Physio2Breathe in Perth, Western Australia | Physical therapist

Physio2Breathe

Locality: Perth, Western Australia

Phone: +61 8 9299 6084

Address: Montrose Ave, Darlington 6070 Perth, WA, Australia

Website: http://www.physio2breathe.com.au

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25.01.2022 ALERT! There is a lot of smoke covering the metro area today. People with asthma or other respiratory conditions should remain CALM and limit your exposure ...to smoke. CLOSE your doors and windows to decrease smoke entering your home, office or vehicle ACTIVATE your Asthma Action Plan LOCATE your reliever medication and have it ready to use MONITOR your symptoms. If you feel breathless, tight chest or difficulties breathing, follow your Asthma / COPD Action Plan. If your symptoms do not improve with medication, call 000. To recognise signs of a severe or life-threatening attack, read more here https://asthmawa.org.au/emergency/ Keep up to date with current WA emergencies: www.emergency.wa.gov.au Join the Asthma Alert group and share updates with others. #besafe #smokealert #asthma #COPD #westernaustralia

24.01.2022 I urge you all to sit, relax and take some time out to listen to this really valuable podcast. I have had the pleasure to train in the Bradcliff method under the expertise of Physiotherapist and Director of Breathing Works Tania Clifton-Smith and am proud to have worked in this area for the last 20 years. She is joined here by Dr Sven Hansen and Brad Hook. If you feel you need further help and guidance please get in touch.

24.01.2022 Unbelievable! Come on Australia lift your game!!

24.01.2022 A great infographic with important messages based on evidence & designed by experts in pain science.

24.01.2022 I have generally been advising not to read anything by anyone other than health professionals regarding COVID-19 Here in Australia for example Norman Swan’s Coronocast is excellent. This technique is a video from a doctor in hospital & unfortunately endorsed by a celebrity . If you are worried about symptoms, if you have bronchiectasis or cystic fibrosis, asthma, COPD & need help removing secretions contact your usual caregiver, most physios are now offering Telehealth. If these symptoms are new don’t watch videos call your GP who will advise the type of consult you need.

23.01.2022 As well as being able to still offer in clinic appointments we are busy working on setting up Telehealth. Watch this space....

20.01.2022 Do you have Asthma or COPD? This week we have had to wear masks outside our homes, including for exercise. I have noticed several things when wearing mine. I am a physiotherapist working in the area of breathing dysfunction, I should know how to breathe well as I teach it every day. But.... What I noticed 1. Immediately felt I needed more air 2. Breathing into the top of my chest even early on during light exercise 3. Feeling I needed to switch to mouth breathing 4. Breathing became harder work and if I hadn’t worked out what was going on I would have felt a bit panicky If you have asthma or COPD the above sensations are probably familiar to you but the addition of a mask can add to them considerably. What we need to know 1. Research shows masks do NOT limit your oxygen intake nor do they cause a build up of carbon dioxide 2. The sensation of needing more air is just that, a sensation. If your brain has been used to feeling that a satisfying breath is a bit cooler, a bit easier to take, less resistance and being able to smell what’s around you then the feeling a mask gives will be unfamiliar and uncomfortable. If our brains don’t feel what they expect we can get anxious! 3. Pulling in more air than we need is hard work! This will make you more breathless 4. Pulling in more air than we need is called hyperventilation or over-breathing and causes us to lose carbon dioxide. This can bring on bronchospasm ( the tightness we experience with asthma) and elevate our stress response, increasing our need for air, raising heart rate etc What we need to do 1. Slow down while you get used to your mask. 2. Focus on breathing out, not in you then have a whole lung ready to take air! Longer exhale can help calm us too 3. If possible, breathe through your nose in and out. This will help stop you over breathing, will stop your mask from getting as moist and is protective of your lungs. If this means having to slow your pace, that is ok 4. Relax as you walk are you frowning? Clenching teeth? Raising your shoulders? Sucking your belly in?! Every exhale, let go, breath and body 5. Distract from the sensation of the mask, look around, if you are able try and feel you are breathing down into your lower ribs not the top of the chest 6. When you get home, relax and practice gentle, slow, nose, belly breathing. If you have any concerns with increasing breathlessness and chest pain that is new or unfamiliar always seek help from your GP Check you have your asthma /COPD plans up to date. Stay safe and stay active

19.01.2022 Telehealth only this week following WA Health guidelines. Book online www.physio2breathe.com.au. There are many people with breathing concerns right now and an increasing amount who have had covid and remain symptomatic. Chest pain and breathlessness always need investigating but if nothing serious is showing up dysfunctional breathing is highly likely.

