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Our Rowville clinic is open 9am-6pm every Sunday! We have two fantastic therapists who work on a Sunday:  Ethan Farr - Sports Myotherapist & Exercise Scientist Ethan is an excellent rehabilitation focused therapist. He has a wealth of experience with exercise centred injury recovery, and is building a fantastic reputation for his hands on treatments. He loves to help people with non-surgical recovery of sporting injuries, including things like:
 Duke Autret - Myotherapist Duke is a Myotherapist and Remedial Massage Therapist, with qualifications in Pilates. He is passionate about encouraging movement as medicine, and providing outstanding care to help people in pain to regain better mobility and live a more painfree life. He loves to help people with things like:
Book a Sunday AppointmentOnline booking for a Sunday appointment is easy - check our availability and book in advance, our Sunday sessions are popular!!
Simple Wellness Myotherapy is located at Shop 12B/150 Kelletts Rd, Rowville VIC 3178 Contact us on (03) 8204 0970 By Megan Cornish, Myotherapist Over the last week in particular there has been an increase in acute neck pain and cases of facet joint irritation. In this blog we will discuss the symptoms of an irritated facet joint and discuss available treatment options as well as some tips and tricks you can utilise at home. So, without further ado, let's dive into the wonderful world of facet joints!  Have you ever woken up one morning with neck pain and stiffness that progresses quickly into very limited ability to move your neck and intense pain? Maybe you’ve found it difficult to head check to the left or to the right when driving in the car so you’ve had to use your whole body to turn to do so. Maybe you have been standing under the warm water of the shower for a while now or glued to your hot pack trying to get any form of relief from extremely stiff neck muscles. If you have or are currently experiencing any of the above scenarios you may have an irritated facet joint in your neck.
Facet joints are joints that connect the bones of your spine together allowing your spine to bend, twist and rotate. Whilst providing movement they also support the spine and prevent excess movement by providing structural support to the overall spinal column. These joints sit at the back of the spine and there are 4 facet joints for each vertebrae, 2 upper and 2 lower. Sometimes these joints can become inflamed due to certain conditions such as osteoarthritis, trauma from a car accident or sport injuries, or from more mundane daily activities like sleeping awkwardly or a rapid movement that twinges the neck. For the purpose of this blog we will be addressing neck related facet joint pain however it is important to note that facet joints can get inflamed along any point of the spinal column. How do we know that your current neck pain is facet joint related? There will be a few different things that we look for to identify that the root cause is a facet joint. The biggest clue that we get is which movements of the neck are impacted. In facet joint presentations it may be painful to move/look to one side however almost completely fine/very minimal pain when looking the other way. For example you may be able to head check to the left with no issues but have difficulty head checking to the right. You may also be experiencing discomfort when looking at the ceiling however not when looking down at the ground. This is due to the space between the joints narrowing/ closing off in these same side movements compared with the other side. Facet joints will usually affect one side and pain will often be one sided/ local to the region. Another big clue is your description of the type of pain you are experiencing. Patients will often describe their pain as a locking, jamming, pinching, tightness/stiffness or achy sensation. As Myotherapists we can assess your ability to move actively AND passively. Which means we will watch you do the movements first, but if that doesn’t confirm our suspicions we can then do the movements for you by getting you to lie down on your back and (try your best to) let us control your movements. When we do this we are taking the muscles out of the equation and all that's left is your joints, if you still experience pain while we do the movements for you this is most likely a facet joint. We will also palpate (feel/press on) the joints to check for tenderness at the joint itself, there are also a couple special orthopaedic tests that we can use to confirm that we are dealing with a facet joint. If all of that comes up positive for a facet joint pathology as well as the correct symptom profile for a facet joint pathology, then we have found the culprit of your pain! One of the main reasons facet joints are so painful is the muscular guarding that comes with the condition. The main thing to remember here is that the body is very VERY good at protecting itself when something isn’t quite right. Therefore if your joint gets inflamed your nervous system is going to send messages to all of the surrounding muscles to “guard” and protect the injury as best as possible. This is what causes the really tight muscles and very limited range/ability to move your neck. Another important thing to note is that your body will absolutely heal itself! Facet joints usually tend to be acutely painful for anywhere from 2-7 days, but usually do not hang around longer than 2 weeks. We call this a self limiting condition, which means it typically will resolve itself even without any intervention - however, most people like to speed up the process by getting it treated. Myotherapy is a great way to support the natural healing process and speed up your overall recovery from this condition. As Myotherapists we are trained in being able to safely treat joint pathologies and facet joint irritation as part of our scope of practice. This means that along with treating the muscular component we can also use techniques such as joint mobilisations and joint MET to promote healthy joint function and healing. Not sure what a joint mobilisation is? Its a slow, low grade movement that we use to allow an irritated joint to begin moving freely again. Its not a “Crack!” of your neck!! The “cracking” technique is called a Manipulation or Adjustment, which is a full force, high velocity movement that only a qualified chiropractor or osteopath is able to provide for you, if that is more your style. Facet joints also tend to respond well to dry needling on the affected side. We can needle the super tight muscles that are locking up around the joint to restore freedom of movement. This can help make the healing process quicker, and reduce the intensity of the pain while your facet joint recovers. In terms of home care for facet joints here are some things we like to suggest patients with a joint irritation do at home:
This exercise can be done by making a double chin! (We know, super flattering!) Keep your eyes on a fixed structure at eye level in front of you and pull your head back to create that double chin. Be careful not to drop your chin to your chest or have your head tilted upwards, we want that nice neutral position and a slide back to execute this exercise efficiently.
