February Newsletter - Cardinia Physio and Fitness

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