OUR SERVICES

ASSESSMENT & DIAGNOSIS

KAM BHARBRA treats patient at Lilyfield Physio

How can you recover from an injury or poor physical condition?

Why are you in pain?

What’s holding you back from living a full, healthy life?

Our senior physiotherapists will help you get to the heart of the problem. This will include a thorough physical examination to determine the source of the problem and to rule out any serious problem or need for referral.

We will work with you (and if necessary your referrer) to devise a treatment plan to help you achieve your goals.

This may involve just one or two sessions of hands-on physiotherapy or, if longer-term, it may also involve exercise and education to address the causes and get you back to doing the things you like to do.

PAIN RELIEF & PREVENTION HANDS-ON

Mark Sargood treats patient, Lilyfield Physio

It is difficult to move freely or feel good when injured or in pain. Once the right musculoskeletal diagnosis has been made and explained, hands-on treatment is a great way to get you pain free and moving well.

All of our Physiotherapists have a strong background in manual therapy including joint mobilisation, myo-fascial release, muscle energy technique, muscle stretching or neural mobilisation and deep soft tissue massage.

BACK & NECK PAIN

Jan Sargood treating back pain at Lilyfield Physio

Perhaps the main difficulty associated with back disorders is making a meaningful diagnosis.  What does the diagnosis actually mean in a practical sense?

Identifying pathology by X-Rays/MRI can be useful but it does not really provide a diagnosis.  In fact, it may not be of any relevance to your pain.

Many acute back pain episodes are simple tissue strain rather than damage which, although disabling and often frightening, will settle quickly if managed well.

End the cycle of Pain and restrictive movement.However, ongoing or recurring back pain disorders often revolve around a self-reinforcing cycle with pain driving poor movement and poor movement driving pain.

Addressing persistent back pain often comes down to simply learning how to use your body in a better, more thoughtful, way.

Once you have discovered simple, pain-free movement patterns which work for you, you can improve your spinal fitness and your ability to exercise at a higher level.

Neck Pain

Neck pain is fast over-taking back pain as the most common condition presenting to our clinic. This part of the spine loves movement, but unfortunately this is often restricted by our modern lifestyle.

Sore necks respond very well to manual therapy and ongoing neck pain and stiffness can be avoided by addressing trunk posture and habitual movement patterns of the shoulders and upper back.

Headaches

Although the headache phenomenon is becoming better understood, it remains a complex challenge. Several factors can interact to produce headache, including neck movement. The role of neck dysfunction is often underestimated in the management of headache and migraine.

We have a nerve centre at the top of the neck which interprets information from the local joints and muscles as well as the sensory nerves from the head and face – the Trigeminocervical Nucleus.

Thus, a headache can potentially be triggered or relieved by changes in mobility of the upper neck vertebrae.   An accurate diagnosis is essential to determine whether/how we can help you or whether you need to be referred onwards.

REHABILITATION

Lilyfield Physio rehabilitation

REHABILITATION

This is where the real magic happens. There is almost nothing that exercise cannot help. But it has to be the right exercise for you.

The Right Exercises for you It has to be intense enough to trigger tissue change and learning but safe enough to stay injury-free and build confidence. Some exercises are either ineffective, too complicated or over-strenuous.

Any one of our practitioners will provide guidance to ensure you are getting the most from your exercise regime.

You can choose an individual session or join one of our small group classes;

Individual:

Suited to clients with short-term or milder injury and clients who are happy to work in their own time, at home etc.

We will tailor a simple program for you, with only the exercises that you need. This can sometimes be as few as 2-3 exercises or a full workout.

Classes:

Our fully equipped studio is the perfect venue for a range of small group classes with either a physiotherapist or exercise physiologist.

The class size is small enough for individual attention while also providing the motivation and support gained from working with others.

SPORTS INJURIES

Lilyfield Physio Sports Injuries

SPORTS INJURY

Injuries in sport can be both painful and very frustrating, whether you are an amateur jogger, swimmer or performing at a high level.

Key to returning to the field (and staying fit) is:
• Accurate diagnosis
• Rehabilitation Plan
• Identification of any biomechanical or training factors which may result in re-injury

All of our physiotherapists are experienced in treating sports injuries, including therapists with post graduate qualifications in Musculoskeletal Physiotherapy and Sports Physiotherapy. You can trust that you are in good hands from the acute injury phase through to return to full sport participation or competition.