The above suggestions are just some of the things you can do at home to aid the recovery of an inflamed facet joint in the neck; however it is most beneficial to the healing process to be doing these in conjunction with physical therapy to get the best results. Myotherapy is a great form of physical therapy and we treat these cases and presentations frequently. Its important to know that while this kind of pain can feel really horrible in its most acute stage, it usually won’t last longer than a few weeks, and likely even less if you get it treated very early on. If you have any of these classic facet joint irritation symptoms don't hesitate to book an appointment and together we will create a treatment plan to get you and your facet joints healthy and happy again! Simple Wellness Myotherapy is located at Shop 12B/150 Kelletts Rd, Rowville VIC 3178. Additionally, you can contact us on (03) 8204 0970 to arrange an appointment today. By Ethan Farr, Sports Myotherapist & Exercise Scientist This is a bit of a loaded question. There are a lot of factors that contribute to when you are able to get back to exercise post injury; the severity of injury, what kind of injury, your strength/conditioning pre injury and the kind of training you do just to name a few.  Strictly speaking you are able to get back into the gym while injured as long as you are training around said injury and finding no increase in pain or swelling the next day e.g. an injured leg you can still train upper body, however for training the injury there are 3 general phases of healing: the inflammatory phase, the proliferative phase and the remodelling phase.
What do these stages mean for you and getting back to the gym? Realistically these stages are not quite set in stone as you may be able to tell as there is quite a large range in timeframe that these stages can occur in but these stages aid in creating a general guide to what kinds of exercise should be programmed into your rehabilitation pathway. Generally within those first 3-7 days you should be focusing on reducing inflammation and pain so exercise isn’t your main concern at this point. However if you must, the exercise you should be doing generally consists of non-weight bearing exercise going through the range of motion of the injured site without increase in pain. Between days 4-21 you are looking at introducing more weight bearing exercises for things like ankle sprains this could be a little as walking for shoulders you could be looking at light band work trying to use the full range of motion of the joint with some resistance. In this stage a VAS pain scale can be used to guide your movements and exercise programming a VAS pain scale in this case would be a pain rating from 0 being no pain at all to 10 being incredibly painful, if the exercise you’re doing increases pain to the 7-10 ranges then it is not suitable for rehabilitation and could be doing more damage than good (No pain no gain need not apply to the rehabilitation pathway in this sense). The last stage of healing is a long lasting stage most people may not even realise they’re still in the process of healing when they’re in this stage, it can present as something as small as having a reduced ability to balance on one leg compared to the other or even just being a little apprehensive in doing certain movements. At this stage you are looking to incorporate increased challenge to the exercises programmed you are looking at including your bigger compound movements or increasing instability during the exercises, in this stage exercises will generally be guided by your daily life activity needs e.g. working a trade vs office work will have very different needs and if you play sport your exercises can be tailored to your sports needs. Getting back to the gym feeling better then you felt pre-injury is what I love about myotherapy and fitness so if you find all of this too complicated to follow but still want to get back to top shape after an injury, I would love to have the chance to guide your rehabilitation pathway and get you back to peak performance. Book with me on a Tuesday, Thursday or Sunday. Simple Wellness Myotherapy is located at Shop 12B/150 Kelletts Rd, Rowville VIC 3178. Additionally, you can contact us on (03) 8204 0970 to arrange an appointment today. By Duke Autret, Myotherapist Chronic pain is a complex and persistent condition that significantly impacts an individual's quality of life. Managing it often requires a multi-pronged approach. Myotherapy, a specialised form of physical therapy, offers effective interventions for chronic pain, particularly ‘nociplastic’ pain, which lacks clear structural or inflammatory causes. This blog explores the management of chronic pain with myotherapy, including key interventions and techniques.  Understanding Nociplastic Pain
