Musculoskeletal pain can be complex, and orthopedic tests and hands-on treatment, sometimes, can be a limited tool to individualise what is happening with the body’s internal structure. Indeed, there are times when a deeper look is required to ensure we are on the right path. This is where body scans imaging comes into play to identify presentations like tendinopathy, bursitis, ligament tear or other underlying conditions. The Role of Body’s Scan in Diagnosing Pathology Body scans include a series of imaging technologies, such as ultrasound, x-ray, MRI, to name a few. Ultrasound is a highly effective imaging tool used to assess soft tissue structures in real-time. Unlike X-rays, which primarily show bone, ultrasound provides detailed images of muscles, tendons, bursae, and ligaments. This makes it an excellent tool for diagnosing conditions such as: Tendinopathy – A chronic condition involving tendon degeneration due to overuse or injury. Bursitis – Inflammation of the bursae, the small fluid-filled sacs that reduce friction between tissues. Those tissue types are found along different body joints, like the shoulder and the hip. Ligament Tears – Partial or complete tears of ligaments, often occurring after trauma or excessive stress. Baker’s cyst – is a fluid-filled swelling that forms behind the knee, often resulting from knee joint conditions like arthritis or meniscal tears, causing discomfort and limited mobility. When we are suspicious of one of those presentations, due to positive results obtained by orthopedic test and medical history, including mechanism of injury, we attempt a recovery process, based on the type of injury, symptoms, and other relevant information. Along this recovery process, we may start with isometric exercises. If, with the first 6 weeks, and a series of sessions, 3 to 4 sessions with this time frame, we still don’t see a major recovery, then we may want to get extra investigation ongoing via an ultrasound scan, which can clarify the underlying pathology. It allows us to confirm or rule out certain conditions, ensuring that treatment strategies are aligned with the actual tissue damage (if any is present). On the other hand, based always on the individual case, we could also require X-rays, which are often more helpful in diagnosing conditions related to the bones, such as arthritis or fractures, as they provide a clear view of bone structure and joint spaces. MRI is a scan that is used for Brain imaging, and when the investigation needs higher details, like when looking at the spine or a joint that via ultrasound was not giving any sign of issue. Ultrasound is also comparable to MRI, as it is faster, easier to deliver, and has fewer complications. How can myotherapy treatment help recovery from what a body scans would show? As we already discussed in another blog, Myotherapy is a practice that looks into the well-being of the skeletal muscle structure. To understand what can be done about a painful presentation, we would initially take a detailed clinical history, then look into objective measurements, such as your movement and body presentation. Given the result we can obtain, we would build up a treatment plan which includes: Hands-on Treatment – Techniques such as deep tissue massage, myofascial release, and dry needling can help reduce pain and improve mobility. Exercise Prescription – Strengthening and mobility exercises help restore function and prevent future injuries. Load Management Strategies – Proper guidance on activity levels ensures tissues heal without excessive strain. That management technique would then be combined and adjusted around the scan’s results. Here are a few examples: Bursitis: If a bursitis is confirmed, medications may be given to reduce the inflammation of the bursa, for that, we concentrate on MLD treatment to further reduce the inflammation and exercises to build strength on the structure that needs support. Ligament tear: When talking of ligament tear, the healing time can dilagate to months if not also a year, so we know now why the 6 weeks program may was not as responsive. We will keep focusing on the strength of the muscle that surrounds the specific joint, and use hands-on treatment to boost blood to the area affected. Arthritis: Medication or dietary change may be put in consideration for pain management and inflammatory reduction. Also in this case, MLD can be used to manage the pain response, and exercises for mantain movement in the affected joint/s. When Should You Consider an Ultrasound or other body scans? If you experience ongoing pain, swelling, or restricted movement that is not improving with therapy, an ultrasound or other scan helps identify the cause. This can prevent prolonged discomfort and allow for a more targeted treatment approach. At Melbourne Massage and Treatment, in Fitzroy North, we aim to provide the most effective care possible. If you’re dealing with persistent musculoskeletal pain, book a consultation with Giovanni today. Together, we’ll determine the best action to get you back to optimal function. Frequently Asked Questions (FAQs) About Musculoskeletal Pain and Body Scans Imaging 1. What are body scans, and how do they help diagnose musculoskeletal pain?Body scans include imaging technologies such as ultrasound, X-ray, and MRI. These scans help diagnose soft tissue injuries (like tendinopathy, bursitis, and ligament tears) or bone-related conditions (such as fractures or arthritis). They provide a clearer picture of what might be causing pain, inflammation, or restricted movement. 2. Why is ultrasound commonly used in diagnosing soft tissue injuries?Ultrasound is highly effective for real-time imaging of soft tissues like muscles, tendons, bursae, and ligaments. It helps diagnose conditions such as tendinopathy, bursitis, and ligament tears, providing a dynamic view of the area being studied without the need for invasive procedures. 3. When should I consider getting an ultrasound or other scans for my injury?If you’re experiencing persistent pain, swelling, or limited mobility that isn’t improving with initial therapy (such as exercises or hands-on treatment), it might be time to consider an ultrasound or other scans. These can help identify the underlying cause of your symptoms and allow for a more targeted treatment approach. 4. How do orthopedic […]
Category Archives: Melbourne Massage and Treatment
Melbourne Massage and Treatment is a home-based massage studio run by Giovanni, a qualified Myotherapist passionate about health and healing.
Melbourne Massage and Treatment Services.
Giovanni started in Massage career back in 2016 at the SSNT in Fitzroy.
After that, he worked and travelled in Asia and Europe, specialised in Thai Massage and Applied Manual Lymphatic Drainage (MLD), and completed a diploma in Remedial Massage and Advance Diploma in Myotherapy.
Giovanni is finishing a Bachelor in Health Science, Myotherapy Clinic at Torrens University.
What type of condition does Giovanni treat?
Plantar Fasciitis
Frozen Shoulder
Lower Back Pain
Neck Pain
Head Aches
Fibromyalgia
Knee Pain
Carpal Tunnel
Tennis Elbow
Golfer Elbow
Achilles Thenopathy
Muscle tear
Recovery from bond fracture
Recovery from Surgery (MLD)
TMJ pain
Preeclampsia
Improving mobility
What is this blog About?
Melbourne Massage and Treatment blog is about Giovanni’s experience within the massage industry, health topics, and an explanation of how different massage services works.
Giovanni likes to ensure his client knows what happens to their body when they are in pain or living with discomfort. He believes body awareness is vital to the recovery/healing process.
If you are looking for treatment, book your next appointment with Giovanni now.
Or if you have any questions, get in touch now.
Massage Near Me – Coburg
Melbourne Massage and Treatment studio is located on Blair St, Coburg, 3058.
