Understanding Groin Pain, By Physiotherapist Luisa Grieco

Written by Luisa Grieco

Groin pain is a common and often complex injury experienced by athletes in over-ground sports, in particular, those with frequent change of direction or kicking such as football (soccer), Rugby and basketball.

There are many different groin injuries, often where multiple diagnoses mean the same pathology which can become confusing when it comes to diagnosis and treatment of groin pain - especially when it is longstanding or ongoing. In order to reduce this confusion a consensus meeting known as the Doha agreement was held in 2014 by 24 international experts to discuss and resolve the confusion behind the diagnosis of groin related injuries.

Systematic reviews (highest level of evidence) and this Doha agreement have resulted in breaking groin pain into 4 clinical entities for groin pain:

Adductor Related (Blue):

What is it? 

The adductors are a group of 3 main muscles (adductor longus, adductor magnus and adductor brevis) that bring the leg towards the body, these muscles sit on the inside of your thigh and run up into the pubic bone.

Signs/ Symptoms:

We can diagnose injury to this area when there is pain with resisted movement or when there is pain when pressing down on the muscles and their tendons. This pain can also radiate down the inside of the thigh.

The early signs of adductor-related pain is the feeling of tightness or stiffness in the region during activity, a reduction in maximum sprinting speed, a reduction in distance when long kicking, and/or discomfort when decelerating during running.

Treatment/ Management: 

Supervised active rehabilitation (general exercise and specific strengthening) has been shown to have equal and in some cases better results than passive treatment options (including rest and/or shock wave therapy). It is important with adductor injuries to monitor the amount of exercise done with the Glutes, Adductor muscle group and abdominal muscles. There is an option for a surgical release of the adductor tendon, however, research has shown that this can result in weakness in the adductor muscles, and therefore should be carefully considered. Research has found that up to 75% of patients with adductor-related groin pain have returned to previous pain-free level of activity using supervised rehabilitation and a general exercise program.

Iliopsoas Related (Green):

What is it?

The iliopsoas is a combination of two muscles (iliacus and psoas major) that work with the quads to bend the hip. These muscles start at the lumbar spine and run down the inner side of your pelvis. These injuries usually occur as a result of repetitive kicking and sprinting, and are known as an overuse injury (when you repetitively do the same action or movement).

Signs/ Symptoms:

Iliopsoas pain is often associated with pain around the front of the hip, closer to the hip than the groin or pubic bone. The main signs of iliopsoas-related injury is pain when pressing down on the muscles or when there is pain associated with bending your knees to your chest with resistance or stretching these muscles.

It can often feel like a deep ache that is hard to pin-point.

Treatment/ Management: 

An exercise program with specific strengthening tailored to the patient can be used to treat this condition, with particular focus on hip, gluteal and hip flexor strength. A surgical approach can also be used to release the tendons of the iliopsoas; however, this procedure generally results in weakness to the iliopsoas muscle. At current there is no research to suggest that exercise or surgery is the better treatment option, therefore it is suggested to trial a patient specific exercise and strengthening program, and if no significant changes in 3 months, look towards a surgical treatment option.

Inguinal Related (Purple):

What is it?

This ligament runs from the top front corner of the pelvis to the middle of the inside of the pelvis and holds a variety of nerves, blood vessels and muscles/ tendons in place.

Signs/ Symptoms: 

Injury to the inguinal ligament is identified by pain when using the abdominal muscles (even when coughing or sneezing), and is often very painful to touch along the ligament.

Injury to the inguinal region often presents as pain towards the end of activity, and as the injury progresses the pain comes on earlier and earlier during activity/ exercise. The pain can be felt on both sides, and is often made worse when increasing intra-abdominal pressure.

Treatment/ Management: 

There are both surgical and non-surgical options for inguinal-related groin pain. Non-surgical approach includes exercises specific to the weaknesses in the patient, usually focusing on adductor, abdominal and glute strength. These exercises can be done in combination with injections based on the individual presentation. Studies have shown that the non-surgical approach resulted in 50% of participants fully recovered after 1 year using a non-surgical approach. It is ideal to trial a non-surgical approach first, and if no progress is being achieved, a surgical approach can include laparoscopic hernia surgery, however, as per all surgeries, there is a risk of complications.

