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Training and Exercise Atlas Physio is happy to provide you with supervised clinical exercises in our clinic or in public gyms. Supervised training is useful for those clients who are not familiar with gym environments, need guidance in technique, or who want to engage in exercise after a period of medical unwellness. Atlas Physio has relationships with local gyms and pilates studios, and will discuss referral to those businesses for those clients who express interest in supervised exercises. However, if you have your own gym that you attend, you are more than welcome to express a preference and discuss that with your treating clinician. Since its founding, Atlas Physio has worked with people and gyms in the North and Northeast suburbs including Thornbury, Northcote, Westgarth, Ivanhoe, Heidelberg, Abbotsford, Darebin, Brunswick, Preston, Coburg, Fairfield, Reservoir and Alphington. Training is conducted differently to normal clinical sessions - be sure to familiarise yourself with the differences between clinical sessions and training. Scheduling Training sessions are not able to be scheduled online. To schedule a training session, dial the clinic on 0400 174 015 to speak to a clinician and to schedule your visit. Payment Training sessions are charged differently to in-clinic appointments. This is to address costs associated with travel, time, and the gym location. Be sure to familiarise yourself with the differences in pricing as noted in the schedule of fees. Specials Training sessions are eligible for discounts. Attendance Policy Once a training session has been scheduled and confirmed, it is your responsibility to be present at the nominated address at the nominated time. Cancellation Policy Training sessions may be cancelled with at least 24-hours notice. Confidentiality Training sessions conducted in assisted retirement homes, residential aged care facilities, domiciles and other supervised residences may require our clinicians to liaise with other medical staff. In this event, we will abide by the consent principles stated on our website, and we will always endeavour to respect our patients' confidentiality.

Neck Pain Neck Pain is a general term that refers to any kind of pain or discomfort felt in the neck. Neck Pain is a common problem that people experience, and may affect one in five people over the course of their lives. Neck Pain is felt in the region below the base of the head and above the tops of the shoulderblades, though you may feel pain elsewhere in the body. Because of the number of nerves that go through the neck, pain may be felt in the shoulders, arms, hand, and the head and eyes. Neck Pain is referred to as Chronic Neck Pain when it has been present for twelve weeks or more. Neck Pain is caused by irritation of structures within the neck. The specific cause of the pain depends on many factors like the age of the person experiencing the pain, their occupation, whether the pain was caused by an accident or started rapidly, as well as other variables. Neck Pain can also be described as Mechanical Neck Pain, when the pain is specifically due to a certain, reproducible movement or sustained posture that strains the neck. Referred Neck Pain is felt in the arm, shoulders, in the mid back, or as headache. When Neck Pain is experienced as a headache or causes a headache, it is referred to as a cervico-genic headache (cervico = cervical spine, genic = coming from.) During your assessment, you will be asked whether or not you experience headaches, and if so, the frequency and nature of your discomfort. Management of Neck Pain depends on the cause of the pain, how it feels and changes over the day, what makes it better or worse, and the length of time you have been experiencing the pain. All of these factors will be addressed in your initial assessment, which is the first step towards minimising and managing any pain or discomfort. The treatment you receive will be tailored to address the specific cause of your Neck Pain, and will focus on minimising pain, maximising your ability to move pain free, and developing a plan to minimise the risk of a flare-up in the future. At Atlas Physio, we will provide you with education, structured management, and ongoing monitoring of your pain both in and out of the clinic. Contact us to arrange an assessment, and to take the first step on a course of corrective care today.

Shin Splints Shin Splints refers to pain felt anywhere along the shinbone (tibia) from knee to ankle. Shin Splints are caused by an inflammation of the muscles, tendons, and bone tissue around the tibia, and are commonly experienced by runners, dancers, and people who need to walk for work. Pain from Shin Splints is commonly due to Medial Tibial Stress Syndrome, in which there is an inflammation of the structures around the Tibia, which is the primary loadbearing bone of your lower leg. Pain due to Medial Tibial Stress Syndrome often becomes worse on sustained, repetitive activity and becomes better with rest. Shin Splint Pain may also be caused by a Stress Fracture of the Tibia. Stress Fractures occur due to repeated force applied to a bone which results in gradual traumatic damage of that bone over time. While the bone may not break, this pain is referred to as Osteogenic Shin Splint Pain (Osteo = bone, genic = coming from). Shin splint pain may also be caused by tendinopathy, compartment syndrome, infection within the calf, or nervous entrapment, all of which have the potential to interact with structures within the lower leg. Management of Shin Splints depends on the cause of the pain, how it feels and changes over the day, what makes it better or worse, and the length of time you have been experiencing the pain. The treatment you receive will be tailored to address the specific cause of your Shin Splints, and will focus on minimising pain, maximising your ability to move pain free, and developing a plan to minimise the risk of a flare-up in the future. At Atlas Physio, we will provide you with education, structured management, and ongoing monitoring of your pain both in and out of the clinic. Contact us to arrange an assessment, and to take the first step on a course of corrective care today.

