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The Proper Squat Technique

Squats are one of the best exercises you can do in the gym (or at home!). This is because it is one of the few exercises that works multiple areas of your body. This makes it an efficient exercise to make you stronger quicker! However, when done incorrectly, squatting can cause a lot of issues to your knees. Improper technique results in imbalanced pressures around your knee cap, which will accelerate wear and tear.

Not only are squats great for your body, but they are easily done anywhere you’d like to exercise. While the gym is a great place, as you can use different bars with weights to challenge yourself. However, you can do squats at home or even at the park! The best exercises are the ones you can do anywhere. This means you won’t skip your exercise day and get the most out of it!

The most important factor while doing squats are to make sure your knees are positioned correctly throughout the movement. This means:

  • Your knees do not move past your toes at the front
  • Your knees do not move rotate inwards

By making sure you do not do the above, you reduce the chance of any wear and tear around your knee cap as well as reducing any issues that arise due to improper technique. By having your knees moving in the correct way, your knee caps are able to distribute the force much more evenly around its surface area; this reduces stress building up on only one area of the knee cap.

In addition, by doing the exercise correctly, you will gain the most out of your squat. Correct technique allows your muscles to function at its most effective; which means you can progress yourself and get stronger quicker!

Wry Neck

Wry neck is the sudden onset of moderate/severe pain in the neck. The pain is usually one sided. This pain is accompanied by muscle spasm which causes you to turn your head away from the painful side.

Cause of Wry neck

The exact cause of wry neck is not known however with diagnostic imaging intervertebral discs (which initially were thought to be the cause) have been ruled out. It is thought that one or more facet joints in the neck is the cause of the symptoms. These joints being put under stress in certain sleeping positions or neck positions. It is as if these joints become “locked”.

Who is at risk of Wry neck

Anyone is at risk of wry neck. It has been found that the most common age group for this condition is 12-30 years old

What to do at home

If you wake with similar symptoms to those described above the following steps can be taken at home to ensure maximum comfort before getting yourself to your nearest physiotherapist.
1 – Take analgesics – Paracetamol or Anti inflammatory drugs (nurofen/voltaren)
2 – Apply a cold pack – Approx 15 min at a time 3-4x daily.
3 – Maintain good posture (Upright, shoulders back and chin tucked in)
4 – Make sure you sleep on a low pillow

Physiotherapy treatment

Physiotherapy treatment includes but is not limited to the following
1 – Soft tissue massage
2 – Mobilisation of the facet joints
3 – Gentle stretching
4 – Postural advice
5 – Ice/heat

Strength and Conditioning

The deadlift

The deadlift is both the best and worst exercise for your back. This depends entirely on your technique.

If you deadlift correctly, you will build an extremely strong core and posterior chain. The posterior chain is simply the backside of your body and its primary muscles include the lower back, gluteus maximus (glutes), hamstrings, and calves The posterior chain is often neglected by the average gym goer however it is probably the most important.

Benefits of the deadlift in no particular order include the following:
1 – Development of power and strength for sports
2 – Prevents injury if done correctly
3 – Increased muscle mass
4 – Increased fat burning: By increasing muscle mass your metabolic rate increases.
5 – Better posture: Deadlifting strengthens your core and as stated earlier your posterior chain which is responsible for keeping you upright/erect.
6 – Improved grip strength
7 – Increased hormone production – Testosterone increases muscle growth and improves muscle repair while growth hormone, which is produced by your pituitary gland, promotes tissue healing, bone strength, muscle growth and fat loss.
8 – Improves cardio respiratory fitness.

In my professional opinion everyone who intends to deadlift (and they should) needs to have proper coaching/form to help avoid injury at all costs. In the long run you will not only avoid those injuries but will lift heavier and get more out of your workout. So make sure you invest in a good personal trainer/physiotherapist who has experience in teaching proper technique.

Deadlifting Incorrectly

Deadlifting incorrectly can result in many different injuries. These injuries include but are not limited to the following: Disc prolapses , Facet joint injuries, muscle strains.

Disc prolapse: When the centre of the intervertebral disc (a jelly like substances) pushes through the fibrous outer ring and can push on nerves or surrounding tissue. This can cause debilitating pain and neurologic symptoms.

