Chronic injuries are caused by overusing the same muscle groups [...]]]> Sports injuries are commonly caused by overuse, direct impact, or the application of force that is greater than the body part can structurally withstand. An injury that happens suddenly, such as a sprained ankle caused by an awkward footfall, is known as an acute injury.

Chronic injuries are caused by overusing the same muscle groups or joints. Poor technique and structural abnormalities can also contribute to the development of chronic injuries. Medical investigation of any sports injury is important, because you may be hurt more severely than you think. For example, what seems like an ankle sprain may actually be a bone fracture.

Common types of sports injuries
Some of the more common sports injuries include:

• Ankle sprain – symptoms include pain, swelling and stiffness.
• Bruises – a blow can cause small bleeds into the skin.
• Concussion – mild reversible brain injury from a blow to the head, which may be associated with loss of consciousness. Symptoms include headache, dizziness and short term memory loss.
• Cuts and abrasions – usually caused by falls. The knees and hands are particularly prone.
• Dehydration – losing too much fluid can lead to heat exhaustion and heat stroke.
• Dental damage – a blow to the jaw can crack, break or dislodge teeth.
• Groin strain – symptoms include pain and swelling.
• Hamstring strain – symptoms include pain, swelling and bruising.
• Knee joint injuries – symptoms include pain, swelling and stiffness. The ligaments, tendons or cartilage can be affected.
• Nose injuries – either blood nose or broken nose, caused by a direct blow.
• Stress fractures – particularly in the lower limbs. The impact of repeated jumping or running on hard surfaces eventually stresses and cracks the bone.

First aid for sprains, strains and joint injuries
Suggestions on immediate treatment for sprains, strains and joint injuries include:

• Stop the activity.
• Rest the injured area.
• For the first 24 to 48 hours, apply ice packs for 15 minutes every two hours.
• Bandage the injured area firmly, extending the wrapping above and below the injury.
• Whenever possible, elevate the injured area above the level of your heart.
• Avoid heat, alcohol or massage, which can exacerbate the swelling.
• Seek medical advice.

First aid for nose bleeds
Suggestions include:

• Stop the activity.
• Sit with the head leaning forward.
• Pinch the nostrils together and breathe through your mouth.
• Hold the nose for at least 10 minutes.
• If bleeding continues past 30 minutes, seek medical advice.

First aid for dislodged teeth
It may be possible to save the tooth with prompt dental treatment. Rinse the tooth in water or milk and see your dentist immediately.

Emergency situations
Call an ambulance if any of the following injuries are suspected:

• Prolonged loss of consciousness
• Neck or spine injuries
• Broken bones
• Injuries to the head or face
• Eye injuries
• Abdominal injuries.

Treatment options
Treatment depends on the type and severity of the injury. Always see your doctor if pain persists after a couple of days. What you may think is a straightforward sprain may actually be a fractured bone. Physiotherapy can help to rehabilitate the injured site and, depending on the injury, may include exercises to promote strength and flexibility. Returning to sport after injury depends on your doctor’s assessment. Trying to play before the injury is properly healed will only cause further damage and delay recovery. In the meantime, you can maintain your fitness by choosing forms of exercise that don’t involve your injury; for example, ride a stationary bicycle while your sprained wrist is healing.

Prevention strategies
You can reduce your risk of sports injuries if you:

• Warm up thoroughly by gently going through the motions of your sport and performing slow, sustained stretches.
• Wear appropriate footwear.
• Tape or strap vulnerable joints, if necessary.
• Use the appropriate safety equipment, such as mouth guards, helmets and pads.
• Drink plenty of fluids before, during and after the game.
• Try to avoid exercising in the hottest part of the day, between 11am and 3pm.
• Maintain a good level of overall fitness.
• Cross-train with other sports to ensure overall fitness and muscle strength.
• Don’t exert yourself beyond your level of fitness.
• Use good form and technique.
• Cool down after sport with gentle, sustained stretches.
• Allow adequate recovery time between sessions.
• Have regular medical checkups.

It is possible to do more movements with the arm than with any other part of the body. The arm is such a useful tool that it’s a pity that there are [...]]]> Painful shoulder conditions that limit movement are very common, and are caused by injuries affecting the shoulder joint, muscles, tendons, ligaments and cartilage.

It is possible to do more movements with the arm than with any other part of the body. The arm is such a useful tool that it’s a pity that there are only two of them!

