Happy Mother’s Day! Tips for mums to stay pain-free

Happy mother’s day! Tips for mums to stay pain-free

Mother’s Day is coming up and that means a lot of cake, cups of tea in bed and other delights. Hopefully, you can get the morning off on this special day! For all mums, the journey of motherhood can sometimes be daunting. There is a lot of information to consume about how to care for your baby as they turn into a child, a teen and eventually an adult. But what about caring for all of those niggling aches and pains that you experience ? This Mother’s Day, honour and cherish yourself with these helpful hints and tips for avoiding common ‘mum’ pains in the body.

Where is the pain coming from?

Pain can either be localised to a specific area of the body or referred from another part of the body. Pain in the abdominal region or pelvis are quite common in the weeks after childbirth, but also at other times during motherhood.  

Strengthening weakened pelvic floor muscles

The pelvic floor muscles extend like an elastic band or a hammock between your hip bones and spine and encompass ligaments and nerves. Essentially they keep your abdominal organs in place. Giving birth can often weaken pelvic floor muscles. Although women of all ages and stages of life can have a weakened pelvic floor.  This can also be caused by hormonal changes during menopause and gaining weight.

But it’s not all doom and gloom! There are many therapeutic treatments out there to help strengthen your pelvic floor. Common interventions include manual therapy, massage or a therapeutic exercise prescription such as clinical Pilate’s classes. The friendly and highly experienced team at Maroubra Road Physiotherapy will be able to help you to reduce pain and restore function to body.

What are Kegel Exercises?

Kegel exercises are also known as pelvic floor exercises. They were invented back in the 1940’s by a gynaecologist named Dr Kegel. Women of all ages are encouraged to try Kegel exercises. The exercises are great for recovering from childbirth, as well as for dealing with hormonal changes to the body during menopause.

A Kegel exercise to try

The great thing about Kegel exercises or pelvic floor exercises is that you can do them almost anywhere and nobody will even know!

Exercise: cat cow squeeze

Step 1:

Kneel on your hands and knees on the ground. As you would for a cat-cow position in yoga.

Step 2:

Close your eyes, imagine what muscles you would tighten to stop yourself from passing urine.   

Step 3:

Now that you can feel your pelvic floor muscles working, tighten them and hold for three to five seconds. By doing this, you should feel your pelvic floor muscles ‘lift up’ inside you and feel a definite ‘let go’ as the muscles relax.

If you can hold longer (but no more than a maximum of eight seconds), then do so. Repeat up to ten times or until you feel your pelvic floor muscles fatigue. Rest for a few seconds in between each squeeze.

In order to keep your pelvic girdle strong and to prevent pelvic pain it’s recommended to exercise your pelvic floor regularly. If you do have questions about your pelvic floor muscles, or pelvic pain you should make an appointment to see Maroubra Road Physio’s team of physiotherapists. Our friendly and highly experienced team offer assistance with ante-natal and post-natal physiotherapy.   

Post-partum back pain

Back pain during pregnancy is a common occurrence. Generally though, you should be experiencing less and less pain in the months following delivery, as your body heals itself. If you have persistent back pain, you may need to seek help from a physiotherapist.  

Gentle exercise

When you have gotten the OK from your physiotherapist you can gradually start doing exercises to strengthen your back and abdominal muscles. Walking, gentle stretching and gentle yoga are often recommended. Just be sure to avoid extreme positions or overstretching. Listen closely to your body for any signs of pain or discomfort and stop immediately if you experience this.

Correct body posture post-partum

Adopting the correct body posture while breast-feeding or feeding your baby with a bottle will help with back pain. Ensure that you use plenty of pillows to support your back. Adopt a position where you sit up straight with your back erect and supported to avoid straining your back. Try out different positions when breastfeeding. If you have tense or sore shoulders or upper back, a side-lying position for breastfeeding might be the most comfortable for you.

Remember that when picking up a baby or any other heavy object, you should bend from the knees in a crouching position rather than bend from the waist or hips. The latter method puts a lot of pressure on your spine and leads to pain.  

Sacroiliac and lumbosacral pain

The biological necessity for rapid growth during pregnancy causes a lot of changes to your body as a mum.

These changes include fluid retention, weight gain, changes to your centre of gravity, ligament laxity and overstretching your postural muscles. Sacroiliac and lumbosacral problems are experienced by many women in months after delivery. But if the problems persist for 12-18 months after giving birth then you can try some physiotherapy and self-care solutions to resolve this.

Causes of sacroiliac and lumbosacral pain

The release of a hormone called relaxin during pregnancy causes the ligaments in your pelvis to loosen. This means your body is more easily able to accommodate the growth of the baby. Although it does lead to instability of the pelvic joints, also known as the sacroiliac joints. The weight gain that naturally occurs during pregnancy also places an additional load onto the pelvic joints and lower back making them more susceptible to injury.