Nociplastic pain is characterised by pain that arises from altered nociception despite no clear evidence of actual or threatened tissue damage or sometimes disproportionate to the level of tissue damage that may be there. This type of pain can be challenging to manage as it often involves central sensitization. Central sensitisation is where the central nervous system becomes hypersensitive to pain signals, which is in effect like the malfunctioning of the sensory system rather than the tissues themselves, perhaps like when your car has a sensor problem rather than actual part problem it is monitoring. Causes of Nociplastic Pain The exact causes of nociplastic pain are not well understood, but factors may include:
Symptoms of Nociplastic Pain Common symptoms can include:
Myotherapy offers a range of physical and educational interventions to manage nociplastic pain effectively. Physical Interventions: Movement and Exercise Therapy: Movement and exercise therapy, including graded activity and graded exposure, helps retrain the nervous system and reduce pain sensitivity. Adjunct Tools/Modalities: Techniques such as heat, cold, or electrical stimulation can alleviate symptoms by reducing muscle tension and pain. Manual Therapy: Manual therapy, including joint mobilisation and soft tissue techniques, can be beneficial when integrated with other treatments. Educational Interventions: Pain Neuroscience Education (PNE): Pain Neuroscience Education (PNE) helps you understand the nature of pain and how to manage it better. Here are some key principles to keep in mind: 1. Pain is an Output from the Brain: Pain is not just a signal from damaged tissue. Your brain processes information from all over your body and creates the sensation of pain. This means pain is not only a physical sensation but also involves cognitive and emotional experiences. 2. Pain Does Not Always Indicate Harm: Understanding that pain is not always a sign of serious damage can help reduce fear and anxiety. Many factors, such as stress, emotions, and past experiences, can influence pain. 3. Changing Your Perspective on Pain: By seeing pain as a signal that your brain is sending to make you pay attention to your body, you can take steps to manage it more effectively. This can help reduce the intensity and frequency of pain. 4. Techniques to Manage Pain: Relaxation and stress reduction techniques like deep breathing and progressive muscle relaxation can help manage pain by reducing muscle tension and anxiety. Regular practice of these techniques can make a significant difference in your pain levels. 5. Listen to Your Body: It's important to listen to your body and take care of yourself in ways that feel safe and comfortable. This includes practising good posture, engaging in regular exercise, and maintaining a healthy lifestyle. Progressive Muscle Relaxation (PMR): PMR is a technique used to reduce muscle tension and anxiety, promoting relaxation and pain relief. Steps for Progressive Muscle Relaxation:
Graded Exposure Therapy: Graded exposure helps individuals gradually confront and overcome activities or movements they avoid due to fear or pain, reducing pain and improving function. Protocol for Graded Exposure:
Graded exposure gradually helps people confront their fears or anxieties. By slowly exposing you to things that make you anxious, your brain learns these things are not as dangerous as initially thought. This builds tolerance and reduces anxiety over time, helping you regain control over your life. Comprehensive Pain Management When structural or biomechanical explanations fall short, pain often results from central sensitisation, neuroplastic changes, psychological factors, lifestyle influences, and environmental factors. Effective management involves a multidisciplinary approach, combining physical and cognitive interventions tailored to individual needs. Common Explanations in the Pain Process:
Chronic pain, particularly nociplastic pain, requires a comprehensive approach to management. Myotherapy offers effective interventions, including physical techniques and educational strategies, to manage pain and improve quality of life. By integrating myotherapy into your treatment plan, you can address the multifactorial nature of chronic pain and take proactive steps toward relief and improved well-being. You can book online to start the process now! Simple Wellness Myotherapy is located at Shop 12B/150 Kelletts Rd, Rowville VIC 3178. Additionally, you can contact us on (03) 8204 0970 to arrange an appointment today. By Ethan Farr, Sports Myotherapist & Exercise Scientist As someone who has done martial arts throughout my early teens and now into adult life I have noticed a few changes in the way I need to train and how I can recover from said training. I still remember when I could jump straight into training without any form of warm up! These days I definitely take more time to warm up and stretch out, even before skipping - a pre warm-up warm-up if you will. Warming up thoroughly and prioritising recovery has become an essential component of my martial arts routine. That being said throughout my martial arts journey I've discovered a valuable ally: Myotherapy!  Myotherapy can help with:
