Now that winter is behind us, I am sure everyone is more eager to get out and enjoy the sunshine. Have you been thinking about getting back to some of your favorite hiking tracks or maybe set yourself some new running goals for spring. Well, there are some things you should consider before jumping up and getting into things.
Getting prepared!
If you have been more sedentary over winter or your schedule hasn’t allowed, you to be as active it is important to have a think about anything that may restrict you getting back out there.
There may be some underlying niggles that you haven’t thought of for a while. Prior to getting started think about your history of injuries and addressing ongoing problems before they impact on your function or get worse.
It is important to get a second opinion if you feel like you aren’t improving or need some advice. Working with one of our physios or podiatrists to assess any ongoing aches and pain, looking at your form and function or giving you some stretches/exercise to target those weaknesses.
Think about any specific braces or supports that you may need or feel more confident with. This may include ankle or knee supports.
If you have an old pair of sneakers, think about getting them updated and also making sure they are appropriate for the terrain. (Hiking – sturdy boots with good ankle support, thicker tread. Long distance running – cushioned footwear with good arch support).
If you are having ongoing foot/ankle/leg pain it would be worth getting a podiatry opinion and possible orthotic fitting.
New Zealand Hiking
Pace yourself!
It is important to ease back into things – depending on what you’ve been up to over winter you may need to start with lighter activity and progressively build your strength and endurance.
Start with smaller goals to then build up from. If you need to lower your pace then gradually progress things like your speed, intervals, distance, terrain.
Make sure to give yourself rest periods in between activity. It is important that your body recover from intense exercise.
Plan ahead!
Before you get going you should give yourself the best opportunity to succeed. This means not only preparing your gear but also your body. Thinking about fueling your body with nutritious food and hydration that will help you get through those longer journeys. Make sure you are well rested and giving enough time between when you were last active. You may want to include an active warm up/stretching before hand to get your muscles engaging. Check out and plan your route too, click here to find some good walking tracks to suit your level of fitness and experience.
Bring a pack!
There may be some things that you bring with you on longer hikes or runs. This important to keep you fuelled through this activity like more water or food. In case of an injury occurring while you are out it is important you have some way of contacting someone for help. You should also think about having some basic first aid supplies and possibly pain relief depending on the length of your hike/run.
Have fun hitting the hiking and running trails this spring.
.This is the first in a series of posts about Active Health’s Pelvic Health Physiotherapy program designed to improve awareness and understanding of pelvic health physiotherapy.
So what exactly is Pelvic Health Physiotherapy?
Pelvic Health Physiotherapy is physiotherapy designed to ease symptoms related to various pelvic health issues for both women and men. It is a specialized type of physiotherapy delivered by physios with extra training in pelvic health, in addition to their physiotherapy qualifications.
Pelvic health issues in physiotherapy generally fall into 2 categories: those associated with pregnancy and the postnatal period, and those associated with other pelvic health symptoms, such as concerns with the bladder, bowel, prolapse, pain or sexual activity, or related to surgery and/or cancer in the pelvic area. Of course there often is an overlap between these 2 categories!
Pelvic Health Physiotherapy; pre natal & post natal
Pelvic Health Physiotherapy during pregnancy and following childbirth is designed to both support the body as it changes during pregnancy, and to assist with recovery. Through exercise, muscular support during all of the trimesters can be optimized, women learn how to connect with their pelvic floor to aid with labor and delivery, and the pelvic floor and core can be rehabilitated after delivery.
Pelvic Health Physiotherapy also address various musculoskeletal or pelvic floor concerns that may occur before or after the baby is born. These can include pelvic/hip/back pain, bladder or bowel issues, difficulty moving and walking to name a few. It is highly recommended to have a pelvic floor check around 6 weeks following delivery to screen for any potential injuries, and to help to guide exercise and return to sports and fitness. More on this to come in a future post….
What else we can offer;
There is a large body of evidence to support the use of physiotherapy for conditions such as pelvic floor dysfunction, pelvic pain, bladder or bowel dysfunction, pelvic organ prolapse and sexual dysfunction. These methods may include hands on techniques, exercises for strengthening or release, education for bladder, bowel habits and lifestyle factors, release of scar tissue and connective tissue, functional dry needling and more. In addition, some pelvic health physios are trained to fit pessaries. These are medical devices designed to support the pelvic organs in conditions such as prolapse and some forms of bladder leakage. pelvic health physiotherapy near me
Pelvic Health Physiotherapy may also ease symptoms and help the management of pelvic pain. Conditions such as endometriosis, painful bladder syndrome (interstitial cystitis), vulvodynia and chronic pelvic pain. Due to a body of research demonstrating pelvic floor muscle involvement in these conditions, many health professionals are therefore including pelvic floor physiotherapy as a vital part of their patient’s medical care. All of our pelvic health physiotherapists have both musculoskeletal training and pelvic floor training, which is essential when treating the complexities of pelvic pain. See more about this page women’s pelvic health physio.
