Scoliosis at Every Stage: From Childhood to Adulthood
Scoliosis can affect children, teens, and adults. Learn how Realign Physio provides scoliosis treatment across the lifespan using specific scoliosis exercises based on the GPR method.
Scoliosis is often associated with teenagers — but spinal curves can affect people at any age.
From growing children to adults managing back pain, scoliosis presents differently across life stages. The key to effective scoliosis treatment is understanding how the condition evolves and tailoring care accordingly.
At Realign Physio, we provide evidence-informed scoliosis physiotherapy using specific scoliosis exercises based on the Global Postural Re-education (GPR) method — a whole-body approach designed to improve posture, alignment, breathing, and spinal control.
Childhood & Adolescent Scoliosis
Understanding Adolescent Idiopathic Scoliosis (AIS)
Adolescent idiopathic scoliosis is the most common type of scoliosis. It typically develops between ages 10–16 during rapid growth.
Research shows:
Curves may progress during growth spurts
Early detection improves long-term outcomes
Bracing can reduce progression in moderate curves
Scoliosis specific exercises can reduce curve and minimise the risk of progression
How Physiotherapy Helps
For mild to moderate curves, conservative treatment plays an important role. Our approach focuses on:
Active spinal elongation
Three-dimensional posture correction
Muscle chain rebalancing
Breathing integration
Movement awareness
Biomechanical research suggests that global postural correction strategies can reduce curve magnitude during active self-correction (Dupuis et al., 2018). Emerging clinical studies indicate that GPR-based exercise programs may improve functional and postural outcomes in adolescents (Martin, 2024).
When bracing is indicated, we work collaboratively with medical providers while supporting strength, alignment, and confidence in movement.
Young Adults with Scoliosis
Many young adults either:
Continue with a mild curve from adolescence
Discover scoliosis incidentally
Develop pain linked to posture or muscle imbalance
Common concerns include:
Uneven shoulders or hips
Rib prominence
Back fatigue
Discomfort with sport or gym training
Exercise-based interventions improve postural alignment, neuromuscular control and pain levels (Porto et al., 2024).
Our scoliosis-specific exercises, grounded in GPR principles, address global muscle tension patterns rather than isolated strengthening.
This whole-body focus helps:
✔ Improve posture symmetry
✔ Reduce compensatory strain
✔ Enhance breathing mechanics
✔ Build spinal endurance
✔ Improve pain levels
The goal is not just managing the curve — but improving how the body functions as a whole.
Adult & Degenerative Scoliosis
In adulthood, scoliosis may become symptomatic due to natural spinal changes, including disc degeneration and joint wear.
Symptoms may include:
Localised back pain
Muscle tightness
Reduced mobility
Decreased balance
For adults, treatment priorities shift toward:
Pain reduction
Functional strength
Postural endurance
Load management
Systematic reviews support exercise-based care for adult scoliosis and spinal pain (Everett & Patel, 2007; Schoutens et al., 2020).
Research also shows that GPR-based interventions improve outcomes in chronic spinal pain conditions, including low back pain and neck pain (Lomas-Vega et al., 2017; Gonzalez-Medina et al., 2021; Pillastrini et al., 2016).
By addressing interconnected muscle chains and restoring global alignment, our approach aims to reduce mechanical stress on the spine and improve daily function.
Why a Whole-Body Approach Matters
Scoliosis is not just a sideways curve.
It affects:
Muscle balance
Rib mobility
Pelvic alignment
Breathing patterns
Postural control
Movement coordination
Specific scoliosis exercises based on the GPR method are designed to:
Restore muscular balance
Improve spinal elongation
Enhance neuromuscular control
Integrate breathing with posture
Support long-term spinal health
Systematic reviews demonstrate that GPR improves pain and function in spinal disorders (Teodori et al., 2011; Lomas-Vega et al., 2017). While long-term scoliosis-specific research continues to develop, early findings are promising for postural and functional improvements.
What to Expect at Realign Physio
Scoliosis treatment at Realign is personalised and stage-specific.
Your assessment includes:
Postural analysis
Curve pattern screening
Breathing assessment
Muscle chain evaluation
Functional movement testing
From there, we design an individualised program tailored to your age, symptoms, curve presentation, and goals.
Our aim is to help you:
✔ Move with confidence
✔ Improve alignment
✔ Reduce pain
✔ Support spinal longevity
Scoliosis Treatment at Every Stage of Life
Scoliosis does not disappear after adolescence — but neither does the opportunity to improve how your spine functions.
Whether you are:
A parent concerned about your child’s posture
A teenager recently diagnosed
A young adult wanting better alignment
An adult managing degenerative scoliosis
There are meaningful, evidence-informed steps you can take.
At Realign Physio & Co, we provide scoliosis treatment across the lifespan using specific exercises based on the GPR method — helping you build strength, balance, and confidence at every stage of life.
Key References
Romano, M., & Minozzi, S. (2012). Exercises for adolescent idiopathic scoliosis. Cochrane Database of Systematic Reviews.
Dupuis, S., et al. (2018). Global postural re-education in pediatric idiopathic scoliosis. BMC Musculoskeletal Disorders.
Martin, M. (2024). Global postural re-education in adolescents with idiopathic scoliosis. Université de Montréal.
Lomas-Vega, R., et al. (2017). Effectiveness of global postural re-education for spinal disorders. American Journal of Physical Medicine & Rehabilitation.
Gonzalez-Medina, G., et al. (2021). Effectiveness of GPR in chronic non-specific low back pain. Journal of Clinical Medicine.
Pillastrini, P., et al. (2016). GPR in chronic neck pain. Physical Therapy.
