PHYSIOTHERAPY AT DMA
Clinical Pilates is proving a valuable adjunct to Physiotherapy in the recovery, prevention and maintenance of injuries, assisting the healing process and reducing pain, stiffness and movement dysfunction.
CLINICAL PILATES PHYSIOTHERAPY AT DMA
Clinical Pilates is proving a valuable adjunct to Physiotherapy in the recovery, prevention and maintenance of injuries, assisting the healing process and reducing pain, stiffness and movement dysfunction. Standard physiotherapy combined with problem specific Clinical Pilates exercises has become the treatment tool of choice for physiotherapists. Our highly qualified physiotherapists will provide :
- Detailed assessment to review both current and past problems which are often related and contributing to ongoing pain.
- Diagnosis – determining if radiology / scans do actually match your clinical presentation.
- Explanation of recommended treatment options, particularly if surgical or conservative solutions are the best and safest options
What We Do
Click on a tabbed item below for more information about what we do.
CLINICAL PILATES TREATMENT
Pilates, over the last 2-3 decades, has become increasingly popular for general exercise and fitness. Clinical Pilates at DMA though, is so much more than simply Pilates exercises in a clinical setting.
At DMA, our Physiotherapists apply the Clinical Pilates methodology, created by DMA founder and Director Craig Phillips, first to assess, and then to treat your problem. The result is an individualized exercise based treatment program, specific to your needs.
The Clinical Pilates assessment process involves identifying the directions of movement that aggravate and alleviate your problem, and looking at how smoothly (or not!) your body moves. The treatment process then involves getting you to work through specific exercises to facilitate better movement quality, and treat your problem. Your DMA Physiotherapist will continue to assess and reassess your response to the treatment exercises to make sure you are progressing in the right direction.
Clinical Pilates treatment programs at DMA incorporate exercises in our clinic and at home. In the clinic we use specialized spring loaded equipment such as the Reformer and the Trap Table. At first this is done “one on one”, but as you progress, you may transition to one of our small group classes, which are closely supervised by our highly trained Physiotherapists and Pilates Instructors. At home, all you will need is some floor space to do your exercises, maybe some elastic resistance tubing which we can supply for you, and of course a dose of self-discipline!
Come and try, and you will find that Clinical Pilates treatment at DMA is truly therapeutic exercise at its best!
TELEMEDICINE FOR REGIONAL, INTERSTATE AND OVERSEAS CLIENTS
Telemedicine is the use of telecommunication and information technology to provide clinical health care from a distance. Telemedicine can be used to overcome distance barriers and to improve access to medical services that would often not be consistently available in distant rural communities.
Using technology like Skype, Facetime and video calls, at DMA we are able to continue to offer you the best of care and advice, even when you are unable to come visit us in the clinic. Much of our assessment and treatment involves listening to your history, observing the way you move and guiding you to perform different exercises and movements, all of which are very readily done through video calls and electronic means.
When face-to-face visits or hands-on treatment is required, but you are too far away to come to us, we are happy to communicate with your local Physiotherapist in conjunction with remote consultations via telemedicine, to ensure a collaborated approach to your health care.
BACK, NECK AND SPINAL PAIN
Back, Neck and Spinal pain can be very troublesome problems, and there are many possible causes. The problems may have come on suddenly, or may have developed gradually over a period of time.
At DMA we will work with you to establish the cause of your problem, and direct treatment not only at relieving your symptoms, but giving you the skills to self-manage and prevent recurrences of your problem. Using a variety of Physiotherapy techniques, combined with Clinical Pilates exercise and education we will help you achieve your physical goals.
DISC AND FACET JOINT INJURIES, SCIATICA
Your spine is made up of a number of different structures. There are the bones or vertebrae, the discs (which act as cushioning shock absorbs in between the vertebrae), the facet joints (which are where each vertebrae connects with its neighbor, and they run in pairs down the sides of the spine), the spinal cord and exiting nerves, ligaments, muscles, blood vessels, and other connective tissues. Any of these structures can be injured or damaged, which may cause pain. However, it is important to mention too, that the presence of pain does not always indicate damage or injury. Nor does evidence of damage on scans or x-rays necessarily correlate with pain.
Discs may be described as slipped, bulging, prolapsed or degenerative. Facet Joints may be described as strained or inflamed. Sciatica typically describes pain that is felt down the back of the leg, thought to be referred from nerves exiting the spine. These words are simply describing an observation of the structure. What is important is how your spine is functioning, and how well you can do the things you want to do.
