Synergy Physio Co is able to treat a wide range of musculoskeletal concerns. Find out more info on some of our commonly treated conditions.
(Click each Condition to Learn More)
Ankle sprains are a common injury in sport and the general population. Sprains can range from simple mild ligament tears, to complex injuries involving full ligament tears and bony injury. Physiotherapy can assess the extent of the injury and send you for further investigation as needed. We will help you with the acute management through to full rehabilitation. Restoring full mobility, and regaining good proprioceptive control is important post ankle sprain to prevent any further injuries down the track.
Tear of the anterior cruciate ligament of the knee is a common sporting injury. The anterior cruciate ligament is one of two ligaments that sits inside the knee joint ( ACL and PCL). When the ACL is torn it can cause instability of the knee. Your physio can accurately assess the integrity of the ligament following injury, and refer you for further investigation when necessary. Physiotherapy is needed for full recovery in cases of conservative management and also postoperatively. Physiotherapy will be directed initially at pain reduction, followed by progressive rehab to restore normal movement, strength, stability and guided safe return to sport.
The medial knee ligament sits on the inside aspect of the knee. It can be torn or strained when the knee is forced in a sideways motion. The MCL is a crucial ligament for knee stability. Your physio can assess the MCL for a tear following injury. They will also assess other structures of the knee to rule out any associated injuries such as meniscus or ACL injuries. Treatment may involve referral for imaging, taping/splinting, pain relief, followed by progressive rehabilitation and graded return to sport.
Meniscus injuries commonly occur when the knee is twisted excessively. Injuries can occur suddenly or as a result of overuse. Each knee has a medial and lateral meniscus, with injuries to the medial (inside) being far more common. Physiotherapy will assess the extent of the injury, and provide conservative treatment. It is crucial to restore mobility to the meniscus to ensure a return to normal function. Where necessary, your physio will refer you for radiological imaging.
Muscle strains are a common sporting injury, particulary in non contact sports such as running and jumping sports. Muscle strain occurs when the muscle fibres are overloaded and tear. Severity can vary from mild to severe. Physiotherapy can assess the degree of tear. Treatment is then aimed at optimising healing and restoring movement and strength. The focus of physiotherapy is getting you back to sport and preventing further injury.
Shoulder dislocations are a traumatic shoulder injury where the shoulder joint pops out of its socket. You can have a small subluxation where the joint pops in and out of place quickly. More traumatic injury occurs when the joint pops fully out of place and needs to be relocated. This injury commonly occurs in sporting settings where the arm is excessively abducted and externally rotated. Physiotherapy will focus on identifying any injured structures around the shoulder resulting from the dislocation. Treatment will then focus on symptom management and rehabilitation to restore shoulder stability, regain strength, facilitate graded return to sport, and prevent repeat injury.
Shoulder impingement is an extremely common cause of shoulder pain. It is caused by irritation of the structures (tendons and bursa) which sit between the scapula bone and the humeral head. As the arm is elevated these structures can be “pinched” and irritated, causing pain. There are a number of factors which can contribute to shoulder impingement. These may include poor scapula control, poor rotator cuff function, limitation in spinal mobility, tightness in shoulder joint capsule, or repetitive motions. Physiotherapy assessment will identify the reason why impingement is occurring. Treatment to correct the underlying cause of impingement can correct shoulder movement and reduce impingement.
Lateral Hip Pain/Bursitis
Lateral hip pain can be caused by several structures including the bursa and tendons of the buttock muscles. Causes can include a fall onto the lateral hip, repetitive movements, poor stability and mobility leading to overload of the lateral hip structures. Physiotherapy is extremely useful in the conservative management of this condition. Your physio will look to identify WHY your lateral hip is being overloaded. They will thoroughly assess your spine, hip and knee. They will also look at the way you walk, sit, squat etc. Treatment will be directed at unloading the lateral hip structures to allow them to heal. Underlying causes of overload will also need to be addressed eg – lumbar spine stiffness, or poor muscle control around the hip. Your physio will use a combination of manual therapy and exercise to improve your symptoms.
