Exhale Physiotherapy in Randwick, New South Wales, Australia | Medical and health

Exhale Physiotherapy

Locality: Randwick, New South Wales, Australia

Phone: +61 444 520 291

Address: 48-50 St Pauls ST 2031 Randwick, NSW, Australia

Website: http://www.exhalephysio.com.au

Likes: 107

Add/Update information

Reviews

Tags

• Medical and health

25.01.2022 POSTNATAL PHYSIOTHERAPY ASSESSMENT I believe that every woman deserves a postnatal abdominal wall and pelvic floor assessment to set them on the right path for optimal pelvic health now and in the future . Your muscles and ligaments of your abdomen and pelvic floor go through significant changes in pregnancy and birth. The ligaments become more flexible in pregnancy and the pelvic floor muscles stretch substantially with vaginal delivery. Along with this the nerves that tell... your pelvic floor muscles how to contract can also be stretched during a vaginal delivery which may affect the cooordination of your muscles . The good news is with a thorough assessment and rehabiliation plan you can address many of these changes. Contact me @alanahealthcare or @exhalephysiotherapy to book your postnatal appointment and begin your rehabilitation, and remember after your first pregnancy you are forever postnatal, so it is never too late to start! . #Postnatalassessment #Pelvicfloor #Womenshealthphysiotherapy #pelvichealth #strongbodycalmmind #postnatalpelvicfloor #abdominalseparaton #DRAM #pelvicphysio See more

25.01.2022 LUMINOSITY 2019 . Exercise is brilliant for anyone, but for those living with Endo it can be a really important part of your pain management . Exercise releases chemicals within our body which act as analgesics, down-regulating the pain pathway (and without the side effects of medications!)... . The difficulty with Endo is that when you have a flare, the fatigue and pain can make exercise the last thing you want to do! This is when its important to find a way to move your body that feels good, and womens health physios can help . Stay tuned for some more yoga inspired videos this week to celebrate @endometriosisaustralia 2019 luminosity yogathon, and co sister donating to the link in my bio #womenshealthphysio #luminosityyogathon #endometriosis #yogaforendo #pelvicpain #pelvichealthphysio #endo See more

24.01.2022 LUMINOSITY 2019 . There is some research that links endometriosis with increased levels of depression and anxiety - which makes sense! Endo can cause symptoms of chronic pelvic pain, menstrual irregularity, dyspareunia (pain with sex), bowel dysfunction and issues with fertility. Its human nature that you would worry about how this impacts your work, family and relationships . We do know that anxiety and depression can have a negative impact on pain levels, which then inc...reases worry and the cycle continues. So the stress and worry is normal, but not helpful. So what can we do to break this cycle? . Exercise has proven benefits for mental health via release of feel good chemicals. Its also brilliant for keeping us in the current moment, and these moments of mindfulness can help tame the mind when it starts to go wild with worry . Get involved in the luminosity event this Sunday to join the community and release some feel good chemicals, also consider donating!(link is in my bio) . #luminosityyogathon #yogaforendo #pelvicphysio #pelvicpain #pelvichealth #endometriosis See more

24.01.2022 Pain and your brain . A really important concept in long term Pelvic pain is not just the structural problem (eg Endo lesions), but also the changes to the nervous system and brain. . Everyone processes pain via their brain. So, for example if I cut my finger, the nerve from my finger (an Afferent nerve) travels to nerves in my spinal cord and makes a connection with other nerves. These nerves then travel up to the brain with the message. The brain processes the information, ...then sends information via a messenger nerve (an Efferent) down the spinal cord (making connections along the way) to the finger to say PAIN . Now, this nervous system pathway in someone who hasnt had pain before, is like a little dirt track. The nerves steadily send the message up, find the right part of the brain, which steadily sends the message back down. BUT our bodies are AMAZING! if you have had lots of pain in this area before (like in your pelvis with endometriosis) the nervous system adjusts. Your little dirt track starts to build new lanes and becomes a superhighway. Its connections become faster, and the part of your brain processing this information grows. Your body becomes on high alert, becuase this is important! Your superpowered nervous system is ready to go! Your nervous system may have sprouted new nerves and have more neurstransmitter chemicals to make connections quicker in response to your pain . So nervous system changes are real, and so is your pain. Working with a great medical and allied health team can help you with the structural problem (like Endo) but also help with the nervous system changes, becuase the treatment for both can be very different. ALSO - how great is this image by the talented @lagoosey !! #Pelvicpain # Womenshealthphysiotherapy # pelvichealth #strongbodycalmmind #pelvicfloor #pudendalneuralgia #pelvicphysio #pelvichealth See more