Sports Injuries Sports Injuries are common occurrences, regardless of whether you are a professional athlete or a recreational sportsperson. Sports training places dynamic and increasing physical demands on the athlete's body, and the management of Sports Injuries is an essential part of training, competition, and conditioning. ​ Everyone who engages in physical activity has the potential to experience a Sports Injury. From simple activities like walking and jogging, to team sports such as AFL Football, Rugby, and Soccer, every player can be injured due to external or internal causes, regardless of how fit or healthy they may feel. Common Sports Injuries include injuries to the Shoulder, Back, and Knee, as well as the Wrists and Ankles depending on the sport in question. ​ Sports Injuries are managed in a three-step process: identifying the nature and cause of the injury, determining where the athlete wants to get to in the course of their rehab, and creating a plan to achieve that end. ​ The management of Sports Injuries is a dynamic and ongoing process, designed to progress the injured athlete from their initial injury, back to their desired level of performance in a supportive and timely manner. With this in mind, physio rehab for Sports Injuries will focus on rebuilding your capacity to perform to your desired standard, and may include supervised training and team liaison. The treatment you receive will be tailored to minimise your pain, maximising your function, and progress you to your desired level of performance. At Atlas Physio, we will provide you with education, structured management, and ongoing monitoring of your pain both in and out of the clinic. Contact us to arrange an assessment, and to take the first step on a course of corrective care today

Scoliosis Scoliosis refers to abnormal curvatures and rotations of the spinal column, that are commonly diagnosed in childhood or in early adolescence. The spinal column is a collection of bones that make up the skeletal components of the neck, part of the ribcage, the lower back, and the back of the pelvis. These skeletal components are responsible for protecting the vulnerable spinal cord, for moving relative to each other to support the movement of other structures like the skull and other segments like the limbs and the segments of the trunk, for bearing the weight of the upper half of the body in addition to any external loads, and for adapting to the body's different postural and performance needs. Abnormal curvatures and rotations of the spinal column have the potential to affect muscular strength and balance, as well as the nerves and arteries that support the spine and other structures. Scoliosis occurs in two to three percent of the population, and commonly develops and is diagnosed in infancy or early childhood. The primary age of onset for scoliosis is between 10-15 years old, and while the occurrence of the condition is equal for both genders, females are eight times more likely for their scoliosis condition to progress to a level of severity that requires treatment. Scoliosis can also occur in adults, occurring in almost one in ten adults over the age of twenty-five and increasing to almost seven tenths of adults over the age of 60, and this increase is typically associated with age-related degeneration of the spine. Scoliosis can arise over the course of a person's life and can also be congenital, arising from changes that occur during the foetal stage of development that cause some parts or areas of the spine to develop at different rates and thus cause curvature. Scoliosis can also occur as a result of neuromuscular abnormalities such as those that occur in cerebral palsy, dystrophy, and spina bifida, and these scoliosis presentations typically progress more rapidly as well as require surgical treatment more often. Scoliosis can be diagnosed visually by assessing the symmetry and posture of an individual, through radiology to detect curvature in the spine that might be obscured by body fat or musculature, or in the course of assessing a different condition like back pain. Scoliosis has been found to have occurred in 23-percent of patients presenting for back pain, in one study. Following diagnosis of scoliosis, the severity of the curvature of the spine is assessed and rated in terms of severity by the number of degrees of curvature. The greater the number of degrees of deviation as a result of spinal curvature, the more invasive the treatment required. A spinal curvature of minimum ten degrees is necessary to diagnose scoliosis, while severe scoliotic bends of more than fifty degrees may require surgery. Because of the potential of spinal curvatures to involve the ribcage and therefore the heart and the lungs, assessment and review of a patient's exercsise and respiratory capacity may be necessary. Most people with scoliosis present with spinal curvature of such mildness that bracing or surgery is not necessary. In children and in adolescents, regular monitoring may be necessary as changes in the child's anatomy over time may increase or change the amount of muscular strain, as well as changeing the curvature of the spine. More severe scoliosis that either presents as significantly curved or which appears to be progressing may require surgery, and this surgery is typically spinal fusion of two or more of the bones of the spine with metal prosthetic components installed by a surgeon and whose interventional effects are consolidated by timely physical therapy. In the clinic, physiotherapy is useful in the management of all forms of scoliosis so long as it is applied correctly, and where necessary in combination with other forms of management. Mild scoliotic curves may be managed with basic, non-invasive physical therapy to minimise discomfort while maintaining cosmesis. This treatment may consist of physical exercises, manipulation and soft-tissue work, as well as management of the condition through appropriate referral and review. If the scoliosis is so severe that surgical management is necessary, physiotherapy works in conjunction with the overall intervention to support good outcomes after surgery and to minimise risks of acute complications. Management of your discomfort depends on its causative factors, how it feels and changes during the day, what makes it better and worse, and the length of time you have been experiencing that pain. All of these factors will be addressed in your initial assessment, which is the first step toward managing and minimising any pain or discomfort. The treatment you receive will be tailored to address the specific cause of your discomfort, and will focus on minimising pain, maximising your ability to move pain-free, and developing a plan to minimise the risk of a flare-up in the future. At Atlas Physio, we will provide you with education, structured management, and ongoing monitoring of your pain both in-clinic and out. Contact us to arrange an assessment, and to take the first step on a course of corrective care today.

