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How to travel in comfort and avoid injury during a holiday

Great weather is finally here and most people are contemplating going away on holidays over the summer. If you’re going away to a far-flung location – you lucky thing! Make sure you read Maroubra Road Physiotherapy’s comprehensive guide to staying safe and looking after yourself and your family overseas.

Between 2016-2017 the Australian government’s consular services supported 1,701 Australians who got into trouble and were hospitalised far from home. In this article, we will provide you with a run-down of all the things you should consider to avoid injuries this silly season.

Choose a destination that’s safe

Some parts of the world are statistically more high risk for a holiday than others. Things that we take for granted in Australia like safe roads, law and order and political stability often don’t apply in other parts of the world. The Australian government’s Safe Traveller website can give you up-to-date safety insights for your dream destination.   

What to avoid on your next holiday

Here’s some food for thought, According to Bupa, these are the most common injuries or illnesses suffered by Australian tourists at popular tourist destinations. It’s worth keeping this in mind.


  • Thailand: Head Injuries from motorcycle and scooter accidents.  
  • Indonesia/Bali: Gastroenteritis.
  • France: Cycling accidents.
  • Singapore: Rabies and bacterial infections as a result of monkey bites.
  • Philippines: Parasitic water-borne viruses.
  • China and Mongolia: Respiratory and breathing problems.


Know your physical limitations

Often when we go on holidays, we can feel temporarily invincible. We’re away from the normal working week, so we feel more energised and bolder than usual. Holidays are often times when we try risky activities like free-diving, surfing in turbulent waters, mountain climbing or something else that tests our physical limits. This can be a grave mistake when not prepared for it and may result in injury or even worse!

Mentally you may feel emboldened by your sudden energy, but actually, you haven’t trained in the lead-up to your physically challenging activity and have overestimated your fitness. This is when strains, sprains, sporting injuries and back injuries often happen. In planning your adventure in the months prior, you should gradually increase your fitness levels and choose sport specific exercises that use the same muscle groups as your chosen activity. A personal trainer or physiotherapist will be able to provide advice for this.  

Advice for long-haul flights

Part of Australia’s charm is the multi-cultural diversity of its population.  For some people, this may mean up to 28 hours on a flight to get to their loved ones over Christmas. Long-haul flights can be the most boring and gruelling part of a holiday. You can make traipsing across multiple time-zones more enjoyable and less painful by following this advice.  


  • Avoid alcohol and caffeine on the flight. Along with the pressurised cabin, these drinks will dehydrate you and leave you feeling more tired than you otherwise would.
  • Try and get some shut eye. Many people often take a sedative like Ambien or Valium on a long-haul flight. Yes you will probably sleep, but when you arrive, you will still feel groggy and half-asleep, which isn’t fun.
  • Invest in a decent pair of noise-cancellation headphones. These are designed to block out all ambient noise. You can comfortably listen to a relaxing album or podcast until you fall asleep. Planes are surprisingly loud. Blocking out all the ambient noise will make a long-haul flight far less stressful and tiring.     
  • Drink a lot of water to rehydrate your body. Before, during and after your flight, staying hydrated will make you feel more energised.
  • Don’t stay stationary for long periods of time. Instead, get up every hour, move and stretch.


Stretches on the plane

The key to feeling great after a flight is to do some leg work. Hours staying stationery in a confined place will mean that your blood becomes stagnated in the body causing swelling in the feet and ankles and in some cases, resulting in the dangerous DVT or deep vein thrombosis.

1. Fifteen calf raises every few hours

You should do some in-seat stretches every hour or two. A calf raise involves pushing up onto your toes and engaging your calf muscles. Then, if space allows, lift your legs so they are outstretched in front of you and flex your feet, hold for 20 seconds, and repeat.

2. Hamstring and glute exercise every hour  

The muscles in your hamstrings and glutes naturally shorten on a flight when you are stationery for many hours. This can cause pain and soreness in your lower torso. To help relieve soreness and pain, put your heel up onto the top of your opposite knee and push down on your leg to get a good stretch in your glute.


3. Neck and shoulder exercise every hour

Sitting down in a cramped position for many hours always leads to tension in the neck and shoulders. To alleviate this, do five shoulder rolls forward and then five backward, then turn your neck to the right and back to the centre five times and then turn it to the left and back to the centre 5 times. Try and do this every hour.

4. After your flight

Walking through the terminal after the long flight will help to loosen and warm up your muscles again. Then once you arrive in your hotel (Phew, finally!) you should do a gentle stretching or a gentle yoga routine to release tension in the legs, hips and lower back. This will help to re-energise you, help with jetlag and prepare you for sleep. For more advice on stretching and pain relieving exercises, speak with the team at Maroubra Road Physiotherapy.