Tennis elbow (Lateral Epicondylitis) is experienced as pain on the outer point of the elbow. It is associated with changes in the tendons of the wrist extensor muscles where they attach to the bone. It is commonly seen in people who engage in repetitive actions of the wrist (manual workers, tennis players). Your physio will assess the elbow tendons, ligaments and nerves to identify exactly which structure is causing your pain. Assessment of the entire upper limb will also look at your posture, and movement of the shoulder and spine. Treatment may include a forearm strap or taping to unload the tendon insertion. Manual therapy can be used to unload the irritated structures. Exercises are used to progressively load the affected tendons, as well as improving mobility and control of the whole arm and shoulder.
Carpal Tunnel Syndrome
Carpal tunnel syndrome describes a compression of the median nerve at the level of the wrist. Symptoms can include pins and needles, numbness and pain in the thumb index and middle finger. People may also experience weakness in the muscles of the thumb. Symptoms are usually most pronounced at night and during sustained activities.
As the median nerve passes across the wrist it sits inside the carpal tunnel which is made up of the small bones of the wrist and a connective tissue ligament. Anything which reduces space in this tunnel can cause compression of the nerve. Causes may include, arthritis, inflammation of the tendons, pregnancy, or overuse activities.
Physiotherapy will assess the nerve and identify the location and cause of your symptoms. Assessment will also look at the entire upper limb to check other areas such as your neck which could be contributing to your symptoms. Treatment for carpal tunnel may include night splinting, treatment to improve nerve mobility, and correction of any underlying causes of nerve restriction.
Low back pain
Low back pain is the most common musculoskeletal problem in the western world. The causes of back pain are many and varied. You may experience an acute and debilitating episode, or you may have low grade, long term pain. Some people experience low back pain following a clear trauma. For others it may come on after a very simple action such as bending forward to pick up a sock from the floor. Whatever your experience, Physiotherapy can often provide good relief, and enable you to return to a painfree life.
Low back pain can be experienced for a number of reasons, and can originate from a number of different structures. Some causes include degeneration of the joints, injury to the discs, irritation of the nerves, instabililty ( ie poor muscle control), muscle spasm, asymmetrical movement through the spine and pelvis.
Every presentation of low back pain is unique and needs thorough assessment to determine the specific structures affected, and contributing factors. Treatment needs to be individualised to address your unique presentation.
Treatment can assist in the acute phase, for pain relief and restoring movement. Longer term rehabilitation allows return to normal work/sport/daily activities. Modalities commonly used include joint mobilisation techniques, muscle energy techniques, fascial release techniques, muscle activation exercises, posture and movement correction.
Neck pain is also a very common problem in western culture. It is often seen due sustained postures such as in computer based work. It can also occur due to trauma, degenerative changes or muscle imbalances. In some cases it can be associated with headaches, or referred arm pain. Your physiotherapist will assess you to determine whether the pain is related to muscle, joint, or nerves. Accurate assessment will allow specific treatment of the affected structures. Treatment may include manual therapy approaches to improve mobility of the joints, or nerves, and restore muscle balance. Consideration will also be given to generalised posture and spinal mobility. Normalising general mobility of the spine and thorax can be important in unloading the cervical spine. Treatment may also focus on exercises to improve core strength, spinal mobility and improve the way you move.
Whiplash is a phenomenon that often occurs following motor vehicle accident. The sudden acceleration/deceleration of the head and cervical spine places excessive stress on many soft tissue structures. Symptoms can sometimes be delayed and can include neck pain and stiffness, headache, and low back pain. Physiotherapy will assess the entire spine and head for problem areas and treat with manual therapy. Exercises to restore normal strength through the stabiliser system of the neck ensure a return to normal function.