Also, we are lucky enough to have staff who have either competed at an elite/professional level or have had experience working closely with elite athletes. This includes:

Kam Bhabra
Arsenal FC
International golf tour personal physiotherapist to Justin Rose, Luke Donald, Ian Poulter

Mark Stockdale
AFL former player Richmond Football Club

Matthew Werner
Currently National level Track athlete (400m/800m)

Common Sports Injuries

• Hamstring strain
• Adductor/Groin strain
• Back pain
• Rotator cuff injury
• Shoulder instability
• Shoulder pain – bursitis /impingement
• Frozen shoulder
• Tennis elbow
• Golfer’s elbow
• Neck pain

FITNESS FOR LIFE

Lilyfield Physio fitness for life

Exercise is medicine

Exercise is proving to be critical in the management of a wide range of common lifestyle conditions such as:
• cancer therapy
• diabetes
• cardiovascular disorders
• weight control
• metabolic disorders
• mental health.

We’ll work with you (and your GP if necessary) to tailor an exercise programme specific to your goals – whether it’s as part of one of our small group classes, a one-on-one with Matt, our Exercise Physiologist, or a programme for you to undertake at home. It doesn’t have to be a brutal workload or overly complicated, but you will need to get out of your comfort zone.

Training advice

Most sports injuries occur because of excessive loading of structures. The science tells us that this is usually more relevant than biomechanical or technique faults. Training over-load can happen to the jogger preparing for the City-to-Surf even more easily than it can afflict the elite athlete.

Ask us to help you design a training plan relevant to your goals, whether it be:
• Marathon
• Walking Camino de Santiago
• Ocean swimming
• Strength training
• Gym program – we can conduct on-site program design

Performance

This comes down to moving your body efficiently, and ideally, effortlessly. Performance evaluation considers issues such as specific technique, balance, torque production (speed) and muscle balance. It is very individual and relates to both the amateur and the elite sports-person. We can work with you using manual facilitation, video, taping, mirrors and gait software to help you perform to your best.

Your Best 20

If we’ve learnt nothing else from years in this profession it is these 2 things…

1. Getting a little bit done daily makes a huge difference
2. It can be really hard to get into a routine when you’re busy.

No joy for you or us. So, our way around this is to choose (with you) ONLY exercises that are relevant to your goals, and make them practical and palatable. To be frank, if they are the right exercises done well, 20 minutes is often plenty of time.

MEN’S & WOMEN’S HEALTH

Mens and womens health lilyfield physio

Pelvic Floor Muscle assessment and training

While Pelvic floor dysfunction is common and occurs in both men and women, it is often easily treatable. Ongoing leaking is not a normal consequence of either aging or childbirth and even mild problems can impact daily life. All of our physiotherapists are skilled in recognising pelvic floor dysfunction relating to movement and exercise and can train you how to safely load your pelvic floor with exercise.

However, some problems require a more thorough assessment and we are very pleased to have Nelda Petschack on our team who has specialised training in pelvic floor muscle dysfunction.

Pre and Post Natal Exercise Programs

Preparing for childbirth and having a new baby can be an extraordinary time in a woman’s life. It can also come with unique challenges in terms of changes to your body. We can help guide you through your pre and post-natal periods with appropriate and meaningful exercise plans.

Our individualised Pre and Post Natal Exercise programs can be done as a home exercise program or with a small group at Lilyfield Physio.

Osteoporosis Prevention and Management

This has been an area of interest to Lilyfield Physiotherapy for many years now.

Regular, challenging and varied exercise is a vital strategy for keeping bones and joints healthy. Exercise prescription for the prevention of osteoporosis should ideally begin in childhood so as to build strong bones. However, it is never too late to start.

Our FitBones classes, designed to help improve bone health and gait stability, have been in high demand since their introduction 15 years ago. The program uses safe yet challenging evidence-based exercises, aimed at strengthening your muscles, improving your balance and encouraging a longer and more robust spine.

Your Bone Densitometry (DEXA) reports are always of interest to us and we will work with your GP and/or specialist to ensure that your exercise plan is included in your overall management plan.

Walking in isolation is insufficient for optimal bone health. An individual assessment with Matt, our Exercise Physiologist, is invaluable in helping you evaluate whether your regular physical activity is enough to address your bone density concerns and will help you introduce a more osteogenic exercise regime.

Men’s & Women’s Cancer Post-Surgery & Treatment Exercise Programmes

The benefits of exercise in assisting in recovery for a wide range of cancers are well known. A specific individualised exercise program may include-manual therapy, graduated resistance training and clinical pilates.

Nelda Petschank is a certified PINC (www.pincandsteel.com) physiotherapist, with specific qualifications for treating the musculoskeletal side effects of cancer treatment and surgery.