Physiotherapy Melbourne
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physiotherapyConditions Treated melbourne

Scoliosis Treatment

Our range of physiotherapy approaches has been proven extremely effective in disease prevention and treatment.

clinical pilates
clinical pilates
pilates physio Common Conditions Treated

Below is a list of conditions we commonly treat.

Back and neck pain
Osteo and rheumatoid arthritis
Sports Injuries
Orthopedic & post-surgery Rehabilitation
Joint & soft tissue disorders
Tennis elbow treatment
Women’s health problems
Contact and atopic dermatitis
Irritable bowel syndrome

Using modern diagnostic and treatment equipment, we can assess and treat a variety of conditions associated with the cardiovascular, respiratory, gynaecological, dermatological, gastroenterological, urological, endocrine, and musculoskeletal systems.

Regular reassessments to monitor the effect of the treatments are an integral part of the treatment plan.

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Headaches pilates physio Headaches

A headache is defined as pain in any region of the head; in the forehead, behind the eyes, above the ears or at the base of the skull.

There are different types of headaches and different causes for these – such as migraines, cluster headaches or cervicogenic headaches.

Physiotherapy works primarily for cervicogenic headaches. These are headaches which are a result of dysfunction in the neck or back.

There are nerves in the neck which supply various areas in the head, which is the reason why neck problems can refer pain into the head.

Chronic tension in the neck, recent or past injury such as whiplash, intervertebral disc bulge, facet joint irritation, joint degeneration or osteoarthritis, stress, trigger points in the neck or upper back can all potentially cause headaches.

How do you know if your headache is coming from your neck?

• If your GP has cleared you for migraines, cluster headaches and other types of headaches
• If you get neck pain which radiates into your head
• If your headache is caused or is aggravated by certain head positions or movements
• If your headache is caused or aggravated by a certain activity such as sitting at the computer for a period of time

Manual therapy, electrotherapy, improving the posture of your back and neck and strengthening the muscles which stabilize and support these areas will alleviate cervicogenic headaches and help prevent future flare ups.

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Back and neck pain pilates physio Back and Neck Pain

The spine is divided into three parts; the cervical spine – the neck, the thoracic spine - the upper back, and the lumbar spine - the low back.

The spine itself is made up of vertebrae with intervertebral discs in between each vertebra. These intervertebral discs act as shock absorbers for the joints in the spine. The spine is also supported by muscles and ligaments.

Back pain can be from a sudden injury such as lifting an object or from a physical activity such as sport. Pain can also occur gradually over time with a certain activity and be just as debilitating. This can be from activities such as sitting at a computer with poor posture for long periods of time or from any repeated activity that may place stress on your back/neck.

Pain from the lumbar spine (low back) can refer symptoms down to the buttock and leg. Pain in the cervical spine (neck) can refer symptoms into the shoulder and down the arm.

Unfortunately, when back pain occurs, the muscles that support the spine (commonly known as the ‘core’) are affected, and this has lasting effects. Without proper rehabilitation of the these muscles, they will not return to their normal function, even if the pain has subsided. Pilates activates these muscles and makes them stronger, which will reduce the chance of you re-injuring your back, which is a common occurrence.

Common Causes of Back and Neck Pain

Intervertebral Disc Bulge
This is when the intervetebral disc becomes damaged and is displaced slightly. This then presses on a nerve coming from the spine, which causes pain.

Facet Joint Pain
The facet joint is the connecting joint between the above and underlying vertebrae. Facet joint pain is caused when the joint is not moving freely, usually when an abnormal amount of stress is placed on the joint. This may also involve damage to the cartilage and connective tissue around the joint.

Postural Back and/or Neck Pain
Altered alignment (poor posture) in the spine can cause pain in the back and neck. Poor posture is a result of the muscles that support the back and neck not being strong enough for an activity undertaken such at sitting for long periods of time. This usually occurs with sitting for long periods of time, poor standing posture or when sleeping.

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Scoliosis pilates physio Scoliosis

Scoliosis is when the spine curves sideways and the vertebrae are rotated.

It can have various physiological effects depending on the severity of the curves, as well as cosmetic effects.

There are different types of scoliosis, some are idiopathic (the cause is not known) and while some have identifiable causes.