Your Physiotherapist at DMA will be able to explain to you what these descriptive terms mean, and how they relate to your problem. More importantly, they will educate you as to how you can manage your problem, and work with you to build an individually designed Clinical Pilates treatment program to help you achieve your physical goals
SHOULDER, ELBOW, WRIST AND ARM PAIN AND INJURIES
The human upper limb is a remarkable piece of engineering! The shoulder complex includes the humerus or upper arm bone, the scapula or shoulder blade and the clavicle or collar bone, as well as the muscles of the rotator cuff (and many other muscles , of course) . This complex of anatomy allows enormous freedom of movement, (almost a full 360 degrees!!) for us to perform all kinds of activities, like reaching overhead, throwing, climbing and so on. The hinge joint at the elbow allows us to perform the one of our most basic functions, ie. getting hand to mouth! And the many small bones and muscles of the wrist and hand allow us to manipulate tools and object in a way unique to us as humans.
Pain or injury in the upper limb can therefore be quite debilitating. The problem may be occurring for a variety of reasons. Maybe you had a fall and broke or fractured one of the bones in your arm, or perhaps the problem has come on more gradually, associated with overuse or an unusual activity or posture. An often overlooked contributor to chronic pain in the upper limb is the role of the neck joints, and the nerves that come from the neck area to supply the arm.
At DMA our Physiotherapists will perform a thorough assessment of your arm problem, including looking at possible causes of a chronic issue that may have previously been overlooked. Using our DMA Clinical Pilates methodology combined with traditional physiotherapy techniques like mobilization and massage, we will work together with you to help get to the cause of your problem and get you back on track.
If specialist Hand Therapy beyond our area of expertise is required, we will be able to refer you on to an experienced Hand Therapist to treat your problem.
HIP, KNEE AND ANKLE PAIN AND INJURIES
Hip, Knee and Ankle pain are common reasons why someone might seek advice from a Physiotherapist. The problem may be due to an injury from sport or other activity, or you may have been told you have some degree of degeneration in the joints, caused by arthritis or something similar.
With acute injuries like ankle sprains and knee strains, good old fashioned Rest, Ice, Compression and Elevation – also known as RICE – is your best line of treatment in the first instance. It’s important though to seek early diagnosis too, from a suitably qualified health practitioner like a Physiotherapist. A Physiotherapist will be able to accurately diagnose the type and severity of your injury and give you appropriate advice and treatment. They will also advise you with regard to not returning to activity too soon, which can cause re-injury, prolonging the recovery time.
Chronic or re-occurring injuries in the lower limb can be caused by faulty movement patterns. Our DMA Physiotherapists are also experts at addressing these kinds of issues, with exercises aimed at helping to retrain strength and appropriate muscle firing patterns to correct the problem. Sometimes orthotics (shoe inserts) may be required to correct a biomechanical issue. If this is the case, your Physiotherapist will be able to recommend a well-qualified Podiatrist for that purpose.
An often overlooked cause of ongoing hip pain (but also knee and ankle pain) is the role of stability in the lumbar spine, and the role of the nerves that exit the spine to supply the muscles and joints in the leg. These issues can co-exist with things like arthritis in the joints, but play a big factor in the actual cause of the problem itself. By carefully assessing your whole body, your DMA Physiotherapist will be able to identify the role of co-existing pathologies and implement an appropriate treatment program accordingly.
Using our DMA Clinical Pilates methodology combined with traditional physiotherapy techniques like exercises and massage, we will work together with you to help get to the cause of your problem and get you back doing the things you want to do.
MORE INFORMATION HERE
Arthritis is a term that describes diseases affecting the joints. There are many types of Arthritis, but the most common forms are Osteoarthritis (also sometimes called Degenerative Joint Disease), and Rheumatoid Arthritis (which is an auto-immune disease). Arthritis can affect both young and older people, and the onset can be gradual or sudden. Symptoms often include pain and stiffness, which may be accompanied by redness, warmth and swelling of the affected joints.
Though there is no cure for Arthritis, there are many ways to help manage the symptoms. Your GP may prescribe medications to help control pain and/ or inflammation. They may also refer you to a Musculoskeletal Physician or a Rheumatologist for more specific diagnosis and medical treatment. Surgery is sometimes required but often a last resort.
Physiotherapy is also extremely useful in helping to manage the effects of Arthritis. Your Physiotherapist will be able to provide treatment to help with pain and stiffness, and importantly give you advice on how to move better so as to avoid overloading your joints. Exercise is a very important part of managing Arthritis, and a Physiotherapist is just the person to guide you as to which exercises would be the most safe and effective ones to be doing.
At DMA Clinical Pilates and Physiotherapy, our Physiotherapists are experts in exercise prescription for chronic conditions like Arthritis. We have the medical knowledge and the Clinical Pilates experience to safely design and guide you through your individually designed exercise program to help with your symptoms and goals.