Maroubra Road Physiotherapy can help

If you arrive back in Sydney after a holiday full of aches and pains, book an appointment today with our friendly team at Maroubra Road Physiotherapy. If you enjoyed this post, make sure you like and share this with someone on Facebook who is going on holiday soon. Bon Voyage!


Six tips for avoiding injuries during the silly season


During Christmas, a cocktail of stress, excitement and tiredness can take hold. In this environment, accidents can easily happen. However with some careful planning, many accidents can be avoided. In this guide by Maroubra Road Physiotherapy, our expert physiotherapy team will talk you through some smart solutions for the silly season.

1. Give gifts that encourage physical activity


According to the 2018 Active Kids Australia Healthy Report Card, only 13% of children (aged 15-17 years old); along with 23-64% of primary school aged children did an hour of muscle and bone strengthening activities each day.


This is concerning because it shows that kids are more excited by stationary, gaming and computer-based activities. No surprises there! To remedy this, we recommend buying sports-related gifts this Christmas and involving the whole family in fun backyard sports challenges.  This can often be a fun way to inspire the kids.

2. Kids need adequate protective gear for sports  


There’s nothing wrong with letting your children loose for a bit of rough and tumble play. Although it’s important to mitigate against accident risks too. If you bought your child a bike, skateboard, or a pair of rollerblades for Christmas, then It’s always a good idea to invest in a helmet, along with protective knee and elbow pads to protect them on their roving adventures.

3. Taking a break from sport over Christmas


If you regularly play sport and stop training over the Christmas break, your body will lose strength and muscle condition. This may result in a higher risk of sports-related injuries when you return to training.


It would not be wise to go straight into your regular boxing, weight-lifting, cardio or running program after the Christmas break. Your unprepared body may have other ideas and may protest in the form of a sprain, strain or sporting injury.


Instead of allowing your body to lose muscle condition and strength over Christmas, you could substitute the gym with going for daily walks or swimming in the ocean. When you return to your workout program after Christmas, you could try a gradually tapered training program that increases in intensity over a number of weeks to avoid injury and get you back to your original fitness levels.


Also, don’t forget about warming up and cooling down with each workout to prevent injury as well. For more advice on sports injuries, speak with the team at Maroubra Road Physiotherapy.


4. Be mindful of your alcohol consumption


Alcohol is usually the chief mischief-maker and reason for many people’s Boxing Day regrets.


One 2018 study by Monash University in Melbourne analysed eight hospital Emergency Rooms across Australia and New Zealand. The study screened nearly 8,500 patients seen over a seven day period in December 2014.  Of these, 801 presentations in the ER (or 9.5%) were identified as being alcohol-related. These people went a bit overboard on the partying and as a result their decision-making, motor coordination and cognitive ability was impaired, resulting in accidents and injuries.


5. Avoid Kitchen calamities


Boiling water, sharp knives and heavy objects can make your kitchen a hazardous place during the Christmas period. It’s always a good idea to keep the kids out of the kitchen and to avoid having alcohol yourself until you’ve finished with cooking. Also it’s wise to clean up spills as they occur to avoid slips and falls.

6. Don’t ignore pain


According to the Australian Pain Management Association, If you have problems with chronic pain, then Christmas can sometimes be a rather intense and demanding time. You might be expected to pitch in with tasks like shopping, cooking or preparing meals.


Remember to ask your family members and friends for help with these daily tasks. Also,  you should ask for their understanding if you’re experiencing pain. Remember to do your stretching exercises. Often these gentle movements will lessen the pain. For a detailed and personalised stretching program that will help you with chronic pain, you can speak with us  at Maroubra Road Physiotherapy.

Over the years we have seen many different Christmas related injuries at Maroubra Road Physiotherapy, from drunken falls down the stairs, to daring dad’s trying out their kid’s skateboards and falling off. If you would like some advice on managing pain or injury during Christmas, please give us a call today on (02) 9314 3888.

To move or not to move: Is movement helping or hindering your recovery?

To move or not to move: Is movement helping or hindering your recovery?

If you have sprained your ankle, torn your ACL or slipped a herniated disc, you will be familiar with the saying ‘make pain your friend’. Pain can be a horrible companion though, keeping you laid up on the sofa with day-time TV as your miserable companion. It can also be the key to understanding when you are ready again for exercise and when you still need to recuperate.

It can be incredibly frustrating to be out of action for weeks and sometimes even months! However injury recovery time is essential to ensure that you don’t stay on the couch for even longer periods. Here are some pointers for when you should resume exercise, and when to take it easy following an injury. Every injury is different, so it is advisable to discuss these suggestions with your physiotherapist to make sure they apply to you.

