Free2move Physiotherapy

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  • 5 Ways to Counteract Sitting at Work

    5 Ways to Counteract Sitting at Work

    back pain - young woman in office with laptop

    Five Ways to Counteract Sitting at Work

    1. Micro-breaks

    Eye breaks – every 20 minutes spend 20 seconds focusing your eyes on something 20 feet away from you (the 20 – 20 – 20 exercise). You should also blink the eyes a few times to lubricate them.

    woman sitting on an office chair with her hands interleaved over her head stretching

    Deep breathing with an overhead stretch (sitting or standing). Interlace the fingers. Take a deep breath in as you raise your hands overhead and turn the palms towards the ceiling, looking upwards slightly. Repeat 3 times.

    2. Walking breaks

    Once every 30 to 60 minutes move away from your desk and walk briskly around the office. These short periods of activity that are simply part of your daily routine are known as ‘incidental exercise’. They are useful for preventing stagnation of the circulation. They help to raise your metabolic rate. There are many apps available to help remind you to get out of your chair.

    You may simply get up, walk to another room and drink a glass of water or use the bathroom. It doesn’t necessarily mean that you stop working either. The break could be used, for example, to discuss something with a colleague or use the photocopier. Walking or jogging on the spot can provide an additional boost for your circulation. A short but brisk walk during the lunch break is another possibility.

    3. Walking meetings and walking phone calls

    Standing or walking during meetings helps increase activity level and lifts metabolic rate. If you use a mobile phone at work, make sure you have earphones with an inbuilt microphone. This way you can remain mobile while talking with colleagues or clients.

    4. Walk to work

    If you live too far from work to walk there, try parking your car further away and walking for the last 10 or 20 minutes. Taking public transport usually involves walking to and from the train or bus, which could be an improvement on taking your car. Research shows that we need an absolute minimum of 150 minutes a week of cardio-vascular exercise. This can be made up of any blocks of exercise that are at least 10 minutes long.

    5. Active computer work stations and fit desks

    Active work stations and fitdesks are a fantastic way to increase activity levels during the working day. Treadmill work stations allow you walk while you work. Cubii is an under desk elliptical that you can use while you work, without your knees hitting the desk. It has bluetooth connectivity so you can keep track of how far you have pedaled on your phone. Here is an interesting article that compares cycling desks with treadmill desks. The treadmill desks are more expensive but don’t interfere as much with productivity and the ability to work on a computer.

    Stretches you can do at your desk

    Stretches at work are helpful for reducing muscular tension and feelings of stiffness.

    The following stretches can be done without leaving the vicinity of your desk. They target the most common places people feel tension after being at a computer.

    READ OUR DISCLAIMER Please seek medical advice before commencing exercises, if you have a painful or medical condition.


    woman sitting in office chair wisting round to the left looking behind

    Spine twist – Sitting in your chair, twist around to one side and look behind you, hold for a few seconds and repeat to the other side. This exercise helps stretch the shoulders, lengthen the back and fills the lungs with air, expanding the chest.


    woman sitting on an office chair bending forward and touching her ankles

    Forward bend – Sitting in your chair, slide your arms down your legs and let you head hang forwards, hold for 2 or 3 breaths in and out, then return to sitting. This gently stretches the lower back if it has been arching or compressed. It may help to help relieve lower back tension.


    woman tanding near office chair with hands interleaved behind her back doing a pectoral stretch

    Pectoral stretch – Stand up, interlace the hands behind your back and raise the arms slightly towards the ceiling. The pectoral muscles at the front of the shoulders often become tight while using a keyboard. This exercise helps to lengthen them.


    woman standing up from chair and doing a back bend exercise

    Back bend standing – Stand up, tighten the buttock muscles, use the hands to support the lower back and gently lean backwards, while looking upwards. Repeat several times without holding. This helps to counteracted a rounded lower back that can occur from slouching.


    woman sitting on office chair with her hands out in front doing the stop sign stretch

