Dizziness

 

There are many different causes of dizziness some of which can be helped with Physiotherapy treatment.

Some common problems that I would see are:

  • Dizziness that has resulted after a head injury or more mild concussion. Physiotherapy treatment for this usually consists of exercises to improve the head and eye co-ordination and balance.
  • BPPV which is Benign Paroxysmal Positional Vertigo. Clients with this usually complain of a short duration spinning sensation which occurs when they change position suddenly such as lying down or rolling over. It is cause by crystals in the ear falling off and floating around in the ear canal. This can usually be resolved following one treatment where the crystals are moved out of the canals by preforming a specific manoeuvre.
  • Cervical Dizziness. This is dizziness that is a result of problems with the neck joints or muscles. Treatment is generally mobilisation and massage.
  • Vestibular neuritis. This is where the nerve to one ear has been affected and isn’t working properly. This leads to one ear sending different messages to the brain than the other and dizziness results. Specific exercises are given to treat this problem.

 

There are some other problems such as Meniere’s disease which have dizziness that physiotherapy does not help.

The initial assessment for dizziness lasts an hour so we can be thorough and identify what the underlying cause of the dizziness is, and then proceed to appropriate treatment.

 

 


Did you know that over 1.1 million New Zealanders are affected by incontinence? Unfortunately, many of these individuals will also not seek any help even though the common contributing factor of pelvic floor dysfunction can be treated. 

What is incontinence?

The unintentional loss of urine or faeces. 

What are the common symptoms of pelvic floor dysfunction?

– Leakage with exertion, coughing, sneezing or laughing

– Urgency to reach the toilet with leaking or a fear of leaking

– Pain in the buttock, pelvic or groin region

– A heaviness, bulging or dragging feeling internally

– Increased frequency of urination

– Waking one or more times a night to pass urine 

What are some of the risk factors for incontinence?

– Older age

– Pregnancy

– Childbirth

– Obesity

– Smoking

– Bladder infections 

Can physiotherapy help?

Yes. Pelvic floor training is an internationally recognised treatment option for incontinence and prolapse. Women’s health physiotherapists are trained to complete thorough assessments in order to assist you in regaining adequate control of your bladder and bowel. Treatments could include the following:

– Education regarding how to effectively activate and strengthen the pelvic floor muscles

– Techniques for bracing during coughing or sneezing

– Strategies to manage urgency

– Education on correct toiletting techniques

– Retaining an overactive bladder which may include the use of bladder diaries

 


Office Workers Advice

Office Workers Advice: returning to work following the holidays

Have you started to experience discomfort in your neck, arms or back with returning to work following the holiday period?

Now is a great time to take a look at your work habits and address this discomfort before it becomes a bigger problem.

Our bodies are not designed to sit for long periods of time, hold our arms in one position for too long or complete repetitive tasks such as typing or mouse work for prolonged periods.

So what can you do to avoid this occurring:

  • Task variation: where possible vary your tasks as often as you can as this can alter your work position e.g. vary between hand written work, typing, mouse work, phone calls and meetings where possible
  • Regular rest breaks: Ensure that you take all standard rest breaks and don’t get into the habit of eating at your desk. Time away from your desk and computer work station gives your muscles time to recover from the work that they have been doing.
  • Micropauses: it is recommended that at least once every hour (ideally every 15 minutes) for 5-10 seconds you should STOP what you are doing, DROP your arms down by your side and gently SHAKE them to relax your muscles and help restore normal circulation
  • Postural variation: take any opportunity to get up from your desk such as walk to the printer to collect your own printing, or go next door to discuss matters with your colleague rather than phoning or emailing
  • Stretches: completing neck, arm and back stretches prior to your day starting and regularly throughout the day helps to prevent or reduce any muscle tension that may cause discomfort. Refer to www.habitatwork.co.nz for a range of appropriate exercises.

It is also important to ensure that your workstation is set up to suit your individual needs. Even the slightest adjustment to your chair, screen height, or desk layout can make a difference to your posture and any discomfort. If you require any assistance don’t hesitate to contact the team at Accelerate Physiotherapy to discuss the situation or arrange for an onsite ergonomic workstation assessment with your Physiotherapist.

 


Merry Christmas

Wow, another year has come to an end and preparations for Christmas are under way.  Seeing as we had a few new additions to the Accelerate family over the past year, we opted for a lunch time Christmas party this year which was held at Alana’s beautiful home in Otatara.

