Real-time ultrasound is used extensively to provide safe, cost-effective, and available means of examining various body tissues and organs. Physiotherapists have used therapeutic ultrasound for long enough to aid repair soft tissue injuries. Recently, they are now branching into real-time ultrasound for spinal physiotherapy due to the following benefits.


It is Beneficial for Muscle Retraining

Real-time ultrasound physiotherapy is an effective treatment for lower back pain. The best way to activate correct t spinal muscle stability is by seeing them work in an ultrasound scan as you perform the exercises. Nothing seems motivating as watching a video picture of your muscles working; it enables you to match up what you feel and what is happening in your body at that particular moment.

Using the real-time ultrasound allows you to watch your spinal muscles contract, relax, additionally, you can determine the relaxation size and time interval. Under the guidance of your physiotherapist, you can do the ultrasound retraining; you learn how to correctly contract your core muscles even at home, which will quickly ease your back pain.


Provides Biofeedback

Biofeedback is useful to both the patient and physiotherapists, for the patient, it is a teaching tool where you learn what is required and how to perform it, to improve your spinal outcomes. During your regular therapy sessions, you learn various hands-on exercises to manage pain, improve circulation, by retraining your body to regain mobility. Biofeedback helps you to determine whether you are performing the tasks well. If you are doing it in the wrong way, you make adjustments until biofeedback shows that you have mastered the activities correctly.

To the physiotherapist, the real-time ultrasound provides visual feedback indicating muscle changes, and motor activation movements, and also helps to determine the performance of the deep spinal stabilizing muscles. It also facilitates a dynamic examination of spinal structures while interacting with you during the treatment process.


It can be used with the Patient in any Position

During activity-based therapy, there is a lot of muscle movement to promote strength training and neuroplasticity for the recovery of spinal cord injuries. The real-time ultrasound is put in any position to allow for patient movement and assessment of muscle functioning in various areas while you are lying or while standing.

Its safety and simplicity make it appealing for spinal physiotherapy, especially in the image-guided diagnostic injection. It is crucial to administer the infusion precisely into the suspected area of pain, real-time ultrasound is, therefore, necessary.


It is Necessary for Newborns and Infants

Ultrasound of the spine is required for infants in the detection of birth injury like post-traumatic leakage of cerebrospinal fluid. It is also useful in the evaluation of suspected defects like syrimgomyelia, cord tethering, hydromyelia, and diastematomyelia. Other benefits in newborns include post-operative assessment and visualization of fluids with blood products within the spinal canal.



The ultrasound imaging method has no radiation exposure; it is simple to administer, non-invasive and provides improved soft tissue imaging. Call 9144-1510 now to schedule an appointment with one of our physiotherapists.

Surfing is quite demanding. It puts your legs, gluts and the back to test, often pushing them to the limit. Consequently, back pain, or surfers back, is a common injury many surfers have to deal with. The blanket term refers to any lower back injury regardless of the cause.

In most cases, weak back muscles, posture or bad surfing technique causes the lower back pain. This means that you can enjoy the waves without putting your back on the line if you know what to do. Here are some pointers on the main causes of surfer’s back.

Perfect Your Surfing Technique

Surfing isn’t all about keeping your balance when on the board. You have to ensure that your stance is right to avoid putting too much stress on your back. A good rule of the thumb is to keep your back as straight as possible and keep low when doing the twists and jumps.

Investing some time with a professional surfer or a coach is a great way to perfect your form. It might take some relearning and restructuring your surf schedule but it will be worth it in the long run.

Work On Your Weak Muscles

Sporadic surfers who aren’t as fit are more susceptible to surfer’s back than seasoned surfers who have worked on strengthening their muscles. The most important muscles as a surfer are:

  • Gluteal (buttocks)
  • Your core
  • Hamstring muscles
  • Thighs and calves

While your gluts, thighs and hamstrings handle the board manoeuvres, everything is pivoted through your pelvis and the lower back. A strong core, especially stronger transverse abdominus and multifidus muscles, will let you soak in the torque without dislocating your back.

Exercises that strengthen these muscles and improve your overall fitness will help you combat your pain. Moreover, easing into surfing rather than going too hard every time you hit the waves will condition your muscles over time without letting you suffer back pain.