    Stop sign stretch – Stretch one arm out in front of you with your elbow straight and your palm facing forwards, as in a policeman’s stop sign. Use the other hand to gently stretch the fingers back. Hold for a few seconds then repeat on the other side. This forearm stretch helps prevent Golfer’s Elbow (pain on the inside of the elbow).


    woman sitting in office chair with arms out front doing a forearm stretch

    Forearm stretch – Make a soft fist with one hand and extend it out in front of you, elbow straight. Turn the thumb side of the hand slightly towards the floor. Use the other hand to gently bend the wrist downwards. Do not do this stretch if you feel strain in the wrist. You may feel a stretch in the forearm if the extensor muscles which attach to the outside of the elbow are tight. Tight wrist extensors can lead to Tennis Elbow.


    Also refer to our article “The Risks of Prolonged Sitting”

  • The Risks of Prolonged Sitting

    The Risks of Prolonged Sitting

    The Risks of Prolonged Sitting

    businesswoman stretching after prolonged sitting at her computer and doing breathing exercises
    A business woman stretching at her computer

    Prolonged sitting at a computer endangers your health

    Do you feel stiff and sore after prolonged sitting at a computer for a few hours?

    Along with poor posture, sitting at a computer can contribute to Occupational Overuse Injuries. These were previously called Repetitive Strain Injuries or RSI. Neck and shoulder pain, carpal tunnel syndrome and lower back pain are common in people who sit too much. Screen brightness and constant focal length can also cause eye strain. Many businesses now offer ergonomic work station assessments to help reduce these workplace injuries.

    How many hours do you sit each day?

    Try this calculation.

    1. Consider your morning routine on a average work day. How many hours are you sitting before you arrive at work? Include time spent sitting during breakfast, mobile phone or computer use, watching television and traveling to work by car, bus or train.
    2. Estimate the number of hours you sit at work each day. Include your lunch break.
    3. Finally consider the time you spend sitting between leaving work and going to bed. This includes sitting while you travel home, use your computer, mobile or TV. It might also include sitting while you read, eat or just relax.
    4. Add the 3 numbers together. You may be surprised at the total number of hours you are sitting on the average work day.

    Research reveals serious health risks of prolonged sitting

    Stiffness, pain and tension may not be the most serious risks faced by people in sedentary occupations. There is now scientific evidence that prolonged sitting is even more harmful.

    An Australian government site warns that sitting for more than 11 hours per day can increase the risk of death within the next 3 years by 40 percent. Regular prolonged sitting is related to a higher incidence of diabetes, heart disease, obesity, fatty liver disease and some forms of cancer. The risks may also be present for those who exercise regularly before or after work.

    Another large study at was done at Columbia University. This research involved almost 8,000 participants. Those who sat for at least 13 hours a day combined with multiple sedentary bouts of 60 to 90 minutes had nearly twice the risk of dying within 4 years.

    This highlights the need to get up from your chair at least once an hour.

    Metabolic syndrome

    The main problem with sitting is that it is sedentary. You may be in one position for several hours, with little muscular activity. This results in stagnation of the circulation, pooling of blood in the legs. During periods of inactivity there if often shallow breathing or breath holding.

    Your body is always burning energy. Even during sleep the body requires energy in order to carry out processes such as digestion and tissue repair. The metabolic rate is the number of kilojoules (calories) the the body burns per hour. When you sit for long periods the metabolic rate is low.

    A reduced metabolic rate means that relatively fewer calories per hour are being used by the body. A possible outcome is Metabolic Syndrome. This condition involves a collection of signs and symptoms:

    • increased blood pressure
    • high cholesterol
    • elevated blood sugar levels
    • weight gain (especially around the abdomen).

    Getting up regularly for a short brisk walk can help raise the metabolic rate. Research shows following vigorous exercise that the metabolic rate remains higher for up to 24 hours afterwards.

    Mental health problems and prolonged sitting

    A further problem with prolonged sitting is its effect on mental health. Research is now starting to show that it is related to higher levels of depression and anxiety. It is also known that regular exercise can be an effective treatment for mild to moderate depression.