As with any Christmas party, there was always mountains of food and our eyes continue to assume that we haven’t eaten in weeks and it is inevitable that our plates end up overflowing with delicious food.  The boys were in control of the BBQ this year and the steak was cooked to perfection… cheers Matt.  We enjoyed meeting wee Leo for the first time (Lena’s wee bundle of joy) and it was  a pleasure to see Elliot (Sarah’s beautiful baby) again as well as catching up with these two Mumma’s who are currently on maternity leave.  The older children all seemed to enjoy running around Alana’s lovely big lawn.

We also had the pleasure of meeting and greeting our newest physio Tessa and her partner before she started work on the Wednesday following the party.

Everyone had a lovely time and ate like kings and needless to say we had plenty of nibbles for the next couple of days at work!

More recently we had a Secret Santa at work where everyone brought a gift along.  The game starts where you get to choose a gift out of the box and decide whether you want to steal someone else’s gift that they have already opened, swapping with your unopened gift, or you could open yours.  It turns out everyone was being far too nice and choosing to open theirs instead of stealing, so Dariel and Lucy shook things up a bit and stole from some of the other staff – in saying this the calibre of the gifts was very high this year so all the gifts were lovely even if you had your original gift stolen.

So in closing this wee blog, here at Accelerate Physio we would like to wish you all a very Merry Christmas and a safe and happy New Year

 


Accelerate Physiotherapy Celebrates Success

FB_IMG_1445913563928 20150925_195917_LLS FB_IMG_1445906451104In recent months Accelerate has celebrated with being selected as a finalist in the Westpac  Southland Business Excellence  Awards in the Crowe Horwath Business (under 15FTE) category.

As Sarah Hannan CEO, of the Southland Chamber of Commerce, stated;

“The awards were introduced in 2013 and are held bi-annually. This year there were double the number entries from the inaugural event and the high calibre of entries made judging particularly difficult, with only a few points between finalists in many categories.

Southland Chamber of Commerce CEO Sarah Hannan, said there has been a depth and breadth of talent shown across a range of business sectors. “The awards are the regions platform to showcase and celebrate business excellence in all its forms.”

Entering the awards involved submitting an entry that included the clinics vision and plan, a review of the business’ strengths and what differentiates us in the community, risk management, community work as well as financial information over the past two years.

By doing this it gave us a good opportunity to review the business processes, strengths and weakness along with identification of possible opportunities for business development.

To celebrate being a finalist we took all our staff to the awards gala dinner on September 25th at Ascot Park Hotel. Our team had a great night and enjoyed sharing in the success the business achieved as it couldn’t have been achieved without the great team we have working at Accelerate.

Our second celebration of success was at the Sunrise Rotary Club of Invercargill where Judy Wheeler was presented with a Pride of Workmanship Award on Friday 16th October.

Judy’s nomination recognised the 13 years she has been with the company, her courteous and friendly manner that is an excellent first impression of the business,  attention to detail and the fact that she is accurate and conscientious with all her work tasks ensuring they are completed on time, even if it means working extra hours. Over-all Judy puts her all into her role and is a great asset to the business.


Gardening and back pain

It has been a long, cold, wet winter, but it’s not long now until spring.  I’m starting to think about my garden, which fortunately has needed very little attention this winter but it won’t be long until I start to get my vege patch ready and I’m sure there will be plenty of weeding to do as the days get warmer, sunnier and probably still wet!,

With all the digging, bending, lifting, pulling, shovelling to come, it is a good time to remind ourselves of some basic back care. I look after my back when gardening by just following a few simple rules:

  1. Task variation

Mix it up.  Don’t get stuck doing one job for hours on end.  Ideally change your jobs every half an hour and have regular breaks, even if it’s just to grab a drink of water or use the toilet.

  1. Stretch it out

If you have been doing lots of bending, make sure you take the opportunity to arch backwards, if you’ve been doing a lot of reaching up high and leaning backwards, then lie on your back on the ground and hug your knees in towards your chest

  1. Work those legs

Give your back a break from all the bending and bend your knees instead to reach the ground

  1. Core

Engage those deep tummy muscles to help support your back, especially when you’re bending, lifting and tugging on those pesky weeds!  And to further protect your back make sure your keep that armful of weeds or potting mix in nice and close to your body

 

And don’t forget, if you do get in trouble, you’re friendly physios are always happy to get you back on track!


Headaches

Does physiotherapy help with headaches?