Ergonomics is the process of designing working environments so that they fit the people who use them. Many of our aches and pains can be related to the way we hold ourselves in particular postures and the way we use our bodies to move when at home, in the car or at work. Advice in this area can go a long way to solving some of the chronic posture related problems that plague us.
When you come to DMA, part of our assessment process will include asking you about the sorts of things you do in your day to day activities, like work, sport, home life and so on. This will help us understand your ergonomic profile so we can identify where there may be room for improvement and advise you accordingly.
Sometimes desks or seating are the issue, so we can suggest ways to modify your current setup using supports or adjustments. We can also suggest suppliers for you to contact if new furniture is required. Similarly we can advise on how to adjust things in the car or at home so that the ergonomic set up is just right for you. If the problem is more related to sporting or recreational activities we may look at your equipment or technique and advise on how you can make changes to help fix your problem.
By looking at the whole person, and all the things they need to do, we are better able to get the desired outcome of getting you back to enjoying a healthy, active lifestyle.
DYSAUTONOMIA, CHRONIC FATIGUE, FIBROMYALGIA
Dysautonomia, Chronic Fatigue Syndrome and Fibromyalgia are part of a group of chronic conditions that relate to disorders of the Autonomic Nervous System. This is the part of the nervous system that controls automatic functions like heart rate, blood pressure, digestion, breathing and so on. People with various forms of Dysautonomia have trouble regulating these systems, resulting in symptoms like lightheadedness, unstable blood pressure, abnormal heart rates and breathing, and digestive issues. Pain and lack of energy are also common complaints related to these conditions.
Although many people are unfamiliar with the terminology, it is estimated that there are millions of sufferers worldwide. Sometimes Dysautonomia and related conditions are due to inherited factors, such as Joint Hypermobility. This is when a person’s connective tissue is more supple than usual, so that the joints and nerves in the body are at risk of being overstretched and becoming overly sensitive. In other cases Dysautonomia and related conditions are due to an injury, accident or other cause.
So how can Physiotherapy help with this condition? Working with some of the world leaders in Dysautonomia research DMA has developed a specific exercise based program to target and manage the symptoms. By tracking your symptoms and identifying patterns of triggers and underlying causes we can develop a safe and therapeutic Clinical Pilates exercise program to support the delicate structures of the musculoskeletal and nervous systems, and reduce their sensitivity to excess loads.
Although there is no cure for Dysautonomia and related conditions, these interventions do relieve the symptoms and things often improve dramatically once the underlying cause is addressed. Our DMA Physiotherapists are highly experienced in this area and will be able to help you get back on track.
MORE INFORMATION HERE
CHRONIC AND COMPLEX PAIN CONDITIONS
Chronic pain can be an extremely debilitating and complex condition to deal with. In medical terms, the phrase “Chronic Pain” really refers to pain that has persisted beyond the usual healing time of an injury. It describes the length of time that the pain has been present, but not the severity of the pain, nor the extent to which a person’s day to day activities are affected. Complex Regional Pain Syndrome (CRPS) and Neuropathic Pain are examples of different types of chronic pain.
If you ask someone with chronic pain how it affects them, they will often describe a variety of symptoms, ranging from mild to severe, constant or intermittent, deep aching or sharp and piercing pain. There may be pins and needles, or sensations of coldness or warmth to the affected area. The symptoms may seem to have no pattern and it can be difficult to pin point the triggers. Chronic pain can lead to various degrees of disability if not managed well.
The reasons why some people develop chronic pain are not well understood as causes are varied, but the problem involves disturbances in the signaling of the nervous system.
Experts agree that management of virtually any condition now includes a focus on physical care alongside medical care. Exercise is a mainstay in all conditions, and the more specific that exercise the better the outcome. DMA Clinical Pilates Physiotherapists are experts in analyzing chronic and complex pain and developing specific programs for Chronic Pain Management and for your long term health.
PRE AND POST NATAL HEALTH
Pregnancy and motherhood are both very exciting times in a woman’s life. Unfortunately they come with their own unique set of musculoskeletal aches and pains! Back pain is a common issue which is readily addressed with careful physiotherapy treatment and exercise advice.
Once baby comes along there are the postural demands of lifting, carrying, feeding, changing, car travel, etc. to contend with. Your DMA Physio will be able to give you advice as to how you can best tackle these demands safely.
