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Ankle Pain

Sever’s Disease in Children

What is Sever’s Disease?

Sever’s disease (also known as calcaneal apophysitis) is a common cause of heel pain in children that are growing, especially those who are physically active. Sever’s disease occurs when the growth plate (the growing part of the heel) is affected by inflammation (swelling). This results in pain and discomfort sensed in the lower parts of the body.

The growth plate has a region of developing cartilage cells which over time transform into bone cells.  As this occurs the existing growth plate expands and unite to form mature bone. This type of growth plate injury usually occurs in children who are physically active and during their growth spurt into adolescence that can be approximately a 2-year time period.  For females this could be from 8-13 years of age and for males 10-15 years of age. Sever’s disease rarely occurs in older teens because the back of the heel usually finishes growing by the age of 15, when the growth plate hardens and the growing bones fuse together into mature bone.

Sever’s Causes

Why Children encounter Sever’s disease is because the heel bone’s rate of growth is faster during early puberty in comparison with the rate in which the leg muscles and tendons are developed.  As a result, the muscles and tendons in the area end up being tight. Therefore reducing flexibility to the heels and ultimately putting pressure on the growth plate causing pain.

Other causes that can contribute to the appearance of Sever’s disease are:

  • Increased running or jumping activity
  • Tightened hamstrings
  • Stiff calf muscles
  • Prolonged standing, which keeps the heel under continuous pressure
  • A flat or high arch of the foot, that can later also result in Achilles tendon pain
  • Excess body weight
  • Improper footwear


Sever’s Symptoms

The most common signs and Symptoms of Sever’s disease are:

  • Pain in the heel
  • Limping
  • Tight calf muscles
  • Heel swelling and redness
  • Decreased ankle range of motion
  • Heel pain that is worse during or after activity
  • Heel pain in the morning,
  • Pain in the heel when squeezed.


Sever’s Treatment

Have your child sit down or stop any activity that causes heel pain. Apply ice to the injured heel for 20 minutes 3 times a day. If your child has a high arch, flat feet or bowed legs, things like arch supports, orthotics, heel cups maybe recommended as it can assist with treating Severs.

Stretching exercises for the hamstring and calf muscles will also be helpful.  Perform each stretch  2 or 3 times a day and hold for about 30 seconds. It is also important to stretch both legs even if the pain is only in one heel. Strengthening exercises to the muscles on the front of the shin and lower leg helps to promote healing and recurrence of this injury. Your child should not walk barefoot with active Sever’s disease as this can increase the pain and inflammation.

With rest and after heel bone growth is complete, the pain and discomfort can disappear. Therefore most children will return to their activities without any recurrence once the symptoms have subsided. However, if not treated and addressed properly Sever’s can reoccur. Tight calf muscles and foot issues might be an issue in the future.

Remember that everyone from all age groups can benefit from chiropractic care. Our chiropractors at Chiro & Sports Med are committed to providing chiropractic solutions to address your unique needs, whether you are experiencing a pinched nerve, bulging disc, back painneck pain, headaches or even muscular tightness and tension. You may be searching for pain relief after an accident or suffering from chronic back pain or a spinal condition. Our mission is to help reduce or eliminate pain and to prevent future problems and injury. To improve your quality of life, your well-being and your ability to live and active healthy lifestyle.

If you would like to make an appointment with one of the chiropractors at Chiro & Sports Med simply call our office on 9817 2005 and one of our friendly staff will organise an appointment for you.


Chiropractic Care for all age groups

People from all age groups can benefit from Chiropractic care. From Small children, the elderly, pregnant woman to amateur or Olympic athletes.   It is safe for the whole family. Anyone who suffers from specific musculoskeletal problems can benefit from Chiropractic care.  A chiropractor’s goal is to focus on the health of the spine.  They perform adjustments (hands on spinal manipulations) to the spine or other parts of the body with the goal of correcting alignment problems, alleviating pain, improving function and mobility, increasing vitality and supporting the body’s natural ability to heal itself without surgery or medication.