Pain is often felt in the buttocks near the tail-bone and lower back. Pain can also radiate to the front of the pelvis, hips and thighs.

One or both legs may feel weak and you may feel less able to bear weight.  When walking, turning in bed, bending forwards to pick up your baby or attempting to breastfeed you may be experiencing pain.

Self-help for sacroiliac pain

Here are some easy at-home tips for preventing sacroiliac pain:

  • Avoid being in positions where your body weight is unevenly distributed between each leg.
  • Change your position in bed by first sitting up right, then turning around.
  • Sit down when you put on your socks or shoes.
  • If walking is particularly painful, try using a pelvic support belt until the pain subsides.
  • Try contracting the muscles in your abdomen prior to exerting yourself through movement.

Physiotherapy treatments for sacroiliac and lumbosacral pain

The team at Maroubra Road Physiotherapy will employ a range of treatments and provide advice on many ways the pain can be alleviated. You may receive education on movement patterns and positions to avoid.   Often the gentle mobilisation of stiff joints in the hip, back and pelvis, which may be contributing to this pain, may help. Soft tissue release techniques will help to relieve pain in the strained muscles.

Don’t forget to take care of yourself  

Here’s a good excuse to get some alone time in the first few months. A soak in a warm bathtub will really ease muscle aches and pain, improve your mood and energy levels. Remember that it’s Mother’s Day coming up. That means you’re allowed to schedule in some much needed ‘me’ time. From everyone at Maroubra Road Physiotherapy, we hope you have a great Mother’s Day and a great year ahead.

If you enjoyed this article, please share it with a woman you love, whether it’s your own mum, a friend or someone else. And if you would like to know more about overcoming musculoskeletal pain, then give the friendly and professional team at Maroubra Road Physiotherapy a call on (02) 9314 3888.

References

Department of Health, Australian Government (2017) Physiotherapy advice after childbirth.

The Conversation (2019) Are Kegel Exercises Actually Good For You? Melissa Kang, University of Technology, Sydney.

Regional Anaesthesia and Pain Medicine (1997) Myofascial pain syndrome and trigger-point management Dr Stephanie Han et. al.

South Australian Government (2018) Pelvic Floor Exercises After Giving Birth

The Royal Women’s Hospital, Melbourne. Pelvic Floor Exercises.

Cochrane Database System Review (2015) “Interventions for preventing and treating low-back and pelvic pain during pregnancy. Liddle S.D., and Pennick V.

BMC Musculoskeletal Disorders (2016) “Predictors and consequences of long-term pregnancy-related pelvic girdle pain: a longitudinal follow-up study” Elden H., Gutke A., Kjellby-Wendt G., et al.

Eight helpful ways that older people can boost their fitness and energy levels

The passage of time ensures that inevitably, everyone becomes older. However, the expression ‘age is just a number’ is a positive and empowering way to look at getting older. In this post by Maroubra Road Physiotherapy, we look at eight helpful ways that older people can use exercise.  We will look at ways to stay healthy and fit, along with how to avoid common injuries that older people regularly encounter.

Boost your exercise regime to make your bones stronger

As we age, our bones become more brittle and are easier to break. Exercise and physical activity plays an important role in maintaining bone density and building muscle mass. Doing so also ensures that older people continue to have a high quality of life into their later years.

Muscle wasting (also known as sarcopenia) is also common as we age. Exercise can radically reduce the risk of sarcopenia, bone brittleness and also boost fitness, strength and mobility.  

 

Exercise regularly to protect your brain and body

Studies have shown that exercise, combined with a balanced diet mitigates against the risks of diabetes, heart disease, high blood pressure, dementia and obesity. Particularly as we age, we do ourselves a favour by maintaining a sustained and regular exercise programme over the years.

 

Try weight-bearing exercises

 

The strength of your bones improves when you regularly place a certain amount of load upon them. This doesn’t need to be a heavy weight or  involve a complicated exercise routine. Weight-bearing exercises could simply mean regular brisk walking, jogging and stair climbing. Other gentle weight-bearing exercises include pilates, yoga and tai chi.

As you gradually build fitness, and in consultation with a physiotherapist or exercise physiologist, you may consider trying a more intense form of weight-bearing exercise, such as dancing, hiking or tennis.

 

Try resistance training

 

Resistance training requires your muscles to contract while you lift weights. This is great for strengthening your bones and muscles. For older people, this kind of resistance training should focus on targeting specific areas that are vulnerable to fractures such as the joints, especially the hips and spine.

Some types of resistance training include lifting light weights to improve your upper and lower body strength.

It’s important to note that the amount of exercise you do, and the degree of difficulty of the exercise will depend on the individual, their health status and any pre-existing sporting injuries. If you have any doubts, speak with the physiotherapists at Maroubra Road Physiotherapy about tailoring an exercise program that best suits you.