We have scoliosis treatments for the following:

Infantile idiopathic scoliosis – develops when the child is younger than two years old.
Juvenile idiopathic scoliosis – develops between ages 2-10 years.
Adolescent idiopathic scoliosis – develops during adolescence. This presentation is much more common in girls than boys.
Others – Congenital, neuromuscular and paralytic scoliosis

Adolescent scoliosis is the most common scoliosis seen. There is usually a family history of scoliosis but there are no definite rules about inheritance of scoliosis yet.

The curve tends to develops the most during the adolescent growth spurts, this being around 11-13 years of age for girls, and 13-15 years for boys.

Physiotherapy can assist with management of scoliosis, by helping with pain management and also managing the secondary effects of the scoliosis.

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Osteo & Rheumatoid Arthritis pilates physio Osteo & Rheumatoid Arthritis

Arthritis is an umbrella term for many types of arthritis which have a number of different causes.

Some more common types of arthritis are:
• Osteoarthritis
• Rheumatoid arthritis
• Psoriatic arthritis
• Ankylosing spondylitis

Osteoarthritis is degradation of the joint surface. There are two types of osteoarthritis.

Primary osteoarthritis has no identifiable cause and presents more commonly as we age. Osteoarthritis is related to, but not caused by aging.

Secondary osteoarthritis is caused by another existing pathology, most commonly from a previous injury to the joint.

Rheumatoid Arthritis

Rheumatoid arthritis is characterised by pain and inflammation in the joint. This chronic inflammation causes degradation to the joint and ligaments. It usually affects multiple joints. Rheumatoid arthritis is a progressive disease.

In general, arthritis can be a debilitating problem affecting any joint in the body. It causes joint deformities which can be painful, cause inflammation, swelling and stiffness. This can affect the ligaments and muscles around the joint as well. As a result of this deformity and pain, the joints become weaker and mobility becomes abnormal, which can further increase pain.

At Health Point Physiotherapy, we offer specialised
electrotherapy treatments which help with relieving pain and inflammation caused by arthritis. and exercise also is important in helping to manage arthritis. Strengthening muscles which support the joints affected by arthritis can help with pain, mobility and assist you in managing your arthritis.

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Sports Injuries
Sports Injuries
Sports Injuries
pilates physio Sports Injuries

Sport is a huge part of Aussie life. So when enjoying the sports we play it is important to look after our bodies to reduce the risk of injury. It is also just as important that if we do injure ourselves that we look after the injury and rehabilitate it properly (and specific to the injury) to ensure fast recovery and reduce the re-occurrence of the injury, so you can get back to the sport you love!

It is also common for people to get pain from doing the sport they love as their technique puts strain on joints and muscles. Our physiotherapists, who are experienced with many different sports, can help with this, by identifying any biomechanical issues which arise from your sport and helping you fix these. Correcting these issues can help you play the sport you love without pain, with reduced risk of injury and improve your sport performance.

Even if you have no injuries, Pilates is a great compliment to any sports. It helps strengthen all the muscles which stabilise the joints in the body which will improve your sporting technique and reduce the risk of injury. We design programs for the casual sports player or for someone who wants to get more of an edge in their competitive sports performance.

Common sport injuries/pains:
• Muscle strains or tears
• Tendinopathies
• Joint sprains or dislocations
• Patellar-femoral (knee) joint pain
• Shoulder impingement syndrome
• Back or neck pain
• Sacro-iliac joint pain (low back/pelvis)

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Orthopedic & Post-Surgery Rehabilitation pilates physio Orthopedic & Post-Surgery Rehabilitation

Physiotherapy is essential for a speedy and successful recovery after orthopaedic surgery. To ensure a good recovery it is important to re-activate and strengthen the muscles that may have been affected by the surgery. It is also important to strengthen the muscles around the affected area to provide maximum support so you can get back to all the activities you want to. Exercise - appropriately prescribed - also increases blood flow and oxygen transport around the body which augments the healing process.

A specialised rehabilitation program prescribed by our experienced physiotherapists not only aids recovery post surgery but it also greatly reduces the risk of any secondary complications. Common secondary complications after orthopaedic surgery include reduced range of motion in joints, reduced flexibility, muscle wasting, and reduced strength; as a result of these mobility is affected and pain can be present.