Pubic Related (Yellow):

What is it?

The pubic symphysis is where the two pelvic bones meet at the front of the pelvis and are joined by hyaline cartilage and fibrocartilage which make it a very strong joint.

Signs/ Symptoms:

This joint can be very painful to touch when it is injured - which is our main way of determining if it is the cause of your groin pain.

Treatment/ Management: 

This type of injury is very specific to pain on the pubic symphysis and is most commonly treated by modifying factors that put load onto the pubic symphysis which is often unique to each patient and the sports/ activities they do. As pubic-related pain can present very similar to adductor-related pain, therefore a supervised active rehabilitation program focusing on monitoring the adductor, abdominal and gluteal loads is commonly used.

Meet Physiotherapist Luisa

Luisa is a lover of sports and completed both her Bachelor of Exercise Science and Masters of Physiotherapy at Griffith University here on the sunny Gold Coast. With 15 years of Ballet and 5 years of Aerobic Gymnastics Luisa enjoys combining her dancing background with her newfound interest in Pilates-based rehab. Along with this Luisa has enjoyed being involved with a number of sporting teams, with a passion for applying her physiotherapy skills to the Rugby Union and League Fields ranging from grassroots athletes and weekend warriors to the Queensland Cup State and WNRL level.

Luisa likes to use both a hands-on and exercise-based approach to helping people from all walks of life to achieve their goals and perform at their best. When she is not in the clinic you can find her on the side of a Rugby field,  at the beach (trying to surf) or enjoying the occasional hike in the Gold Coast Hinterland.

Luisa is available for Physiotherapy appointments at our Robina location.


Rocket, Tomato & Avocado Sourdough Toast with Eggs & Mushrooms Recipe by Accredited Dietitian

Recipe by Accredited Dietitian Tarni Sanewski

Healthy fats and protein at breakfast or lunch to keep you feeling full and satisfied.

Preparation: 5min
Cooking: 5min
Serves: 2

Ingredients

1 Tbsp extra virgin olive oil
1 Tbsp balsamic vinegar
1 Cup fresh rocket
2 Slices sourdough bread
½ Tomato sliced
½ Avocado, mashed
2 Eggs whisked
½ Cup chopped mushrooms
Salt & pepper, to taste

Method

1. In a warm pot, add half olive oil and add chopped mushrooms. Cook until brown. Remove.
2. In the same pot, add rest of oil and add eggs. Cook through.
3. Toast sourdough and top with mashed avocado, sliced tomato and rocket. Drizzle with balsamic
vinegar.

Serve and enjoy!

Meet Dietitian Tarni

Tarni is an Accredited Practising Dietitian who is passionate about improving health, promoting recovery and preventing disease by inspiring healthy diet and lifestyle choices using a patient-centred approach. Graduating from the University of the Sunshine Coast with a Bachelor of Nutrition & Dietetics, Tarni has since had clinical experience working with acute cardiac and respiratory patients in hospital. Special interest areas include rehabilitation, weight management, cardiovascular disease, gut health and sports nutrition.

Outside of work, Tarni enjoys hiking, climbing mountains, exploring new places, drawing and photography. She is always experimenting with new foods, recipes and keeping up to date with the latest research in nutrition and dietetics.

Tarni is available for Dietetic appointments at our CaloundraWoolloongabbaChermside and Springfield locations.


Common Netball Injuries, Written by Netballer & Physiotherapist Ashlee Unie

Written by Ashlee Unie, Sports & Spinal Physiotherapist and Netballer

Netball is one of the most common sports played by Australians, in fact, netball has held the top spot as the most popular team sport played by girls since the Australian Sports Commission started counting!

