At Blackwood Physiotherapy Sports and Spinal we offer a range of services including:
The assessment, diagnosis and treatment of general musculoskeletal injuries or pain that arises out of activities of daily living. Are you putting up with pain unnecessarily? Talk to one of our friendly staff to find out if physiotherapy can help..
The assessment, diagnosis and treatment of injuries or pain arising from playing sport. We know your goal is likely to be to get back into your chosen sport as quickly as possible. We can guide you back into your sport in the safest and fastest way achievable.
Lymphoedema care SA is now offering consulting services at Blackwood. Karin Stepputtis has been a physiotherapist and specialist in Lymphoedema Management for over 30 years. Karin studied with Prof. Dr. Foeldi (Dr. Vodder Method) in Germany.
She is a member of the ALA (Australasian Lymphology Association) and a former ALA South Australia State representative. She is a current member of the ALA national equity committee. Karin is registered on the NLPR (National Lymphoedema Practitioners Register).
As a Physiotherapist she specialises in the lymphatic system and treatment of Lymphoedema, Lipoedema, Venous oedema, Axillary web syndrome (Cording).
Her approach is founded on a strong commitment for evidence based best practice, delivering quality treatments in a professional and caring manner.
What is Lymphoedema
Lymphoedema is a condition of localized fluid retention causing swelling in one or more regions of the body. It is caused by a compromised lymphatic system. There are two types of lymphoedema. The most common is secondary lymphoedema. It often occurs as a consequence of cancer treatment, where lymph nodes have been removed or where radiotherapy was necessary.
In most cases, Lymphoedema will develop in the arm or leg. But depending on the type of cancer, it can also occur in the breast, head and neck, genitals, or abdomen. Other causes for secondary lymphoedema are venous disease (e.g after deep vein thrombosis or vein stripping), infections like cellulitis, obesity, tissue damage after injury (deep wounds or fractures, skin grafts), immobility, and dependency.
Primary lymphoedema is much rarer, genetic condition that develops because lymph vessels are not formed well.
Also related to lymphoedema is Lipoedema, a painful swelling of thighs, legs, buttocks, and sometimes arms due to an abnormal build-up of fat cells. This condition affects mostly women.
Signs of Lymphoedema
Lymphoedema builds up slowly. First signs are tightness, heaviness, or pins and needles in the affected body part. Jewellery or shoes might feel tight. Joint movements of the affected limb are feeling stiff. Some people might experience ache or pain.
How to deal with Lymphoedema?
- Manual Lymphatic Drainage (MLD), a specialised form of gentle massage in order to enhance the lymph flow
- Low Level Laser Therapy (LLLT) is a crucial tool to enhance lymph flow and to help to soften fibrosis (thick, hard skin due to protein accumulation in longstanding oedema).
- Intermittent Pneumatic Compression Therapy
- A medical device promoting venous and lymphatic flow via an air pump and inflatable sleeves/vests
- Compression bandaging in order to reduce swelling
- Prescription and fitting of compression garments to maintain the achieved reduction
- Treatment of Cording (Axillary web syndrome)
- Education on risk reduction
- Education on maintaining the lymph flow through exercise, skin care, and self-drainage
Pre and post surgical treatment is offered. Attendance at physiotherapy prior to surgery enables accurate assessment of pre-operative function and implementation of appropriate exercise programs to maximise pre-operative function. This in turn maximises the chance of optimal benefit from surgery and can improve post operative recovery and rehabilitation.
Specific exercise programs are developed (determined by the nature of work the injured client does) and are carried out in the Pilates studio under supervision. The programs are designed to be work specific and address strengthening the body to enable it to cope with the particular physical stresses of each individual’s work. These programs are most beneficial in facilitating successful return to work and reducing the likelihood of re-injury once the injured worker has returned to normal work duties.
The assessment, diagnosis and treatment of injuries that occur while a person is at work. These injuries vary depending on the nature of work. Insurance companies are billed directly by the clinic so there is no out of pocket expense to the client.
The assessment, diagnosis and treatment of injuries or pain that occur from our returned service men and women. This includes gold card holders and some white card holders that are entitled to physiotherapy treatment.
Motor Vehicle Injuries
The assessment, diagnosis and treatment of the specific injuries that can arise from motor vehicle accidents. These can include whiplash injuries to the neck, low back pain, chest/rib pain and various other musculoskeletal injuries.
Enhanced Primary Care (EPC)
This is a Medicare initiative that enables access to private physiotherapy treatment for specific clients that are suffering from a chronic or complex health condition. The treatment services do have a rebate from medicare with minimal gap payment payable to the clinic.
Our clinicians are able to provide clients with a comprehensive musculoskeletal assessment that incorporates assessment of posture, range of motion of each joint, assessment of muscle strength, muscle balance and biomechanics including gait (walking) analysis.
The information obtained from this is used to recommend appropriate courses of action to correct any musculoskeletal issues found – this may include specific physiotherapy treatment, home exercise program or gym program.
The same assessment is performed to develop specific gym based Pilates programs for clients in the clinic. It is a useful tool for reducing the risk of injury or development of pain resulting from poor movement patterns and posture. It is also useful for sports people who may be looking for an edge on their competitors through a hidden advantage of greater core stability, muscle balance and improved biomechanics.
Rehabilitative Ultrasound Imaging (RUSI)
Peter Esselbach – one of our Blackwood Physiotherapists is also a qualified (and working) sonographer.
Peter utilises Real Time Ultrasound technology to look “into the tissues” of your body to see what is happening in your body on a cellular level. This is information that the naked eye cannot get.
He uses his skills as a sonographer to assess what is causing your particular problem or pain. This technology is best at determining problems in muscle, tendon, ligament and other soft tissues. It can also be used to look for specific muscle patterns (biomechanics) and is an excellent educational tool.
Click here for more info about RUSI scans.