Easy to get here by public transport, like tram 1, 6 or 19, or by train, as Giovanni lives nearby Moreland Station.
Also, if you need to drive here, plenty of car park spots are available along Blair St.
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Blog Melbourne Massage and Treatment
Body scans as a Diagnostic Tools
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How Exercises can help you in preventing Alzhaimer’s
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Feb
Alzheimer’s is a growing concern worldwide, affecting millions of individuals and their families. As we age, cognitive decline becomes a reality for many, but research has shown that regular exercise can play a significant role in reducing the risk of developing Alzheimer’s. Incorporating physical activity into daily routines can improve brain health, enhance memory, and support overall mental well-being. But how is this possible? And what do exercises have to do with brain health? What are the main factors that lead to Alzheimer’s disease? Even before starting to look into how exercises are beneficial for reducing the chance of developing Alzheimer’s, we have to understand what conditions can lead to Alzheimer’s in the first place. Indeed, there is a combination of factors that would increase your chance of developing this form of Dementia. Here is the list: low education level, midlife hypertension, midlife obesity, hearing loss, later-life depression, diabetes, smoking, social isolation, and, of course, low physical activity. Now, once you read this list, you can easily imagine how exercises can be beneficial for many of these presentations and how already acting directly on reducing these factors can lead to reducing your future chance of developing Alzheimer’s. How Exercise Benefits Brain Health Engaging in regular physical activity helps maintain cognitive function by improving blood flow to the brain. Indeed, the brain, as shown in the picture here, is a bundle of veins and arteries and has the most blood supply of any organ. As we now know, blood helps reduce inflammation and promotes the release of brain-derived neurotrophic factor (BDNF). BDNF is a protein that supports neuron growth and connectivity, which is crucial for memory retention and learning. On the other hand, exercise also helps reduce stress and anxiety, which are known contributors to cognitive decline. Additionally, studies like the London taxi driver study demonstrate how mental and physical engagement can grow the brain. The study found that taxi drivers who undergo rigorous memorization training developed larger hippocampi compared to bus drivers who followed set routes. This supports the idea that both physical activity and cognitive challenges contribute to brain resilience. Types of Exercises for Brain Health Different types of exercises offer unique benefits for brain function. Here are some of the best activities to help prevent Alzheimer’s: Aerobic Exercise: Activities like walking, running, cycling, and swimming increase heart rate and improve circulation, ensuring that the brain receives adequate oxygen and nutrients. Strength Training: Lifting weights or using resistance bands helps build muscle mass, which has been linked to better cognitive function and reduced risk of Alzheimer. Balance and Flexibility Exercises: Yoga, Tai Chi, and stretching improve coordination and reduce the risk of falls, which can contribute to brain injuries and cognitive impairment. Mental Engagement through Exercise: Activities such as dancing, martial arts, or playing sports require learning new movements and strategies, stimulating brain activity and improving neural connections. Metabolic and Lifestyle Factors Moving forward on the prevention side of things, there is to say that exercise alone is not the only factor influencing Alzheimer’s risks. Chronic conditions like pre-diabetes, diabetes, high LDL cholesterol, and chronic inflammation are significant contributors to cognitive decline. Studies show that individuals with uncontrolled pre-diabetes and high cholesterol in midlife face a greater risk of developing Alzheimer’s later on. A holistic approach to brain health should also address these metabolic pathways through a combination of exercise, a balanced diet, and proper medical management. How to Incorporate Exercise into Daily Life Nowadays I often hear patients saying that they have no time for exercise. But is that true? Or is it more about knowing how to optimise the time and apply some changes to our lifestyle? Then, here are some practical ways to integrate exercise into your routine: Take a brisk 30-minute walk daily. This can be easily accomplished by leaving the tram one stop earlier than your work’s stop and walking one stop back and forth, or parking the car a bit further away than the work location and walking your way down and back (15 mins each way). Join a local exercise class or sports group. If you give yourself a time and day that you have to attend a regular appointment, you are more luckily to make it a routine. Use stairs instead of elevators. If you work in a building with an elevator, opt for the stairs as many time as you can. Engage in gardening or household chores that require movement. Indeed gardening is not only a great way to spent time outdoor but it also a good way to move your body. Practice mobility drills before and after bedtime. Start and end yoyr day with a 10 minutes mobility self time, where you focus on get the spine moving and get your joint some selflove. How Melbourne Massage and Treatment can help with exercises for Alzheimer’s prevention? At Melbourne Massage and Treatment, I do my best to teach my patients exercises and guide them through a better lifestyle. Alzheimer’s disease is something that I experienced myself with my family throughout my mother’s journey. As I lived this in the first place, I want to make sure that no others have to go through the same journey. So not only do I regularly practice exercises myself, but I ensure to pass these skills and knowledge to others. If you are keen to learn more about how exercises can help your wellness journey, book now your next appointment for Exercises Prescription. Or if you have any questions, reach out via the contact page. FAQ about Exercises and Alzheimer’s prevention. Q: What are the main risk factors for developing Alzheimer’s disease? A: Several factors increase the likelihood of developing Alzheimer’s, including low education level, midlife hypertension, obesity, hearing loss, depression, diabetes, smoking, social isolation, and low physical activity. Addressing these risk factors through lifestyle changes can help reduce the chances of cognitive decline. Q: How does exercise benefit brain health? A: Regular physical activity improves blood flow to the brain, reduces inflammation, […]
Blog, Melbourne Massage and Treatment
Whiplash: Symptoms, Causes, and Effective Exercises for Recovery
Feb
Whiplash is a common neck injury caused by a sudden and forceful back-and-forth motion of the head. We often see this in patients who go through a car accident, contact sports injuries (AFL, rugby or even Soccer), or falls. While whiplash is usually not life-threatening, we now know that it can cause persistent pain and discomfort, affecting daily activities. Therefore, it is important to understand its symptoms, causes, and the best exercises for recovery, which can help individuals manage and overcome this condition effectively. Common Causes of Whiplash Whiplash is a term used to describe a fast rocking motion of the cervical area and is most frequently caused by: Car accidents: Rear-end collisions are the leading cause, as the sudden force propels the head forward and backward. Sports injuries: Contact sports like football, boxing, or hockey but even AFL, Rugby or even Soccer increase the risk of whiplash injuries. Falls: Slipping and falling can cause the head to jerk suddenly, leading to whiplash. Physical assaults: Blows to the head or sudden jolts, such as those experienced in shaken baby syndrome, can result in whiplash. What are the consequences of Whiplash for the cervical ligaments? The consequences of whiplash for the cervical ligaments can be significant, leading to