The Phit Physio

08/05/2022

Love this from 👏🏻

Great simple framework to guide your exercise prescription 📈📝

Keeping it simple is often the best approach, and yet, overcomplicating things is where a lot of us fall down when guiding our patients on the path to recovery ✅

02/04/2022

https://www.instagram.com/reel/CbjMJ-plEaO/?utm_medium=copy_link

: “NOCEBIC LANGUAGE - JUST STOP 🛑✋🏻 “You have the knees of a 90 year old” 🤦🏻 “This is the worst…”

14/02/2022

SUPER BOWL LVI - OBJ INJURY 🏈😳

Yet to be confirmed but looks like an ACL re-rupture for Odell Beckham Junior from yesterdays Super Bowl ❌

What do we think of the mechanism of injury? 🤔

27/01/2022

NEW CLINIC ☀️🏥

I’m delighted to announce that I will be joining the team at Cassowary Coast Physiotherapy in Mission Beach, Far North Queensland 🏖

After more than 5 years in Melbourne, the time has come to say goodbye 😢 (for now). I would like to say a massive thank you to Tom Bosna, Josh Lambert, & everyone Pinnacle Health Group who’ve helped me develop and grow as a clinician over the course of my time here. ❤️

It will be difficult to leave, however I am incredibly excited to join Rob Harris and his team, and look forward to the challenge ahead, providing top level Physiotherapy services to the community of Mission Beach 🏋🏻🤸🏼

I will be continuing to remain active on Social Media, so please feel free to ask me any health/injury/Physio related questions (no matter where in the world you are 🌎)

Exciting times ahead 🔝

Peace ✌🏻

30/11/2021

NEYMAR ANKLE INJURY 😫⚽️🇧🇷

have today confirmed that Neymar has suffered “ankle ligament damage” (pretty obvious from the above footage eh?) and will be out of action until the new year. ❌

While the exact diagnosis (from what I’ve read) has not been provided, given the mechanism of injury, it seems like a pretty obvious lateral ankle sprain, likely involving multiple ligamentous structures. 😭

Lateral ankle sprains are among the most common musculoskeletal injuries sustained by the general population, with up to 70% of individuals reported to have sustained this type of injury at some point in their life. 🤕

The 2019 ROAST consensus statement (pictured above) provides us Physiotherapists and Rehab professionals with a solid framework to guide our assessment and treatment of these common injuries. 📑✅

It seems clear that exercise-focussed rehabilitation, looking at range of motion, muscle strength, postural balance, and proprioception, play a key role again here. 🤸🏻‍♂️🏋🏻🧘🏻‍♀️

Wishing all the best with your recovery 🙌🏻

25/11/2021

HOW LONG WILL NY *INSERT INJURY HERE* TAKE TO RECOVER?…

https://www.instagram.com/reel/CWr8PRWFoIM/?utm_medium=copy_link

iknowforrest • Original Audio

22/11/2021

FROZEN SHOULDER - TREATMENT OPTIONS 🥶👨🏻‍⚕️🔪🏋🏻

Frozen Shoulder is a tricky condition to manage…

The duration of symptoms ranges from 18 months to 4+ years, with high levels of pain/discomfort and gross losses of range of movement being common. 🤯

From my experience, setting a patient's expectations for the long road ahead is key in the early stages of management. 🛣 Rangan et al (2020) compared three different interventions that may be used during this rehabilitation journey, in a large multicentre RCT. They compared:

- Manipulation under anaesthetic 🔪
- Arthroscopic capsular release 👩🏻‍⚕️
- Physiotherapy with Steroid Injection 🏋🏻💉

Their results showed improvements in OSS (Oxford Shoulder Scores) across all 3 groups after 12 months, with no significant differences between groups.

