Newsletter Issue: February, 2016 IN THIS ISSUE: Latest News New Gym Equipment Article: ACL Injury The Dura Disc Staff Skills Training OPENING HOURS: Monday 6:30am—8:00pm Tuesday 8:00am—8:00pm Wednesday 8:00am—8:00pm Thursday 7:00am—8:00pm Friday 8:00am—5:00pm Saturday 8:00am—12:00pm BOOK ONLINE NOW CONTACT US: Phone: 9769 3981 February Newsletter LATEST NEWS • Dave’s baby is nearly here! With a due date of February 23, the arrival is imminent! We apologise if your appointment is rescheduled during this time but we will try our best to get you in at a similar time with another therapist until Dave returns. Dave will be taking two weeks off. • Also on the baby train, (it’s catching!) Larna and Scott are expecting baby number 2, due in August. • Our Drouin clinic (Baw Baw Physio & Fitness) has almost been open for one year! With plenty of local support it is progressing fantastically well, growing by the day. • Perry has now been in Beaconsfield for about two months and is already proving to be a valuable member of the team. He is treating patients, progressing rehab programs and motivating class participants. Remember Perry has a background as a Personal Trainer and is just the right person for pushing you that little bit harder during your one-on-one sessions. • Our Cranbourne site is now up and running. Appointments are available on Fridays between 9 and 5. We will increase our availability as required. • Kaleisha Prowse, who you may know from behind the reception desk on Tuesday and Thursday evenings, will begin treating as a qualified Clinical Myotherapist in March. In the interim we are just waiting for her provider numbers to be processed so you can claim with your private health insurance. • Lynette from The Podiatry Group is now available for podiatry consults on Monday mornings at Beaconsfield. • We would like your feedback to help us continually improve our service and your experience. If you can spare the time, please hit reply to this email and answer the six questions. Thank you in advance. Fax: 9769 4903 Email: admin@ cardiniaphysioandfitness. com.au Website: NEW EQUIPMENT We have recently added to our variety of rehab and fitness equipment in the gym. We now have a Pilates Reformer, slide boards, squat racks and heavier weights. www.cardiniaphysioandfitness. com.au Click on the icons below to find us on Facebook and Instagram The equipment can be used during your physio, PT session, group class or by yourself when you attend to use the gym casually. Newsletter Issue: February, 2016 IN THIS ISSUE: Latest News New Gym Equipment Article: ACL Injury The Dura Disc Staff Skills Training OPENING HOURS: Monday 6:30am—8:00pm Tuesday 8:00am—8:00pm Wednesday 8:00am—8:00pm Thursday 7:00am—8:00pm Friday 8:00am—5:00pm Saturday 8:00am—12:00pm BOOK ONLINE NOW CONTACT US: Phone: 9769 3981 Fax: 9769 4903 Email: admin@ cardiniaphysioandfitness. com.au Website: www.cardiniaphysioandfitness. com.au Click on the icons below to find us on Facebook and Instagram THE ANTERIOR CRUCIATE LIGAMENT (ACL) ACL stands for Anterior Cruciate Ligament and it’s a vital supportive ligament of the knee. It’s called the cruciate not only because it’s crucial, but also because it forms a cross shaped support structure when linked with the Posterior Cruciate ligament of the knee. The ACL joins the thigh bone to the shin bone. WHY IS IT SO IMPORTANT? The ACL prevents the tibia slipping forward and twisting underneath the femur when we are completing weight bearing activities such as running and changing direction. Sometimes, even without the ACL, you can still perform your normal activities without any pain. Some people don’t even know they injured their ACL, only that they had a really sore knee for a while! The main concern of sustaining an ACL injury is if you’re a young athlete and plan to continue high impact, fast paced sports. In these circumstances, as the need for fast movements and stronger muscle contraction increases, the knee is more likely to give way and risk pain and/or further injury to other structures such as the meniscus or bony surfaces. HOW CAN YOU TELL IF YOU HAVE INJURED YOUR ACL? Normally the injury mechanism is the knee twisting whilst the foot planted. It is normally very painful and the patient is left with a sensation of instability or “wobbly” knee. It can happen in contact situations in sport such as a landing from a marking contest on AFL or a tackle in rugby. It can also happen