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Monday 9am - 5pm Tuesday 9am - 5pm Wednesday 9am - 5pm Thursday 9am - 5pm Friday 9am - 5pm

Form Osteopathy, 91 Upton Street, Bundall (2025)

09/10/2025

Did you know that while was studying osteopathy at uni, he spent his spare time working for boutique Melbourne landscape construction company And although his experience in horticulture hasn't reflected in his care for house plants (IYKYK), he has done a reasonable job of keeping the new clinic plants alive!

07/10/2025

Some common conditions we’ve seen in the clinic lately and how we treat them…

Swipe across to learn more >

DISC HERNIATIONS

🔷 What it is: often results from a mechanical overload or repetitive loading of the spine over a short time frame, resulting in a breach of the outer wall of the disc (annulus fibrosus), by the central disc material (nucleus pulposus).
🔷 Stages: the stages of disc injury include an annular tear, a disc bulge, disc protrusion, disc extrusion, and finally a disc sequestration.
🔷 Treatment options: pharmaceutical interventions to reduce pain, particularly if there is involvement of a nerve root. Dry needling to reduce paraspinal muscle spasm. Joint mobilisation to assist in desensitising mechanical pain. MET and stretching techniques to encourage safe movement through a pain barrier. Motor control exercises to reengage trunk and lumbopelvic musculature that has been impacted by the activity of pain neurons. Identify and promote directionally preferred movements (often extension, but not always). Traction therapy to decompress pain sensitive structures.

HEADACHES

🔷 What it is: migraines, tension headaches, cervicogenic headaches.
🔷 Treatment options: soft tissue manipulation to the neck, upper back, and facial muscles (including dry needling). Joint mobilisation to the upper cervical spine (such as prone lying PA mobilisations) and mobilisations with movement (MWM) for end range neck pain. Joint manipulation (HVLA) when indicated. MET to improve range of motion (particularly lateral flexion). Prescription of a neck and thoracic stretching program, as well as isometric neck exercises. Pharmaceutical interventions often utilised for migraine symptoms.

TENDINOPATHIES

🔷 What it is: common when there is a sudden increase in the overall load a tendon can accommodate.
🔷 Treatment options: Load management (sport-specific). Exercise regression often beginning with isometric exercises, then eccentric strengthening exercises, before building back up to heavy concentric exercises, plyometric work and higher velocity exposure. PRP, shockwave therapy, straps and braces depending on the type of tendinopathy.

30/09/2025

For the final part of our Achilles tendon rupture series, we're giving you the full picture on our blog.

If you have experienced an Achilles tendon rupture or are interested in doing a deep dive on this condition, check out our latest blog post where we go into all the details on Achilles tendon ruptures and how they are treated.

Click the link in bio to read now >

30/09/2025

For the final part of our Achilles tendon rupture series, we're giving you the full picture on our blog.

If you have experienced an Achilles tendon rupture or are interested in doing a deep dive on this condition, check out our latest blog post where we go into all the details on Achilles tendon ruptures and how they are treated.

Click here to read now > https://www.formosteopathy.com/blog/achilles-tendon-ruptures-lessons-from-professional-sport-and-what-it-means-for-you

23/09/2025

🔷 Surgical care vs conservative care for Achilles tendon ruptures 🔷

Historically, non-operative treatments have shown a higher incidence of re-rupture when compared with operative management of the injury.

When non-operative treatment is chosen, early functional rehabilitation is paramount to regain strength and mobility.

Yet the benefit of conservative care is that patients don’t have to go through the surgical process and can avoid surgical complications such as infection and sural nerve injury.

In recent years, the need for surgical management of Achilles tendon ruptures has been decreasing due to a better understanding of non-operative care.

Conservative treatment should be considered at centers using functional rehabilitation.

Surgical repair may be preferred at centers that don’t employ early range-of-motion protocols.

18/09/2025

🔷 Surgical care for treating Achilles tendon ruptures 🔷

Surgical care for Achilles tendon rupture involves undergoing surgery to restore the proper length, function and tensile strength of the tendon.

For the younger, more athletic patient, surgical repair should be considered.

These are the surgical options available:

1. Percutaneous Repair
🔷 Minimally invasive: involves small skin punctures and stitching the tendon using a special tool.
🔷 Pros: less tissue disruption.
🔷 Cons: risk of sural nerve injury.

2. Open Repair
🔷 Traditional method: involves a large incision to access and repair the tendon.
🔷 Pros: effective for severe injuries.
🔷 Cons: higher risk of wound complications and possible need for additional surgery.
🔷 Additional techniques:
- Tendon transfer: reinforces Achilles using another tendon.
- Tendon graft: rebuilds tendon using tissue from the patient, a donor or synthetic
material.
- Gastrocnemius recession: loosens calf muscle to reduce tendon tension.
- Debridement: removes damaged tendon tissue.