Everett, C. R., & Patel, R. K. (2007). Nonsurgical treatment in adult scoliosis. Spine.
Schoutens, C., et al. (2020). Nonsurgical treatments for adult degenerative scoliosis. Pain Medicine.
Teodori, R. M., et al. (2011). Global Postural Re-education: Literature review. Brazilian Journal of Physical Therapy.
Your spine is stronger than you’ve been told
If you’ve been living with neck or back pain, it’s easy to start believing that something is damaged, fragile, or permanently wrong.
But pain does not always equal damage.
In most cases, the spine is a strong, adaptable structure designed to move, load, and recover. With the right support and guidance, it can become resilient again — even after long‑standing or recurrent pain.
Modern pain science shows that spinal pain is often multifactorial. This means it’s influenced by a combination of factors, including:
- Movement habits and postural load
- Strength, control, and endurance of spinal muscles
- Previous injuries or flare‑ups
- Stress, fatigue, and nervous system sensitivity
- Fear of movement or activity avoidance
Imaging such as X‑rays or scans can show structure, but they don’t explain how your spine functions — or why pain persists. That’s why effective spinal care looks beyond scans and focuses on how you move, load, and feel day to day.
At Realign Physio & Co, we specialise in spinal physiotherapy for complex and persistent spinal conditions. Our care is evidence‑based, education‑led, and centred on restoring confidence in movement.
We prioritise:
- Clear explanations so you understand what’s happening in your body
- Safe, progressive movement tailored to your capacity
- Long‑term spinal strength and resilience, not fear or avoidance
Our goal isn’t just short‑term pain relief — it’s helping you build a spine that can tolerate life, work, exercise, and the activities you enjoy.
For some patients, we also integrate Global Postural Re‑education (GPR®) — a specialised French physiotherapy method particularly useful for complex or long‑standing spinal presentations.
GPR® combines:
- Sustained therapeutic postures
- Gentle manual therapy and axial spinal traction
- Whole‑body postural correction
This approach allows us to address posture, pain, strength, spinal stability, and postural endurance together, rather than in isolation. It can be especially helpful when pain is recurrent, widespread, or influenced by long‑term postural patterns.
Spinal physiotherapy at Realign may be suitable if you’re experiencing:
- Neck or back pain
- Disc injuries or sciatica
- Whiplash or post‑accident pain
- Scoliosis (teens or adults)
- Pain that keeps returning despite previous treatment
Every spine — and every person — is different. Your care is always individualised to your presentation, goals, and tolerance.
Your spine isn’t fragile.
It isn’t failing you.
It may simply need the right support, education, and progressive movement to work well again.
Promoting Mobility and Wellness with Parkinson's PhysiotherapyPosture Myths: Why “Engage Your Glutes” or “Pull Your Shoulders Back” Isn’t the Answer
Posture is one of the most common things clients ask us about — and one of the most misunderstood.
We hear it all the time:
“I’m trying to walk by squeezing my glutes so they get stronger.”
“I’m trying to stand tall by forcing my shoulders back.”
“I stick my chest out so I don’t look slouched.”
These intentions come from a good place — wanting to move better and feel better.
But here’s the truth:
Good posture isn’t about holding one specific position.
And forcing your body into a shape doesn’t make it stronger.
In fact, these habits often create more tension, more pain, and more frustration.
Let’s break down why.
Posture isn’t a single pose you need to “hold” all day.
Your body is designed to move. Healthy posture is:
✔️ adaptable
✔️ efficient
✔️ comfortable
✔️ supported by strength and mobility
When you constantly brace or force a position — like squeezing your glutes while walking or yanking your shoulders back — your muscles get tired, stiff, and overworked.
This often leads to:
tight lower back
neck and shoulder tension
pinching at the front of the hips
reduced movement efficiency
feeling tired from “holding yourself up” all day
Your posture shouldn’t feel like hard work.
Glutes get stronger through progressive, intentional strengthening exercises, not through squeezing them while walking.
Walking with constant contraction:
reduces natural hip movement
tightens the lower back
can change your gait in unhelpful ways
makes the glutes less efficient over time
Your glutes should activate when you walk — but naturally, not forcefully.
Many people interpret this as:
➡️ chest out
➡️ ribs flared
➡️ lower back arched
➡️ shoulder blades pinched together
This position often looks upright, but it isn’t functional.
It compresses the spine, stiffens your movement, and can lead to shoulder stiffness or lower back pain.
A better cue?
Think “softly open through the chest and lengthen from your spine”, not “jam your shoulder back”.
Pushing the hips forward — even slightly — causes the lower back to overarch, tightening the lumbar muscles and shifting your weight unnaturally onto the front of your feet.
This can lead to:
lower back fatigue
hip flexor tension
poor balance mechanics
Again, it’s effortful, not efficient.
Good posture is dynamic. It changes as you move through your day.
It comes from a combination of:
Strong muscles support the body without strain — especially through the glutes, core, mid-back and deep stabilisers.
Muscles and joints need the freedom to move through their full range.
Understanding how your body feels, responds, and functions.
Your best posture is your next posture — meaning the more you move, the better you feel.
There’s no single position, cue, or trick that fixes posture instantly.
Instead, it’s about building a body that:
moves freely
shares load evenly
maintains strength where it matters
doesn’t rely on “holding” or “bracing” to stand upright
This is something we work on every day with clients through physio, Pilates, and strength training.
If You Want Better Posture, Start with Support
If you’re trying to improve your posture but feel stuck, stiff, or unsure, we’re here to help.
