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Self Care for your Endo Flare

3/7/2025

 
By Megan Cornish, Myotherapist
​Managing an endometriosis flare-up can be draining, both physically and mentally. However, having a few self-care strategies on hand can significantly improve your discomfort during an endometriosis flare. Here are a few to keep in mind!
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Warmth!
  • Heat packs. This amazing invention is portable! Which means using a hot pack/ wheat pack allows you to be able to apply warm directly to the tissues of your lower abdomen or your lower back muscles and carry that with you around the house!
  • Baths and/or Showers. Although less portable, utilising water pressure and heat is a great way to be able to relax muscles and bring blood flow to the tissues, which helps to reduce muscle/uterine contractions therefore reducing pain.

Keep Comfortable!
  • Loose clothing. Any pressure around your lower abdomen can create a lot of discomfort and restriction especially when experiencing symptoms of bloating along with severe pain. Keeping your clothing loose will ensure that you can be as comfortable as possible and reduce discomfort.
  • Pillows. Use pillows to position yourself in the most comfortable way possible. This can include putting a pillow under your knees to take pressure off your back or between your knees when lying on your side.

Time Out
  • Being kind to yourself and prioritising rest is your no. 1 priority during this time. Taking some time off, or scheduling some time throughout the day for self care. This can help to reduce your stress hormones which all contributes to managing pain effectively.

Support Your Internal Environment!
  • Avoid inflammatory foods (caffeine, alcohol, processed meats, sugar). These foods can irritate your gut during a flare-up and increase inflammation, which can increase pain. Limiting these foods will ensure you are supporting your gut health and creating an optimal internal environment for lowering pain levels. 
  • Water. Give your tissues hydration! Dehydrated tissues can lead to worsening cramping and reduced nutrients being carried to your tissues. While trying to combat pain we want to set ourselves up for success by providing your internal environment with the best conditions we can. So lets get that water bottle out!

All of that still not helping? We totally get it, an endometriosis flare-up is not just bad pain, its severe and can be debilitating. But there is more out there to help.

Myotherapy is safe and super effective for getting on top of endometriosis pain. Your Myotherapist will use manual therapy techniques such as abdominal and lower back soft tissue massage to relax muscle tissue therefore reducing uterine contractions and pain. Massage can also stimulate endorphins that can combat hormones associated with pain whilst bringing blood flow to the area to promote healthy tissue function.

If you are in an endo flare-up currently or you would like to preplan care in advance, book an appointment with Megan! She's one of our qualified Myotherapists who is experienced in women's health pain management.

How pregnancy changes The body: Muscle pain

12/6/2025

 
​By Rachael Bird, Myotherapist
Musculoskeletal pain during pregnancy is quite common due to the changes your body goes through. As your body adjusts to support your growing baby, shifts in posture, weight, and hormones can place added strain on muscles, joints, and ligaments. 
​
Here is a breakdown of typical musculoskeletal pains experienced during pregnancy, why they happen, how you can manage them effectively, and how myotherapy can help support your comfort and mobility.
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Lower Back Pain: This is perhaps the most common musculoskeletal complaint during pregnancy. It's often due to the increased curvature of your spine as your centre of gravity shifts forward, putting more strain on your lower back muscles.

Pelvic Girdle Pain (PGP): Formerly known as Symphysis Pubis Dysfunction (SPD), PGP causes pain around the pelvic area, especially at the front where the pubic bones meet. It can make activities like walking, climbing stairs, or even turning in bed uncomfortable.

Round Ligament Pain: As your uterus expands, the ligaments supporting it (round ligaments) stretch, causing sharp or stabbing pains on the sides of your abdomen. These pains are usually brief but can be quite intense.

Sciatica: Pressure on the sciatic nerve, often due to the expanding uterus or changes in posture, can cause shooting pain, numbness, or tingling down one or both legs.

Rib Pain: As your baby grows, your rib cage may expand to accommodate the increased space needed for your lungs. This expansion can cause discomfort or pain in the rib area.