long-term instability and chronic pain. When the ligaments are overstretched or torn, they lose their ability to support the cervical spine, resulting in properly: Reduced Stability: Weakened ligaments can no longer provide adequate support to the cervical vertebrae, leading to excessive movement and an increased risk of further injury. That’s why stretching is not recommended either. Chronic Pain and Stiffness: Persistent discomfort may arise as the muscles attempt to compensate for the lack of ligament support. Increased Risk of Degeneration: Ligament damage can accelerate wear and tear on the cervical joints, potentially leading to conditions such as osteoarthritis. Neurological Symptoms: Instability in the cervical spine may irritate or compress nerves, leading to headaches, dizziness, or numbness in the arms. Symptoms of Whiplash Whiplash symptoms can range from mild discomfort to severe pain, and they often appear within hours or days of the injury. Common symptoms include: Neck pain and stiffness: One of the most prevalent symptoms, often worsening with movement. Headaches: Typically originating from the base of the skull and radiating toward the forehead. Shoulder and upper back pain: The impact can cause muscle strain in surrounding areas. Reduced range of motion: Difficulty moving the neck due to stiffness and discomfort. Dizziness and fatigue: A common reaction as the body copes with the injury. Tingling or numbness in the arms: Nerve involvement may lead to sensations of pins and needles. Cognitive issues: Some people experience memory problems, difficulty concentrating, and irritability. Those symptoms may not present all at once, and they can belong to other presentations, while whiplash did or didn’t happen anytime before. That’s why when we go through a clinical history taking, as Myotherapist, we take our time to dig into your past and your body habits, as this can give us important information about your current presentation and what we can do to improve it. Why Can Whiplash Become a Lifelong Issue? In some cases, whiplash can become a chronic condition due to the instability of cervical ligaments. Cervical vertebrae can be divided into two parts, Mobile and Stable joints. C1 to C2 are the mobile ones, whereas C3 to C7 are the stable ones. Now, if along a whiplash incident, the ligaments of either the mobile or, most luckily, the stable side get strained, the muscles surrounding that segment of the joint would have to work harder to maintain stability. This would lead to to ongoing discomfort, reduced mobility due to pain and muscle spasms, and increased vulnerability to future injuries. If left untreated or managed improperly, this is how the condition can become chronic and lead to other injuries along the way. Importance of Thoracic Mobility Thoracic mobility plays a crucial role in preventing the chain effect of mobility and stability issues between the thoracic spine, lower cervical, and upper cervical regions. If the thoracic spine is stiff or restricted, the lower and upper cervical spine must compensate, leading to increased strain and pain. Improving thoracic mobility through targeted exercises can help reduce this compensatory stress, allowing for better neck function and reducing the risk of chronic discomfort. In a case of a previous history of whiplash, maintaining good thoracic mobility would allow the cervical area to focus on its duties, so stability for the lower portion and mobility for the upper. Reducing the risk of overcompensation and muscle fatigue. Effective Exercises for Whiplash Recovery A structured exercise program is essential for whiplash recovery. This program should begin with isometric exercises to restore basic cervical movement, progress to concentric exercises to rebuild strength, and eventually include thoracic mobility drills to enhance overall spinal function. Phase 1: Isometric Exercises for Early Recovery. For the first 2 weeks post-injury, 5 to 7 days a week. Isometric exercises help activate muscles without excessive movement, providing a stable foundation for recovery. This step is essential to start driving more blood to the area irritated by the whiplash and also allow the central nervous system to feel confident in perceiving the cervical structure moving without pain. Isometric Neck Holds: Place your hand on your forehead and gently press against it without moving your head. Push only 25% of your strength, as it has to be a pain-free exercise. Hold for 5-10 seconds and repeat 5 times. These exercises can be done in any cervical movement, such as extension, lateral flexion, or rotation, by using your hand as a resistance and pushing always at 25% of your strength. The strenght of push does not ever progress, what you will progress within isometric exercises are the time fram of push, repetitions and sets. Phase 2: Concentric Strengthening Exercises. From week 3 post-injury onwards,3 to 5 times a week. Once the pain subsides, which we would expect to happen in 2 weeks about it, gradual […]
Blog, Melbourne Massage and Treatment
Why Exercises are the way to go for Greater Trochanteric Pain Syndrome (GTPS)
Feb
Greater Trochanteric Pain Syndrome (GTPS) is a common condition that causes persistent lateral hip pain, often making everyday activities like walking, climbing stairs, or even lying on your side difficult. GTPS primarily affects middle-aged individuals, particularly women, and is commonly linked to issues such as gluteal tendinopathy and weakness in the hip stabilizing muscles. At Melbourne Massage and Treatment, our focus is on evidence-based approaches to managing GTPS, and the latest research strongly supports the role of exercise as the first line of treatment for this condition. GTPS Symptoms Greater Trochanteric Pain Syndrome can present with a series of symptoms that are local to the side of the hip. Here are the most common: Lateral hip pain: Persistent pain on the outer side of the hip, which may extend down the thigh. Pain when lying on the affected side: Discomfort that worsens when lying directly on the hip. Tenderness to touch: Sensitivity around the greater trochanter, which may be painful to press. Pain with movement: Aggravation of pain during walking, climbing stairs, or standing for prolonged periods. Weakness in hip muscles: Reduced strength in the gluteal muscles, leading to instability in movement. Difficulty sitting for long periods: Sitting on hard surfaces can exacerbate discomfort. Mechanism of Injury for GTPS GTPS is primarily associated with tendinopathy of the gluteus medius and/or minimus muscles, with or without accompanying bursitis. As per many tendon injuries, this condition often arises from repetitive stress or overuse, leading to microtrauma and degeneration of these tendons. On the other hand, abnormal hip biomechanics can exacerbate the issue, as compressive forces cause impingement of the gluteal tendons and bursa onto the greater trochanter by the iliotibial band during hip adduction. Contributing factors to GTPS include acute trauma, such as a fall onto the lateral hip, prolonged pressure from lying on one side, and overuse from activities like running or stair climbing. Additionally, conditions like iliotibial band disorders and gluteal muscle weakness can increase the risk of developing GTPS. Understanding these mechanisms is crucial for effective management and prevention of GTPS. Evaluation of GTPS Diagnosing GTPS typically involves a combination of clinical examination and medical history assessment. After taking your clinical history, including sports and work activity, I will perform a series of tests to validate the suspicions of GTPS. Those tests include single-leg stance and resisted hip abduction, which we would expect to show weakness in single-leg standing and pain during the abduction movement. Lastly, we would also palpate the area, which is a test that is kept for last because we want to avoid flair the presentation, which may be painful with any other test after that. In some cases, imaging techniques like ultrasound or MRI may be used to rule out other conditions and confirm gluteal tendinopathy or soft tissue abnormalities. I personally do not recommend image testing as the first way to go because the