In some cases yes – if your headaches are due to a problem in the top 3 vertebrae of your neck or if there is a problem with the neck muscles or your posture.

How can you tell?

Generally if your headaches are related to your neck you will also be experiencing neck pain and/or stiffness or muscle tension in the neck.

Your posture may also be affected.

Why does the neck cause the headache?

The muscle and joints of the neck can refer pain into the head a bit like back pain can cause leg pain.

What can you do to help yourself?

Make sure you keep good posture when you are sitting, standing and working. Aim to change your position regularly.

Warm heat can help ease muscle tension as well as gentle neck stretches.

What can physiotherapists do to treat neck pain?

Physiotherapists first assess to see if the neck could be a contributor to the headache and then assess what structures are causing the pain. The physiotherapist can then discuss what treatment would work the best. Treatment could include

  • postural exercises
  • strengthening exercises
  • massage
  • mobilisation
  • manipulation
  • acupuncture.

Developmental dysplasia of the hips

DDH, or ‘clicky hips’ as most people know it as, is a structural abnormality in the development of baby’s hip. Some babies are born with the defect which can be picked up at a hip check. However some, like Lily, get missed initially and don’t get picked up till later in their lives. Often it is picked up when children start to walk, and parents notice that the child has a limp or the child walks later in life than expected.

Luckily, sort of, I had concerns with Lily’s ability to jump in her jolly jumper and thought her legs were a different length when she was 4 months old. We were sent for an ultrasound at the hospital, and was told her left leg was permanently dislocated and therefore her hip hadn’t formed properly.

When Lily was 6 months old, she went into a spica cast – a cast from her nipples to her ankles. But, Lily quickly adapted and hasn’t minded being restricted. She is now 10 months and coming to the end of her spica journey. Lily’s hip has formed well and the specialist has said Lily shouldn’t need any further treatment. But she will be followed up until her adolescence. This is relatively minor compared to other children who have had numerous surgeries and casts. Also, if children are older when the deformity gets picked up, the children can be more upset as they can’t crawl, stand, or walk anymore.

Signs and risk factors for DDH include family history of DDH, first born, female, breech birth, leg length discrepancy, and uneven skinfolds on the legs or buttocks. If you have any concerns, make sure you talk to your plunket nurse or GP. If the deformity is picked up soon enough, the treatment is far easier on the child (and parents).IMG_1195


Physio for western southland

Lucy is the lucky physiotherapist who gets to travel through the beautiful Southland countryside out to Tuatapere twice a week, and once per fortnight on a Tuesday morning through to Ohai.

We have regular clinics in the Western Southland area to serve the farming and industry community and we are located in the medical centre in Tuatapere and Ohai. As we are situated in the medical centre, we are able to work in close contact with the medical staff to provide a holistic approach to health care.

The weather is usually kind to us and very rarely do we not make it out to Tuatapere.

Our usual hours in Tuatapere are 9.00-4.30 Tuesday and Thursday, and 9.30am onwards every second Tuesday in Ohai.

If you need any physiotherapy treatment or advice you can make an appointment through Accelerate Physiotherapy on 03 2186583 or by contacting Tuatapere Medical Centre on 03 2266123

 


Breathing

At this time of year with all the stress that is surrounding us, we can easily get caught up in it. As the tension builds our shoulders start to migrate towards our ears, we develop tightness and pain in our shoulders as well as our neck, our breathing gets faster and we feel our shoulders heaving as we breathe. It is also important to take some time each day to stop and wind down.  Let your mind relax, let your shoulders relax and let that breath move down into the bottom of your lungs.

Occasionally you can get caught up in a cycle of stress and poor breathing and find it difficult to break this cycle.  You might find that you start to feel all sorts of worrying symptoms. Do any of these sound familiar?

  • Chest pain
  • physical tension
  • blurred vision
  • feeling confused
  • faster, deeper breathing
  • short of breath
  • tight feelings in your chest
  • bloated feeling in stomach
  • tingling fingers
  • unable to breathe deeply
  • stiff fingers or arms
  • tight feelings around the mouth
  • cold hands or feet
  • racing heart
  • feelings of anxiety

These symptoms can all be linked to a poor breathing pattern.  If you are having any of these symptoms it is especially important to take the time to relax and correct your breathing pattern.

If you are having trouble getting back on top of things and you would like some extra help, come in and see Lena, our certified BradCliff practitioner for breathing pattern disorders.