in Denmark for people with hip or knee osteoarthritis symptoms.  It was then brought to Australia in 2016 to help Australians with hip or knee osteoarthritis.

What does GLA:D® involve?

This education and exercise program reflects the latest evidence in osteoarthritis (OA) research. It also includes feedback from people with OA and trainers on what works in the real world to help patients manage OA symptoms.

GLA:D® Australia is run in private, public, and hospital physiotherapy clinics. The cost of the program can vary depending on the location. Please discuss this with your physiotherapist. You do not need a referral from your doctor.

Eligible participants may be able to use Medicare funding to cover costs of assessments and some people may be eligible to access publicly-funded services.  Private health claims should be discussed with your insurer.

The GLA:D® Australia program consists of:

  • An initial appointment to explain the program and measure your current functional ability
  • Two education sessions which teach you about OA, its risk factors, treatment options, and self-management strategies.
  • Group exercise sessions twice a week for six weeks to improve your control of the joint, your confidence in the joint and your strength
  • A review at 3-months with your physiotherapist to discuss progress and goals, and re-measure your functional ability
  • Completion of a questionnaire on registration with the program, and then again at 3 and 12 months after registration to measure changes in areas such as pain, function, quality of life, and medication use.

Can I Participate in GLA:D® Australia?

GLA:D® Australia is a program for all individuals who experience any hip and/or knee pain or symptoms of OA, regardless of severity.

You may participate in the GLA:D® Australia program if you have a hip or knee joint problem that resulted in visiting a health care provider.

You may need to explore other options than the GLA:D® Australia program if:

  • You have other reasons for your hip and/or knee pain, including: tumor, inflammatory joint disease, results of leg fracture, soft tissue or connective tissue problems
  • You have other symptoms that are more pronounced than the osteoarthritis problems (for example chronic generalized pain or fibromyalgia)
  • You are unable to understand and communicate in English

However, there may be parts of the program that will still be helpful for you.  Your physiotherapist will discuss your best treatment options with you as part of the assessment process.

Osteoarthritis Treatment in Australia

Osteoarthritis is the most common lifestyle disease in individuals 65 year of age and older, but can also affect individuals as young as 30 years of age.

Current national and international clinical guidelines recommend patient education, exercise and weight management as first line treatment for everyone with osteoarthritis.

In Australia, treatment usually focuses on medications and surgery. The GLA:D® Australia program offers a safe alternative that may reduce your need for medications, avoid the need for surgery, and improve your ability to participate more actively in work and recreational activities.

This program is unique in that the education and exercises provided can be applied to everyday activities, ensuring participants develop skills to self-manage their osteoarthritis. By strengthening and improving confidence with exercise, participants develop better capacity to become or stay active, prevent symptom progression, and reduce pain.

Research and the GLA:D® Program

Research from the GLA:D® program in Australia (GLA:D® Australia Annual Report 2020) found an average reduction in pain of 27% (hip) and 33% (knee), improved quality of life by 20% (hip) and 29% (knee), and reduced usage of pain medication by 45% (hip) and 49% (knee).  It was also found that less people desired surgery after completing the program.

GLA:D® Australia continues to collect information from participants so that it can keep working towards improving access to the best possible care for people with osteoarthritis.

 

Please contact our friendly reception team for more information if you are interested in participating in the GLAD program.  

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Archies Slides are here!

Check out these fantastic Archies slides now in stock in all the popular colours – black, white, tan, taupe, peach.

Very popular for summer and selling fast, get in quick while stocks last!

 

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Welcome Chathu!

We are very excited to welcome Chathu to our clinic!  Chathu is talented and diverse physiotherapist and we are sure that her clients will appreciate her wide range of skills, knowledge, and dedication to achieve excellent outcomes for all her clients.

Chathu graduated in 2016 with her Bachelor of Physiotherapy.  Since moving to Australia from Sri Lanka, Chathu has expanded her skills and experience through her work in geriatric and musculoskeletal physiotherapy, as well as managing group exercise programs and Pilates.  Chathu is skilled in assessing and diagnosing a range of presentations in all age groups and provides effective hands-on treatment as well as exercise prescription and management techniques to prevent and minimise the impact of injury.