23.01.2022 Check out the @endometriosisaustralia link to the story the wonderful @alexandra_diggles and I wrote on pelvic pain xo #endometriosis #pelvicpain #womenshealthphysiotherapy #pelvicphysio

23.01.2022 Check out the piece Alex Diggles and I wrote for Endometriosis Australia

21.01.2022 WHAT TO EXPECT AT MY POSTNATAL PHYSIO APPOINTMENT . Firstly well have a good debrief on your pregnancy and birth story. This is a really important time to reflect on such a significant moment in your life. This will be followed up by queries around current symptoms (pelvic heaviness, urinary or fecal incontinence, back pain etc) and your goals for rehabiliation . We will then assess the resting tone, co-ordination and strength of the muscles of your pelvic floor to determin...e how they are progressing in the postnatal period. The ligaments which support your pelvic organs will be checked and from here a plan for return to exercise will be established. The mobility of perineal or caesarean scars will be reviewed and scar management techniques implemented if required . Strength and conditioning following pregnancy and delivery is not only about the pelvic floor. The rest of your core (particularly the abdomen) has been stretched and weakened and assessment of abdominal separation and global strength will aid your recovery. Your physio will work with you to determine the what and why of your exercise goals (whether it be walking/ crossfit/ yoga or running) and outline the rehab steps required for you to reach your goals. Regardless if you enjoy high intensity exercise or more gentle forms, babies get heavy quickly, so regaining your strength is important . Contact me @exhale_physiotherapy or @alanahealthcare to book your postnatal physio assessment, and remember after your first pregnancy you are forever postnatal so it is never too late to start your rehabilitation #postnatalpelvicfloor #postnatalphysio #pelvicfloorphysio #Abdominalseparation #DRAM #postnatalathletecism #postnatalrecovert #womenshealth #womenshealthphysio See more

21.01.2022 Safe Work Australia has released an online fact sheet on endometriosis to educate employers who have workers with endometriosis, as well as help workers who have endometriosis learn how to manage their condition at work. https://www.safeworkaustralia.gov.au//supporting-workers-e

21.01.2022 Posted @withrepost @yogalastudio We need to talk about This womens health week, hear short talks on womens health topics that we need to talk about, followed by a no topic off limits Q&A! 7pm-8pm, this Tue 3rd Sept. Free.... Womens health specialists - GP, Dr Sneha Wadhwani, Physio Ruth Schubert, and Yoga Teacher Tamara Ogilvie will each present a short talk on topics that matter most to women - advice, personal confessions and emotional opinions. Followed by an Ask Anything Q&A session. Please register online. www.yogala.com.au/immersions @exhale_physiotherapy @dr_sne_easternsuburbsgp @tam_ogilvie See more

20.01.2022 HAPPY HOLIDAYS . Happy holidays to all my wonderful clients . Next Monday 23rd December is my last day for 2 weeks. In the new year I will be working out of @alanahealthcare Wed/Thur/Fri and look forward to catching you there! . My wish for 2020 is that we get a government that takes the climate emergency seriously. Much love to the hard working Fire fighters (including my husband), and may you all have a safe and happy holiday period ... . by the incredible @mrjasongrant whose tag #makemerrydontjustmakewate I whole heartedly endorse ! See more

19.01.2022 COVID-19 update With great deliberation that I have decided to close my face to face appointments for the next 2 weeks in my attempt to help #flattenthecurve and protect my patients and my families health . To my brilliant patients - stay strong my friends. Its crazy times and I know so many of you are worried about your health, the health of your babies, your parents, surgery cancellations and your finances. If you need me Im here for you via Telehealth, and if financially..., physically or mentally you need a break from physio thats fine too x . To my physio/EP/PT colleagues - sending so much love to you all. The current climate is frightening for both our clients health and the health our businesses. I know your clients love you and when they are able they will return . To my respiratory physio colleagues, the nurses, doctors and front line staff caring for the sick and vulnerable, you are my heros. If there are ways we can better support you please share . Lets keep our bodies as strong and our minds as calm as possible in this new world. Contact me @alanahealthcare if you need me xx Ruth

17.01.2022 A NEW CHAPTER The Schubert family are now settled in the beautiful Northern Rivers and in the next week or so I will be finalising my work arrangements for 2021. I really can’t wait to start working with people in the Byron/ Ballina shire, and I’ll be posting where you can book with me soon To my Sydney clients I miss you all terribly! Make sure you keep me updated on your progress... #pelvichealth #pelvicfloor #pelvicpain #pelvicphysiotherapy

17.01.2022 Check out the latest blog post I wrote with @alexandra_diggles for @endometriosisaustralia. Let me know your thoughts x

16.01.2022 Check out the blog piece I wrote for Alana Healthcare and have a peruse of our awesome new website while you are at it!

