Lymphatic Walking is another trend that you really don’t need to overthink. But let me introduce myself first. My name is Giovanni, and I am a clinical myotherapist specialised in Manual Lymphatic Drainage (MLD). I work with client who has an intact Lymphatic system but even with client who have Lymphatic System pathology, like Lymphoedema. In this blog, I am going to share the basic knowledge and explanation of why Lymphatic walking is a nonsense term, but you should still walk. Walking is good for you. It gets your muscles moving, supports cardiovascular health, improves fitness and can be an easy way to stay active. But recently, you may have heard of lymphatic walking. Your lymphatic system is already working, no matter what. So no, you don’t normally need a special walking technique to “switch it on.” The lymphatic system is a complex transport network that continuously moves fluid, proteins, fats and immune cells through the body. Lymphatic vessels have their own pumping mechanisms, while movement of surrounding tissues, breathing, and other mechanical forces can also influence lymph transport. Does walking increase lymph flow? Yes. And with this, we already gave enough credit to this trend. Any form of movement can help the lymphatic system work more and can help your body feel less bloated and tight. This is because any form of muscle contraction is going to directly stimulate your lymphatic system capillaries to collect more liquid and therefore move more fluid. Now, walking is a perfectly reasonable activity for supporting normal circulation and lymph transport, because the primary movers in the body for walking are your legs. Legs contain the biggest muscle group of the body, and are a body area where the fluid has to travel the most, in a proximal direction, to reach the clavicle, where the lymphatic fluid is then dumped into the bloodstream (at the subclavian veins). But again, there is nothing particularly magical about “lymphatic walking.” Again, your lymphatic system responds to many forms of movement. Walking, cycling, swimming, resistance training, climbing stairs and ordinary daily activities all involve muscular contractions and changes in pressure that can contribute to lymph movement. In other words: You don’t need to learn a special walking pattern to make your lymphatic system work. But what I really want to make sure we all understand is that there is nothing inherently wrong with doing them. Just don’t confuse a different walking technique with a medically necessary way of “activating” your lymphatic system. Do you need to boost your lymphatic system? Ok, this is another big topic that I often find myself talking to my clients about here at Melbourne Massage and Treatment in Coburg. If, overall, you are a healthy person, no, you don’t need to boost your lymphatic system. And the reason is quite simple. Your lymphatic system, like many body systems, works fine just by you doing the right thing. If you keep yourself in motion- yes, in this case, even just walking- your lymphatic system works even stronger than usual. This is why phrases such as: “Your lymph is stagnant” “You need to activate your lymph” “Your lymphatic system is blocked from sitting” “Do this walk to detox your lymph” “You need to flush your lymph” should be treated with some scepticism, as are a bunch of nonsense words. That said, there are, of course, genuine lymphatic disorders. People with conditions such as lymphoedema can experience impaired lymphatic transport and may require appropriate assessment and management. Exercise and movement can form part of lymphoedema management, but that is very different from saying that everybody needs to perform a special walking routine to prevent their lymphatic system from becoming “stagnant.” What if you have lymphoedema? This is where we need to sit and talk. Medically talk, no social media trend chat. If someone has lymphatic dysfunction, simply telling them to “walk more to boost their lymph” is not an adequate treatment plan. In fact, exercise can be beneficial for people with lymphoedema. But when someone presents with Lymphoedema, we need to take into consideration the bigger picture, which is their medical and clinical history. Therefore, management of lymphoedema may involve several components, depending on the individual, including exercise, compression, skin care, education, self-management and appropriate manual techniques. That is very different from following a social-media video promising to “flush out toxins.” Lymphatic massage is not the same as Manual Lymphatic Drainage Something that I already touched on is the topic of lymphatic massage and what’s the difference between Lymphatic Massage and MLD. A massage advertised as “lymphatic” is not automatically Manual Lymphatic Drainage (MLD). MLD is a specific manual technique with particular principles and techniques. It should not simply be used as a marketing label for any gentle massage that claims to “drain toxins.” Understanding this distinction is particularly important if you are looking for treatment for an actual lymphatic condition. But also, if you are looking to find a therapist who can tell you more about your lymphatic system needs, if any, and not just grab your money promising a healthy trend. So, what is MLD? Manual Lymphatic Drainage is a specialised, gentle manual technique that increases lymphatic fluid transport. Vodder Academy is the world academy that has a patent for MLD as a technique and treatment modality. That’s the academy I studied with for my Applied MLD, Lymphoedema Management and Cosmetic Surgery recovery specialisation. That said, there are other schools that offer training for other lymphatic treatment, but personally, with extended research, I found that the Vodder Academy was the best school to study with. Not only because they hold the gold standard for Lymphoedema treatment, but also because the training doesn’t stop at the course; there is a real network of teachers and students who spend time sharing resources and experiences from all over the world. Can healthy people have MLD? Yes, of course they can. If you are overall healthy and not suffering from any lymphatic condition, you can still receive […]
Category Archives: Blog
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Lymphatic Walking: Let Me Tell You Why It Is Another Trend
Lymphatic Walking is another trend that you really don’t need to overthink. But let me [...]
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Shoulder Pain in Coburg: Myotherapy Can Help You
Shoulder pain is a common presentation I get to see and treat here at my [...]
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Lower Back Pain in Coburg: Causes, Symptoms and Treatment Options
Lower back pain is a leading cause of disability in Australia. That said, not everyone [...]
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Myotherapy for Coburg’s Active Community
If you have been living in Coburg and the surrounding area, like the Merri Bek [...]
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Myotherapy vs Remedial Massage in Coburg – Which Should You Choose?
If you live in Coburg or the surrounding area, you’ve probably come across both Myotherapy [...]