Chathu is dedicated to helping her patients achieve their health goals and get the best possible outcomes for every patient. She believes that understanding underlying anatomy, physiology and biomechanics of the musculoskeletal system is essential for providing effective treatment. Chathu is passionate about broadening her knowledge and skills and has recently completed the G.L.A.D. program and training with LaTrobe University, which will be particularly beneficial for those affected by arthritic conditions.   She plans to continue studies in other areas of interest, as well as pursuing her Master of Physiotherapy in Musculoskeletal in the near future.

In her spare time, Chathu enjoys spending time with her young son and husband and enjoys living and working in the Casey area.

 

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Farewell Nando, we will miss you!!

Last week we said a sad farewell to Nando, and as you can see he was also pretty upset to be leaving our PhysioFit team!  We wish him all the very best for the future as he moves towards a new physiotherapy pathway, and know that his patients will miss him too!

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GLA:D program – Best first treatment for hip & knee osteoarthitis

GLA:D®, from ‘Good Life with osteoArthritis in Denmark’, is an education and exercise program developed by researchers in Denmark for people with hip or knee osteoarthritis symptoms.  It was then brought to Australia in 2016 to help Australians with hip or knee osteoarthritis.

What does GLA:D® involve?

This education and exercise program reflects the latest evidence in osteoarthritis (OA) research. It also includes feedback from people with OA and trainers on what works in the real world to help patients manage OA symptoms.

GLA:D® Australia is run in private, public, and hospital physiotherapy clinics. The cost of the program can vary depending on the location. Please discuss this with your physiotherapist. You do not need a referral from your doctor.

Eligible participants may be able to use Medicare funding to cover costs of assessments and some people may be eligible to access publicly-funded services.  Private health claims should be discussed with your insurer.

The GLA:D® Australia program consists of:

  • An initial appointment to explain the program and measure your current functional ability
  • Two education sessions which teach you about OA, its risk factors, treatment options, and self-management strategies.
  • Group exercise sessions twice a week for six weeks to improve your control of the joint, your confidence in the joint and your strength
  • A review at 3-months with your physiotherapist to discuss progress and goals, and re-measure your functional ability
  • Completion of a questionnaire on registration with the program, and then again at 3 and 12 months after registration to measure changes in areas such as pain, function, quality of life, and medication use.

Can I Participate in GLA:D® Australia?

GLA:D® Australia is a program for all individuals who experience any hip and/or knee pain or symptoms of OA, regardless of severity.

You may participate in the GLA:D® Australia program if you have a hip or knee joint problem that resulted in visiting a health care provider.

You may need to explore other options than the GLA:D® Australia program if:

  • You have other reasons for your hip and/or knee pain, including: tumor, inflammatory joint disease, results of leg fracture, soft tissue or connective tissue problems
  • You have other symptoms that are more pronounced than the osteoarthritis problems (for example chronic generalized pain or fibromyalgia)
  • You are unable to understand and communicate in English

However, there may be parts of the program that will still be helpful for you.  Your physiotherapist will discuss your best treatment options with you as part of the assessment process.

Osteoarthritis Treatment in Australia

Osteoarthritis is the most common lifestyle disease in individuals 65 year of age and older, but can also affect individuals as young as 30 years of age.

Current national and international clinical guidelines recommend patient education, exercise and weight management as first line treatment for everyone with osteoarthritis.

In Australia, treatment usually focuses on medications and surgery. The GLA:D® Australia program offers a safe alternative that may reduce your need for medications, avoid the need for surgery, and improve your ability to participate more actively in work and recreational activities.

This program is unique in that the education and exercises provided can be applied to everyday activities, ensuring participants develop skills to self-manage their osteoarthritis. By strengthening and improving confidence with exercise, participants develop better capacity to become or stay active, prevent symptom progression, and reduce pain.

Research and the GLA:D® Program

Research from the GLA:D® program in Australia (GLA:D® Australia Annual Report 2020) found an average reduction in pain of 27% (hip) and 33% (knee), improved quality of life by 20% (hip) and 29% (knee), and reduced usage of pain medication by 45% (hip) and 49% (knee).  It was also found that less people desired surgery after completing the program.

