Articles in Category: Newsletters

Assessing young athlete injuries − When to see a specialist?

Written by Don Williams BSc, MChiro, ICSSD. on Tuesday, 11 June 2019. Posted in Newsletters, Sporting Injuries, Chiropractic

 Assessing young athlete injuries − When to see a specialist?


This month’s newsletter article was stimulated by a phone call I received this morning in regards to a young footballer who suffered a head injury playing on the weekend. We were glad to hear that the young boy was taken to hospital and did have a brain scan to eliminate any significant bleeds or anything that was pathologically present immediately following the injury. The after management is the point that is concerning me somewhat more.

A recent sports medicine Australia conference on paediatric injuries shows that there has been a massive increase in the number of major injuries suffered by teenage athletes. Particularly head injuries and ACL ruptures have been increasing almost exponentially. Across the board injuries have also increased and this has thought to be as a result of increased training loads and competition loads that are above and beyond what a growing body can tolerate.

The growing body needs rest and recuperation purely to grow, not even considering the demands of high level youth sport. The concern at the conference was in regards to misdiagnose or inappropriate assessment of youth injuries with the assumption that the injury would not be pathological. In particular relevance were head injuries, and the requirement in the sport medicine guidelines is that a head injury requires three weeks off work. This has been unfortunately somewhat ignored or not understood by some members of the community.

Often a GP or an A and E specialist with no specific training in head injuries will give the youth a return to sport because there was no apparent pathology on brain scan. This is purely not the case and the guidelines currently state that for a significant injury, that a minimum of 19 days off competition and intense training should be observed. The broader question for us is about appropriate assessment and this is the nature of my article. If you have an injury of your young athlete or child has an injury, it is appropriate to have them assessed by a relevant professional. This often means someone who has extensive experience in testing orthopaedic musculoskeletal conditions in the case of musculoskeletal injuries.

So often we see people show up here after a number of visits to their GP where they have a significant injury that has been missed. This is not to knock their GP, but it is not necessarily their area of expertise. Some GP’s are excellent, some don’t focus on this area very much at all. It would be the same as us in the musculoskeletal arena diagnosing ear issues, and visceral issues for which we are not adequately trained.

So my take home message is if you have an injury, get it assessed by a relevant professional and ensure you get the best possible outcome, rather than just hoping its nothing severe and going forward and creating more issues down the track.

The Australian Touch Football Team wins the 2019 Touch World Cup with the help of one of our very own Physiotherapists

on Tuesday, 11 June 2019. Posted in Newsletters, Sporting Injuries, Training and Performance

The Australian Touch Football Team wins the 2019 Touch World Cup with the help of one of our very own Physiotherapists



In early May, I travelled to Malaysia as a member of the NRL Australian Touch Football Medical Team for the Federation of International Touch World Cup. The Australian Team consisted of approximately 170 players all wanting to do their best. There were several training Camps in the lead up to the World Cup tournament that enabled me to become familiar with the players and their individual injuries. The management of Sporting Injuries can be quite complex and encompasses ‘Fitness Test’ assessments, difficult decision making when ‘ruling a player out’ and problem solving to manage players to ‘get them through it’. Each of these aspects are key to managing sporting injuries

1. Fitness Test and Return to Play Assessment

After sustaining an injury or having a persistent ‘niggle’ it is important to undertake a Fitness Test before returning to play. Fitness Tests should be tailored specifically to the sport in question and start off at a low pace with controlled movements and increase to maximum ‘game level’ speed/intensity that the player would encounter in the game. The test assesses the ability and confidence of the recovered injured body part.

Have you had a Fitness Test after your sporting injury? Come see Elizabeth in the clinic today!

2. Ruling a Player Out

This is always a difficult decision. It is never fun to tell a player who has trained for 4 years that they will not make the World Cup Final due to being ruled out. Sometimes the player themselves will know they cannot or should not play on. Other times the responsibility lies with the Physiotherapists.   In the presence of an injury it is important to Protect, Support and Maintain which basically means do no further harm.

Are you sure you should still be playing? Come see Elizabeth in the clinic today!

3. Get Through It and Play On

Often on the sporting field players will push on with an injury. As mentioned above injuries should be Protected! A simple Grade I ligament tear can easily become a Grade II or a muscle tear could go from a minor injury to a full rupture. If in doubt, stop play, undergo a Fitness Test and assess your risk of injury. Ignoring an injury is never a good approach in the long run.

Do you ignore your sporting injury? Come see Elizabeth in the clinic today!

Written by Elizabeth Evans
B.Sc., M.Pthy., M.SpSc., AEP., AES


on Tuesday, 02 April 2019. Posted in Newsletters, General Health, Sporting Injuries, Training and Performance

Shoulder Pain

Shoulder injuries are one of the most stubborn injuries I deal with as a practitioner. They happen very gradually and linger for a long time. Not excruciatingly painful but definitely annoyingly dull and achy is how I would describe it.

Here are 5 things you should know about shoulder pain:

1.They are highly treatable if addressed early

People with shoulder pain usually do not seek early medical attention. It is the type of pain where people tend to ignore initially because of its subtleness BUT ignoring the pain will not make it go way. In fact, it will usually continue worsening the longer you wait to seek care. The earlier you see a practitioner, the better it will respond to physical therapy and regain its range of motion.

2.Treat your shoulder blade while treating rotator cuff injuries

The shoulder blade serves as a platform for the muscles of the shoulder (rotator cuffs). When there is an injury to the rotator cuffs, it is directly related to how well the shoulder blade is working too. A weak and unstable shoulder blade will produce an unstable base for the rotator cuffs hence possibly causing the muscles to be compromised therefore leading to injury and weaknesses. So it is important to include shoulder blade stabilising exercises on top of rotator cuff strengthening. 

 Shoulder Projections

Shoulder Projections

YouTube Link:

 3.Frozen Shoulder is more common in middle aged women

Frozen shoulder happens when the lining of the joint within the shoulder is inflamed. The gradual thickening of this area results in the stiffening of the shoulder and it becoming more painful with movement. No one knows the exact cause of a frozen shoulder but women between the ages of 40-65 years old have a greater prevalence.

 4.Sleeping position is important

While taking some time to recover from a shoulder injury, it is important that you find a sleeping position that is tolerable. If you are a side sleeper, try sleeping on the non-painful shoulder. Taking pressure off the affected joint will reduce irritation to it. If your shoulder pain is near the front, sleeping on your back can help evenly distribute your weight and again keep pressure off.

 5.Shoulder pain can be a referral

Most shoulder pain is highly likely to be musculoskeletal in nature but sometimes other conditions can also cause referral into the shoulder. If your shoulder pain is unexplained and does not change when you move your neck, shoulder or arm there is a high chance the problem is coming from somewhere else (such as gallstone, heart or blood vessel problems and lung problems). It is important to be checked out by your medical practitioner for further examination.



Written By Iris Tan
B.App Sc (Chiropractic) M.Clin Chiropractic