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Aug
Shoulder pain is a common presentation I get to see and treat here at my Myotherapy Clinic in Coburg. It ranges from clients who have difficulty reaching overhead to those who have no mobility issues but a constant pain or ache along the shoulder blade area. Myotherapy treatment can help with this presentation, settling the pain once and for all, by guiding you on what structures need tension relief and which ones need strength. So if you are looking for shoulder pain treatment in Coburg, it is important to understand that shoulder pain does not always come from one specific muscle or structure. The shoulder works as part of a larger movement system involving the neck, upper back, shoulder blade, rotator cuff and the rest of the arm. What Can Cause Shoulder Pain? Let’s start by pointing out what structures can create shoulder pain. Some people notice pain after lifting weights, playing sport or performing repetitive movements. Others develop shoulder pain gradually without a clear injury. Common factors associated with shoulder pain can include: Repetitive overhead movements Sudden increases in training load Poor tolerance to certain movements Reduced shoulder mobility Reduced strength or endurance Rotator cuff-related pain Irritation following an injury Neck and upper-back problems contributing to symptoms Changes in activity or training Prolonged periods of inactivity Cervical facet joint irritation Bursitis The tricky bit with any pain, including shoulder pain, is that the painful spot does not always tell you exactly which structure is responsible. That’s why, along with our Remedial Massage or Myotherapy treatment, an initial consultation always comes with an assessment first. We want to pin down, at best, what structure is responsible for your pain. A classic example is: muscle or joint pain? Shoulder Pain Is Not Always Just a Shoulder Problem As briefly explained before, your shoulder does not work alone, as it takes part in a more complex mobility and stability joint complex system. That said, the shoulder is also one of the weakest and most exposed joints in the body, given that it has to have really major mobility capacity, but it is also required to play a strong, stable role (scapular/thoracic joint). So what actually can influence your shoulder capacity and load; therefore, what can also influence your shoulder pain is your neck, your thoracic spine, and even your elbow area. For example, reaching overhead requires coordinated movement between the shoulder joint and shoulder blade. Your upper back and neck also influence how this movement occurs. This is why two people with similar shoulder pain may require completely different treatment approaches. One person may need to improve shoulder strength. Another may need to work on mobility. Someone else may need to gradually rebuild their tolerance to lifting or overhead activity. Common Types of Shoulder Pain From what I get to experience as a practitioner here at Melbourne Massage and Treatment in Coburg, shoulder pain can present in many different ways. I did see clients who present with shoulder pain while: Lifting the arm at any degree Pain reaching overhead Pain when reaching behind the back Pain when sleeping on the affected side Pain during gym exercises Shoulder stiffness Reduced range of movement Pain around the front or side of the shoulder Pain extending towards the upper arm Shoulder pain associated with neck tension That said, we have to be aware that some shoulder problems can also develop gradually, while others occur following a specific injury. What I would suggest about your shoulder pain is that if you experience severe pain, following a significant trauma, and having major weakness or loss of movement, appropriate medical assessment may be required. So do not hesitate to book in a Myotherapy session, and let’s start understanding how serious your presentation is. What About Rotator Cuff Pain? The rotator cuff, which is a group of muscles that surround your humerus head and give stability to the humeral head, is important for shoulder health, but occasionally it can be overlooked and blamed for your shoulder pain. While this group of muscles needs to be strong in order to minimise the chance of shoulder pain, we have to consider that, taken alone, they are not going to be the only muscles you want to focus on for your shoulder health. Therefore, let’s not automatically label it as a “rotator cuff injury” simply because it hurts during a particular movement. A proper assessment considers your symptoms, movement, strength, training history and how your shoulder responds to different loads. Can my Shoulder Pain be Part of Menopause Symptoms? Yes, it can. Menopause, as discussed in many other blogs, is a life-changing experience that women experience at an average age of 52 years. Along this transformational journey, as estrogen starts fading away, conditions like Frozen Shoulder (Adhesive capsulitis) are quite common. In a more recent study by MD Jocelyn Wittstein, women who were suffering from this condition and took HRT saw their symptoms drastically improve. More information about menopause and Frozen Shoulder is available from this article. How Can Myotherapy Help Shoulder Pain? At Melbourne Massage and Treatment here in Coburg, when someone presents with shoulder pain and wants to get on top of what the problem is, I do offer Myotherapy treatment as a form of pain relief but also as a form of strengthening program for the shoulder complex. So I would treat shoulder pain in Coburg with a combination of: Movement assessment Hands-on treatment Soft tissue techniques Myofascial techniques Joint mobilisation where appropriate Dry needling where appropriate Mobility exercises Strengthening exercises Education about activity and load management My aim, again, as a clinical myotherapist, is not to make you feel better only after the treatment, but to give you tools to empower yourself and to make you stronger and live better, possibly pain-free. To do so, in the longer term, we need to understand what may be contributing to your symptoms and gradually improve your ability to move and load the shoulder. Shoulder Mobility Is Important — But […]
Aug
Lower back pain is a leading cause of disability in Australia. That said, not everyone who experiences lower back pain has to end up with debilitating pain for months or years, and so how can we prevent that? Therefore, to prevent severe musculoskeletal pain, including back pain, movement is our best option. That said, we have to be aware that even pros who do regular movement can occasionally suffer from lower back pain. As we will see in more detail soon, pain is a brain response to a stimulus, which can be physical but also psychosomatic or from a rise in stress or lack of sleep and/or more. So, for many people, lower back pain improves with time and appropriate movement. However, persistent or recurring pain can interfere with work, exercise, sleep and everyday activities. Then, if you live or work in Coburg and are experiencing lower back pain, understanding what may be contributing to your symptoms is an important first step to ensure your presentation doesn’t become a chronic one. What is lower back pain? Let’s start with a better definition and understanding of what lower back pain is. Lower back pain refers to pain experienced in the area between the bottom of the ribs and the buttocks. It can feel different from person to person, and it may be really local to this area, or it can refer to your leg, within