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When are the POLICE called for?


Chronic connective tissue injuries occur in both tendons and fascia from repetitive occupational and sports loading, causing tissue failure.

  • Patella
  • Achilles
  • Hamstring
  • Gluteal
  • Rotator cuff
  • Golfers / Tennis elbow
  • Plantar fasciitis  

It is important to ensure these injuries are managed effectively in the acute stage. Early and appropriate loading will promote healing and quality of tissue repair, allowing a much faster recovery and reducing the likelihood of recurrence of the injury.

Current research provides better understanding of how to treat these conditions most effectively and has changed our management approach for optimal recovery. The old age adage was RICE, where ‘R’ is for Rest, however with these types of injuries, a new acronym ‘POLICE’ is a much better approach, as it is one that actually aids the healing process much earlier. The ‘ICE’ principal should be used especially when the injury feels aggravated with pain above 6/10 on the pain scale.


In the new acronym, ‘P’ stands for Protect. The ‘OL’ which stands for ‘Optimal Load’ refers to the adequate amount of load on the injured tissue that will aid tissue healing and recovery.

Pain (acute pain) is important as a guide to know when we are causing further damage. Pain within 1-3/10 is safe and WILL NOT damage the tissues, but will actually start strengthening the tissues to heal earlier due to appropriate loading.

POLICE - Protection Optimal Loading Ice Compression Elevation












Pain DOES NOT equal damage:

Remember “Pain” DOES NOT equal damage and “Rest” is not ideal for the promotion of early healing within the connective tissue. Tendinopathies can be difficult to manage. The diagram below explains the ‘Optimal Loading Principal’ and how to monitor and determine an acceptable level of discomfort during and after exercise. Seek help from a qualified physiotherapist to help guide you through the healing process and manage a safe return to work and sport.

Monitoring Pain and Load response

Research Papers

Optimal loading: key variables and mechanisms
Philip Glasgow,  Nicola Phillips,  Christopher Bleakley
Author affiliation


PRICE needs updating, should we call the POLICE?
C M Bleakley, P Glasgow, D C MacAuley
Author affiliation   



Knee Osteoarthritis

What is Knee Osteoarthritis?

Osteoarthritis is a painful condition that typically affects knees, hips or hands and 1 in 10 Australians suffer with it. There is a lot of misinformation surrounding Osteoarthritis, from its cause, how to prevent it and what treatments work.

People with Osteoarthritis are often given poor and incorrect information from family, friends, the media and health professionals. We hope to dispel some of these myths through continued education and personalised advice.

Knee Osteoarthritis

How is Knee Osteoarthritis diagnosed?

Diagnosing Osteoarthritis involves taking a simple history and physical examination. X-rays and MRIs are not needed except to rule out another diagnosis. Symptoms of Osteoarthritis can include pain and limited function. Activities such as putting on socks and shoes, going up and down stairs, or getting in and out of a car may be difficult.

Knee Osteoarthritis diagnosis

Rest vs Exercise:

A relatively short period of rest during a flare up may be appropriate, but advice to avoid activity in many cases is wrong and can be harmful. The most current research has demonstrated that inactivity and rest make pain and Osteoarthritis worse, not better, in the long term.

Our joints need movement and exercise to stimulate repair and keep them strong. The best available evidence suggests exercise is beneficial for cartilage health and improving collagen structure in people with Osteoarthritis.

The benefit of prescribing exercise for knee Osteoarthritis does not stop at addressing pain and function. Research shows two thirds of people with knee Osteoarthritis are also managing other issues such as diabetes, cardiovascular disease and depression and exercise is the best treatment for these.

Our patients often ask about the pain and ‘damage’ they are causing to their knees by exercising. However, research shows that there is a poor correlation between Osteoarthritis pain and “damage” reported on X-ray or MRI.

How to Exercise with Knee Osteoarthritis:

When starting a new exercise program (or with the addition of new or different exercises) it is common to have some pain flare up, but with persistence, it will improve over time. It is however, important to keep the pain at a manageable level, and ensure it settles with 24 hours.