Listen to your body and respect it

This is easier said than done, All you want to do is get out there and pound the pavement or get on your bike to resume your workout regimen.

However by listening to subtle (and not so subtle) signals that your body is giving you, and then acting accordingly, you are going to prevent worsening your injury.

After having a rest period, your injured body will now be in a weaker and more vulnerable state. Going from zero to 100 straight away is not a wise move. After a strain, sprain or sporting injury you need to ease back into it.

A return to exercise after an injury needs to be carefully managed by a physiotherapist. However an example of a return to exercise may initially include low-impact exercise like yoga, stretching and walking. Then after a week or two and no obvious signs of pain, you could increase the frequency and intensity of your daily routine. Perhaps you could try a 3 km slow jog twice per week. Although in any case with an injury, it is best to be assessed by a physiotherapist or other healthcare professional for a tailored programme.

Listen for signs

During any physical activity post-injury, listen out for pain in your body. This will indicate when you should ease up on exercise or stop altogether. Pain is an obvious and clear signal that you have done too much too soon.

Begin with low-impact exercises

Walking is the most natural type of body movement. It’s what we humans were born to do. A gentle walk can be a low impact way to stay active. Swimming and yoga are also low impact choices for stretching out your muscles and gaining strength following an injury.

Try balance and strength exercises

Pilates, yoga and other strengthening exercises are great for improving your posture, muscle strength and core strength. You would be surprised at how many muscle injuries occur due to a lack of core abdominal strength. Exercises that promote abdominal strength are vital for preventing many strain and sprain injuries. You should consider integrating balance and strengthening exercises into your injury recovery, this will help you in the long-term.

Avoid high impact and weight-bearing exercises

Weight-bearing exercises should be avoided following an ankle or leg injury to avoid the chances of worsening your condition. Not only should you put down the hand-weights, you should also avoid high impact exercises and high impact cardio like running, basketball and netball which take a heavy toll on the joints for the same reason.

Eat well, sleep well and stay hydrated.

Food, sleep and hydration play a critical role in accelerating or hampering your recovery time after an injury. You should therefore avoid fatty, sugary and processed foods in favour of fresh fruit, vegetables and grains. If you must eat meat, make sure it is a lean cut of fresh meat.Try and avoid alcohol because it won’t help your body to heal itself. Conversely, good old water is going to help your body’s tissues to heal quicker by keeping them hydrated. A decent night’s rest every night can also have a positive impact on your recovery time.

See a friendly and caring physiotherapist

A physiotherapist will assess your current physical state and give you deep insights into your prospective recovery time. Many factors including your age, health, fitness and how long you have been injured and immobile will influence the length of time you take to recover.

Maroubra Road Physiotherapy is made up of experienced, caring and friendly physiotherapists who are passionate about helping the local community. We take a holistic approach to looking after people and see the whole person, rather than just the injury. We create step-by-step programmes that are uniquely tailored to your circumstances and needs. The team get a real thrill out of seeing people get back on their feet again and back into healthy exercise and living a full life.

Getting a physiotherapy assessment will help to ensure that you don’t worsen the injury or lengthen your recovery time unnecessarily. It also means you are recovering from injury in a personalised way that is safe and beneficial to your health. Speak with the team at Maroubra Road Physiotherapy today to book an appointment on (02) 9314 3888.

Sleep and recovery: Five ways that sleep mends your body

Sleep and recovery: Five ways that sleep mends your body

Sleep is a free and powerful tool that only nature can provide! Although we sleep around a third of our lives, we put little faith into the miraculous benefits of sleep.

If you have recently had a sporting injury, or sprain, then sleep could be just the tonic you have been searching for…and best of all…you do it anyway and it’s free!  This post will explain five fantastic benefits of sleep and why you should start taking your sleep more seriously.

  1. Adequate sleep regulates inflammation

The hormone prolactin, which helps regulate inflammation in the body is secreted while you are sleeping. This means that if you don’t get adequate sleep then you my be more likely to experience inflammation in the body. This lengthens the recovery time after an injury and may also put you at risk of further injuries.

  1. Adequate sleep regulates growth hormones

Hormones also play a role in sleep too. When your body enters into a deep state of sleep where you aren’t dreaming, (also known as the non REM phase of sleeping), your pituitary gland secretes growth hormones which stimulate muscle repair and growth. Likewise, if you don’t actually get enough deep sleep, then the amount of growth hormone in your body is depleted, thus you will take longer to recovery after an injury.

  1. Adequate sleep regulates blood flow

During the non-REM deep stage of sleep, your body heals itself by increasing blood flow to your muscles and tissues. Increased blood flow in the body means more beneficial nutrients and oxygen to aid recovery of injured muscles and to repair and regenerate cells.

