Neck 2

Neck Injuries

What is the PhysioWorks Difference?

You'll be impressed with the experienced physiotherapists, massage therapists, allied health team and reception staff who represent PhysioWorks.

To ensure that we remain highly qualified, PhysioWorks is committed to participating in continuing education to provide optimal care.

If you've been searching for health practitioners with a serious interest in your rehabilitation or injury prevention program, our staff have either participated or are still participating in competitive sports at a representative level.

We also currently provide physiotherapy and massage services for numerous sports clubs. Our experience helps us understand what you need to do to safely and quickly return to your sporting field, home duties, or employment.

How You'll Benefit from the PhysioWorks Difference?

At PhysioWorks physiotherapy and massage clinics, we strive to offer our clients quickeffective and long-lasting results by providing high-quality treatment.

We aim to get you better quicker in a friendly and caring environment conducive to successful healing.

With many years of clinical experience, our friendly service and quality treatment is a benchmark not only in Brisbane but Australia-wide.

What are Some of the BIG Differences?

Our therapists pride themselves on keeping up to date with the latest research and treatment skills to ensure that they provide you with the most advantageous treatment methods. They are continually updating their knowledge via seminars, conferences, workshops, scientific journals etc.

Not only will you receive a detailed consultation, but we offer long-term solutions, not just quick fixes that, in reality, only last for a short time.

We attempt to treat the cause, not just the symptoms.

PhysioWorks clinics are modern thinking. Not only in their appearance but in the equipment we use and in our therapists' knowledge.

Our staff care about you!  We are always willing to go that 'extra mile' to guarantee that we cater to our client's unique needs.

All in all, we feel that your chances of the correct diagnosis, the most effective treatment and the best outcomes are all the better at PhysioWorks.

Article by John Miller

What is a Primary and Secondary Headache?

The International Headache Society classifies headaches as Primary or Secondary.

Primary headaches are not related to any other problem and include migrainestension-type headaches and cluster headaches.

Secondary headaches. Caused by an underlying problem and can include a post-whiplash headacheneck headache, jaw headache and drug withdrawal headache. “Ice cream headache” is a secondary headache caused by extreme cold within your mouth. In other words, a secondary headache is a symptom of something else being wrong rather than the cause itself. Treatment for a secondary headache involves treating the source, e.g. loosen some stiff upper neck joints or stop eating ice cream!

Multi-Source Headache

Migraine

It is also important to point out that many headache sufferers may suffer multi-source headaches. For example, a migraine sufferer may simultaneously experience a tension-type headache and neck headache. Treatment will vary depending upon your specific symptoms and headache source.

Please consult with your healthcare practitioner for an accurate diagnosis and treatment pathway.

More info: Headaches & Migraines

What is Physiotherapy Treatment?

Physiotherapists help people affected by illness, injury or disability through exercise, manual joint therapy, soft tissue techniques education and advice.  Physiotherapists maintain physical health, allow patients to manage pain and prevent disease for people of all ages. Physiotherapists help encourage pain-relief, injury recovery, enabling people to stay playing a sport, working or performing daily living activities while assisting them to remain functionally independent.

There is a multitude of different physiotherapy treatment approaches.

Acute & Sub-Acute Injury Management

Hands-On Physiotherapy Techniques

physiotherapy treatment

Your physiotherapist's training includes hands-on physiotherapy techniques such as:

Your physiotherapist has skilled training. Physiotherapy techniques have expanded over the past few decades. They have researched, upskilled and educated themselves in a spectrum of allied health skills. These skills include techniques shared with other healthcare practitioners. Professions include exercise physiologists, remedial massage therapists, osteopaths, acupuncturists, kinesiologists, chiropractors and occupational therapists, to name a few.

Physiotherapy Taping

Your physiotherapist is a highly skilled professional who utilises strapping and taping techniques to prevent and assist injuries or pain relief and function.

Alternatively, your physiotherapist may recommend a supportive brace.

Acupuncture and Dry Needling

Many physiotherapists have acquired additional training in acupuncture and dry needling to assist pain relief and muscle function.

Physiotherapy Exercises

Physiotherapists have been trained in the use of exercise therapy to strengthen your muscles and improve your function. Physiotherapy exercises use evidence-based protocols where possible as an effective way that you can solve or prevent pain and injury. Your physiotherapist is highly-skilled in the prescription of the "best exercises" for you and the most appropriate "exercise dose" for you, depending on your rehabilitation status. Your physiotherapist will incorporate essential components of pilates, yoga and exercise physiology to provide you with the best result. They may even use Real-Time Ultrasound Physiotherapy so that you can watch your muscles contract on a screen as you correctly retrain them.