impact of seeing physical damage can also have a negative impact on self-perception, making a recovery harder. At Melbourne Massage and Treatment, our focus is on evidence-based approaches to managing GTPS, and the latest research strongly supports the role of exercise as the first line of treatment for this condition. The difference between GTPS and Femoroacetabular Impingement (FAI) The difference between GTPS and FAI stands in the hip area involved in the injury. The GTPS is relative to the side of the hip and involves the gluteus medius and minimus tendon and the bursa that separate that tendon from the greater trochanter of the femur. On the other hand, FAI is a presentation that still involves the hip, but it does take place on the anterior portion of the hip, as is characterised by and overgrowth of tissue on the femur head or the hip socket, and it does manifest with hip flexion and external rotation. That’s why it is important to receive an evaluation of the presentation from a professional, in order not to mix the two presentation, or also, in order to evaluate if both presentation are present at the same time, which can also happen. The Role of Exercise in GTPS Treatment A recent systematic review and meta-analysis analyzing multiple randomized controlled trials found that structured exercise provides significant benefits for individuals with GTPS. The findings revealed that: Long-term pain reduction: Exercise can lead to slight but meaningful reductions in hip pain over time. Improved physical function: Patients who engage in targeted exercise programs experience better mobility and overall hip function. Increased likelihood of meaningful recovery: Compared to corticosteroid injections, exercise significantly increases the chances of noticeable improvement in symptoms. One of the most notable takeaways from this research is that exercise has a long-lasting effect, whereas treatments such as corticosteroid injections may provide only short-term relief. Additionally, no serious adverse effects were reported with exercise-based interventions, making it a safe and sustainable approach to managing GTPS. Why Choose Exercise Over Corticosteroid Injections? Corticosteroid injections have often been used for GTPS pain relief, but the research indicates that exercise leads to better long-term outcomes. While injections may offer temporary symptom relief, they do not address the underlying causes of GTPS, such as gluteal muscle weakness or tendon dysfunction. Exercise, on the other hand, strengthens the hip muscles, improves joint stability, and reduces the likelihood of recurring pain. In a previous blog post, I spoke about the key role of Gluteus Medius as a pelvis stabiliser. Effective Exercises for GTPS At Melbourne Massage and Treatment in Fitzroy North clinic, I design individualized exercise programs to help patients with GTPS regain strength and function. Some of the most effective exercises for GTPS include: Isometric exercises: Holding static positions to engage the hip muscles without excessive movement, reducing pain and improving muscle endurance. Strength training: Progressive strengthening of the gluteus medius and minimus muscles to enhance hip stability. Functional movement training: Exercises that mimic daily activities to help improve movement patterns and prevent pain triggers. These exercises can be performed both at home and under professional supervision to ensure […]
Feb
Lymphoedema and lipedema are chronic conditions characterized by swelling and fat accumulation, respectively, often accompanied by inflammation. Thanks to emerging research, we do not know that dietary choices, particularly the consumption of long-chain fatty acids, can influence the inflammatory processes associated with these conditions. This is why it is important to consider an Anti-Inflammatory Diet when suffering from those presentations. The Role of Long-Chain Fatty Acids in Inflammation Long-chain fatty acids are absorbed into the lymphatic system in structures called chylomicrons. Once these chylomicrons are processed, the released fatty acids can interact with macrophages—immune cells responsible for detecting and responding to pathogens. This interaction can trigger an inflammatory response, contributing to the chronic inflammation observed in both lymphoedma and lipedema. Why does the Lymphatic System absorb Long-Chain Fatty Acids? The lymphatic system plays a crucial role in the absorption and transport of dietary fats, particularly long-chain fatty acids. This process is essential for efficient lipid metabolism and overall energy distribution in the body. Absorption of Long-Chain Fatty Acids Long-chain fatty acids are released from dietary fats in the small intestine during digestion. These fatty acids are absorbed by the enterocytes (intestinal cells), where they are reassembled into triglycerides and packaged into lipoprotein particles known as chylomicrons. Due to their size and composition, chylomicrons are too large to enter the blood capillaries directly. Instead, they are absorbed into specialized lymphatic vessels called lacteals, located within the villi of the small intestine. This lymphatic absorption allows the efficient transport of large lipid molecules into the systemic circulation. Transport Through the Lymphatic System Once inside the lacteals, chylomicrons travel through the lymphatic system, merging into larger lymphatic vessels and eventually entering the bloodstream via the thoracic duct, which empties into the left subclavian vein near the heart. This pathway enables the gradual release of lipids into the circulation, allowing tissues to access these essential nutrients for energy production, cell membrane synthesis, and other vital functions. Benefits of an Anti-Inflammatory Diet Adopting an anti-inflammatory diet can help mitigate these effects by reducing the intake of pro-inflammatory long-chain fatty acids and emphasizing foods that support lymphatic health. Key components of such a diet include: High Fiber Intake: Consuming fruits and vegetables rich in fiber promotes the production of short-chain fatty acids in the gut, which have anti-inflammatory properties. Omega-3 Fatty Acids: Incorporating sources of omega-3s, such as fatty fish, flaxseeds, and walnuts, can reduce inflammation and edema. Anti-Inflammatory Spices: Spices like turmeric, garlic, and curry leaves possess natural anti-inflammatory effects and can be beneficial additions to the diet. Foods to Limit or Avoid for a good Anti-Inflammatory Diet To further reduce inflammation, it’s advisable to limit the consumption of: Processed Foods: Often high in trans fats and refined sugars, these can exacerbate inflammatory responses. Excessive Salt and Caffeine: High intake of salt and caffeine may contribute to fluid retention and should be moderated. Alcohol and Sweets: These can increase inflammation and are best consumed in moderation. Personalized Nutritional Guidance As a certified lymphoedema therapist trained by the Vodder Academy, I understand the importance of a holistic approach to managing lymphoedma and lipedema. Integrating an anti-inflammatory diet tailored to your individual needs can play a crucial role in reducing inflammation and improving overall health. For personalized advice and support, consider consulting with a healthcare professional or a registered dietitian experienced in managing these conditions. By making informed dietary choices, you can actively contribute to managing inflammation and supporting your lymphatic health. For more insights on managing lymphoedema and lipedema through diet, you might find this video informative. Melbourne Massage and Treatment and Lymphoedema/Lipoedema presentation Even though I am not a dietitian or nutritionist, so I can not give any direct recommendations on your diet or food intake, as a Lymphoedema therapist, I can still help you manage your presentation by offering services like Manual Lymphatic Drainage (MLD) and Combine Decongestive Therapy (CDT). So, if you need to improve your Lymphoedema or Lipoedema presentation, book your free 15-minute phone consultation now to understand how Melbourne Massage and Treatment services can benefit you. FAQ about Anti-Inflammatory Diet and