Sleep is particularly great for healing blood vessels and the cardiovascular system including the heart. Conversely, without enough sleep, over sustained periods of time, you increase your risk of heart disease, kidney disease, high blood pressure, diabetes, and stroke.

  1. Adequate sleep helps you to learn and retain information

Research from Harvard has found that getting enough sleep helps to improve brain function and aids your memory and decision-making abilities. So you should give credence to the idea of sleeping on a complex problem and then making a decision on it the following morning. While you sleep, your clever brain will be highly likely to formulate a remarkable solution to a problem, which was troubling and confusing you the night before!  

  1. Adequate sleep helps you to regulate how hungry you feel

When you get enough sleep, the hormones that regulate how hungry or full you feel (ghrelin and leptin respectively) are in balance.

Ever notice how, when you’re extremely tired you also feel like eating a lot? That’s no coincidence! It’s because your body’s hunger hormone ghrelin has gone up and your leptin has gone down, making you hungry and craving unhealthy food. Sleep also regulates the body’s insulin levels which control blood sugar levels. Thus, a  lack of adequate sleep over time can lead to an increased risk of diabetes and obesity.

So what is ‘adequate sleep’ anyway?

Well it depends on how old you are, or if you have recently had an injury.

Babies, children and teens have a lot of growing to do. So they therefore need a lot of time for sleep. Adults need less sleep because they are fully grown, so their bodies are simply in maintenance mode. In general, if someone has a serious injury, they will need more sleep to recover from it than a non-injured person.

  • Newborns (0-3 months): 14-17 hours each day
  • Infants (4-11 months): 12-15 hours
  • Toddlers (1-2 years):  11-14 hours
  • Preschoolers (3-5): 10-13 hours
  • School age children (6-13): 9-11 hours
  • Teenagers (14-17):  8-10 hours
  • Adults (18-65): 7-9 hours
  • Older adults (66+): 7-8 hours

Source: The Sleep Foundation

How to get a good night’s sleep

In the sensory-overload of the modern world, it has become increasingly difficult to shut off our minds and bodies each night, in order to let our natural healing mechanism of sleep to gently kick in. Here are some things you can try. These activities when done together will help to stimulate melatonin in the brain – the sleep triggering hormone.

  • Stick to a sleep schedule, even on the weekend.
  • Try watching the sunset each night
  • Exercise each day
  • Avoid caffeine after 2 pm
  • Ensure that your bedroom is the right temperature, and doesn’t have too much sound or light intruding into it.
  • Sleep on a comfortable mattress and pillows
  • Avoid the alcoholic ‘nightcap’ before bed, it will actually wake you up once it wears off.
  • Avoid having a late dinner or snacks before bed.
  • Use the blue light filter on your phone and laptop. Blue light affects your wakefulness.
  • Don’t fall asleep in front of the TV – the ambient sound and light will affect the quality of your sleep.
  • Go electronics free at least an hour before bedtime.
  • Keep your bed for sleeping and enjoying time with your spouse, don’t use it as a home office.  

The team at Maroubra Road Physiotherapy strongly recommend sleep for the accelerated recovery from muscle strains, damaged tendons and injuries.  Make sleep your friend and your body will heal itself quicker and get back into fighting fit form. Maroubra Road Physio offer a holistic approach to physiotherapy that examines and treats the whole person and their lifestyle, visit the caring and friendly team by booking an appointment or give us a call on 02 9314 3888.


Do You Work in An Office? Here are Six Top Tips Every Office Worker Should Know! | Blog | Maroubra Road Physiotherapy

How do I change the bad posture I’ve developed in my office job?

Modern life poses a lot of challenges on our bodies every day. Mobile phones, tablets and laptops demand our attention. The blue light from devices changes your circadian rhythms making your mind and body feel awake and it can lead to headaches and pain.

Also, peering into your computer screen or mobile phone causes you to change your neck and back posture. Our reliance on technology extends beyond the end of a working day and into every aspect of our lives. This impacts how our bodies work in a fundamental way.

Bad posture isn’t only going to impact how you look. Bad posture, left untreated can have a serious impact on your back, neck, and shoulder injuries. According to many studies, poor slumping posture while sitting and standing also affects your breathing, causes headaches and even impacts how you feel emotionally.  

Although there is no magic pill solution for a life-time of bad posture from working in an office, using stretching techniques on an ongoing basis yields many health benefits. Here are some tips to help manage bad posture in the workplace.