GLA:D® Australia continues to collect information from participants so that it can keep working towards improving access to the best possible care for people with osteoarthritis.

 

Please contact our friendly reception team for more information if you are interested in participating in the GLAD program.  

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Clinical Exercise Classes are back up and running!

Classes are back up and running on Tuesdays, Wednesdays and Fridays with Emma!

Our Clinical Exercise Classes are conducted by our physiotherapist in small groups of up to 4 clients and are ideal for the rehabilitation and management of injuries, particularly in the treatment of chronic back pain, as well as improving general strength and fitness.

Prior to beginning classes, the physiotherapist will perform a detailed individual assessment in order to prescribe a tailored exercise program to suit your individual needs and goals.

Your program may consist of exercises for strength, flexibility, balance, as well as some Pilates-based exercises for strengthening the core postural muscles used for balance and to support the spine (important in managing and preventing back pain). Some exercises may involve the use of specific equipment such as the Pilates Reformer (for spring-loaded resistance), as well as weights, resistance bands, yoga or stability ball, balance board or other specific equipment.

Please contact reception for availability or for further information.

 

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Archies thongs are red hot this summer!

Its that time of year to get your Archies ready for summer.

At $40.00 each or 2 for $70.00 they are walking out the door! Perfect for a birthday or X-mas pressie, and colours and sizes to suit the whole family.

 

 

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MyoPhysics Massage Therapy Closed

We are very sad to report that Josie has closed down MyoPhysics Massage Therapy effective immediately. It has been a difficult last 18 months for her business with the pandemic, and due to this and other personal reasons she has made the difficult decision to close her business.  We wish her all the very best for the future, she will be definitely be missed by everyone.

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We are still OPEN during lock-down…

We are still OPEN during the lock down period from 16th July 2021 …with some restrictions and Covid-safe procedures of course to keep us all safe!

The Department of Health and Human Services (DHHS) in Victoria, have made it very clear that during stage 4 lock down restrictions, you should still seek the healthcare you need, which includes physiotherapy.

There has been some confusion in the general public about what is and isn’t allowed for physiotherapy services in Melbourne currently. The main points that you need to be aware of are:

👨‍⚕️ You DO NOT need a GP referral to see our physiotherapists

🚙 You CAN travel outside the 5km radius to receive healthcare (use your appointment SMS as proof of service) You can also accompany someone for treatment if you are a parent, guardian or necessary support person.

🤒 DHHS have encouraged everyone who needs healthcare to continue to receive healthcare. However you may only attend the clinic in person if the absence of care will mean that your condition and function may significantly change/deteriorate resulting in an escalation of care

☎️ Telehealth exists for all patients, no matter what condition you may be dealing with. Please do not underestimate your condition! Recently, we have had people attend our clinic with what they thought were minor issues, and they turned out to be serious injuries, some being stress fractures.

If you are unsure whether or not you should attend, but you are in pain, then we would prefer to see you for a face-to-face consultation. This will allow you to gain a firm diagnosis and plan for your recovery. Where required, we’ll continue to see you in the clinic for face-to-face consultations. If we feel your condition doesn’t require further immediate care, then we can review you via telehealth to continue to provide you physiotherapy care. Otherwise, we will give you a plan to help you get through until you are able to attend again face-to-face, when the restrictions ease.

If you need us, we are here to help you! 🙂

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Can I still have physio with Stage-4 restrictions?

The Department of Health and Human Services (DHHS) in Victoria, have made it very clear that during stage 4 lock down restrictions, you should still seek the healthcare you need, which includes physiotherapy.  

There has been some confusion in the general public about what is and isn’t allowed allowed for physiotherapy services in Melbourne currently. The main points that you need to be aware of are:

  • You DO NOT need a GP referral to see our physiotherapists
  • You CAN travel outside the 5km radius to receive healthcare – use your appointment SMS as proof of service
  • DHHS have encouraged everyone who needs healthcare to continue to receive healthcare, though you may only attend the clinic in person if the absence of care will mean that your condition and function may deteriorate or worsen, which may result in you needing to seek further care for this deterioration
  • Telehealth exists for all patients, no matter what condition you may be dealing with. We are here to help you!

What do the stage 4 lock down rules mean for Physiotherapy?