 

Avoid falls through balancing exercises

 

According to the World Health Organisation (WHO), a fall is an event where a person comes to rest inadvertently on the ground or floor. As we age, our risk of having a fall increases.  Even though the risk of falling increases with age; balance, strength and conditioning exercises will significantly reduce these risks.

An interesting fact is that 50% of all falls occur in the home. Around one third of all people aged over 65 will have a fall each year. Stretching, strengthening and balancing exercise are a terrific way to manage the health of your bones and muscles and their functional abilities.

Risk factors for falls in the home

It’s not only poor muscle strength and poor balance that contribute to increased risks of falling. Here are some other known risk factors:

  • Cognitive impairment
  • Medication side-effects
  • Poor nutrition
  • Hazards in the home environment
  • Inner ear problems
  • Low blood pressure
  • Poor vision

Despite these additional risk factors, regular exercise that incorporates resistance training, weight training, static and dynamic stretches and balancing exercises can reduce the risk of falls by up to 20%. It’s recommended to incorporate at least 2-3 hours of this kind of exercise each week to gain the most benefit.

Prolonged independence, longevity, increased wellbeing, increased muscle strength and power are some of the benefits that older people can enjoy through exercises targeted at falls prevention. It is important to remember that when doing these exercises, special care is needed to minimise the risks of falling. The team at Maroubra Road Physiotherapy will be able to provide the personalised care and guidance needed for this kind of exercise. We also offer small group balance and conditioning exercise classes at the practice twice per week, which are tailored to the individuals participating in the class.

Try some balancing exercises

Here are some great balance-strengthening exercises to try :  Please ensure you are safe from falling when doing these exercises.

  • Tai chi
  • Heel-to-toe stances
  • Heel-to-toe walking
  • Sideways walking
  • Backwards walking
  • Seated Knee Extensions
  • Standing Leg Curls
  • Toe Raises
  • Step-ups
  • Standing on one leg (with hand support as needed)
  • Repeated chair stands (getting up and down from a chair)

Know how much exercise is right for you

Sadly, only 25% of older adults in Australia get enough physical activity each day. Only 6% will do strengthening and balancing exercises.  

Getting your body moving is generally a good idea, if you are healthy. This can be achieved through cycling, walking, gardening and home maintenance.

If you are feeling unwell, or your body is in a frail condition, it is important to seek professional help before undertaking an exercise regimen. Maroubra Road Physiotherapy can assess your personal abilities, health condition and how you should approach this exercise regime so that you get the most out of it.

Join a community event and get active

Many older people face barriers to getting active that could be financial, social or practical. Here are some resources and services which offer information, encouragement and organised exercise for older people.

 

At Maroubra Road Physiotherapy, we offer preventative care to help older people with their balance, strength and body conditioning, which helps to prevent falls. We take a holistic approach to the health and well-being of older people, and see the whole person, not just the condition. We have helped many older people to regain their strength and fitness following a musculoskeletal injury.

 

References

The Conversation (2018) Health Check: How much physical activity is enough in older age  

Exercise and Sports Science Australia. (2018) Healthy Ageing: Age Is just a number if you exercise right?

Sports Medicine Australia. Australian Government. (2019) Active Older People

Sports Medicine Australia. Australian Government. (2008)   Choose Health, Be Active: A Physical Activity Guide for Older Australians.

NSW Ministry of Health (2019) Active and Healthy

The Heart Foundation Australia (2019) Walking Groups

The Essential Guide for Surfers on Sydney’s beaches

Did you know that over 2.2 million Australians hit the waves and surf recreationally?  With the spectacular Maroubra Beach right on our doorstep, we thought it was “high tide’’ for a post all about surfing. Here is the essential guide for surfers to avoid injury out on the waves.

The Benefits of Surfing

For your body

It’s possible to burn up to 1,000 calories an hour with surfing.  This makes it an energy-hungry activity and fantastic for losing weight, along with increasing the strength and muscle tone of your entire body. It is  good to remember that the amount of calories you burn will depend on your body weight, workout intensity and metabolism. This varies from person to person.

For your mind

Surfing has a positive impact not just your body, but also on your overall mental health. Studies have found that surfing can be useful and beneficial for treating Anxiety, Depression, PTSD and Bipolar disorders. Another reason to embrace the beauty of Maroubra’s surfing lifestyle.

Preventing the most common surfing injuries

Surfing is considered to be a safe sort, with 2.2 injuries per 1,000 surfing days. And the majority of injuries aren’t serious.

Don’t believe the hype about shark attacks. You are more likely to get a laceration or sprain through surfing, which account for 75% of all surfing injuries. This is followed by dislocations and fractures.

In terms of the area of the injury, 46% of injuries are sustained to the leg, followed by injuries to the head or face (26%), the trunk/back (13%) and the shoulder and arm (13%).