1. Get help with your workstation set-up

Maroubra Road Physiotherapy will be able to help you understand problems with your workstation set up. Our physiotherapists will point out possible flaws in your workstation setup and postural alignment when performing certain tasks, such as typing and sitting at a desk for long periods of time. Our physiotherapists will be able to advise you on postural awareness; appropriate pause exercises; and strength and endurance exercises. This will enable you to cope better with the demands placed on your body; and help you return to work as soon as possible. Over time these changes to your workstation will become more noticeable in your body and help with problems in your sitting posture.


2. Do regular yoga or pilates

Recent research into the effects of yoga and pilates on chronic neck pain, found that both forms of exercise had a positive impact on the pain scores and muscle functionality for study participants. Additionally, pilates increased the strength and size of the semispinalis capitis muscle in the neck.

Yoga and pilates have become a secret weapon for many people who suffer from chronic pain and if you are wanting to help yourself, you should give it a try, after all you have nothing to lose and everything to gain.


3. Alternate standing and sitting at work

Ask your workplace about a stand-up desk, which means you can work standing up. Alternating between sitting, standing and moving periodically throughout the day in 30 minutes blocks will help with your posture, muscle fatigue and your experience of  pain or discomfort. For more information if it is better to stand or sit at work, here is our blog


4.  Use an exercise ball along with your normal office chair

Even if you happen to have a beautiful and comfortable work chair, it’s always a great idea to mix it up a bit. Moving is key.  You can try using an exercise ball as a second seat for short periods of no more than 30 minutes and rotate between your normal chair and the exercise ball over the course of the day. It is possible to slouch on the ball so you still need to remember good posture.  It does make you work a bit harder, encouraging your body to use core muscles even while you’re simply working at your desk. Using a ball is not appropriate for everyone, so it is advisable to discuss this option with your physiotherapist.


5. Stretching and pause exercises throughout the day


Stretching your body and simple pause exercises throughout the day will help to improve and maintain your posture. The form that these exercises take will depend on your own preferences and health at the time. These exercises are not time-consuming and can be performed while working or on the phone. In the below video you will find some great desk-based pause exercises that help with posture and chronic pain.

Some people take the opportunity to walk or jog at lunch time if the weather is nice. Or even go to the gym.

6. See a physiotherapist

The team at Maroubra Road Physiotherapy are well equipped to treat work-related conditions. They use a combination of manual therapy, soft tissue release techniques, education and exercise based rehabilitation.

The team at Maroubra Road Physiotherapy take a holistic approach to physiotherapy that looks at the whole person, their lifestyle and overall health. Our friendly physiotherapists are experienced at resolving chronic pain challenges for clients. Empower yourself and change the way your body feels with Maroubra Road Physiotherapy, book an appointment on (02) 9314 3888.   

The complete guide to making a speedy recovery after a work injury | Blog | Maroubra Road Physiotherapy

The complete guide to making a speedy recovery after a work injury

Knowing how long it will take you to recover from a workplace injury is a bit like trying to find out how long a piece of string is!  However, instead of gazing into a crystal ball to see into the future, you can take practical and empowering steps optimise your recovery. With the help of an experienced physiotherapist at Maroubra Road physiotherapy, you will be on your way back to the workplace.


Fast facts on workplace safety

According to data from WorkSafe Australia:


  • The agriculture, forestry and fishing industries have the highest number of workplace injuries, deaths and compensation claims in Australia.


  • 43% of all serious injuries involve traumatic joint/ligament and muscle/tendon injury.


  • The median amount of compensation paid for a serious claim is $10,800.


Understand your workplace injury


Your GP or physiotherapist will possibly be the first point of contact after you have had an injury. It’s important for you know what’s wrong with your body so that you understand how we treat the problem. Broadly speaking there are two types of injuries.


  • Soft tissue injuries: injuries to the muscles, ligaments, and tendons in your body. You might know these as sprains, strains, pulled hamstrings or a twisted ankle.
  • Bone injuries: Injuries to the bone including fractures, micro-cracks and dislocations.
  • A bone injury will generally require intervention by a doctor or specialist, along with a splint or cast for the healing of the bone.
  • Physiotherapists are specialised in helping with soft tissue injuries of many kinds, rehabilitation after being immobilised in a cast or brace, recovering after surgery, as well as the treatment of conditions where chronic pain is a symptom.

Three stages of healing: how we can help  


Acute Inflammatory Phase: Day 1-7

Acute inflammation often gets a bad wrap, but this kind of inflammation is a good thing – it’s actually the tissue healing itself after being injured. In week one you will experience pain, redness, swelling and heat at the injured location of your body. This is the body going through its normal healing processes. The same thing happens after surgery as well.


Physiotherapy during this phase focuses on education regarding management of your condition and controlling the inflammation. Maroubra Road Physiotherapy will help you to understand this phase of healing and what to expect during this stage.