Lymphoedema/Lipoedema presentation Q: How do dietary choices influence inflammation in lymphoedema and lipedema? A: Dietary choices play a significant role in modulating inflammation associated with lymphoedema and lipedema. Consuming foods high in long-chain fatty acids can lead to their absorption into the lymphatic system, where they may interact with macrophages—immune cells responsible for detecting and responding to pathogens. This interaction can trigger an inflammatory response, contributing to the chronic inflammation observed in both conditions. Adopting an anti-inflammatory diet can help mitigate these effects by reducing the intake of pro-inflammatory foods and emphasizing those that support lymphatic health. Q: What are long-chain fatty acids, and how do they affect inflammation? A: Long-chain fatty acids are a type of fat molecule commonly found in various foods, including certain oils, meats, and processed products. When consumed, these fatty acids are absorbed into the lymphatic system in structures called chylomicrons. Once processed, the released fatty acids can interact with macrophages, triggering an inflammatory response. This process can exacerbate the chronic inflammation associated with lymphoedema and lipedema. Q: Which foods are high in long-chain fatty acids and should be limited? A: Foods rich in long-chain fatty acids that may promote inflammation include: Certain oils Meats Processed products Limiting the intake of these foods can help reduce inflammation. Q: What are the key components of an anti-inflammatory diet that are beneficial for lymphoedema and lipedema? A: An anti-inflammatory diet focuses on incorporating foods that help reduce inflammation and support lymphatic health. Key components include: High Fiber Intake: Consuming fruits and vegetables rich in fiber promotes the production of short-chain fatty acids in the gut, which have anti-inflammatory properties. Omega-3 Fatty Acids: Incorporating sources of omega-3s, such as fatty fish, flaxseeds, and walnuts, can reduce inflammation and edema. Anti-Inflammatory Spices: Spices like turmeric, garlic, and curry leaves possess natural anti-inflammatory effects and can be beneficial additions to the diet. Q: Are there specific foods I should […]
Feb
When it comes to maintaining a healthy, functional body, it’s easy to overlook the pivotal role of certain muscles in everyday movement and long-term stability. One such muscle is the gluteus medius. At Melbourne Massage and Treatment, located in Fitzroy North, I see many patients who either love running or love to hit the gym but are not aware of the importance of this muscle for their activity. What is the Gluteus Medius? The gluteus medius (GM) is one of the three primary muscles of the gluteal group, located in the upper part of the buttock. Here is a breakdown of its anatomy: Origin: the gluteal surface of the ilium Insertion: lateral surface of the greater trochanter Innervation: dorsal branches of the L4, L5, and S1 Actions: Abduction and medial rotation of the lower limb. It stabilises the pelvis. Thanks to its positioning, the GM plays a vital role in controlling pelvic movement, specifically in the stabilization of the pelvis during various motions like walking, running, or standing on one leg. More Information About Gluteus Medius actions The GM serves several essential functions that directly affect the stability of the hip and lower body: Pelvic Stabilization: One of its primary roles is preventing the pelvis from tilting excessively to one side when you move, especially when you’re walking or running. If the gluteus medius isn’t working properly, the opposite side of your pelvis may dip downward, leading to an imbalance and compensatory movements that strain other parts of the body. Hip Abduction: The gluteus medius helps to move the leg out to the side, away from the body. This movement, known as hip abduction, is crucial for activities that require lateral movement, such as stepping sideways or maintaining balance while performing physical tasks. Internal and External Rotation: The gluteus medius also assists with the rotation of the hip joint. Depending on which fibers are activated, it helps with both internal and external rotation of the thigh. This is essential for maintaining control and precision in movements. Postural Support: The gluteus medius muscle helps keep the pelvis level when you’re standing on one leg. Without proper activation of this muscle, one hip might drop, affecting posture and causing misalignments in the spine and lower back. The Role of the Gluteus Medius in Hip Stability Why is the GM so important for hip stability? Simply put, this muscle acts as the stabilizer of the pelvis. Without a properly functioning gluteus medius, other muscles and joints are forced to compensate for the lack of stability, leading to overuse and strain. For example, improper GM function can result in excessive stress on the knees, lower back, and even the ankles, which can lead to pain, discomfort, and injury. Clinical implications are vast, especially for athletes and individuals who regularly engage in physical activities. Hip instability can result in difficulty performing simple tasks like walking or climbing stairs, and over time, it may contribute to chronic conditions such as hip osteoarthritis. A common painful presentation that we see in athletes but also the everyday patients is Greater Throcanta Pain Syndrome (GTPS), which is characterised by the side hip pain. This presentation results from a GM tendon irritation. Signs of Weak or Dysfunctional Gluteus Medius Here are some common signs that your gluteus medius may need attention: Pain in the hip or lower back: Since this muscle is integral to proper alignment, dysfunction often manifests as discomfort in the hips or lower back. Difficulty balancing on one leg: Struggling with stability when standing on one leg may indicate weak gluteus medius muscles. Shifting or limping while walking: A noticeable shift or limp while walking can point to weakness in the gluteus medius, causing the body to compensate and disrupt your gait. How can Gluteus Medius impact your run? The gluteus medius is crucial for runners as it stabilizes the pelvis, controls hip movement, and ensures proper alignment during running. This muscle prevents excessive pelvic tilting, reduces side-to-side sway, and helps maintain efficient running form, thereby lowering the risk of injuries such as knee pain, IT band syndrome, and lower back discomfort. A weak or dysfunctional gluteus medius can lead to compensatory movements, affecting performance and causing imbalances. How Melbourne Massage and Treatment Can Help At Melbourne Massage and Treatment, as a clinical myotherapist, I focus on treatment designed to address muscle pain and dysfunction through a variety of techniques. One of the key areas of focus is to create a treatment plan that works for your presentation based on your clinical history. Here is a breakdown: 1. Assessment and Diagnosis: I would conducts a thorough assessment to identify if the gluteus medius is underperforming, weak, or compensating due to other musculoskeletal issues. This involves a combination of posture analysis, movement patterns, and targeted strength tests. 2. Myotherapy Treatment Techniques: I will use various techniques, including trigger point therapy, Dry Needling, myofascial release, and deep tissue massage, to release tension in the gluteus medius and surrounding muscles. This helps to restore proper function, reduce pain, and improve mobility. 3. Rehabilitation and Strengthening: After addressing any issues, we will work to develop rehabilitation strategies, including targeted strengthening exercises for the gluteus medius and other muscles that surround the pelvic, lower back and leg area. These exercises aim to restore proper muscle activation and prevent future imbalances. 4. Injury Prevention: In order to prevent further injury, we will set a target of strength that you want to achieve with your sports activity, and we will do our best to hit that target. Be mindful that based on your presentation, the target could extend from a few weeks to several months. The Takeaway The gluteus medius muscle is far more important for hip stability than many people realize. Its role in maintaining pelvic alignment and controlling movement is essential for pain-free mobility, proper posture, and long-term musculoskeletal health. Whether you’re dealing with hip pain, experiencing difficulty with balance, or want to prevent future issues, understanding and caring for […]