Frozen Shoulder Frozen shoulder, also known as adhesive capsulitis, is a condition characterized by stiffness and pain in your shoulder joint. Signs and symptoms typically begin gradually, worsen over time and then resolve, usually within one to three years. The shoulder is made up of the shoulderblade (also called the scapula), the collar bone, and the top part of the upper bone of the arm which is called the humerus. The rounded head of the humerus meets the scapula at a shallow cup in the shoulderblade called the glenoid. Because the glenoid is not a deep structure, the rounded head of the humerus does not fit snugly within it and so glides around. This ease of gliding and movement is what contributes to the flexibility and large working range of the shoulder joint as a whole. The shoulder joint is flexible, but unstable because of its flexibility and is therefore easily dislocated. It is stabilised by the action of muscles that lie over and under the joint, as well as the ligaments that tie the bones together. The shoulder is also stabilised by the joint capsule of the glenohumeral (shoulder) joint. The joint capsule is a sheath that arises from tissue overlying the bones of the shoulderblade and the upper arm. The joint capsule is responsible for maintaining the health of the cartilage that composes the shoulder joint as well as ensuring separation of the joint space from the outside environment. Typically, the joint capsule of the shoulder or any other joint contains synovial fluid in the joint space- a lubricating liquid that minimises the effect of pressure and loading, which improves the movement of cartilaginous surfaces, and which promotes the health of the joint. Frozen shoulder is the common-language name for adhesive capsulitis, a condition in which inflammation of the shoulder joint capsule results in the formation of adhesions. These adhesions are infiltrations of tissue called fibroblasts, which form inappropriate linkages between the different surfaces of the shoulder joint which make movements stiff and painful. The formation of these adhesions can also result in the swelling of the joint, making it painful to touch, move, and use. Because the shoulder is an inherently unstable joint, it is prone to damage and distress as the result of movement, loading, reaching, and external trauma. The immediate and accumulative effects of these physical obligations can result in an inflammatory response that becomes persistent and painful. Management of your discomfort depends on its causative factors, how it feels and changes during the day, what makes it better and worse, and the length of time you have been experiencing that pain. All of these factors will be addressed in your initial assessment, which is the first step toward managing and minimising any pain or discomfort. The treatment you receive will be tailored to address the specific cause of your discomfort, and will focus on minimising pain, maximising your ability to move pain-free, and developing a plan to minimise the risk of a flare-up in the future. At Atlas Physio, we will provide you with education, structured management, and ongoing monitoring of your pain both in-clinic and out. Contact us to arrange an assessment, and to take the first step on a course of corrective care today.

Ergonomic Testing Ergonomic testing is the assessment, modification, and trialling of assistive devices and working setups with the aim of maximising comfort and minimising the risks of maintaining postures over a long period of time. As a consequence of modern life, we often need to assume static postures for long periods of time. Desk workers, drivers, telephone operators and other people who work for hours on end in specific postures are at risk of developing muscle stiffness and pain. People who work in dynamic jobs such as skilled tradesmen, public service workers, technical professionals and mechanics also have demands placed on their bodies due to the dynamic and effortful nature of their work. These risks can be minimised by looking at workspaces, seating, and vehicle cabs, and adjusting their arrangement to best fit the person. No two people are built the same way, and no two people move the same way. The subtle differences in our anatomies produce different demands from our environments that often go unmet due to time, resource or attention constraints. Ergonomic testing bridges the gap between how our bodies move best and the limitations of the environment. Through prescription of appropriate seating, appropriate desk setup, and the assessment of the demands of your workplace, you can effectively minimise the risks of injury and strain, and enjoy a comfortable working environment. Consider discussing an ergonomic assessment with your treating clinician if you are interested in enjoying the benefit of continued comfort and painfree movement, at work and at home.