At Realign Physio & Co, we look at:
✔️ how you move
✔️ how your muscles are working
✔️ your habits at home and work
✔️ the balance between strength and mobility
From there, we build a personalised plan that actually works — without forcing awkward positions or squeezing muscles all day.
7 Ways Physiotherapy Can Help You Move Better and Feel Stronger
Realign Physio & Co – Gold Coast Physiotherapy
Physiotherapy is more than injury treatment — it’s one of the most effective ways to improve movement, reduce pain, and stay active for life. At Realign Physio & Co on the Gold Coast, our physiotherapists help people of all ages move with confidence, from athletes and weekend warriors to busy parents and older adults.
Below are seven powerful ways physiotherapy can support your health, strength, and long-term wellbeing.
1. Physiotherapy for Pain Relief and Faster Recovery
Searching for pain relief or a physio near me? Physiotherapy is one of the safest and most evidence-based ways to manage pain.
Whether you’re dealing with back pain, neck stiffness, shoulder issues, or joint discomfort, our physiotherapists use:
Hands-on manual therapy
Targeted rehabilitation exercises
Education on posture, load, and daily habits
This approach not only helps you recover faster but also reduces the chance of the same problem returning.
2. Improving Mobility, Flexibility & Joint Function
Stiffness or reduced range of motion can make daily tasks difficult. Physiotherapy helps restore movement through:
Stretching and mobility work
Joint and soft-tissue techniques
Movement retraining and posture correction
Improving mobility can make everyday activities easier and reduce the strain on other parts of your body — a key factor in long-term injury prevention.
3. Strengthening Weak Areas & Preventing Injuries
Strength is the foundation of healthy movement. A targeted physio program can help you:
Build joint stability
Correct muscle imbalances
Improve lifting, running, and daily movement mechanics
Reduce future injury risk
At Realign, we design personalised exercise programs that fit your goals — whether you’re returning to training, managing work demands, or building strength in your 40s and beyond.
4. Physiotherapy After Surgery (Post-Operative Rehab)
If you’ve had surgery, the right rehab plan matters. Our post-operative physiotherapy programs help you safely regain:
Strength
Flexibility
Coordination
Confidence in movement
From joint replacements to ACL repairs and tendon surgeries, we guide you through each stage with a structured, safe progression.
5. Sports Physiotherapy & Performance Enhancement
Athletes and active individuals benefit enormously from physiotherapy — not just for injury recovery, but for performance optimisation.
Our sports physiotherapy sessions include:
Biomechanical and movement assessments
Strength and conditioning programming
Sport-specific technique improvements
Injury prevention strategies
Whether you’re competing or just staying fit, physiotherapy helps you move efficiently and perform at your best.
6. Managing Chronic Pain & Long-Term Conditions
Conditions such as osteoarthritis, chronic lower-back pain, osteoporosis, or long-standing tendon issues respond extremely well to physio.
Physiotherapy can help by:
Reducing pain and stiffness
Improving functional capacity
Strengthening supporting muscles
Supporting independence and daily mobility
Many clients report improved quality of life within weeks of consistent treatment.
7. Supporting Whole-Body Health & Lifelong Wellbeing
Even without an injury, physiotherapy keeps your body functioning well. Regular physio check-ins help you:
Address small niggles before they worsen
Improve posture and movement habits
Build strength and stability
Reduce stress and tension
Stay active and prevent future problems
Think of physiotherapy as maintenance for your body — helping you stay strong, capable, and resilient as life changes.
Why Choose Realign Physio & Co?
Gold Coast Physiotherapists You Can Trust
At Realign Physio & Co, we take a personalised, hands-on approach to care. Every treatment plan is tailored to your body, your goals, and your lifestyle. Our team supports you through every stage — from assessment and treatment to long-term strength and wellbeing.
Ready to Move Better and Feel Stronger?
If you’re looking for physiotherapy on the Gold Coast, Realign Physio & Co is here to help.
Book your consultation today and start your journey toward better movement and better health.
Blog Post: Breath, Stress & Movement: How Physio Can Help the Nervous System Reset
By Dr. Antti Rintanen, MD, author of The Internet Doctor
When most people think of physiotherapy, they picture exercises for strength or hands-on treatment for injuries. But what often gets overlooked is how deeply our nervous system influences recovery, mobility, and overall well-being. Stress, posture, and breath all tie into how the body moves—and how it heals.
Physiotherapists are uniquely positioned to guide patients not only through physical rehabilitation but also through simple tools that help the nervous system reset. This reset is what allows muscles to relax, pain to ease, and movement to feel natural again.
The Stress–Body Connection
Stress is not just “in the mind.” When we experience stress—whether it’s rushing to meet deadlines, recovering from injury, or coping with life events—the sympathetic nervous system (the body’s “fight or flight” mode) becomes dominant.
Signs of this include:
Elevated heart rate
Shallow, rapid breathing
Increased muscle tension
Difficulty focusing or sleeping
In short bursts, this stress response helps us perform. But when it remains switched on for too long, the body struggles to heal. Muscles stay tight, breathing remains inefficient, and mobility becomes restricted.
This is why physiotherapy often integrates more than exercise. Resetting the nervous system is a crucial part of helping the body adapt and recover.
Breath as a Reset Tool
One of the simplest ways to influence the nervous system is through breath. Shallow chest breathing tells the body to stay in “alert mode,” while slow, diaphragmatic breathing signals safety, shifting the body back toward balance through the parasympathetic nervous system (rest and recovery).
A common technique is box breathing:
Inhale through the nose for 4 seconds
Hold for 4 seconds
Exhale through the nose for 4 seconds
Hold again for 4 seconds
Repeating this for just 1–2 minutes can reduce heart rate, ease muscle tension, and help patients feel calmer—ideal before or after a physiotherapy session.