Jan
Tendinopathy is a common condition that can cause discomfort, pain, and frustration, whether you’re an athlete or simply someone dealing with repetitive movements in everyday life. At Melbourne Massage and Treatment, Fitzroy North, Giovanni specialises in helping individuals navigate the recovery process and get back to their normal activities pain-free. If you’re wondering how to recover from a tendinopathy, here is a blog with advice and tips on healing effectively and efficiently. What is Tendinopathy? Tendinopathy refers to the degeneration or injury of a tendon—the connective tissue that links muscles to bones. It’s typically the result of overuse or repetitive stress, often seen in areas like the Achilles tendon, rotator cuff, elbow (e.g., tennis elbow), or patellar tendon (knee). What can lead to or aggravate a tendinopathy are repetitive motions or repetitive stretching, which, specifically, is something the tendon does not like and is not designed for. The tendinopathy’s symptoms. Tendinopathy symptoms can vary based on the gravity of the presentation and on the location of the tendinopathy. That said, the most common symptoms are: Pain or Tenderness The pain of a tendinopathy present is really local, and it can be pin-pointed with a finger. The pain may be dull or aching and is usually felt when the tendon is moved, touched, or especially stretched. Swelling Swelling may occur around the affected tendon. This swelling can be mild to moderate and can cause the area to feel warm to the touch. The swelling is often due to irritation or inflammation of the tendon, although tendinopathy primarily involves tendon degeneration rather than inflammation. Stiffness The affected joint may feel stiff, especially after periods of rest or inactivity. You might have difficulty moving the joint freely or performing certain movements due to tendon tightness. Decreased Range of Motion As tendinopathy progresses, the range of motion in the affected joint can decrease. This can make it harder to perform certain actions like lifting, walking, or reaching overhead, depending on where the tendinopathy is located. Pain During or After Activity Tendinopathy pain often worsens during or after physical activity that stresses the affected tendon. This is particularly common with repetitive movements or overuse. You may feel pain when engaging in activities like running, lifting, or repetitive motions such as typing or throwing. Pain That Improves with Rest but Returns with Activity Resting the tendon often reduces pain temporarily. However, once you resume activity, the pain may return. This is especially true if you don’t allow enough recovery time or return to activities too quickly. Weakness A weakened tendon can result in reduced strength in the affected muscle. You might notice that the affected area becomes weaker, making it difficult to perform everyday tasks that require strength or stability. Crepitus (Popping or Cracking Sensation) Some people with tendinopathy experience a sensation of grating, popping, or cracking when moving the affected joint. This may be caused by the friction of the tendon moving over other tissues or joints. How to Recover from a Tendinopathy: A Comprehensive Guide Recovering from tendinopathy involves a multifaceted approach to healing. Giovanni, at Melbourne Massage and Treatment, Fitzroy North, uses a variety of myotherapy techniques and recovery strategies to help you heal effectively. Here’s a step-by-step breakdown of how to recover from a tendinopathy: Rest and Reduce Strain on the Affected Tendon The first step in recovery is giving the affected tendon time to rest and recover. It’s essential to avoid activities or movements that exacerbate the pain. While complete rest may not be necessary, reducing the intensity and frequency of movements that stress the tendon will help prevent further damage. Based on the length of time that you have been experiencing the tendinopathy, anti-inflammatory can be helpful in reducing symptoms. But for that, you want to consult wither your GP or a pharmacist. Massage Therapy, Dry Needling and Joint Mobilizations Once an assessment has been done, and we have a better understanding of why you end up having a tendinopathy, we can work on the surrounding area with techniques like Deep tissue Massage, Dry Needling, and Joint Mobilisation. Each technique comes with its own benefit, and each technique can be used based on your needs and choice. What all of those technique has in common is that they can help increase blood flow to the area of tendon irritation and help the body recover. In specific then, Joint Mobilisation can help in improving the overall mobility of the joint itself, and help then in delivering more efficient exercises and drill that would be an essential part of your recovery from a tendinophathy. Isometric and Strengthening Exercises Implementing a structured rehabilitation program is a key component of recovering from tendinopathy. To help the acute pain to subside, it’s important to gradually introduce longer sessions of isometric exercises. Those exercises are the base of any recovery and are ideal for tendinopathy as they put the tendon tissue in a condition of resistance, that is what exactly tendon love and are thought for. Strengthening exercises are designed to improve muscle strength and endurance, which leads to the prevention of further injuries. Apply Heat Therapy Heat pack is a simple but effective ways to manage pain and inflammation in the affected tendon. Indeed, as the tendon is a tissue that has low blood supply, applying heat to it, for a max of 10 to 15 mins, 2 to 3 times a day, would help to drive more blood to the area. Why 10 to 15 minutes, is because we don’t want to bring exceed amount of blood to the area, or it would get hyper-inflamed. Gradual Return to Activity One of the most important steps in how to recover from a tendinopathy is knowing when and how to safely return to regular activities. It’s vital to avoid rushing back into full activity, as this can lead to re-injury. Gradually reintroduce movements or sports, but only when you feel comfortable and without pain. Giovanni will guide you through this process, ensuring your recovery is […]
Jan
A deadlift (conventional deadlift) is a popular exercise that aims to strengthen your posterior chain muscle, including the erector spinae muscle, glutes, and hamstring. It is considered a really top list of important exercises to do, and it can be fun and rewarding, but when the weight you move starts increasing, it can lead to severe injuries if you are not using the right technique. Let’s then look into what we need to do to get a good deadlift by starting to analyse from bottom to top how the body should be placed. Centre of mass and biomechanics in deadlift To start with, let’s talk about the biomechanics and the centre of mass for a deadlift. When doing exercises, biomechanics plays a crucial role in safety and optimal exercise execution, and there is no exception for the deadlift. Furthermore, along with all exercises, the lifting and the descending part, the weight has to be in line with the centre of mass. These two components are strictly interconnected to the other one, which means if I don’t use the right biomechanics, I am not going to have the weight aligned with the centre of mass, or if the weight is not aligned with the centre of mass, I am not using my biomechanics at its full potential. So, what’s the centre of mass in the deadlift? The centre of mass in a deadlift is that imaginary line that runs right from the mid-portion of your feet up right in front of your shins, and as you lift the weight up, it passes right in front of your pelvis. That’s where the bar is going to end once you complete the lifting motion. What happens if I don’t keep the bar along the centre of mass? At any stage, during the lifting or the