The best and most recent evidence tells us that 2 sessions of 30-60 minutes, twice a week, over 6 weeks, is required for a successful outcome. These results may be further improved by extending the exercise program to 12 weeks and completing 3-4 sessions per week.

Knee Osteoarthritis and exercise

Call us 9810 2203


Lilyfield Physiotherapy is pleased to offer the GLA:D program for the treatment of knee Osteoarthritis.

GLA:D is an education and exercise program developed by researchers in Denmark for people with hip and knee Osteoarthritis. The research from this program shows a reduction in symptom progression reduces by 32%.

Please check out the website at http://gladaustralia.com.au and contact us for more information on joining the program.


Osteoporosis bone

How do lifestyle factors affect your bone strength?

There are certain unavoidable factors such as such as age, gender and genetics that can increase your susceptibility of developing osteoporosis and addressing lifestyle factors can help to negate this.

Lifestyle factors that increase risk

Why exercise to strengthen your bones?

It has been widely accepted by clinical research that exercise can improve bone mineral density. Exercises which load the bones with a higher impact than they are used to, are known to be the most effective way of improving bone strength.

Often when thinking of high impact exercises, you may think of running or jumping, however any exercise which places a good load on the bones and asks them to bear more weight than they are used to, will help to strengthen your bones.

How to start?

Include a combination of weight-bearing exercise with supervised progressive resistance training. Incorporating balance and mobility exercises and performing these exercises at least 3 times per week is also advised.

view article

An exercise session is much safer under the guidance of an Exercise Physiologist who can adjust and progress exercises suited to your ability. At Lilyfield Physio we offer group classes and 1:1 individual sessions which specifically focus on increasing bone mineral density.

“We don’t stop playing because we get old. We get old because we stop playing”               

George Bernard Shaw

Matt’s key points

A general routine and a few key points I like to use is as follows:
  1. Start off with strong posture. Often using cues such as ‘shoulders supported by legs and trunk’ can be very helpful.
  2. Choose exercises which include small movements such as stepping, gliding from one foot to feel the weight bearing bones in your legs and trunk
  3. Progress into whole body exercises such as squatting movements, lifting weight off the ground or overhead.
  4. Finally working on balance is always important to prevent “silly falls” and the risk of a fracture. Try standing on one foot for as long as you can.

Fitbones Classes

We are proud of the results we have seen from the participants of the  “FitBones“ classes over the last 15 years.   

Matt our Exercise Physiologist makes exercise fun, challenging and rewarding. We have separate classes for men and women, follow the link to view our class timetable.

View timetable

timetable thumbnail

Call us on 9810 2203 to book a class

Golf Injuries

golf injuries lilyfield physio

Golf is a really popular competitive and casual sport. There are a wide range of both health and social benefits to be gained from participating in golf. However injuries do happen and it is really important to try and avoid these injuries whether they be acute or from overuse

Common golfing injuries

common golfing injuries Lilyfield Physio

Low back pain

• Probably the most common injury to affect golfers
• Injury occurs due to repetitive flexion and rotation in the low back
• This results in increased load on discs and facet joints
• To prevent injury enable a neutral spine in set up with good core support
• Improve your hip function using the legs to create power

Low back pain lilyfield physio

Hip Impingement

• Left sided anterior hip impingement in right handed golfers can occur with tightening of the hip adductors, flexors and external rotator muscles
• This will push the head of the femur forwards causing impingement
•  To prevent injury maintain good mobility in the hip joint with targeted stretching
•  Develop good gluteal muscle strength

Wrist Tendonosis

• Tends to occur when the arm swing is not well supported by leg muscle activity
•  When the swing is off plane more rotation is placed across the wrist causing over load of the tendons
•  To prevent injury work with total body movement to keep the club on plane, reducing rotation across the wrist

Shoulder pain

• The mechanics of the golf swing often causes posterior shoulder tightness
• This leads to dysfunction / impingement of the Rotator Cuff muscles
To prevent injury maintain shoulder flexibility and good shoulder blade and Rotator Cuff muscle strength

Elbow Tendinopathies

•  Tendinopathies often occur due to repeated impacting of the golf club on hard ground, the grip being too small or a sudden increased work load
•  Typical tendon lesions often need some rest by reducing workload
•  To prevent injury customise your grip to ensure that there is not too much tension in the forearms
•  Adjust workload and practise on softer ground. Try using a tee peg when practising

elbow Tendinopathies Lilyfield physio

How Lilyfield Physio can help!