Balban et al. (2023) directly supports lower physiological arousal and improved mood with brief breath practices.¹ For patients in rehab, this calm state supports better exercise performance and more efficient recovery.
Movement and the Nervous System
Breathing is one part of the reset, but movement itself also communicates directly with the nervous system. When patients move gently—through stretching, mobility drills, or guided physiotherapy exercises—the body receives signals that movement is safe. This reassurance is particularly powerful for those managing pain, where fear of movement can sometimes worsen symptoms.
Gentle mobility drills, such as spinal rotations or hip openers, help reduce stiffness while sending calming signals to the nervous system. Postural resets—standing tall, rolling the shoulders back, and aligning the head—go a step further by supporting attentional control² and promoting more efficient breathing mechanics. Even light forms of active recovery, like walking or yoga-inspired flows, help lower sympathetic activity and support healthy circulation.
By alternating periods of effort with deliberate recovery, physiotherapists aren’t just training muscles and joints. They are also guiding the nervous system itself to become more adaptable, resilient, and ready to support long-term mobility.
How Stress Affects Recovery & Mobility
When the nervous system is stressed, recovery slows down. Clinical signs like fatigue, irritability, and poor sleep often coincide with autonomic imbalance, not just muscular fatigue.³
For patients in physiotherapy, this may look like:
Exercises feeling heavier than expected
Longer recovery times after sessions
More frequent flare-ups of pain
Trouble concentrating on movement cues
Helping the nervous system reset means that physical recovery can proceed more smoothly. It’s the missing link many patients don’t realize influences their mobility and resilience.
Practical Tools in a Physio Setting
Physiotherapists can integrate nervous system regulation into everyday care without adding extra complexity. Something as simple as two minutes of guided breathing at the beginning or end of a session can make a difference, priming the nervous system for exercise or helping it wind down once the work is complete.
Posture awareness is another powerful tool. By teaching patients to regularly check in with their alignment—rolling the shoulders back, lifting the chest, and allowing the head to sit naturally over the spine—physiotherapists can improve oxygen intake and reduce tension.² When this practice becomes part of daily work or study breaks, it helps prevent stress from accumulating unnoticed.
Movement, too, plays a key role. Encouraging short activity breaks every 30 to 60 minutes helps offset sedentary time and supports musculoskeletal and overall health.⁴ These breaks don’t need to be complex—standing, stretching, or walking for a few moments is often enough.
For those managing pain, relaxation strategies such as mindful breathing or guided imagery can restore balance to the nervous system. Research shows that techniques like these enhance parasympathetic reactivation after periods of high effort, which is essential for recovery.⁵ Beyond these hands-on practices, physiotherapists can also provide valuable education. Helping patients connect the dots between stress, posture, breath, and pain empowers them to self-manage outside the clinic and reinforces the work done during therapy sessions.
For Patients: How to Apply This at Home
Here are simple ways patients can carry physiotherapy principles into daily life:
Morning reset: Begin the day with 1–2 minutes of box breathing before rushing into tasks.
Desk posture check: Every hour, roll shoulders back and align the head over the spine.
Evening wind-down: Replace screens with gentle stretching and slow breathing before bed.
Micro-movement: Take a short walk or stretch break between long periods of sitting or study.
These small habits reinforce what is practiced in the clinic and create a feedback loop: the calmer the nervous system, the more effective physiotherapy becomes.
Why This Matters for Long-Term Health
Integrating breath, stress management, and movement into physiotherapy is more than just an extra benefit—it’s a core element of sustainable recovery. Patients who learn to regulate their nervous system often find it easier to stick with their exercise programs, since they feel calmer and more in control. At the same time, these practices support mental health by reducing tension and encouraging a greater sense of balance during rehabilitation.
There is also a protective effect: by improving body awareness and teaching patients how to notice early signs of stress or poor posture, physiotherapists can help reduce the risk of re-injury. Over time, this builds a form of resilience that extends well beyond the treatment room. For patients, the result is faster recovery, less frustration, and greater confidence in their own bodies. For physiotherapists, it means guiding people toward outcomes that last, not just quick fixes.
The Takeaway
Physiotherapy is not only about fixing joints and muscles—it’s about teaching the whole body to adapt and reset. Breath, stress, and movement are three powerful levers that influence the nervous system.
By weaving nervous system resets into care, physiotherapists help patients reduce pain, recover faster, and build resilience. And with small, practical habits, patients can carry these benefits into daily life, long after their sessions end. About the Author: Dr. Antti Rintanen is a medical doctor and author of The Internet Doctor. He writes about posture, nervous system recovery, and micro-habits that boost resilience and long-term performance.
References: Balban MY, Bosworth A, Figueroa C, et al. Brief structured respiration practices enhance mood and reduce physiological arousal. Cell Rep Med. 2023;4(2):100895. https://www.ncbi.nlm.nih.gov/
What is a Rotator Cuff Tear — and Do You Really Need Surgery?
The rotator cuff is a group of four muscles that connect your shoulder blade (scapula) to your upper arm bone (humerus). These muscles are:
Subscapularis – located on the front of the shoulder blade
Supraspinatus – sits on top of the shoulder blade
Infraspinatus – found on the back of the shoulder blade
Teres minor – also on the back of the shoulder blade
While each muscle helps with specific movements like lifting your arm, rotating it inwards or outwards, their most important role is dynamic stability—keeping the shoulder joint controlled and supported during all movements.