Fibroblastic Repair/Subacute Phase: From as early as day 4, up to 6 weeks


Once inflammation settles down, your body will begin to lay down collagen which is a type of scar tissue that is less flexible than normal tissue in this area. During this phase you may start to feel better and return to your former level of physical activity.It is possible that  you may experience a set-back in your progress because your body isn’t quite ready. Physiotherapy treatment during this phase is focused on regaining full range of motion, joint and scar tissue mobilisation and exercises to promote re-alignment of the collagen fibres.


Remodelling Phase: 2-3 weeks, up to months or years


After this your healing will progress. The tissue in your injury area will have improved in quality and strength. During this phase, adding stress to the tissues is important to realign the fibres along the proper lines of stress. This will mean that the tissues will accommodate to increased pressure placed on them.  During this phase, Maroubra Road Physiotherapy will focus on regaining your full range of motion and improving strength through exercise and gradually increasing resistive loads.


Good to remember


  • You should always listen to the advice of your physiotherapist. Each treatment, exercise and piece of advice will be tailored to meet your injury, stage of healing and personal circumstances.


  • You should also follow the advice of SIRA, the NSW government’s guidelines on return to work policies for employers and employees. Check out their guide.


Don’t rush treatments with a physiotherapist


It’s essential that you don’t rush your treatment with a physio. At Maroubra Road Physiotherapy, we pride ourselves on taking our time and offering hands on treatments and exercises. These easy to follow exercises will help to promote your body’s healing and ongoing wellbeing. We work closely with you to tailor your treatment to your individual needs, and use techniques that will best suit you and your situation.


A workplace injury can be challenging to manage without the right help. Maroubra Road Physiotherapy offer specialised physiotherapy that helps workplace injuries. Call us today on (02) 9314 3888.


Four Different Types of Headaches And What You Can Do To Treat Them

Four different types of headaches and what you can do to treat them

Headaches are one of the most common health complaints in the world. There are many different kinds of headaches and treatments, and you don’t need to let a headache dominate your day. Read our comprehensive guide to different kinds of headaches and how to treat them.


1. Migraine Headaches


Often migraines occur unilaterally (on one side of the head). The pain is throbbing and pulsing and worsens if you attempt to move around. Sometimes migraines are associated with vomiting and high sensitivity to light, smells and sounds. This moderate to severe headache can sometimes last for up to 3 days.

Migraines are triggered for many reasons:

  • Women experience more migraines than men. That’s because they are linked to fluctuations of the hormone oestrogen in the body. For this reason, migraines often happen before or during a period, during pregnancy and menopause. Also medications that regulate oestrogen like oral contraceptives and hormone replacement therapy may worsen migraines.
  • Certain food and drinks are known triggers. For example salty, processed foods, cheese, foods containing MSG, coffee and alcohol.
  • Some people get migraines from being exposed to sunlight, loud noise, strong smells, smoke and other environmental triggers.
  • Changes to your sleeping patterns and jetlag can also bring on a migraine, along with physical exertion.

How to minimise a migraine

  • Avoid certain food, drink or environmental stimuli that has triggered a migraine in the past.
  • Avoid using medications that have known side-effects of causing migraines
  • Dedicate time to relaxation, and ensure you get enough sleep and eat a nutritious diet.
  • Apply a cold or hot compress to your head and lay down in a darkened room.



2. Sinus Headache


Sinus headaches can be brought on by allergies, a virus or bacterial infection of the ears, nose or throat. The pain from this headache is normally located behind the eyes, across the cheeks and bridge of the nose, along the forehead, or along the top teeth. The pain is unpleasant and could be described as a dull pressure within the skull. Sudden movements or exercise can make the pain feel worse.

How to minimise a sinus headache

  • Steam: Dry air can cause pressure in the head and throbbing pain. So take a hot shower and breathe in the air.
  • Saline flush or nasal sprays: These hydrate dry and sore nasal cavities and sinuses.  
  • Get a good night’s sleep.  
  • Avoid caffeinated beverages and alcohol.
  • Drink water: Being dehydrated can contribute to a sinus headache, so drink more water.
  • Try gentle exercise like yoga.

Source: Healthline



3. Tension headache


Tension headaches are experienced as a vice-like sensation of pressure in the skull. The pain of this can be mild to moderate and generally isn’t as intense as a migraine. There isn’t any associated pulsing or throbbing. Unlike with migraines, there is no associated nausea, vomiting and increase in pain associated with movement of the body.

How to minimise a tension headache

Physiotherapy from Maroubra Road Physiotherapy can be highly effective in treating tension headaches. Muscle tension in the neck and head may be causing your headache. The team at Maroubra Road Physio will be able to help you in several ways.