Precautions, warm-ups, understanding the ocean and checking your equipment before you go out, all significantly lower the risk of injury.

Safety tips for surfers

Surfing obviously looks cool. However it’s more complex and tricky than it looks.  There are a number of things that every novice surfer should remember before catching waves.

  • Get the right board: New surfers will benefit from using a longboard (or Malibu board). This board is designed to be easier to balance, stand up and paddle with.
  • Respect other surfers: Don’t cut in on other people’s waves. Many injuries result from collisions between surfers. Respect other swimmers: Remember that surfers aren’t allowed to surf between the flags on patrolled beaches.
  • Look out for other surfers and swimmers: If you see someone else in trouble, alert the life-guards or if it’s safe, assist the individual.
  • Slap on the sunscreen: Always wear sunscreen, even on cloudy days.
  • Do a pre-surf equipment check: Ensure that your board is waxed up and has grip. Ensure that your leg rope is in good condition. Use the leg rope on your surfboard if you are a beginner.
  • Wear a wetsuit and booties: A wet suit and reef booties aren’t just designed for colder weather. Remember that everyone has a different idea of what constitutes cold water. This extra layer can also offer some protection against sharp reef and rock collisions.
  • Know how to swim to (at least) intermediate level: The Australian coast is a fickle and unpredictable beast. So don’t tackle surfing in the ocean without first knowing how to swim. You should be an intermediate to advanced swimmer before you begin surfing, otherwise surfing will pose additional risks for you.

Learn how to read the ocean

Did you know that there are around 17,500 rips that are operating on the Australian coast on any given day? Surfers and swimmers getting caught in rips account for more deaths than other natural hazards, such as bushfires and cyclones in Australia.

Being out on a board in the water can feel very relaxing. However remember that it can also be a dangerous place. As a surfer, whether you’re a novice or a more experienced surfer, you should know how to read the ocean and avoid dangerous spots.

Where there is a rip, you will see:

  • Murky brownish water caused by sand being stirred up from the bottom of the ocean.
  • Darker colours in the ocean (indicating deep water).
  • A smoother ocean surface with much smaller waves, alongside white water.
  • Waves breaking further out to sea on both sides of a rip.
  • Debris, flotsam and jetsam that’s floating out to sea.

Warm-up before you surf

Surfing is one of the most physically demanding sports in the world. It involves a lot of different muscle groups when you paddle out, catch a wave, balance on a surfboard and attempt aerial moves. Therefore it’s important to warm-up to prevent injury or painful muscle cramps once you hit the water.

Your warm-up should consist of exercises that increase the heart rate, release tight muscles and lubricate joints.

Breathing Squat: perform a squat movement, exhaling as the body moves down, and inhaling as the body comes back up, extending the arms towards the sky.

Warrior Lunge: Begin in a basic standing position and lunge forward into a lunge position, extend your arms to the sky, push up off front foot and back into starting position. To advance the movement, you can repeat the prior movement and then add a side bend in either or both directions.

Butt Drops: Reach towards the sky and then bend forward to touch your toes. Drop your butt towards your heels as you lift the chest to face forwards. The elbows are inside of the knees, pushing them outwards. Lower your butt as low as possible and keep your chest as tall as possible. Hold this position for one inhale/exhale and then lift your butt back towards the sky, as your head and chest move back towards ground. Stretch the hamstrings and repeat the movement.

Single Leg Upper Body Rotation: Stand on one leg with the knee slightly bent, and your hip pushed backwards. With your arms placed in front of the body, rotate from side to side slowly. Control the movement and remain balanced on one single leg.

T-Rotation Push-ups: Begin in push-up position, and then rotate one arm towards the sky, while simultaneously rotating the body onto one side. You are now balanced on one hand, with the other hand/arm extended towards the sky. Rotate back into push-up position and repeat on the other side.

Bent Shoulder Circles: Keeping a straight back, with slightly bent knees, bend the torso forward. Get to an angle where you begin to feel a light stretch in your hamstrings and bring the arms out to the sides into a T-position. Perform small arm circles for 30 repetitions in each direction.

About Maroubra Road Physiotherapy

Maroubra Road Physiotherapy treat muscle sprains, joint injuries, back, neck and shoulder injuries. In the past, we have treated many novice and experienced surfers in the local area. Coming in for treatment early on reduces recovery time and also the risk of injury recurrence. If you have a surfing injury, the experienced and friendly team here at Maroubra Road Physiotherapy hope to hear from you.

If you would like to book an appointment with one of our experienced physiotherapists, please make an online booking or give us a call on 02 9314 3888.

 

References

ABC Science (2013) Australian Surf Deadlier than Bushfires

Exercise and Sports Science Australia (2019) Want to be healthier and happier in 2019 – dive in!

Exercise and Sports Science Australia (2018) What exercise burns the most calories?