Common Causes of a Weak or Painful Shoulder
Shoulder pain generally falls into three broad categories:
Stiff Shoulder – for example, frozen shoulder (adhesive capsulitis)
Unstable Shoulder – usually following dislocations or subluxations
Weak & Painful Shoulder – including conditions such as:
Shoulder impingement
Subacromial pain syndrome
Rotator cuff tendinitis, tendinosis, or tendinopathy
Rotator cuff tears
Many people assume that imaging, injections, or surgery are required to treat these issues. In reality, exercise therapy is usually the first-line treatment. Shoulder pain often relates more to current tissue sensitivity from activity changes or overall health factors than to structural damage like a new tear or severe inflammation.
For instance, rotator cuff tears are surprisingly common in people without any symptoms, and their prevalence increases with age. Research shows that these tears don’t always affect function or cause pain:
Surgery is not always necessary. Evidence suggests that non-operative management is as effective as surgery for many rotator cuff tears, including both partial and full-thickness tears. In fact, nearly half of full-thickness tears can be asymptomatic.
Understanding Pain and Recovery
Rotator cuff tears are often thought to be like a rope that’s been cut, but a better analogy is a small hole in a piece of cloth—the cloth (aka the shoulder) can still function well despite the tear.
This means that experiencing some discomfort during rehab is normal and safe, as long as it’s manageable and progressively improves over time. Symptoms are usually linked to the shoulder being sensitive to certain positions or movements, not irreparable damage.
The goals of rehab are straightforward:
Temporarily modify activities that aggravate the shoulder
Improve overall health through lifestyle and exercise
Address deficits in strength, range of motion, and confidence with a manageable and progressive exercise program
With the right approach, most people can safely return to their normal activities, improve function, and reduce pain—all without immediately resorting to surgery.
If you have been told you have a rotator cuff tear and would like to know what you can do to help, book in for an appointment at Realign Physio & Co. Our team can guide you through tailored exercises, pain management strategies, and support your recovery.
How Exercise Physiology Helps with Managing Chronic Conditions
Living with a chronic condition can impact far more than just your physical health. Whether you’re managing ongoing back pain, arthritis, or recovering from injury, it can affect your confidence, mobility, performance and overall quality of life.
Exercise Physiology offers a safe, personalised way to improve movement, reduce symptoms, and support long-term function — even when other treatments haven’t been enough on their own.
What Is Exercise Physiology?
Exercise Physiologists are university-qualified allied health professionals who specialise in clinical movement therapy. Their role is to prescribe exercise based on a person’s medical history, functional capacity, and long-term goals.
Exercise Physiology isn’t about fitness for the sake of it. It’s about:
- Understanding how your body responds to movement
- Improving strength, stability, and mobility
- Reducing symptoms like pain, stiffness, or fatigue
- Helping you stay active and independent for longer
Musculoskeletal Focus: Building Strength Around Pain and Injury
At Realign Physio & Co, we most commonly support clients with chronic or complex musculoskeletal conditions. These include:
- Returning to Sport After Injury or Surgery: We support safe, progressive return to sport following injury or surgery. Our tailored programs rebuild strength, restore confidence, and reduce re-injury risk — helping you get back to what you love.
- Persistent back or neck pain
Improving spinal control, strength, and endurance can reduce discomfort and improve your ability to handle everyday tasks. - Arthritis and joint degeneration
Exercise helps preserve joint range of motion, reduce stiffness, and support the muscles that stabilise affected areas. - Tendon injuries (e.g. Achilles, gluteal, shoulder)
Progressive loading is a proven strategy for helping tendons heal and regain their strength and capacity. - Joint hypermobility and instability
Targeted movement can improve control, reduce strain on joints, and help prevent injury through better support and coordination.
Beyond the Muscles and Joints
While musculoskeletal conditions are common, Exercise Physiology also plays a key role in managing non-musculoskeletal chronic conditions, such as:
- Type 2 diabetes – Exercise improves insulin sensitivity and supports blood glucose management.
- Chronic fatigue or fibromyalgia – Gentle, structured movement helps reduce flare-ups and improve energy regulation.
- Mental health conditions – Regular movement is shown to improve mood, sleep, and stress levels, especially when tailored to the individual.
- Neurological conditions – For those with conditions like MS or Parkinson’s, exercise can help preserve motor control, strength, and mobility.
An Exercise Physiologist is trained to modify programs for complex health needs, ensuring movement is safe, manageable, and supportive of long-term wellbeing.
Why Not Just Go to the Gym?
The gym can be helpful for many people, but for those managing chronic pain, fatigue, or injury, it’s not always the right place to start. It’s common to feel unsure about what’s safe, which exercises to avoid, or how to pace yourself — and without guidance, this can lead to flare-ups, frustration, or giving up altogether.
An Exercise Physiologist takes the guesswork out.
They help you:
- Understand your limits — and how to work within them
- Build strength and function progressively
- Learn how to move without aggravating symptoms
- Regain trust in your body, at your own pace
Whether you’re just starting out or returning to movement after a long break, an AEP ensures your program is safe, individualised, and clinically appropriate.
The Goal: Movement That Works for You
Many people living with chronic conditions avoid exercise because they fear doing more harm than good — especially if previous attempts led to setbacks. But the right movement, introduced gradually and with support, can help you feel stronger, more capable, and more in control.
At Realign Physio & Co., we work closely with clients to create sustainable programs that fit your body and your lifestyle. Whether you’re recovering from injury, living with persistent pain, or managing a long-term condition, Exercise Physiology can help guide your next step forward.
Why Do Injuries Increase in Cold Weather?
As the cooler months settle in, we often see a spike in injuries—especially muscle strains, joint pain, and flare-ups of old issues. But why does this happen? And more importantly, how can you protect yourself through winter?