Myotherapy is a therapeutic approach designed to identify and target areas of muscle tension and imbalance within the body. Through a mixture/combination of techniques such as deep tissue massage and myofascial release, stripping, cross fibre frictions, trigger point release, and cupping, Myotherapists work to release tight muscles, alleviate "knots", and restore balance to the musculoskeletal system. By addressing these issues, individuals can experience improved posture, reduced discomfort, and enhanced overall physical well-being. Following intense physical activity or injury, muscles often require time and attention to recover fully. Myotherapy plays a crucial role in this process by promoting blood circulation, which helps deliver oxygen and nutrients to the muscles, aiding in their repair and regeneration. Additionally, techniques such as effleurage and petrissage can help reduce muscle soreness, allowing for faster and more efficient recovery. One of the key benefits of Myotherapy is its ability to improve flexibility, mobility, range of motion and most importantly to most pain free range of motion. By targeting tight muscles and releasing fascial restrictions, your Myotherapist helps you achieve greater freedom of movement and flexibility in your joints. This not only reduces the risk of injury but also enhances overall physical performance and comfort in daily activities and aids in getting those kicks to head height. Regular Myotherapy sessions can significantly reduce the risk of Martial Arts related injuries by addressing muscular imbalances, enhancing flexibility, and promoting better biomechanics (the quality of movement). By identifying areas of weakness or tightness before they develop into more serious issues, Myotherapy helps individuals maintain optimal musculoskeletal health and prevent injuries from occurring during physical activity or sports. For individuals recovering from injuries, Myotherapy is an invaluable tool in the rehabilitation process. By targeting specific areas of tension or weakness, Myotherapy helps restore proper function and range of motion to injured muscles and joints. This not only accelerates the healing process through increasing blood flow to the area but also minimises the risk of re-injury by addressing underlying issues that may have contributed to the initial injury. Beyond its therapeutic benefits, Myotherapy has been shown to enhance physical performance in athletes and active individuals. By improving flexibility, reducing muscle tension, and promoting efficient movement patterns, we can help individuals achieve peak performance levels in their chosen activities. Whether it's improving strength, speed, or endurance, regular treatments can provide athletes with a competitive edge and help them reach their full potential. Myotherapy is a great option for all martial artists whether you’re pre/post a big grading session, in a training camp for a fight or even if you’re just trying to remedy those little niggles and aches that tend to pop up after some difficult training and sparring sessions. We can help with pain, tightness or injury related to all kinds of Martial Arts training, including Brazilian Jiu Jitsu, Muay Thai, Karate, and Boxing, just to name a few. If you’re looking to improve your capabilities in martial arts or recover from injury make sure you get in and book with me! I understand exactly what your sport/art demands to get you back to your peak performance and keep you there! I'm currently available on Tuesdays, Thursdays and Sundays. Book with me to start your treatment and keep you at the top of your game. Simple Wellness Myotherapy is located at Shop 12B/150 Kelletts Rd, Rowville VIC 3178. Additionally, you can contact us on (03) 8204 0970 to arrange an appointment today. Hey my name is Rachael and I'm the newest Myotherapist here at Simple Wellness. I have a background in Beauty as well as Remedial Massage, therefore I tend to be very versatile in what I can offer you in terms of pressure and type of massage during my treatments. I have always strived to give my clients my personal best and want to help in any way I can to be able to get back to everyday activities pain free.  I am known for being very smiley and friendly to others, and my terrible use of dad jokes in the company of clients who share the same kind of humour.