the anterior portion (femoral) or the posterior portion (sciatica). Other than what you may experience: A dull ache or soreness Sharp or sudden pain Stiffness Muscle spasm Pain when bending or twisting Discomfort when standing up after sitting Pain during lifting or exercise Occasionally, someone may experience symptoms associated with nerve irritation, such as pain, tingling or numbness travelling down the leg. All of this said, when talking about what lower back pain is, we have to touch base on the meaning of “non-specific back pain”, which means there is no single identifiable structure that can be confirmed as the cause of the pain. In fact, this is very common and, and that’s what we briefly talked about earlier. Pain can, yes, be associated with physical damage or a physical impairment, but it is not always the case. So, education and understanding of what pain is and how it comes to be is a really important step to take when suffering from chronic pain conditions. What can cause lower back pain? As a clinical myotherapist here in Coburg, I often have to explain to my client who suffer from lower back pain that it is not as simple to find the reason for their lower back pain. Indeed, your lower back works as part of a larger movement system (mobility and stability joint chain) involving the hips, pelvis, abdominal muscles, legs and upper body. How these areas move and how much load they are exposed to can influence how your back feels. Therefore, we may want to look at some common factors associated with lower back pain, which include: Sudden increases in physical activity As someone who loves to do and promote physical activity, I also warn my clients to be aware when starting their moving journey, step by step. Indeed, a common situation that can cause lower back pain is doing more than your body is currently prepared for. Here are some common case scenarios on how this can happen: Start a new gym program Increase your running distance Return to exercise after a long break Lift something unusually heavy Spend a weekend doing physical work Increase your training volume too quickly A sudden increase in load can temporarily make the lower back more sensitive. Prolonged sitting The reason why so many people nowadays may suffer from aches and pain, including lower back pain, can definitely be attributed to a sedentary lifestyle. Indeed, long periods of sitting, particularly when combined with little physical activity throughout the day, can contribute to stiffness and discomfort. This is because not using the body for what it was designed for in the first place leads to a loss of function. The typical “use it or lose it” situation. But let’s be clear, we are not saying that sitting does damage to your back. But what we are saying is that if you do a job that involves long hours sitting or standing at a desk, you should take regular breaks from that position and do a bit of movement that can maintain your body functionality throughout the day. Taking regular movement breaks and changing position throughout the day can also be helpful to keep your brain active and more productive, due to more blood flowing through the full system, including the central nervous system (Brain). Reduced physical activity Again, as with the whole body, even your back is designed to move. When you become less active because of pain, fear of movement or a busy lifestyle, you may gradually lose confidence and capacity with certain movements. This can create a cycle where movement becomes uncomfortable, so you move less, which makes returning to normal activity more difficult. What we need, indeed, is an equilibrium between movement, load and rest. Lifting and repetitive movements As already mentioned in the blogs that talk about tendinopathy, repetitive movement, which in the case of lower back pain can be bending, twisting, lifting and/or carrying, can place significant demands on the tendons and tissues around the lower back. And again, let’s stay firm on the fact that any of those movement are absolutely safe to do, as long as the load applied to it is gradually introduced and increased, and not suddenly placed there. Because that’s the typical case of the seasonal Coburg gardener: when the spring season kicks in, they start working hard and harder in the garden without proper training or warm-up, ending up with lower back pain. Strength and conditioning Strength is one part of the bigger picture. Your ability to tolerate lifting, running, bending, carrying and other activities depends […]
Aug
If you have been living in Coburg and the surrounding area, like the Merri Bek or Darebin councils, you probably notice how Coburg is a suburb full of movement. From people cycling along Merri Creek, walking around Coburg Lake, training at local gyms, playing community sports, or simply trying to stay active despite busy work and family commitments, movement is a big part of everyday life in Melbourne’s northern suburbs. As a Myotherapist based in Coburg, I see many different people who share one common goal: They want to move better, feel better, and get back to doing the activities they enjoy. And this can be due to recovering from an injury, managing ongoing pain, or improving physical performance. That’s where Myotherapy can play an important role in supporting your body and wellbeing. Why Active People Often Experience Injuries One of my mottos here at Melbourne Massage and Treatment Myotherapy and Lymphoedema Clinic in Coburg is: “Move More, Live Well”. But being an active person doesn’t mean you are never going to be in pain or experience some discomfort. Indeed, pain is a complex neurological response, and movement, in some way, is what is needed to alleviate the pain or change this neurological response. On the other hand, if your level of activity is not constant but sporadic- so after a long period of no load, you increase the load suddenly- that’s where the injuries happen. And here are some common presentations I see in my Coburg clinic that are related to overloaded movement: Calf strains and tightness Achilles tendon pain Hamstring injuries Shoulder and neck pain Lower back discomfort Hip and knee issues Overuse injuries from repetitive activities These problems can affect anyone. It could be someone preparing for a running event, a cyclist spending hours on the bike, someone returning to exercise after a break, or simply someone who spends most of their day sitting at a desk. Myotherapy Is More Than Just Massage One common misconception is that Myotherapy is simply a stronger form of massage. Well, let me tell you, it is not. Indeed, hands-on treatment is part of a Myotherapy treatment, and it is an essential component of creating trust between me, the therapist, and you, the patient, but what really is going to fix your pain, or reduce it the most, is movement under the right load. And that’s what really Myotherapy is. Massage, load, and Education about your wellbeing. My approach combines: Clinical assessment Hands-on treatment Movement analysis Exercise advice Education about your condition In fact, our goal is not just to temporarily reduce symptoms, but to understand why a problem may have developed and what we can do to improve your long-term movement. And of course, every person is different, which is why I don’t believe in using the same treatment approach for everyone. Helping Coburg Residents Stay Active If there is something that really attracted me to come back to Coburg to run my clinic, it is the variety of people I get to meet. Some clients come to me because they are dealing with