Ultimate Performance Physiotherapy in Darlinghurst, New South Wales | Medical centre

Ultimate Performance Physiotherapy

Locality: Darlinghurst, New South Wales

Phone: +61 2 9194 2010

Address: Shop 18, 63 Oxford Street 2010 Darlinghurst, NSW, Australia

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

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• Physical therapist

25.01.2022 10 year challenge: PT/Rehab Beliefs Its funny looking back on the past 10 years and realizing how much my beliefs have changed when presented with new evidenc...e. Here are 3 examples to name a few. Im sure in 10 years from now I will laugh at some of things i believe now. Thanks @devanlikesfood for the help on my virgin infographic. More to come. Great post by Shane Lentz! Staying up to date with the latest research in Physiotherapy to is a good way to make sure you are always becoming a better version of yourself. Changing beliefs is a healthy process because it means youre still thinking Our team of experts analyse and summarise the latest and most clinically relevant research for you. Learn more here https://physio-network.com/research-reviews/

25.01.2022 Some nice infographics created by the @wcpt1951

23.01.2022 10 Facts About Back Pain by some of the leading back pain researchers. Credit post: @amp_physio . What do you think? Let us know ... . Btw, if you want to learn more about back pain, then you can join @trustme_ed and watch multiple lectures on this topic by other low back pain experts. Now you can get 20% off of the yearly subscription with the code: HNY2020. We hope to see you at www.trustme-ed.com See more

23.01.2022 Great post by @connorgleadhill: "[HOW DOES EXERCISE WORK ON PAIN? A NEW BLOG] . Please read and share this evidence based blog. Some highlights, .... "Exercise, however, is a high-value, evidence-based treatment for pain (Ref). There are also established long-term benefits of remaining active, like improved cardiovascular, bone, metabolic and mental health (Ref). In our sedentary and overweight society, these benefits should be promoted far and wide for everybody, not just people in pain. . Part of the problem is that the response to exercise is extremely variable for people who have pain. Exercise also cant be measured against a sham situation, which makes the effects difficult to unpack. In pain-free individuals, exercise has potent effects on nociception, but this doesnt work for everyone." . You may wondering, where the heck is the autonomic nervous system? or, what the heck are these descending systems all about?. Well read the blog to find out more. . LINK IN BIO." . What do you think after reading his blog post? Let us know Link in bio. See more

22.01.2022 Walking is good for you!

22.01.2022 Its day six of LBP #MythBusting. Today, an important message: although flare-ups of #pain can be frightening, theyre often not related to #damage. Some common... triggers for a flare-up include stress, tension, low-mood, poor sleep, inactivity or activity youre not accustomed to. If you have a flare up, try to stay calm, relax, and keep #moving! If you need help with exercise, motivation or even just some reassurance that what youre doing is safe, pay your physio a visit. For more information, you can find the research here: https://bjsm.bmj.com//early/2019/12/31/bjsports-2019-101611 #choosephysio #mythbusting #exerciseismedicine

22.01.2022 Great post by @drjarodhalldpt Its that time of the year again!!! Back to school! That also means its about time for news stories about back packs to hi...t the air!...but whats the truth about back packs and back pain???! These findings call into question the various guidelines and statements that endorse specific weight limits for school bags in children and adolescents. It seems that these recommendations are not based on the most reliable evidence on the subject. The findings also have implications for the various professional bodies and clinicians that endorse or recommend specific backpacks. It is important that such endorsement is made on the basis of firm evidence and free of financial conflict. Based on evidence from five longitudinal studies (n=1851 children and adolescents) and more than 60 cross-sectional studies, there is no convincing evidence that aspects of schoolbag use increase the risk of back pain. There is some evidence that the perception of heaviness is associated with back pain. . Want to keep learning about back pain? You can do that through the various lectures at www.trustme-Ed.com. Plus, next month its back pain month @trustme_ed. Jan Hartvigsen and Alice Kongsted talk about the Lancet papers and GLA:D back program and more.