According to the DHHS physiotherapy guidelines, if you are in pain, and worried that your condition may deteriorate or worsen, which may possibly result in you needing an escalation of care (e.g. a requirement for specialist input/review, an increase in care needs and/or alternate accommodation, avoiding a hospital admission or emergency department presentationthen you are  definitely allowed to seek physiotherapy care.

Please don’t underestimate your condition! Recently, we have had people attend our clinic with what they thought were minor issues, and they turned out to be  serious injuries, some being stress fractures.

If you are unsure whether or not you should attend, but you are in pain, then we would prefer to see you for a face-to-face consultation. This will allow you to gain a firm diagnosis and plan for your recovery. Where required, we’ll continue to see you in the clinic for face to face physiotherapy consultations.

If we feel your condition doesn’t require further immediate care, then we can review you via telehealth to continue to provide you physiotherapy care. Otherwise, we will give you a plan to help you get through until you are able to attend again face-to-face.

Do I need a GP referral to see a Physiotherapist during stage 4 lock down?

No, you do not need a GP referral to see a physiotherapist during lock down. 

There was some initial confusion relating to this, but the DHHS have confirmed that, just like normal, you do not need a GP referral to see a physiotherapist during stage 4 lock down.

Can I travel more than 5km to go and see a physiotherapist during stage 4 lock down?

Yes, you can travel outside the 5km restriction zone to seek healthcare from your physiotherapist. You can use your appointment confirmation SMS message as proof that you have an appointment.

You can also accompany someone for essential medical treatment if you are a parent, guardian or necessary support person.

A reminder: DHHS have advised you to continue to seek the healthcare you require and not put off getting medical care. 

 

Stay safe everyone!

 

 

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Working from home during iso? Tips & tricks from Emma Selbie…

Here are some simple tips/tricks to prevent neck and back pain when working from home…

  1. Posture

Our desks/seats are generally designed so that we sit in a slumped, forward head posture. Believe it or not, your head actually weighs about 5kg! If your head isn’t positioned correctly over your neck, this weight can increase the pressure on the joints, ligaments, and muscles of the neck.

Imagine that you are drawing a line from your earlobe down to your shoulder, then down to your hip. If your ear-lobe is sitting forwards of your shoulder, you may need to gently tuck your chin in. If your shoulder is sitting forwards of your hip, you may need to think of opening through your collarbones.

Our bodies are designed to conserve energy and use as little of it as possible. Sometimes, you may find your lower back slumping into your chair. It can be helpful to place a rolled-up towel or lumbar support behind your back. This will act as a prompt, and encourage you out of the slumped position.

  1. Daily exercise/activity

The WHO (World Health Organisation) recommends at least 30 minutes of moderate intensity exercise at least 5 days per week for adults aged 18-64. This doesn’t mean you have to go for a 10km run. Breaking up your day with a short walk in the morning, and short walk in the afternoon may be enough to help prevent aches and pains. Find a type of exercise that you enjoy!

  1. Regular movement/stretching

Motion is lotion. Joints like movement. When we sit for long periods, particularly in a slumped/flexed position, this puts us at higher risk of lower back injury. To help compensate for the time spent in this flexed position, lower back extensions/cobra exercises can be particularly helpful.

To do these, lying on your stomach, gently prop up onto your elbows, the lower. Repeat 10 times. If these are easy, you can progress to propping up onto your hands.

Some gentle neck stretches/movements can also be helpful. Gently tilting your head will stretch through the upper trapezius muscle, whilst gently rotating your head will help to prevent stiffness of the joints on the side of the neck.

  1. Self-massage with tennis ball/spikey ball

If you find you do have some “tight” spots in your muscles from sitting, a helpful hint is to use a tennis ball/spikey ball. Lean against the wall with the ball under the “tight” muscle, and gently roll until you find a “tight” spot. Hold and wait for approximately 10 seconds, until the pain starts to subside. Roll the ball and repeat in other “tight” areas in the muscle.

  1. Get up at least once every hour

Sitting for prolonged periods of time can put pressure on the joints, ligaments, and muscles in our neck and back. Try to get up and move around at least once every hour. This helps to lubricate the joints and prevent that joint stiffness/pain. You will feel better for it.