Many women enjoy being able to continue exercising throughout their pregnancy, and this is encouraged by obstetricians and women’s health experts alike. Clinical Pilates is a fantastic way to keep your exercise routine going as your pregnancy advances. It is gentle, low impact and enjoyable, and the intensity can be adjusted as your changing body needs demand. If you are not used to exercising before becoming pregnant, then Clinical Pilates is a great way to start getting in shape for the same reasons. In each case, you will be carefully assessed and a program designed especially for you. The muscles used in Clinical Pilates incorporate pelvic floor and core, both of which are extremely important during pregnancy and afterwards.
Whether you are working with your DMA Physiotherapist one-on-one, or in one of our small group classes, you can be confident that you will be carefully supervised while exercising to make sure that you are doing so safely with good technique. And, as your body changes with your advancing pregnancy and after delivery, your program will be modified accordingly to ensure that you continue to benefit from your Clinical Pilates exercise program
WOMEN’S AND MEN’S HEALTH ISSUES
Women’s and Men’s Health is a specialist area of Physiotherapy that relates primarily to problems of the bowel, bladder and pelvic floor muscles. There can be issues with continence, pain in the pelvic area, sexual dysfunction, or problems following surgery in the pelvic area.
Clinical Pilates can be especially helpful in relation to pelvic floor issues, due to the way these muscles are recruited during exercise, and your DMA Physiotherapist will be able to advise you on this. In some cases, the use of real-time ultrasound can be helpful in identifying problems in this area.
If specialist treatment beyond our area of expertise is required, we will be able to refer you on to an experienced Women’s and /or Men’s Health Physiotherapist to treat your problem
PRE, POST AND FAILED SURGICAL CONDITIONS, SURGICAL SUITABILITY
Hip or knee joint replacement for arthritis, spinal surgery for back pain…..the decision to have surgery is not an easy one, nor a guaranteed solution to your problem.
In many cases a conservative approach which includes Physiotherapy and therapeutic exercise like Clinical Pilates, can be equally, if not more effective in avoiding expensive surgery, and managing your problem.
At DMA our Physiotherapists assess your problem with specific screening and treatment methods which can help decide whether surgery is in fact the right option for you.
Should surgery be the best option, exercise based “Prehab” will help prepare you for a speedy recovery afterwards. In the new age of health reform stronger primary care programs, including exercise based physiotherapy, will play a major role with screening “hospital gate” patients
SPORTS INJURIES, ATHLETE SCREENING, CONDITIONING, PERFORMANCE
DMA Clinical Pilates has become the exercise intervention of choice in leading clinics, hospitals and National Institutes of Sport throughout Australia, Asia and the UK. Sports research is showing performance benefits being gained through targeted efficiency training.
The DMA Clinical Pilates methodology incorporates functional task screening to identify athletic strengths, weaknesses and imbalances. Using biometric movement analysis tools like dorsaVi can assist in highlighting and addressing these deficits. Our research based approach can help to correct faulty biomechanics, improve posture and flexibility, improve motor control and trunk stability and overall body toning.
Identification of the true underlying cause of a problem will lead to better injury management and greater resistance to injury, and safer training and improved performance
DANCE INJURIES AND PRE- POINTE SCREENING
Of the many sporting and recreational pursuits we enjoy, Dance is possibly one of the most demanding activities to undertake. Dance requires athleticism, strength, flexibility, artistry, theatrics… to name a few.
Our director Craig Phillips is an ex-dancer with the Australian Ballet Company, so at DMA we understand the demands unique to dance. We have supported many professional theatre and dance productions and are well equipped to assess and manage dance related injuries and issues through careful physiotherapy and clinical pilates approaches.
Pre- pointe screening is a specific service we offer that assesses a young dancer’s readiness to progress to this more advanced level of ballet training. The process involves a thorough assessment of the dancers posture, flexibility, strength and control, and advice as to what area’s to work on to prepare the dancer for safe transition to pointe work. At DMA we understand that parents, students and their teachers may have queries and concerns regarding pointe readiness, so we are always available to answer questions, and we always liaise with the dance school and teacher with regard to each student we work with.
MULTIPLE SCLEROSIS AND OTHER NEUROLOGICAL DISORDERS
Neurological Physiotherapy is a special area of Physiotherapy that involves the treatment of people with movement disorders as a result of injuries and diseases of the brain, spinal cord and the broader neuromuscular system. These can include stroke, spinal cord and traumatic brain injury, Multiple Sclerosis and Parkinson’s disease.
Problems associated with these conditions often include balance and co-ordination issues that can be improved with specific exercise programs, such as Clinical Pilates. Our DMA Physiotherapists will be able to design an exercise program for you to address these problems, as well as looking at other co-existing musculoskeletal problems like pain and stiffness in other parts of your body.
If specialist Neurological Physiotherapy treatment beyond our area of expertise is required, we will be able to refer you on to an experienced Neurological Physiotherapist to treat your problem