21.01.2022 https://mobile.abc.net.au//coronavirus-covid-19-/12088522

20.01.2022 The benefits of walking! Walking is good for you.

20.01.2022 Its day three of our LBP #MythBusting venture, and today, were tackling the myth that everyday loading and bending leads to backs wearing out. #BUSTED! In f...act, the same way that lifting weights makes muscles stronger, moving and loading can make the back stronger and healthier. Just make sure you start gradually and practice regularly. For more information, you can find the research here: https://bjsm.bmj.com//early/2019/12/31/bjsports-2019-101611 #choosephysio #mythbusting #exerciseismedicine

19.01.2022 Exercise is not harmful for the knee! Great post shared by @movementpainpt: Great video! Exercise is not harmful to the knee . Credit : Dr. Danilo de Oli...veira & Dr. Christian Barton . You can learn more about knee pain and OA at the lectures of Prof. Ewa Roos and ass. Prof. Sren Skou at TrustMe - Ed www.trustme-Ed.com See more

17.01.2022 Great graphic on intervertebral discs here by @physiomeetsscience! . Shared by @drjarodhalldpt . Do you want to learn more about back pain? There are vario...us lectures at www.trustme-Ed.com @trustme_ed made by experts in our field. Next month is back pain month with top back pain researchers Jan Hartvigsen and Alice Kongsted! See more

17.01.2022 Working from home for extended periods can cause persistent and annoying niggles. Depending on the issue, your local physio can help sort it out. Call to chat ...about your options, whether that be a telehealth appointment or in-clinic consultation. Either way, you can be assured that your health is their top priority. Go to www.choose.physio/shoulder-pain See more

17.01.2022 Do physical activities trigger flare-ups during an acute low back pain episode? (Research Study: http://ow.ly/H5Ki50mBbCf) Take homes from this research: - Sitt...ing for long hours, stress and depression were found to be triggers for flare-ups in people with acute back pain. - Despite popular belief, heavy lifting, physical activity and sports WERE NOT found to be triggers. - Seeing a physiotherapist was found to reduce the risk of a flare-up. For advice on how your flare-ups can be managed with exercise, contact Body Logic Physiotherapy. http://www.bodylogic.physio #backpain #exerciseforpain #exerciseforbackpain #bodylogicperth #bodylogicjoondalup #bodylogicphysio

16.01.2022 Tight neck or back? Check out these quick and easy-to-follow stretches from Jean Hailes for Women's Health, aimed at reducing stiffness and soreness while we continue to work from home.

16.01.2022 #englishversion Why does first-line care get almost no attention and what exactly are we waiting for? Only recently has LANCET called for a paradigm shift in th...e treatment of back pain. This is certainly not a novel demand. But why dont we or the entire system get our act together? Moseley speaks of a pain revolution, a new, scientifically based understanding of pain (see slides) that could deliver a message of hope for chronic pain patients. But who should relay this important information and education to the affected woman/man? Doctors? From Moseleys point of view too expensive and not adequately trained in this area. Psychologists? They are also expensive. Physiotherapists should be in the pole position, but the financial incentive is often lacking here. A quote from Moseley: It is noteworthy that physiotherapists are still being paid for outdated treatments, while physiotherapists who work with the times, e.g. receive no reimbursement for (pain) education. " An editorial by Prof. L. Moseley

15.01.2022 Shoulder Isometric Walk Outs! . Here is a unique way to build your shoulders in an isometric manner. Who wouldve thought you can perform isometric exercises ...for repetitions! Often times I use this when someone has pain going through motion, in postoperative rehab, to improve corticomotor excitability (mind-muscle connection), or when the rotator cuff is irritable. You can perform so many exercises in this manner including shoulder ER 90/90, Ys, Ts, and Is. Some of the exercises shown here include shoulder external rotation, internal rotation, and rows. . First you want to make sure to anchor a resistance band roughly at wrist height onto a stable surface. Perform the movement required while the band is on slack. Then walk out as far as you feel comfortable to create tension onto the band. Keep your shoulder blades pulled back for the entirety of the exercise. With most of these exercises you will feel the inner muscles of the shoulder blade in addition to the back of the shoulder worked. . Avoid moving the arm as you step back and forth. You are meant to keep the muscles at the same length while performing this. You have the option of holding the position when you walkout. What do I like? Typically I use a strong resistance band in which I step back hold for 3 seconds, then step forward for 2 seconds, then repeat for 8-12 repetitions. . Shoulder aches and pains often get neglected until its too late, turning a minor fixable ache into a potential chronic pain and debilitating issue. Using the latest evidence-based research and our clinical experience, we have pioneered a very safe and effective Shoulder [P]Rehab Program, visit link in bio for more! ______________________________________________________ This Shoulder [P]Rehab program includes: 16- -- 100 a