an injury that is stopping them from doing what they love. Others come because they want to improve their mobility, strength, or recovery. For example: A runner may need help managing recurring calf tightness. A cyclist may need support with hip mobility and lower back discomfort. A gym enthusiast may need assistance returning safely after an injury. Someone working at a desk may need help with neck, shoulder, and posture-related discomfort. The treatment approach may be different for each person, but the goal remains the same: helping you move with confidence again. Recovery Requires More Than Rest Along with the educational protocol I put in place in my clinic here in Coburg, I explain to my clients when rest is needed and for how long it is needed. I dedicate a full blog to the inflammatory response. And understanding this concept allows you to regain confidence in your movement as early as possible. Because resting for too long may cause you to lose muscle mass and confidence in movement. Therefore, depending on your presentation, this may include: Improving mobility Building strength Gradually increasing load Learning better movement strategies Again, the body adapts to the demands we place on it. The challenge is finding the right progression, not just resting for too long or rushing to load more quickly. This is where Myotherapy, exercise prescription, and education can work together. Supporting the Coburg Community and Surrounding Suburbs Moving forward from what Myotherapy is and how it really works, being located in Coburg allows me to support clients not only from Coburg itself, but also from surrounding Melbourne northern suburbs including: Brunswick Pascoe Vale Preston Reservoir Fawkner Thornbury Essendon The clinic at 325A Moreland Road is easy to reach by car and public transport. Indeed, you have plenty of car parking along Haig Avenue next to the clinic or Moreland Road (with some parking limitations in terms of time) or a bus stop (BUS 510) which stops right in front of the clinic, or a walking-distance tram (6, 19, 58) and train stop (Moreland Station, Upfield Line). These options make it convenient for people looking for Myotherapy, Remedial Massage, Manual Lymphatic Drainage, and lymphoedema care in Melbourne’s north. My Approach: Move More, Live Well Why I started looking into Myotherapy as a form of treatment is because teh movement is a key component of this type of therapy. Indeed, Move More, Live Well, do really match the essence of this form of therapy. I don’t believe that someone has special powers or magical hands that can fix your pain. I do believe that the right therapist can have the right clinical reasoning to help you overcome your pain and show you the right movement underload that can help you overcome your pain, but also help you understand your body, improve your movement, and give you the tools to stay active. Again, whether you are recovering from an […]
Aug
If you live in Coburg or the surrounding area, you’ve probably come across both Myotherapy and Remedial Massage. Have you ever wondered what the difference is? While those treatment modalities share some techniques, they have different goals. Therefore, choosing the right treatment depends on whether you’re dealing with pain, recovering from an injury, improving your movement, or simply looking to relax. At Melbourne Massage and Treatment in Coburg, I do offer both services and understanding the difference can help you get the most appropriate care for your needs. Quick Look at Remedial Massage and Myotherapy Differences Myotherapy Remedial Massage Pain & injuries Relaxation & recovery Assessment Massage Exercise prescription No rehabilitation program Long-term function Short-term muscle relief Acute & chronic conditions General muscle tightness Healthcare treatment Therapeutic massage What is Remedial Massage? Remedial Massage focuses on relieving muscle tension, improving circulation, and promoting relaxation. Although it can help reduce muscle soreness and stiffness, the primary aim is to help your body recover from everyday stress or physical activity rather than managing complex injuries. Remedial Massage is an excellent choice if you want to: Relax tight muscles Recover after exercise or sporting events Prepare muscles before competition Reduce general muscular tension Improve flexibility Support overall wellbeing Many active people also include regular Remedial Massage as part of their maintenance routine to help manage training loads. What is Myotherapy? Myotherapy is a treatment modality, evidence-based, offered by a healthcare professional who focuses on: Assessing, Treating, Managing musculoskeletal pain and movement dysfunction. As a Clinical Myotherapist in Melbourne, I also tend to specify that Myotherapy as per TAFE education and a Bachelor of Health Science is different. Goes without saying that someone who trained in a bachelor setting has better knowledge and clinical reasoning than someone who trained at TAFE level. Back to what Myotherapy is about, it is not only treating sore muscles, but it aims to identify why your pain or injury has developed. Then, treatment often includes a combination of hands-on techniques movement assessment exercise prescription education to help improve long-term outcomes. Myotherapy is suitable for people experiencing: Acute injuries Chronic pain Sporting injuries Neck and back pain Headaches related to muscle tension Tendinopathies Shoulder, hip, or knee pain Reduced mobility Muscle weakness following injury Indeed, the goal isn’t simply to reduce pain today, but the goals are: Short term: reduce the pain and possibly improve range of motion Long term: become stronger, and reduce the likelihood of the problem returning. The Main Difference The biggest difference between Remedial Massage and Myotherapy is the treatment goal. Remedial Massage essentially focuses on relieving muscle tightness and promoting recovery and relaxation through massage techniques. This is possible because while we massage a body part, we stimulate the nervous system and other body systems, which react with biological responses such as mild inflammation and relaxation. Myotherapy, on the other hand, focuses on understanding the cause of pain or movement limitations and creating a treatment plan that may include exercise, rehabilitation, and education alongside hands-on treatment. Therefore, if your goal is to overcome an injury, improve movement, or build strength, Myotherapy is generally the better option. If your goal is to unwind, recover after exercise, or enjoy a therapeutic massage, Remedial Massage may be exactly what you’re looking for. Now, Myotherapy May Be the Better Choice If You Have: Ongoing neck or back pain A recent sporting injury Tendon pain Joint stiffness Recurring muscle strains Pain affecting work or daily activities Weakness after an injury Goals of returning to sport or exercise safely Where treatment during a Myotherapy session may include: Soft tissue therapy Joint mobilisation Dry needling Trigger point therapy Exercise prescription Strength and rehabilitation programs Movement assessment Education about your condition So, to conclude about what Myotherapy is about, Myotherapy is to improve function, not just reduce symptoms. Remedial Massage May Be the Better Choice If You Want To: Relax after a busy week Reduce muscle soreness after training Prepare for a sporting event Recover following a marathon or competition Reduce general muscular tightness Enjoy regular maintenance treatments Therefore, when we look at Remedial Massage, we are