Hamstring tears are common in football, netball and any sports that require quick explosive movements. It is however incredibly difficult to diagnose, treat and rehabilitate.

We have all heard of the back related hamstring. This indicates that there is a structure that could be irritating the sciatic nerve masquerading as a tear. It has been estimated that up to 30% can be estimated to be neural. This has been confirmed in MRI findings where players are scanned and all signs point to a tear, pain in palpation, hamstring curl and functional tests. But on scan there is no tear to see.

Anecdotally leading sports doctors have found that clinical testing can be misleading. 2 patients with similar tests can have 2 vastly different results.

Largely neural hamstring pain is a quicker recovery and requires a different management manual therapy and exercise rehabilitation.

Consult your PhysioPro who can guide you with differentiating the two and can give you a clear rehabilitation plan to recover in the quickest way.

It will be better when it’s better. It just takes 4-6 weeks. I’ll get back to sport after then. This is the kind of mind set that is limiting for injury recovery.

If you choose to:

Not wear a moonboot when advised with a stress fracture

Not leave your arm in a sling for a collar bone fracture for 4 weeks

Not rest, ice, compress and elevate the injury for 48-72 hours post acute injury

Not consult a Physio for a treatment management plan and rehabilitation exercises

Then you could be choosing for a longer period of immobility, injury, pain and less function but you could also be choosing for recurrence of the same injury in the future.

Coaches pet hate is when they don’t know when you are injured. The temptation is to not tell your coach for fear of losing your spot in the team or so that you don’t need to hear the bad news from the team sports trainer or Physio. Often this is when potentially short term injuries can become long term.

Another way not to annoy your coach is to consult us to get a clear plan from your PhysioPro. They will provide you with a return to sport and a return to train plan to make sure that you can clearly tell your coach when you are back on the track to train and back on the field for play.

There are always upper body exercise to maintain fitness if you have a lower body injury and vice versa. Not to mention specific strength for your injury.

Call your PhysioPro today for an early injury assessment today.

A professional attitude to injury from an amateur athlete can dramatically improve the outcome for the individual and henceforth their team.

A professional attitude is communicating well with your Physio and allied health team about what you are feeling. It is also important to not leave out any details of the problem. You need to be a good historian for the Physio to be able to help you.

Professional actions are eating well, hydrating, sleeping well which can not only help performance but research shows can also help injury recovery.

Professional actions is preparing your body professionally. This includes strength and conditioning as well as a sports specific pre- season which can help enormously.

Remember perfect preparation can help for a perfect performance.

Communication is critical for injury management. If you can communicate with your health professional about your injury you can make a decision based on your goals for de loading and managing the problem.

Conversely if you don’t communicate then the problem can manage you out of your season.

PhysioPros, as talented as they are can’t read your mind. Please communicate with them what you are feeling to prevent injuries becoming too well established.

Awareness is a term that is thrown around a lot. Sporting awareness is often referred to as when a player is aware of where the ball is going to go. Aware of their opponent, with their strengths and weaknesses. Aware of the time in the game and the time on the clock. This awareness will make a good sportsmen and sportswomen.

Body awareness will give these athletes the ability to go from good to great because it will give them continuity of playing which will give them ability to consistently perform.

Foot awareness maybe a stress fracture hiding in the navicular. Achilles awareness maybe a tendonopathy brewing under the surface. Groin awareness maybe adductor tendonopathy or even osteitis pubis beginning. If you can make contact with your health professional and discuss your feelings of awareness then they can make a decision on reducing load or improving key areas like flexibility or strength.

Be body aware and listen to your body. Get in contact with your PhysioPro if you are feeling very aware of an area. It may save you a long lay off with injury.

Winter sports are upon us. A good pre-season is critical for a good season. Previously there was a feeling that injuries were just something that happened. They were unavoidable. Inevitable even, if you are playing pivoting, shifting, change of direction or contact sport.

New thinking in this field tells us that with strength and conditioning and sports specific exercises we can prevent injuries from occurring. Below are some examples.

ACL is a dreaded injury for any soccer, netball, rugby and footballer. There are things that you can do to prepare your body for the rigours or change of direction. Cutting, jumping, box jumps, mini hurdles, ladder runs, bosu ball, mini trampoline and skipping can help in addition to pelvic and leg strength.

Hamstring injuries can be helped with nordics, Romanian deadlifts, hip extension resisted band exercises, hamstring curls and gluteal strength.

Osteitis pubis has also been shown to cause long term problems particularly with younger athletes and can cause months if not years of lay off. Gluteal strength, particularly of the gluteus medius is critical for prevention. More stable core and pelvis, less groin irritation.

Prepare your body and your body will thank you. It could even reward you with an injury free year. Good luck with all your winter sporting endeavours.

When we wake up sore we often want to blame the bed. For obvious reasons. My back wasn’t sore when I went to sleep and when I woke up it was. ‘I need a new bed!’

There is another potential cause – ‘inflammation.’

If you wake up sore it could purely mean that you had an inflamed facet joint or disc. Overnight that inflammation built up, distended the disc or joint, caused nerve irritation and then you woke up sore.

When you move your back during the day there is a mechanical pump around your discs and joints which moves and disperses synovial and other fluid which keeps the disc and joints lubricated.

It is important to address your back issue before blaming the bed.

Good tips is to gentle rotate your back left and right, gently stretch into flexion and extension with some stretch poses before bed to see if that helps. Alternatively contact your PhysioPro for an assessment.

Don’t rush out and buy a new bed unless you have tried a few things like: flipping a mattress, sleep on a other bed and see if that makes a difference or alternatively change sleeping positions. It could save you a lot of money.

Happy sleeping!

Congratulations to all our swimmers who completed the Rottnest Crossing on Saturday just gone. It is an amazing achievement wether in a group of 4, 2 or solo.

Swimmers shoulder – usually a combination or bursitis and tendonopathy which causes impingement with movement – is very common.

For all of those who are sore in the shoulders today here are the PhysioPros common causes of swimmers shoulder. Correcting these technique issues should make happy shoulders which equals happy swimmers.

  1. Poor mid back rotation as hand enters water (short stroke/staying too flat on stomach)
  2. Not getting elbow higher than hand during the catch phase of the stroke.
  3. Not getting elbow higher than hand during recovery phase of stroke.
  4. Poor head position (need to have eyes to bottom of the pool and bottom goggle in the water when turning to breathe).
  5. Crossing over the midline/hand placement too wide.

Preparation for Rottnest Crossing 2021 starts now. Good luck!

What do Physios do????

A great article in HealthTimes highlighted the broad role of a physiotherapist. Many people aren’t aware that physio’s don’t just treat sports injuries and back pain.

PhysioPro work in the musculoskeletal field. This encompasses “conditions such as sprains, back pain, arthritis, strains, incontinence, bursitis, posture problems, sport and workplace injuries, plus reduced mobility. Rehabilitation following surgery is also included within this category.”

Head to the link below for quick read of the article https://healthtimes.com.au/…/what-do-physiotherapists-…/467/ and head to our website https://www.physioproperth.com.au/conditions/ and check out the vast range of conditions we treat.