Sports Medicine Australia (2017) Surfing Fact Sheet

Surfer Today (2018) The Complete Guide to Surf Training

The Victorian Government Better Health Channel (2019) The Health Benefits of Surfing

Six common DIY injuries and how to prevent them

TV shows such as The Block have made millions of Australians passionate about DIY. The appeal is real, because with some skill and determination, you can turn an old house with good bones, into a stunningly beautiful, renovated home. Yet for any DIY quest, it’s important that you understand the risks involved.

Fast Facts About Aussie DIY injuries

  • 30% of all adult injuries in Australia occur in the home and garden.
  • Home injuries result in more time off work than workplace injuries.
  • If the principles of workplace OH&S were applied to home DIY, such as using the correct tools and lifting techniques, it would prevent many home injuries.
  • Young men aged between 20 to 39 years old are the most commonly injured in home DIY accidents.  
  • The most common injuries are lacerations and wounds from foreign bodies and operating machinery, followed by musculoskeletal injuries, such as lower back pain, shoulder and elbow complaints.

Source: Monash University, Accident Research Centre, Department of Human Services and Health (1999) Prevention of Injuries associated with Do-It-Yourself activities.

Prevention is always better than a cure. So here are some simple tips from Maroubra Road Physiotherapy, which may help to prevent some common DIY injuries.

Wear protective gear

We don’t want to dampen your enthusiasm for keeping your home beautiful, however you should wear protective gear when doing DIY at home.  You should wear steel-capped boots, safety glasses, safety gloves and earmuffs when operating power tools.

Many avoidable injuries to the back, feet and hands frequently occur because individuals weren’t wearing protective gear. Despite the Aussie stereotype, thongs are not considered to be safe DIY footwear. If you really must wear rugby shorts when doing DIY, at least make sure they aren’t Queensland maroon!

See the table below for a startling reality check, about why protective gear is always a good idea when using power tools.

Source: DIY injuries fact sheet

A DIY expert always checks his tools and techniques

Doing a preliminary safety check of your tools is an often overlooked part of any DIY job. When getting your tools and equipment such as ladders, saws and grinders out of storage, make sure you check that they are still operating correctly before you use them.

For this reason, it’s always a good idea to keep safety guides for your power tools and equipment. They provide important insights. It’s not commonly known that power tools can cause tennis elbow, more frequently than actually playing tennis! Firmly gripping a power tool over many hours results in pain in the outside of the elbow.

Lift and carry furniture the back-friendly way

Many people visit our clinic because they have incorrectly lifted heavy furniture or other objects, resulting in injury.

There is a correct way to lift heavy items, which will protect your knees and back.

For heavy loads, bend your body to lift from the knees, rather than bending from your lower back.

While lifting the item, keep it close to your body and never bend or twist with any heavy object. For carrying or transporting heavy items like white ware, TVs or sofas, use a wheel-trolley or gurney.  

At Maroubra Road Physiotherapy, when it comes to common back and neck injuries, we see the whole person, rather than just the injury. We create step-by-step programmes that are uniquely tailored to meet individual circumstances and needs.

Be careful on that ladder, daredevil!  

Summer is an amazing time to get outside and clean the gutters, paint the exterior of the home or fix any broken roof tiles. In order to ensure you don’t fall and experience serious multiple traumas or even death, you should stabilise your ladder on even ground.

If you must climb up high on uneven ground, make sure you have a supporting person holding the ladder steady beneath you at all times. Always make sure that the ladder is locked in place before heading up.

Avoid repetitive DIY tasks for long periods

Are you going to paint the house, pave the driveway or retile the family room this summer? Repetitive tasks that require repeated movements over many hours can result in muscle overuse injuries, strains, sprains to the hands, arms, neck, back and shoulders.

Painting the ceiling or walls often leads to shoulder injuries, like a bursitis or an injury to the rotator cuff.

This is because keeping your arm elevated overhead may compromise the position of your shoulder. This can result in a pinching of the soft tissues where the shoulder blade meets the collar bone. A sudden movement during this kind of work could result in an acute tearing of the muscles in the shoulder.

To avoid this, make sure you get up and have a break or do something else every two hours to avoid repetitive strain injuries.

Our friendly and highly experienced team at Maroubra Road Physiotherapy treat these kinds of injuries every day. We use a combination of soft tissue release techniques, exercise-based rehabilitation and manual therapy.  This helps to strengthen the muscles and prevent future re-injury.

Avoid staying stationary in one position too long

Gardening involves many hours hunched over the garden bed or hauling heavy bags of potting mix. If you need to remain still for long periods, this can cause a lower back injury.  By doing appropriate pause exercises and maintaining postural awareness, you can avoid common strains and sprains. Doing so will enable you to cope better with the physical demands of DIY.