If you’ve been unlucky enough to twist or sprain your ankle (as most netballers do!), your physio should be one of your first stops and can help be your guide on your road to recovery. If it is a particularly nasty one, your physio might send for a scan to rule out any red flags like fractures but their first priority is to help you get your pain and swelling under control. One nifty acronym that can start your recovery off on the right foot immediately after an injury is RICE – Rest Ice Compression Elevation. For your ankle this means:

  1. Rest up – keep most of your weight off that ankle if it is painful to walk in the first 24-48hrs
  2. Ice – pop a bag of crushed ice (or peas) to your ankle
  3. Compression – compression bandages or socks can help keep extra fluid out of the joint
  4. Elevation – when you’re able to, put your feet up! Have your foot up above the level of your heart to help prevent any swelling pooling in your ankle

A thorough individually tailored physio program can help get you back on your feet and back on the court. Together you’ll target a range of areas – think mobility, stability and ability. The aim is to regain mobility in your ankle, improve your balance, awareness and stability and strengthen the muscles that control movements in your lower limb to make sure you have the ability to get back to what you love doing. Sticking to this program the whole way through is also really important for preventing it from happening again! Along the way, you are your physio can discuss slowly re-introducing training, warming up, taping or bracing and any other questions that pop up. The final stage before bib-ing up is to practice and ace sport-specific and agility exercises to ensure your ankle is match fit.

Contact your local Sports and Spinal to book in with a physiotherapist if you’re looking to get back on the court!

 


Low FODMAP Shakshuka, by Dietitian Chelsea McCallum

Following a low FODMAP diet can be confusing and stressful, often making symptoms worse. It is important to manage stress levels whilst on the low FODMAP diet. Sometimes it is easier to follow a simple plan during the elimination phase. Some of these ingredients are considered high FODMAP at larger portions – but if you stick to the portions in this recipe, the meal should be tolerated!

Low FODMAP Shakshuka

Ingredients:

1 tsp garlic-infused olive oil⠀
100g/3.5oz red capsicum, diced⠀
100g/3.5oz plain tinned tomatoes⠀
40g/1.4oz tinned chickpeas drained and rinsed⠀
1/2 low FODMAP stock cube (Massels)⠀
2 eggs⠀
Freshly ground black pepper⠀
Pinch of chilli flakes (optional)⠀
2 slices low FODMAP bread (traditional sourdough or gluten-free)
2 spring onion/shallots (green part only), thinly sliced⠀ ⠀

Steps:

  1. Heat a small skillet pan over medium-high heat and add the oil, capsicum, tinned tomatoes, chickpeas and stock. Stir well until combined.⠀
  2.  Form two wells in the tomato mixture and crack the eggs into them.⠀
  3. Place on the skillet lid and cook for 3-4 minutes depending on your desired egg consistency.⠀
  4. Serve with a sprinkle of chilli flakes, shallots and low FODMAP bread – traditional sourdough or gluten-free.

Meet Chelsea

Chelsea has a particular interest in IBS and gut health. She has completed several courses and events throughout Australia and in London, England to further her knowledge. All Dietitian EPC referrals will be fully bulk billed. We also welcome private, DVA, WorkCover and NDIS patients.


How Can Exercise Help With Cancer?

Optimising Cancer Outcomes Through Exercise, Written by Exercise Physiologist Annika Coyne

Cancer risk decreases as activity level increases

Physical activity, as a means of cancer prevention, has considerable strong and convincing evidence for particular cancers (breast and colorectal specifically), to the extent that the lack of physical activity is considered a risk factor for such cancers.

Exercise physiologist plays a significant role during and following cancer treatment:

  • Preventing, managing and reducing treatment-related side-effects
  • Bridging the gap between treatment cessation and returning to ADL
  • Improving long-term health by optimising physical functional, prevention of cancer reoccurrence and other chronic diseases (BMD loss, CVD, etc.)

In the literature, exercise during and following treatment has shown to:

  • Prevents decline and improve cardiovascular function
  • Improves body composition and immune function
  • Improves strength and flexibility
  • Improves body image, self-esteem and mood
  • Stimulate the neuromuscular, endocrine, immune and skeletal symptoms for symptom reduction and health enhancement

Reduces number and severity of side effects including:

  • Nausea
  • Fatigue
  • Pain
  • Improves QOL
  • Reduced hospitalisation duration
  • Improves chemotherapy completion rates
  • Allows for better adjustment to illness
  • Reduces stress, anxiety and depression

In fact, the LACK of PHYSICAL ACTIVITY participation during and following cancer treatment has the potential to exacerbate fatigue symptoms and loss of function, overall impacting quality of life.