14.01.2022 No, your pelvis and vertebrae can not go out of alignment. Great post by Emma Nicolau Osteopathy! Yes, an osteopath... awesome! Broken Myth #1 "I have b...een told before that my pelvis was out!" "I have a misplaced vertebrae". Unfortunately, I hear this too often from new patients in clinic; people have been told those statements that are completely wrong and scary. Your vertebrae/pelvis cannot be "misaligned" nor "out"; or if they are, you should be in A&E and not a manual therapy clinic. The big issue with statements like the ones above is that it will leave you, the patient, believe that: - Your spine is vulnerable and weak - You need to be careful when moving - You cannot carry weight - You HAVE to get treatment to realign everything - You are only passive in your recovery Your back is very strong, and pain is not necessarily associated with something "wrong" with it. Your body is not a machine that is breaking down and pain is not always representative of structural damage. It is a complex biopsychosocial multisystem relying on neurophysiology, anatomy, physics, genetic, cognition, psychology and life style. The prevalence of these factors will vary from one person to the other. Yes, maybe you feel restricted in some areas and that your body does not move as smoothly as it can; and you feel pain; but that does not mean your back is weak, fragile nor crooked. It is our role, as health therapist, to physically assess you properly to identify the pain sensitive structures and associated patterns, having clear communication that is not based on fear inducing statements, and to involve you in your recovery. We are here to improve your life and autonomy; not to leave you in fear and dependence. Ref: https://trustme-ed.com/b/no-your-pelvis-is-not-out-of-place https://bodyinmind.org/asymmetries-pelvis/ https://blogs.bmj.com//common-misconceptions-about-back-p/ Thank you @shok_1 for this wonderful wall! (Taken back in 2017,Bricklane) #osteopathy #trustmeimaphysiotherapist

13.01.2022 Welcome to day seven of LBP #MythBusting, and to mark the occasion, were busting the myth that back pain is caused by poor #posture. #BUSTED! How you sit, stan...d and bend does not cause back #pain, even though these activities may be painful. Its safe to relax during everyday tasks, and a variety of postures are healthy for the back. Whats really important is that you keep #active! For more information, you can find the research here: https://bjsm.bmj.com//early/2019/12/31/bjsports-2019-101611 #choosephysio #mythbusting #exerciseismedicine

13.01.2022 Tight neck or back? Check out these quick and easy-to-follow stretches from Jean Hailes for Womens Health, aimed at reducing stiffness and soreness while we continue to work from home.

12.01.2022 Her is a great post Tennis Elbow from Tennis Prehab Lab . Did you know you can search diagnosis like Lateral Epicondylalgia with our PrehabX search function? Tr...y out the Exercise Library for free with the link in Bio! . Tennis elbow (aka lateral epicondylagia) is one of the most common overuse injuries in tennis, particularly in the recreational player (1-3). Pain is located on the outside of the elbow. The extensor carpi radialis brevis (ECRB) is most affected and accounts for 90% of cases (1-4). Histological studies have shown an absence of inflammatory cells w/ presence of degenerative change, inferior collagen healing, unorganized tendon arrangement, & hypervascularization (4-6) Prevalence -Rates have been reported to be as high as 37-57% in elite & rec. players (2,7). Cause 1Overuse Overloading at extensor tendons (ECRB) whereby the ability of the tendon to repair itself is overwhelmed & fails. - 2Technique - Exhibit wrist flexed position during ball contact on backhand strokes. Shown to elicit force production &in eccentric muscle contraction w/ stress/strain on extensor tendons (8). - Hitting ball outside sweet spot forearm vibrations & demand on extensor tissues. (2,8,9). - Premature trunk rotation & leading w/ elbow during backhand maydemand on extensorrs. (2,3,10) - 3Muscle function: - muscle firing in the wrist extensors during backhand (8,9). - 4Scapular Stability/strength - Elbow depends on the proximal links such as scapular stability/strength to generate power during tennis strokes (11). - Players w/ lateral epi exhibit w/ strength of lower traps & may be associated w/ lateral epi. (12,13). May result in overuse of wrist extensor to compensate for inadequate shoulder muscle fx (11,14) Rehab Program - Systematic review by Cullinane et al (616 participants) found an eccentric program resulted in ain pain & fx & grip strength (15). - A case report by Bhatt et al discovered a 10 wk program of lower/mid trap strengthening pain & fx in ppl w/ lat. epi (16). Rehab Protocol *Maintain scap positioning during exercises 1ECRB Eccentrics: - Lower for count of 4 secs - Assist back to wrist extension - 3x20 rep 2ECRL Isometric - Elbow straight - 3x15reps 8 sec hold into pain (4/10 pain) 3Lower Traps - 3 sets 15-20 reps . Additional Scapula Stability exercises include: Scapula Ts with a band Shoulder Taps Scapula Ys with a band See more

12.01.2022 Discs Dont Slip! Read the evidence on what they DO in this excellent blog by Jarod Hall https://physio-network-pn.com/discs-dont-slip-dammit/ Image credit: The Honest Physio @honest_physio