Good luck on your quest for a renovated home and garden! You can expect a few aches and pains if you’re not used to lots of exercise. However if this persists for more than a week, then you should get a physiotherapy assessment to ensure that you don’t worsen your injury or lengthen your recovery time.

Doing so, 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.

References

Flinders University, Australian Institute of Health and Welfare (2017) DIY injuries fact sheet

Monash University, Accident Research Centre, Department of Human Services and Health (1999) Prevention of Injuries associated with Do-It-Yourself activities.

CanStar Blue (2018) Six DIY injuries to watch out for.

DIY at home Government of NSW, Department of Health (2014) Do-It-Yourself Safely.   

Government of Western Australia. Department of Mines, Industry Regulation and Safety (2016) Avoid injuries with DIY work

Valentine’s Day Date Ideas: Sweat Together & Stay Together

Valentine’s Day Date Ideas: Sweat Together & Stay together

Regular exercise is one of the most beneficial things that any couple can do together. It’s a fun and healthy way of bonding, and creating great memories. Working out together also wards off many chronic diseases and disorders, such as diabetes and cardiovascular disease, depression, anxiety and obesity.

Loads of research backs up the notion that couples who sweat together, stay together. One study from Indiana University found that married couples who joined a health club together have only a 6.3% drop-out rate, compared to couples who worked out separately. The latter group had a 43% drop-out rate over the course of a year.

Mutual health goals help you to build stronger bonds with your partner. With this in mind, here are some great athletic Valentine’s Day date ideas.  

A hiking adventure

Australia has hundreds of beautiful national parks with well-provisioned walking trails and gorgeous scenery. Walking or hiking trails range from easy to advanced. So this is a good form of exercise that most people of all fitness levels and ages can enjoy.  So grab your compass, decent hiking shoes, a picnic and your significant other and go exploring.

A romantic cycling trip

Australia has over 16,000 mapped cycling routes throughout our vast country. Whether you want to go for a city cycle or take a trip of a lifetime to Ayers Rock or Tasmania, Australia is a cyclist’s paradise and offers a fun Valentine’s Day date option. Don’t forget to bring water, food and plenty of sunscreen. An outback tour by bike is best reserved for experienced cyclists because of the complete isolation of the desert.

An indoor rock climbing challenge

City-dwelling couples with less time for a Valentine’s Day date should consider indoor rock-climbing. It’s not weather dependent and the facilities are all over the place in major cities. Also it’s a great way to improve your cardiovascular fitness and strength, while also requiring input from your partner. While one of you climbs, the other one belays the ropes.

A swimming, sauna and spa visit

Treat yourself to a bit of luxury and pampering together by visiting a day spa or health centre. Enjoy a swim together in the pool followed by a sauna, spa treatment and a massage. It’s guaranteed to make you both feel loved, cherished and relaxed afterwards.

Kayaking along the coast

Australia has over 35,000 kilometres of coastline. With so much beach to choose from, you can easily find a place outside of major cities where you can enjoy a kayak together on a deserted romantic beach.  A double kayak is a great way to improve your cardiovascular strength and upper body strength, while also enjoying the wild beauty of the Australian coast.

Warming up and warming down to prevent injury

The expression ‘No pain, no gain’ is really silly when it comes to exercise! To prevent injury, you should listen for the warning signs in your body. Pain is your body’s way of warning you that something is not right.

Common musculoskeletal injuries such as strains, sprains, joint injuries and back pain can be prevented with warm ups. These stretches should last approximately 10 minutes in duration. Warm ups are important because they:  

  • Slowly boost your heart rate and breathing rate.
  • Increase the blood flow to working muscles.
  • Warm up your muscles and improve their elasticity, preparing your body for exercise.

After your workout, a cool down stretch is also important. This could be static stretches (static holding of positions for 10-30 seconds) or dynamic stretches (moving the body through a full range of motion). Both kinds of cool down stretches help you to maintain your flexibility in your muscles, tendons and joints.

If you have forgotten about warm ups and cool down exercises and sustained an injury, it may be time for you to visit the experienced team at Maroubra Road Physiotherapy.

Don’t go from zero to hero

If you or your partner are starting from zero exercise and plan on jumping straight into a very athletic Valentine’s date, you should first consider any pre-existing health conditions or injuries you may have.

The friendly team at Maroubra Road Physiotherapy will be able to provide you with an assessment of your musculoskeletal condition.  We will also be able to provide you with expert advice on what kind of Valentine’s date would be most suitable for the both of you.

If either one of you are experiencing pain, it’s a good idea to book an assessment by Maroubra Road Physiotherapy before your athletic Valentine’s Day date.

References

Psychology Today (2014) The Reasons Why Couples Who Sweat Together Stay Together  

Exercise and Sports Science Australia (2017) Exercise Right: Top 5 Active Date Ideas for Valentine’s Day

Department of Kinesiology, Indiana University (1995). Twelve month adherence of adults who joined a fitness program with a spouse vs without a spouse.

