Aberfoyle Park

Suite 4, The Hub Professional Centre
Christie Way
Aberfoyle Park
South Australia 5159

  • Mon: 8:30am – 8:00pm
  • Tue: 8:30am – 8:00pm
  • Wed: 8:30am – 8:00pm
  • Thu: 8:30am – 8:00pm
  • Fri: 8:30am – 7:00pm
  • Sat: 8:00am – 3:00pm

Services Offered:

  • Hands on therapy
  • Pilates equipment programs – individuals, semi private and groups
  • Gym Programs
  • Home Exercise programs
  • Dry Needling
  • Real Time Ultrasound Assessments
Adelaide CBD Central

Level 3 55 Gawler Place
Adelaide
South Australia 5000

  • Mon: 8:30am - 6:00pm
  • Tue: 8:30am - 6:00pm
  • Wed: 8:30am - 6:00pm
  • Thu: 8:30am - 6:00pm
  • Fri: 8:30am - 5:30pm
  • Sat: Closed

Services Offered:

Adelaide CBD East

179 Halifax Street
Adelaide
South Australia 5000

  • Mon: 8:30am - 6:00pm
  • Tue: 8:30am - 6:00pm
  • Wed: 8:30am - 6:00pm
  • Thu: 8:30am - 6:00pm
  • Fri: 8:30am - 5:30pm
  • Sat: Closed

Services Offered:

  • Hands on Therapy
  • Mobilisation/Manipulation
  • Home Exercise Programs
  • Dry Needling
  • Sports Injuries
  • Work & Motor Vehicle Accident Rehabilitation
  • Pilates equipment programs – individuals, semi private and groups
Beverley

Suite 2 131-133 Grange Road
Beverley
South Australia 5009

  • Mon: 8:30am – 8:00pm
  • Tue: 8:30am – 8:00pm
  • Wed: 8:30am – 8:00pm
  • Thu: 8:30am – 8:00pm
  • Fri: 8:30am – 5:00pm
  • Sat: 8:00am – 1:00pm

Services Offered:

Burnside

Suite 10 539 Greenhill Rd
Hazelwood Park
South Australia 5066

  • Mon: 8:00am – 8:00pm
  • Tue: 8:00am – 8:00pm
  • Wed: 8:00am - 8:00pm
  • Thu: 8:00am - 8:00pm
  • Fri: 8:00am – 7:00pm
  • Sat: 8:00am – 1:00pm
Campbelltown

506 Lower North East Road
Campbelltown
South Australia 5074

  • Mon: 9:00am - 8:00pm
  • Tue: 8:30am - 6:00pm
  • Wed: 8:30am - 8:00pm
  • Thu: 8:30am - 8:00pm
  • Fri: 11:00am - 7:00pm
  • Sat: 8:30am - 12:30pm

Services Offered:

  • Hands-on treatment
  • Manipulation
  • Mobilisation
  • Massage Therapy
  • Home Exercise programs
  • Dry Needling
  • Home Visits
Christies Beach

50 Beach Road
Christies Beach
South Australia 5165

  • Mon: 8:30am – 8:00pm
  • Tue: 8:30am – 8:00pm
  • Wed: 8:30am – 8:00pm
  • Thu: 8:30am – 8:00pm
  • Fri: 8:30am – 7:00pm
  • Sat: 8:30am – 1:00pm
Hampstead Gardens

237 Hampstead Road
Northfield
South Australia 5085

  • Mon: 8:30am – 8:00pm
  • Tue: 8:30am – 8:00pm
  • Wed: 8:30am – 8:00pm
  • Thu: 8:30am – 8:00pm
  • Fri: 8:30am – 8:00pm
  • Sat: 8:30am – 1:30pm
Holden Hill

586 North East Road
Holden Hill
South Australia 5088

  • Mon: 8:30am – 8:00pm
  • Tue: 8:30am - 8:00pm
  • Wed: 8:30am - 8:00pm
  • Thu: 8:30am - 8:00pm
  • Fri: 8:30am - 7:00pm
  • Sat: 8:30am – 1:30pm
Marion

153 Sturt Road
Dover Gardens
South Australia 5048

  • Mon: 8:30am - 7:30pm
  • Tue: 8:30am - 7:30pm
  • Wed: 8:30am - 7:30pm
  • Thu: 8:30am - 7:30pm
  • Fri: 8:30am - 7:00pm
  • Sat: 8:00am - 12:30pm
Melrose Park

166 Daws Rd
Melrose Park
South Australia 5039

  • Mon: 9:00am – 8:00pm
  • Tue: 9:00am – 8:00pm
  • Wed: 9:00am – 5:30pm
  • Thu: 9:00am – 8:00pm
  • Fri: 9:00am – 5:30pm
  • Sat: 8:30am – 1:00pm
Morphett Vale