Golfers often focus on equipment and club membership but neglect their most important asset, their physical well-being.

Here at Lilyfield Physiotherapy we encourage clients to undertake Golf Pilates and we will liaise with your coach to develop a more efficient swing.

Kam Bhabra

Kam Bhabra, Lilyfield PhysioKAM BHABRA our golf expert spent nearly ten years on the professional circuit working with current world No. 1 Justin Rose and being a Member of the 2008 Ryder Cup medical team. He has been privileged to work with the best players and coaches in the world.

Kam is currently on tour with Justin Rose at the 2018 Indonesian Masters, he will be back in the clinic available for appointments from Monday 17thDecember 2018.



common golfing injuries Lilyfield Physio

Call us on 9810 2203


View other lilyfield physio articles here

What is HIIT?






What is Shockwave Therapy?

Shockwave Therapy, Lilyfield Physio

Shockwave Therapy, Lilyfield Physio

Shock wave therapy is an evidenced-based treatment modality, that has been shown to assist tissue regeneration and repair, as well as providing pain relief in chronic conditions.

The device delivers acoustic shock waves that penetrate the skin helping the patient by depleting the amount of pain mediators emanating from nerve endings. The shockwaves travel through the skin to break down targeted tissue and stimulate tissue repair. It kick starts the body’s natural healing mechanisms.

  • Shockwave Therapy is administered externally by a portable device.
  • Research has shown Shockwave administered in conjunction with rehabilitation to be very effective in dealing with chronic pain injuries.
  • Injuries that fail to respond to conventional treatments often benefit from Shockwave Therapy.
  • Shockwave Therapy is usually administered over the tender area typically for 5 – 10 minutes. A patient may experience mild discomfort during the treatment but it is generally well tolerated.
  • The device delivers an acoustic shock resulting in a reduction of pain experienced and stimulating natural tissue repair mechanisms.
  • Calcified and damaged tissue breaks down as a response to the high-pressure waves, allowing natural healing with little discomfort.

shockwave therapy

How does Shockwave Therapy work

  • Extracorporeal shock waves work on several levels. Pain is initially reduced by hyperstimulation anaesthesia that diminishes nerve pain signals relayed to the brain.
  • Apart from diminishing pain, shockwave therapy also helps with the physical repair and regeneration of musculoskeletal tissues. Studies have shown that shockwave therapy stimulates repair of tendons and bones, while also improving blood supply to the affected area.

Benefits from Shockwave Therapy

As Physiotherapists we try to avoid invasive therapies such as injection therapy and surgery. However, we have found Shockwave Therapy is an important alternative, especially when treating painful tendons or joints suffered by active people.

Shockwave Therapy can be used soon after the occurrence of injury to stimulate immediate and ongoing repair, as well as for the healing of older injuries where calcification or damage of tissue is evident.

shockwave therapy Lilyfield Physio

Some of the more common injuries that benefit by shockwave therapy include:
• Plantar Fasciitis
• Achilles Tendinopathy
• Supraspinatus Calcification
• Rotator Cuff Tendinopathy
• Lateral Hip Pain
• Patella Tendinopathy
• Golfers/Tennis Elbow (Lateral/Medial Epicondylitis)