Normally, we tend to think of adults only with bad backs or those who have been injured on the job that need to seek chiropractic care. This is not the case,  all age groups stands to benefit from chiropractic treatment. Chiropractic care is suited to each individual’s age, condition and spinal problem. Generally children have more mobile joints than adults so they require less force in order to attain the desired effect of the adjustment. Where as Senior citizens receive gentle chiropractic adjustments to accommodate their sensitive bones.

There are many reasons why we should seek chiropractic care for all age groups. They are:

Strong Immune System

A healthy central nervous system and a strong immune system go hand in hand. Our nervous system runs through the spine and it works with the immune system in order for the body to adapt to various conditions and heal appropriately when required. Spinal misalignments can cause neural dysfunctions and these are stressful to the body which lead to a weak immune response.

So when the CNS sends and receives messages efficiently, other systems and functions in the body are able to work properly and competently. Chiropractic adjustments have shown to boost the immune system. Therefore by allowing a chiropractor to adjust your spine, especially on a continual basis,  your body systems (nervous, endocrine and immune) naturally get a boost. The immune system is responsible for fighting off illness,  so you’ll be feeling healthier overall.

An Increase in Energy

Many people do not realise how much and how often tension can build up in the body. Simple spinal adjustments can help your body release tension in your muscles and alleviate any pain you may have. As the tension is released, the body is able to relax thus allowing you to sleep better.  Less pain and more sleep allows your energy levels to rise naturally.

Energy flows through your nerves and your nerves distribute the energy throughout your body. When your spine is aligned properly, your nervous system keeps the flow of energy balanced. But when your spine is misaligned, it causes kinks in your nerves interfering with energy flow. The result is that persistent feeling of fatigue that makes it difficult to get through the day. You can sleep all day and all night, but until your spine is returned to proper alignment, that feeling of fatigue will continue to drain you.

Improved Digestion

The digestive system links to the nervous system. The nervous system controls various aspects of your digestive function. For example, the nerves in the thoracic and lumbar regions of your spine control the pace at which your body digests food. If any of the numerous nerves in your spine are not functioning properly, problems with digestion can easily arise.

When the spine is not aligned, stress and strain is placed on the nerves. Thus leaving the nerves incapable of sending out the necessary signals to your digestive system to trigger them to work properly. A chiropractor can safely and gently correct your spine through spinal manipulation. For this reason your body starts to become healthier, especially along the spine and the central nervous system. Digestion is now able to move more freely. The body is then able to process foods and eliminate toxins faster, leaving you feeling better than ever.

Care Plan

Chiropractors will tailor a specific care plan for you that takes into account a number of factors. These can include: results of nerve function scans or x-rays, and any physical examination findings. The type of tissue involved? (eg. ligament, tendon, muscle, disc, organ). How long you have had the condition? The intensity of the pain and the amount of inflammation you are experiencing. The presence of any unavoidable aggravating factors to your condition (eg. your occupation or degeneration). The chiropractor evaluates a patient’s particular spinal problem and develops an individual course of care. Therefore each patient’s care is uniquely different from every other patients with each visit building on the one before.

Remember that everyone from all age groups can benefit from chiropractic care. Our chiropractors at Chiro & Sports Med are committed to providing chiropractic solutions to address your unique needs, whether you are experiencing a pinched nerve, bulging disc, back painneck pain, headaches or even muscular tightness and tension. You may be searching for pain relief after an accident or suffering from chronic back pain or a spinal condition. Our mission is to help reduce or eliminate pain and to prevent future problems and injury. To improve your quality of life, your well-being and your ability to live and active healthy lifestyle.

If you would like to make an appointment with one of the chiropractors at Chiro & Sports Med simply call our office on 9817 2005 and one of our friendly staff will organise an appointment for you.


Sports Injuries and Chiropractic Care

Whether you play sports at an amateur or professional level. As an athlete the demands of running, jumping, throwing or tackling can result in painful tears, sprains, and strains. People of all ages suffer from some form of sports injury in their lives and getting back to playing again is the most important thing. Chiropractors are trained to deal with a wide range of sports injuries from Achilleshamstring, calf, groin, thigh strains to tennis elbowneck back or a shoulder sprain. By getting your injury assessed and treated this will not only get you back on your feet faster, but also screen out any bad habits that can lead to further injury.