looking at a treatment modality that helps your muscles feel looser and more comfortable while supporting recovery from physical activity. Can You Have Both? Of course you can. As mentioned earlier, while we do deliver a Myotherapy session, we will still use hands-on treatment, the same treatment option that we would use for Remedial Massage. And indeed, many of my clients here at Melbourne Massage and Treatment use both services throughout the year. For example: You may see a Myotherapist while recovering from a shoulder injury. Once you’re pain-free, you may continue with regular Remedial Massage to help maintain muscle health and recover from training. The two treatments complement each other well depending on your goals. Which Treatment Does Giovanni Recommend? At Melbourne Massage and Treatment in Coburg, I recommend treatment based on your goal, not only on my opinion. If you’re experiencing persistent pain, recurring injuries, reduced strength, or difficulty moving, Myotherapy is usually the most appropriate starting point. If you’re feeling generally tight after work, training, or simply want to help your body recover and relax, Remedial Massage is often the better choice. And if you are unsure which service is right for you, please do not hesitate to ask Giovanni what would work best for you. During your initial consultation, we’ll discuss your symptoms, assess your movement, and recommend the treatment that best suits your needs. My goal, as an Allied Health practitioner, is to help my clients move more and live well. And this can start with a massage, and move on too exercises and fitness class. Myotherapy vs Remedial Massage Coburg Cost and Prices Cost and prices of Myotherapy or Remedial Massage at Melbourne Massage and Treatment, for simplification, are the same. Find below a table with the prices: Myotherapy vs Remedial Massage Coburg – Price Initial consultation – 60 mins – $125 Return consultation – 45 mins – $115 […]
Jul
There is no worse way to start the day than with a wry neck. Wry neck is a common term used to describe a painful neck that limits the way you can move. Medically speaking, we call the same presentation acute torticollis. At my Myotherapy clinic in Coburg, Melbourne Massage and Treatment, I get to hear clients often telling me: “This has happened on and off for years.” And this is the first piece of the clinical history that tells me we’re probably not dealing with a simple muscle spasm, and that’s where we start looking for why the neck keeps becoming irritated in the first place. Wry Neck Is Often Acute on Chronic The first misconception we need to clear away is that wry neck comes out of nowhere. The reality of the fact is that many people have developed underlying dysfunction over months or years. Therefore, the neck has been compensating until one day something relatively small, sleeping awkwardly, reaching for something, reversing the car or even sneezing, is enough to trigger the painful episode. The acute pain is simply the last straw that broke the camel’s back. So the million-dollar question is: Why did your neck become vulnerable in the first place? That’s where an initial consultation is important, and that’s why I spend my time investigating during an assessment. A Previous Whiplash Injury Could Still Be Affecting You A common overlooked cause for wry neck that I get to see here at my clinic is a previous whiplash injury. Indeed, while someone may recover fine from this type of incident, others develop subtle changes in how their neck moves and how the muscles coordinate movement. So yes, it can be either a physical strain or irritation of the ligaments, or even neurodegeneration at the muscle level. That’s why, even years later, the body may continue protecting certain joints while overloading others. Research by Woodhouse and Vasseljen (2008) has shown that people with chronic whiplash often demonstrate altered cervical motor control, reduced movement quality and persistent dysfunction long after the original injury. That’s why, if you’ve ever had a rear-end collision, even if it happened ten years ago, even if it was due to a contact sport injury, it’s worth mentioning during your assessment, as it is an important piece of information. Hypermobility Can Also Play a Role Another presentation that I come across in my clinic, for people who suffer from wry neck, is hypermobility. Indeed, being flexible isn’t always an advantage. This is because if some joints move excessively, your muscles have to work much harder to provide stability. Over time, these muscles become overworked and fatigued, especially around the neck and upper back, which is an area where muscles already work hard most of the time, as they have to ensure we can stay straight while we stand or sit. When stability can’t keep up with mobility, the body often responds by developing muscle guarding. That’s when the neck suddenly “locks.” On the other hand, the lack of stability also creates an overload of joints, which may get easily irritated, and then initiate the pain response. Your Neck Doesn’t Work Alone Another important thing to be aware of is that we should stop focusing only on where the pain is, as the source of the problem. In fact, the cervical spine is part of a much larger movement system. So, poor movement through the upper back, reduced thoracic mobility, rib restrictions, shoulder dysfunction or altered control through the lower spine can all change the workload placed on the neck. And this is a long time game, not something that happen in one night of bad sleep. A way to conceptualise this is: If one link in a chain doesn’t move well, another link has to move more than it should, and eventually that overloaded area becomes painful. That’s why my assessment as a myotherapist doesn’t stop at your neck. I look at how your entire spine works together. The goal is to improve the balance between mobility, where mobility is needed, and stability, where stability is required. And this can only be done and maintained via exercises. Can a Better Pillow Fix a Wry Neck? I did already dedicate a full blog post about the pillow topic, but it is worth it to touch base about it even here, as this is probably one of the most common questions I get when talking about wry neck. A supportive pillow can certainly help reduce stress on your neck while you sleep; however, a pillow doesn’t: Change how your joints move. Improve muscular control. Restore stability. Correct movement patterns that have developed over the years. Therefore, think of a good pillow as something that is improving the environment rather than fixing the cause. If the underlying issue is poor movement control or spinal dysfunction, changing pillows alone usually won’t stop the episodes from returning, and it can end up being an expensive search. Your Workstation Might Be Causing the Problem Another issue that I get to see mostly with office workers is for those who work with multiple screens, like two or even three computer screens. This setup becomes a problem when the main screen isn’t positioned directly in front of you, and you end up spending eight or more hours each day with your head slightly rotated toward one side or the other. Now, try to think about what that means for your joints and muscles on that side. Until you repeat that position every day for months or years. The muscles on one side of the neck become overloaded because they are constantly contracted, while the muscles on the other side are constantly stretched. One of the simplest changes you can make is ensuring your primary monitor sits directly in front of your body, or if that’s not an option, then make sure to swap your screen software-wise. So you end up having even days looking at right, and uneven days, looking to the […]