The bones that make up the arm include the humerus, in the upper arm, and the two bones of the forearm, the radius and ulna, as well as the little bones of the wrist, hand and fingers. The arm is very special as it enables the hand to get into all sorts of useful positions.

The shoulder joint in particular, being a universal joint, has a huge range of movement. The hand can go above the head, behind the back and even across to scratch behind the other shoulder. The elbow works like a hinge joint allowing the hand to come nearer or go further away from the body. The elbow and wrist combined allow manipulation of the hand through more than 180 degrees i.e. from palm up to palm down, the wrist helps with grip, whilst the joints in the hand, thumb and fingers allow the dexterity of finger movement.

Since the nerves that supply the shoulder and arm originate from the neck and upper spine, conditions such as Vertebral Dysfunction commonly contribute to pain in the shoulder.

Physiotherapists can assist with the following shoulder conditions:

• Frozen Shoulder
• Chronic Shoulder Pain and Stiffness
• Shoulder Muscle Spasm and Tension
• Arthritis of the Shoulder
• Diagnosis of Shoulder Pain
• Rotator Cuff Disorders such as tears and strains
• Impingement Syndrome
• AC Joint Injury

In order to determine the cause of your pain, your Physiotherapist will conduct a full physical, orthopaedic and neurological examination of the shoulder, cervical and thoracic spine.

You will be asked to perform shoulder range of motion and muscle strength tests. Where the pain is felt, both at rest and during movement of the shoulder, provides important clues as to the cause of the shoulder pain.

Signs of Shoulder Pain may include restriction in the movements of the shoulder, both active (the person doing them themselves) and passive (the joint being moved by someone else).Upward motion is usually less than 100 degrees (ie not far above shoulder level) and the arm cannot be turned outward more than 30 degrees.

It may also be necessary to undergo specialized diagnostic tests such as XRay, Ultrasound and/or MRI scans.

Treatment of Shoulder Pain

Regardless of the cause, treatment of the shoulder complex requires an experienced physiotherapist who can test the movements and structures of the shoulder and come to an accurate diagnosis of the problem. Physiotherapy treatment can then focus on the core problem.

The initial objective of all shoulder injuries is to relieve pain and inflammation.

Whilst many doctors will recommend non-steroidal anti-inflammatory drugs (NSAIDs) to relieve pain and swelling, the benefit obtained by applying ice-packs can be equally, if not more beneficial.

As your shoulder begins to heal, it is vitally important to

• Restore range of movement,
• And later to improve muscle strength so as to stabilize the shoulder and help prevent further injury and aggravation.

Your Physiotherapist will be able to assist you with suitable shoulder range of motion exercises and shoulder strengthening and rehabilitation exercises during your recovery.

Please contact us for your comprehensive shoulder assessment. We look forward to hearing from you!

Sciatica is the Latin word for “Pain down the back of the leg” Sciatica is referred pain usually caused by trapping the sciatic nerve in the lower back. See back pain.

The sciatic nerve runs from the lower back down through the buttocks and along the back [...]]]> Physiotherapists regularly treat sciatica and have terrific results.

Sciatica is the Latin word for “Pain down the back of the leg” Sciatica is referred pain usually caused by trapping the sciatic nerve in the lower back. See back pain.

The sciatic nerve runs from the lower back down through the buttocks and along the back of each leg. Sciatica is pain along this nerve and is a relatively common form of back pain and is usually caused by pressure on the sciatic nerve from a herniated or bulging disc.

The pain from sciatica can be anything from infrequent and irritating to severe and debilitating. Usually, it affects only one side, the pain radiating through the buttock and down the leg and is often associated with a constant pain on one side of the buttocks, pain in the leg and/or buttock that may be worse when sitting , burning or tingling down the leg, weakness, numbness or difficulty moving the leg or foot or a shooting pain that makes it difficult to stand up.

While sciatica can be extremely painful and uncomfortable, it is rare that permanent nerve damage (tissue damage) results. Most pain is due to inflammation and will improve within a period of time. Nerve pain is caused by a combination of pressure and inflammation on the nerve root, and treatment is centred on relieving both of these conditions.

Typically, sciatica is made worse by bending, lifting, sneezing and coughing.

Sciatica is a common problem for manual workers, sedentary office workers and is particularly prevalent during pregnancy.