I come from a big Mauritian/Rodriguan family and so I love hearing about those old family stories as they tend to be the best memories. I am an animal lover of mostly dogs, with my beautiful boy Jack Russell being 16 years old this year. I definitely have a more of a hands on approach to Myotherapy, I use massage techniques most of the time because this seems to benefit my clients, and for the other times I can use needling and cupping if it's what's needed at the time. I will always check in with whatever it is I do; whether it be about the pressure, if you were wanting or not wanting me to use any other modalities, or just being that hands on. I will do whatever works best for you and your pain. I can be light or quite firm in my pressure, but it's not always true of “no pain no gain” meaning for those that go above their pain threshold. Sometimes a moderate amount is just enough to make that difference. Massage should always be in your comfort zone where it can be felt, but not to an extreme like over 8-9/10. My favourite regions to treat are the neck, shoulders, and back pain. You would be surprised how common these really are. But let me give a little information as to why these are so common: Neck and shoulder pain together come mostly (but not all) from those who are doing desk work, gamers, and any type activity that leads to a hunched over posture. But why does it hurt? Well when you are in a hunched over position your back is exposed with muscles over stretching to the point where your body is saying ‘ow’ to try and protect itself. Then the front of the body is doing the opposite with muscles being shortened and ‘tight’. So when this happens regularly your body starts to remember this position as its new ‘normal’, so when you straighten your back up it hurts to do so. Sounds familiar? Long held positions play a big part in being the cause of pain and it is important to take those regular breaks, and follow the advice your Myotherapist or Remedial therapist has given you, including using those exercises and stretches they've given to help reduce, and revert this. Back pain can be caused by several reasons: not lifting heavy things correctly at work, gardening, moving house, or even gaming. Maintaining an uneven position for a long time, like mentioned above, can cause back pain/hip pain. It may be caused by the muscles just in your back, but often there is involvement from your glutes or even your hips. You may feel it in your upper back/ middle back, just above your glutes, at your glutes, or at your spine. As your Myotherapists and Remedial Therapists it is our job to help you with your pain and to help find out why its happening so that we can help with your symptoms and also help with the cause. You'll find me in the clinic on Mondays and Tuesdays from 12.30-7, and every second Thursday from 12.30-7. Bookings with me are easy - call us on 03 8204 0970 or book a time online! Can't wait to meet you and begin helping you unravel your pain and feel better. Bursitis is a really common cause of persistent shoulder pain. It can cause significant discomfort and limit our ability to perform daily activities. This common condition, characterised by inflammation of the shoulder's bursa, often results from repetitive motions or injury. In this blog post, we will explore what shoulder bursitis entails, its symptoms, and how myotherapy can play a crucial role in its effective treatment.  The shoulder joint is surrounded by small, fluid-filled sacs called bursa, which act as cushions between bones, tendons, and muscles. With a normal, well-functioning bursa, shoulder movement is smooth, effortless and without pain.
When these bursae become inflamed, it leads to a condition known as bursitis, and it can cause a lot of highly sensitive pain. Repetitive overhead movements or a direct trauma like a fall onto your outstretched arm can cause irritation of the bursa and surrounding tissue, and this can result in pain, tenderness, and limited range of motion. Additionally, factors like muscle imbalances and spending a long time in a position that strains the shoulder can contribute to the development of bursitis. Bursitis typically feels worse at certain points in the day - the first thing in the morning is often a time of stiffness and increased pain, with that sensation easing somewhat as you begin moving. After a period of inactivity it can become sensitive again, or following overexertion or repetitive activities. Inflammation makes the area feel irritated, stiff, achey, and sore. Myotherapy is a form of manual therapy that targets the soft tissues, including muscles, tendons, and ligaments. As Myotherapists, we aim to relieve your pain, restore your mobility, and promote healing through a variety of techniques, tailored to your specific needs. In the case of shoulder bursitis, myotherapy can provide several benefits.
Shoulder bursitis can be a debilitating condition, limiting our daily activities and causing persistent pain. While traditional treatments focus on symptom management, myotherapy offers a holistic approach to shoulder bursitis treatment. By addressing muscle imbalances, reducing pain and inflammation, and improving range of motion, myotherapy helps individuals regain functionality and prevent future complications. If you're experiencing shoulder bursitis, consulting with our qualified myotherapists can be a valuable step towards finding relief and embarking on the path to recovery. Remember, early intervention and consistent treatment are key to effectively managing shoulder bursitis and restoring your quality of life. Book a time with our wonderful myotherapists or phone our clinic on 03 8204 0970 for more information. Knee injuries are common among athletes, active individuals, and even those who lead a sedentary lifestyle. These injuries can range from mild sprains to severe tears, and can cause significant pain, swelling, and discomfort. In this blog, we'll explore the ways in which Myotherapy and specific dry needling techniques can help treat knee injuries and reduce pain.  Myotherapists have a wide variety of treatment techniques and tools that help relieve knee pain.