Get Your Posture Right

A few minutes on the surfboard will magnify any prior back problems you had. Bad posture throughout the day will harm your lower back, and this will show once you start surfing regardless of how good your technique is.

Poor posture could occur when you are sitting at the office, standing, lying in bed or going through your daily schedule.

  • If you sit down a lot, get a good chair with lumbar support or a straight chair that encourages you to stay in a natural posture
  • If you stand a lot, practice your posture so that you never excessively arch your back and put strain on the lower back
  • If you are always lifting heavy things, remember to lift with your legs and not your back. Keep your back straight during the entire lift to protect your lower back


If you already have the back pain problem, you will need back pain treatment Perth to take care of the problem before you implement the above solution. If you get your posture right, strengthen your muscles and better your form, you will no longer worry about surfer’s back pain any more.

Professional athletes rely on the expertise and advice given by a sports chiropractor to enhance their athletic performance potential, speed recovery, and prevent injuries. You too can benefit from this type of care. Chiropractors that have attained special training in athletic performance, sports injuries and biomechanics apply a one-of-a-kind methodology to the care they offer.

Normally, they place a lot of focus on:

  1. Good Communication: Professional athletes have a very good sense of how their bodies are feeling. For the chiropractor to understand their expectations, goals, and needs, there is no option but to ensure they get to listen keenly.
  2. Staying in the Game: A good chiropractor will find a way to reduce or completely eliminate the athlete’s deconditioning by making sure that they are not removed from their traditional training environments. This may include substituting various forms of training to make certain that the athlete will psychologically remain in the game.
  3. Ongoing Collaboration: Chiropractic care requires the chiropractor to work as part of a team. This calls for them to work hand in hand with other healthcare providers and the athletes’ coaches.
  4. Instituting Small Changes to Bring About Big Results: A slight change to the biomechanics of a professional athlete is capable of bringing about bigger and better results. Before any changes can take place, it’s important to consider their competition and training schedules. This is how the chiropractor is able to identify the right time to implement changes.

A sports chiropractor is a professional who has a very good understanding of professional athletes. The chiropractor works with their patients to assist them to achieve their goals through performance training, sports rehabilitation, and sports therapy.


Chiropractic Care: What Is It & How Does It Work?


When you visit the chiropractor for the first time, they will start by performing a thorough assessment of your joints, nerves, bones, and muscles. It’s an assessment that will assist the chiropractor to come up with an approach that they can use to relieve the pain you are experiencing and make it easier for you to advance your general wellness.

Chiropractic care is generally a form of healthcare that focusses on the body muscles, nerves, and bones. Simply put, “chiropractic” means “to do using hands.” This type of hands-on approach to providing healthcare is what helps to describe chiropractic care. The chiropractors rely on the use of their hands to specifically and safely adjust joints located in your spine, and in other parts of your body.

An adjustment provided by a chiropractor helps to improve mobility, restore proper nerve function, and reduce pain in all areas of the body. Apart from providing body adjustments, a chiropractor can also provide nutritional advice, soft tissue therapies, fitness coaching, and lifestyle recommendations.

The goal of professional chiropractic care is to enhance your general well-being without the need to use drugs or undergo surgery. It’s, therefore, safe to say that a chiropractor is a licensed doctor that deals with muscles, nerves, and bones in the human body. Theirs is to provide spinal and general wellness care.

How to manage vertigo

Vertigo is the feeling of dizziness and loss of balance. The condition results from an issue affecting the inner ear, which is responsible for the stability of the entire body. Vertigo has several causes, including past head trauma, a viral infection, Meniere’s disease, Labyrinthitis, or Benign Paroxysmal Positional Vertigo (BPPV).

BPPV can be described as a situation when small particles of calcium accumulate and float in the inner ear causing dizziness as you move around.

Vertigo patients have trouble when it comes to sleeping. Before going to bed, avoid eating spicy food, don’t take caffeine, and avoid bright screens; these could trigger a sleepless night. To fall asleep faster, try the 4-7-8 breathing exercise; Inhale for a count of 4, hold your breath for a count of 7, then exhale completely (with a whooshing sound) for a count of 8.