Biomechanical Analysis

Biomechanical assessment, observation and diagnostic skills are paramount to the best treatment. Your physiotherapist is a highly skilled health professional. They possess superb diagnostic skills to detect and ultimately avoid musculoskeletal and sports injuries. Poor technique or posture is one of the most common sources of a repeat injury.

Hydrotherapy

Aquatic water exercises are an effective method to provide low bodyweight exercises.

Sports Physiotherapy

Sports physio requires an extra level of knowledge and physiotherapy to assist injury recovery, prevent injury and improve performance. For the best advice, consult a Sports Physiotherapist.

Vestibular Physiotherapy

Women's Health

Women's Health Physiotherapy is a particular interest group of therapies.

Workplace Physiotherapy

Not only can your physiotherapist assist you in sport, but they can also help you at work. Ergonomics looks at the best postures and workstation set up for your body at work or home. Whether it be lifting technique improvement, education programs or workstation setups, your physiotherapist can help you.

Electrotherapy

Plus Much More

Your physiotherapist is a highly skilled body mechanic. A physiotherapist has particular interests in certain injuries or specific conditions. For advice regarding your problem, please contact your PhysioWorks team.

Article by John Miller

Nerve Pain

Nerve pain is pain caused by damage or disease that affects the nervous system of the body. It is also known as neuropathic pain or neuralgia. Nerve pain is a pain that comes from problems with signals from the nerves. It is different to the typical type of pain that is due to an injury. It is known as nociceptive pain.

What Causes Nerve Pain?

nerve pain

A problem with your nerves themselves, which sends pain messages to the brain, causes neuropathic pain.

What Are Nerve Pain Symptoms?

Nerve pain is often described as burning, stabbing, shooting, aching, or like an electric shock.

What Causes Nerve Pain?

Various conditions can affect your nerves and cause nerve pain. Familiar sources of nerve pain include:

  • Shingles (post-herpetic neuralgia).
  • Trigeminal neuralgia.
  • Diabetic neuropathy.
  • Phantom limb pain (post-amputation).
  • Cancer.
  • Multiple sclerosis.
  • Chemotherapy.
  • HIV infection.
  • Alcoholism.
  • Other nerve disorders.

Nerve Pain & Nociceptive Pain

You can suffer both nerve pain and nociceptive pain simultaneously. The same condition can cause both pain types.

Nerve Pain Treatment

Nerve pain is less likely than nociceptive pain to be helped by traditional painkillers. Paracetamol and anti-inflammatories seem less effective.  However, other types of medicines often work well to ease the pain. Nerve pain is often relieved by anti-depressant or anti-epileptic medication. Please ask your doctor for more advice.

Pain Links

Pain & Injury

Tens Machine

What is a TENS Machine?

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Article by John Miller

What Causes Pins & Needles?

What is Paraesthesia?

A moderately pinched nerve is the most common cause of "pins and needles". Pins and needles are referred to as "paraesthesia" in the medical community. Did you know that feeling "pins and needles" can be a worse sign than having pain in your arm or leg? The reason is that you can't even feel pain anymore when you significantly squash the nerve.

Even worse than "pins and needles" are "numbness" or "anaesthesia", which is a total lack of sensation. You will experience anaesthesia when there is severe nerve compression. Anaesthesia or numbness that persists for more than a few hours can signify permanent nerve compression. Please seek prompt medical attention to prevent the nerve from permanent damage and the muscles it innervates to weaken drastically.

The majority of pinched nerves and nerve compressions are only transient and quickly reversed with early treatment. However, neglect can lead to permanent nerve compression injuries, which may never recover.

Common Causes of Pinched Nerves

The most common forms of nerve compression are in the spinal joints, where either a disc bulge or a bony arthritic spur can irritate and compress the nerve. Compressions can also occur as the nerve passes through or around muscles. Your physiotherapist will know where to look.

How Can You Fix "Pins and Needles"?

If you know of someone who is experiencing chronic or permanent "pins and needles", "numbness", or "muscle weakness", please encourage them to seek urgent professional advice. The secret to quick success is the correct diagnosis. A highly trained health practitioner such as your physiotherapist or doctor is your best port of call.

More info

How is Kinesiology Tape Different from Conventional Strapping Tape?