Sports Injuries

“Sports injuries” are injuries that happen when playing sports, exercising or involved in any active play. During many sports, body contact, fast stops and starts, and positioning place an unusual amount of strain on the spine and structural system.  The Muscles, Joints and ligaments can be affected from overuse, trauma or repetitive motions. Some are from accidents. Others can result from poor training practices or improper gear. Not warming up or stretching enough before you play or exercise can also lead to injuries. The most common sports injuries are:

  • Sprains and strains
  • Knee injuries
  • Swollen muscles
  • Achilles tendon injuries
  • Pain along the shin bone
  • Fractures
  • Dislocations

Types of Sports Injuries

There are two kinds of sports injuries: acute and chronic. Acute injuries occur suddenly when playing or exercising. Sprained ankles, strained backs, and fractured hands are acute injuries. Signs of an acute injury include:

  • Sudden, severe pain
  • Swelling
  • Not being able to place weight on a leg, knee, ankle, or foot
  • An arm, elbow, wrist, hand, or finger that is very tender
  • Not being able to move a joint as normal
  • Extreme leg or arm weakness
  • A bone or joint that is visibly out of place.

Chronic injuries happen after you play a sport or exercise for a long time. Signs of a chronic injury include:

  • Pain when you play
  • Pain when you exercise
  • A dull ache when you rest
  • Swelling

Importance of Chiropractic Care

Chiropractors can help athletes with sports injuries by relieving their pain and helping them heal faster after an injury. Regular visits will promote quicker recovery after games and training as well as better balance and overall performance. Chiropractors are skilled in the manual adjustment of the spine. They ensure that bones are lined up and balanced, which helps relieve tension in the body. This allows the body to function better and become less susceptible to injury.

The goal of most chiropractic techniques is to restore or enhance joint function while resolving joint inflammation and reducing pain. This hands-on therapy is often used to treat neck or back injuries but also relieves pain throughout the joints and muscles in the body. In addition to treating injuries, chiropractors can also help you prevent injuries from occurring.  It is recommended that you get evaluated by a chiropractor before you start your sport or exercise regimen. They can check your muscles and spine to detect imbalance and alleviate tension so that the body can work naturally rather than be prone to injury.

Our chiropractors at Chiro & Sports Med are committed to providing chiropractic solutions to address your unique needs, whether you are experiencing a pinched nerve, bulging disc, back painneck pain, headaches or even muscular tightness and tension. You may be searching for pain relief after an accident, experiencing injury or if you suffer from a specific condition like chronic back pain or a spinal condition. Our mission is to help reduce or eliminate pain and to prevent future problems and injury and to improve your quality of life, your well-being and your ability to live and active healthy lifestyle.

If you would like to make an appointment with one of the chiropractors at Chiro & Sports Med simply call our office on 9817 2005 and one of our friendly staff will organise an appointment for you.



What are Orthotics?

Orthotics are medically prescribed foot devices that fit inside your shoes to help stabilize and correct poor foot posture. They are custom made and designed to realign the foot structures into their correct position. They can provide stability for the foot and correct injury-causing imbalances and help reduce the stress and strain put on our feet, legs, knees and lower back. Faulty foot mechanics can result in long- term damage not only to your feet, but also to other structural and muscular components of the body. Orthotics can theoretically help patients with back pain as it can help realign how the feet articulate themselves on the ground, which in turn can affect the body’s entire overall posture and gait.

At Chiro & Sports Med, your orthotics treatment start with our chiropractors following the treatment all the way through from casting, cast modifications, fitting and reviews of the custom orthotics.

How do orthotics work?

The foot is made up of 26 bones, 33 joints and more than 100 muscles, tendons and ligaments. Biomechanical problems affecting the feet can increase stresses within the foot structure creating pain. An Orthotic works by forcing your foot into its most anatomically aligned position. Medical research has shown that prescribed orthotics correct the abnormal position of the lower limb – bones, muscles, tendons and ligaments – thereby allowing correct functioning of the joints, improving balance and posture. This improvement in turn enhances performance and prevents further wear and tear of the joints, helping avoid injury.