Achilles tendonitis is a condition commonly seen in those that love to run. It is often worst in the mornings and “warms-up” with exercise. It is a characterised by a progressive overload of the tendon or tendon attachment to the heel bone. Treatment will be first directed at providing pain relief with the use of ice, taping, and muscle release. Further management will look at biomechanical assessment to identify underlying causes of overload. Depending on the individual, treatment may include manual mobilisation of the tarsal bones in the foot, strengthening exercises to improve hip and trunk stability, or manual therapy and exercises to address muscle tightness in the lower limb. Another important part if treatment, is advice on activity modification and training changes. Successful return to sport will depend on treating underlying causes and progressive loading of the tendon prior to returning to play.
Rotator Cuff Tear/Tendonopathy
Rotator cuff tendonopathy or tear is the most common shoulder problem affecting older Australians. Rotator cuff pathology can result from overuse, or following a fall on an outstretched arm. Physiotherapy will assess the integrity of the cuff and factors that may be overloading it. Assessment needs to consider shoulder blade mobility and strength, neck range of movement as well as trunk or thoracic mobility. Your physiotherapist will design a personalised exercise program that targets any problem areas. Where necessary, referral will be made for imaging or sometimes cortisone injection.
Patello-femoral pain is experienced as pain around the front part of the knee. It is an overuse injury that is often noticed when going up and down stairs. There can be both local or remote causes. The most common cause behind patellofemoral pain is a strength imbalance between the medial and lateral quadricep muscles. Physiotherapy will assess for contributing factors and come up with a step by step treatment plan that can include taping, joint manipulation, muscle releases and graded conditioning. Patellofemoral pain is very successfully treated with physiotherapy intervention.
Plantar fasciitis is one of the most common problems affecting the foot. It is experienced as sharp pain at the heel which is often worst in the mornings. It is essentially a tendon overload problem, with this particular tissue under both tensile AND compressive load. Physiotherapy will first assess for joint and muscle imbalances at the foot and ankle before completing a biomechanical assessment of the entire lower limb. Treatment may include taping or orthotic prescription, manual therapy for stiff joints and restricted muscles, as well as a progressive, graded conditioning program.
Headaches can be an extremely debilitating condition with a wide variety of causes. Physiotherapy is a useful tool in the treatment of cervicogenic headaches (headaches which are caused by dysfunction in the neck). Physiotherapy assessment will consider the type of headaches that you are experiencing. Your physiotherapist will assess for cervical spine restrictions which may be contributing to your headaches. At Synergy Physio Co your therapist is trained in the Dean Watson Headache Approach, and combines this knowledge with a variety of other gentle and specific manual therapy approaches to restore neck mobility and give you relief of your headaches.
Severs disease is a common youth sporting injury. It is characterised by pain and inflammation at the attachment point of the heel bone. Like many adolescent overuse injuries, careful assessment of the joints and soft tissues of the foot and ankle will often reveal imbalances. Physiotherapy will address these imbalances by specific manual therapy techniques. Targeted strength and conditioning will allow the youngster to return to sport.
Osgood Schlatters Disease
Osgood Schlatters disease is a common complaint for adolesecents involved in many sporting activities. It is characterised by pain and inflammation around the attachment point of the quadriceps muscle at the knee. There are often muscle and joint imbalances that progressively overload this tissue. Accurate Physiotherapy assessment of the knee and surrounding tissues is vital for successful treatment. Long term resolution will require strength and endurance training.
Osteoarthritis is a common disease process that affects the joints of the body. It is characterised by a breakdown of the cartilage that lines the joint. This breakdown tends to happen as we age and can result in loss of movement, pain and swelling. Physiotherapy can assess for factors such as weakness in the surrounding muscles, as well as asymmetrical loading across the joint which can contribute to this disease. Treatment will consist of gentle strengthening and manual therapy to the affected areas. Physiotherapy can be an extremely effective way to improve function and reduce the pain associated with osteoarthritis.