Jul
I had been looking for a new space to relocate my Myotherapy Clinic, and when I found one in Coburg, I knew it was the right choice. As I started telling my client and friends about my relocation plan from Fitzroy North to Coburg, the question they ask is: “Why Coburg?” And the answer is actually quite simple. In many ways, it feels like coming home. A New Chapter, in a Familiar Place For who has been following me for a while, you may know that in the last couple of years my clinic, Melbourne Massage and Treatment, wsa based in Fitzroy North for the last couple of years. But my professional journey didn’t begin there. Long before opening the Fitzroy North clinic, I had already been practising in Coburg for 3 years. And I was practising at home. I came to know the area well, and over the years, I built relationships with many local clients and healthcare professionals. Returning to Coburg wasn’t about moving somewhere new; it was about returning to a community where I already felt connected, and where I still live, actually. More Space Means Better Care Another bigger reason behind the move was the opportunity to create a clinic that better reflects the way I like to work. Myotherapy isn’t about rushing people through appointments, and is more about yes, hands-on treatment, but exercises play a crucial role in your recovery journey, Whether you’re coming in with persistent neck pain, recovering from a sporting injury, managing lymphoedema, or seeking Manual Lymphatic Drainage, treatment works best when both practitioner and client have a calm, comfortable environment. The new clinic at 325A Moreland Road, Coburg, gives me exactly that. Indeed, there is a dedicated waiting room as soon as you walk in. From there, you can access the studio, which is presented with a dedicated fitness class space, and again, a third space, which is only for massage. This all set up, gives me the opportunity to keep expanding the quality treatment for Melbourne Massage and Treatment while maintaining the one-on-one care that has always been at the centre of my practice. Easier to Reach Another advantage of the Coburg location is accessibility. Many of my clients travel from the surrounding suburbs, including: Pascoe Vale Brunswick Preston Reservoir Fawkner Thornbury Essendon Kew Fawkner Being located on Moreland Road makes the clinic easy to reach, regardless of whether you’re driving or using public transport. In fact, parking is straightforward, with unlimited parking on Haig Ave, the side street of the clinic. At the old location in Fitzroy North, I know, parking was a bit of a challenge. After all, arriving stressed because you’ve spent twenty minutes looking for a parking spot isn’t the ideal way to start a treatment session. And if you don’t drive, and you want to opt for public transport, you can easily reach the clinic via tram, bus or train. The trams that stop close by are 6,19 and 58, and the train stop close by is Moreland Station. The bus 510 stops right in front of the clinic. Staying Close to Melbourne’s Northern Community Throughout my career, I’ve enjoyed working with people from all walks of life; indeed, I learned many treatment techniques, which would give me the opportunity to get to know more people and more conditions. Among those presentations, we find: Office workers dealing with chronic neck and shoulder pain Athletes wanting to improve recovery People living with lymphoedema who need ongoing management Clients recovering from surgery People simply want to move more comfortably again Coburg sits right in the heart of Melbourne’s northern suburbs, making it an ideal location to continue supporting this diverse community. More Than Just a Change of Address Again, this relocation is not just about changing the clinic’s postcode. It was about creating a space that allows Melbourne Massage and Treatment to continue growing while staying true to the philosophy I’ve always believed in: “Step by step – Move More, Live Well”. I don’t believe treatment should be rushed, and if you know me, you know that well. I don’t believe every client fits into the same treatment plan; indeed, everyone needs a different level of care and attention to detail for their best performance and well-being. Lastly, I don’t believe pain should simply be masked without understanding why it’s there; therefore, I always share with my client my clinical reasoning and the “why” I take a certain approach to their presentation. How is all of this implemented in my Myotherapy Coburg Clinic? Well, the answer is easy: every appointment starts with listening to your concern. Only then do we decide together on the most appropriate treatment approach, because the treatment that works best for you, may differ from the one that works best for someone else. Looking Forward This move represents an exciting new chapter for Melbourne Massage and Treatment. I’m grateful to every client who has supported the clinic over the years, whether you’ve been seeing me since my earlier days in Coburg, joined me in Fitzroy North, or are discovering the clinic for the very first time. If you’re looking for a Myotherapist in Coburg, or you’re seeking treatment for lymphoedema, Manual Lymphatic Drainage, remedial massage or musculoskeletal pain, I’d be delighted to welcome you to the new clinic. I look forward to helping you move better, feel better, and get back to doing the things that matter most. FAQ – Myotherapy and Lymphoedema Clinic Coburg
Jul
Lipalgia Syndrome is a name for a condition that most often, and more commonly, we all call Lipoedema. But why so? And why Lipalgia Syndrome would be more accurate than Lipoedema? My name is Giovanni, and I am a Myotherapy and Lymphoedema therapist who runs Melbourne Massage and Treatment in Coburg. Here at my clinic, I get to work often with clients who have been diagnosed with Lipoedema or clients who are suspicious of having Lipoedema. That said, it can happen that the client themself, are confusing one condition (Lipaglia Syndrome or Lipoedema) for something else, and that’s also because they see oedema in their limb, and associate that with having Lipoedema. But we now know that oedema is not a symptom of Lipoedema unless we are looking at Lipo-Lymphoedema, a really advanced stage of the syndrome, which is not as common as we think. Let’s break down the names: Lipoedema and Lipalgia Syndrome The term Lipoedema combines the Greek word lipo (fat) with oedema (swelling). Unfortunately, as mentioned above, this terminology can be misleading. This happens because by reading the name, we think we have to see an oedema in this presentation, where an oedema, actually, should not be. Because an oedema is caused by a dysfunctional lymphatic system, which is not what we look at when talking about Lipoedema. In fact, Lipoedema is actually a chronic, painful disorder of abnormal adipose (fat) tissue. This is why an increasing number of clinicians have suggested that the condition would be more accurately described as Lipalgia Syndrome, meaning Lip (fat) algia (pain), therefore, painful fat. Then, all this said, to clarify what’s going on with the lymphatic system, there are several investigations that look into the exact role of the lymphatic system in lipoedema, and by now, it is well established that lipoedema is a different condition from lymphoedema. This is because the lymphatic system is generally intact in