15.01.2022 A critical evaluation of the trigger point phenomenon "The theory of myofascial pain syndrome (MPS) caused by trigger points (TrPs) seeks to explain the phenome...na of muscle pain and tenderness in the absence of evidence for local nociception. Although it lacks external validity, many practitioners have uncritically accepted the diagnosis of MPS and its system of treatment. Furthermore, rheumatologists have implicated TrPs in the pathogenesis of chronic widespread pain (FM syndrome). We have critically examined the evidence for the existence of myofascial TrPs as putative pathological entities and for the vicious cycles that are said to maintain them. We find that both are inventions that have no scientific basis, whether from experimental approaches that inter- rogate the suspect tissue or empirical approaches that assess the outcome of treatments predicated on presumed pathology. " "The construct of MPS caused by TrPs remains conjecture. All working hypotheses derived from this conjecture have been refuted and therefore the theory can be discarded. In contrast, evolving insights into the neurobiology of noci- ception and pain suggest plausible hypotheses that form a basis for advancing knowledge and therapeutics in this challenging area." "In our opinion, current neuroscientific hypotheses can form the basis for collaborative scientific investigation to explain the clinical phenomena. We offer two for consid- eration, neither of which relies on local pathophysiology." "Quintner and Cohen [25] hypothesized that the TrP was an area of what was then called secondary hyperalgesia occurring in muscles that are structurally and physiologically unimpaired. Noting the remarkable proximity of TrPs to known peripheral nerves, these authors argued that sensitization of the axons within the nerves, possibly by inflammation, may inform the underlying mechanism. Subsequent research has emerged in support of this hypothesis." Ref.: Rheumatology (Oxford). 2015 Mar;54(3):392-9. doi: 10.1093/rheumatology/keu471. Epub 2014 Dec 3.A critical evaluation of the trigger point phenomenon.Quintner JL1, Bove GM2, Cohen ML2.

15.01.2022 An important update from the Clinical Advisory committee of Endometriosis Australia Endometriosis Australia

14.01.2022 LUMINOSITY 2019 . Fatigue is one of the most common symptoms of endometriosis, with a recent study finding women with endo experience fatigue at twice the rate of women without endo (Ramin-Wright et al 2018) . All types of exercise can help fatigue, and high intensity and strength training can be particularly helpful. The hard thing with endo is that sometimes your fatigue and pain is at a level where pushing yourself isnt possible. This is where breaking your exercise in...to snacks through the day (eg 3 blocks of 10mins) can be helpful . Make sure you get involved in this years luminosity event through @endometriosisaustralia and consider donating - the link is in my bio . #luminosity #yogaforendo #endometriosisaustralia #endometriosis #womenshealthphysio #pelvicphysio See more

14.01.2022 LUMINOSITY 2019 . The main reason to exercise with endo is because you bloody deserve it! Exercise has protective effects against cancer, heart disease, diabetes, obesity, dementia and almost every other disease you can think of. It truely is a wonder drug, and women with endo shouldnt miss out . It can be tricky working out what suits you, and it may be that at different parts of your cycle you need to try different things - but dont let endo hold you back... . Join in tomorrow and consider donating to this years event . #luminosityyogathon #yogaforendo #womenshealthphysio #womenshealth #endometriosis See more

14.01.2022 Ruth Schubert of Exhale Physiotherapy tells us about her approach to healthcare and the sorts of health hurdles she helps women overcome. https://yogala.com.au/2019/05/30/ruth/

14.01.2022 An excellent summary of the findings of a new study published today about caesarean delivery and autism risk. Not a cause for alarm or a reason to change practice. https://theconversation.com/theres-no-evidence-caesarean-se

14.01.2022 LUMINOSITY 2019 . This sequence is more dynamic to get the heart rate going, improve balance and leg strength . When you live with Endo, you know there will be times when exercise needs be gentle and focused on pain relief. At other times when you feel good, pushing yourself to improve your strength and fitness is important to improve your capacity and fight fatigue... . This video is sped up for Instagram, so be sure to move at a pace that works for you. Get involved in this years luminosity event, follow along with me and consider donating! Link is in my bio xx @endometriosisaustralia . #luminosityyogathon #endometriosis #endometriosisaustralia #yogaforendo #womenshealthphysio #womenshealth See more