As you go to bed, get the right pillow. You need a higher pillow. The higher your pillow is, the greater the angle to support your head. A wedge pillow is recommended for optimal support and an appropriate angle. Also, the travel pillows on airlines do great. You can support your body and prevent rolling over body pillows.

Adopting a good sleeping position is the other significant measure that helps a lot to provide comfort and curb the instances of dizziness. The position of your head determines how your night shall be. You should place your head strategically at an angle that won’t allow the troublesome debris from settling in the inner ear or fluid buildup. Add a second wedge pillow to prop up your head further.

BBPV treatment alongside proper sleeping habits will quicken recovery from vertigo.


Dealing with chronic back pain

According to the National Institute of Neurological Disorders and Stroke (NINDS), Chronic back pain is a stubborn, persistent pain that lasts for 12 weeks or longer after treatment of an underlying cause of acute low back pain or an initial injury.

The symptoms of chronic back pain include.

  • Shooting/stabbing pain
  • Muscle ache
  • Pain that improves with reclining
  • Pain radiating down your leg
  • Pain that worsens with lifting, walking bending, or standing.

The common causes of chronic back pain include.

  • Muscle/ligament strain
  • Skeletal irregularities
  • Bulging/ruptured disks
  • Arthritis
  • Osteoporosis.

It is essential to be enlightened on the risk factors of back pains, including:

  • Advancing age – back pains are common at the age of 30+
  • Rapid weight gain and obesity
  • Pregnancy
  • Genetic influences
  • Fitness level
  • Smoking
  • Backpack overload
  • Occupational challenges – poor sitting posture in the workplace
  • Lack of exercise
  • Poor mental health – stress & depression

The primary form of treatment is physical activity. It can be realized through normal daily activities (rather than bed rest), physical therapy programs, and workouts.

To prevent back pain, practice the following body mechanisms.

  • Exercise regularly to keep your body fit – Low-impact exercises are recommended, such as walking, swimming, and aerobics. Back muscle and abdominal exercises make your muscles strong and flexible.
  • Keep your BMI normal – being overweight strains your back muscles.
  • Avoid strenuous movements – don’t slouch for long, sit with your knees & hips level, and lift manageable weights.




sccrMore than 1.3 million children were admitted to the ER due to sports injuries in 2012. According to the National Electronic Injury Surveillance Survey, football was the leading cause of these injuries among college and high school athletes with an estimated 466, 492 kids treated. The majority of the kids experienced sprained ankles, torn knee ligaments and busted heads. Football is a favourite sport for children as young as five years, high school kids and college athletes hence, associated with the highest number of traumatic injuries. Overuse injuries are also likely to occur as a result of heavy training and conditioning while concussions develop due to high-speed hits with the ground or other players. Here are other common injuries kids develop when playing football.



This form of injury affects the head and is the most common form of football injury. Kids aged 12-15 are prone to concussions. Even with helmets, players still get injured as a result of sudden jerking motions or direct hits to the head. The victim may not pass out immediately but may develop symptoms like dizziness, headache, nausea, blurry vision, confusion, numbness, loss of balance, loss of memory or slurred speech.


Knee Injury

Medial collateral ligament and anterior cruciate ligament are the most common knee injuries. The injuries develop during a tackle. The injury may also affect the cartilage and the meniscus of the joint, which later forms into arthritis. Since young kids have a weak growth plate, fractures develop in the knee instead of tearing.


Shoulder dislocation

This type of injury occurs when the shoulder develops a sprain on the joint close to the collarbone. Young teenagers and growing kids often develop a fracture at the growth plate at the end of the clavicle, a condition known as AC separation. An unstable shoulder and tears along the tissue of the shoulder socket may also occur.


Overuse Injuries

Back pain is a fairly common occurrence among young football players and is caused by overuse. The player may also develop patellar tendinitis, common knee injury problem that is usually treated through a strengthening program.


How Chiropractic Care Helps Kids Playing Football

Chiropractic care has become a common form of preventive measure among kids playing football. Most injuries are not apparent as the adrenaline felt by players during a competition can mask the pain. There are cases where patients develop injuries years after impact. Sunbury chiropractors emphasise on pre-sports preparation to prevent the most common injuries among young players. Their expertise in the neuromusculoskeletal system allows them to provide the best ways to avoid injuries when playing and offer advice on how to condition the body to prepare it for rough play.