18.01.2022 This article implies that people are presenting to hospital with extremely low oxygen saturations and with no real symptoms, it implies at this stage it is too... late. The take home message could be oximetry (a test for oxygen levels). A non invasive test carried out at home could be an indicator of when to move from home to hospital and maybe not to rely on symptoms. Perhaps each person diagnosed should be issued an oximeter and to test regularly. Moving early versus too late, saving lives, saving precious ICU beds. See more

18.01.2022 Anyone who has stood still long enough to listen gets the 'poles' talk! Huge advocate of these designed by Gerontologist OT Mandy Shintani from Canada. Poles are not a prop, they are a work-out, using all the trunk muscles whilst keeping the posture upright and symmetrical opening up the 'breathing window' ! Seeing more and more of these out and about here in the hills and suburbs of Western Australia as news spreads and very happy to be speaking at this conference this week!

18.01.2022 Excellent advice from a highly respected Sports Physician via Physio Atelier a highly respected Sports Physio. Can’t go wrong!

17.01.2022 Nicely put Jess

17.01.2022 Keep Calm, Keep Moving We might have to get a bit creative in these times of social distancing but remember there are thousands of kilometers of beautiful trails out there with very few humans! Sporting events, school/club sports are being cancelled for very good reasons but this is going to be extremely taxing on both our physical and mental health for many of us.We know the beneficial effect being out in nature has. Climbing rocks, hiking, running, mountain biking are all excellent ways of keeping fit. If you are unable to leave home gardening is good hard physical work too.

17.01.2022 UK guidelines which might be interesting to anyone here in WA that fit the criteria. If you look back and think the worst you had done was over reacted or been too cautious then that’s a good outcome. We have a lot to gain from looking at those countries ahead of us in the pandemic.

16.01.2022 As terrible as covid has been around the world it has made for so many online learning opportunities. Looking forward to this one!

16.01.2022 Good advice for those with asthma. Don’t stop exercising but do so safely.

15.01.2022 ‘...severe acute bronchiolitis that caused near-fatal hypercapnic respiratory failure and chronic airflow obstruction. The case was similar to popcorn lung, which has occurred in workers exposed to diacetyl, a chemical flavoring used in microwave popcorn that can cause bronchiolitis if inhaled’

14.01.2022 I went for a run wearing my mask today. Observations 1. YUK 2. Heart rate elevated at easy pace ( also take bushfire and covid hypervigilance into equation!)... 3. Effort perception and feeling of needing more air - high, especially on hills The feeling of not getting an adequate breath is called air hunger and unless you have something concerning regarding your heart or lungs it is a perception not reality. In other words if your brain is expecting the breath to feel free, with no resistance, maybe a bit cool, maybe smelling of your local tracks and it gets a warm, moist still, humid, stale feeling, that is going to suck. Literally! When I got home, as best I could I checked both oxygen and carbon dioxide levels during exercise with mask on and neither were affected. I had a fabric 3 layered mask. Feeling the need for more air is very common even at rest. Mouth breathing and sighing are subtle ways we can tend to pull in more than our metabolism requires and can cause symptoms of asthma and anxiety to become worse. This is less to do with oxygen and more to do with blowing off way too much carbon dioxide i.e. over-breathing. This elevates our stress response, causing, among a host of things, a further increased drive to breathe and raised heart rate So, what did I try on my run? 1. Focussing on allowing a full exhale - let air out and you have plenty of lung to use for the next breath! 2. Distract - focus on lower rib movement when you inhale - the diaphragm needs to do more work than your chest and is much more efficient. Breathing straight into the top of the chest is harder work. If you are unsure what it feels like to use your diaphragm, tying an elastic bandage ( not tight!) around your lower ribs and focus on the increase in pressure as you inhale. 3. If the fabric is getting pulled hard against your mouth consider a stiffer mask or try nasal breathing - your nostrils are perfectly placed to avoid mask sucking compared to your mouth! 4. If it's too uncomfortable, slow down to a nose breathing pace. Great time to work on easy effort aerobic endurance! 5. Lastly check out your breathing at rest - nose, belly, gentle, silent - establishing an efficient pattern at rest is a great start.