10.01.2022 #MythBusting day 6: Even if an activity feels painful, it is does not necessarily mean you are doing harm. In fact, the level of pain experienced is often a poo...r measure of #injury or tissue damage. While it may seem counter-intuitive, maintaining #movement is the best thing you can doit helps the body heal and boosts the immune system, whereas avoiding it often leads to an increase of disability and further loss of well-being. #Physiotherapists can develop a program to help you move safely. #choosephysio and take control of #chronicpain. #WPD2019

10.01.2022 Understanding posture and pain. Is posture really that important? What do you think? Let us know! :)... Credit: Now Health Group - Osteopath

09.01.2022 #MythBusting day 3: Globally, low #back #pain causes more disability than any other condition, yet its thought that only 1-5% of cases are caused by serious di...sease or injury. While it may hurt to bend and lift when you suffer from back pain, developing the mobility and strength to bend and lift is important. Many types of #exercise, including weight training, bring great benefits. #Physiotherapists can design effective exercise programs to help people to manage their back pain. #choosephysio and take control of #chronicpain. #WPD2019

08.01.2022 Great post as always by @hannahmoves [8 IMPORTANT FACTS ABOUT BACK PAIN] . . .... Here are two more: . IF YOUR BEING SOLD SOMETHING THAT SOUNDS TOO GOOD TO BE TRUE, IT PROBABLY IS. Products, gimmicks, promise cures, and bandwagons for back pain dont offer more relief. . BACK PAIN DOESNT HAVE TO BE A LIFE SENTENCE. There is always hope for change and improvement. The body is adaptable. . This has been circled many times but it cannot be said enough. Copy. Paste. Share. Pass it on. Get it out there. . So grateful for the contributions by Mary OKeeffe, Derek Griffin, Keiran OSullivan, Peter OSullivan and Chris Maher. . Giants in the field championing a more informed world and better healthcare space. . Just doing my small part to spread the good word. . Dont sit still. Make moves! . Nick Hannah, PT Registered Physiotherapist #hannahmoves #hmpaincaremoves. . Ref: OKeeffe M et al. 10 myths about back pain and how to cope when it strikes. The Independent: Health & Living. independent.ie. . Do you want to learn more about back pain? Then you can subscribe to @trustme_ed and watch several great lectures on back pain by experts like: Ben Cormack, Jan Hartvigsen, Alice Kongsted, Ash James and Sigbjorn Hjorthaug. See more

07.01.2022 For the fourth day of LBP #MythBusting, lets review the common idea that back pain is brought on by a weak core. #BUSTED! In fact, people experiencing back p...ain often tense their core muscles as a protective response (a bit like clenching your fist when you sprain your wrist). While its important to keep your muscles strong, being tense all the time is not helpful. For more information, you can find the research here: https://bjsm.bmj.com//early/2019/12/31/bjsports-2019-101611 #choosephysio #mythbusting #exerciseismedicine

06.01.2022 You Are NOT Your MRI! . This was too good of a post from @rehabscience not to share. The relationship between pain and tissue damage is not always clear. Just b...ecause you have a disc bulge, for example, it does not necessarily mean that is the reason you have low back pain. In fact, its quite the opposite especially as we age as there is a high percentage of people that have signs of disc degeneration with NO pain (swipe to see graphics). . To flip the script a bit, the MRIs shown here are from a 32 year old male who presented to the hospital with severe back pain on two different occasions. On October 2012, the patient did not have any neurological deficits, so physical therapy and a short course of oral steroids were ordered and his pain resolved. . In October 2013, another MRI was ordered when the same patient once again entered the hospital with severe back pain. You would think, oh, its because he has a disc hernation, right? But no! This time around, his disc herniation was no longer visible...but he still had severe back pain! . What does this teach us . 1Pain does not necessarily indicate tissue damage. In both situations documented above, the patient had low back pain. At the time of the first episode, a potential tissue insult could be identified. This was not true at the time of the second episode of back pain. . 2Disc herniations can resolve with conservative care and time. The details of this individuals rehab were not given, but it is important to know that relatively simple programs that include movements like walking, general low back mobility drills and low load resistance training exercises help the majority of people. A healthy dose of patience (up to 4-6 months) is important too. Zhong M, et al. Incidence of Spontaneous Resorption of Lumbar Disc Herniation: A Meta-Analysis. Pain Physician J. 2017. . Chiu C-C, et al. The probability of spontaneous regression of lumbar herniated disc: a systematic review. Clin Rehabil. 2015. . Brinjikji W, et al. Systematic literature review of imaging features of spinal degeneration in asymptomatic populations. AJNR Am J Neuroradiol. 2015. @ Cedars-Sinai See more