Also, regular chiropractic care for kids enables kids to enjoy the same benefits as adults, including keeping the body balanced, flexible and offers ways to alleviate aches and pains to keep the child performing to the best of his ability. While buying protective gear that is essential for kids, parents should consider making regular chiropractic care appointments as a preventive measure for football injuries.

Tennis elbow is used to describe the pain that develops on the exterior of the lateral part of the elbow. It is known by other names like lateral epicondylitis, rowing elbow and the tendonitis of the common extensor origin. Its origin remains unknown, though researchers associate it with the exertion of excessive pressure on the tendons located on the elbow, especially among athletes.


Pain can last for 6-24 months based on the extent of damage on the ligaments. The condition affects 1-3% of people aged 40-50 years. Conservative treatments like ultrasound, steroid injection, nonsteroidal anti-inflammatory drugs and manipulative techniques have been used to treat tennis elbow, but none of them has produced consistent results. Surgical procedures have also been used on patients with persistent symptoms, but the outcomes are unpredictable.


Shockwave therapy was developed as a result and focused on applying single-pressure pulses for short periods on the elbow. The therapy was first administered for medical purposes to treat renal calculi and was later used in Germany to treat musculoskeletal disorders like plantar fasciitis, humeral epicondylitis and the rotator cuff. In 1995, the German Society of SWT declared that the therapy could be used to treat a range of orthopaedic conditions, including lateral elbow pain.


How Shockwave Therapy is Performed


The physiotherapist assesses the patient during the first visit. This examination is to ascertain that the patient is an appropriate candidate for the treatment. Shock waves are sonic waves that release mechanical energy at the interface of two substances that have different acoustic impedance. During administration, a focusing device and an electroacoustic conversion mechanism are used. The focusing device helps release shock waves that pass through the skin to treat the affected area.


Techniques for using ESWT to treat musculoskeletal problems are yet to be standardised, but previous clinical trials show high-energy shock waves of 0.2-0.4Mj/mm was used to treat calcific tendinitis and low-energy shock waves for heel pain and lateral elbow pain. The therapy can be administered more than once (usually once every 3-6 weeks) based on the results. General anaesthesia is given when high-energy shock waves are used.


Benefits of the Therapy


Studies show that grip strength, pain and function improved after the procedure. Here are some of the additional benefits of the therapy:

  • Non-invasive treatment for chronic tennis elbow pain
  • Cost-effective means of treating the condition
  • Reduced side effects


Effectiveness of the Therapy


Studies show the therapy has a 77 % success rate when combined with chiropractic care to treat tennis elbow. The procedure has a 91% success rate on patients who have calcific tendinitis and a 90% success rate on patients with plantar fasciitis.


Side Effects


After the treatment, the patient may experience tenderness, temporary soreness and swelling for some days as the procedure leads to an inflammatory response. Patients may also experience pain, reddening of the skin and nausea. Physiotherapists prohibit the use of this procedure on patients with nerve disorders, metabolic bone infection and bone tumours. Also, expectant women, people with open wounds and patients using blood-thinning medications are not eligible for this treatment.

Text neck is a condition that develops as a result of holding the head forward and downward for prolonged periods. Many individuals adopt this posture when using their laptops, tablets, mobile devices and other such devices. Text neck develops after the constant misalignment of the neck’s natural position, which increases the weight of the head. Severe injury may lead to permanent damage of the cervical spine, which develops into chronic back pain later in life.

What Causes the Text Neck Condition?

Usually, the body has an upright posture that allows the eyes to be aligned at the centre of the shoulders. This natural position ensures that the neck muscles hold the weight of the head (usually 10-12 lbs) without exerting excessive pressure. However, when the head is tilted forward (even by an inch) its weight increases significantly, causing text neck because the neck has to support six times the normal force. It explains why people who have an untreated text neck condition develop inflammation of the neck ligaments, increased spin curvature and nerve irritations.