    Read about how the Feldenkrais Method can help mental health.

    How to counteract prolonged sitting

    The best way to counteract these problems is to break up your sitting with frequent short periods of activity. This so called ‘incidental exercise’ can help to counteract the health risks of sitting.

    Breaks from sitting in front of a screen are vital for the musculo-skeletal, cardio vascular and respiratory systems as well as for weight management and mental health. The question is, how can these be incorporated into a busy schedule?

    Active work stations and active offices – way of the future

    Some offices are now creating activity centres or outdoor exercise areas. These are places where staff can participate in short periods of vigorous exercise, for example one to two minutes of cycling on a stationary bike or walking on a treadmill.

    Sit stand desks are becoming common. Although there is more muscle use in standing, it is still relatively sedentary and can cause pooling of blood in the legs.

    As a result, active work stations are currently being developed. These including cycling computer work stations and treadmill computer work stations. In the future perhaps we will all have the option of being more active, even while working on a computer for much of the day.

    5 Ways to Counteract Sitting at Work

     

  • Physiotherapy for Tendinitis

    Physiotherapy for Tendinitis

    Aims of Physiotherapy Treatment

    In Tendinitis the aim is to reduce inflammation (for example using RICE) and you can expect to get better in approximately 6 weeks, although every case is different.

    In Tendinosis it’s important to improve circulation and promote tissue healing. You should expect healing to take 3 to 6 months. Treatment may include cross friction massage, taping (for example with kinesio tape), trigger point acupressure or dry needle acupuncture, low level laser therapy and / or ultrasound.

    Anti-inflammatory medications do not help tendinosis and cortisone injections may have an adverse effect, because they may actually inhibit collagen repair to the damaged tissues.

    Enquire about our treatments for Tendinitis at Free2move.

  • Improving Posture

    Improving Posture

    three diagrams of a man sitting on a chair, the first 2 are bad posture the last is goog posture

    Improving Posture

    Have you ever tried to improve your posture? How well did that work for you? If you are not satisfied with the results, consider attending Feldenkrais classes. The Feldenkrais Method can help you achieve comfortable and effortless posture through ingenious and mindful movement exercises.

    The changes become integrated into your every-day life. Soon you will find yourself sitting, standing and moving in ways that you never imagined could be so easy or comfortable.

    Body Scan Exercise in Sitting

    Sit on a firm chair with your feet flat on the floor. Come forward in the chair a bit so you are not using the back rest. Sit normally and close your eyes for a few moments. Notice your posture. Stay there for a minute or two just observing yourself. Then open your eyes again.

    When you observed your posture, what is the first thing that came into your awareness? What parts of the body did you sense? Perhaps you thought about whether you were sitting or standing up straight? You might have become aware or your head, neck and back. Perhaps you sensed your spine and checked its alignment. Maybe you tried to correct yourself. These are things many of us were taught to do growing up.

    Consider that parts of your body that may not have been included in your awareness. Your hands and feet? Your chest and rib cage? Was your abdomen free to move with the breath? How long could you sustain this posture comfortably

    3 minutes to Better Posture

    Now try this short exercise with Ruthy Alon. Then go back to the sitting body scan above and feel the difference.

    About Ruthy Alon

    Ruthy is an international Feldenkrais trainer who studied and taught with Moshe Feldenkrais for over 20 years. It is hard to believe that in this video she is 85 years old. Ruthy is still teaching, a huge inspiration for those of us interested in healthy ageing.

    4 Reasons why trying harder to sit or stand up straight doesn’t work

    1. When we try to straighten the spine we often increase effort in the muscles of the back without releasing the flexor muscles in the front of the body. The result is one muscle group working against another. This causes spinal compression.

    2. Some of us work so hard in our back muscles to maintain good posture that we end up bowed backwards, thinking that we are actually straight. This ‘military’ style of posture can lead us to be stiff and stuck in our movements. People who do this are usually unaware of it.

    3. A common frustration in trying to improve posture is that the changes only work while you are consciously paying attention. As soon as you stop doing that, you slip back into old habits.