Stiff Joints and Tight Muscles
When temperatures drop, your muscles naturally tighten and lose some of their elasticity. Cold weather also causes blood vessels to constrict, reducing circulation. This can limit mobility and make your muscles and joints feel stiff or sluggish—creating a higher risk of strains, sprains, or tendon injuries, especially if you jump into exercise without warming up properly.
Old Injuries Can Resurface
Many people notice previous injuries or chronic conditions—like arthritis, lower back pain, or knee problems—flare up in winter. Cooler temperatures can affect joint fluid viscosity and muscle tension, making pre-existing problems more noticeable or even painful.
Common Winter Injuries
At Realign Physio & Co, we often see:
Hamstring and calf strains (especially in runners and gym-goers)
Lower back pain from poor lifting technique or sudden movements
Slips and falls, particularly on wet or icy surfaces
Neck and shoulder tightness from poor posture or hunching to stay warm
How to Stay Injury-Free This Winter
The good news? A few smart habits can make all the difference.
Warm up properly. Take at least 5–10 minutes to get the body moving before any exercise. Think dynamic stretches or light cardio to raise your core temperature.
Stay mobile. Even on rest days, light movement like walking, Pilates, or mobility exercises can help keep stiffness at bay.
Dress in layers. Keeping your muscles warm helps maintain flexibility and reduces injury risk—especially for early-morning sessions.
Listen to your body. If something feels “off,” don’t push through it. It’s easier to manage a niggle than a full-blown injury.
Book in for a check-up. Winter is a great time to work on strength, mobility, and recovery with your physio, exercise physiologist, or massage therapist.
Need Support This Winter?
Whether you’re managing an old injury or want to keep your body strong and pain-free through the colder months, our team is here to help. We offer physiotherapy, exercise-based rehab, massage, and tailored Pilates to support you all year round.
Spondy-What? Untangling Common Spine Conditions
Back pain can be confusing, especially when complicated terms are thrown around. Ever been told you’ve got spondylolysis, spondylolisthesis, spondylitis, or spondylosis—and had no idea which one meant what? You’re not alone. These tongue-twisters sound similar but each describes a different issue in the spine. Here’s a clear breakdown of what they mean, how they show up, and what might help.
Spondylolysis
Spondylolysis is a type of stress fracture that occurs in a small part of the vertebra near the back of the spine called the pars interarticularis. It most often affects teenagers or young adults involved in sports that include repeated spinal movements like bending backward or twisting—such as gymnastics, cricket, or diving.
While not always painful, some people notice an ache or discomfort in the lower back, especially during activity. Diagnosis involves a clinical assessment and may include imaging like an X-ray or MRI if needed.
If left unaddressed, spondylolysis can sometimes progress to spondylolisthesis, where one vertebra begins to shift forward over another—so early identification and management can be important.
Spondylolisthesis
Spondylolisthesis happens when one vertebra slips slightly forward compared to the one below it. In younger people, this often follows a stress fracture like spondylolysis. In older adults, it may develop gradually due to natural changes in the spine’s structure over time.
Some people feel no symptoms at all, while others experience lower back pain, tightness through the legs, or occasional tingling or heaviness. Clinical examination and imaging help determine how much movement has occurred and whether nerves are affected.
Spondylitis
Spondylitis refers to inflammation of the spine. The most well-known type is ankylosing spondylitis, which often begins in early adulthood and causes stiffness in the lower back or hips—especially after rest or in the early morning.
Diagnosis is based on your clinical history and may involve blood tests or MRI to look for signs of inflammation. While it’s a long-term condition, early diagnosis and regular movement can make a big difference in how it progresses and how you feel day to day.
Spondylosis
Spondylosis describes age-related changes in the spine, similar to the natural wear and tear that can occur in other joints. The discs between the vertebrae may lose some of their cushioning over time, and small bony changes or joint stiffness may develop.
It’s extremely common—about one in three people may have signs of spinal osteoarthritis on imaging without any symptoms at all. When symptoms do occur, they might include stiffness in the morning, aching after long periods of sitting or standing, or occasional nerve irritation.
Importantly, the severity of changes seen on imaging doesn’t always match how a person feels. Many people with significant changes remain active and mobile, and symptoms are often manageable with the right supports in place.
What Can Help?
If you’re dealing with one of these conditions—or simply wondering if your symptoms might be related—conservative management is often a good place to start.
Physiotherapy: Assess movement, strength, and posture to create a plan that fits your goals and lifestyle.
Exercise physiology: Build long-term strength and conditioning, either individually or in small group classes.
Massage therapy: Help relieve muscle tension contributing to discomfort.
: Improve spinal stability and mobility with programs tailored to your needs, which can be highly effective in managing back pain and enhancing function.
Have a look at or ask us about our individual and small group Pilates sessions to see if they might be right for you.
If you’re unsure where to begin, a physiotherapy assessment can help guide your next steps and connect you to the right supports.
Workplace Injuries and Physiotherapy
Workplace injuries can happen to anyone—whether you work at a desk, in a warehouse, or on a construction site. Fortunately, many of these injuries are preventable with the right knowledge and practices. And if an injury does occur, physiotherapy plays a key role in helping you recover and get back to work safely.