Health Education Research (2008) The role of collective efficacy in exercise adherence: a qualitative study of spousal support and type 2 diabetes management.

PLoS One (2013) Energy Expenditure during Sexual Activity in Young Healthy Couples.

Back to school and work: Ergonomic advice to start the year right

It’s almost possible to hear the collective groans of millions of people in Australia, somewhere in the middle of January, as they lurch away from the beach or pool-side and back to their respective workplaces and schools.

As we all return to business as usual, it’s easy to forget that workplaces and schools can cause us unintended injuries. Pains, strains, neck and back pain and joint pain are some of the most common ailments people suffer.  Thankfully, they are also the most easily treatable.

Costing the Australian economy over $60 billion dollars per year, workplace injuries are more common than you think with over 106,000 workplace injury claims made in 2013-2014.  

Below is a a guide to office ergonomics and workplace safety. The basic rule of thumb is that preventing injury begins with managing your 1. Posture, 2. Activity, 3. Environment.

Workplaces: an ergonomic and injury avoidance checklist  

Posture

  • Switch positions regularly at your desk. Many repetitive strain injuries occur because you’re sitting for too long in the same position.
  • Ensure that your back is supported and that your shoulders are relaxed but not slumped.
  • Ensure that your eye-line is straight when looking at the top third of your computer screen,  and that your neck doesn’t need to angle up or down to view the top part of your computer screen.
  • Keep a neutral position with your forearms and hands in a straight line on the desk while seated.  
  • Keep your elbows as close to your body as possible.
  • Keep your mouse and keyboard close.
  • Get your eyes checked. Generally, if you need to squint to view what’s on the computer screen, you will automatically create an awkward posture for your body.  Over time, this will lead to injury and discomfort..

Activity

  • Take frequent mini-breaks throughout the day and walk around to get the blood moving in your body. Even better, leave the building for a walk.
  • Give your eyes a break regularly by closing them, blinking and looking off into the middle distance.
  • Instead of emailing someone in the office, go over to their desk to ask a question. Not only are you getting more exercise this way, you’re also making your relationship with them more personable.  
  • Avoid doing the same repetitive action, such as moving boxes, bending or reaching, for more than 1 hour at a time.

Environment

  • Eliminate sunny glare from windows. This may cause eye strain and headaches.
  • Adjust the contrast and brightness of your laptop screen if you regularly move around in changing lighting conditions.
  • Employ stress reduction techniques such as yoga, meditation or breathing techniques to help with stress.
  • Remove all debris and obstructions from the workplace floor that could be a tripping hazard to people.
  • Ensure that stairwells have adequate lighting and signage to avoid trips and falls.
  • Ensure that lighting in your office is adequate and clear. This will help to prevent eye strain.
  • Covered footwear is a normal requirement for most industrial workplaces.
  • Protective clothing and helmets are a normal requirement in many industries as well.
  • A clean and hygienic workplace prevents rodent or insect infestations that could pose a health risk.
  • Machines and power tools should be checked regularly to ensure that they meet safety requirements.

If you have recently had a workplace injury or you suffer from ongoing pain problems at work, you can speak to the friendly team at Maroubra Road Physiotherapy. The team are experts at identifying, assessing and providing personalised treatment plans for these kinds of injuries.

 

Tips for parents to ease the kids back into school

Here are some tips so that your children have the best chances to learn and give their full attention to the teacher this year.  

1. Sleep is a big priority

Children need a lot more sleep than adults. For a comprehensive guide on sleep for people of all stages of life, read Sleep and Recovery: Five ways that sleep mends your body by the team at Maroubra Road Physiotherapy. When children get enough sleep, they have the cognitive power to learn and absorb more throughout the day. Over summer they may have been allowed to stay up later than usual, but make sure you return them to a regular routine.

2. Create a quiet, well-lit area for homework

Ideally homework should be done at a desk or a table. It should not take place near a TV or with easy access to mobile devices. Ensure that the study area is well-lit and has a desk and chair that’s optimised for their physical body. For younger children, parents should decide on the time of day for homework, either before dinner or after dinner, and stick to the routine.

3. Ensure children have enough down-time and play time

Playtime and physical activities are essential for children. It’s essential for them have a balance between sleep, learning, rest and play. That’s the recipe for their ongoing happiness.

At Maroubra Road Physiotherapy, we treat and correct children’s posture along with many other specialities. If your child has a sporting injury or is suffering from neck or back pain, please reach out to us, we are happy to help.

Maroubra Road Physiotherapy strives to keep everyone in the Maroubra community healthy, active and moving. The best medicine is preventative and educational. So make sure you subscribe to this blog via Facebook.

Four Smart New Year’s Resolutions for your health that will actually work in 2019!

Four Smart New Year’s Resolutions for your health that will actually work in 2019!