The advice above is general. If you are experiencing any neck or back pain from WFH, we recommend that you come and see one of our physios so that you can have personalised assessment and treatment, with a home exercise program tailored to you specifically.

Emma Selbie (Physiotherapist)

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Dry Needling explained, by Nando Lee

What is dry needling?

Dry needling is an invasive procedure where an acupuncture needle is inserted into the skin and muscle. Commonly it is aimed at a painful or knotted part of a muscle which is known as a myofascial trigger point.

The aim of dry needling is to reduce pain and restore active range of motion, with an emphasis on improving tissue healing and restoring normal tissue function

Your physiotherapist may insert needles superficially (mostly with many needles) or deeply (usually with less needles) depending on assessment and condition.

How does it work?

The exact mechanisms of dry needling are complex, probably not fully known. However, there is an increasing number of studies which support the positive effect that inserting a needle has on the electrical and chemical communications that take place in our nervous system.

Dry needling into a certain body tissue causes a local twitch response which can be explained as ‘our brain reacts to the damaged tissue which is created precisely by the insertion of needles’. The reaction has been shown to reduce the concentration of pain inducing chemical substances.

What will I feel during a dry needling session?

Generally, needle insertion is not painful. You may feel a very slight, brief pain which is triggered by the local twitch response or sudden slight contraction of the muscle.

During treatment, and depending on the dry needling technique used, patients commonly experience heaviness in the areas of insertion, or overall relaxation.

Is it safe?

Dry needling is a very safe and widely accepted treatment. Serious side effects are rare with an incidence of less than one per 10,000 treatments. Your physiotherapists are trained to provide safe treatments. At PhysioFit Berwick, we use only individually packaged, single use, sterile needles.

Common conditions to treat with dry needling therapy:

Dry needling is an effective treatment for acute injuries, muscle spasms, chronic pain or muscle pattern imbalances caused by other injuries or issues.

  • Low back/hip pain
  • Neck pain
  • Headache
  • Knee pain
  • Ankle/foot injuries
  • Shoulder pain
  • Elbow pain

Written by physiotherapist Nando Lee, who is highly experienced in dry needling techniques.  If you have any questions regarding dry needling please contact Nando at the clinic on Mondays and Thursdays, or ring for an appointment. 

 

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COVID-19 Update

Update as at 21st July 2020…

PhysioFit Berwick is committed to maintaining our services during the current Coronavirus pandemic and we remain OPEN and ready to assist with all your healthcare needs. Our allied health services are also open, including Podiatry and Remedial Massage Therapy.

For all physiotherapy and podiatry appointments please call the clinic on 9707 4452.

For remedial massage please contact MyoPhysics Massage Therapy on 9052-4904 or visit  www.myophysicsmassage.com.au (bookings can be made online).

Whilst we remain open, our priority is also ensuring the safety of all our clinic staff and patients, and we are following the guidelines issued by the Australian Government Department of Health for healthcare environments. We would like to assure our patients that we continue to implement a high level of hygiene control, screening procedures, as well as strict social distancing rules. Further measures include:

 DO NOT ATTEND if you have been in contact with anyone who has been overseas in the last 14 days, or if you have been in contact with a possible or known case of Covid-19, or is you are experiencing any flu-like or respiratory symptoms.

 TELEHEALTH appointments are available for anybody who cannot attend the clinic in person.

 CLEANING: All equipment and treatment tables are cleaned before and after every patient, and extra precautions are being taken with regards to towels and linen. Contact points throughout the clinic are being regularly cleaned (i.e. door handles, benches, chairs, bathroom facilities).

 WAIT IN YOUR CAR for your appointment.  Please call to let us know you have arrived and we will let you know when to come into the clinic.  

Upon Entering the Clinic:

 1. ATTEND ALONE: Please attend alone unless you are a caregiver or parent of a child attending. If you have additional children with you, please notify reception prior to arrival.

2.  WEAR A MASK:  From Thursday 23nd July, masks will be mandatory in Metro Melbourne and the Mitchell Shire.  ALL patients, staff and visitors are required to wear a mask while attending this clinic, with the exception of children under 12 years or with a medical certificate of exemption.