05.01.2022 "6 Exercises To Strengthen Your Neck" . Tag someone that has neck pain . Neck pain is one of the most significant health problems worldwide, it is estimate...d that 22-70% of the population have neck pain at some time in their lives. It has also been suggested that the incidence of neck pain is increasing! It is ranked as the fourth leading cause of years lived with disability. Rates of reoccurrence and chronicity are reported to be high, which calls for preventive measures, or [P]Rehab! There is evidence suggesting you may reduce the risk of neck discomfort by approximately half with an exercise program. . Check out full article here: theprehabguys.com/prehab-your-neck-pain/ . It has been recommended with strong evidence for clinicians to consider cervical stabilization exercises for neck pain. Demonstrated here are 6 great exercises to help improve activation and strength of muscles surrounding the neck. Quadruped Banded Chin Tucks Prone Ys Neck Unsupported Chin Tuck With Rotation Prone Ts Neck Unsupported Chin Tuck With Head Elevation Supine Chin Tuck With Head Supported . Check out the link in bio for the entire article which includes a FREE "Prehab Your Neck Pain" Program . Included are detailed video tutorials, instructions, sets, reps, hold times, days/week, etc! _____________________________________________ See more

03.01.2022 Keep learning and be awesome Trustme-ED

03.01.2022 #MythBusting day 5: How you think about pain can have a big impact on your life. Studies have shown that people with negative beliefs about their pain report hi...gher levels of pain intensity and disability. #Physiotherapists can help you understand your pain and support you with strategies to manage it over the long term. #choosephysio and take control of #chronicpain

02.01.2022 *New update* Physio is still to remain open*New update* Physio is still to remain open

02.01.2022 Great post by @honest_physio: https://www.facebook.com/thehonestphysio/ MOTION IS LOTION! How often do you hear this: Running is bad for your knees! The... pounding is really bad for the joint! Way too often patinents come to me having been told to STOP doing the thing that they love doing because somewhere along the chain either a physio, GP, consultant or another health care provider said "Stop running, its not good for your knees!" Its time we start following the evidence and stop fear mongering. Remember before making these thoughtless statements - THINK! Why does this invidiual want to Run/Swim/Walk/Climb or whatever it may be! Perhaps the obvious reason is exercise but dig deeper! Maybe its for their mental health, maybe its for social purposes, maybe its because it gives them a break from other ongoing parts of their life where for a short period they can separate from those issues so before you say STOP, STOP yourself and think about the evidence! NICE Guidlines for OA encourage us to promote aerobic exercise, strengthening exercises and advice to follow a generally healthy life style! Eduard Alentorn-Geli Et Al. 2017 JOSPT The association of recreational and competitive running with hip and knee osteoarthritis: a systematic review and meta-analysis These results indicated that a more sedentary lifestyle or long exposure to high-volume and/or high-intensity running are both associated with hip and/or knee OA. Leech Et Al. 2015 BJSM Does running protect against knee osteoarthritis? Or promote it Assessing the current evidence Currently, we would argue that insufficient evidence exists to identify the relationship between recreational running and the risk of knee osteoarthritis onset and progression. The definitive answer to the questiondoes recreational running contribute to the risk of knee osteoarthritis?remains elusive. Ponzio Et Al. 2018 In our cohort, the arthritis rate of active marathoners was below that of the general U.S. population. Lo Et Al. 2017 Among individuals 50 years old and older with knee OA, self-selected running is associated with improved knee pain and not with worsening knee pain or radiographically defined

02.01.2022 Did you know that how you think about your pain can change the way it feels? And, the amount of pain you experience doesn’t necessarily equate to ‘damage’. Pai...n is a mechanism produced by our bodies for protection. This episode of Talking Physio brings together Pain scientist and APA honoured member Professor Lorimer Mosley, and Chair of the APA Pain group Diane Wilson, for a robust conversation on all things pain. The duo discuss pain research over the past 50 years and their predictions for physiotherapy and pain science in the 20 years to come. Listen in at https://bit.ly/2Dquc4D This #podcast is a Physiotherapy Research Foundation (PRF) initiative supported by FlexEze Heat Wrap Therapy, exclusive partner of the PRF. #choosephysio #PRF #talkingphysio #flexeze #podcast #pain #painprevention

02.01.2022 Great idea to put this in your practice, to make patients aware of the normal degenerative changes in the spine in asymptomatic population. :) Probably resulting in less fear and catastrophizing :)