Brian Mulligan developed the Mulligan therapy concepts on the basis of his clinical findings with patients. He was able to develop a number of techniques starting from simple finger techniques through to more elaborate techniques. His basic concept for treatment is that the joints are slightly out of alignment. Pushing the joint further out of alignment will create pain but pushing the joint back into correct alignment will reduce pain and allow pain free movements, thus it is very important when using these techniques that the patient understands that they have to inform the therapist if the technique is hurting. A simple explanation of the first technique he developed might explain this. He had a patient with a sore finger that wasn’t responding to normal established physiotherapy techniques. The patient couldn’t bend her finger. He thought he should try something different. He found the sore joint and pushed on the bones either side of the joint. This made the patient sore. He then pushed the joint in the opposite direction and the patient reported that it felt better. He then asked the patient to bend their finger and was amazed to see the finger bend fully without any pain. Since then he has developed techniques for just about every joint in the body. The results from these techniques are amazing to see at times but the critical thing is that they need to be done pain free. The less pain the better the techniques work. They often work really well with other techniques to achieve great results for patients.
Pregnancy should be a wonderful time of planning and bonding with your growing bump. Unfortunately it can also be a time for discomfort as your baby bump grows and your pelvis expands. A hormone is secreted during your pregnancy called relaxin which helps everything expand for your baby to grow. This can affect all joints in the body including your pubic symphasis and sacroiliac joint or SIJ. Many pregnant women experience pain into their lower back, bottom, groin and down the legs. This could be due to movement in the SIJ, tightening of the gluteal muscles and extra strain on the lower spine due to the changing shape of pregnant women. Physiotherapy can help make the countdown a little more bearable. We can work on supporting your SIJ with core and pelvic floor strengthening, massage and stretches to relieve your tightening gluteals ( the more you waddle the worse it gets), educate you on things to avoid that can make the SIJ move and we can if you with a sacroiliac belt that may help ease your discomfort. If this sounds like you, or something your midwife has suggested, why not make an appointment to find out more.
Some women (and men) can develop a pelvic organ prolapse during their life. According to literature about half of all women who have a child will develop some degree of pelvic organ prolapse however only 1/5 will need seek help. It can also develop in people who are overweight, have a chronic respiratory condition, constipated, or due to genetics. Some women will also prolapse after a hysterectomy as the supportive structures holding their organs to their uterus are removed. Physiotherapy can help with prolapse management by helping reduce the symptoms of your prolapse and educate you further on your prolapse. We help you exercise your pelvic floor muscles, work on proper lifting technique, discuss adequate fibre and fluid input to further help reduce your symptoms and strain on the prolapse. If you have a prolapse why not make an appointment with us today, it’s never too late to start exercising your pelvic floor muscles.
- Refers to a headache of cervical origin
- The International Headache Association defines cervicogenic headache (CGH) as a pain referred from a source in the neck and perceived in 1 or more regions in the head and/or face
- May arise from cervical joint, muscle or ligament dysfunction
- Difficult to diagnose due to multitude of headache types and overlapping characteristics
- Unilateral or bilateral
- May affect any area of the head
- Neck pain
- Muscular trigger points in head or neck
- Tight band around the head
- Shooting or stabbing pain behind eyes
- TMJ pain
- Visual disturbances
- Vascular or autonomic response mediated symptoms
- Mobilisation and manipulation are passive movement techniques aimed at restoring normal ROM within a joint
- Mobilisation refers to a passive movement, rhythmic in nature, which may vary in amplitude
- Manipulation is defined as a small amplitude, high velocity thrust applied at end of range
- Either technique may be administered to alleviate a CGH.
- Commonly physiotherapists will also use soft tissue techniques to release tight musculature which may also be contributing to headaches. This can be done through massage or dry needling
- Your physiotherapist may also provide you with a home exercise program. Exercises may involve stretching or strengthening to at maximise biomechanics and long-term outcomes.