Carpal Tunnel Syndrome: Some women experience tingling, numbness, or pain in the wrists and hands, especially during the later stages of pregnancy. This is due to swelling and compression of nerves in the wrist.

Leg Pain:
  • Cramps: Leg cramps, especially in the calf muscles, are common during pregnancy, particularly in the second and third trimesters. These cramps can be sudden and intense, often occurring at night.
  • Varicose Veins: Pregnancy can lead to the development or worsening of varicose veins, which are swollen and enlarged veins, usually in the legs. They can cause discomfort, aching, or a heavy feeling in the legs.
  • ITB commonly occurs during the later on in pregnancy, as the connective tissues loosens up and with the weight gained by baby, each of these will start adding more pressure through the hip and knee causing the tightness/soreness in those areas.


Managing musculoskeletal pain during pregnancy involves a combination of strategies:

Maintain good posture: Try to stand and sit straight to reduce strain on your back and pelvis.
Use proper body mechanics: When lifting objects, bend at your knees and hips rather than your back.
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Stay active: Gentle exercises like walking, swimming, or prenatal yoga can help strengthen muscles and improve flexibility.

Use supportive footwear: Wearing comfortable, supportive shoes can reduce strain on your feet and lower back.

Apply heat or cold packs: Using a heating pad or cold pack on sore areas can provide relief.

Practice relaxation techniques: Techniques like deep breathing, meditation, or prenatal massage can help alleviate stress and tension in muscles.

Treatment: Myotherapy can be quite helpful for managing the pain and helping loosen some tight muscles, but also they will be mindful to not loosen too much so that mum still has the support for her and her baby. 
If you're experiencing discomfort during pregnancy, don't wait it out— book an appointment to keep you feeling great throughout your pregnancy.

If the pain is severe or persistent, it's essential to consult your healthcare provider. They can evaluate your condition, provide guidance on pain management techniques, and recommend suitable exercises or treatments tailored to your needs.
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Why heat is great for chronic muscle pain

1/6/2019

 
Do you love your heat pack? Me too!
There are plenty of reasons to keep your heat pack close by, and not just because we're entering winter!

Heat treatment is great for muscle pain - its cheap, effective, and drug-free! Have you ever wondered why heating your sore muscles helps them so much?

Some pains are categorised as ischaemic pain - that means that the tissue has a reduction of oxygen supply which is needed for normal cell activity. This tends to happen if we're in positions that compress or over stretch areas for a long time - like sitting at a desk for a few hours without getting up to move around.  Heating an area increases the local blood flow, which means the blood vessels widen to get more fresh, oxygenated blood into your muscles and joints. 

What kind of pain should you use heat for?
Many kinds of non-inflammatory pains will respond really nicely to heat, including things like cramping and spasming, stiffness and persistent tight or pulling muscles. 
Heat packs are easy to use for neck, shoulder, lower back or hip pain.
​If you have a lot of painful areas, a warm bath can be another great way of getting heat into your muscles - why not add some Epsom salts for the added magnesium benefits for sore, tight muscles!

When should you not use heat?
Avoid heating up any fresh injuries, especially if you have open wounds or if the injury has become infected. These kinds of injuries will be in the inflammatory stage of healing - you'll be able to tell because the area may be swollen, red and hot, and most likely it'll be much more sensitive than usual! 

Of course, you do need to be careful with heat packs or hot water bottles to make sure you don't burn yourself. Always wrap your heat pack or hot water bottle in a something like a pillow case, thin blanket or a towel so you don't have the hot surface directly on your skin. Using heat for too long might give you heat rash, so I usually suggest about 20 minutes at a time.

Heat on its own is more for symptom relief than for resolving the underlying issue. If you have an injury or feel that you have a lot of long term tension built up in the muscles, book a treatment with your local Myotherapist.

Joint Pain In Winter? Tips To Relieve The Aches

18/5/2018

 
As we head into colder weather, many of us will start to feel the cold in our joints. If this is you, no need to fear! Today, I’m sharing my top tips to relieve joint pain in winter.
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Why do joints hurt in cold weather?
The truth is, we’re not 100% sure. What specialists theorise is that the cold weather causes change in the tissues around the joints. The connective tissue becomes less flexible and more stiff. And if our joints are restricted, moving them can feel uncomfortable or even painful.
 