the early and moderate stages of lipoedema, although secondary lymphatic overload can develop in advanced disease, leading to lipolymphoedema. This distinction is important because the diagnosis, because the treatment approach is different for lipoedema than for lipolymphoedema. Pain Is the Hallmark Symptom for Lipalgia Syndrome One symptom that can be used to mark the difference between Lipalgia Syndrome (or Lipoedema) and other conditions is pain. Patients commonly describe their legs, hips, buttocks or arms as: aching heavy tender to touch painful even with light pressure bruising easily feeling constantly sore without a clear injury In fact, unlike obesity, where enlarged fat tissue is usually painless, Lipalgia presents with diffuse, persistent pain throughout the affected tissues. If someone presents with some of the above symptoms and with a body that mimics the look of Lipoedema, but they don’t experience any pain, well, they don’t have Lipoedema. And again, that’s why we should call it Lipalgia Syndrome, because what we have to look for, is not oedema, but pain, as main symptom. That said, this pain often limits exercise tolerance and significantly affects quality of life. Current research consistently identifies pain as one of the defining characteristics that separate lipoedema from obesity and many other fat disorders. Therefore, from a clinical perspective, this symptom (pain) is essential to diagnose someone with Lipalgia Syndrome (Lipoedema). On the other hand, if a patient presents with enlarged legs or arms without pain, it is worth carefully considering whether the diagnosis is truly Lipalgia Syndrome (Lipoedema). Other conditions may be more likely, including: obesity with disproportionate fat distribution lipohypertrophy lymphoedema chronic venous disorders mixed presentations involving more than one condition Therefore, don’t try to self-diagnose with social media or a simple Google or AI search, as the reality of facts is way more complicated. Why the Name “Lipalgia” Makes More Sense The use and understanding of language influence how diseases are understood. In fact, the word lipoedema understandably directs attention towards swelling and fluid accumulation, when in fact the most disabling symptom for many patients is pain. That’s where the term Lipalgia shifts the focus towards what patients actually experience every day: chronic painful adipose tissue tenderness heaviness impaired movement reduced quality of life Although Lipalgia has not yet become the internationally accepted medical terminology, many clinicians believe it better reflects the clinical presentation and may help reduce confusion with lymphoedema. What Is Lipohypertrophy? One of the conditions that is often mistaken for Lipoedema is Lipohypertrophy, because both conditions involve a symmetrical increase in subcutaneous fat, particularly in the legs and sometimes the arms. The key difference is that Lipohypertrophy is generally not painful. So yes, those conditions are really similar, and the people with lipohypertrophy usually have enlarged limbs but do not experience the diffuse tenderness, aching, easy bruising and persistent discomfort that characterise Lipalgia. For this reason, recognising the presence or absence of pain is one of the most valuable aspects of the clinical assessment. And again, an accurate diagnosis is important because management strategies differ depending on the underlying condition. Assessment at Melbourne Massage and Treatment At Melbourne Massage and Treatment in Coburg, I provide comprehensive assessments (not diagnoses) for people experiencing leg or arm enlargement, chronic pain, lymphatic conditions and soft tissue disorders. What I refer to as assessment, and not diagnosis, is the fact that I don’t have the clinical possibility to diagnose anyone with anything, but I can point you in the direction of further investigations to get to understand what is happening to your body. Further investigation can involve talking to your GP about specific tests or referral to a specialist, who can assist you in understanding what your body is going through. Every assessment aims to distinguish between conditions such as Lipalgia (Lipoedema), Lipohypertrophy, obesity-related fat accumulation and lymphoedema so that treatment can be tailored to your individual presentation. Early recognition, education and appropriate management can significantly improve comfort, mobility and long-term outcomes. On my end, I can still offer MLD to overcome pain and where present oedema, and Fitness Class to help you and your body get stronger […]
After two wonderful years in Fitzroy North, I am now ready to announce that Melbourne Massage and Treatment is officially relocating back to Coburg from 1 July 2026. This move marks an exciting new chapter for my clinic, moving into a larger, dedicated treatment space at: 325A Moreland Road, Coburg, VIC, 3058 The new location gives Melbourne Massage and Treatment, Myotherapy and Lymphoedema clinic, the opportunity to grow independently in a space designed specifically for client care, wellbeing, and long-term community connection. A New Space In Coburg for Your Well-Being While Fitzroy North has been an important part of my clinic’s journey, the move back to Coburg comes with exciting opportunities. To start with, the location is a shop-front, and so it provides more visibility. There are still plenty of options to reach the clinic via public transport, and greater potential for the clinic to continue growing. Having a standalone clinic also means clients will now be visiting a dedicated wellness space rather than a room inside a GP clinic. This allows for a calmer and more personalised treatment environment focused entirely on massage, myotherapy, recovery, and movement. At this stage, Melbourne Massage and Treatment will continue operating as a single-practitioner clinic, yes, still only me, but ensuring the same personalised care and attention clients have always received. And you are a Melbourne Massage and Treatment client, you know the effort I put in my work. Thank You to the Fitzroy North Community The support from the Fitzroy North community over the past two years has been genuinely appreciated. Every returning client, referral, conversation, and recommendation has helped Melbourne Massage and Treatment grow. Although relocating back to Coburg was ultimately the right decision for the clinic’s future, the connection with the Fitzroy North community will always remain an important part of the business journey. And luckily, the distance between the old and new locations is only a few minutes by car, or a short public transport journey. Services Available at the New Coburg Clinic All current services will continue to be offered at the new Coburg location, including: Clinical Myotherapy Remedial Massage Fitness Classes Manual Lymphatic Drainage (MLD) Lymphoedema Management Lipoedema Management Thai Massage Thai Yoga Importantly, there will be no price increases to any services following the relocation. Clinic Opening Hours In the new location in Coburg, Melbourne Massage and Treatment will maintain the regular operating hours: Monday to Friday: 9:00 am – 7:00 pm Saturday: 10:00 am – 7:00 pm As I currently work by myself, bookings are highly recommended. However, walk-ins are still welcome whenever availability allows. Clients can check live availability through the online booking system. Parking and Public Transport Now, of course, how can you get there? Well, getting to the new clinic is simple, whether driving or using public transport. Parking 