Improving the kinetic chain

Orthotics can help manage low back pain by improving and stabilizing the position of the feet, which in turn improves every aspect of a person’s gait. The medical term for this phenomenon is the kinetic chain. The feet represent the base of the kinetic chain, and each subsequent joint above the feet can be considered a “link” in the chain—which goes all the way up the trunk of the body to the neck.

During the process of walking, if the feet are pronated, or rolled inwards, at each step, the rest of the kinetic chain is negatively affected.

Pronated feet cause the knees to come together into a knocked-knee stance, medically known as genu valgus. This also affects the angle of the hip, forcing the femur (thigh bone) to angle inward from the hip, which is medically known as coxa vara. The faulty angulation of the hips and knees then destabilizes the pelvis, which also affects overall posture and the spine.

Use of orthotics can theoretically correct the foot pronation which can destabilize the knees, pelvis, and low back.

The aim for our chiropractors at Chiro & Sports Med with Foot orthotics is to help correct dysfunctional biomechanics and therefore:

  • Reduce pain
  • Provide support
  • Provide better positioning
  • Relieve pressure and improve the overall biomechanical function of the foot
  • Improve pelvic alignment

Orthotics can assist and improve many types of conditions and symptoms, including:

The orthotics prescribed by our chiropractors at Chiro & Sports Med have been designed to meet your specific foot and body requirements. Our mission is to help reduce or eliminate pain and to prevent future problems and injury and to improve your quality of life, your well-being and your ability to live and active healthy lifestyle.

If you would like to make an appointment with one of the chiropractors at Chiro & Sports Med simply call our office on 9817 2005 and one of our friendly staff will organise an appointment for you.


Eight Chiropractic Techniques

What are some of our Chiropractic Techniques

Chiropractors have a deep understanding of the body’s structures and how each interacts.  The Chiropractic techniques used at Chiro & Sports Med is a hands-on approach to examining, diagnosing, and treating a patient who is experiencing pain. Using spinal adjustments, manipulation and other physical means to improve neuromusculoskeletal function, and by detecting structural imbalances and nerve interferences throughout these systems the chiropractors ensure they are treating the cause and not just the symptoms.

The chiropractors at Chiro & Sports Med use a wide variety of techniques to ensure you get the most effective and comfortable treatment possible. They will carefully explain all treatment techniques to you prior to their use and we will not do or use anything that you are uncomfortable with. The chiropractic techniques used at Chiro & Sports Med may include: joint mobilisations and adjustments, soft tissue techniques, muscle stretches, acupuncture, heat therapy, interferential therapy, ultrasound therapy, exercise prescription and rehabilitation treatment.

Joint Mobilisation

This chiropractic technique is used to restore or to enhance the joint function joint that has been lost due to injury or disease. Joint mobilisations aid in breaking down adhesions that disrupt joint movement, decrease pain and increase mobility. There are different grades of joint mobilisations used at Chiro & Sports Med based on how much joint play is available. Joint mobilisation can be performed both on the spine and extremity joints. Patients with sensitive nervous systems may benefit from gentle chiropractic techniques to keep the body from overreacting and causing reactive muscle spasm.

The most common adjustment technique used at Chiro & Sports Med is called the Diversified Technique. Diversified Technique involves a short-lever, high-velocity movement with specific contact on the spine or extremity joint to be affected. Adjustments are given in a specific direction in order to correct joint fixations, decrease muscle tension, reduce stress and improve the function and integrity of the nervous system.

Soft tissue

At Chiro & Sports Med the chiropractors apply soft tissue techniques by using their hands to evaluate the texture, tightness and mobility of the soft tissue. The most commonly used soft tissue technique is Active Release Technique (ART). ART is a soft tissue system/movement-based technique used to treat problems with muscles, tendons, ligaments, Headaches, back pain, shoulder pain, sciatica, knee problems, fascia and nerves muscle stretching. Using hand pressure, we work to remove or break up the fibrous adhesions, with the stretching motions generally in the direction of venous and lymphatic flow, although the opposite direction may occasionally be used.