Physiotherapy Treatment main objectives are

• reduce pain
• restore movement
• strengthen weakened muscles
• reduce tension

Causes of Sciatica

The sciatic nerve is the main nerve in the leg and the largest in the body. It runs from the base of the spine, along the back of the thigh to the knee, where it divides into branches.

Sciatic pain is usually caused by compression of this nerve root at the point where it leaves the spine. Damage to the nerve can also cause pain.

In young and early middle-aged adults, the most common cause of sciatica is a prolapsed intervertebral disc in the lumbosacral area of the lower back.

In older people, changes in the spine due to conditions such as osteoarthritis may be responsible either by causing localised pressure on the nerve or by narrowing of the spinal canal – called spinal stenosis.

Other bone disease or local injury may also be responsible.

Pressure on the sciatic nerve can result from a number of reasons including

• Sometimes, just sitting awkwardly can cause sciatica.
• Piriformis syndrome (tightness of the piriformis muscle in the buttock that compresses the sciatic nerve)
• Spinal misalignments, vertebral dysfunction
• herniated disc
• Poor posture – wearing high heels, prolonged sitting, poor mattress
• Poor lifting technique and poor bending habits
• Spinal compressions due to osteoporosis

Diagnosis of Sciatica

Since there are many disorders that can cause sciatica, your physiotherapists’ first task is to determine the exact cause of your sciatic nerve interference.

Physiotherapy treatment

• Always begins with a thorough history,
• Spinal, orthopaedic and neurological examination.
• Special diagnostic imaging investigations such as X-ray, CT, MRI
• Posture pro scan may also be required to accurately diagnose your sciatica.

Treatment of Sciatica

As sciatica is due to pressure on the sciatic nerve, it stands to reason that treatment involves removing this pressure. Your Physiotherapy treatment aims to achieve this by reducing nerve pressure caused by poorly moving spinal joints as well as easing muscular tension in the lower spine, buttock and leg.

This is achieved by using a combination of the following techniques:

• Spinal mobilisations
• Massage therapy and trigger point therapy
• Stretching tight muscles, joints, tendons and ligaments
• Ultrasound and other electrical stimulation devices
• Advice in relation to how to minimise pressure and irritation of the sciatic nerve

In addition to this, you will be given a series of home stretching exercises and asked to apply ice and heat to help aid your recovery.

If you are suffering with sciatica at the moment please do not delay – you can achieve the best results when you address the symptoms early, simply contact us to begin your care today!

If you want an example of good posture, just look at [...]]]> What is good posture Posture is the position in which you hold your body upright against gravity while standing, sitting or laying down. Good posture helps to minimise the amount of strain imposed on our muscles, joints and ligaments whilst performing our daily activities.

If you want an example of good posture, just look at a young child – their back shows a graceful ‘S’ curve and their movements are easy and effortless. As we get older, bad habits such as slouching and inactivity cause muscle fatigue and tension that ultimately lead to poor posture. The complications of poor posture include back pain, spinal dysfunction, joint degeneration, rounded shoulders and a potbelly.

Symptoms of poor posture can include:

• Rounded shoulders
• Potbelly
• Bent knees when standing or walking
• Head that either leans forward or backward
• Back pain
• Body aches and pains
• Muscle fatigue
• Headache.

Living in the 21st Century means that we sit for far longer than ever before in history. We sit to work, to play and then, when we are tired, we slouch on the sofa. This slouching encourages our low back to take exactly the opposite to ideal shape. Our lifestyles also encourage us to be physically passive. Our work involves smaller and smaller movements performed under tension (compare the physicality of the skills required to use a manual typewriter with those for a computer keyboard!)

Sitting is in itself tough on the back but slouching is one of the most constant and damaging strains on our spines in modern life. If we slouch on a regular basis the slouch will feel ‘normal’ to us but human nature is to interpret that feeling as if it is correct.

Proper posture:

• Lessens muscle strain by keeping bones and joints in correct alignment.
• Reduces the abnormal wearing of joint surfaces caused by overstrain and overload.
• Minimises ligamentous strain on the joints of the spine and posture loaded joints.
• Reduces fatigue due to more efficient use of muscles, allowing the body to use less energy.
• Helps prevents muscular pain and backache.
• Contributes to a more assertive and positive appearance.

Remember, as the twig is bent,
so grows the tree.