Could we please have a show of hands if you’ve ever promised yourself that in the new year, you would magically transform into sparkling new human being?

It’s very reassuring to know that we all make these promises to ourselves! Don’t worry, you’re not alone in that!

This ultimate guide from Maroubra Road Physiotherapy will show you how to bootstrap yourself in 2019 with pragmatic goal-setting. You will learn how to realistically stay the course towards a new and improved you and not become disheartened along the way.

A word first about goals

If you want to take on a big change to your health in 2019, then it’s best to attempt this in bite-sized pieces. This reduces the likelihood that you’ll break your commitment or feel demotivated if the goal is too lofty and seems unreachable along the way. A good way to think about health goals is to make them SMART.

S – specific, significant, stretching

M – measurable, meaningful, motivational

A – agreed upon, attainable, achievable, acceptable, action-oriented

R – realistic, relevant, reasonable, rewarding, results-oriented

T – time-based, time-bound, timely, tangible, trackable

Here are some common new year’s resolutions and then a SMART alternative goal that is going to be far more effective, to get you where you need to be…

Faulty: “In 2019 I’m going to eat healthier”

SMART: “I’m going to replace 2 take-away meals per week with 2 home-cooked and vegetarian meals every week”

If you focus on changing your entire diet, you will literally bite off more than you chew. Instead of telling yourself you need to eat healthier in 2019, you should focus on making the goal concrete, measurable and realistic.

By doing away with an ‘I can’t eat that’ restrictive mindset, you won’t feel guilty each time you want unhealthy food. This kind of restrictive mindset might lead you into an unhealthy food binge. Instead, by having a concrete goal of adding healthy food to your overall diet, you will be able to monitor how close you get to achieving this every week. When you do, you can pat yourself on the back!  

So how do you define healthy food? That’s a rather complex question. But it’s a good idea to steer clear of heavily processed foods with additives and preservatives in them. Instead opt for organic wholefoods or unprocessed foods like lean meats, organic dairy, vegetables and fruit. For quick and portable snacks, replace chocolate and chips with fruit and nuts. These are real fuel for the body that will keep you fuller for longer. For more detailed information on nutrition, read the Guide to Discretionary Food and Drink Choices by the Australian Government’s Eat for Health program.

Faulty: “I’m going to look really muscly/really skinny in 2019”

SMART: “I’m going to exercise for 30 minutes every other day”

This kind of faulty new year’s resolution fails to take into consideration that exercise is a constant daily commitment towards overall health. If you make exercise a daily habit, combined with a balanced diet, you will get results.

The problem with this faulty resolution is that you may hit the gym initially with gusto and determination. This overzealous exercise may lead to a strain, sprain or sporting injury, because you’re being too extreme with your workout.

A smarter approach to exercise would be to commit to a manageable and realistic amount of exercise every second day. This may be a lunchtime walk around the block during work hours, kicking around the football with the kids in the backyard in the evening, or walking the dog.

When we are realistic and have an easily achievable goal, this becomes less of a chore and more of a pleasure. Eventually this turns into a healthy habit that totally changes your life.

As a bonus, with this approach you may look into the mirror one day and see a hot version of yourself staring back, just not instantaneously.

Faulty: “I’m going to lose 10 kilos in a month”

SMART: “I’m going to eat five healthy meals per week and exercise for 30 minutes every other day”

While we can control our own behaviours towards eating healthier foods and exercising more, we can’t fully control how much weight we will lose. Looking at the scales and seeing the scales tip in the wrong direction may make you feel bad and discouraged. Instead of worrying about what the scales say, focus on what you need to do to make it happen.

This might mean committing to going to the gym every other day to do a workout. It might mean fitting in more vegetables and lean protein into your diet, rather than getting take-away foods. Measurable and practical goals are far easier to achieve.

Faulty: “I’m going to quit my job because of the physical pain I’m in at work”

SMART: “I’m going to get an ergonomic assessment of my work space and desk. And I’m going to do stretches at my desk every working day”

Before making any dramatic decisions, like quitting your job, it’s always a good idea to work out the core reason why you’re having pain during working hours. Whether you have an active or sedentary job, the way you’re moving and the way you interact with objects in your workplace affects how you feel. A desk that isn’t calibrated to your height will result in back, neck and eye strain over time. For people who work in a warehouse or other industries, a poor technique with lifting items in a warehouse will result in problems with their lower back.

The great news is that you don’t need to take drastic action to resolve that kind of pain. With a personalised treatment approach to workplace related conditions, the friendly team at Maroubra Road Physiotherapy can help you to resolve this issue with our therapeutic approaches and techniques. This will help you to return to work quickly and prevent further injury.

Would you like some help with making some realistic SMART goals for your fitness, health and injury recovery? Book a consultation with the team at Maroubra Road Physiotherapy today and get a customised approach to sports injury recovery.

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.