Exercise recommendations

  • Steady progress may mean regular participation in exercise rather than the continual progression of intensity/duration/frequency
  • Keeping a diary of frequency and intensity of side effects, exercise participation, the treatment being undertaken, workdays and other relevant information to help identify worsening symptoms and the cause throughout treatment.

Cardiovascular (CV) Exercise

·         Exercises involving large muscle groups

·         Don’t need to be restricted to walking or stationary bike

·         3-5days/week

·         20-30mins continuous CV exercise, but may need to start as low 3-5mins with rest intervals for deconditioned patients

Resistance Exercise

·         Dynamic using concentric an eccentric muscle contraction

·         Use of machine weight, free weights, bodyweight and bands that involve major functional muscle groups

·         Include exercises that replicate daily tasks causing problems for patients

·         1-3days per week (rest days in between)

·         6-10reps, 1-4 sets per muscle group

More about Annika

Annika is an enthusiastic Exercise Physiologist with a passion for Women’s Health. Annika has experience working with pelvic floor dysfunction, diastisis rectus abdominals, pre and post-natal, pelvic & lower back pain. She supports all women by educating them to better understand and manage their condition and restores physical function through exercise. Annika also has a special interest in musculoskeletal rehabilitation. She is committed to delivering high-quality Exercise Physiology, prescribing the best rehabilitation plans based on her clients’ goals. Annika’s love of sport and exercise is what drives her passion for health and well-being. Annika believes that TODAY is always the right day to start.

Annika is available for Exercise Physiology appointments at our Sippy Downs location.


Untreated Hearing Loss & The Risk of Falling

Written by Andrew Campbell​, Masters trained Audiologist

The association between reduced hearing and an increased chance of falling is clinically significant and is an important consideration when recommending treatment of hearing loss. The statistics are quite concerning:

· About one-third of the population over the age of 65 falls each year, and the risk of falls increases proportionately with age.

· At 80 years, over half of seniors fall annually.

· Falls account for 25% of all hospital admissions and 40% of all nursing home admissions.

· 40% of those admitted do not return to independent living.

· 25% of falls patients pass away within a year.

· In Australia in 2009-2010, the estimated number of hospitalised injury cases due to falls in people aged 65 and older was 83,800.

As alarming as these statistics are, they are an underestimate, as many falls go unreported.

Many of the causes of falls are preventable and doctors routinely advise their older patients to have their vision checked. They also advise having the home evaluated for falls risks and modified accordingly wherever possible. What’s lesser-known and mentioned far less frequently is that another major contributor to an elderly person falling is untreated hearing loss.

 

Multiple studies have proven that those who are ‘hard of hearing’ are at significantly greater risk of falling.

One of the most significant studies conducted to determine the connection between untreated hearing loss and falls used extensive data from the 2001–2004 cycles of the National Health and Nutrition Examination Survey. More than two thousand survey participants aged 40 to 69 had their hearing tested and responded to the question: “Have you fallen during the past year?”

 

Researchers also tested participants’ balance function to determine if this was being affected by their hearing loss. The lead researchers reported that people with mild hearing loss (roughly 25% hearing loss) were nearly three times as likely to have a history of falling. Every additional 10dB (roughly 10%) of hearing loss increased the likelihood of falling by 1.4 times[G11]. Even after other factors (age, sex, race, balance function) were considered, the findings held true.

 

Possible reasons linking untreated hearing loss and falls

Dr Frank Lin, an otologist and epidemiologist who conducted this and several other studies on the broader implications of hearing loss, suggests the following possible reasons for the clear links between untreated hearing loss and falls:

· People who can’t hear well may not have a clear awareness of their overall environment, increasing the potential to trip and fall.

· Cognitive load increases in those with hearing loss. The brain is overwhelmed with demands on its limited resources to maintain balance and steadiness while straining to hear and process sound.

· Hearing disorders may also include balance dysfunction.

Now available – hearing aids with built-in falls detection!

To assist in reducing the likelihood of falls, one of the latest hearing devices has built-in falls detection which has a high degree of accuracy and can alert up to three people by SMS when a fall has occurred. When someone responds to the SMS, they are instantly sent Google Maps directions to the person who has fallen, to assist in coming to their aid without delay.