in noncontact situations as you attempt to change direction quickly. Your physio has been trained to accurately identify ACL injuries with specific testing that when performed well the physiotherapist can be 90% confident of the outcome. The gold standard for diagnosis of ACL injury is thought to be the MRI, but is reported as 94%. Clinically a good subjective examination and thorough physical examination has a very high chance of accurately diagnosing ACL injury. It also saves you the cost of an MRI $285.00. If the diagnosis is unclear or the patient will require surgery, often an MRI is still performed. Most commonly, in Australia, ACL injuries occur in Skiing followed by Australian Rules Football, Rubgy, Netball and Soccer. The most common age group is adolescence through early adulthood. WHAT DO YOU DO WHEN YOU KNOW YOU HAVE AN ACL INJURY? After diagnosis, or even before in most cases, the first priority is swelling management. This can be done in a multiple of ways, but the most commonly known method is R.I.C.E.R. R- Rest I – Ices C – Compression E – Elevation R – Referral Another great way to help is to use the muscle pump action of your leg. This can help to squeeze fluid out of an injured area and reduce pain. For the knee, in the ACL case, it would mean you would gently and regularly squeeze your thigh muscles when you have your leg elevated and wearing a compression bandage or Tubigrip. The second most important thing is getting an appropriate referral. There are two paths of management for the complete ACL tear. Firstly and most common for young athletes is to have a consultation with an Orthopaedic knee specialist to discuss options of reconstructing the ACL. After surgery, you can expect a 7 – 12 month physiotherapy rehabilitation program. Secondly, if you don’t play sport and want to conservatively manage the injury you need to regain your knee movement, strength and stability. Both can be organised by your physiotherapist and you should always feel more than welcome to ask about conservative or surgical management. The major goals of rehabilitation of the ACL injury are: • Gain good functional stability • Repair muscle strength • Reach the best possible level of function • Decrease the risk for re-injury • Ensure at least 90% capacity of injured leg when compared to the uninjured leg prior to returning to sport Perry Waterland Newsletter Issue: THE DURA DISC February, 2016 IN THIS ISSUE: Latest News New Gym Equipment Article: ACL Injury Make your rehab more fun! Now available in green, blue, orange and purple. Great for the whole family. Only $40. The Dura Disc Staff Skills Training OPENING HOURS: Monday 6:30am—8:00pm Tuesday 8:00am—8:00pm Wednesday 8:00am—8:00pm Thursday 7:00am—8:00pm Friday 8:00am—5:00pm Saturday 8:00am—12:00pm BOOK ONLINE NOW The Dura Disc is a tool that we commonly use in rehabilitation to assist in reconditioning and injury prevention programs. The disc provides an unstable platform that can be used in many different ways to retrain balance and proprioception after ankle, knee, hip and shoulder injuries. The Dura Disc may be used early in rehabilitation to retrain static balance. For example you may use it to practise balance by standing on one foot or standing and passing a ball. The disc will sometimes be used to progress functional strength exercises into a less stable/more dynamic setting to more closely simulate training in the sporting setting. The disc is a cheap and effective way to train your body at home for injury prevention. Above are some example pictures of how the disc can be used. Physiotherapists commonly use the disc for rehabilitation, if you think that this may be a useful tool for you, or have questions about its use please don't hesitate to ask one of our physios. CONTACT US: Phone: 9769 3981 Fax: 9769 4903 Email: admin@ cardiniaphysioandfitness. STAFF SKILL TRAINING Over January and February we have been keenly renewing our skills. We had a three hour Pilates workshop with Clinical Pilates guru Rosemary. We have also had some refresher remedial massage training with Patrick from pH Massage and an update on treating osteoarthritis of the big toe by Marissa from Langmore Podiatry. com.au Website: www.cardiniaphysioandfitness. com.au Click on the icons below to find us on Facebook and Instagram QUOTE OF THE MONTH If it doesn’t challenge you, it wont change you - Fred DeVito
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