Massage therapy is an effective way to treat knee injuries because it helps to improve circulation and reduce swelling. When you receive a massage, the therapist uses various techniques to manipulate the muscles and tissues surrounding the knee. This increased blood flow helps to reduce inflammation and speed up the healing process. Furthermore, massage therapy can help to break down scar tissue, which can cause pain and limit range of motion. By breaking down this tissue, massage therapy can help to improve flexibility and prevent future injuries. Our myotherapists consider all the surrounding muscles of the knee, as well as investigating other nearby areas like ankle and hip pain and mobility, and the strength of your glutes and lower back. In addition to reducing pain, massage therapy can also help to improve range of motion in the knee. Tight muscles can limit your ability to move your knee freely, which can cause pain and discomfort. Massage therapy helps to release tension in these muscles, which can improve mobility and reduce pain. Another treatment option our myotherapists are highly skilled in using for knee injuries is dry needling. Dry needling is a form of therapy that involves the insertion of fine, sterile needles into the muscles. This process helps to stimulate the healing process and reduce pain by releasing tension in the muscles. Dry needling can be especially effective for knee injuries because it helps to improve circulation, reduce inflammation, and break down scar tissue. Additionally, dry needling can help to release endorphins, which are the body's natural painkillers. This can help to reduce pain and improve overall well-being. Another benefit of dry needling is that it can help to improve strength and stability in the knee joint. When you receive dry needling, the therapist targets specific points in the muscles that are causing pain and discomfort. By improving the strength and stability of these muscles, dry needling can help to reduce the risk of future knee injuries. Furthermore, dry needling can help to improve range of motion, which is important for reducing pain and promoting healing. Studies have demonstrated dry needling to be an effective and safe treatment option for knee osteoarthritis. By targeting specific locations around the knee, dry needling can effectively aid in reducing pain sensitivity and allow for more freedom of movement. Electrostimulation of the needles has also been shown to have a beneficial effect on cartilage regeneration, and in reducing the need for medications. We know that knee injuries can be painful and debilitating, but massage therapy and dry needling can help to reduce pain and improve mobility. Whether you're recovering from a knee injury or dealing with chronic knee pain from conditions like osteoarthritis, these therapies can help to improve your overall well-being. By combining massage therapy and dry needling, you can help to reduce pain, improve circulation, and promote healing. So, if you're suffering from knee pain, our team is here to help. Book your first appointment to get your treatment plan started today. With regular therapy, you can help to reduce pain, improve mobility, and enjoy a more active and pain-free life. By Peter Pascalis We know that pain sucks, right? We also know that if our body/mind didn’t produce pain we would probably not be too well or even able to read this blog right now. You see pain serves us by alerting us that there’s something wrong which requires our attention.  So, we understand that pain is an important function for our survival and for health but when does pain become a pain in the proverbial? Well, most people who suffer from chronic pain would understand the reality of having to experience discomfort daily. For others it might come and go, but regardless of its presentation something interesting happens in the body when pain evolves from purely alerting us of harm, to becoming the harm that we perceive to be threatening our survival.