13.01.2022 AND WE ARE LIVE! . exhale.com.au is now live and allows you to learn a bit more about me and my personal ethos when it comes to physiotherapy treatment. You can also book appointments for my Thursdays @yogalastudio (for @alanahealthcare appts call 90095255 ),read some evidence based news articles, and contact me to say hi. . Thanks so much @_elevenelevendesign @societycircles @francoisebaudet and @katepascoesquires for bringing this to life ... . #physiotherapy #pelvichealthphysiotherapy #womenshealthphysiotherapy See more

13.01.2022 LUMINOSITY YOGATHON 2019 . September 15th is @endometriosisaustralia luminosity yoga event which aims to raise awareness and funds for endometriosis research. Endo has no cure but researchers are working hard to find 1. The cause 2. Risk factors for developing endo... 3. A non-invasive way to diagnose endo 4. The physical, psychological and financial burden of the disease 5. Best practice treatment . Please consider joining the luminosity event, and donating to this important cause. Ill be doing some endo inspired yoga posts in the lead up, and the link for donations is in my bio xo . Artwork by @alicewietzel . #luminosityyogathon #luminosity #endometriosis #endo #endoresearch #yogaforendo #pelvicphysio #pelvichealth #womenshealthphysio See more

11.01.2022 Im incredibly excited to be included on @endometriosisaustralia clinical advisory panel. The panels aim is to raise awareness and education on endometriosis and promote the latest research to help women living with this condition. @profjasonabbott @evehealth @alanahealthcare

10.01.2022 Join me on 28 March for the endo high tea! Its time to end endo

10.01.2022 Join me on 28 March for the endo high tea! It’s time to end endo

09.01.2022 SHOULDERS CAN BE A PAIN..... . Shoulder pain is really common, and often debilitating. A recent study (Imagama et al 2019) showed that shoulder pain, more than knee and low back pain had the most impact on physical and mental quality of life . Treatment can be confounded by the fact that structual pathology can just as freqeuently be found on scans of pain free shoulders as painful ones (Barreto et al 2019)... . One thing that is universally accepted with shoulder pain is that progressive loading to improve strength should be the goal of physio treatment. So make sure you have a physio who will work with you (not just on you) to progressively build strength and improve your function . Shout out to my shoulder go-tos @shoulder_physio and @adammeakins who I trust to keep me up to date with the latest shoulder research! #sportsphysio #shoulderphysio #physiotherapy #exhalephysiotherapy #physio #physiotherapist #shouldercomplex #cantgowronggettingstrong See more

08.01.2022 LUMINOSITY YOGATHON 2019 . Its my favourite week of the year - leading into the @endometriosisaustralia 2019 luminosity yogathon! This week Ill be posting some yoga videos specifically tailored for those living with Endometriosis . Todays video is all about opening up those hips. We know there is a close connection between the pelvic floor muscles (which can get tight with Endo) and the muscles of the hip... . This is also a sequence that can get done at most times, even when your pain levels are high . Make sure you get behind the 2019 yogathon by participating in the online event, following on with me this week AND by donating - link is in my bio!! https://teamluminosity.everydayhero.com/au/ruth . #luminosityyogathon #endometriosis #endometriosisaustralia #yogagorendometriosis #pelvicpain #womenshealthphysio

07.01.2022 I had the privilege to be included on panel last Thursday for @unsw and @endometriosisaustralia where I got to hear @sophiedillman speak eloquently about her experience with endo. Sadly her story is a common one, with a delay in diagnosis and having healthcare providers downplay or dismiss her symptoms. To the women with endo - if you are seeing someone and you can sense the internal eye roll when you discuss experience, calmly walk out the door and leave. You des...erve to be heard and believed. To health care providers - its ok to not know how to help someone or to refer on. Its NOT ok to not listen, downplay or belittle someones experience. . Endo is complicated. There will be peaks and troughs. If someone tries to sell you a magic cure call bullshit. Stand up for yourself and assemble a team who will celebrate the wins AND be in the trenches when times get tough. Im pissed for women with Endo. We can and should do better. Illustration by @barbaratamilin #endometriosis #womenshealth #pelvicpain #womenshealthphysio #endo #pelvicphysio See more

