What is SHIN Splints?

Shin splints is a common clinical condition which refers to pain down the front portion of your leg. It is very common if runners, triathletes, soccer players and people in the sporting community in general.

There are two types of SHIN Splints:

2. Posterior Shin Splints: Pain down the inside aspect of your leg, which affects the Tibialis Posterior muscle.

What can cause SHIN Splints:

1. Poor Running/Walking Form.
2. High Impact Activities- such as jumping or running in an excessive incline.
3. Flat Feet or Excessively High Arch Feet.
4. Overuse and Excessive Sporting Activities.
5. Inappropriate Footwear.
6. Sudden Increase in Activity.
7. Increased Weight Gain. 

What Treatments can be done?

1. Correcting Running Technique and Appropriate Footwear to Your Specific Foot Structure.
2. Strengthening Weak Muscles Associated with Running Technique.
3. Deep Tissue Massage.
4. Dry Needling.
5. Taping to Help Foot Biomechanics.
6. Correct Warm Up and Cool Down Techniques- including stretches, foam rolling and trigger point therapy.

What Treatments can I do at home on my own?

1. Apply an Ice Pack to The Affected Area For 20 Minutes.
2. Avoid Aggravating Activity and Substitute with A Low Impact Activity- such as swimming.
3. Rest As Much As Possible.

What are some Prevention Strategies?

1. Incorporate an Appropriate and Functional Stretching Program Prior to Stretching.
2. Choose Flatter, Softer Surfaces to Complete Running Activities on- such as grass or running tracks.
3. Choose Appropriate Footwear When Running/Walking.
4. Adequately Warm Up Prior With Slow Movements to Engage your Muscles Prior to Exercise.
5. Reduce the Intensity of Your Workouts.

If you have recently been diagnosed with a Shin Splints please call us to see how we can help you return to regular activities quicker!
For further information and physiotherapy treatment for Shin Splints contact Newcastle Integrated Physiotherapy on (02) 4957 2961

Exercise for Mental Health:

We all know that we feel better about ourselves when we do a bit of exercise. But did you know that when it comes to mental health, exercise is as effective as antidepressant medications? 
Mental illness includes anxiety, depression, schizophrenia, bipolar affective disorder and personality disorders. Unfortunately, 20% of Australians will experience mental illness, which is double the global average. In addition, people who suffer from a mental illness have a high risk of poor physical health, which pertains to higher mortality rates in this population. Overwhelming research has shown that physical activity is an extremely effective management strategy for mental illness, however it is currently underutilized and underrated.

There are many benefits of physical activity for mental health, which include: improved sleep, improved memory and attention, reduced stress and anxiety, and prevention against future episodes of depression. These benefits ultimately improve one's quality of life, and can be gained from as little as one workout per week!  For example, the HUNT study (2018) found that 12% of cases of depression could have been prevented from just one hour of exercise per week. 

So how does exercise work?

Although the exact mechanisms aren't fully understood, we believe the benefits may be due to increased blood flow to the brain, neural growth, changing chemicals in the brain (happy hormones: serotonin, endorphins) and influencing activity patterns in the brain that promotes feelings of calm and well-being. Also, exercise acts as a great distraction from negative thoughts and emotions and works even better when exercising with others.

So, what is the best kind of exercise for mental health?

Aerobic exercise (walking, swimming, cycling etc) and resistance training (weight lifting or body weight exercise) have been shown to be effective in treating mental conditions such as major depression. It is important that you chose a mode of exercise that you enjoy and what works for you. However, brownie points are given if you exercise outdoors and gold stars given if you exercise near water.
Starting an exercise program is often the hardest part. Therefore, some guidance and advice from an Accredited Exercise Physiologist may assist in getting motivated and putting your best foot forward.

We at Newcastle Integrated Physiotherapy can tailor an exercise program to best suit your circumstances or you can join in on one of our group exercise classes or Pilates classes here at our gym. Call today to talk to one of our staff about your needs.

How does Exercise affect Aging

As we get older, our bodies, including our muscles, bones and joints go through many changes. These changes can leave you with pain, reduce your mobility and functionality and stop you doing the things you love! Getting older also increases the risk of developing chronic conditions such as heart disease, diabetes, cognitive impairment, stroke, arthritis and osteoporosis, and greatly increases the risk of sustaining a serious fall.  And its not just our physical health that can be affected by ageing. Reduced physical functioning has also been linked to increased rates of depression, anxiety and social isolation.

Luckily, there's a way to counteract these effects and improve the way we age. Through exercise!
Many studies have shown that keeping active as we age has a massive influence on how we age! It can not only reduce the risk of developing these chronic conditions, but it can also help to manage chronic pain, increase your energy levels, improve your confidence and self-esteem and maintain your independence. By doing all of these things, it also has an extremely positive effect on your mental health, reducing symptoms of depression and anxiety, and keeping you involved in community and social events. 

So how do we do it?