For current owners of hearing devices, reduced risk of falling is yet another reason why hearing devices are best worn during all waking hours. They’ll assist in keeping you sharp, engaged with those around you and firmly on your two feet.

NeuAudio is an Independent hearing practice based at Sports & Spinal’s Chermside practice, if you or someone you care an about is interested in a complimentary consultation, you can book via the following link https://calendly.com/neuaudio/chermside-hearing-test


Meat, Dairy & Eggs, What our Dietitian has to say

The Heart Foundation has just released new recommendations and its good news for cheese lovers!  It has been found that unflavoured full-fat milk, yoghurts and cheeses have a neutral effect on cholesterol levels in healthy individuals. However, for those who currently have elevated cholesterol levels or heart disease, the recommendations are to continue or swap to low reduced-fat dairy products and no more than 7 eggs per week. Butter and other dairy products higher in fat and sugar such as ice-cream and desserts should continue to be consumed in moderation.

Emphasis has also been placed on our red meat consumption. The Heart Foundation is suggesting no more than 350g of unprocessed lean red meat per week. This is equivalent to 1-3 main meals that include lean beef, veal, pork, or lamb. Processed or deli meats should still be limited as they are linked to a higher risk of heart disease and other chronic conditions.

So where should we be getting our protein from? It’s suggested that we include plant protein such as lentils, legumes and tofu, as well as fish and seafood, with a smaller proportion from eggs and lean poultry. For main meals, start by filling half your plate with fruits and vegetables. Add a small portion of whole grains, a small portion of lean or plant protein and cook with extra virgin olive oil.

The bottom line.

Healthy individuals are recommended to consume a diet high in fruits, vegetables, whole grains and plant-based protein. Enjoy fish, seafood, eggs and poultry in moderation. Include full-fat milk, yoghurts and cheeses. Limit red meat (beef, veal, lamb & pork) to 350g per week and limit foods or drinks high in saturated fats, added sugar, salt and alcohol. Those with chronic conditions such as Type 2 Diabetes, Dyslipidaemia or Heart disease are encouraged to follow a similar eating pattern. However, consume no more than 7 eggs per week and swap to reduced-fat dairy. And of course, we cannot forget the importance of regular exercise and stress management.

Chelsea McCallum is a Dietitian at Sports and Spinal Physiotherapy. Chelsea is passionate about empowering clients to transform their health and prevent chronic disease. Having graduated with a Bachelor of Nutrition and Dietetics from the University of the Sunshine Coast, Chelsea has experience in a wide range of nutrition areas such as weight management, diabetes, cardiovascular disease, irritable bowel syndrome, malnutrition and sports nutrition.

 


Dietitian Approved, Healthy & Easy Snack

No-Bake Protein Bliss Balls Are A Great Healthy Snack for Work & Time Poor Days.

INGREDIENTS:

- 3 cups raw muesli

- ½ cup bran

- 4 tablespoons mayvers crunchy peanut butter

- 2 tablespoons mayvers cacao super spread

- ½ cup raw (Amazonia) slim & tone protein powder

- 1 ripe banana

- ½ cup mixed nuts

- 2 tsp honey

- 1 cup of desiccated coconut.

STEPS:

  1. Mix all the following ingredients into a bowl, if the consistency is too dry, add a dash of coconut milk. If too wet, add more muesli.
  1. Roll into ping-pong sized balls using hands. Ideal consistency should be sticky.
  1. Coat with coconut, place in a container and allow the balls to set for 20 minutes

Casey is passionate about the role that nutrition has on health and well-being. This led her to pursue a career where she is able to utilise her knowledge to facilitate clients in meeting their individual nutrition and health goals. There is never a one size fits all approach when it comes to diet and lifestyle and she is committed to guiding and supporting all of her clients.

She has completed a Bachelor of Biomedical Science, Bachelor of Exercise & Nutrition Science, a Masters in Dietetics (University of Queensland) and is also an ACFED approved eating disorder practitioner. Her areas of interest include chronic disease, weight management, bariatric surgery, allergies/intolerances, vegetarian and vegan diets and eating disorders.

Casey is available for Dietitian appointments at ourRobina & Broadbeach clinics


Are you suffering from Vertigo or have Vestibular conditions?