This is important, as surgical interventions are typically more invasive forms of treatment, and therefore present more risk to the individual. If a structured Physiotherapy program can provide similar results, while being less invasive, this is definitely encouraging. 👍🏻😀

For more info, check out the FROST trial, and if you have any questions, shoot me a message 📲📩

Peace ✌🏻

17/11/2021

EXAMINATION UNDER ANAESTHESIA (EUA) 🦵🏻👨🏻‍⚕️

Cool video of 2 orthopaedic examinations we commonly use when assessing for ACL rupture:

1. Lachman’s Test
2. Pivot-Shift Test

Here both tests are performed with the patient under anaesthesia just before undergoing an ACL reconstruction surgery 🔪

Hands up if you’ve had this procedure done before ✋🏻

16/11/2021

https://www.instagram.com/reel/CWU2ulEluz0/?utm_medium=copy_link

masondenverr • Original Audio

13/10/2021

CALLING OUT THE BU****IT 💩📢

Shoutout to all my Physio colleagues who are consistently calling out all the nonsense that is sadly still rife within our profession 🤦🏻‍♂️

We must continue to do this in order for our profession to move forward. Keep it up folks 💪🏻🔝

05/10/2021

RUNNING INJURY RISK FACTORS 🏃🏻🤕

We, as Physiotherapists, and other healthcare practitioners, often ask our patients about recent changes in their training load, in search of a potential injury mechanism 🔎. While this is important for us to understand, can we confidently link certain changes in training intensity, frequency, or duration, to injury? 🤔

A recent systematic review by Fredette et al (2021), suggests that running related injuries are not consistently linked to changes in training parameters and therefore we should be cautious when recommending 'optimal' training plans or loading protocols. 📑

Does this mean changes in training load don’t matter? 🤷🏻‍♂️

No, not at all. ❌

So what does this mean for us and our patients?…

Well, simply put it means we have lots of options when it comes to advising individuals how to increase their training load safely. We just don't have one 'golden rule' or 'perfect approach' for everyone that offers a minimal injury risk. ✅

Like with all injuries, there are so many factors to consider (sleep, training history, psychosocial, to name a small few). My suggestion - if you're concerned about injury, speak to your Physio to work out a couple of options that may suit your needs. 🙋🏻‍♂️📋📊

If the 10% rule or another approach works for you - fantastic, crack on. If not, don't worry, there's always another way 👍🏻

Peace ✌🏻

17/08/2021

HERE WE GO AGAIN - LOCKDOWN 6 EXTENSION 🙄😤

With increased restrictions and Melbourne's 6th lockdown being extended, a lot of us are having to spend even more time at home - again! 👎🏻

There's no doubt that over the course of the last 18 months, the lack of incidental daily exercise has become a real problem. ❌

Take away your commute, your moving between meetings, lunchtime stroll etc. and you could be losing out on 5000+ steps/day. Add that up over an 18 month period and that's a lot of steps!! 🚷

Take away that habitual daily movement and it's no wonder so many of us are gaining weight, becoming more stiff/sore, and basically just feeling more 'bleuughh'. 🤢🥴

Movement 'snacks' are a great way to build some simple exercise into your day. If you can't get out for a walk or engage in your normal exercise session, give some of these simple low intensity exercises a go throughout the day. 🕺🏻🧘🏻‍♂️

30/07/2021

CELEBRATE THE WINS 🥳

Physiotherapy is a lot like coaching...

As Physiotherapists we deal with a lot of tricky cases. From chronic pain, to long term post-surgical rehabilitation, we rarely guide patients through their recovery journeys without encountering quite a few speed bumps. 😵‍💫❌

Therefore when we help our patient's to achieve what they set out to, it's worth celebrating! 🎉

This past week I saw a patient who I've been seeing for a few months now, who originally came to see me with the idea that she needed knee surgery. She was keen to explore physio as a management option as she was reluctant to go under the knife. 🔪👩🏻‍⚕️

Over the course of the last few months, there have been many ups and downs, but she now has improved to the point where she can now play golf ⛳️ , walk her dog 🐶 , and go to her pilates classes 🧘🏻‍♀️(all the things she loves), without any pain - this was her gold medal result! 🥇

Like with coaching an Olympian, we don't always get that gold medal, so when we do, celebrate like Dean Boxall 🥳🔥

13/07/2021

CONOR MCGREGOR INJURY 🦵🏻🦴🤕

I’ve seen a lot of interesting discussion and theories circulating on social media over the last couple of days around Conor McGregor’s recent injury at

We’ve seen these types of injuries occur in MMA (and other sports) on several occasions before, most notably with Anderson Silva at UFC 168 and Chris Weidman at UFC 261.

Their injuries, however, appear to have a clear mechanism ie. fractured tibia after having an attempted leg kick checked by their opponent. McGregor’s injury, at first glance, appeared to be a non-contact injury, having stepped back and weight bearing through his left leg.