For a more detailed list of conditions that can be helped with Pelvic Health Physiotherapy click here
If you suffer from any of these pelvic health symptoms, or would like help and guidance during pregnancy or postnatally please contact us to see one of our Pelvic Health team in Christchurch and Rangiora.
“Tennis elbow” is the term used to describe pain located on the outside of the elbow joint. The pain originates from an irritation of the tendon attachment of the wrist and finger muscles.
Who gets a tennis elbow?
Anyone can get a tennis elbow! However, most commonly, they occur in 30-50 year old’s or those with jobs that involve repetitive movements of the wrist or elbow.
How do I know if I’ve got a tennis elbow?
Aside from checking in with your local physios at Active Health, you could try the following to see if a tennis elbow may be contributing to your elbow pain;
Position an object weighing 1-5kg in front of you at roughly waist level (ie; frying pan of food, house brick, dumbbell)
With your arm fully out straight in front of you, and your palm facing the ground, try to pick the object up and lift it to shoulder height
If this elicits your familiar elbow pain, you may have a tennis elbow!
What do I do if I’ve got a tennis elbow??
Don’t panic! In 90% of cases, the symptomatic tennis elbow can be settled with NON–operative treatment. This means you shouldn’t need surgery!
Tendons need to be loaded to adapt and get better, otherwise they may remain in their painful state. Some exercises are often a good way to achieve this! Catch up with one of our physios to make sure you are given an appropriate exercise plan that is individualized to you and what your elbow needs to get better.
Trial some self-management of the pain with any selection of the following;
Modifying activities that hurt your elbow to prevent aggravation the pain
Trial some basic pain relief as per packet instructions
Wear a brace or sleeve if you have one
Extra for Experts:
Unfortunately, this won’t be a problem that will disappear overnight. However, with an accurate diagnosis and appropriate intervention, there should be improvements to observe in your day-to-day function.
The sooner you can “nip it in the bud”, the better! From what we know of tendon aggravations like tennis elbow, it is much easier to reverse the pain if it has only been present for a short period of time. This means the Kiwi “she’ll be right!” will not do in this case. Get onto it early!!
If you have any questions, or you are concerned about your current elbow or arm pain and want to get it sorted, get in touch with us here at Active Health and we will sort you out.
We all know that exercise is good for us, it helps to keep us healthy and lowers the risk of many diseases. As creatures of habit, we tend to repeat the same type of training. Whether it be cardio or resistance training, we can get stuck in a rut and after a while and not see any progress. Incorporating a mixture of resistance and cardio is a great way to maintain longevity with your training. We can help out getting you more active, we have a great gym at our St Albans clinic, with all the right equipment to suit your mixed training needs.
Here are 3 reasons why a mixed training program will benefit you long term.
It keeps the body guessing.
We tend to gravitate towards one type of training. This could be either cardio or resistance. Initially, our body will adjust to the type of training we choose, and we will see progress. But over time our body becomes used to that same type of training. You can switch this up by adding in new types of resistance training (or vice versa). This will stimulate new responses, gives you a new challenge, and will maintain progress in your training.
It can keep you motivated.
By changing the way you are training frequently, you will stay excited about exercising. You will also be less likely to reach a plateau in your workout performance and results. Adding new exercises into your training routine can make the workouts exciting and different.
Mixed training will help you achieve your goals.
You can achieve great benefits from both cardiovascular and resistance training. Cardio training will increase cardiovascular endurance and efficiency, while resistance training will increase muscle strength. Over time this combination will reduce your risk of injury, keeping you healthier for longer. A mixture of both will propel you to achieving success.
Now that we have you excited about incorporating new challenges to your training regime, give us a call on 03 383 6290 to book a session with one of our trainers at our St Albans, Christchurch Clinic.
Back pain is something most of us have experienced. It can occur during exercise, from repetitive lifting, or sudden awkward movements. The most common cause of lower back pain is a strain or sprain of the ligaments in the spine. The lower back is especially vulnerable to injury as it carries the weight of the upper body and is involved in twisting, bending movements.
There are two common types of lower back injury.
One of them is a lumbar sprain. The lumbar spine is the name of the 5 vertebrae of the lower back leading down into the top of the pelvis. A lumbar sprain occurs when the tough tissues know as ligaments surrounding and joining the bones get overstretched or even torn.