    4. Yet another problem with this method is that the effort to straighten can result in restriction of the breathing.

    4 Ways that Feldenkrais helps improve posture

    1. Focusing on dynamic, not static posture

    Moshe Feldenkrais described good posture as ‘the ability to move equally easily in all directions’. This is dynamic posture. By contrast, static posture may involve trying to hold yourself still when you are sitting or standing. This may cause breath holding. It’s also literally impossible be completely still. We actually maintain our balance in upright positions by using subtle swaying movements.

    2. Reducing effort

    As you learn where to let go of unnecessary effort, you will discover how to find more efficient support from your muscles and bones. Learning to move easily in and out of a particular position is just as important as maintaining good alignment.

    3. Learning first while lying down

    To learn a new way of supporting the body against gravity Moshe Feldenkrais first taught a variety of movement lessons lying down. The reason is that lying down makes it easier to reduce muscular effort. This helps you sense what you are doing more clearly so you can make small adjustments towards greater efficiency. It means you are less likely to fall into inefficient habitual patterns and postures.

    4. Expanding the self-image

    In the Feldenkrais Method you will learn to bring your attention to each part of the body that is involved in an action. You will learn how even seemingly unrelated parts of the body such as your hands, feet, eyes, ribs and hip joints can influence your posture. The more parts of your body that can be included in your self-image, the more clearly you will know what you are doing. In the words of Moshe Feldenkrais ‘When you know what you’re doing you can do what you want’.

    “When you know what you’re doing you can do what you want” – Moshe Feldenkrais.

  • Relieve Lower Back and Hip Pain with Feldenkrais

    Relieve Lower Back and Hip Pain with Feldenkrais

    Group doing back and hip Feldenkrais exercises in fitness center

    Relieve Lower Back and Hip Pain with Feldenkrais

    Exercising with Lower Back or Hip Pain

    Lower back and hip pain can make it hard to exercise. The alternative – not exercising – can lead to increasing weakness and stiffness, with a tendency to gain weight.

    Even if you have already tried other forms of exercise without success, Feldenkrais is different. The focus during the movement classes is on learning to sense your body movements more clearly. Increasing your awareness of your movement habits is the key. That’s why Moshe Feldenkrais called the classes ‘Awareness Through Movement’

    ‘When you know what you’re doing you can do what you want’ Moshe Feldenkrais

    How Feldenkrais Helps

    By reducing effort and shifting your attention to the quality and smoothness of the movement, you discover new ways to move with comfort and ease. As you learn to let go of tight muscles, range of movement in your lower back and hips improves. You compare different movement options and discover what works best for your unique body. Better coordination and control of your muscles brings a sense of effortless power.

    Help break the cycle of pain and tension in your lower back and hips by enrolling in our regular Feldenkrais Classes in North Perth. All classes are run by a qualified Feldenkrais Physiotherapist.

    READ MORE about Feldenkrais Classes.

  • Theme for Feldenkrais Classes Second Term 2017

    Theme for Feldenkrais Classes Second Term 2017

    Man sitting on a wall near the ocean contemplating

    Theme for Feldenkrais Classes Second Term 2017

    Alison’s Class Theme

    Saturdays at 10:00 am

    Moving on from last series freeing the neck and the jaw to twisting and turning without effort.

    Jodie’s Classes Theme

    Mondays at 6 pm and 7pm, Tuesdays at 9.30am, Thursdays at 10.30am

    This term the focus is on power without effort. We will be exploring the bodies natural ‘movement physics’, paying attention to the bodies hinges and levers.

    The aim will be to create more energy efficient movement.

    ENROL NOW IN FELDENKRAIS CLASSES

  • Feldenkrais and Insomnia

    Feldenkrais and Insomnia

    woman sleeping in, disabling alarm clock

    Feldenkrais and Insomnia

    The Problem of Insomnia

    Insomnia (difficulty sleeping) is incredibly frustrating experience. Discomfort while lying down can not only hinder your ability to fall asleep but also rob you of genuinely deep sleep. Sleeping in an awkward positions can lead to waking up sore and uncomfortable in the morning. The tiredness and discomfort can haunt you throughout your entire day. Worrying about getting enough sleep only makes it worse. Does this sound familiar?