Common Work Injuries
Some of the most common workplace injuries include:
Sprains and strains from lifting or repetitive movement
Lower back pain from poor posture or heavy lifting
Neck and shoulder tension from prolonged desk work
Falls, slips, or trips
Joint injuries from overuse or awkward movement
How to Avoid Work Injuries
1. Safe Lifting Techniques
If your job involves lifting, remember these basics:
Bend your knees
Keep the load close to your body
Avoid twisting while lifting—turn your whole body instead
Ask for help with heavy or awkward loads
2. Safe Workplace Practices
Keep your work area clean and free of clutter
Use tools and equipment correctly and as instructed
Take regular breaks to reduce fatigue and overuse
Report any hazards immediately
3. Basic Ergonomic Tips
Even desk jobs come with risks. To support your body throughout the day:
Adjust your chair so your feet are flat on the floor
Keep your screen at eye level
Use a headset for phone calls if you’re on the phone often
Take short breaks to stand, stretch, and reset your posture
What to Do If You Have a Work Injury
If you’ve been injured at work, it’s important to:
Report the injury to your employer as soon as possible.
Seek medical advice—early assessment is key to recovery.
Make a WorkCover claim if you’re eligible, so you can access appropriate treatment and support.
How Physiotherapy Can Help
Physiotherapists are trained to assess and treat a wide range of work-related injuries. At Realign Physio & Co, we focus on:
Reducing pain and inflammation
Restoring strength, flexibility, and movement
Providing return-to-work programs tailored to your job role
Preventing re-injury with education and exercise-based rehab
We work closely with GPs, insurers, and case managers to support your recovery, ensuring you’re not just returning to work—but returning safely and confidently.
Physiotherapy for Parkinson’s Disease: Enhancing Mobility and Quality of Life
April is Parkinson’s Awareness Month, with World Parkinson’s Day on April 11th—a time to raise awareness and highlight the importance of early intervention and effective management strategies. Parkinson’s disease is a progressive neurological condition that affects movement, balance, and coordination. While there is no cure, physiotherapy plays a crucial role in managing symptoms and improving the overall quality of life for individuals with Parkinson’s.
How Does Physiotherapy Help?
Physiotherapy is essential in maintaining mobility, preventing falls, and enhancing daily function.
It focuses on:
- Improving Balance and Coordination – Parkinson’s can cause postural instability, making individuals more prone to falls. Physiotherapists use exercises that enhance balance and spatial awareness.
- Increasing Mobility and Flexibility – Stiffness and rigidity are common symptoms. Stretching and mobility exercises help maintain movement and reduce discomfort.
- Strength and Endurance – Muscle weakness can develop over time. Strength training and aerobic exercises boost endurance and overall physical function.
- Gait Re-training – Parkinson’s affects walking patterns, often leading to shuffling steps. Physiotherapy incorporates techniques to encourage longer strides and better posture.
- Cueing Strategies and Functional Training – Physiotherapists use external cues (like rhythmic auditory stimulation or visual markers) to help patients with movement initiation and coordination.
Common Physiotherapy Techniques for Parkinson’s
Several evidence-based approaches are effective for Parkinson’s patients:
PD Warrior – is an exercise-based rehabilitation program designed specifically for people with Parkinson’s disease. It focuses on neuroplasticity principles to slow disease progression and improve function.
Balance and Resistance Training – Incorporates stability exercises, core strengthening, and resistance workouts to enhance physical capabilities.
Functional Task Practice – Exercises that mimic daily activities, such as getting up from a chair or walking on different surfaces, to improve independence.
When to See a Physiotherapist?
It’s never too early to start physiotherapy. Early intervention can help slow the progression of movement difficulties and allow individuals to maintain independence for longer. If you or a loved one has Parkinson’s and is experiencing stiffness, balance issues, or difficulty walking, consulting a physiotherapist can provide tailored strategies to manage symptoms effectively.
Final Thoughts
Physiotherapy is a key component of Parkinson’s care, offering tools to improve mobility, strength, and confidence in movement. With the right exercises and support, individuals can stay active and maintain their quality of life.
At Realign Physio & Co, we offer personalised physiotherapy sessions to support your journey with Parkinson’s. We are also planning to introduce group classes focused on Parkinson’s and other neurological conditions. Ask our team for more information.
Pilates History and MarchMatness
The History of Pilates
Pilates is more than just an exercise method—it’s a practice with a rich history and a global following. Understanding its origins provides insight into its lasting impact on health and movement.
The Origins of Pilates
Joseph Pilates, the creator of the Pilates method, was born in Germany in 1883. As a child, he suffered from various health conditions, including asthma and rickets. Determined to strengthen his body, he studied a range of physical disciplines, including gymnastics, yoga, and martial arts.
During World War I, Pilates was interned in England, where he refined his training techniques, helping fellow internees improve their strength and mobility. This period was instrumental in the development of his Contrology method, which later became known as Pilates. After the war, he moved to the United States and, with his wife Clara, opened a studio in New York City in the 1920s. His method gained popularity among dancers, athletes, and those seeking rehabilitation from injuries.
The Development of the Pilates Method
Joseph Pilates’ approach to exercise was centered on the idea that physical and mental health are deeply interconnected. He believed in training the body through controlled and precise movements, emphasizing core strength, flexibility, and breathing.
Pilates developed a series of exercises that could be performed both on the mat and using specialised equipment, such as the Reformer and Cadillac. His method was particularly embraced by the dance community, as it helped improve alignment, strength, and injury prevention. Over time, Pilates expanded beyond dance and was adopted by athletes, rehabilitation professionals, and fitness enthusiasts worldwide.
The Evolution and Global Influence of Pilates
Following Joseph Pilates’ passing in 1967, his students, known as the “Pilates Elders,” continued to teach and expand upon his method. As the practice grew in popularity, different styles and variations emerged, ranging from classical Pilates, which stays true to the original teachings, to contemporary adaptations incorporating modern biomechanics and rehabilitation techniques.