1-hour parking is available directly in front of the clinic: Monday to Friday: 8:00 am – 6:00 pm Saturday: 8:00 am – 4:00 pm There is also plenty of unrestricted parking available on Haig Avenue, located directly next to the clinic. Public Transport Options The clinic is well connected by bus, tram, and train services: Bus 510 – Shamrock St/Moreland Rd stop directly in front of the clinic Tram 19 – Stop 28 (Moreland Rd/Sydney Rd), approximately 10 minutes’ walk Tram 6 – Stop 133 (Moreland Station/Moreland Rd), approximately 10 minutes’ walk Tram 58 – Stop 40 (Moreland Rd/Melville Rd), approximately 11 minutes’ walk Moreland Station – Approximately 10 minutes’ walk Accessibility Information The new clinic space in Coburg is larger and more comfortable; however, please note that the premises currently do not have disabled toilet access. Clients with accessibility concerns are encouraged to get in touch before attending so arrangements and suitability can be discussed. Looking Ahead Returning to Coburg feels like coming home for Melbourne Massage and Treatment. The move represents a fresh start, greater independence, and an opportunity to continue building a trusted local clinic focused on high-quality treatment and personalised care. From clinical myotherapy and remedial massage to lymphatic care and Thai massage, Melbourne Massage and Treatment looks forward to welcoming both returning and new clients to the new Coburg location from 1 July 2026. FAQ
Jul
Here at Melbourne Massage and Treatment, Myotherapy Clinic in Coburg, when treating patients who love running, I am often asked this question: “Do I need to stop running because of my knee pain?” Whether you’re training for an event, running recreationally along the Merry Creek, or simply trying to stay active, knee pain can be frustrating and concerning. But let’s start with some good news: in most cases, stopping running forever is not the answer, and is not something to ever consider. As a Myotherapist who is treating runners and active individuals in Coburg and Melbourne’s inner north, I rarely recommend that someone give up running permanently. What I would personally suggest, on the other hand, is that for a short period of time, if needed, you may need to reduce the running load. Specifically in the acute or subacute stages of recovery. However, that’s very different from being told you’ll never run again. Therefore, what I offer as a Myotherapist is to help you understand why the knee pain developed in the first place and create a plan to return to running safely and confidently. Knee Pain Doesn’t Always Mean You Need to Stop Running Many people assume that knee pain automatically means there is damage occurring inside the joint. But we now know that when we look at pain, the reality is often more complex. So, let’s try to simplify why knee pain can be a thing. Knee pain can develop when the tissues around the knee are asked to tolerate more load than they are currently able to handle. Here are a few examples: A sudden increase in running volume Returning to running too quickly after time off Weakness in the legs Poor recovery habits Reduced mobility through the hips or ankles Changes in training intensity At our Coburg myotherapy clinic, we regularly assess runners experiencing knee pain and often find that the issue extends beyond the knee itself. The Knee Is Part of a Bigger System The knee joint sits between the hip and ankle, meaning both joints have a significant influence on how the knee functions during running. Following the understanding of the mobility and stability joints, we then need to look at the leg mechanics before assuming the only issue is at the knee. Therefore, when I assess a runner with knee pain, I look at the entire movement chain, including: Hip mobility and strength Pelvic stability Ankle mobility Foot mechanics Running technique Training load Recovery strategies Addressing these factors is often the key to reducing symptoms and improving long-term knee health. Improving Ankle and Hip Mobility to Stop Knee Pain Mobility plays an important role in running performance and injury prevention. Indeed, when mobility is lacking, a stable joint that follows in the chain would try to act as a mobile joint. Obviously, this is not a fun thing. Ankle Mobility Limited ankle movement, especially dorsiflexion, can increase stress through the knee during running, particularly when climbing hills, accelerating, or changing direction. This can happen because if your ankle lacks movement in dorsiflexion, the knee may compensate by dropping medially. So, improving ankle mobility may help distribute forces more effectively throughout the lower limb. Hip Mobility Tight hip flexors and reduced hip rotation can affect running mechanics and increase the workload placed on the knee. Regular mobility exercises can help improve movement quality and reduce unnecessary strain. As part of our running injury treatment approach in Coburg, mobility assessments are often a key component of rehabilitation. Big Toe Yes, you did read that, your big toe. Big Toe is another mobile joint, and it is big because it sits in the middle of the body, and when walking, running or sprinting, it is the primary body mover. Indeed, for walking, the big toe is better to passively flex up to 45°, running 65°, sprinting 85°. Stability Helps Protect the Knee Once mobility is sorted out, or it may not even be the background issue, it is time to look at stability. For stability, we refer to the body’s needs and ability to control movement under load. Many runners with knee pain demonstrate reduced stability in the hips and pelvis, which can increase stress on the knee. To improve stability, we look into exercises like: Quads focus exercises – Knee extension on the bench Hamstring focus exercises – Knee flexion on bench Step-downs Split squats Single-leg deadlifts Glute strengthening exercises – specific glute medius Improving stability can enhance running efficiency while reducing unnecessary strain on the knee joint. Strength Training for Better Knee Health As the knee is a stable joint, one of the most effective ways to support healthy knees is through targeted strength training. At Melbourne Massage and Treatment, we often discuss strength as the foundation of long-term injury prevention. Quadriceps Strength The quadriceps help absorb force during running and are essential for controlling knee movement. Exercises such as knee extension, wall sit to start with and then high bar squats, step-ups, lunges, and leg press variations can improve lower limb resilience. Hamstring Strength Strong hamstrings contribute to overall knee stability, as part of the body posterior chain muscle group, and help manage forces during the running cycle. Exercises may include: Romanian deadlifts Hamstring curls Single-leg deadlifts Nordic hamstring exercises Calf Strength The calves absorb significant loads during running, yet they are often neglected. And again, from the posterior muscle chain group are ideal muscles for knee stability, as they support the knee from the distal porion to the proximal area. Exercises ideal for your calves are: Single-leg calf raises, bent-knee calf raises (extra focus on the soleus muscle), and progressive plyometric exercises can all be beneficial. Managing Running Load Is Essential Another cause of knee pain while running is dictated by the running load. In fact, sometimes the issue is simply doing too much too soon, or increasing the load too fast, without allowing the tissue to adapt to the new load. Here is a short summary of what an […]