Postural mechanisms

Poor posture interferes with a number of the body’s postural mechanisms including:

• ‘Slow twitch’ and ‘fast twitch’ muscle fibres
• Muscle strength and length
• Nervous system feedback on the body’s position in space.

Proper posture requirements:

• Strong postural muscles
• Balanced muscle tone on both sides of the spine
• Good muscle and joint flexibility
• An understanding of what constitutes good posture which leads to conscious correction.
• With practice, the correct posture for standing, sitting, and lying down will gradually replace your old posture.

What is the correct way to stand?

Most people when asked to stand with good posture immediately stand tall, arching their spine and pulling their shoulders back. It looks uncomfortable and is a far cry from a healthy standing posture. Keep it simple – try using PUPPET POSTURE !

Puppet posture is a term I have used to simplify the process of assuming correct posture. It works especially well with children as they can identify easily.

Imagine that you are a puppet (well try to at least!) with a string coming out of the top of your head. Gently lift the imaginary string upwards to straighten your spine. Your arms and shoulders will assume the best posture they can for your current spinal function. Watch yourself in the mirror to visualise what you are achieving. Practice regularly, it gets easier as your spine and muscles gain strength.

Sleeping Posture

• Sleep on your back or side only.
• Do not sleep on your stomach as this often causes lower back and neck strain.
• Use a quality contoured pillow that provides adequate support to your head and neck while sleeping.
• When arising from bed, move to the side of the bed and push yourself up sideways while swinging your legs off the side.
• When your back is painful you may place a pillow under your knees (when on your back) or between your knees (when on your side).

You can improve your posture and spinal health by making a few lifestyle adjustments. See your Physiotherapist for further information and advice.

Osteoporosis is a disease in which the bones become fragile and brittle. They fracture more easily than normal bone. Even a minor bump or fall can cause a serious fracture. Half of all women and one-third of men over 60 in Australia will have a fracture due to osteoporosis.

One out of ten of us will have neck pain at some time in our life. In most cases it is not [...]]]> If you are one of the many Australians that suffers with neck pain, you will be pleased to know that our proven Physiotherapy approach may offer the solution you have been searching for.

One out of ten of us will have neck pain at some time in our life. In most cases it is not due to a serious disease or neck problem and often the exact cause for the pain is not clear. Most are probably due to minor sprains or bad posture. This comes as no surprise when we consider the activities of modern life such as sitting in front of a computer, watching prolonged periods of television and an increasing incidence of poor posture – particularly forward head posture.

Problems within the neck can also cause headache, shoulder pain, TMJ or jaw pain, pins and needles in the hands, carpal tunnel syndrome and upper back pain.

We encourage you to contact us for a thorough assessment with one of our Physiotherapists if you regularly experience any of the following,:

• In the am you may wake up with a sore neck
• Reversing the car and turning your head, your neck may feel stiff
• When you turn your head you may hear a clicking sound
• Neck muscles may ache constantly
• A sensation of pins and needles in your fingers and hands

With more moving parts than any other machine, it’s not surprising your body occasionally cries out in pain or refuses to do what you tell it to do. After all, there are hundreds of different muscles and joints that can go wrong. Fortunately, there’s an effective way to treat many of the problems you can experience –PHYSIOTHERAPY.

Causes of neck pain

One survey done has found that, of adults aged 45-75 years, about 1 in 4 women and about 1 in 5 men had current neck pain. Types and causes of neck pain include:

By far the most common cause of neck pain relates to the effects of poor posture. In order to understand the impact of poor posture, we must first consider why spinal alignment within the neck is so important.

Coupled with the stresses and demands of modern life, it is no surprise why neck pain is so common. Your head weighs about 5 kgs and in normal alignment it is very carefully balanced on top of your seven neck bones (vertebrae).

• Your muscles work very hard to maintain this postion and easily withstand short periods of variation.
• Problems arise when we assume awkward positions for prolonged periods, the fine balance is disturbed and the nerves, muscles, joints, ligaments and discs of your neck become strained and irritated.
• The tension in your neck and shoulder muscles doubles for every 2-3 cm’s that your head is forward! Over time, the neck strain and pressure accumulates to a point where it becomes chronic and even the smallest changes in posture cause significant effects.
• Whiplash
• Arthritis
• Sporting Injuries.