Telehealth Atlas Physio is happy to provide services to clients remotely via Telehealth. Atlas Physio has provided treatment remotely for those clients who have been unable to attend in clinic due to illness, transport issues, difficulties in mobilising, as well as other factors. Undertaking treatment remotely via Telehealth is different to receiving treatment in the clinic or in your home, so take note of the following: 1. You will need a calling link. As part of Telehealth Services you will have need a ZOOM calling link. It is important to have this ready in advance of your session - it's how we conduct treatment remotely. In addition to having the appointment-specific ZOOM calling link, also make sure of the following: - Your internet connection must be strong enough to maintain an audio and video call for the duration of the appointment. - Your device must be capable of undertaking videocalls and audiocalls, and have an adequate amount of charge. - You should participate in the telehealth appointment in an area that is open, clear of obstructions, and well-lit. 2. You do not need a medical referral to undertake treatment remotely via Telehealth. Physiotherapists are direct contact practitioners, so you do not need a medical referral to start physiotherapy treatment via Telehealth. All you will need is a confirmed ZOOM link and appointment time, and you will be eligible to begin treatment. 3. Telehealth treatment is only eligble for those clients who have already undertaken assessment and treatment in clinic, or under singular circumstances. Telehealth appointments are elibible for booking once a patient has been assessed in clinic. This is because initial assessment consists of physical assessment, observation of movement as well as physical testing. Without this information, appropriate treatment is difficult to conduct. For this reason, telehealth appointments are only available for those clients who are known to the clinic and those clients who have undertaken an assessment for their present problem. 4. Payment for Services is due on the day of the appointment. Given that treatments are conducted remotely, invoicing for private health via Telehealth as well as payment of clinic invoices will need to be done via bank transfer. YOu will be provided with a link and details to . Atlas Physio WILL NOT charge you more than this rate for a standard consultation. You will still be liable for gym memberships, equipment purchases, and any out-of-clinic expenses.

Nerve Pain & Neuropathy Nerve Pain, or Neuropathy, is an umbrella term that refers to damage or irritation of the nerves. Nerves can become damaged due to the effects of diseases like diabetes, Guillaine-Barre Syndrome, or Myasthenia Gravis, due to poor circulation to extremities like the hands and feet, due to traumatic damage of the nerves, or due to lifestyle decisions such as smoking and excessive alcohol consumption. ​ Neuropathy and Nerve Pain present with a combination of weakness, pain, sensation changes, numbness, tingling, electrical sensation or hot or cold flushes. Some or all of these symptoms may be present depending on the type of Neuropathy as well as the region of the body being affected. ​ The variation in symptoms is due to the nature of nerves. Nerves control muscles, convey sensation, communicate between the brain and elements of the body, and coordinate reflexes. Nerves are made up of a combination of controlling and sensing fibers, and everyone's nerves are subtly different according to their unique anatomy. Because everyone's neurological anatomy is different, and damage to nerves affects different nerves in varied ways, treatment of Neuropathy always begins with comprehensive assessment, and a thorough discussion of findings as well as any relevant radiology, clinical test results and treatment reports. Management and assessment of Nerve Pain depends on the pathological cause of your neuropathy. All of these factors will be addressed in your initial assessment, which is the first step towards minimising and managing any pain or discomfort. The treatment you receive will be tailored to address the specific cause of your Neuropathy, and will focus on minimising pain, maximising your ability to move pain free, and developing a plan to minimise the risk of a flare-up in the future. At Atlas Physio, we will provide you with education, structured management, and ongoing monitoring of your pain both in and out of the clinic. Contact us to arrange an assessment, and to take the first step on a course of corrective care today

Massage Massage is the manipulation of soft tissues in the body, and is commonly applied with hands, fingers, elbows, or a device. Massage is used for the treatment and reduction of muscular tension, pain, and for stress. ​ There are many schools of massage therapy, and many means by which massage can be used in clinic. At Atlas Physio, massage is used for treatment and assessment. In treatment, massage can be used to increase the capacity of a joint or muscle to move without pain. In assessment, massage and the repeated application of low-intensity force can be used to investigate areas of tendonous or muscular tenderness and sensitivity, and to alleviate that sensitivity through the application of physical pressure. ​ Typically, massage performed in clinic will be performed alongside other treatments, to best address the problem and to increase the likelihood of longterm functional improvement. While massage alone can be useful for the treatment of individual problems, the application of massage with other treatments boosts the effectiveness of those treatments and can amplify their clinical effect. Not every patient will be appropriate for massage. The use of massage as a treatment in clinic will depend on the discretion of your treating clinician as well as the nature, history, and context of your presenting discomfort. Feel free to discuss this treatment with your clinician, either in appointment or during your initial consultation.