We call this chronic pain but also pain which is mediated from our brains. That’s not to say that pain exists only in our brains because obviously when some part of our system is injured there’s a legit reason for having it. The processing of pain occurs in higher brain centres where our values, beliefs, understandings, expectations and experiences exist. This is where we give value to the threat: when will I be able to swim or run again, and what will this mean to my fitness goals? “Oh God I’m going to put on so much weight”. This leads us to catastrophize, and this adds further negative input into an already sensitised nervous system. Fortunately, there are solutions to reducing the likelihood of acute pain progression and that’s where physical therapy can help. Using various treatments, manual therapy can change the way our brain perceives threat by decreasing the sensory stimulus it receives. The mechanism by which this is done is by the stimulation of fast acting sensory nerve fibres which intercept the pain signals from the slower conducting pain sensing nerve fibres. By modulating pain signals, we lower the volume on those painful stimuli which can reduce the level of pain experienced. The mechanisms by which manual therapy creates changes to the neurophysiological system are:
This provides us with a window to which we can address altered muscle and postural imbalances aiming to resolve what led to the pain appearing in the first place. Myotherapy is a holistic manual therapy approach for the treatment of painful musculoskeletal conditions which considers the mechanism of pain and provides tailored solutions for its treatment and its resolution. As therapists we use the above concepts to help change your pain experience through hands on therapies, tools like cupping and needling, exercises and modifications to your daily activities. If you are experiencing pain and are looking for a solution out of it now, we are here to help. Book your consultation and treatment with any of our therapists and we will guide you through a treatment plan customised for you and your specific circumstances. By Duke Autret Many, if not most people will have heard of, or may even have experienced sciatic pain or sciatica, but what is it exactly? Let’s explore. Sciatica is a term that gets thrown around alot but the fact is that it’s quite a vague term which is used simply to describe any condition where the symptoms involve pain running from the lower back down either one or both legs (potentially all the way down to the foot). Pain types can be sharp, shocking, tingly, numb, cause pins and needles, or cause pinching or catching sensations on movements.  So in fact Sciatica describes not one single condition, but rather a set of symptoms, and that these symptoms that we call Sciatica can be the result of a number of different mechanisms or conditions. To be more precise, Sciatic refers to the name of the nerves which branch out from origins in the lower spine/back and then splits into two Sciatic nerves - one for each leg, and thus innervates the muscles and structures of the legs. However this nerve can become vulnerable to irritation by pressure bearing on it from other structures, when this happens the experience is Sciatica! As mentioned before there can be a variety of reasons for this impingement on the Sciatic nerves and some examples can include pressure from a tight Piriformis muscle (which the sciatic nerve passes directly through or beneath), pressure from an Intervertebral Disc bulge/herniation of the lumbar spine (lower back), Stenosis which is the narrowing of the spinal canal, Spondylolisthesis which is the slipping of one vertebrae over the next and that can pinch the sciatic nerve, or Spondylosis, an arthritic joint degeneration at the lumbar vertebrae which may cause inflammation and subsequent pressure and irritation from that. As we can see, there are many ways in which the sciatic nerve can become impacted and the end result is the same experience and symptoms we call ‘Sciatica’. Some of these situations sound scary, but the majority of the time it is easy to get the pain under control while working with an experienced Myotherapist who can help guide you or refer you on if your condition is particularly acute or severe. Since the irritation that occurs to the Sciatic nerve is to do with some or other kind of pressure, then the priority for treatment becomes to create more space for the nerve to be free, as nerves also need to be able to slide and move with the rest of the body. Importantly, the treatment we use will be dependent on which of the various mechanisms are at play, but commonly any technique employed will be with the aim of creating more space for that nerve, and most often will involves treating the muscles of the lower back, pelvis, hips, glutes and back of the thighs and maybe even calves. Some of these techniques can include hands on options like remedial massage and myofascial release, or helpful nerve gliding movements that can help reduce the sensitivity of those nerves. And in situations where the symptoms are very acute, fresh and severe often Myofascial Dry Needling is a go-to in order to take the edge off and tone everything right down without adding any more undue pressure to the nerve/system. Myotherapists can also provide joint mobilisations to aid in better mobility of the lower back and hips. Mobilisations vary from manipulations - we won't be "cracking your bones", but gently encouraging rhythmic movement to return to your joints without any high velocity cracks or crunches. From here we would look at tailored exercises for your situation which could simply be stretches for a few key tight muscles to a full program to help build stability around the spine and support the structure for healthy nerve function. Some common exercises you might try could be deep abdominal work, diaphragm ‘weight-lifting’, the sphinx, Piriformis stretches, and Glute and Adductor strengthening. Our practitioners will demonstrate these types of exercises and how to safely do them while you're experiencing sciatica, and we can assist you in progressing them as preventative care exercises once the intensity of your pain has eased.  If you or anyone you know is currently suffering with Sciatic pain, please come and see us, we are here to help. Just call or leave a message with us at the Simple Wellness Myotherapy clinic here in Rowville, or alternatively you can see our booking schedule and make an appointment yourself for a time that best suits.
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Simple Wellness Myotherapy
Shop 12B/150 Kelletts Rd, Rowville VIC 3178 |
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