Rigid strapping firmly wraps around your injured structures. Most standard strapping tapes are non-elastic. They aim to provide rigid support and restrict movement. These rigid strapping tapes can only be worn for short periods, after which you must remove them to restore your circulation. and mobility. kinesiology tape Alternatively, kinesiology tape has some unique elastic properties that allow it to provide active support, protect muscles or joints, and allow a safe and functional range of motion. Rather than being entirely wrapped around injured joints or muscle groups, kinesiology tape is applied directly over or around the periphery of troublesome areas. This non-restrictive characteristic of kinesiology taping allows most applications to continue for several days. This period reinforces therapeutic benefits to accumulate 24-hours a day for the entire time they’re worn. You can wear kinesiology tape during intense exercise, showering or swimming. It quickly dries after a quick pat with a towel. More info: Strapping & Supportive Taping

How to Sit Correctly

  • Sit up with your back straight and your shoulders back.
  • Your buttocks should touch the back of your chair.
  • All three normal back curves should be present while sitting.
  • A small, rolled-up towel or a lumbar roll can be used to help you maintain the normal curves in your back.

Here's how to find a good sitting position when you're not using a back support or lumbar roll:

  • Sit at the end of your chair and slouch completely
  • Draw yourself up and accentuate the curve of your back as far as possible.
  • Hold for a few seconds
  • Release the position slightly (about 10 degrees). This is a good sitting posture.
  • Distribute your body weight evenly on both hips.
  • Bend your knees at a right angle. Do not sit with your knees crossed. Keep your knees even with or slightly higher than your hips.
  • Keep your feet flat on the floor.
  • Try to avoid sitting in the same position for more than 30 minutes.
  • At work, adjust your chair height and workstation so you can sit up close to your work and tilt it up at you. Rest your elbows and arms on your chair or desk, keeping your shoulders relaxed.
  • When sitting in a chair that rolls and pivots, don't twist at the waist while sitting. Instead, turn your whole body.
  • When standing up from the sitting position, move to the front of the seat of your chair. Stand up by straightening your legs. Avoid bending forward at your waist. Immediately stretch your back by doing 10 standing backbends.
  • It is okay to assume other sitting positions for short periods of time, but most of your sitting time should be spent as described above so there is minimal stress on your spine.

What is the Correct Way to Sit While Driving?

  • Use a back support (lumbar roll) at the curve of your back. Your knees should be at the same level or higher than your hips.
  • Move the seat close to the steering wheel to support the curve of your back. The seat should be close enough to allow your knees to bend and your feet to reach the pedals.

What Is The Best Pillow For You?

Your best pillow is designed to keep your spine in a neutral stress-free alignment. However, just like the three bears in Goldilocks... we are all built just a little bit different... so your best pillow may differ from that of your partner, child or best friend.

In simple terms, the best pillow for you needs to be:

  • suitable for your preferred sleeping position
  • supportive of your neck and head
  • suitable for your head, neck, shoulder shape and size
  • comfortable to lie upon
  • durable - to keep support for the full night and for many years.

If we reflect upon the three bears. Big daddy's pillow is likely to be larger and firmer than mummy bear's pillow. Baby bear's best pillow will be more than likely be thinner and softer than the rest of the bear family.

Your Favourite Sleeping Position Matters

You'll sleep the best in your favourite position. About 70% of people side sleep, 20% back sleep and 10% stomach sleep.

What's Your Preferred Sleeping Position?

Back, side or stomach? Once you've decided which is your preferred sleeping posture, we can start to look at the best pillow shape for you.

Matching Your Pillow to Sleeping Position

The best pillow for you will need to support your spine in a stress-free alignment in YOUR favourite position: whether that is your side, back or stomach.

Side Sleeper Pillow

Most people prefer to sleep on their side. Side sleepers should aim to support your spine in a neutral position. The best pillow for you will fill in the space between the mattress and your head and neck. Contour pillows, as shown above, are a good choice if your neck is thinner than your head.

If your head and neck width are similar, then you may gain better support from a conventionally shaped pillow.

Children don't require a pillow until their shoulder width increases beyond the width of their head when a thin pillow would be suitable.

Back Sleeper Pillow

The second most popular sleeping position is on your back. Pillow height is critical.

The more rounded your upper back, the more your head protrudes forward of your neck and upper back, which means the higher the pillow you require.

This a common reason for older people sleeping on two pillows as their upper back increases its C-curve shape, which makes their head sit further forward. One pillow is simply not enough to support your head and neck.