 3. TEMPERATURE CHECK: Please go to reception for your temperature check. If it is over 37.4˚ you will be asked to return home and contact your GP for further advise.  All staff will be temperature checked daily.

4. WASH YOUR HANDS with soap and warm water for at least 20 seconds. This is preferred to using sanitiser alone as it is more hygienic. 

 Thank you for your cooperation and we hope that you and your family can stay safe and well during this difficult time.

Kind Regards,

The PhysioFit Team

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Myophysics Massage is back!

Have you been hanging out for a massage? Well wait no more!

MYOPHYSICS MASSAGE THERAPY is back up and running after a break, and with two additional therapists you are sure to find a time to suit. For more information or to book an online appointment please visit http://www.myophysicsmassage.com.au

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New Telehealth Service

From 30th March 2019, we now offer Telehealth services for those who are unable to attend our clinic in person for physiotherapy treatment.

Covid-19 pandemic has presented us with an unprecedented challenge. Australians are being asked to take measures that we’ve never had to before, and you may be wondering how this affects your physiotherapy treatment.

We at PhysioFit Berwick, continue to offer quality care for our patients and there are many things we are doing as professionals to minimise risk of exposure through rigorous hygiene practices and patient screening to keep you and our staff safe.

Subject to our screening processes you are still welcome to come in for your treatment.  However, if  you are unable to attend your treatment in person you may like to consult with us via Telehealth. 

Telehealth uses digital technology that’s readily available on your computer, tablet or phone, to receive treatment from our physio. It is safe and effective, and our physios are trained to delivery telehealth consultations.

How to book?

Please just call and speak to our friendly reception staff by phoning 9707 4452.  Alternatively you may send an email request to reception@physiofit.clinic and we will contact you to schedule your appointment.

How does the appointment work?

In preparation for your appointment, you will need to have access to a device which runs a camera; preferably your computer, laptop or tablet (mobile phone is possible but not recommended).  It would be beneficial to setup your device where you have some room behind you to allow movement and to enable the physio a view of your whole body (about 3-4m2 if possible).

At the time of your appointment, the physiotherapist will send you an email invitation with easy to follow instructions of how to connect via Coviu, our software provider.

How do I pay?

We can accept payment by Stripe (secure online payment system), or by direct debit or credit card phone payments.

THIRD PARTY BILLING INFORMATION:

The Australian Physiotherapy Association (APA) has been working hard behind the scenes to advocate for funded telehealth services with third-party billpayers, and we are pleased to announce the following bill-payers which will fund Telehealth services…

WorkCover:  Yes, fully covered telehealth services.

TAC: Yes, fully covered telehealth services.

MedicareYes, fully covered with an EPC plan from the GP for chronic disease management, available to use from 1/4/2020 to 30/9/2020.

DVA (Veteran’s Affairs): Yes, fully covered and available to use from 1/4/2020 to 30/9/2020.

Private Health Insurance:  Yes, available from 14th April 2020 until 30/9/2020. Health fund members should check with their health fund to see if they will cover tele-physiotherapy consultations as some funds may impose additional conditions.

During this period, HICAPS has enabled key entry to process benefits over the phone (i.e. processing with manual entering of membership number). The balance of the account can also be paid over the phone with credit card, by direct debit or with Stripe (see above).

 

 

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Feeling the slump? 11 tips from a physiotherapist for maintaining health and wellbeing when returning to work

The festive season is over, and with the end of the holidays many Australians will be returning to sitting at a desk for extended periods of time, which research has shown to have a serious impact on well-being. The Australian Physiotherapy Association (APA) is urging employees and employers alike to ensure their health – and the health of their staff – isn’t compromised in the post-Christmas return to the office.

The feeling of waking up without an alarm clock and the taste of that glorious Christmas feast may feel like distant memories this week, as the holidays inevitably draw to a close. There’s no doubt about it, coming back to the office from extended time off can be a struggle. Upon returning to work, it’s important – for both physical and mental wellbeing – not to revert to long, uninterrupted periods of sitting.

Besides potentially causing musculoskeletal problems such as neck, shoulder and lower back pain, sedentary behaviour has also been associated with an increased risk of developing Type 2 diabetes, heart disease, obesity and certain types of cancers.