There are several possible theories for why this injury occurred, some of which I’ve come across are:

1️⃣ Insufficiency fracture as a result of RED-S (relative energy deficiency in sports) - Brad Beer has a great detailed post on this, check it out (Instagram)

2️⃣ Fracture occurred early in fight following a checked leg kick (I personally didn’t see Poirier check any of the early leg kicks from Conor but 🤷🏻‍♂️)

3️⃣ 3 incidents in the final exchange - forceful leg kick by McGregor (1), followed by a front kick which Poirier blocked with his elbow/forearm (2), and finally Conor stepping back and weight bearing through this leg after throwing a left hand (3) 👊🏻

4️⃣ Some reports claim that Conor was carrying a left ankle injury in the build up to the fight that possibly left him more vulnerable to this kind of injury 😮

IMO the most likely scenario is that the accumulative stress on the tibia throughout the round (from the above mentioned events) likely exceeded the capacity of the bone and the final event (planting the leg) was the final straw ❌

What do you guys think? 🤔

16/06/2021

Ever been told you need to buy a ‘posture medic’ to make you sit up straight? Or that you need one of those ‘special pillows’ to cure your neck pain?

Check out my latest reel over on Instagram on the topic here:

https://www.instagram.com/reel/CQLAZKcleCg/?utm_medium=copy_link

Harry Belafonte • Jump in the Line

11/06/2021

HIP REHAB (FAI) 🦴🤕

Hips can be notoriously tricky to manage…

From my experience, patients often require a lot of education and reassurance, as symptoms can often last a long time, and flare ups/speed bumps are common with recovery 👷🏻🙅🏻‍♂️

Consistency with rehabilitation is key 🔑 in order to achieve the desired outcome, be that return to sport, or just simply function day to day ⚽️ 🏈🚶🏻‍♀️

The above video outlines some of the mid-late stage rehab exercises (inspired by 😉) I recently prescribed for an amateur footy (AFL) player who has been conservatively managing FAI:

➡️ reaching lunge rotate
➡️ single leg deadlift with hip rotation
➡️ single leg eccentric sit up
➡️ banded side lunge

With AFL being a fast paced multi-directional sport, the goal here is to expose the affected hip to various different positions, and stresses, to build robustness, strength, and tissue capacity, prior to commencing a return to sport plan 😎

Give them a shot - they’re tougher than they look 👀💪🏻

Peace ✌🏻

07/06/2021

THANK YOU 🙏🏻❤️

Hey folks 🙋🏻‍♂️

I just wanted to say a huge thank you to everyone who’s liked, commented, and private messaged me about my posts/series surrounding UC & IBD.

I’ve been blown away by all of your kind words of support, and Clodagh and I are so grateful for all the feedback and shares we’ve received for the latest episode of The Phit Physio Podcast 💬🎙

I will be continuing to occasionally post about my own journey with UC, as I continue to learn more about the disease, and strive to provide information on management strategies for both myself, and others 💁🏻

For now, however, it’s back to providing you with up to date, evidence based, no bu****it, Physiotherapy & rehabilitation content 😎

With that in mind, if anyone has any specific topics they’d like to see covered, please comment below or feel free to send me a DM 📲📨

And for those of you who haven’t yet listened to the latest episode of The Phit Physio Podcast, check it below 😬

https://open.spotify.com/episode/3WItvM20UU4AFPMDn7Qs8N?si=qlnRuC-cRQCPj7s_Qb91qA

Peace ✌🏻

28/05/2021

EPISODE SIX IS LIVE 6️⃣🎙🎧

After a bit of a stint away from recording, Clodagh and I are back with our latest podcast episode. 🥳

In line with International IBD awareness month, Clo and I discuss all things Ulcerative Colitis, to help shed some light on a disease that often doesn’t get talked about 💬

I tell Clo about my own journey with the disease, from initial diagnosis, right up to my most recent hospital admission 🏥🤒

As I continue to gain more experience living with IBD, I’ve realised that one of the most powerful management strategies is to simply talk about it, so thanks in advance to everyone who listens to this episode ❤️

We hope you enjoy the show 😎✌🏻

Link to episode:

https://open.spotify.com/episode/3WItvM20UU4AFPMDn7Qs8N?si=qQysp5EmQzSUuvGtEPNKmw&context=spotify%3Ashow%3A3zNsq4FbU9XheNk9MyHDyB