3. Mini-Open Repair
🔷 Hybrid approach: small incision (~1.5 inches) with specialised tools to stitch the tendon.
🔷 Pros: may lower infection and nerve injury risk.
🔷 Cons: overall complication rates are similar to other methods.

16/09/2025

🔷 Conservative care (non-surgical) for treating Achilles tendon ruptures 🔷

🔵 The foot placed in a cast or splint, held in plantar flexion.
🔵 The patient may wear a boot for several weeks, with restriction to only low-impact exercises for the first 6 months.
🔵 High-impact exercises are added after this.
🔵 Patients can then return to play as soon as they feel comfortable.

Complications of the conservative care method include re-ruptures and residual lengthening of the tendon, which may result in significant calf muscle weakness.

Functional bracing and modified post-operative mobilisation (including daily active plantar flexion exercises) may stimulate tendon healing and reduce the potential rate of re-rupture.

11/09/2025

🔷 How Achilles tendon ruptures are diagnosed 🔷

A diagnosis for Achilles tendon rupture can be established with a physical examination of weakness of plantar flexion, a palpable gap in tendon, and a positive squeeze test (the Thompson test).

Interestingly, due to the other muscles that contribute to plantar flexion (plantaris, tibialis posterior, flexor longus muscles, peroneal), a person may not initially realise they have completely ruptured their Achilles as they will still have some weight bearing capacity.

An MRI or ultrasound is only really required to confirm diagnosis or for surgical planning.

09/09/2025

⚠️ Mechanisms of injury for Achilles tendon ⚠️

One of the key mechanisms of injury for Achilles rupture involves a push-off mechanism that places the hip in extension, the knee in relative extension and the ankle in a deep position of dorsiflexion.

This is a common movement performed in sports – it’s that take-off action.

Once in this position, the powerful contraction of the calf together with a shift in the body weight-bearing to that leg, leaves the Achilles at risk.

A healthy, well-conditioned tendon will (in most cases) tolerate this well.

However, a tendon that is in a degenerative state - with any the risk factors listed below - may be at risk of rupture.

In future posts we will demonstrate how to bulletproof the Achilles.

🔷Risk factors for Achilles tendon ruptures 🔷

There are several risk factors for the increased likelihood of Achilles tendon ruptures.

There are the associated factors from alcohol, antihypertensives, eye drops, diuretics, co***ne, ma*****na, gout, diabetes, rheumatoid arthritis, hyperparathyroidism and SLE.

And there is also a higher risk of injury associated with steroid injections.

Steroid injections increase the risk of rupture as they can speed up the degenerative process through fibroblast suppression and growth inhibition.

Steroid injections are one of the most prominent comorbid risk factors and is well-recognised for its association with tendon injuries.

Other comorbidities include cardiac disease, diabetes mellitus and Achilles tendinopathy.

04/09/2025

🔷 Achilles tendon capacity (and how this applies to ruptures) 🔷

Capacity is a tissue's ability to withstand load without incurring damage or dysfunction.

Injuries occur when the load placed on a tendon exceeds its capacity.

Each tendon in the body has a specific capacity, and every individual has a unique level of capacity for their tendons.

When appropriate loads are placed on them, they respond favourably. However, when they are exposed to abnormal loads, they are negatively affected.

Optimal, progressive loads result in an increase in tendon integrity.

This process happens slowly, and if too much load is placed on a tendon too quickly, it becomes susceptible to injury.

These are the stages a tendon goes through under excessive loading:

1. Normal tendon
2. Reactive tendinopathy
3. Tendon disrepair (failed healing)
4. Degenerative tendinopathy
5. Tear/rupture

29/08/2025

🏃How Achilles tendons are ruptured 🏃

Normal Achilles tendons can withstand a load of 400kg. Therefore, many have hypothesised that to rupture this tendon either a huge force is required, or a degenerative process must be present to weaken the tendon at the time of rupture.

An Achilles tendon injury occurs when significant forces are translated through a malaligned tendon with a dorsiflexed foot (see picture below) and an extended knee.

This can be due to chronic degeneration of the tendon or a breakdown in the body’s natural protective signalling system that prevents muscles from over-contracting and damaging the tendon.

In other words, the basis for an Achilles tendon rupture is believed to be due to a combination of intra-tendon degeneration and mechanical stress.

Form Osteopathy

09/10/2025

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Monday	9am - 5pm
Tuesday	9am - 5pm
Wednesday	9am - 5pm
Thursday	9am - 5pm
Friday	9am - 5pm