Symptoms of Text Neck

The condition often causes soreness and neck pain. Individuals may also experience:

• Instant upper back pain; it can be nagging, chronic and severe sometimes causing muscle spasms
• Tightness and shoulder pain, which develops into painful shoulder muscle spasms
• Constant or intermittent headache that is worsened when you look down
• Increased spin curvature

Text Neck Pain Treatment

People who experience any of these symptoms should consult a chiropractor to find out if the issues are attributed to text neck syndrome. Treatment depends on an individual’s symptoms and the length of time the patient has been experiencing the symptoms. Chiropractors emphasise on using physical exercises to strengthen and stretch the muscles to alleviate the problem. Here are some exercises they may recommend:

Downward-Facing Dog

This exercise is ideal for opening up the shoulders and anterior chest wall, which tightens as a result of this syndrome. The pose works on the upper part of the body to strengthen the shoulder muscles. If you are performing this exercise as part of your workout regimen, consider pulling your shoulder blades downwards to create space around the neck area.

Bow Pose

This posture is suitable for individuals who have slumped shoulders. It opens the shoulders from the front part and strengthens the back muscles. To achieve a perfect bow pose, lift the heels high while keeping the tailbone pressed against the mat.

The Chin Tuck

It is a straightforward exercise you can perform from your working stations. The stretch enhances spinal awareness and strengthens the neck muscles to help the patient realign his head.

The Cat-Cow

Chiropractors recommend this exercise to strengthen spinal awareness. The pelvis and the core are actively involved when performing this exercise. When breathing in, you create a tilt in the pelvis while the tailbone faces upwards. Breathing out creates a posterior tilt, making the tailbone turn downwards.

The Exaggerated Nod

This posture counterbalances the forward and downward position of the head by pulling the shoulders downwards and backwards. It also improves neck mobility.

What is Vertigo?

Vertigo is a type of dizziness that is more common in older people. It is a false sensation of movement and in most common cases a person feels a spinning effect around them. It is very possible that neck pain might cause dizziness. However, it has not yet been made clear whether the neck pain and the dizziness are just coincidental or they are just related.


About Cervicogenic Dizziness

It has been known that the position of the head has an effect on the equilibrium but no one had come up with an explanation about a clinical syndrome that relates to neck pain and disequilibrium. With many diagnosis of the neck pathology such as cervical trauma, cervical arthritis and cervical spondolylosis, it was discovered that there was a syndrome known as cervical vertigo.


Does Anxiety Make Vertigo Worse?

Anxiety attacks often lead to hyperventilation which can cause vertigo. It might also lead to dizziness, weakness and difficulty thinking. Another factor that might cause vertigo is stress; because it increases the level of anxiety. In most cases, panic disorders and anxiety usually appear together with dizziness and vertigo. There are some mechanisms you can use to decrease anxiety and vertigo. These include:

  • Meditation-instead of just clearing your mind you can use a better technic which is meditation. You can focus on the good or positive things in your life and by doing so, you will reduce the stress levels in your body. You can start with a few sessions and gradually increase to more sessions with time.
  • Exercises-there are some specific exercises that can make you feel good in general. This is because exercises create endorphins and they increase a person’s blood flow in the body.
  • Sharing-in most cases, people suffer from stress because of bottling everything. The best way to overcome this is by talking about your problems with a friend or a counselor. This will help reduce the anxiety levels in your body.


This disorder has a very controversial diagnosis since there are no tests that can actually confirm that main cause of the dizziness. Mostly the diagnosis is given to people who have suffered from neck injury or neck pain. It might also be given to those who have dizziness. People with this disorder tend to feel dizziness that gets worse as the head movements increase or after they have maintained a certain head position for a long time. This dizziness is accompanied by a headache in most cases and the symptoms might last for minutes or hours.


Patients with vertigo also complain about imbalance that increases with head movements. Once you have realized you have these symptoms you should go for an evaluation where he doctor will perform certain tests.


Treatment of Vertigo

In many patients, the improvement of the dizziness, usually involves improving the neck problem. You can be advised to carry out some balance exercises, eye exercises, walking, and exposure to new environments.


better postureHow much attention do you pay to your posture? Whether sitting or standing, poor posture can lead to many health problems if not addressed and corrected swiftly.

Fortunately, developing better posture is easy and straightforward enough to do. By changing how you stand and sit, any bad habits can be eliminated for good.

If you’ve been feeling increased pressure, or strains and stresses around your body’s muscles and joints, now may be time to check your posture.


What Causes Bad Posture?

If you find yourself sitting at a desk for much of your day, it can be so easy to develop bad habits such as slouching.