Sports & Spinal have expert physiotherapists in Vestibular Rehab, Neurological Rehab and Fall Prevention treatments.

Our Vestibular physios are available throughout the Sports and Spinal’s clinics which cover a wide region from Brisbane to Sunshine Coast.

Our physios have all undergone postgraduate studies in the treatment and diagnosis of vestibular and neurological conditions.

Find out how we can help you!

What is Vestibular?

Vestibular conditions may present with a variety of symptoms including dizziness, vertigo, balance disturbances, nausea, vomiting, rocking or spinning sensations, blurred vision, fatigue or unsteadiness. Anxiety and depression may also feature or be a natural result of living with vestibular symptoms.

Vestibular Rehab

Using high level technology (infrared goggles) our Physiotherapists are trained to assess subtle movements of the eye in reaction to certain clinical tests. These movements (Nystagmus) arise when there is an imbalance in the Vestibular/Inner Ear System. Your Vestibular System is responsible for keeping your eyes and gaze steady, especially during head movements. If your Vestibular System is imbalanced (one side damaged/affected) your eyes can slightly drift towards the ‘affected’ side. Your brain then ‘centrally compensates’ to correct this and in turn your eyes ‘flick’ back to the centre. This ‘flick’ back is what is most obvious during the Nystagmus observation. There are many different patterns of Nystagmus E.G. horizontal, torsional, vertical, in all different directions, and these can be in numerous combinations. Nystagmus are the key to diagnosis as certain patterns represent specific Vestibular or Central Disorders.

Vertigo

Vertigo is the sensation that either you or the world is rotating. Episodes can last for a few minutes or be constant. Attacks may be associated with specific movements like rolling over in bed, turning to look over your shoulder, looking up or down a flight of stairs, or may take you completely by surprise. You may experience vertigo from the extreme sport of standing upright without moving at all! Vertigo can have a big impact on your function. You may not be able to do things you used to enjoy. It can be overwhelming to concentrate or complete basic tasks when your world is spinning, or you feel like you are standing on shifting sand.

What are the symptoms of Vertigo?

Other symptoms can include light-headedness, feeling faint, headaches, nausea, difficulty concentrating or blurred vision. Sometimes you can feel like you veer off to one side when you walk or struggle to keep your balance.

What are the causes of Vertigo?

There are many causes of vertigo, but problems arise when the three main balance systems in your body are not telling your brain the same information. These 3 systems are the balance organs in the inner ear (called the vestibular system), the position sensors in your joints and muscles, especially the neck and feet, and your eyes. Dysfunction can occur in one or any combination of these three systems, or in the processing of this information in the brain. These systems can also deteriorate as part of the normal ageing process which adds another challenge.

What is the Vestibular System?

The vestibular system is made up of 3 semi-circular canals in each ear that are filled with fluid. Tiny hairs inside these canals sense when this fluid shifts as you move your head and tell your brain whether you are upright or tipped at an angle. The most common dysfunction is BPPV (Benign Paroxysmal Positional Vertigo). In this disorder, microscopic crystals in the canals of the vestibular system are dislodged through trauma, illness or the normal aging process. Movement of these crystals in the vestibular system can trick the brain into thinking your head is tilted when your vision is telling you your head is straight resulting in an overwhelmed, spinning sensation. More complex dysfunction includes complete loss of function in one or both of the inner ears. Fortunately, the brain can be trained to compensate for the complete loss of function in this vestibular system by strengthening the use of vision and/or good postural awareness of the head and neck alignment. Other factors include vestibular migraines and the high association between headaches, migraines, and vertigo.

How can the Physio’s @ Sports & Spinal help me with Vertigo?

Our physiotherapists are trained to assess and treat dysfunction of the vestibular system and your balance. You don’t need a referral and our clinicians also screen for more serious causes of vertigo such as Meniere’s disease, or vestibular neuritis. We will refer you to a GP if you need to undertake further testing such as CT scans or blood tests. We also assess your posture and any neck or migraine issues you may experience.

Treatment involves Vestibular rehabilitation therapy to treat primary and secondary causes of vertigo. It is an exercise-based program combined with mobilisation of the head and body to correct deficiencies within the vestibular system and strengthen the processing of balance information in the brain.

How does Physiotherapy help?