Dave Hall, Chair of the APA Occupational Health group, says ‘Building movement into your working day can be a big step towards increased health and productivity’. Some of Dave’s tips for maintaining movement in the workplace include:

  1. The simple act of just standing up every half hour and having a five second stretch can make an immense difference.
  2. Take phone calls standing. In fact, use phone calls as a trigger to stand and talk.
  3. Drink plenty of water. Better hydration means more frequent need to go to the bathroom, as well as the need to fill up the water glass (i.e. plenty of short burst walking).
  4. Build a coffee / tea break routine into your day, e.g. coffee 10am, tea at 3pm.  The body likes routine and after a while you will crave these breaks, which means they in turn will become an integral part of your work day.
  5. Walk over to talk to a colleague rather than sending an email.
  6. Form a group to conduct some general exercise; from a yoga class to a quick 15 minute walk. Anything is better than nothing, especially when you’re just starting out.
  7. Move the bin and printer away from work station areas so you need to walk to them when required.
  8. Make your meetings standing or walking ones. Some organisations resist the idea of walking meetings because they need whiteboards or audio-visual aids. However there are often aspects of meetings where walking, and a change of scenery, will be helpful – and possibly even more beneficial – to the meeting outcome. If notetaking is required, allocate this to someone with a small mobile device or tablet which is easily carried, meaning no one needs to be anchored to the spot just to take minutes.
  9. Walk to and from work or the train / bus stop, or park further away.
  10. Embark on a team building event such as an obstacle race or ‘steps-per-day’ challenge.
  11. If you’re an employer, create an office geared towards movement. Activity-based work spaces promote versatility, movement and collaboration in the work place. They may include meeting pods where people stand, more collaborative meeting areas, flexible work stations that permit more standing and movement, for example.

Our Physiotherapists at PhysioFit are highly qualified in prescribing exercise programs for all sorts of scenarios, including injury prevention, chronic disease and pain management, as well as to aid general fitness and well-being.

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Get your feet into Archies this Summer!

Do your feet a favour this summer and get into some Archies (arch support thongs) this summer!

$40 each or buy two pairs for $70.

Colours and sizes to suit the whole family, including newly released Pink, Brown and Taupe.

Also in Mint, Coral, White, Sky Blue, Navy and Black in sizes 5 – 14.

pink taupe brown various

 

 

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Carpal Tunnel Syndrome: What Is It? Can Physiotherapy Help?

Carpal tunnel syndrome (CTS) is an ailment of the wrists, fingers and hands. The condition is often characterized by pain, stiffness, numbness, tingling sensations, trembling, throbbing and / or abnormal weakness in the wrist, fingers and thumb. In severe cases of CTS, the patient may find it challenging to grasp and hold objects because the thumb is not functioning properly. Pain can sometimes go beyond the hand, extending into the arm and possibly even into the shoulder.

Carpal tunnel syndrome was given this name because of its association with the carpal tunnel passageway that runs through the wrist and into the hand. There is a prominent nerve, known as the median nerve, which also shares this passageway into the hand. In connection with some other components of the nervous system, the median nerve is responsible for providing feelings and sensations in parts of some of the fingers.

The carpal tunnel also plays host to multiple tendons that pass through it. Swollen tendons can compress the median nerve, which is often the cause of the pain and other unpleasant symptoms associated with CTS.

Risk Factors for Becoming Afflicted With Carpal Tunnel Syndrome

There are several situations that could put you at an increased risk of experiencing CTS:

  • Getting pregnant – especially if you are pregnant with twins or multiples, or if you gain an excessive amount of weight during your pregnancy.
  • Reaching menopause
  • Taking birth control pills
  • Gaining weight rapidly or becoming obese
  • Suffering from one or more chronic conditions such as arthritis, hypothyroidism, lupus, diabetes, kidney disease or gout
  • Working at a job that frequently requires repetitive motions such as typing, operating a cash register or turning a screwdriver
  • Working at a job that requires frequent use of vibrating power tools
  • Enduring significant levels of stress, either at work or at home
  • Reaching middle age, particularly if you’re female; a significantly high percentage of people who suffer from Carpal Tunnel Syndrome are women between the ages of 40 and 60.