• Generally the affected area is painful to the touch, your Physio can easily locate the troublesome tendon or joint area requiring treatment
• Shock waves are delivered through a device held lightly on the skin with gel contact. The treatment usually lasts for around 10 minutes, and only causes minor discomfort
• The procedure is safe and for optimum results therapy usually consists of weekly treatments for 3 – 6 weeks
• Following treatment, natural healing of the body will continue for several months, and many patients experience relief of major symptoms immediately after shockwave therapy
• There are no side effects and patients are able to head home immediately after the procedure
• Our approach at Lilyfield Physiotherapy is to provide Shockwave with an appropriate graduated exercise program to allow your injury to regain full functional recovery

shockwave therapy

Shockwave Therapy at Lilyfield Physio

The team at Lilyfield Physio are now able to offer their clients treatment with what we feel is the best quality shockwave machine. If you have any questions or feel you could benefit from Shockwave Therapy, get in touch immediately for a treatment with our experienced physiotherapists in our Rozelle clinic.


shockwave therapy


Call us on 9810 2203


Shoulder Pain Lilyfield Physio


The shoulder is the most mobile joint in your body allowing you to move your arm freely in many different directions:

  • Raise your arms over your head
  • Scratch your back
  • Put your wallet in your back pocket
  • Throw a ball

But, unfortunately, this mobility makes the shoulder vulnerable to injury and we rely on team work from all the muscles around the shoulder, neck and trunk to keep us moving well and injury free.

Why your shoulder might hurt

  1. Repetitive action can lead to tissue overload.
  2. A sedentary lifestyle, with a lack of big arm movements, compromises the flexibility and strength of the soft tissues and muscles around the shoulder.


The Rotator Cuff is a name given to a group of 4 muscles whose tendons attach to the bones of the shoulder joint. Their role is to keep the ball of the upper arm bone centred in the shoulder socket which helps us move our arm in many directions strongly and without discomfort.

Rotator cuff related shoulder pain

  • Frequently shoulder pain is given a diagnosis related to the rotator cuff tendons or adjacent tissues:
    rotator cuff tendinopathy
  • subacromial impingement syndrome
  • subacromial bursitis
  • partial and full thickness rotator cuff tears

These conditions are often based on a diagnosis from imaging, however scan results are not always helpful in directing management of shoulder pain.
Degenerative tears can trigger shoulder pain but are also common findings in pain free shoulders. Often you won’t even be aware of these tears, as some are completely asymptomatic and cause no problems.


  • Restore full natural movements and strengthen your shoulder muscles Progressing load is an important factor for strength training Exercises must prepare you to be able to perform the shoulder movements you need to do and with the desired skill and maximum effort
  • Restore full natural movements and strengthen your shoulder muscles
    Progressing load is an important factor for strength training
  • Exercises must prepare you to be able to perform the shoulder movements you need to do and with the desired skill and maximum effort

exercise for Shoulder injury


DON’T DESPAIR – Sometimes your shoulder pain may be slow to respond or you may not be able to start a successful exercise program, but view this as a hurdle rather than a failure.

Manual therapy for Shoulder Pain

Manual therapy is a useful tool to change the load on the shoulder tissues to enable you to start a graduated rehabilitation program. If pain persists, extracorporeal shock wave therapy (ESWT) may give some pain relief and allow you to start to strengthen your muscles.

The Trunk Exercise for shoulder Pain


The trunk provides the supportive platform to enable the necessary muscle activity for the shoulder to move freely and push, pull or lift strongly. If you cannot move freely through your trunk, the shoulder muscles may be compensating which will potentially impact shoulder function.

Surgery or Exercise?

Surgery is not necessarily the best or most appropriate approach for treatment for non-traumatic shoulder pain and research shows there is an equal or greater chance of getting better with conservative management.

We can Help! To find out more call 9810 2203


Heel Pain - Plantar fascia and Plantar Fascitiis

The heel pain which just HURTS and stops us having fun.

What is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of foot and heel pain. It is estimated that this problem is involved in approximately 11-15% of all foot complaints requiring medical attention and it is a very common condition we see in our clinic.
The plantar fascia is a band of connective tissue that runs along the bottom of the foot. It is attached to the heel bone and connects to each of the toes thus providing strength and support to the arch of the foot. Plantar fasciitis occurs when this band of tissue gets strained or irritated and the pain signals a change in the ability of the fascia to adapt to tissue tension and load on weight bearing.