Facet joint injury: Each vertebra connects with the vertebra above and below via two types of joints: the facet joints on either side of the spine and the intervertebral discs centrally. During certain movements of the spine stretching or compressive forces are put on these joints which in turn can result in injury.

Muscle strains: Muscle strains in the lower back (erector spinae muscles) can happen when load being lifted is too much or improper technique is used.

If you injure yourself deadlifting it is important not to panic/stress. This can make the problem and recovery time a lot worse.

Stop the activity immediately and do not continue any other exercises in the gym as again this can make things a lot worse. Put ice on the affected area as soon as possible. If you are in a lot of pain non-steroidal anti inflammatories such as Nurofen (ibuprofen) or voltaren (diclofenac) may help.

Often people with back injuries believe it is best to rest however it has been found it is best to keep moving if at all possible, so try minimise prolonged sitting and keep yourself moving.
Book yourself in to see a physiotherapist for a professional opinion. They will be able to assess the severity of your injury and guide your rehab process so you are able to get back to the gym as soon as possible and avoid further injury.

Any physical activity can cause injury. Yes, you can hurt your lower back with Deadlifts. But more people hurt their back outside the gym than doing deadlifts. Sitting slouched at work for hours is bad for your lower back. So is picking up something at work by bending over with straight legs and a rounded lower back. Everybody knows somebody who never did deadlifts but hurt his lower back anyway at work or home.

Importance of Core Strength/Stability

Many people have heard the term core stability bandied but few know exactly what the term actually means. In actual fact, core stability is as important in everyday life as it is in the gym. It helps to prevent injuries in activities such as sitting, driving, gardening, shopping and DIY.

Core stability basically refers to stability of the spine. The “core” is a group of muscles in your back and stomach which help support your spine and keep your body stable/balanced. These muscles are extremely important in allowing you to perform everyday activities safely.

It has been shown that those who do not have good core strength/activation are far more likely to sustain an injury to their back. A weak core also increases your chance of injuries elsewhere as more load will be placed on other muscles.

The core comprises a lot of muscles however the most important muscles of the core are two muscle groups you probably haven’t heard of.

Transverse abdominus

This is the deepest of the abdominal muscles. Think of it as a corset or a weightlifters belt – wrapping around the spine for support, protection and stability.

Multifidus

Is a group of small muscles close in to the spine. These muscles respond to the movement and action of the transverse abdominis. They are also the first to start to waste away in an episode of back pain.

If you are fairly sedentary (desk job). There is no doubt you have a weak core. Combine that with sitting all day and it is a disaster waiting to happen. A qualified physiotherapist can develop a suitable core strengthening program for you which will help prevent injure. PREVENTION IS THE BEST CURE!!!

If you have more questions, please do not hesitate to contact us on 0401 865 333 (South Yarra) or 0406 067 105 (Balwyn). We are happy to help!

It’s PAINFUL help me!

Many people come to see a physio when they are hurt and in pain. This could be due to a sports injury, a workplace incident or more commonly, those niggles that seem to never go away or even gets worse over time.

Whatever it is, pain is only a part of the injury. More than likely, there is a root cause of the pain or injury. You can take medication which will help to reduce the pain but without finding out the root cause, whether it’s next week or next month, it will most likely come back. So what can you do?

It’s important that you get to the bottom of your injury. That is why our consultation is longer than the industry normal, as this gives us a chance to delve deep into your history. At Capital Physiotherapy, our consultation involves a series of pinpointed questioning and movement tests to find out exactly why you are in pain. There may be areas of your body that is too tight or weak. There may be areas that has poor stability and poor muscle activation. Whatever it is, we will find them, provide you with an accurate diagnosis and start the treatment plan straightaway!

Remember, pain is simply a sensation that you feel when something is not right with your body. Panadol can mask the pain and let you do your normal activities, but if the pain continues, it is highly recommended that you see your trusted physiotherapist.
At Capital Physiotherapy, we also do running assessment and work ergonomic assessment. If you have more questions, please do not hesitate to let us know if we can help you!