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Physio Mona Vale

Address: Suite 6, 17 Bungan St, Mona Vale, NSW, 2103
Phone number: (02) 9999....
Email: Click to view


What is manipulative therapy?

Manipulative therapy has been part of our profession since 1981. Professionals who attain this post graduate qualification learn advanced skills in pain management, diagnosis and clinical reasoning.

At Pittwater Manipulative Physiotherapy and Sports Injury Centre, we use a wide range of hands-on treatments including mobilisation which involves gently moving the joints, manipulation, stretches, massage and specific exercise regimes.

Manipulative physiotherapists, (now known as musculoskeletal), are trained to know when and where to use manipulation and are skilled in applying those techniques safely and effectively. If there are any indications of risk to a client, the physiotherapist will seek alternative methods.

Knee Problems
Anterior knee pain (front of knee) is the most common presenting knee symptom in many physiotherapy practices. The most common cases of anterior knee pain is patella-femoral pain which is an umbrella term used to cover all retro-patella pains (behind the knee cap pain). The onset of typical patella-femoral is often insidious or secondary to acute injury. Even prolonged swelling (mild to moderate) can easily predispose the knee to patella-femoral pain and dysfunction.

The patient can present with a diffuse ache, made worse by activities such as stairs (mostly down) or running. It is often worse with prolonged sitting and there is often a feeling of giving way when walking downstairs of getting up from sitting. Patella-femoral pain often co-exists with other knee pain and pathology and an accurate diagnosis is challenging.

Recent research in U.S and Sweden concludes that torn knee cartilage (meniscal tear) may be a part of ageing and not due to injury.

"Most of the people (studied) with meniscal tears did not have symptoms. It may make more sense not to remove the meniscus surgically, and to try some other treatment of pain and stiffness in the knee such as exercise or PHYSIOTHERAPY."

As you can see the causes of knee pain are multi-factorial and complex. All the physiotherapists at Pittwater Physiotherapy are qualified to assess the contribution of these various external and internal factors to develop a treatment program for the patient suffering from patella-femoral pain or any anterior knee pain.

what is clinical pilates?
In short, it's a treatment pilates, aimed specifically at each individual's needs.

Whether you're a 16yr old elite dancer with joint problems, a 60 yr old with a dysfunctional hip or a young mum with back pain, clinical pilates can help you.

One-on-one sessions with a physiotherapist trained in clinical pilates are recommended for the first 4-5 treatments. Once the program is established, semiprivate sessions with your physiotherapist continue with 1 other client. Home 'self-maintenance' programs are also encouraged as a proactive method of rehabilitation.

Clinical pilates is suitable for clients at any level of fitness and can help prevent further injury.

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