Because neck pain could be an indicator of various illnesses, the physio will ask all the special questions such as general health, past medical history, weight loss, bladder and bowel control, quality of appetite and sleep and medication usage.

Treatment for Neck Pain

Before any action is taken, the physiotherapist will assess your neck pain, diagnose the problem and help you understand what’s wrong. They will work with you to develop an effective treatment plan that takes into account your lifestyle, leisure activities and general health. Thankfully, Physiotherapy offers a very effective treatment for neck pain. Typically, your Physiotherapist will recommend the following:

• postural advice and how to avoid further strain, good posture may help. Check that your sitting position at work or at the computer is not poor. (That is, not with your head flexed forward with a stooped back.) Sit upright.
• a series of spinal mobilisations to restore proper movement to the neck vertebrae
• massage to tight neck muscles
• neck exercises to encourage improved movement
• neck strengthening exercises
• keep active
• heat/ice therapy to help manage your neck pain
• recommend a contoured firm supporting pillow seems to help some people when sleeping.
• advice on how you can help yourself. for example, you may be shown exercises that you can do between treatment sessions

Please contact us by clicking on one of the buttons to your left to arrange your comprehensive neck pain assessment…we look forward to hearing from you!

Arthritis is a major cause of disability and handicap in Australia affecting people of all ages and walks of life. Arthritis is not a single condition.

Arthritis literally means inflammation of the joint.

There are over 150 kinds of arthritis, all of which affect one or more joints in the body. [...]]]> What is Arthritis ?

Arthritis is a major cause of disability and handicap in Australia affecting people of all ages and walks of life. Arthritis is not a single condition.

Arthritis literally means inflammation of the joint.

There are over 150 kinds of arthritis, all of which affect one or more joints in the body. The most common types of arthritis are:

• (OA) Osteoarthritis
• (RA) Rheumatoid arthritis
• Fibromyalgia
• Lupus
• Septic arthritis
• (JIA) Juvenile idiopathic arthritis
• Gout, which account for 90% of all arthritis cases.

One in one thousand children are diagnosed with juvenile arthritis, while it is estimated that three in every thousand children live with the condition but remained undiagnosed.

Arthritis is often misinterpreted as simply a disease which affects elderly people, when in fact 60% of those who are diagnosed with arthritis are between the ages of 15 – 60 years.

Arthritis affects 3.4 million Australians, 16.7% of the population. Of the proportion of Australians affected, 60.4% are women. 60% of all people living with arthritis are of working age.

Causes of Arthritis Can Be

Due to the fact that there are over 150 different types of arthritis, there is no one single cause or list of causes for arthritis. Often several factors contribute to an individual developing this common problem.

Types of Arthritis

Arthritis causes pain, loss of movement and sometimes swelling. This disease also can affect other parts of the body.

Some types of arthritis are:

Osteoarthritis, is the most prevalent form of arthritis.Osteoarthritis is a disease that affects joints in the body and is characterised by damage to the surface of the joint. The main symptoms are pain, and sometimes mild stiffness. The condition is sometimes referred to as osteoarthrosis, arthosis or degenerative joint disease. The cartilage that covers the ends of bones in the joint deteriorates, causing pain and loss of movement as the bone begins to rub against bone.

Rheumatoid arthritis, is one of the most serious and disabling types oaffecting mostly women. Rheumatoid arthritis, is an autoimmune disease in which the joint lining becomes inflamed as part of the bodys immune system activity, symptoms such as pain and swelling in the joints and stiffness in the mornings may occur.

Gout, is often said to be the most painful of all the rheumatic diseases, Although it can’t be cured, it can be successfully treated. Gout can affect men of any age. Women rarely develop it before the menopause, but may do so as they age. So, with people living longer, there are more women with gout than previously. A tendency to attacks of gout may be inherited from a parent or a grandparent.

People get gout because there is something unusual about the chemical processes that take place within the body. A substance called urate builds up as crystals in the joints, especially the big toe. Fortunately, gout almost always can be completely controlled with medication and changes in diet.

Ankylosing spondylitis, is an inflammatory condition that affects the joints of the spine. Spondylitis simply means, inflammation of the spine. As the inflammation dies down, new bone forms replacing the more flexible tendons and ligaments between the vertebrae. Eventually the individual bones of the spine may link up (fuse) resulting in stiffness of the spine. (ankylosis)

Juvenile arthritis, a general term for all types of arthritis that occur in children. Most children won’t have lasting problems from childhood arthritis. JIA doesn’t turn into rheumotoid arthritis in adulthood. And having juvenile idiopathic arthritis doesn’t mean that your child will go on to develop adult forms of arthritis.