Do you wake up with heel pain?heel pain from running

The pain is usually most noticeable first thing in the morning or after you have been sitting for a while. Although the pain may decrease with activity, it tends to return at the end of the day, so it may be noticeable after a walk or run or even when standing for long periods. The pain is usually sharp at first, and it may decrease or mellow with use.

What causes Plantar Fasciitis?

In general, plantar fasciitis is an overuse injury and occurs when the plantar fascia is injured from too much pressure but there is often no clear cause or triggering event.  In fact most of the more complex cases probably have a combination of causes and there is no simple answer for every occurrence.
  • Too much or not enough variation in activity
  • High impact sport – running / jumping
  • Tight calves
  • Foot and calf muscle weakness
  • Foot mechanics
  • Heel spurs
  • Overweight

Do not be discouraged and let it lingerHeel pain

Act now While the research supports a combination of therapies, over a single treatment or placebo, there is not, at present, any clear evidence for the choice of one combination of therapies over another in the treatment of plantar fasciitis. A multitude of therapies are available for this condition and ninety percent of patients will improve with one, or a combination, of approaches.

It is important to find which solution is going to work for you.

  • Identification of any biomechanical or training factors which may be contributing to your injury.
  • If a clear trigger can be identified, such as a sudden increase in high-impact exercise, then decreasing the amount of physical activity will be helpful.
  • Daily stretching of the plantar fascia and the calf muscles.
  • Ice applied to the affected area for 10 to 20 minutes at a time 2 to 3 times per day.
  • Wearing shoes with good arch supports, taping the bottom of the feet or using foot orthotics can also provide the additional foot support needed to retrain natural foot flexibility.

If pain persists, extracorporeal shock wave therapy (ECST) or steroid injections may be given into the foot to reduce the pain.

GET STARTED and get the SPRING back in your stepheel pain treatment

All our Physiotherapists enjoy an active lifestyle and can work with you to find a plan which allows you to keep active and find the exercise and treatment options to get you back on track.

You may only need one consultation to set up a home exercise and activity management program or recommendation for orthotic support.

Call Lilyfield Physio on 9810 2203 for more information or to book an appointment to get your recovery underway.

What is HIIT?

High intensity interval training (HIIT) is a type of training modality used in exercise to get maximum bang for your buck.

HIIT is a type of workout using short bursts of exercise that get the heart rate elevated, followed by a short rest period, and then repeated multiple times to match the fitness level of the individual.

The benefits of HIIT

HIIT training has been used by athletes for many years but the benefits for individuals of all ability levels is now being realised.

8 Benefits of HIIT Workouts


HIIT is time efficient

One of the main advantages of HIIT is you can get equivalent and often better health benefits from a short interval training session than consistent activities such as walking, jogging or cycling activities over a longer time.

HIIT can burn more calories and improve your metabolism

A study completed by Falcon et al. (2015) measured energy expenditure in three different forms of exercise: aerobic, resistance, and HIIT training and found HIIT training burned 25-30% more calories than the other forms of exercise.

The type of exercise session used focused on 20 secs at a maximal effort followed by 40 secs rest. Once finished Interval training the body also continues to burn energy above your normal metabolism as repairing and recovering is needed to take place.

Recovery will happen during rest which results in more energy being expended for the day. Therefore the harder the session the more energy is burned up when resting.

HIIT can help reduce blood pressure

HIIT can be great for those who have high blood pressure, as immediately following exercise your blood pressure and heart rate will reduce.

Heart rate can become lower at rest due to HIIT improving a person’s aerobic fitness (Coilac, et. Al, 2010).

A reduction in heart rate, results in the heart not having to work as hard, which is beneficial for those with cardiovascular disease.

Blood pressure also drops due to exercise making the heart stronger and being able to pump blood with less effort.



How can you do HIIT

A few simple workouts you can try are:

  • Cycling (30 seconds hard followed by 2 min easy).
  • Try this for 15-20 mins. Walking / jogging (5 mins followed by 1 min easy).
  • Try this for 30mins. Sitting to standing up.
  • Try 10-20 reps continuous followed by 2 mins rest.
  • Try 3-4 rounds of this.