  • Sore neck: We can help with gentle joint mobilisation and massage techniques, taping and dry needling.
  • Tight and overactive muscles: We can provide help with stretching advice, massage and other soft tissue release  techniques.
  • Posture correction: We can also provide guidance on posture awareness, along with advice on neck dysfunction and postures to avoid.


4. Cluster headache: 


Typically a cluster headache occurs on one-side of the head. However the affected side may change from headache to headache. The pain of a cluster headache is unmistakeable. It’s an extremely severe stabbing and piercing pain. This is relatively short-lived and lasts between 10 minutes to 3 hours and then subsides. However, the headache can recur several times over the course of a day or week.


How to minimise a cluster headache

The Migraine Trust recommend a number of preventative treatments on their website. Discuss these options with your doctor.   


See a doctor about these kinds of headaches:

Diagnosing and treating a headache is not an exact science. The exact reasons for a headache vary extensively. However most headaches are not life-threatening and resolve themselves by having adequate rest, looking after yourself and taking mild painkillers.

Although rare, a headache may be associated with a more serious medical condition. If you do have a headache that is associated with the following, it may indicate something more serious is going on. You should be seen by your doctor.

  • A severe thunderclap type of headache.  
  • Symptoms of a neurological condition: Motor weakness, memory loss, confusion and behavioural changes.  
  • A headache associated with the symptoms of meningococcal infection: a stiff neck, fever, nausea, aching muscles, lack of appetite.
  • Severe and sudden weight loss, nausea and fever.
  • A headache that has arisen out of a blunt force trauma to the head or body, e.g. a car accident or fall.


Maroubra Road Physiotherapy will be able to advise you on viable treatment options for certain kinds of headaches. In the case where the cause of your headache can’t be treated by physiotherapy, the team will direct you towards other specialists who may be able to help with diagnosis and subsequent treatment. Headaches shouldn’t be endured for the long-term and Maroubra Road Physiotherapy are always here to help. Book an appointment today!

7 Things Parents Can Do About Kids And Sports Injuries

Kids And Sporting Injuries – 7 Things Parents Can Do

Exploring and experimenting with different sports can create fantastic memories for children. It helps them to burn off their exuberant physical energy, as well as gain confidence and social skills.

Nevertheless, there is a worrying increase in the number of serious injuries sustained by children playing sport. Medicare data cited in an ABC article showed that number of kids undergoing Anterior Cruciate Ligament (ACL) reconstructions has tripled over the past 15 years. Many of these ACL injuries in children arose out of them playing high risk sports like netball, Australian rules football and soccer.

Being a parent is challenging at the best of times. On the one hand you want to swaddle them in cotton wool, and on the other hand you also want to give them free rein to explore their physical capabilities. As a parent, the best way to do this is to empower yourself with knowledge.

The top ten

Just for your reference, here are the most high risks sports in Australia for sporting injuries, ranked from highest (1) to lower (10).

  1. Australian rules football
  2. Soccer
  3. Cycling
  4. Wheeled motor sports
  5. Rugby
  6. Water sports
  7. Roller sports
  8. Equestrian activities
  9. Basketball
  10. Netball

Source: The Guardian

  1. Try many sports, not just one

While children are still growing, they are developing motor skills in many different ways. By focusing on one particular activity too early in their lives, your children could develop injuries that relate to repetitive stress and overuse of particular muscle groups.

Instead, get them to try a broad variety of physical activities like dance, performance theatre, different types of sports and more gentle, calming exercises like yoga for strengthening and balancing their growing bodies. Over time, they will develop a preference for a particular sport and want to continue this into their teens. To ensure they don’t burn out and to help prevent injury, give them at least three months off this sport per year.

  1. Downtime and recovery is important

People of all ages and stages of life will injure themselves when they don’t eat right, stay hydrated or get enough sleep. Even though sport and physical exercise is a key part of a healthy life, so too is recovering and resting.

If your sporty kids want to spend the entire weekend at a netball or football tournament, then make sure they get a hearty and nutritious lunch, plenty of water and plenty of sleep the night before.

  1. Warming up is key

Starting a sporting activity without warming up is a recipe for disaster at any age. Before they hit the pitch or the court, make sure your children do at least 10-15 minutes of dynamic warm-ups. YouTube has countless great warm-up videos which are a great place to get inspiration.

  1. Are we having fun yet?

Ensure that your child is enjoying the sport in question. Each week if they drag their feet and look all mopey at the prospect of going to football or netball training, then question them about why. In order for them to get the benefit of the sport, they need to enjoy it and want to continue, otherwise it’s just a chore.