descending motion, if you move the bar further away from the centre of the mass line, there is a great danger of injury. This is because, as the weight travels away from the centre of mass, there is an increase in momentum, which means that your muscles and ligaments that are working hard to move the weight are suddenly placed under a greater load. What are then the proper biomechanics to observe along a deadlift? Ankle and Knee To execute a good deadlift, we want to ensure we have good ankle dorsiflexion, which is not as important as when we squat, but still, we better ensure it is working right. This would allow a straight forward movement of the knee, which would not need to find its way medially or laterally along the initial bending for when we go to grab the bar. Moving up the chain, as we said, the knee have to point straight ahead, following the toes direction. Hip and lower back Next is the hip. This is an important joint, and here is where we need to make sure that we tilt the pelvis forward (bring the teil bone upwards) and as we hinge the hip, we have to have enough movement in there that the greater trochanter (bone landmark that represents the side of the femur’s head) is posterior to the malleolus (the bone landmark that make the side and medial portion of the ankle). Now, if we managed to have tailbone project far back and up, and hip hinged with a slightly bent knee, our back up to cervical area would be alrady quiet flat. Thoracic and head If we keep going upwards, we get to the upper thoracic area, right between the scapula. Here, we want to keep the scapula protracted and have the rhomboids and serratus anterior muscles active and strong so that the arms can hang down straight towards the bar and sit right next to the knee. Regarding the head, use your eyesight to look down at the floor at 45° in front of you and feel the ears pulling away from the shoulder. That would keep your neck nice and long and place the head in the right position. Arms and hands Arms hang down from the shoulder in a straight line, from the AC Joint down to the wrist. The arm has to feel heavy and prolonged, and the hands must sit right next to the shin. Indeed, your arms must stay as wide as your shoulders. That would ensure that your arms are at 90° with the bar, and from a vertical pool point of view, they can take the maximum load ever. Lastly, regarding the hands, there are different grip types that can be used for the deadlift. What is most important is that the wrist is straight following the armline. For exercise purposes, you can have a regular grip where your thumb is gripping around the bar. For heavier weights, you may want to do a mixed grip, where one hand (the dominant one) has the palm facing forward, and the other hand has the palm facing you. In conclusion, the biomechanics of the deadlift, if used correctly, will allow you to always weight in a safe spot, in line with the centre of mass. Your back has to be flat at all times, and along the exercise execution, you want to grasp air in, engage the core to flat out the lower back and then you can lift off. Benefits of Deadlifting Now, let’s look into the benefits of deadlifting. Full-body workout: Deadlifts engage multiple muscle groups—glutes, hamstrings, quads, lower back, core, traps, and forearms—providing a full-body workout in a single movement. Improved strength: Deadlifts are among the best exercises for building overall strength, especially in the posterior chain (back, glutes, and hamstrings). Better posture: Deadlifts can improve posture and reduce the risk of slouching by strengthening your back and core muscles. Core stability: The movement requires significant core activation, helping to enhance core strength and stability. Increased athletic performance: Deadlifts translate well to other athletic movements, as they improve explosiveness, agility, and endurance. Fat loss: The intensity and demand on […]
Blog, Melbourne Massage and Treatment
Lymphatic Drainage Massage and Long Covid Symptoms: A Path to Recovery
Jan
If you or someone you know is struggling with the lingering symptoms of Long Covid symptoms, you are not alone. After the initial acute phase of COVID-19, many people continue to experience debilitating symptoms such as fatigue, breathlessness, and brain fog that can last for weeks or even months. These prolonged effects, commonly referred to as Long Covid, have created a pressing need for effective treatment strategies to manage and alleviate the symptoms. One promising approach gaining attention is Manual Lymphatic Drainage (MLD) Massage, a gentle and non-invasive therapy that can support the recovery process for Long Covid patients. At Melbourne Massage and Treatment, Giovanni, a highly trained therapist from the Vodder Academy, is helping clients recover from the lingering effects of Covid-19 using this technique. But how exactly does MLD work, and can it help you overcome the frustrating symptoms of Long Covid? What is Manual Lymphatic Drainage Massage (MLD)? MLD is a specialized massage technique that uses gentle, rhythmic movements to stimulate the lymphatic system—the body’s waste removal and immune system. The lymphatic system is responsible for draining toxins, bacteria, and waste from the body’s tissues. It plays an essential role in inflammation control, immunity, and tissue recovery. MLD can help to enhance the flow of lymph, reduce chronic-inflammation, alleviate congestion, and promote overall healing. Trained at the renowned Vodder Academy, Giovanni uses the Dr. Vodder method of MLD, a highly effective and evidence-based technique. This form of lymphatic drainage focuses on increasing lymph flow and addressing issues such as fluid retention, swelling, and inflammation, which are common in patients suffering from post-viral syndromes, including Long Covid. Long Covid Symptoms: A Multifaceted Condition Long Covid is a condition where individuals experience lingering symptoms after the acute infection phase has passed. Some of the most common symptoms include: Fatigue: Extreme tiredness that doesn’t improve with rest Breathlessness: Difficulty breathing or catching your breath even after mild exertion Cognitive Dysfunction: Often referred to as “brain fog”, which includes issues with concentration, memory, and clarity of thought Muscle and Joint Pain: Persistent aches and pains that can make everyday tasks difficult Sleep Disturbances: Trouble falling or staying asleep due to physical discomfort or anxiety While medical management of Long Covid usually focuses on symptom control, the current lack of effective pharmaceutical treatments leaves many patients seeking alternative therapies. That’s where Manual Lymphatic Drainage can make a significant difference. How MLD Helps with Long Covid Symptoms A recent study, Manual Lymph Drainage for Post-COVID-19 Related Cough, Breathlessness, and Fatigue, explored the use of MLD as a treatment for individuals suffering from persistent Long Covid symptoms. This study found that MLD helped reduce symptoms like fatigue, breathlessness, and chronic cough, with improvements starting as early as the third treatment. Patients reported increased energy levels, better sleep, and enhanced functional capacity after just a few sessions. Giovanni’s expertise with MLD can be crucial in addressing the inflammation, poor lymphatic drainage, and respiratory issues often associated with Long Covid. Key Benefits of MLD for Long Covid Symptoms Recovery: Reduces Inflammation One of the key factors contributing to Long Covid symptoms is chronic inflammation. MLD helps to reduce systemic inflammation by promoting the drainage of inflammatory waste and toxins, which can alleviate discomfort and promote healing. Improves Breathing Function Many Long Covid sufferers experience breathlessness, a symptom that can greatly affect quality of life. MLD targets the lymphatic pathways in the chest and lungs, which can help reduce inflammation in the respiratory system, clear mucus, and improve lung function. The technique also includes special “bronchitis” maneuvers that help open up the lungs and reduce coughing. Boosts Energy Levels Fatigue is one of the most disabling Long Covid symptoms. By supporting lymphatic flow and reducing