How to Avoid Injury with HIIT

With any form of exercise it is really important to avoid injury. HIIT can involve fast paced and high impact movements, so knowing how to prevent injury is crucial.

Some tips to help you remain injury free are:

  • Start with seeking professional advice and supervision
  • Warm up and cool down
  • Mix up your choice of interval mode
  • Mix up muscle use and change direction
  • Listen to your body
  • Rest and nutrition

Join a class For more fun and variety, joining an exercise class or doing some 1:1 training with an Exercise Physiologist will help to plan and give you a workout that best matches your fitness level.



Matt Werner

Contact our Exercise Physiologist Matt, at Lilyfield Physio for more information about group/class sessions and 1:1 HIIT training.



BACK PAIN – What do we know?

back pain - lilyfield physio


A group of 30 international authors recently published a Back Pain Series in the Lancet journal. It covers the most recent research into back pain in terms of effective and ineffective interventions and treatment and how we understand pain. Below is an overview of the current recommendations for low back pain, based on the most recent research and evidence.

Low back pain is very common. So common in fact, it is now the leading cause of disability world-wide. In 2015, low back pain was responsible for more than 60 million years lost to disability world-wide1. This global economic and societal burden is projected to further increase in the coming years as the result of an aging population, urbanisation and the use of technologies that relate to increasingly sedentary lifestyles1,2.

For those of us who have experienced initially strong and disabling back pain, it may be tempting to seek an X-ray, CT scan or MRI, in an attempt to diagnose the cause of the pain. However, except in rare cases, such as a spinal fracture or tumour, it is often not possible to identify a specific cause of low back pain3. Furthermore, scans for lower back pain in which fracture or tumour is not considered likely, can actually confuse the issue. An MRI can show findings that may be incorrectly attributed to the cause of a patient’s pain. Two people can have exactly the same findings, for example a disc bulge, but one will feel no pain at all3. It is important for people to be assured that most episodes of low back pain will be short and with little or no consequence4.

What about pharmaceutical pain relief for low back pain? What works?

The Lancet Back Pain Series found the use of paracetamol to have little effect on acute low back pain and together with its potential for harm, has led to recommendations against its use5. Associate Professor Mark Hancock was one of the authors who worked on the Series and says a short period on anti-inflammatories may be helpful in helping to get the person moving, but to try to avoid the use of opioids in almost all cases.

Back pain is the main reason people use opioids over a long period of time and substantial risks exist due to their potential for addiction, overdose and poorer long-term outcomes6.

  Do I need surgery?

Desperate for pain relief, patients may look to surgery, but again, according to the latest research, surgery is rarely the best option for back pain2,8. And yet lumbar spine surgery rates are roughly doubling every 10 years.

Surgery for Back Pain

There are exceptions where spinal surgery may be warranted, for example in cases of trauma, tumour or neurological deficit from instability or displacement of the vertebrae. But for patients with typical degenerative changes in the spine and chronic low back pain, without a significant neurological problem, spinal surgery is not indicated or advisable. Surgery is expensive and increases the risk of harm and there is no high-level evidence of a benefit in these cases2.

What about cortisone injections? Do they work?

Many people have sought, or been advised to have, a cortisone injection to treat low back pain. However, the Lancet researchers also found little evidence to support the effectiveness for these injections7.

Little evidence to support cortisone injections for back pain

Associate Professor Mark Hancock who worked on the Series, says that “The best estimate we have from previous studies is that corticosteroid injections reduce sciatica (leg pain associated with back pain) by only five points on a 100-point scale compared to placebo in the short term, with no long term benefit.”

So where does that leave us? Well the research helps us there too…

We can start by reframing the way we think about pain. The latest research indicates that the brain creates pain as a protective mechanism, not a measure of tissue damage4. High intensity of pain and accompanying distress often causes people to stop moving and lay down and ‘rest’ but this can lead to stiffness and weakness and often causes more harm.

