Low back pain is the most common musculoskeletal condition seen in Australia. Back pain can either be acute (24-48hr duration) subacute or chronic (greater than 3 months) and can be as a result of:
One of the most common forms of low back pain. It is important to understand whether it is a small tear, bulge or protrusion in the disc causing back pain. Disc injuries can also present with nerve pain (sciatica) which may travel down the leg. It is important to have an accurate diagnosis to help guide appropriate management.
Muscular spasms are commonly associated with acute injuries as a protection mechanism to avoid further injury. Management consists of soft tissue work, joint mobilisations/manipulation and exercise to improve stability around the spine.
Facet joint sprains:
Facet joint sprains are common and often associated with acute pain. Initially it is important to settle down inflammation and improve movement before progressing to a functional rehabilitation approach.
Trident Movement provides treatment of back pain for the people of the Northern Beaches from Dee Why, Brookvale, Collaroy, Curl Curl, Freshwater, Manly to Frenchs Forest.
Neck pain is a common musculoskeletal condition. Similar to back pain it is important to know what structures and positions are triggering pain:
Chronic neck pain:
Often associated with stiffness and tightness of muscles and joints. Commonly this is related to poor postures, repetitive tasks and ergonomics. It is important to learn which postures / positions / habits might be aggravating symptoms and therefore where to make day-to-day changes. We can provide symptomatic relief to tight muscles / stiff joints and follow up with appropriate strengthening exercises to reduce future episodes.
Whiplash is a neck injury due to forceful forth-back motion of the neck commonly associated with a car accident or sporting injury. It is important to rule out possible structural injury (ie fracture) and concussion first. Manual therapy management consists of appropriate soft tissue treatments to reduce pain and rehabilitation to improve neck strength.
Acute neck pain:
Acute neck pain can be due to facet joint sprain or muscle strains. Pain can be sudden from a simple movement such as rolling over in bed or checking the blind spot whilst driving. Treatment is focussed on reducing pain and muscle spasm and returning to activities as soon as possible.
Trident Movement provides treatment of neck pain for the people of the Northern Beaches from Dee Why, Brookvale, Collaroy, Curl Curl, Freshwater, Manly to Frenchs Forest.
Shoulder injuries are common especially in sports which require overhead movements such as surfing, swimming, baseball or weightlifting. There are many structures (muscles, tendons, ligaments, cartilage and bone) which can cause pain in the shoulder.
Rotator cuff injuries:
The tendons of the rotator cuff (supraspinatus, infraspinatus, teres minor and subscapularis) can become irritated and cause pain when lifting and rotating the arm. An accurate diagnosis of where the rotator cuff is injured is important. Management consists of soft tissue therapy and exercises aimed at strengthening the rotator cuff, upper limb and upper back.
Impingement is very common and often causes an inability for the patient to raise their arm without a “pinching” sensation in the front of the shoulder. Impingement can be due to boney spurs, tendon inflammation, bursae irritation as well as weakness of the shoulder muscles and poor shoulder position. Management is aimed at strengthening shoulder position and normalising shoulder biomechanics to offload painful and injured tissues.
Referred pain from the muscles, joints and nerves in the neck can present as shoulder pain. It is important to assess the whole biomechanical chain to find the ture source of pain and to provide an accurate individualised management plan.
Trident Movement provides treatment of shoulder pain for the people of the Northern Beaches from Dee Why, Brookvale, Collaroy, Curl Curl, Freshwater, Manly to Frenchs Forest.
The knee is a common joint which is injured in many sports such as AFL, rugby, running and martial arts. It is important to know which structure/s are affected with knee injuries:
The ACL and MCL are the most common knee ligaments injured. It is important to know which and what grade of tear is present to plan out the best individualised management plan. Initially treatment aims to reduce inflammation, restore normal range before progressing through a complex rehabilitation program consisting of strength, stability and plyometrics / multidirectional movements.
Tears to the cartilage (meniscus) are seen either acutely or associated with degeneration (osteoarthritis). Management will depend on the severity; a small tear without locking or catching can be managed through exercise, however larger tears may need surgical consultation.
Tendon pain is commonly due to overuse which can be as a result of increases in running, stair climbing or repetitive lunging / squatting. Management consists of education, manual therapy to reduce sensitivity and a progressive strengthening program.
Trident Movement provides treatment of knee pain for the people of the Northern Beaches from Dee Why, Brookvale, Collaroy, Curl Curl, Freshwater, Manly to Frenchs Forest.
MUSCLE STRAINS AND LIGAMENT SPRAINS
Commonly seen in muscles such as the hamstring, calf and quadriceps. There are 3 grades of tears, with varying damage. Grade 1 is minor tearing, grade 2 is moderate tear and grade 3 is a complete rupture. Management will differ depending on the grading with the primary aim to improve flexibility and strength, enabling a proper return to activities and reduced risk of re-injury.
Commonly seen around the ankle, knee and wrist. As with muscle strains there are also 3 grades with different severities. Management will aim to improve strength and mobility to enable a proper return to activity.
Commonly seen in the elbow (tennis elbow and golfers elbow), thumb and hamstrings. Tendon injuries can take time to heal. Management includes education to reduce re-injury, biomechanical considerations to normalise movement and loading, and rehabilitation to encourage strong tendon healing.
Trident Movement provides treatment of sprains and strains for the people of the Northern Beaches from Dee Why, Brookvale, Collaroy, Curl Curl, Freshwater, Manly to Frenchs Forest.
At Trident Movement we see a range of sporting injuries from sports such as running, rowing, baseball, martial arts, weightlifting and tennis. During assessment we will look into how you’re performing the movements specific to your sport and provide an individualised management plan to get you back to the sports you love sooner.