congestion, MLD can improve circulation and oxygen delivery to the body’s tissues, helping to restore energy levels and combat the persistent tiredness that plagues many Long Covid sufferers. Supports Immune System Recovery Long Covid symptoms often result from an immune response gone awry. MLD can help recalibrate immune function, promote lymphatic circulation, and enhance the body’s natural ability to heal itself. Enhances Mental Clarity Brain fog and cognitive dysfunction are common complaints among people with Long Covid. By reducing inflammation and promoting better circulation, MLD may help improve mental clarity and cognitive function, allowing patients to regain focus and reduce feelings of confusion or mental fatigue. Improves Sleep Quality Many Long Covid sufferers report difficulties with sleep. By reducing pain and inflammation, MLD helps induce a relaxation response in the body, which can promote deeper, more restful sleep. Giovanni’s Approach: Tailored MLD Treatment for Long Covid Symptoms Giovanni, a skilled therapist with extensive training in the Vodder Academy’s MLD method, offers personalized treatments for those struggling with Long Covid. Each session is tailored to the individual’s specific symptoms, addressing areas such as: Chest and Lungs: To reduce inflammation and congestion Neck and Shoulders: To alleviate stiffness and promote relaxation Facial Area: For sinus congestion or post-viral inflammation Whole Body: To improve general circulation, reduce swelling, and stimulate the lymphatic system. When working with this type of presentation, it is also valid to consider a shorter initial session to ensure that MLD would not spike up your symptoms. If you are not sure what works best for you, just ask to Giovanni. Giovanni’s gentle, compassionate approach helps create a safe space for clients to heal. Many clients report feeling noticeably better after just a few sessions, with improvements in breathing, energy, and mental clarity. Read here about the Melbourne Massage and Treatment testimonials. Real-World Results: Case Studies In a study of two Long Covid patients undergoing MLD treatment, both reported substantial improvements in their symptoms. After just a few sessions, they experienced reductions in breathlessness, fatigue, and overall discomfort. By the time of their follow-up treatment, both patients reported feeling the best they had since before contracting COVID-19, with increased energy, improved sleep, and less reliance on medication. Why Choose MLD for Long Covid Recovery? Non-invasive and Drug-free: MLD offers a natural, […]
Dec
Running is a fun activity and top of one of the most common sports activities among adults, it is a good sport for increasing insurance, cardio, and building strength in the lower limb joints and bond. Yes, you red that right, running can help in building bone mass and make your joint stronger. About the joint strength, it is possible, if you have been training for the right amount of time doing what your body can do, but by still following simple biomechanics rules. On the other hand, there is a common pain presentation for male runners in their 30’s to 40’s that is Hip Impingement. Is there a right way to run? The shortest answer to this question is no. No, there is no right way to run; everyone is different, and we are all going to act differently when asked to do something, and that’s okay. On the other hand, there are certain things we should all look into before commencing run training. One of these is the mobility of our lower joints, like the big toe and the ankle. It is all connected As per already explained in the mobility stability blog, we know that the body has joint which are mobile, and joints which are stable. Those joints are sitting one after the other one in a sequence like: mobile, stable, mobile, stable etc… The toes are mobile joints, the metatarsals are stable joints, the ankle is mobile, the knee is stable, and the hip is mobile. For the purpose of this blog, we stop at the hip. Now, when we run or even walk, we grip the ground with the toes. The big toe specifically has to take the major part of the load, as it is in line with the centre of mass, and therefore, to allow most of the movement, it needs to be able to extend to a certain degree. For walking 45°, for running 65°, for sprinting 85°. If this extension is limited or missing, the stable joint above will try to compensate for this missing mobility, and this thing would get funny. Hip joint The hip joint is a ball-socket joint type, where the socket is part of the pelvis, and the ball is the top part of the femur. Now, those two bonds are interconnected via a series of ligaments and can already present different person per person. So there is one who may have a retroverted hip, or an antroverted hip, which means, retroverted the back side of the femur head is bigger than the anterior one, and antroverted the opposite, the anterior side is bigger than the posterior one. That presentation can manifest issues when someone is trying to do a squat or a hip hinge. Restricted ankle dorsiflexion can lead to hip impingement Going back to the mobility stability chain, when the dorsiflexion of the ankle is compromised, which would happen when a big toe is not acting as a mobile joint, this disbalance of movement would create repercussions on the hip socket. Now, we have the knee between the ankle and the hip, which is a stable joint. If the ankle is not dorsiflexing correctly, the knee will start banding to the side to try to accommodate the shock absorption and the lack of ankle mobility. When this happens, the femur leans to one side more than the other, starts pushing into the pelvis’s socket, and grinds the ligaments. Yes, because if the knee goes laterally during the running motion, on its opposite side, the femur will go medially. This mechanism is called hip impingement, and we know that male runner in their 30s to 40s are really prone to this presentation. In more technical terms, we refer to hip impingement as FAI or Femoroacetabular Impingement, where acetabulum is the name given to the socket of the pelvis. More about FAI There are two main types of Hip impingements: CAM impingement and Pincer impingement. CAM impingement occurs when the femoral head loses its spherical shape at the head-neck junction, resulting in an altered head-neck ratio and impingement. On the other hand, Pincer impingement involves excessive prominence of the acetabular rim, causing the femoral head to pinch against it. Diagnostic tests like the FADDIR maneuver, commonly used to detect FAI, show variable accuracy. Studies on different age groups and sport-specific populations have reported sensitivity and specificity rates ranging from 41% to 80%, highlighting the complexity of diagnosing FAI, especially when distinguishing between CAM, Pincer, or mixed types. Prevention of hip impingement In order to minimise the chance to suffer from this presentation, is good to analyse the dorsiflexion of the ankle. For this there is a really simple test, called knee to wall, which anyone can do in their home. What you would need is a wall, and an mesuring tape or ruller. The idea is to stand 10 cm away from the wall, and that’s the distance between the big toe and the wall. The second foot is sitting behind at a comfortable distance to maintain equilibrium. The side that we are testing has to start bending at the knee, aiming to touch the wall with the knee itself. The heel of the foot tested can’t lift off from the ground, whereas the other heel can. Ideally, we can reach the wall with our knees. If not, step 1 cm forward, and try again, till the time you find the distance that you can cover. Ideally, the average distance that should be able to cover is 10 to 12 cm. Recovery from a hip impingement If you are already experiencing a hip impingement, it would be advised to seek help. Book now a Myotherapy session to start your journey of recovery. During the initial consultation, we would evaluate your clinical history and sports activities and perform some testing, including the knee-to-wall. After that, if we confirm that your presentation is a hip impingement, we will start working on mobilising the ankle and the hip […]