Associate Professor Mark Hancock says it is important for patients to understand it is safe to move, even into a little bit of pain and that they will start to get better. Exercise can not only provide pain relief, but also help in the prevention of further episodes by 50 per cent. There is no strong evidence that one type of exercise is superior to another, most exercise is beneficial2.

So talk to us. As physiotherapists we are perfectly positioned with the expertise and skills to assess your back and get you moving again, with confidence and without fear. We can help you find the most appropriate exercise, which may be as simple as going for a walk or a swim. It could be a dance class or a Pilates class. The option are as wide and varied as you care to consider!  


  1. GBD 2016 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017; 390: 1211–1259
  2. Foster, NE, Anema, JR, Cherkin, D et al. Prevention and treatment of low back pain: evidence, challenges, and promising directions. (published online March 21.)Lancet. 2018
  3. Jame, SZ, Sari, AA, Majdzadeh, R, Rashidian, A, Arab, M, and Rahmani, H. The extent of inappropriate use of magnetic resonance imaging in low back pain and its contributory factors. Int J Prev Med. 2014; 5: 1029–1036
  4. Hartvigsen, J, Hancock, MJ, Kongsted, A et al. What low back pain is and why we need to pay attention. (published online March 21.)Lancet. 2018
  5. Machado, GC, Maher, CG, Ferreira, PH et al. Efficacy and safety of paracetamol for spinal pain and osteoarthritis: systematic review and meta-analysis of randomised placebo controlled trials. BMJ. 2015; 350: h1225
  6. Dowell, D, Haegerich, TM, and Chou, R. CDC guideline for prescribing opioids for chronic pain: United States, 2016. JAMA. 2016; 315: 1624–1645
  7. Chou, R, Hashimoto, R, Friedly, J et al. Epidural corticosteroid injections for radiculopathy and spinal stenosis: a systematic review and meta-analysis. Ann Intern Med. 2015; 163: 373–381
  8. Chou, R, Baisden, J, Carragee, EJ, Resnick, DK, Shaffer, WO, and Loeser, JD. Surgery for low back pain: a review of the evidence for an American Pain Society clinical practice guideline. Spine. 2009; 34: 1094–1109


running - lilyfield physio
Yes, running is proven to benefit fitness, strength, bone density etc, but did you know it is one of the best exercises for:
  • tightening your lower CORE
  • REDUCING joint pain (neck, back, hip, knees)
  • improving brain function (increasing cerebral blood flow)


Running - learn to run at Lilyfield Physio

It’s Easier Than You Think

For a lot of people, the idea of going for a run is intimidating or downright unpleasant. That’s not surprising, given the image we often see of the pink-faced, puffing, pounding runner. It doesn’t have to be like that. It can actually be relaxing once you’ve learnt how (I know – mad!) A lot of our client are thrilled to find, after 1 or 2 simple sessions, that they are able to run perfectly well. Many are happy just to run Scout’s pace i.e. alternate light jogging with walking. Some go on to much more.

Get Started

Often one consultation is enough to assess your medical history, design some goals and get you going. We will send you a running specific questionnaire in advance to ensure you get the most out of your initial running assessment consultation.
Our physiotherapist Mark Stockdale is a Certified Running Specialist. Mark has worked with elite athletes but gets most joy out of seeing the ‘running-averse’ learn a simple trot. The benefits to health and confidence can be immense.

Our exercise physiologist Matt Werner is an elite 800m runner. His degree in Sport Science equips him perfectly to assess and coach running.



Bad For The Knees?

The science consensus over the last 10+years suggests that the opposite is the case. Even with people who already suffer from arthritis! (We would be happy to provide the research conclusions to any Orthopedic surgeon or GP who is curious).


Are you already a runner and would like to get faster, fitter or improve your technique? Do you have an event coming up and are aiming for a PR? We can work with you, tweak your technique (if necessary), draft a training plan and help you to achieve those goals.

Those of you born before say 1985 will know who this strange fellow is. Gumboots are no longer the recommended footwear but Cliff was onto something.