188 Main South Road
Morphett Vale
South Australia 5162

  • Mon: 8:30am – 8:00pm
  • Tue: 8:30am – 8:00pm
  • Wed: 8:30am – 8:00pm
  • Thu: 8:30am – 8:00pm
  • Fri: 8:30am – 7:00pm
  • Sat: 8:00am – 1:00pm
Newton

8 Stradbroke Road
Newton
South Australia 5076

  • Tue: 2:00pm - 5:30pm
  • Fri: 8:30am - 1:00pm
  • Sat: 8:30am - 12:30pm

Services Offered:

Parkside

2/257 Fullarton Road
Parkside
South Australia 5063

  • Mon: 8:00am - 8:00pm
  • Tue: 8:00am - 8:00pm
  • Wed: 8:00am - 8:00pm
  • Thu: 8:00am - 8:00pm
  • Fri: 8:00am - 5:30pm
  • Sat: 8:30am - 1:00pm

Services Offered:

  • Hands-on treatment
  • Manipulation
  • Mobilisation
  • Massage Therapy
  • Home Exercise programs
  • Dry Needling
  • Home Visits
Plympton

Suite 3 267 Marion Road
Marleston
South Australia 5033

  • Mon: 8:30am - 8:00pm
  • Tue: 8:30am - 8:00pm
  • Wed: 8:30am - 8:00pm
  • Thu: 8:30am - 8:00pm
  • Fri: 8:30am - 5:30pm
  • Sat: 8:00am - 1:00pm

Services Offered:

Shoulder Impingement

Shoulder impingement syndrome describes a situation where the rotator cuff tendons and sub-acromial bursa become impinged in the sub-acromial space. The tendons and bursa may then become inflamed and painful which results in restriction of movement and weakness around the shoulder.

anatomy of the shoulder

To understand shoulder impingement syndrome some basic knowledge about the anatomy around the shoulder is necessary.

Rotator Cuff Muscles
A group of 4 small muscles run from the shoulder blade to the top of the arm bone from a rotator cuff tendon. To get to the arm bone the tendon passes through the sub-acromial space.

Subacromial Space
The sub-acromial space is a narrow space between the accordion and the top of the upper arm bone (humerus). Located in this space are the rotator cuff tendons and the subacromial bursa (a sack of fluid that acts as a cushion).

causes

Anything which causes narrowing of the sub-acromial space will cause the tendon and bursa to become impinged.

Possible causes of sub-acromial narrowing and shoulder impingement include:

  • Inflammation in the sub-acromial space caused by trauma
  • Boney spurs or variations in the shape of the acromion
  • Overuse – often due to repetitive reaching overhead or lifting
  • Thickening or calcification of the coraco-acromial ligament
  • Poor mechanics of the shoulder blade and arm during movement – often caused by weakness of the shoulder stabilizing muscles

signs and symptoms

Symptoms of shoulder impingement syndrome can include:

  • Pain in the top of the arm usually worsens if you try to lift your arm up in the air.
  • Pain may occur at rest and be worse at night particularly if lying on the affected shoulder
  • Activities that worsen the symptoms include lifting, putting up washing, overhead arm activities, pushing down through the arm, lying on the shoulder
  • Movement may be restricted by pain and be associated with clicking or a painful arc

Assessment

Shoulder Impingent can usually be diagnosed by taking a history and with physical examination. Physical examination should consider a range of movement, strength, biomechanics of the shoulder blade and arm bone and palpation. Specific tests may indicate the presence of impingement. Plain x-rays and an ultrasound may be of use in defining the state of the acromion and the tendons and bursa in the sub-acromial space.

Management

There are two phases of management of shoulder impingement syndrome.

reducing symptoms in the acute phase

In this phase different treatments are used to reduce pain and maintain function.

These may include:

  • Use of ice to reduce inflammation
  • Taping to correct biomechanics of the shoulder or off load rotator cuff muscles
  • Soft tissue massage and trigger point therapy to reduce tone in the rotor cuff muscles and maintain mobility of the tissues around the
  • Joint mobilization used to improve the alignment of the joints and reduce the potential for impingement
  • Dry needling may be useful to reduce muscle tone around the shoulder and promote better biomechanics
  • Stretches both in the treatment room and at home form an important part of this phase
  • Activity modification in daily activities and at work
  • Treatment of the neck may be indicated where this is a component of the problem

rehabilitation and return to function

This phase begins as acute symptoms are settling and movement is improving. It may include some of the following modalities:

  • Hydrotherapy
  • Pilates based strengthening
  • Home exercise program of stretching and strengthening
  • Functional retraining for return to work or sport – these training needs to strengthen around the shoulder in movement patterns which simulate these activities
  • Functional retraining for return to work or sport – these training needs to strengthen around the shoulder in movement patterns which simulate these activities

1 in 6

Australians reported back problems, that's 3.7 million people

0

patients attended Pilates rehab classes

0

patients were treated across all our locations

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