Why am I feeling this pain, when others around me don’t feel it?
Some people are more susceptible to weather-related joint pain than others. You are more likely to experience joint pain if:
  • You’ve had a previous injury to that joint, such as a broken bone or a dislocation
  • You have a condition that causes chronic pain or inflammation
  • There is confirmed arthritis in the joint, whether it is osteoarthritis, rheumatoid or psoriatic
  • You’re in a low mood – people who are feeling sad or depressed are more sensitive to pain

Do I need to see someone about my joint pain?
If your pain is new, severe, and/or it is preventing you from enjoying everyday life – yes. Your friendly local myotherapist (me!) can help by providing treatments that reduce inflammation and stiffness in the joint.
 
Tips to relieve joint pain in winter
I know that you can’t always be in to see me. So if joint pain is getting you down, here are my top recommendations to ease the aches away.

  1. Gentle movement. This will warm up the joint and bring synovial fluid into the joint capsule. Synovial fluid is the joint’s natural lubricant, so it can help your joint to move smoothly and without pain.

    When you are moving, you don’t have to move to the point of pain (we’re a no-pain all-gain group here!). But moving the body within the pain-free limits will keep your joints filled with synovial goodness.

  2. Heat therapy. It might seem obvious, but when you add heat to an area of the body, it brings blood flow into it. The more blood flow, the more your joint can heal any damage or inflammation, and return to its happy flexible self.

    Some of my favourite heat therapies include heat packs, hot water bottles and of course, a snuggly electric blankie! Just make sure you follow the safety instructions – we don’t want you getting a burn.

  3. Hydrotherapy exercises. Heated pools have twice the benefits for achey joints. Not only do they have heat therapy benefits, but the water also takes much of the weight off the joint. This makes movement easier and less painful to do. So if you are experiencing pain with gentle movements, this is the best option to take.

    Do keep in mind that hydrotherapy feels easy at the time, but it is easy to overdo it at the start. It can be very fatiguing for some, so start with short visits and allow rest time after the session.

    For those local to Simple Wellness Myotherapy, your nearest hydrotherapy pool is at Knox Leisureworks. The hydro pool is available to use whenever there is not a class being conducted, so have a chat to the staff about a time that will suit your schedule. At only $7.80 for a full priced adult entry, this is a fairly cheap option that can help keep you moving well during the colder months.

  4. Magnesium cream. This relaxing cream is great to have on hand when the aches set in. Magnesium relaxes the muscles around the joint, easing the tension, and it can be applied as often as you need.

    Better yet, convince your partner to give you a mini massage!

    The clinic stocks Bioceuticals UltraMuscleEze Magnesium Cream, and I also use this cream as part of treatments. So if you’d like some to take home with you, pick some up on your next visit.
 
Do you need a little extra TLC to relieve the aches and pains that cold weather brought on? Make sure you book in an appointment.

The Best Myotherapy At-Home Care Tools To Try

30/10/2017

 
Many therapists want you coming back time and time again forever. Not me! If there's something I can get you doing at home to help, I let you know. That's why I stock a few of my favourite at-home care tools in the clinic. By using these, you can help to take care of your own muscles each and every day.

​
The Best At-Home Care Tools
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The tool: Spiky ball
If you've been into my clinic room, you've seen these scary-looking little balls hiding in the corner! But they are actually my number one favourite tool for my clients – and myself.
 
What's it for:
It might look like a torture device, but it's actually sweet relief for many. For any niggly spots or trigger points, this colourful ball is the key to relieving tension.
 
How to use it:
Grab your ball. Use it to roll over a sore muscle until you feel a point of tension or a trigger point. Then, keep rolling on that spot until you feel your muscle relax.
 
Note: This should feel tender, but not like agony! If it's too sore, ease up a bit. Try rolling it over a clothed area if its too tender straight onto skin.
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The tool: Foam roller
Everybody's least favourite post-exercise tool - the foam roller! If you go to the gym, they may already have a few of these laying around, otherwise they are usually cheap to buy from sports stores, or even Kmart!