  1. Improved balance
  2. Reduced tension of muscles, headaches and more energy.
  3. Symptoms of dizziness and vertigo and nausea will decrease or disappear

Many times, vestibular physiotherapy is so successful that no other treatment is required.

Vestibular Team @ Sports & Spinal

Briony McSwan

Briony has been with Sports and Spinal since 1998. She has a wealth of experience in all areas of physiotherapy but for over a decade has focussed particularly on the treatment and management of head, neck and jaw pain, as well as dizziness and vestibular dysfunction.

Briony has achieved Competency level Vestibular training and has been a Watson Headache practitioner for over 15 years. Watson techniques for headaches are internationally recognised and renowned and can be a breakthrough in the management of chronic headache and migraine.

Briony is available for Physiotherapy appointments at our Maroochydore location

David Stevens

Since qualifying as a Physiotherapist in 2002 David has worked in both the NHS and the private sector treating a variety of acute and chronic musculoskeletal conditions. Using a holistic approach he is able to tailor treatment to the individual and their goals. His areas of expertise are Cervicogenic headaches and shoulder injury. Working closely with shoulder surgeons in the UK has given David a sound understanding of the role that Physiotherapy has in the management and rehabilitation of complex shoulder conditions.

David is available for Physiotherapy appointments at our Buderim location.

Julie Gear 

Julie graduated from the University of Otago in New Zealand in 1998 and has gained a wealth of experience working in busy clinics around the world, including a professional sports centre in France, the Crystal Palace National Sports Centre in London and a clinic in the ski resort of Verbier in Switzerland. She has worked with rugby teams in New Zealand and the England Volleyball team in the UK.

Julie has postgraduate training in ergonomics and Pilates, and is also a qualified acupuncturist having studied both in the UK and in China. Julie combines her training in Traditional Chinese Medicine and Intra-Muscular Stimulation with traditional physiotherapy treatment techniques for optimum results.

Julie has a special interest in spinal problems and headaches.

Julie is available for Physiotherapy appointments at our Caloundra location.

Alana Dinsdale

Alana is a passionate physiotherapist who is experienced in working with a wide range of musculoskeletal complaints. She enjoys the challenge of finding and addressing the root cause of a problem, and works closely with her patients and other health professionals to deliver the best treatment possible.

Since graduating with a Bachelor of Physiotherapy from UQ in 2012, Alana has gone on to further her knowledge through various conferences and courses.

She has developed a particular interest in spinal rehabilitation, and treatment of neck pain, TMJ dysfunction and headaches. Alana uses a number of techniques with her patients including dry needling, manual therapy, exercise prescription and pilates.

Alana is available for Physiotherapy appointments at our Chermside location.

Contact your local clinic to book in with one of our Vestibular Physiotherapist


Cauliflower Soup Recipe; Written by Dietitian Chelsea McCallum

Recipe designed by Chelsea McCallum. Chelsea is one of our superstar dietitians, and she is passionate
about sharing her love of healthy and simple, yet delicious recipes. Here is one of her favourites below to keep you warm this winter!

 

Ingredients:

1 brown onion

4 cloves garlic

1 leek

1/2 cauliflower head

1 tbsp butter

1.5L salt reduced stock

Pepper

A sprinkle of parmesan cheese

 

Method:

  1. Roughly dice the onion and leek, cut the cauliflower into chunks and peel & dice the garlic.
  2. Heat a large saucepan over medium-high heat and add the butter, onion and garlic. Cook, stirring, for three minutes or until the onion has softened.
  3. Add the cauliflower, leek, stock and season with salt and pepper. Cover and cook on medium for 20 minutes.
  4. Blend with a hand-held stick blender until smooth and serve with a sprinkle of parmesan cheese.

Enjoy! We hope this recipe is a favourite in your house this winter!

 

Chelsea McCallum is a Dietitian at Sports and Spinal Physiotherapy. Chelsea is passionate about empowering clients to transform their health and prevent chronic disease. Having graduated with a Bachelor of Nutrition and Dietetics from the University of the Sunshine Coast, Chelsea has experience in a wide range of nutrition areas such as weight management, diabetes, cardiovascular disease, irritable bowel syndrome, malnutrition and sports nutrition.