  1. Choose a bike helmet that meets Australian safety standards

If your child’s chosen sport is BMX racing, skateboarding or cycling then ensure they have the right protective gear. In Australia, all bike riders are legally required to wear a helmet. Although there is no law for skateboarding and rollerblading, it’s still a good idea. That’s because research shows that wearing a helmet can lower the risk of head injury by 69% and brain injury by up to 74%. When you buy a helmet for your child or yourself, ensure that it meets the Australian Safety Standards (AS/NZS2063) and that it is right size and fit. If you buy one online, it may not meet the Australian safety standard.

  1. Tread carefully with equestrian sports  

Horses are beautiful there’s no doubt about that. But My Little Pony and your daughter’s dreams aside, you should consider that there are many risks and variables to equestrian sports. That means you should plan wisely for this sport and choose an experienced horse trainer and a horse with a calm temperament. Ensure that your child has access to high quality gear and that your child gets adequate training on riding before jumping in the saddle. There is a lot to consider. Although horse-riding can become a life-long passion. Speak to any horsey person and they will tell you that it’s worth it.

  1. Choose the right mouthguard

In one Queensland study, over 50% of young rugby players had sustained an injury to the face or teeth while playing sport. It’s really important to use a mouthguard when playing sports like rugby, Aussie rules, soccer and boxing. This is because a custom-fitted mouthguard will absorb the impact of a blow to the face more evenly and reduce the risk of injury to the mouth or jaw. The Australian Dental Association says that self-fitted, boil and bite mouthguards don’t provide adequate protection. So you’re better off getting a custom-made mouthguard that’s designed to fit in your child’s mouth more comfortably.

Maroubra Road Physiotherapy strives to keep everyone in Maroubra healthy, active and moving. The best medicine is preventative and educational. So make sure you like, share and subscribe to this blog to stay in the know about the best ways to look after your and your family’s health. Book an appointment today!

Introducing the Maroubra Road Physiotherapy | Snap Fitness Partnership

Introducing the Maroubra Road Physiotherapy | Snap Fitness Partnership

We are excited to announce the partnership between Maroubra Road Physiotherapy and Snap Fitness Maroubra, starting 4th June 2018.

Maroubra Physio & Snap Fitness

  • The partnership between Snap Fitness Maroubra and Maroubra Road Physiotherapy will offer Snap Fitness Maroubra members special rates for initial and ongoing treatments. All you need to do is present your Snap Fitness card at the practice.
  • Our Physiotherapistss will also be working with the Snap Fitness personal trainers to share knowledge, education and support overall wellness and injury prevention for everyone.


If you would like more information about the partnership, please call Maroubra Road Physiotherapy on (02) 9314-3888 or to start a Snap Fitness membership @ the Maroubra gym, please visit:

Calf Stretching – Advice from our Physiotherapists

Two calf stretches to prevent injury

Why should you stretch your calves?

Stretching your calves is important because it has a domino effect on your body. Tight calves can lead to decreased arches in your feet which may cause plantar fascia pain (on the sole of the foot), tendinopathies or stress fractures from muscle imbalances and overuse. Tight calves can also be implicated in muscle tears, Achilles pain, knee pain and even hip and back issues. Ideally calves need to be longer and stronger to do their job in shock absorption and generating power.




There are two main muscles in the calf: the gastrocnemius (aka “gastroc”) and soleus muscles. The gastroc is a two joint muscle meaning it crosses the knee and ankle joints. The purpose of the gastroc is to bend the knee and push the foot off the ground during walking or running. The gastroc attaches to the heel via the Achilles tendon.

The soleus muscle is a single joint muscle as it only crosses the ankle joint. It is responsible for pushing the foot off the ground while walking/running and it is effective in pumping blood back to the heart because of it’s position and design. It also joins with the Achilles tendon.


How to tell if you have tight calves and how to stretch them:

When you dorsiflex your ankle (bring your toes to your nose) the normal range of movement is between 0 to 20 degrees. Running and jumping requires flexibility in the higher end of this range.


Gastroc Stretch

  1. Standing in front of a wall, step forward and place your hands on the wall
  2. Keep the back leg STRAIGHT, heal on floor and toes pointed forward
  3. Lean forward slightly until you feel a gentlepull/stretch on the back of the leg
  4. Hold 30 seconds minimum and repeat 2-3x


Soleus stretch


  1. Stand in front of a wall, step forward and place your hands on the wall
  2. Keep the back leg BENT, heal on floor and toes pointed forward
  3. Lean forward slightly until you feel a gentlepull/stretch on the back of the leg
  4. Hold 30 seconds minimum and repeat 2-3x



When is the best time to stretch?

Generally, the best time to stretch is after you have warmed up your body or after activity. 

When not to stretch your calves

If you have recently sustained a calf tear or Achilles strain, do not stretch your calf without advice from your physiotherapist or doctor first. Do not stretch your calves if there is pain or an increase in pain after stretching.