Saunders Physiotherapy is widely considered as a world-leading centre in the area of therapeutic exercise prescription. Prescribed exercises aim to improve the control, strength, and endurance of abdominal, back, pelvic, lower limb, neck and/or upper limb muscles. Your Physiotherapist will educate you as to why these exercises have been prescribed and ensure that you are performing them properly as both affect how much you are likely to benefit from exercise therapy.
Whether you want to improve sporting performance, reduce the risk of injury or recover from injury, resistance training is a necessary addition to maximise performance and health. It is also possible that you may benefit from a general exercise program that aims to improve your aerobic / cardiovascular conditioning as well as strength and flexibility.
Sports specific conditioning catering to elite and recreational athletes is also available for injuries requiring high-level training. The team at Saunders Physiotherapy have varied backgrounds with each of us bringing expertise from different sporting and injury interests. Each week we get together for an hour to exchange thoughts on various topics and teach one another about interesting cases. As a result each Physiotherapist is comprehensively trained and ideally placed to assist you in safely rehabilitating your injury. Our detailed approach incorporating biomechanics and screening assessments, in combination with manual and exercise therapies, moves beyond injury rehabilitation to optimising athletic and sporting performance.
Using acupuncture needles, dry needling is often combined with deep tissue massage to treat and disengage trigger points in muscle that can contribute to acute and chronic pain as well as biomechanical issues. Dry needling is a powerful adjunct to exercise and massage therapy that when used appropriately can help more stubborn areas. Our Physiotherapists are trained in the application of dry needling and are able to use it effectively as part of an overall management plan for each patient if it is deemed beneficial to use.
Shockwave is an adjunct therapy used at Saunders physiotherapy in conjunction with a considered strength and conditioning program. The treatment is a non-invasive high frequency sound wave used to promote healing and pain relief. It is believed that the shockwaves stimulate the release of growth factors and increases blood supply to the area to facilitate healing. Shockwave modulates pain and can produce significant short term change to pain to allow important strengthening to occur.
It is important to note that shockwave is not a standalone treatment. It is used to help settle pain and promote healing to allow progressive exercise and conditioning to be completed more effectively. This is often a second option rather than a first line of attack for more stubborn issues.
Shockwave is effectively used for tendon pain, plantar fasciitis, tennis elbow, muscle strains and calcific tendonitis. Shockwave also has some applications in the stimulation of bone healing. Speak to your physiotherapist about shockwave and if it may be useful for you.
We see a lot of complex neck injuries including motor vehicle accident related whiplash. Important sensors of joint position (proprioceptors) are located in the ligaments of the neck, during high speed injuries these ligaments can be stretched and damaged limiting the awareness of joint position. This can relate to increased muscle tightness as the sensors of joint position are not as proficient at warning the brain that the neck is approaching end of range. Restoring the function of this system is extremely important for both pain and achieving normal function for activities of daily living.
At the clinic we use a headband mounted laser and target practice to accurately measure this system and also train it. The use of the laser allows patients to see exactly where they lack control and body awareness and the real time feedback helps with the retraining of this sense. The neck is a common area where we apply this technology but it can be applied to similar losses of joint position control with hip and lumbar injuries as well as other ligament injuries like knee and ankle sprains. Speak to your physiotherapist about whether this treatment is appropriate for you.
In the management of many lower limb injuries a detailed and proper assessment of the foot can be the missing component to a timely recovery. Not only does the Saunders team place an emphasis on biomechanics of the foot but we are also trained in the fitting and fabrication of custom soft fit orthotics. These customisable orthotics can help address a variety of biomechanical problems at the foot. Used in conjunction with a strengthening and treatment program the orthotics can be adjusted over time as the foot becomes better adapted to the activities you want to do.