05.01.2022 Obturator Internus is a pelvic wall muscle that starts inside your pelvis and exits to join onto your hip. It works to help rotate your knee away from you. . The cool thing about this muscle is it has a little canal that houses the pudendal nerve, which branches off to supply parts of your perineum . In some instances of pelvic pain this muscle can become dysfunctional and contribute to symptoms from the pudendal nerve (eg pelvic pain with sitting, bladder or bowel changes ...or pain in the genitalia) . Here is a little sequence designed to reconnect your brain to this muscle and help it gain its full range of contract and relax. . Ex 1 -push your left knee out into the wall for 3 sec, then relax across your body for 3 sec. repeat x 3 Ex 2 - gently rotate the left knee and hip into the midline of your body, hold for 5 sec and repeat x 5 (avoid hip pain or jamming!) Ex 3 - deep hip stretch bringing knee across to opposite shoulder. Hold for 5 breaths. ENJOY and have fun with your movement #movementoptimist #movementformanagement #physiotherapy #obturatorinternus #womenshealthphysio See more

04.01.2022 Physios and pessaries . To celebrate the end of my year long professional certificate in Pessary management (Prof cert in the Conservative management of Pelvic Organ Prolapse at Unisa), this week Im going to post a few updates on physios and pessaries . Pessaries are a really great way to manage the symptoms of prolapse or incontinence by supporting the vaginal walls - kindve like a splint or a brace. They are made of medical grade silico...ne, and are a conservative, cost-effective and relatively simple thing to manage. They can be a brilliant way to help you do the exercise you want without symptoms . Some pessaries need to be taken out every day (e.g. the cube) and others can stay in for days at a time. How you choose to use your pessary is up to you. Some women just like to use them for sport, whilst others will wear them every day. . If you are interested to know more about pessaries, head over to the news section of my website (link in bio), or book in to see me at clinic x Artwork by the amazing @sashapodgurska . #Pelvicorganprolapse #POP #Womenshealthphysiotherapy #pelvichealth #strongbodycalmmind #pelvicfloor #pessary #pelvicphysio See more

04.01.2022 Prolapse 101 The word Prolapse can induce a lot of fear and worry, when in reality it is an extremely common condition that affects up to 50% of women . Pelvic Organ Prolapse (POP) is where the pelvic organs sit lower in the pelvis than they used to. Your bladder, uterus and bowel are suspended inside the pelvis by an amazing array of connective tissue and are supported underneath by the deep pelvic floor muscles .... I often describe this support system like a suspension bridge the pelvic floor muscles are the road base, and the ligaments/ fascia are like the suspension cables. Prolapse can happen when either the muscles or ligaments of the pelvic floor become weaker, more flexible or damaged . What can you do? Pelvic physio of course! We can work on muscle strengthening, pessary fitting to support the ligaments, and give you some tips on how to keep doing the things you love #Pelvicpain # Womenshealthphysiotherapy # pelvichealth #strongbodycalmmind #pelvicfloor #pudendalneuralgia #pelvicphysio #pelvichealth #prolapse #pessary #POP See more

03.01.2022 This is my last day finalising things at @alanahealthcare as we all work to flatten the curve. My medical and admin colleagues are not as lucky as me, and cant simply stay home. PLEASE stay home for them xx

02.01.2022 LUMINOSITY 2019 . This is a nice movement that opens the front of the hips and mobilises the nervous system. It can be really relieving after a flare or with ovulation pain when you feel all scrunched up through the hips and abdomen . Concentrate on tucking the pelvis under first, then add in gentle head nods which should increase the tightness through the front of the thigh. The side bend increases the stretch up into the abdomen... . The second part of this exercise can be intense on the knee, and is a really strong stretch to the quad, so ease into it or avoid it if there is any pain . The yogathon is happening this Sunday so make sure you get involved and consider donating (link is in my bio) . #luminosityyogathon #yogaforendo #endometriosis #pelvicphysio #pelvichealth #pelvicpain #womenshealthphysio See more

02.01.2022 TAMING THE MONKEY MIND . I have been loving the lectures from Jetsunma Tenzin Palmo on @yogaanytime where she describes the importance of training the mind with both calmness and candour . Building a calm mind takes discipline, but it is the foundation of everything we do. Our mind is always with us, even when we dream, so it is common sense to train it to be content... . Focusing on exercise and a healthy diet is important, but whats the point if we are feeding our mind with junk every day? Be discerning with what goes into your mind and your body . #strongbodycalmmind #jetsunmatenzinpalmo #physiotherapy #womenshealthphysiotherapy #pelvichealth #pelvicpain #buddhism See more