    How Feldenkrais Can Help Insomnia

    Sometimes insomnia may be caused by a medical condition. It’s important that you discuss this possibility with your doctor. However often insomnia is caused by a busy mind and a tense body. Feldenkrais helps you to bring the mind and body into a relaxed, harmonious and settled place, ready for sleep. Some exercises can even be done while you are lying in bed.

    In Feldenkrais classes you will learn some quick and simple exercises you can do every day to improve sleep. You will also participate in some longer ‘Awareness Through Movement’ lessons that help you to let go of pain and tension.

    During a class you will lie on a comfortable padded mat, close your eyes and tune into your body. As you are guided through a gentle series of exercises, it’s easy to let go and wind down from the stresses of the day. You learn to quickly and easily bring your mind and body into balance. This helps promote a deeper and more restful sleep.

    Feldenkrais helps develop your ability to focus your mind on your body in a relaxed and non-judgmental way. Letting go of focusing on sleep itself and softly resting the attention on the body and the breath helps to overcome a restless mind and tense body.

    Feldenkrais also helps you expand your options for comfortable sleep positions. It achieves this through gentle mindful movement explorations.

     

  • De Quervain’s Syndrome

    De Quervain’s Syndrome

    male hand with thumb bracing for De Quervains

    De Quervain’s Syndrome

    De Quervain’s syndrome refers to pain in two of the tendons which move the thumb – the abductor pollicis longus and the extensor pollicis brevis. Inflammation may occur where the tendons glide inside a fluid-filled ‘synovial’ sheath near the thumb-side of the wrist. Inflammation of this sheath is known as tenosynovitis.

    Symptoms

    Symptoms include pain on the thumb side of the wrist. Pain may extend up the forearm and a catching or snapping may be felt when moving the thumb. Sometimes there is localised redness and swelling. While often there is no definite cause, it is more common in new mothers (when it is aggravated by picking up their baby), middle-aged people, gamers, gardeners and in those with Rheumatoid Arthritis.

    Treatment

    Physiotherapy treatment may assist with relief of symptoms and addressing any known underlying causes. Interspersing rest and gentle exercises is usually required. Rest can be achieved by temporarily avoiding the aggravating movements and by using taping (strapping) or a splint.

    At Free2Move we favour using stretchy ‘kinesio-tape’ such as Rocktape rather than using rigid strapping. Kinesio-tape does not restrict natural movement but improves sensory and movement awareness, while gently supporting the area.

    Another treatment we often find effective at Free2Move is Low Level Laser Therapy (LLLT). Laser is thought to work by stimulating tissue healing while reducing pain and inflammation.

    Preventing recurrence of the injury

    Once pain has settled Feldenkrais or Pilates may be recommended to improve the way you move. In particular it is useful to look at the suspected aggravating movements. It’s helpful to find out how they can be performed with less effort, using the large muscles of the trunk to provide the power, with the small muscles of the hand being used to gently guide direction. This helps prevent the recurrence of the problem.

    Severe cases

    In cases where there is not an adequate treatment response, clients are referred back to their doctor, who may recommend a cortisone injection. In severe, unrelenting cases, surgery may be indicated.

    Read about Tendinitis and Tendinosis

  • Free2Move on the Move – Our New Location

    Free2Move on the Move – Our New Location

    free2move staff out front

    Free2Move on the Move – Our New Location

    Free2Move is on the move… we have a new location.

    It’s been just over 6 months since Free2Move made the big move. We left our old premises in Mt Hawthorn for our new home at 150 Vincent Street, North Perth.