Systemic lupus erythematosus (lupus), a serious disorder that can inflame and damage joints and other connective tissues throughout the body.

Scleroderma, a disease of the body’s connective tissue that causes a thickening and hardening of the skin.

Fibromyalgia, is a long term (chronic) condition that can cause widespread muscle pain. There aren’t usually any outward signs of fibromyalgia, but the pain and tiredness associated with this illness are very real, in which widespread pain affects the muscles and attachments to the bone. It affects mostly women.

Preventing Arthritis

As the specific causes of the different types of arthritis remains unclear, it is difficult to say what may assist in the prevention of the development of arthritis. However, listed below are a few steps which may be beneficial in reducing the effects of arthritis.

• Maintain appropriate weight.
• Protect joints from ioveruse and injuries.
• Regularly exercise to maintain healthy bones, muscles and joints. Obviously, regular Physiotherapy care is of benefit too, ensuring optimal spinal/joint range of movement and flexibility.
• Eat a healthy diet as nutrients are vital for joint health.
• Hydrate your body. Water makes up 70 percent of the cartilage in joints and plays a major role in the lubrication and shock absorbing properties of healthy joints.

Because headaches are so common, most people think they are a normal part of life. However, a persistent headache is a sign that something is wrong.  The continual use [...]]]> Headache is one of the most common illnesses in Australia, with around 15 per cent of us taking painkillers for a headache at any given time.

Because headaches are so common, most people think they are a normal part of life. However, a persistent headache is a sign that something is wrong.  The continual use of pain medication to combat headaches is akin to removing the warning light that alerts you to a problem in your car!  Medication doesn’t solve your headache, it simply offers a short term solution to dull the pain.

Types of Headache Tension headaches and migraine are the most common forms of headache and cluster headaches are most rare.  Other types of headache include sinus headache, rebound headache and exertion headache.

Causes of Headache Headaches can result due to a variety of reasons including stress, poor posture, accidents, medications, environmental factors such as strong odours & pollution and dietary irregularities.

Perhaps one of the most overlooked cause of migraine and tension headache is due to nerve irritation in the upper neck caused by poorly functioning spinal joints – Vertebral dysfunction.  Since the nerves of the upper neck supply areas of the scalp and face, irritation to these nerves can and often lead to headache.

Assessment of Headache Your physiotherapist will carefully analyse potential headache triggers and perform a detailed history, orthopaedic, neurological and spinal examination to determine the cause of your headache.  Further diagnostic testing such as XRay or MRI may also be required.  Upon arriving at a specific diagnosis, your care can begin.

Relief From Headache Physiotherapy is an extremely effective treatment for headaches.  By carefully restoring proper movement to the spinal joints of the neck, your physiotherapist  is able to significantly reduce the presence of nerve irritation and muscle tension helping to alleviate the cause of your headaches.
Please contact us by clicking on one of the buttons to your left to arrange your comprehensive headache assessment and begin your journey towards living a life without headaches!  We look forward to hearing from you!

The statement is correct but doing sit up while you have back pain will actually increase [...]]]> When you injure your back people will often tell you that you have to strengthen your abdominals. If this is not explained correctly one would take this statement that you need to strengthen your stomach muscles by performing sit-ups.

The statement is correct but doing sit up while you have back pain will actually increase your pain considerably. What we mean is that you need to increase your Transverse Abdominusstrength. This is a very deep muscle that directly supports your lumbar spine. People with lower back pain often have a very week TVA and therefore they have nothing to stabilising their spine when playing sports or when lifting for example.

This set of muscles are initially difficult to exercise, you will need some instruction from your physiotherapist.

The benefit of exercising these muscles are:

• Increase the strength of your spinal stabilizer muscles, therefore reducing the occurrence of pain
• Improve the strength and tone of your abdomen
• May improve incontinence – or post pregnancy issues
• Prevention of back pain

A lot of these physio exercise require supervision to see if you are activating the correct muscle groups. That’s My Physio are trained in teaching these exercises and can write you a comprehensive exercise program to assist with your back pain recovery or even just to prevent you from suffering back pain in the future.