ART is most commonly used to treat conditions related to adhesions or scar tissue in overused muscles resulting from repetitive strain injuries, postural strain, sports injuries and general wear and tear. As adhesions build up, muscles become shorter and weaker, the motion of muscles and joints are altered, and nerves can be compressed. As a result, tissues suffer from decreased blood supply, pain, and poor mobility. The goal of ART is to restore the smooth movement of tissues and to release any trapped nerves or blood vessels. In the first three levels of ART treatment, as with other soft-tissue treatment forms, movement of your tissue is done by your chiropractor. In level four, however, ART requires you to actively move the affected tissue in prescribed ways while your chiropractor applies a specific tension.

Muscle stretching

Proprioceptive neuromuscular facilitation (PNF) stretching is the most common muscle stretching technique used at Chiro & Sports Med. This chiropractic technique is extremely effective targeting any tight muscle in the body. PNF is used to enhance both active and passive range of motion with the ultimate goal being to optimise motor performance and rehabilitation. The literature regarding PNF has made the technique the optimal stretching method when the aim is to increase range of motion, especially in short-term changes.

Generally an active PNF stretch involves taking a muscle into a passive stretch and then tensing the muscle while in a stretched position. The contraction is held for a few seconds and then the muscle is taken further into a stretched position. This technique is usually repeated a few times per muscle. PNF can be used to supplement daily stretching and is employed to make quick gains in range of motion to help athletes improve performance. Aside from being safe and time efficient, the dramatic gains in range of motion seen in a short period of time may also promote compliance with the exercise and rehabilitation program.


Acupuncture is a form of treatment used in Traditional Chinese Medicine (TCM). It is an effective, holistic and natural form of healing that has a wide range of health benefits and can improve a wide range of conditions. It is based on the principle that there are energetic pathways, or channels throughout the body that influence associated internal organs and structures. Energy from these pathways surfaces at various points on the body, identified as acupuncture points and each of these points serves as an access route to the deeper circulatory channels within.

This chiropractic technique is used to treat a wide variety of conditions, from carpal tunnel syndrome to fibromyalgia and tennis elbow. It has also been shown to strengthen the immune system, improve respiratory health, relieve insomnia, and reduce stress while bringing emotional balance to patients. Additionally, patients who are recuperating from illness, injury, or surgery can often recover faster when acupuncture is undertaken to increase circulation and reduce inflammation.

For patients who want to experience the best of what both chiropractic and the acupuncture offer, an evolving field of medicine known as chiropractic acupuncture combines the two. At Chiro & Sports Med the technique is used by inserting extremely fine gauge needles at selected points, stimulating them and thereby activating the body’s natural healing abilities. These points are also places to stimulate nerves, muscles and connective tissue. This stimulation appears to boost the activity of your body’s natural painkillers and increase blood flow.

Heat therapy

Heat therapy is the application of heat to the body for pain relief and muscle stiffness and can be used to reduce long lasting or chronic pain. At Chiro & Sports Med your chiropractors use wheat packs and it can be beneficial to those with arthritis, stiff muscles and injuries to the deep tissue of the skin. It is also most commonly used for rehabilitation purposes and may be used in conjunction with other chiropractic treatments.

The therapeutic effects of heat include increasing the extensibility of collagen tissues; decreasing joint stiffness; reducing pain; relieving muscle spasms; reducing inflammation, edema, and aids in the post acute phase of healing; and increasing blood flow. Heat therapy causes blood vessels in the treated areas to dilate or open wider.  As a result, blood flow to the area is increased.  Sore stiff muscles may relax and become more flexible.  The increased blood flow to the affected area provides proteins, nutrients, and oxygen for better healing and makes the delivery of an adjustment more comfortable and effective.

Interferential therapy

Interferential therapy (IFT) is one of various types of physical therapy used at Chiro & Sports Med. IFT is used in four clinical applications, to relieve pain, stimulate muscles, increase local blood flow and reduce edema. It uses a mid-frequency electrical signal to treat muscular spasms and strains. The current produces a massaging effect over the affected area at periodic intervals, and this stimulates the secretion of endorphins, the body’s natural pain relievers, thus relaxing strained muscles and promoting soft-tissue healing.