What's it for:
The foam roller can be used in a similar way to the spiky ball, but its a broader area. Think big muscle groups, like hamstrings, quads, glutes and backs.

How to use it:
Time to get down on the floor and roll out those sore muscles. You can roll in one long movement, for example from your knee to your hip, or you can roll in sections. Just like the ball, when you find that tender spot stop there and let the pressure release the muscle for about 20 seconds or until you feel it relax.

Note: Foam rollers come in a heap of designs - if you're very pain sensitive, choose a roller that doesn't have any bumps or grooves on it. A smoother roller can be just as effective and much less painful.
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The tool: Heat pack
There's something magically comforting about a heat pack on a cold night. But these aren't just about comfort – they can also be therapeutic.
 
What's it for:
The idea of a heat pack is to increase circulation to an area. This might be good for areas of poor circulation, or to help warm up a tight, cold muscle. It's generally recommended for chronic muscle pain and sore joints.
 
How to use it:
Heat in a microwave for 1-2 minutes (check the label for guidance). Place on the area that needs a little TLC. Make sure it's a comfortable temperature. And then – relax!
 
Note: You should be careful if you have nerve impairment, as there is a risk of burning. Do not use it within the first 48hrs of an injury unless instructed by your practitioner.
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The tool: Resistance band
Getting the 80s vibe from these bad boys is pretty common! But don't fear, you don't need to don the lycra to benefit from them.
 
What's it for:
You don't need bulky weights to build muscle. Resistance bands can help you to build and maintain muscle strength gently. This is great for people who are rehabilitating joints or are just beginning with strength building.
 
How to use it:
It depends on the exercise you need to do. The general idea is to find a way to make the band gently resist your body movement. If you don't have set movements prescribed, I can teach you an easy at-home exercise routine personalised to your needs.
 
Note: There are different levels of resistance available. So if you're not sure what level is right to you, let me know. You can even have a quick try and see what feels right!
 
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Do these sound like tools you need to try? The next time you come in for an appointment, you can pick one – or more – up!
 
If you're still not sure which is best for you, send me a message and we can chat further.

    Meet Our Team

    We have a team of great practitioners available 7 days a week at our Rowville clinic.

    Mel Simon
    Mel is our Senior Myotherapist.
    She's a nerdy, geeky bookworm who loves to help explain complex pain in an easy to understand way.
    ​She has a special interest in chronic pain conditions like fibromyalgia and Ehlers Danlos Syndrome, and more.

    Duke Autret
    Duke is an outstanding Myotherapist and Remedial Massage Therapist.
    He has a deep interest in movement and alignment. He enjoys helping people regain strength and mobility to reduce their pain.

    Kel Levi
    Kel is an experienced Myotherapist and Remedial Massage Therapist, currently also working with AFL Premiers Melbourne Football Club.
    She has a great firm pressure and expertly uses Myotherapy tools like dry needling and cupping to ease pain.

    Peter Pascalis
    Peter has over 10 years experience as a Remedial Massage Therapist, and completed his Bachelor of Health Science in Myotherapy in 2022.
    He is known as our Dry Needling Wizard, and gets exceptional results for chronic pain and acute injuries using advanced needling techniques.

    Megan Cornish
    Megan is a Myotherapist and Remedial Massage Therapist. She has a background in dancing and is a qualified personal trainer. She has personal interest in womens health issues like pregnancy care, endometriosis and PCOS.

    Rachael Bird
    Rachael is a Myotherapist and Remedial Massage Therapist, with a background in beauty therapy. She is enthusiastic about helping people recover from pain and live well.

    Ethan Farr
    Ethan is a Sports Myotherapist and Exercise Scientist. He loves to help people get back to sport, exercise and activity after injuries by planning out a comprehensive rehab plan.

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Simple Wellness Myotherapy & Osteopathy
Shop 12B/150 Kelletts Rd, Rowville VIC 3178
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