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Dynamic Stability

 Our team of professional staff have a broad range of experiences and interests, combined with enthusiasm and compassion. We care for people from all walks of life—from elite-level Olympians to weekend gardeners and school students. At Dynamic Stability we use a multi-disciplinary approach to pain and injury management.

The initial assessment starts with our physiotherapists, who will gauge your condition and start treatment immediately if required. In some instances, further investigations such as an X-ray or MRI may be recommended. We will organise this for you and refer you to the appropriate medical professional.

Once we have finished the assessment, we will explain our diagnosis and outline the proposed treatment. Commonly this involves some hands-on treatment such as joint mobilisation, deep tissue massage or dry needling. Then, if required, we will design a personalised Pilates program for you. Initially this involves private, one-on-one sessions until you are ready to move into a small class of no more than four clients. During these sessions you will be carefully monitored as you carry out your individual program. Your therapist will ensure that your technique is perfect and that you are challenged in your exercises as you improve.

To help with your rehabilitation we use real time ultrasound (RTU) to scan your abdominals and help with your recruitment strategy. This allows you to see your abdominals on an ultrasound scan, which will help you understand the correct way to use your muscles during your Pilates exercises.

RTU is new technology for physiotherapists. It allows the physiotherapist to watch your muscles (non-invasively) while they are working and show you on a video screen how those deep muscles are functioning. The pictures generated by the machine are like a real-time movie of your movements and muscle function.

Traditionally, RTU has been used to image muscles of the trunk and limbs; here at Dynamic Stability we can assess your core function, those inner muscles, from the outside.

  • Pelvic floor—We can assess whether the pelvic floor is moving in the right direction, and being recruited in the correct way. 

  • Transversus abdominus—We can assess whether your deep abdominals, your ‘TA’, are working to support your spine and pelvis. 

  • Multifidus—There are deep muscles close to the spine that help it to stabilise. In clients with back pain, these are usually not functioning well, so we can assess their function and teach you how to retrain them to regain normal strength.

Below are some of the commonly diagnosed injuries that we treat at the Dynamic Stability.

Spinal disc bulges/prolapse
Back and neck pain are big problems for many of our patients. If you have back pain, however severe it may be, other people can’t see it. Time and again patients with back pain will say to us: ‘I had no idea it could be this bad.’ If you’ve had a severe bout of back pain, you will know only too well how disabling it feels, and how even the slightest movement seems as though it is going to make it worse. Your body seems to be telling you to stay absolutely still. Yet a great deal of research tells us that the sooner you get moving, the better it will be for your back.

Of course, it is important to get your back thoroughly examined and in a tiny percentage of cases surgery will be required, but the vast majority of patients with back pain will benefit from appropriate manipulation and exercise.
 Common types of back and neck pain treated are:

  • Acute low back pain

  • Prolapsed disc

  • Facet joint pain

  • Scoliosis

  • Spondylolisthesis 

  • Sciatic pain 

  • Spondylolysis 

  • Sacro-iliac joint pain

  • Whiplash injuries
  • Disc degeneration
  • Spinal nerve impingements
  • Pelvic rotations and torsions
  • Chronic lower back pain
  • Neck and shoulder tension
  • Sacro-iliac joint pain
  • Pelvic instability

Headaches and migraines
There are many reasons why head pain occurs. If you suffer from headaches, you might like to check with your doctor before consulting a physiotherapist. If you choose to go straight to a physiotherapist for an assessment, then you can be assured that we will take a detailed history and perform a careful examination.

Tension headaches, as they are called, can arise from irritation of the structures between the base of the skull, and the top two vertebrae: the atlas and the axis. Physiotherapy research into the characteristics of what are known as cervical headaches has found them to occur frequently, several times each week, often starting in the morning, on waking, to occur predominantly on one side of the head, either at the back of the head or behind the eye, and often to be associated with a feeling of neck pain and stiffness. A patient with this type of headache will often respond really well to treatment by physiotherapy, and can learn how to look after the neck so that the headaches do not recur.

Shoulder impingements/Rotator cuff injuries
The shoulder, or gleno-humeral joint, is an intricate arrangement—movement is available in just about every direction, but stability is limited, so this has to be provided by the muscles and ligaments surrounding it. The head of the humerus (the long bone of the upper arm) moves on the glenoid, a slightly convex surface on the outer aspect of the shoulder blade. The collar bone also connects up with a part of the shoulder blade called the acromion. The muscles surrounding the joint, running between the humerus and shoulder blade are known as the rotator cuff.
Shoulder dislocation occurs relatively easily, and once the dislocation is treated it is important to get all the muscles back in good working order. Shoulders can become painful and restricted seemingly out of the blue, leading sometimes to the condition known as ‘frozen shoulder’.
 Shoulder problems need really careful examination: they can be very difficult to diagnose because the whole mechanism is so complex. Not only that, a significant number of pain patterns will appear to be arising from the shoulder when in fact the problem lies in the neck and the pain is actually referred to the shoulder, shoulder blade or down the arm.
Common shoulder problems treated are:

  • Shoulder impingement
  • Frozen shoulder
  • Sterno-clavicular pain
  • Fractured clavicle
  • AC joint pain
  • Tennis/golfer’s elbow
  • Arthritis
  • Post joint replacement rehab and strengthening

Dynamic Stability Physiotherapy in Richmond is recognised by all leading insurance companies and private medical insurers. Physiotherapy services are regularly requested by case managers and solicitors. For pensioners with chronic conditions, we also offer Enhanced Primary Care (EPC) services via Medicare.

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Experienced Clinicians skilled in tailoring programs to your individual needs