Enhance Pyhsio Blog

High ankle sprains
High ankle sprains involve a ligamentous injury slightly above the ankle joint. There are two long bones, tibia and fibula, that together form a stable surface connection for which the ankle can move on. The stability of this joint is crucial for the function of the ankle and its ability to withstand weightbearing activities. This injury can appear similar to the more common lateral ankle sprain. However, it is more of an external rotation movement of the foot when it is planted which commonly leads to a high ankle sprain.... Read more...
To Ice or Not to Ice An Injury?
Ice has been a common initial injury technique used among many when an injury first appears. When someone rolls their ankle, most of us instinctively grab an ice pack. When we see professional athletes get injured, they’re wrapped in ice before they’ve even made it off the field. But the question lies should we be applying ice immediately after sustaining an injury or not?  The earliest documentation of ice as part of the acute injury management protocol dates back to 1978 with the term RICE (Rest, Ice, Compression, Elevation). The intention behind using ice was to minimise the inflammatory response to accelerate healing (1).   However, based on new research it... Read more...
Can discs heal on their own?
Many people believe that once you have a “bulging disc” that you’ve been sentenced with a bad back for life. A recent meta -analysis (Zhong et al 2017) has shown that 2/3 of disc bulges spontaneously heal on their own. Many of these being within a few months, not a matter of years. This is a positive finding to support the benefits of conservative (non-surgical) treatment. There is a time and place for lumbar surgery. However, currently there is a trend for this to be the first option for people... Read more...
Calf Strains
Calf strain injuries can commonly happen during sporting activities such as running and jumping. However, other mechanisms may include slipping or jarring ankle plantarflexion movements in weightbearing positions. It typically involves sudden instances of higher forces that overload the capabilities of the muscles. These muscles include your gastrocnemius and soleus muscles which are both crucial muscles that help deliver forces in varying joint positions. A mechanism of injury is usually identifiable along with a feeling of sharp pain following the incident. The severity of calf strains can seperated in to... Read more...
Blood Flow Restriction (BFR) Bands
Enhance Physiotherapy is known for its innovation and leading the region with the most up to date technology. In December we welcome our newest piece of rehab equipment – Blood Flow Restriction (BFR) Bands. These will be a great addition to our rehabilitation gym. Conventional strength training requires heavy loads to improve strength, body mass, and function. To achieve this, it is recommended we use 60-70% of our 1 repetition maximum. This can be unattainable or an increased risk for clients with a musculoskeletal impairment. Research has proven that BFR... Read more...
Not "just" an ankle sprain
Ankle sprains are one of the most common lower limb injuries in sport, in particular "lateral" ankle sprains which involve the outside ligaments of your ankle. Many people underestimate ankle sprains and only 55% of people who have sustained an ankle injury seek medial/physio treatment. From a clinical point of view, the issue is that with ankle sprains there is a very high reoccurrence rate and around 20% of the general population and 30-50% of the athletic population will go on to develop "chronic instability" which results in long term... Read more...
Wrist pain – TFCC injuries
The triangular fibrocartilage complex is located on the ulnar side of the wrist (ie. pinky finger side). It contains a central disc and supporting structures called the radioulnar ligament (RUL) and ulnocarpal ligaments (UCL). The two main purposes of the TFCC is for load transmission and rotation support. The central disc allows for a greater coverage of the ulna from the distal radius. The RUL and UCL will tighten or loosen depending on the rotation or pronation/supination in the wrist. The main causes of injury to the TFCC can be... Read more...
“Scans and a clean out” - arthritis treatments of yesteryear
For many decades, the best practice treatments for osteoarthritis were managing pain with medications (pain killers and anti-inflammatory medications) and where pain or disability was severe enough, a referral to a surgeon would be given for a joint “clean out”. This procedure usually involved scraping back bits of bone (osteophytes) and trimming cartilage where it had torn or frayed. Following countless research studies over the previous 20 years, the usefulness and necessity for surgical clean outs has now decreased for the typical osteoarthritic joint. Whilst there is benefit for surgery... Read more...
Spring is here!
With the beautiful spring weather just around the corner, it is a popular time to start running or ramping up that fitness regime. Common goals to start running/exercising during the warmer seasons are for fitness, weight loss and health. Or maybe you are training for a certain event or time/distance that you would like to achieve? These are the five most common mistakes that result injury or failure of achieving goals: 1. Not setting realistic goals and/or not giving yourself adequate time to achieve them. Not giving yourself a realistic... Read more...
Hip Impingement!
Hip pain is a common issue we see here in the clinic. Patients can complain of a ‘pinching’ when doing things like squats, getting in and out of the car or just simply sitting in a soft chair or crossing their legs. Now just because you get a pinch in the hip every now and then when you’re working out certainly doesn’t mean that you have a significant injury or issue that needs specific rehab. As everyone is made differently, hip joint shape and your overall makeup play a large... Read more...
R U OK in these trying times??
With the current COVID-19 Restrictions implemented on and around the border, it can be a very trying time for the majority of us. Where we were promised that we could go about our daily lives as part of our border community, recent changes to the restrictions have caused no end of angst and anxiety for people needing to work or bring their children to school across the border. Whilst we hope the situation improves as our cases decrease in the metropolitan centers, there is no better time than the present... Read more...
The link between Physical and Mental Health
Following on from Sarah’s video last week discussing Chronic Pain, I thought it would be a perfect time to talk about the link between Physical and Mental Health. The importance of mental wellbeing for overall physical health is very clear. In our increasingly busy and current uncertain modern world, it is particularly important for us to give our mental health the care and attention it deserves. As physios, we see first hand the impact stress, depression and anxiety; can have on the physical body. The relationship between mental and physical... Read more...

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