The Phit Physio

08/05/2022

Love this from 👏🏻

Great simple framework to guide your exercise prescription 📈📝

Keeping it simple is often the best approach, and yet, overcomplicating things is where a lot of us fall down when guiding our patients on the path to recovery ✅

02/04/2022

https://www.instagram.com/reel/CbjMJ-plEaO/?utm_medium=copy_link

: “NOCEBIC LANGUAGE - JUST STOP 🛑✋🏻 “You have the knees of a 90 year old” 🤦🏻 “This is the worst…”

14/02/2022

SUPER BOWL LVI - OBJ INJURY 🏈😳

Yet to be confirmed but looks like an ACL re-rupture for Odell Beckham Junior from yesterdays Super Bowl ❌

What do we think of the mechanism of injury? 🤔

27/01/2022

NEW CLINIC ☀️🏥

I’m delighted to announce that I will be joining the team at Cassowary Coast Physiotherapy in Mission Beach, Far North Queensland 🏖

After more than 5 years in Melbourne, the time has come to say goodbye 😢 (for now). I would like to say a massive thank you to Tom Bosna, Josh Lambert, & everyone Pinnacle Health Group who’ve helped me develop and grow as a clinician over the course of my time here. ❤️

It will be difficult to leave, however I am incredibly excited to join Rob Harris and his team, and look forward to the challenge ahead, providing top level Physiotherapy services to the community of Mission Beach 🏋🏻🤸🏼

I will be continuing to remain active on Social Media, so please feel free to ask me any health/injury/Physio related questions (no matter where in the world you are 🌎)

Exciting times ahead 🔝

Peace ✌🏻

30/11/2021

NEYMAR ANKLE INJURY 😫⚽️🇧🇷

have today confirmed that Neymar has suffered “ankle ligament damage” (pretty obvious from the above footage eh?) and will be out of action until the new year. ❌

While the exact diagnosis (from what I’ve read) has not been provided, given the mechanism of injury, it seems like a pretty obvious lateral ankle sprain, likely involving multiple ligamentous structures. 😭

Lateral ankle sprains are among the most common musculoskeletal injuries sustained by the general population, with up to 70% of individuals reported to have sustained this type of injury at some point in their life. 🤕

The 2019 ROAST consensus statement (pictured above) provides us Physiotherapists and Rehab professionals with a solid framework to guide our assessment and treatment of these common injuries. 📑✅

It seems clear that exercise-focussed rehabilitation, looking at range of motion, muscle strength, postural balance, and proprioception, play a key role again here. 🤸🏻‍♂️🏋🏻🧘🏻‍♀️

Wishing all the best with your recovery 🙌🏻

25/11/2021

HOW LONG WILL NY *INSERT INJURY HERE* TAKE TO RECOVER?…

iknowforrest • Original Audio

22/11/2021

FROZEN SHOULDER - TREATMENT OPTIONS 🥶👨🏻‍⚕️🔪🏋🏻

Frozen Shoulder is a tricky condition to manage…

The duration of symptoms ranges from 18 months to 4+ years, with high levels of pain/discomfort and gross losses of range of movement being common. 🤯

From my experience, setting a patient's expectations for the long road ahead is key in the early stages of management. 🛣 Rangan et al (2020) compared three different interventions that may be used during this rehabilitation journey, in a large multicentre RCT. They compared:

- Manipulation under anaesthetic 🔪
- Arthroscopic capsular release 👩🏻‍⚕️
- Physiotherapy with Steroid Injection 🏋🏻💉

Their results showed improvements in OSS (Oxford Shoulder Scores) across all 3 groups after 12 months, with no significant differences between groups.

This is important, as surgical interventions are typically more invasive forms of treatment, and therefore present more risk to the individual. If a structured Physiotherapy program can provide similar results, while being less invasive, this is definitely encouraging. 👍🏻😀

For more info, check out the FROST trial, and if you have any questions, shoot me a message 📲📩

Peace ✌🏻

17/11/2021

EXAMINATION UNDER ANAESTHESIA (EUA) 🦵🏻👨🏻‍⚕️

Cool video of 2 orthopaedic examinations we commonly use when assessing for ACL rupture:

1. Lachman’s Test
2. Pivot-Shift Test

Here both tests are performed with the patient under anaesthesia just before undergoing an ACL reconstruction surgery 🔪

Hands up if you’ve had this procedure done before ✋🏻

16/11/2021

https://www.instagram.com/reel/CWU2ulEluz0/?utm_medium=copy_link

masondenverr • Original Audio

13/10/2021

CALLING OUT THE BU****IT 💩📢

Shoutout to all my Physio colleagues who are consistently calling out all the nonsense that is sadly still rife within our profession 🤦🏻‍♂️

We must continue to do this in order for our profession to move forward. Keep it up folks 💪🏻🔝

05/10/2021

RUNNING INJURY RISK FACTORS 🏃🏻🤕

We, as Physiotherapists, and other healthcare practitioners, often ask our patients about recent changes in their training load, in search of a potential injury mechanism 🔎. While this is important for us to understand, can we confidently link certain changes in training intensity, frequency, or duration, to injury? 🤔

A recent systematic review by Fredette et al (2021), suggests that running related injuries are not consistently linked to changes in training parameters and therefore we should be cautious when recommending 'optimal' training plans or loading protocols. 📑

Does this mean changes in training load don’t matter? 🤷🏻‍♂️

No, not at all. ❌

So what does this mean for us and our patients?…

Well, simply put it means we have lots of options when it comes to advising individuals how to increase their training load safely. We just don't have one 'golden rule' or 'perfect approach' for everyone that offers a minimal injury risk. ✅

Like with all injuries, there are so many factors to consider (sleep, training history, psychosocial, to name a small few). My suggestion - if you're concerned about injury, speak to your Physio to work out a couple of options that may suit your needs. 🙋🏻‍♂️📋📊

If the 10% rule or another approach works for you - fantastic, crack on. If not, don't worry, there's always another way 👍🏻

Peace ✌🏻

17/08/2021

HERE WE GO AGAIN - LOCKDOWN 6 EXTENSION 🙄😤

With increased restrictions and Melbourne's 6th lockdown being extended, a lot of us are having to spend even more time at home - again! 👎🏻

There's no doubt that over the course of the last 18 months, the lack of incidental daily exercise has become a real problem. ❌

Take away your commute, your moving between meetings, lunchtime stroll etc. and you could be losing out on 5000+ steps/day. Add that up over an 18 month period and that's a lot of steps!! 🚷

Take away that habitual daily movement and it's no wonder so many of us are gaining weight, becoming more stiff/sore, and basically just feeling more 'bleuughh'. 🤢🥴

Movement 'snacks' are a great way to build some simple exercise into your day. If you can't get out for a walk or engage in your normal exercise session, give some of these simple low intensity exercises a go throughout the day. 🕺🏻🧘🏻‍♂️