The other common injury is a muscle strain. This is usually known as a pulled muscle and refers to when the muscles are overstretched or overused and start to tear.
Both types of injury have very similar symptoms and require very similar treatment. When the ligaments of muscles are stretched or torn in any injury, it can cause inflammation. The inflammation is a natural response to injury. It is when blood rushes to the injured area to help repair and restore the injured tissue. Other symptoms can include stiffness, pain that worsens with movements, soreness to touch the area, or difficulty standing or moving.
If you find yourself with a lower back injury…
Get yourself an ice pack. Put ice on the lower back for up to 20 minutes every 6-8 hours. It may feel good to lay flat on the floor to help the muscles in your back surrounding the injury to relax.
Book into see a physiotherapist to help you release any tight back muscles and get you moving again. Click for Christchurch, Rangiora or Hamilton.
Sleeping with pillows under your knees a good way to release the muscles while you rest overnight.
Once you can move, it is good to stay mobile. This will help improve your injury, making sure you keep your spine in a neutral position while doing any bending movements.
Once you are feeling more mobile and your pain is improving it is a good idea to start stretching.
Two stretches to try;
Knees to chest. Lying on your back, bring your knees up towards your chest and give them a hug with your arms. Gently pull your knees close to your body, ensuring that when you stretch you aren’t increasing your pain. This can be done with one leg at a time of you are particularly stiff.
Cat Stretch. On all fours, bring your knees under your hips and your hands under your shoulders. Tuck your belly button up towards your spine. Tuck your chin and arch your spine. Imagine you are trying to create space in between each vertebra and lengthen the muscles in your back.
When your back pain is manageable you should work on strengthening your core and back muscles. Any movement is great for blood flow which will help reduce any muscle stiffness. Talk to your physio to help create a core strengthening program to reduce the risk of re-injury and keep you active for life!
No one ever seems surprised when you say you sprained your ankle at Netball!!
A 2021 study(1) reported that at least 4 out of 5 netballers will go on to sustain an ankle sprain or injury. Over half of players report going on to have recurrent ankle sprain. Furthermore 90% of players report ongoing feelings of ankle instability.
What is concerning is that it is common for people to consider an ankle sprain as a simple injury and often do not seek treatment. It is most common for players to return to playing the following week without any specific care. Without appropriate rehab after an ankle sprain its no wonder people go on to have further ankle sprains and suffer from ongoing limitations. But there are proven ways to help reduce your ankle injury and re-injury risk.
Your physio can help straight away – there is no need to wait. In the early stages remember “PRICED” Protect – Rest – Ice – Compress – Elevate and Diagnosis!
Your Physio will work out what is going on in your ankle and then work with you to get you back to Netball safely. They will teach you how to jump and land well. They will also provide simple but very effective rehab exercises to help reduce your risk of having a repeat ankle sprain.
Be Netball Smart!
Injury prevention programs such as ACC & Netball New Zealand’s Netball Smart programme reduce ankle sprains (and all other injuries). These have other great benefits such as improving your performance and fundamental netball skills. For the best results, do these netball specific exercises 3-4 times per week.
Netball shoes are designed for netball! They are durable, constructed for the rigours of the game. The shoes have excellent grip and have a more rounded edge on the sole of the shoe which helps you react better to sideways movements. If you can only afford one sports shoe your netball shoe can be used for running and other activities.
Tape or Brace your ankles
This is especially important if you have had an ankle injury in the past. Those ankle ligaments after injury are stretched and are less effective at restricting your ankle movement. This can make your ankle more vulnerable to injury. Taping or bracing your ankle will help limit the extremes of movement to reduce your risk of re-injury.
Tape vs Brace
This comes down to personal preference – there is currently no research to suggest one is better than the other. If you’re not sure, talk to your physiotherapist. Your physio can teach you how to tape your ankles effectively or help you decide if an ankle brace might be right for you.
If you haven’t sprained your ankles before there is no need to tape or brace – just keep working on your standing balance, practicing your landings and do the Netball Smart warm up regularly.
Ankles are the most common injury in Netball – but they don’t have to be for you! Make sure you seek the advice of your physio, practice your movement skill with the Netball Smart dynamic warm up, learn to tape or invest in a brace and get yourself some netball shoes!
Written by Amanda Foster MHPrac, BHSc (Physio) Director/Physiotherapist Active Health Waikato Previous NZA, WBOP Magic, NZ Secondary Schools, WBOP NNL and Netball NZ Pathway Physiotherapist.
Recent Comments