Common Orthopaedic Surgeries
• Joint replacement (hip, knee, shoulder)
• Joint repair/arthroscopy
• Muscle repairs (e.g. rotator cuff in the shoulder)
• Ligament repairs (e.g. anterior cruciate ligament in the knee)
• Spinal Laminectomy
• Open reduction internal fixation (post fracture)

General Surgery
If you are recovering from any general surgery, physiotherapy can help you achieve the best level of physical function possible.

After surgery, returning to physical activities such as sport, gardening, walking or general hobbies, can seem daunting. Often you can be unsure of how much you are able to do without causing damage to your health. Our physiotherapists are specially trained and qualified in safely assessing and assisting you to reach your maximum potential function to help you return to activities you love doing.

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Joint & Soft Tissue Disorders pilates physio Joint & Soft Tissue Disorders

Each joint is made up of connecting bones which are supported by ligaments and muscles.

Tendons attach muscles to the bone. Muscles, ligaments, joints and tendons can all be injured in an accident or can occur insidiously over time

Joint/Ligament Sprains
This is when the ligaments supporting a joint and holding it together and/or the joint itself are injured. Initially, this causes swelling and pain in the joint. Later on, this can cause weakness and instability in the joint, as the ligaments are more lax, which makes the joint more prone to injury. To improve the support around the joint again and reduce the chance of re-injury, it is important to strengthen the muscles that also support the joint. Continuing to re-sprain a joint can lead to the early onset of osteoarthritis. In severe cases, a joint or ligament sprain may require surgery.

Muscle Strains and Tears
A muscle strain is when some of the muscle fibres have been torn. A muscle tear is when 100% of the fibres have been torn. When a muscle has been strained or torn, it is important to look after the muscle in the acute stage by reducing the pain and inflammation, to increase healing time. It is also important to properly rehabilitate the muscle after the acute stage, to reduce the re-occurrence of injury.

If a joint or muscle is not functioning properly and/or is placed under stress or abnormal conditions, this can lead to a tendinopathy. A tendinopathy is when the fibres of the tendon become misaligned, which makes the tendon weak and painful. Treatment and a specialised strengthening program and can lead to full tendon recovery.

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Women’s Health Problems pilates physio Women’s Health Problems

At Health Point Physiotherapy our physiotherapists have undergone specific training in the field of women’s health. Where appropriate, we use Real Time ultrasound to assess the strength and functionality of your core stabilizers and pelvic floor muscles.

All of our therapeutic programs are therefore specifically tailored to the needs of women of various ages and health conditions. Our broad spectrum of treatment techniques will enable us to choose the modality which will be of most benefit to you.

Physiotherapy is widely used in the treatment of different gynaecological pathologies. It is highly effective in managing dysmenorrhoea, endometritis, salpingitis, oophoritis, female sexual dysfunction, chronic pelvic pain, reproductive problems and other conditions.

For younger women, areas of special relevance may be preparation for getting pregnant and subsequently a comfortable pregnancy, easy labour and successful post-birth recovery including treatment for mastitis. Our expectant and new mothers health program will greatly assist you in this regard.

Incontinence is another area of serious concern for women. At Health Point Physiotherapy we have a number of treatment options which can be very beneficial. Some can be incorporated into your Clinical Pilates program and some can be in the form of a home exercise program with regular monitoring.

As women get older, the risk of developing osteoporosis can increase. In order to prevent this or stop it from progressing it is extremely important to maintain a specific, healthy diet as well as get plenty of weight bearing exercise (exercise done on land rather than in water). Adequate and safe sun exposure is another vital area. You will be able to get most of the recommendations following your full body assessment or during the initial treatment session.

In some cases, if you suffer from a specific gynaecological condition Clinical Pilates will not be the best treatment approach and electrotherapy, pharmacological phoresis, SCENAR therapy or balneotherapy will be more indicated. Please do not hesitate to contact us for more information.

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Contact and atopic dermatitis pilates physio Contact and Atopic Dermatitis

Dermatitis is a broad term comprising various skin inflammation conditions causing a red, itchy rash. It could be an acute or a chronic disorder. Acute dermatitis is a transient reaction to an irritant where the symptoms last from several hours to one or two days. Chronic dermatitis might persist for a long period of time. The aetiology (cause) for some types of these conditions is known and for some is not.

Contact dermatitis
Contact dermatitis is skin inflammation caused by an allergen (allergic contact dermatitis) or direct contact with an irritating substance (irritant contact dermatitis).