    Jodie Krantz, Principal Physiotherapist and proprietor of Free2Move spent a long time looking for the right premises for our little practice to call home.  At one time she made a bid for the property at 97 Scarborough Beach Road. She’d been practicing there since 2008 after moving her business from Bunbury to the big city of Perth, Western Australia.  Sadly Jodie’s offer was not accepted and a dental practitioner bought the old building in Mt Hawthorn. We were lucky enough to have a couple of years grace before having to find new digs.  Jodie spent this time avidly researching and canvassing various properties in the Mt Hawthorn/North Perth areas.  Being a stickler for quality, location and the right amenities, Jodie found it quite a challenge and the clock was ticking!

    Finally one day Jodie’s partner Ben was chatting to a fellow composer and friend about the trouble they were having finding the right place for Free2Move. His friend announced that they were thinking of converting the front part of their 112 year old Mt Lawley style home into a business.  Discussions and negotiations ensued. A partnership was born which over the next 6 months was realised as our new premises at 150 Vincent Street, North Perth.

    During the transition period we were able to continue to see clients with very little disruption to service. Thanks to our wonderful team of staff the move itself went very smoothly.  We closed our doors in Mt Hawthorn on 16th Dec 2015, packed up and moved on 17th December. By 3rd January 2016 we reopened for business in our elegantly renovated building in North Perth.

    Our now not-so-new premises are just lovely. We have new floating wooden floors throughout; a deep veranda filled with lovely pot plants; long bay windows in the practice room that let in just the right amount of softened light. The old original style of the house has been maintained with beautiful high ceilings, led light doors and windows and gold painted ornate architraves and ceiling roses.

    Our staff love working at 150 Vincent Street. It’s a great location just across the road from beautiful Hyde Park.  There are excellent cafes within walking distance in all directions and just the feel of the house, it’s vibe makes being at work each day a real pleasure.

    Joanna Fugl, Practice Manager

    About our Services

     

  • Exercise, Imaging and Laser Therapy for Shoulder Pain

    Exercise, Imaging and Laser Therapy for Shoulder Pain

    physiotherapist manipulating a mans shoulder

    Exercise, Imaging and Laser Therapy for Shoulder Pain

    A recent review of research on Low Level Laser Therapy (LLLT), also known as Cold Laser shows that it may be helpful in conjunction with exercise therapy for the treatment of shoulder pain. But should you see your doctor first? And do you need imaging, such as an Xray, Ultrasound or MRI? Read on to find out more.

    Imaging and scans

    Shoulder pain imaging can help determine whether you are likely to get quick results with Physiotherapy, or whether it would be better to seek an opinion from a specialist. Unfortunately, unnecessary referrals for these scans occur frequently and may not improve treatment outcomes. An experienced Physiotherapist will know when to refer you for a scan and when to persist with treatment.

    Visiting your doctor

    Should you decide to see your doctor first, do request a referral to see your Physiotherapist. Although a referral is not required in Australia, only 10 to 30% of patients who see their GP for shoulder pain are referred for Physiotherapy. This means you may need to be proactive and either ask for the referral or book a Physio appointment without a referral.

    Specialist doctors may prescribe anti-inflammatory or analgesic medication, an injection or surgery. In most cases it’s better to try physiotherapy treatments such as exercise and Laser before seeing a specialist. However a good Physiotherapist quickly identifies clients who are not likely to make progress without medical procedures. Prompt onward referral in cases which are not responding saves you time and money and helps you get out of pain and return to normal functioning quickly.

    Our Physiotherapists

    At Free2Move our Physiotherapists use a variety of treatment techniques to promote quicker recovery from shoulder pain and dysfunction. These include taping or strapping, dry needle acupuncture, progressive range of movement and strengthening exercises and Low Level Laser treatment. Shoulder pain is a condition we treat every week in our clinic, so we are very confident that we can give you the best possible advice, minimising your recovery time. Because we consistently keep abreast of the latest scientific research , you can be sure that you will receive a high standard of treatment.

    Research on Shoulder Pain and Laser Treatment

    Conditions such as frozen shoulder (adhesive capsulitis), rotator cuff injuries (for example supraspinatus tendinitis) and sub-acromial bursitis respond may respond well to this combined approach.

    Read More about research on shoulder pain and Low Level Laser Therapy.