It has been suggested that IFT works in a ‘special way’ because it is ‘interferential’ as opposed to ‘normal’ stimulation. The machine can be set up to act more like a TENS-type device or a muscle stimulator by adjusting the stimulating (beat) frequency. Some patients regard it as more acceptable, as it generates less discomfort than some other forms of electrical stimulation.

Ultrasound therapy

Ultrasound is used to minimize muscle pain and movement dysfunction. This chiropractic technique stimulates the tissue beneath the skin’s surface using very high frequency sound waves. At Chiro & Sports Med, ultrasound is applied using a transducer or applicator that is in direct contact with the patient’s skin. Gel is used on all surfaces of the head to reduce friction and assist transmission of the ultrasonic waves. This treatment can help reduce stiffness, swelling, and pain, increase circulation and promote pain free movement. It can be used in conjunction with stretching, heat, therapeutic massage, or gentle chiropractic manipulation. Ultrasound therapy is a painless procedure and many people find it relaxing.

Exercise Prescription

Exercise prescription is the referral of patients to exercise programs. At Chiro & Sports Med your chiropractors will develop exercise programs designed to modulate acute exercise programming variables to create the adaptations desired by the individual or sport.

Prescription of stretching exercises is most commonly developed and results in a feeling of increased muscle control, flexibility and range of motion. Taking home stretches can also help strengthen muscles, and in turn strong muscles are important to stabilising your spine, pelvis or any other injury you have come in with

At Chiro & Sports Med, our professionals are masters’ qualified chiropractors, with further accreditation in managing and treating sports injuries. They are also academics and give lectures and run tutorials in chiropractic skills at Macquarie University ensuring they stay at the top of the academic field. Moreover, they are constantly adding to their technical skills and knowledge base to keep current with the latest advancements in manual therapy.

If you would like to make an appointment with one of the chiropractors at Chiro & Sports Med simply call our office on 9817 2005 and one of our friendly staff will organise an appointment for you.


6 Reasons why you should be stretching

Stretching benefits go beyond the already known injury risk decrease. It can calm your mind, decrease back pain risk, give you an energy boost to start the day well and at the same time, improve your sleep. Even a short amount of time (10 – 15 minutes) of this practice can bring amazing results to your quality of life. So why not starting it today? Here it is a list of benefits to inspire you to.

Benefits of stretching

  1. Stress Relief: Stretching makes our body release endorphins, dopamine and serotonin, which help to decrease anxiety, motivate you and fight off depression.
  1. Energy Boost: Due to the release of dopamine, stretching is a natural pick me up, increasing productivity and driving you to pursue your goals.
  1. Injury Risk Decrease: You become less prone to sports injuries due to the increased flexibility and improved range of motion stretching promotes.
  1. Posture Improvement: Stretching helps the posture correction by lengthening tight muscles that pull parts of the body away from the intended position. In other words, it reverses all the harm we do to our musculoskeletal system by sitting all day.
  1. Decrease in the risk of lower back pain: Flexibility in the hamstrings, hip flexors and muscles attached to the pelvis relieves stress on the lumbar spine, which in turn reduces the risk of lower back pain.
  1. Sleep Enhancement: At the same time stretching act as an energy boost, it also improves sleep. It relaxes muscles and prepares the body for sleep through regulation of melatonin secretion.

How to take the best of Stretching

  • Foam roll or make a quick massage with your hands first to break up any adhesions in the muscle fibres and results in greater benefit being gained from your new stretching regime.
  • Warm up with 5-10 mins of low intensity activity (walking, biking or jogging are good options). This wakes up the body, includes blood flow to our muscles and prepares the body for exercise.
  • Focus on major muscle groups at a time, you can make it sport specific or go for whole body including: calves, hamstrings, quadriceps, hip flexors, gluteal, chest, back and neck pain.
  • Hold stretches for 30 seconds to 1 min. The longer and more regularly you can stretch the more long-term benefits you will see.
  • For sport specific: e.g. soccer players focus predominantly on legs, while rugby or AFL incorporate more whole body.
  • Make it a regular thing, whilst it can be time consuming. It is only a waste of time when done sporadically!