12.01.2022 From our professional body today. We are working on doing non contact appointments via Telehealth too.

11.01.2022 https://lungfoundation.com.au//advice-for-people-living-w/ COVID-19 is a respiratory virus Please read the excellent up to date advice issued by the Lung Foundtion

10.01.2022 My blog on Nasal Breathing, Nitric Oxide and Coronaviruses Viruses and bacteria are spread through contact with contaminated surfaces and also through the air. ...Our nose is one of our primary lines of defense against airborne pathogens. It has a very sophisticated system for protecting the whole airway from infection and one of the key mechanisms involves the production of a chemical called nitric oxide within the nose and nasopharynx... https://www.rosalbacourtney.com/immune-protective-effects-/

09.01.2022 3 Excellent tips on running related knee pain and osteoarthritis, all based on sound evidence and neither involve stopping running. Win win!

09.01.2022 Bradcliff heading to WA! So excited to be involved & fabulous venue too.

09.01.2022 Some people wonder why Glen Forrest Medical Centre does not Universally Bulk Bill everyone. This includes the new temporary Telehealth consults during this Covi...d-19 pandemic. These are the main reasons. 1. We want to be able to spend enough time with each patient to manage the issue they walk through the door with well, and given time also screen appropriately for other health problems we know they might be at risk of. Only booking 4 patients an hour allows this. 2. We want to retain the ability to manage injuries, chronic wounds, excise skin cancers and provide contraceptive options like Implanon and IUDs. We also want to utilise our skills to keep as many sick people out of hospitals as we safely can. This means maintaining a well equipped Treatment Room and having two very competent Registered Nurses on site the majority of the time. 3. The Medicare rebate has never kept pace with CPI since its inception, while all the costs of running a small business have. This includes the hyperinflated PPE that we have scrambled to purchase to keep everyone safe currently. 4. The government ‘bulk billing incentive’ only applies to certain patients, not all. Managing a small Practice like ours to the Standards we insist on maintaining without big Pharmacy or Radiology money to prop us up is impossible with Universal Bulk Billing. This is why we charge a gap to those who can afford it. It means we can bulk bill your children and some of our oldies who can’t.

09.01.2022 Are you including respiratory muscle strengthening in your training programme? Don’t leave the diaphragm behind!

08.01.2022 Very excited for this!

08.01.2022 Make sure you leave enough space when exercising & read the guidelines. Please be considerate when running/riding past a walker too, maybe slow down, breath hold if possible and use a buff pulled up to cover nose/mouth .

07.01.2022 It’s still World Physiotherapy day somewhere in the world & thinking of all my colleagues with a very long road ahead of them working in covid 19 rehabilitation as well as still on the front line. For me it’s been 31 years working in the best job in the world!

05.01.2022 "Sleep loss seems to disrupt the brain’s natural ability to regulate pain and provide relief. We found in the review that sleep loss or disturbance seems to more powerfully influence pain than the reverse direction.

05.01.2022 Good read from Physio Scott

05.01.2022 Looking forward to Friday!

04.01.2022 Read our latest newsletter here: Top 5 tips for staying healthy through the winter, better asthma management and Level 2 Auckland details - https://mailchi.mp/bf1b1c9fe64e/breathing-retraining

03.01.2022 https://asthma.org.au/blog/coronavirus-and-asthma-update/ COVID-19 is a respiratory virus. Please read this is if you have asthma. I am ensuring all the recommended hygiene methods are in place in the clinic, as always, but please call with any queries or concerns. I can set up a telehealth consultation if you would rather stay at home and of course if you are experiencing any symptoms.... Lastly, we know asthma symptoms can be brought on or increased with anxiety related over-breathing. Remember the basics Nose Gentle Relaxed shoulders Diaphragm/belly If in doubt breathe OUT! See more

03.01.2022 Just move, find something you enjoy, in a place that’s lovely to look at, bring friends, finish in a cafe!

03.01.2022 Filling the missing link in sports coaching, making sure the breath, body and nervous system returns to a state of rest, digest, recover repair and also preparation for action. A powerful thing, breathing!

02.01.2022 Breathing well is the foundation of moving well. Our respiratory muscles involve nearly all of our trunk muscles & as such have to meet the challenge of breathing whilst moving To be able to move with this level of fluidity & grace makes me think this gentleman is doing a pretty fine job !

02.01.2022 Thanks for posting this Hillview Physio! The only thing I disagree with is in the last paragraph. Men absolutely ARE sucking their guts in too! Huge problem and commonly seen with discomfort around breathing especially during exercise.

01.01.2022 Important read for parents & coaches

01.01.2022 Some good tips here. Also remember to check in on your breath, frequently, let it out, pause, relax your shoulders & drop tension, top to toe.