The research in this area is very clear. In order to achieve all the benefits of exercise as we age, we need to be doing a combination of different types of exercise regularly. These include cardiovascular exercise, resistance (or strength) training and balance, and can be done individually, with a friend or in a group class.

Cardiovascular exercise is a great way to maintain heart and lung health. By regularly getting your heart rate and breathing rate up (huffing and puffing), we strengthen the heart and the muscles around the lungs to keep them both working effectively! Having good cardiovascular fitness helps you do things in your daily life like walking upstairs, doing the shopping and many other activities you take for granted when you can no longer do them. It's also a great way to improve your mood! It is recommended to do for approximately 30 minutes of 'huffing and puffing' exercise (walking, cycling, swimming), 5 days a week to get the maximum benefit. But it's also important to work up to this if you haven't exercised for a while!

Resistance, or strength training, is also incredibly important as we age. This involves using resistance such as weights, resistance bands, dumbbells etc. As we age, our muscles get weaker if we don't do anything about it. The good news is that even if you've never done any resistance training in your life, you can still get stronger! By improving your strength as you age, you maintain your functional capacity, making life's daily tasks easier, reduce your risk of falls as your muscles can better support your body, and improve your bone health, reducing the risk of sustaining a fracture. Resistance exercise should be done approximately 2-3 times a week, with days off in between to recover.

Balance training goes hand in hand with strength training. While having strength allows your muscles to support you, balance helps by improving your body's ability to respond to unexpected changes in its position, such as tripping on uneven surfaces. Essentially, it makes you feel less unstable and as a result, improves your confidence to get around in all different environments!

We Can Help

If you're not sure where to start, come in and see an exercise physiologist or physiotherapist to discuss an exercise program that will work best for you to help you age healthily! We at Newcastle Integrated Physiotherapy also offer Pilates and Group Exercise classes to suit all ages and fitness levels. Call us today on 49572961 to discuss a program to best suit you

It is too hot.....

Exercising in this extreme heat puts extra stress on the body.An increase in temperature and humidity as well as the exercise itself, increases your core body temperature. In high humidity the sweat you are producing doesn't really evaporate from the skin. Your body also sends more blood around to the skin to help it cool down, but this leaves less blood for your muscles, which then increases your heart rate! 

Our bodies natural cooling systems can fail when exercising in extreme heat and cause a heat related illnbess like heat exhaustion, fatigue, muscle cramping, heat stroke and even heat collapse.

There are a few easy steps to take in this weather...

Drink plenty of water

Our bodies are made up of 50-60% water, it is vital during exercise to maintain this. We can lose 2-3% during a typical exercise routine, but more on an extremely hot day. Drink plenty of water during and after exercise and include foods rich in water in your daily diet like fruits and vegetables.

Avoid sports drinks as they are high in calories and sugars and not worth it!

Avoid the hottest part of the day

If exercising in the middle part of the day is your only option then consider what type of exercise you do. Maybe go for a swim at an indoor centre ot take an aqua aerobic or cardio class inside an airconditioned place. If exercising outdoors choice early mornings or late evenings. Even in the evenings the humidity can still be high. 

Wear light coloured and light breathable fabric clothing. Dark colours absorb the heat.

Slow Up

Do less intensity exercise, less duration and avoid over doing it. Walk briskly instead of running or walk for awhile until you adjust to the  temperature before you start running. Or better still take it indoors

Know when to stop

Listen to your body and stop when it gets too much. Watch out for signs of

- dizziness and/or headaches

- muscle cramps

- nausea and vomiting

- tachycardio ( fast heartbeat)

- weakness

- light headedness

- excessive sweating

- confusion

- irritability

- visual problems

If any of the above occurs you should stop exercising immediately, lower your body temperature by going indoors and resting and applying an icepack or wet towel to the back of the neck. Rehydrate yourself by drinking plenty of water. If any f the symptoms do not subside then seek medical help.

Many of us have experienced back pain ourselves or know someone who has. It's no surprise that low back pain is one of the most prevalent conditions among Australian adults and, if managed poorly, creates a significant social and economic burden.

While the effectiveness of treatments such as medication, massage and electrotherapy have been established in the past; more recent advancements in scientific research have resulted in evidence supporting a more active approach for patients with chronic conditions.

A recent study systematically reviewed all of the available data in relation to the effectiveness of Pilates exercise in people with chronic low back pain, producing statistically significant findings in support of Pilates exercise.

Pilates exercise, named after its founder Joseph Pilates in the 1920's, focuses on activating the deep core muscles to provide stability for the spine during movement. If this sounds all too familiar to you, come along and join one of our small groups. You'll be glad you did!

Why? If you suffer from low back pain, including a Pilates exercise program, which places an emphasis on core stability, flexibility, strength and quality of movement will help speed up your recovery so you're feeling better and can return to the activities you enjoy, quicker!

So, yes, Pilates can be your partner in managing pain.

Contact Newcastle Integrated Physiotherapy staff for more information about Pilates Classes in Newcastle