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Ice or Heat Application?

The aim of this article is to help clarify any misunderstandings with regards to self-treatment of musculoskeletal injuries. The primary confusion appears to lie with whether or not to use heat or ice, along with the correct timing of these opposing methods.


This is the widely recognised approach to initial treatment. Employ this rule for acute injuries (i.e. really painful, recently inflamed, or if unsure what to do). It will always be the most suitable treatment in the first 24-72 hours. This consists of the majority of back pain and neck pain too.

  • Rest – Stop whatever you’re doing and rest the injured part of the body. This reduces circulation of blood, which can help to minimise inflammation. Attempting to work through the discomfort will more often than not lead to further irritation. In simple terms when it hurts, stop. However, complete rest is normally not useful and can slow progress, so attempt to remain mobile but avoid painful activities.
  • Ice – Cold packs are excellent, but ice cubes in a wet towel work equally as well if you don’t have access to one. Generally 15-20 minutes on the area of pain, then 1 hour off for the first 24 hours, then every 4 hours the next day. Ice treatment can usually be repeated as much as necessary however it is necessary to allow normal blood circulation to return between icing so that you do not damage the tissue cells by over – cooling them. Icing longer that about 20 minutes isn’t recommended because the prolonged cooling can result in tissue damage and the cooling effect is in fact reversed.
    Do not apply ice straight to the skin as you’re able cause ice burns. Icing works because the cold causes the tiny blood vessels to constrict which reduces blood circulation. Although swelling is a natural response to injury, it appears to be it provide no help to recovery so whatever you can do to minimise it is good.
  • Compression – This really is somewhat challenging to employ the spine, however it minimises the swelling that may occur with injury.
  • Elevation – Raise the affected part in order to limit excessive blood circulation towards the injured area. When this isn’t practical, at the very least make an effort to minimise excessive movement.
  • >Medical help – You should, as soon as practical, seek professional attention with your injury. Too frequently we see problems that stem from old injuries that were never treated properly in the first place. We are quick to take pet animals to vets but seem reluctant to seek help for similar problems in ourselves. Get yourself checked as soon as possible, even if is to ensure that your injury does not require further care. Leaving a problem is likely to lead to a bigger problem down the track.

Heat treatment

This consists of hot showers / baths, topical rubs including liniment, heat packs and massage. Using heat modalities while in the acute stage of injury will feel good as it helps muscles to relax, however may be unhelpful to a speedy recovery. It’s important you only use heat following the RICEM stage or when directed otherwise. The vast majority of research into hot/cold therapy supports the use of heat throughout the recovery phase, provided that it doesn’t worsen the symptoms.

Combination treatment

Ice and heat can be very effective when used together to help in tissue recovery however only use at home under medical direction. Heat is often helpful/important to first result in slight inflammation to help in healing, then cold to prevent it from getting worse. Heat might be in the form of massage.

NSAIDS, Pain killers & Anti-inflammatory gels

Pain medication are meant to stop your brain from receiving pain signals. But despite some advertisements in the media, they don’t target pain, they act upon all nerves in your system which are associated with pain signalling. So use moderately, when you dull the senses you are inclined to think things are better. From our clinical experience, full awareness of your complaint is important for safe treatment.

NSAIDS = non-steroidal anti-inflammatory drugs including Nurofen and Voltaren act by lowering the body’s natural inflammatory response to injury. Because the inflammatory stage of the majority of injuries is just for several hours to days for the most part, taking NSAIDS following this time is now being shown to be a hindrance to good healing. If pain is a concern you’ll find that simple medication like panadol works equally as well. The gels work much the same way however only penetrate to surface injured, generally less than 1cm deep. Adverse reactions to even low dose NSAIDs is quite common, therefore you shouldn’t take this medication lightly. Keep in mind all drugs have side effects, and many react with other medication, so only take medicines on the advice of a medical specialist and never more than recommended dosage. The recommendation given in this article is not intended to provide specific treatment for your condition or injury.

Our practitioners are on hand to treat you