Stomach Sleeper Pillow

Stomach sleeping is not recommended due to the sustained rotation of your neck. You are essentially looking over one shoulder for a few hours. This compresses one side of your neck and over-stretches the other. This commonly results in neck pain, neck stiffness and neck headaches.

Pillow Comfort

A large part of what makes a good pillow is a personal preference. If the pillow feels comfortable, it is likely to help you relax, get a good night’s sleep, and feel well-rested in the morning. The pillow's surface can also be a source of comfort - some people prefer a pillowcase with a cool, smooth feeling (such as cotton), some prefer warmth (such as flannel), etc. Obviously, a chance of season can alter your favourite pillowslip.

Pillow Fine Tuning

Ideally, your pillow should conform to your various sleep positions and support the weight of your head. New technology such as memory foam has successfully addressed this issue. They adjust to the unique shape and curves and sleeping position of the user. A pillow should mould to one’s individual shape and alleviate any pressure points.

Pillow Durability

In reality, a high-quality supportive pillow will last several years before needing to be replaced. Unfortunately, cheap polyester or cotton-filled pillows will usually only last a few months. They simply lost their oomph and don't bounce back.

Look for reputable manufacturers, who offer longer warranties. You'll find the best pillows last the longest, as reflected in the warranty. In addition to better sleep, they are of better value in the long term.

Over time, most pillows will begin to lose their firmness and no longer support your neck and head adequately. When your pillow has reached this stage, buy a new pillow.

What to Expect on Your First Night?

It is important to know that your neck may feel different or uncomfortable during the first few nights of using any new pillow. This is because it is still adjusting to healthy support. In the vast majority of cases, you'll look forward to extreme comfort within a few days.

However, a pillow that does not ease your neck pain within a week is probably not supportive or you have a neck condition that requires professional treatment.

Pillows - NexGen Posture Form Memory Foam Pillow 2

Neck Pain, Stiffness or Headaches?

If you’re having a restless sleep or waking with neck pain, stiffness or headaches, your pillow could be the culprit. A good night's sleep is dependent on a healthy sleeping position and a good pillow. A quality pillow will support your head in natural alignment with your spine. Only a pillow offering good support and adjustability can do this.

What's the Classic Signs of an Unsupportive Pillow?

Most quality pillows will only last you three to four years before you need to change. Some of the lesser quality pillows will only remain supportive for a few months. The problem is that pillows internal supportive material breaks down with use and time. Whether your pillow is feather, foam, memory foam, rubber, latex or any other natural or synthetic product, they all eventually disintegrate with time and use. If you are consistently having the following trouble, it's time to change your pillow.
  • Waking during the night or in the morning with a stiff neck, neck pain or headache.
  • Restless or interrupted sleep with difficulty going off to sleep.
Another sure sign is improved sleep when you visit a friend, borrow your partner's pillow or stay in a hotel. If any of these sounds like you, it's time to change your pillow.

Maybe it's NOT Your Pillow!

Sometimes there is simply no pillow in the world that is best for you.

Why?

If you have a neck injury, pain or stiffness, you may not have the available pain-free range of neck motion to have a comfortable, pain-free sleep. The solution on this occasion is to have your neck professionally assessed and treated. Often just one quality treatment of your neck may solve years of sleeping difficulties.

Pillows Online

If you like to see the pillows that most of our therapists sleep on and recommend to our clients, you can view these online here or test them at your nearest PhysioWorks clinic.

More information

Pillows Neck Pain Neck Headache
A British Medical Journal study found that pre-event stretching does not reduce the overall risk of injury. However, stretching does slightly reduce the risk of specific kinds of damage (injuries to muscles, ligaments and tendons). These soft tissue injuries are common in both elite and recreational sportspeople. It seems reasonable and common sense that stretching may not prevent you suffering a broken bone or a joint dislocation, but it could reduce your chance of a soft tissue injury. The other main finding was that stretching reduces the risk of experiencing soreness, which always makes exercising more enjoyable! While sustained stretches in isolation may not be the answer, other studies have shown that warming up does reduce your injury rate. While there is no "absolutely proven"method of warming up yet, the preferred options appear to be a graduated progression to prepare you for your sport. In simple terms, warm-up steadily from gentle exercises that increase in intensity and speed as you progress through your warm-up period. It makes common sense for you to warm things up slowly to start and then prepare with replicate skills, to what you will require shortly on the field, at the end of your warm-up. For more specific warm-up and injury prevention advice particular to your sport or work, please ask your physiotherapist to prescribe a warm-up and warm-down routine specific to you and your sport or physical activity.
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