Sometimes carpal tunnel syndrome happens when none of these circumstances are evident.

Carpal Tunnel Syndrome and Pregnancy

Pregnancy can create numerous uncomfortable changes in a woman’s body. During this time, the body ramps up production of blood and other fluids to ensure that the developing baby’s needs are met. Hormonal changes can also contribute to fluid retention in the body. Excess fluid can sometimes collect in the hands and other body parts including the face, ankles, legs and feet, resulting in swelling known as oedema. This swelling is particularly common in the third trimester of pregnancy, although it can happen at virtually any time during a pregnancy.

When this build-up of fluid adversely affects the tissues in your wrists, it can result in carpal tunnel syndrome.

Often, carpal tunnel syndrome will resolve on its own after the birth of the baby. However, it doesn’t always vanish straight away after childbirth. There are instances when it can linger, or sometimes even develop for the first time, after the birth of a baby. If that is your situation, we recommend mentioning it to your GP or midwife – or giving us a call to discuss the matter.

When Your Job Puts You at Risk of Carpal Tunnel Syndrome

Workers in some occupations are prone to developing CTS. This condition commonly affects typists, mechanics, chefs, athletes, carpenters and musicians. If you find yourself spending a lot of time typing or doing similar repeated motions, there are steps you can take to reduce the risk of carpal tunnel syndrome:

  • Take frequent breaks to relax and stretch your hands, wrists, arms and shoulders. If you aren’t sure how to do this effectively, do get in touch with us. We can help you learn a series of stretches and exercises that will be of tremendous help to your hands.
  • Be sure to periodically switch between tasks; after duration of time spent typing, ensure your hands can rest a bit. Stop and take care of some filing, telephone calls or other items on your to-do list. Return to typing after your hands have had a substantial break.
  • Consider supplying your office with ergonomic furnishings and accessories. There are ergonomic computer keyboards, ergonomic chairs and ergonomic desks available, among other things.

How Physiotherapy Can Help Patients Experiencing Carpal Tunnel Syndrome

Hand therapy is one of our specialties, and it can be especially beneficial for people who suffer from carpal tunnel syndrome. We can help you customise a treatment programme that might include hand splints, mobilisations, exercises, stretches and remedial massages. Steroid injections and surgery are also options, but they may not be necessary if the less invasive interventions are able to provide relief. We’re able to help many of our patients recover from carpal tunnel syndrome without a need for surgery.

Physiotherapy for Carpal Tunnel Syndrome Relating to Chronic Conditions

Perhaps you have a chronic condition or disease such as arthritis or diabetes that is causing or contributing to your carpal tunnel syndrome. If so, it is possible that you might be qualified to claim Medicare benefits to cover up to 5 physiotherapy sessions in certain extremely specific circumstances. The Australian government does allow a limited number of allied health services to be covered by Medicare for patients who suffer from chronic conditions. If you’re hoping to qualify for Medicare benefits under this scheme, you’ll need your GP to refer you to a physiotherapist for treatment that is both medically necessary and directly relevant to your chronic condition.

Claiming Private Health Insurance Benefits to Cover Physiotherapy for CTS

Most physiotherapy treatments are not eligible for cover by the government subsidised Medicare programme. However, private health insurance does often cover visits to your physiotherapist for medically necessary therapies relating to carpal tunnel syndrome.

There are two types of health insurance policies that are likely to include cover for physiotherapy services: extras cover policies, and customised policies that bundle together both extras cover and hospital cover.

Extras cover policies offer varying levels of cover, depending on which type of policy you’re signed up for. The top-level extras cover policies typically cover multiple types of physiotherapy services. Policies offering lesser levels of cover might or might not include physiotherapy, so it’s important to check the details of your policy before submitting a claim for benefits.

We hope you now have a clearer understanding of what carpal tunnel syndrome is, what causes it and how physiotherapy can help you heal from it. Please do get in touch with us if CTS is a condition you’re currently suffering from. It is also advisable to contact us if you suspect you have CTS, and you’d like to have a professional evaluation. We can help you confirm whether carpal tunnel syndrome is, indeed, your issue. If it is, we can also help you customise the gentlest possible recovery programme that will be effective given your current condition.

 

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