From the types of chairs we use to the way we position ourselves at our computers or consoles, sitting for long periods will eventually encourage a hunch like appearance and increase the tension in our upper body muscles.

Likewise, how you stand can also encourage bad habits in your posture. From standing for long periods at work to just standing in general, it’s all too easy to develop an incorrect positioning which ultimately leads to muscle imbalances.


How Can I Improve My Posture?

By remembering a few simple pointers, you could change any bad habits formed in a short amount of time, thus developing better posture.


How to Improve Your Posture When Standing:

  • Try to keep your weight balanced equally across both feet:

Many of us tend to put more pressure on one foot than the other, shifting our weight around as we stand, often not realizing that we’re doing so!

  • Always stand tall and keep your shoulders up and drawn back:

We’re all guilty of slouching on the odd occasion but doing so repeatedly when standing draws our weight downwards and throws us off balance.


How to Improve Your Posture When Sitting:

  • Make sure the chair you use is supportive, and you use it correctly:

An uncomfortable chair encourages bad posture. Additionally, if you don’t use your chair properly, that is sitting back fully into the chair, this can also aggravate the problem. Keep your feet on the ground placed flat and your hips above the level of your knees.

  • Assess your desk space for ergonomic design:

Using your desk incorrectly can lead to considerable neck pain. Place your monitors at the right level in front of you with your keyboard and mouse within easy reach. Also, try not to use a laptop for long periods of time.


The Importance of Preventative Measures

With International Men’s Health Week now highlighting a growing number of problems men face, poor posture is being recognized as a significant problem that can affect all ages.

Therefore, why not stop and take a closer look at how you sit and stand during the day? This way, you’ll be able to instantly recognize when your posture starts to slump and work on eliminating it for improved health long term.

shockwave-rotator-cuffA rotator cuff can be understood as a group of four muscles and tendons around the shoulder joint that assists in movement and stabilization. They work in keeping the upper bone of the arm within the socket of the shoulder. They are also connected and also originate from the scapula. In case of an injury around the rotator cuff, it starts aching and becomes worse when you lie on the side that is affected. A shoulder ache is just one among the many muscle skeletal issues that arise from overusing the shoulder although there are other major causes.


Causes of a Rotator Cuff Injury

To begin with, it is important to note that the injury cannot take place in the event of a single injury. It happens after a series of injuries. A rotator cuff injury can also be called the Calcific tendonitis of the shoulder where leads to the building up of calcium when the tendons become irritated. Events that lead to making the condition worse include painting, swimming, lifting heavy weights and racquetball. Lastly, the rotator cuff may also become weaker with a person’s age as the blood supply to the tendons is low


 Symptoms of a Rotator Cuff injury

  • Swelling and a lot of pain on the front side of the shoulder.
  • Feeling a lot of pain when you lie on the side which is affected.
  • Pain as a result of raising or lowering the hand
  • Pain that wakes you up at night when sleeping.
  • Pain when trying to reach your back.
  • The decrease in the ability to move the arm to the side.
  • Pain that comes in a gradual manner and worsens especially when trying to turn the arm inwardly.
  • Stiffness

What is Shockwave Technology?

Shockwave technology is a type of sports injury treatment that is done using water done in sports and spinal physio clinics. However, it has also been found to be effective in the treatment of internal organs and kidney stones. Shockwave technology in treating sports injuries began being in used in the 1980s. With the advancement of technology; a shockwave machine became more popular. It has been improved in terms of design over the years to become more efficient.


The effectiveness of treating a rotator cuff with Shockwave technology

Notably, it does not encourage using painkillers which are not effective because they only treat as per the time you have taken. It ensures the rotator cuff is fully functional after only four months of shockwave treatment in a sports and spinal physio clinic. The pain decreases after three weeks of beginning the treatment. It is also noninvasive therefore patients can undergo it and go home the same day. This also means you experience less bleeding; therefore, the body heals faster. For the last two decades, patients who have treated shoulder calcific of the rotator cuff have proved to have an increase in muscle strength, an increase in the range of movement and also quick pain relief. After the use of shockwave technology on a patient, the patient can also undergo physiotherapy. This is because it allows the shoulder to heal better by increasing blood circulation.