Irritant contact dermatitis accounts for about 80% of all cases of contact dermatitis. Irritant contact dermatitis occurs when a chemical substance causes direct damage to the skin. The rash is confined to a specific area which becomes very itchy and often has clearly defined boundaries. Symptoms could be more painful than itchy.

Allergic contact dermatitis is an immune reaction to an allergen contacting the skin. In some cases a person can be sensitised by just one exposure to an allergen. In other cases sensitisation might occur only after several exposures to an allergic substance. After a person becomes sensitised to an allergen the next exposure causes itching and dermatitis within 4 to 24 hours although some people particularly elderly do not develop a reaction for 3 to 4 days.
The most common substances causing allergic dermatitis is found in plants such as poison ivy, rubber (latex), antibiotics, fragrances, preservatives, and some metals (such as nickel and cobalt). About 10% of women are allergic to nickel which is a common component of jewelry. People could be exposed to these substances for years without a problem and then suddenly develop an allergic reaction. Even ointments, creams, and lotions used to treat dermatitis can cause such a reaction. People may also develop dermatitis from many of the materials they touch while at work (occupational dermatitis).

Atopic dermatitis
Atopic dermatitis is very common worldwide and increasing in prevalence. It is chronic itchy inflammation of the upper layers of the skin that often develops in people who have hay fever, asthma, and food allergies or hereditary predisposed to these conditions. The relationship between the dermatitis and these allergic disorders is not clear.

Atopic dermatitis is not contagious. Many conditions can aggravate atopic dermatitis. Some of these conditions include emotional stress, changes in temperature or humidity, bacterial skin infections, and contact with irritating clothing (especially wool). In some infants food allergies may provoke atopic dermatitis.

In our practice we use specialised
electrotherapy techniques, balneotherapy, and SCENAR therapy which showed high effectiveness in treatment of various types of dermatitis, psoriasis, and other skin problems. These treatments help in alleviating the symptoms and improve the overall conditions of the skin.

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Electrotherapy pilates physio Incontinence

Incontinence is an umbrella term for any urinary or faecal dysfunction.

This includes any leakage, difficulties with going to the toilet or sudden and strong urges to pass urine. Our physiotherapists can assess and treat the causes of any of these problems.

Pelvic Floor dysfunction
Pelvic floor muscles are located inside the pelvis (of both men and women). You cannot see these muscles from the outside, but they are important for supporting your abdominal organs, supporting your back, continence and they play a role in sexual function.

A weak pelvic floor can cause the following:
• Incontinence (any leakage at any time)
• Urge (the need to ‘go’ too often)
• Back pain
• Pelvic pain
• Prolapse (vaginal or bladder)

An overactive pelvic floor can cause the following:
• Incomplete emptying
• Pain with vaginal penetration

Like all muscles of the body, if they are not working properly, physiotherapy can help muscles get stronger and function better.

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Irritable bowel syndrome pilates physio Irritable Bowel Syndrome

Irritable bowel syndrome is a functional bowel disorder. The most common symptoms are: cramping, abdominal pain, bloating, gas build up, constipation and diarrhea. Generally a person is diagnosed with IBS when there is no other detectable organic cause. While IBS does not lead to serious disease it can cause a lot of discomfort, interfering with the person’s ability to work and attend social events.

At Health Point Physiotherapy, we deal with a wide variety of gastroenterological conditions, including irritable bowel syndrome. Various electrotherapy modalities can help control the symptoms and a specific Clinical Pilates exercise program can assist the functional activity of the bowel.

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In 2005 I was diagnosed with Fibromyalgia. I had high blood pressure and high sugar levels. I felt severe pain in all parts of my body. My GP recommended Margarita Gurevich to me. Margarita is a hard working person, conscientious, intellectual with her new way, ideas and methods to help people.

Margarita assessed me for more than 1 hour, testing all the muscles of my body and found the weakest part. She chose Clinical Pilates for me. We started with the easiest exercises then slowly going to harder ones, step by step in individual classes and when I became stronger in a small group. After 7 weeks I had a reassessment. The result was amazing. I could sit in front of my computer, walk and control my posture. My balance became better, even my blood pressure was normal without medication. I came back to life. With greatest thanks. Good luck in your job
Sofia Sandomirskaya - 13.07.2010 {read the full letter}


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