Today, Pilates is practiced globally in studios, gyms, and rehabilitation centers. Its benefits are widely recognised for improving posture, core stability, flexibility, and overall well-being. Despite its evolution, the core principles of Pilates — control, concentration, precision, breath, flow, and centering — remain the foundation of its practice.
March MATness: A Celebration of Pilates History
One of the ways the Pilates community honors its history is through March MATness, an annual event that celebrates the original 34 mat exercises designed by Joseph Pilates. Started in 2013 by Pilates instructor Benjamin Degenhardt, March MATness encourages practitioners around the world to revisit and share these foundational exercises throughout the month of March.
Each day in March, participants focus on a different mat exercise, sharing insights, modifications, and experiences through social media and local Pilates communities. This movement not only spreads awareness of the method but also deepens appreciation for its origins and principles.
Experience Pilates at Realign Physio & Co
At Realign Physio & Co, we honor the legacy of Joseph Pilates by offering expert-led classes that help you build strength, flexibility, and coordination. Whether you’re a beginner looking to explore the fundamentals or an experienced seeking to refine your technique, our sessions cater to all levels.
Elbow and Triceps Tendinopathy: understanding and managing your pain
Elbow and triceps tendinopathy are common conditions affecting the tendons around the elbow, often seen in individuals who perform repetitive wrist, forearm, or pushing movements. Whether you’re an athlete, a manual labourer, or someone who spends long hours at a desk, these conditions can significantly impact your daily activities and performance.
What Are Elbow and Triceps Tendinopathy?
Elbow and triceps tendinopathy refer to pain and dysfunction in the tendons that attach to the elbow, typically classified as either:
• Lateral elbow tendinopathy (Tennis Elbow): Affecting the extensor tendons on the outer part of the elbow, commonly seen in racket sports, repetitive gripping, or heavy lifting.
• Medial elbow tendinopathy (Golfer’s Elbow): Involving the flexor tendons on the inner elbow, often caused by repetitive wrist flexion, throwing sports, or occupational activities.
• Triceps tendinopathy: Affecting the tendon at the back of the elbow, often caused by excessive pushing movements, weightlifting, or repetitive forceful elbow extension.
Contrary to past beliefs, these conditions are not driven by inflammation but by changes in the tendon structure due to excessive load. This is why traditional anti-inflammatory treatments like corticosteroid injections are not recommended as a long-term solution.
Recognising the Symptoms
• Localised pain on either the inside (medial), outside (lateral), or back (posterior) of the elbow.
• Increased discomfort with gripping, lifting, wrist movements, or pushing activities.
• Morning stiffness and tenderness around the elbow.
• Reduced grip strength, forearm fatigue, or difficulty with overhead or pressing movements.
• Pain that may temporarily ease during activity but worsen afterward.
Why Does It Happen?
Elbow and triceps tendinopathy are overuse injuries, meaning the tendons have been subjected to excessive or repetitive stress without adequate recovery. Some common contributing factors include:
• A sudden increase in workload (e.g., starting a new sport, lifting heavier weights, or increased manual labour).
• Poor grip technique, pushing mechanics, or improper equipment use.
• Weakness in surrounding muscles leading to increased tendon strain.
• Repetitive wrist, forearm, or elbow extension movements with inadequate recovery
Managing Elbow and Triceps Tendinopathy.
Recovery requires a combination of movement modification and progressive strengthening rather than complete rest. A physiotherapist can guide you in:
• Adjusting activities to reduce strain while maintaining function.
• Gradually strengthening the tendon through specific exercises suited to your condition.
• Addressing contributing factors such as movement patterns, grip strength, and ergonomic adjustments.
• Using symptom management strategies such as manual therapy to address muscle tension, while exercise remains the key to long-term recovery
Preventing Reinjury.
Once symptoms improve, it’s essential to gradually return to normal activities while continuing to build tendon resilience. A physiotherapist can help you implement strategies to prevent recurrence, such as:
• Ensuring a gradual return to sport, gym, or occupational tasks.
• Strengthening surrounding muscles to support the tendon.
• Improving technique and biomechanics to reduce excessive strain.
Seeking Professional Guidance
Elbow and triceps tendinopathy require a structured approach for long-term improvement. While self-management strategies can provide temporary relief, targeted rehabilitation is essential for full recovery. A physiotherapist can assess your condition, guide you through a progressive strengthening program, and help you modify activities to prevent reinjury.
For personalised advice and treatment, book an appointment with one of our physiotherapists today.
Setting Goals for Every Stage of Life
The start of a new year is the perfect opportunity to reflect and set goals. But as we journey through life, our goals naturally evolve, shaped by the priorities, challenges, and opportunities of each stage. Whether you’re in your 20s, 40s, or beyond, goal-setting can keep you focused, motivated, and aligned with your values.
In Your 20s: Exploring and Growing
Your 20s are a time for discovery and exploration. Goals at this stage might include building a career foundation, learning new skills, traveling, or establishing healthy habits. Be bold and open to change, as this is a time to experiment and figure out what truly matters to you.
In Your 30s: Laying Strong Foundations
As life becomes more settled, the 30s are often about establishing stability and working toward long-term goals. Whether it’s advancing in your career, starting a family, or focusing on financial security, this phase is about creating a solid base for the future. Health and fitness goals also take center stage, as investing in your well-being now pays off later.
In Your 40s: Refining and Rebalancing
By your 40s, you likely have a clearer sense of who you are and what you value. This is a time to refine your goals, focusing on meaningful achievements like nurturing relationships, pursuing hobbies, or giving back to your community. Maintaining physical and mental health is also crucial to ensure longevity and vitality.
In Your 50s and Beyond: Focusing on Fulfillment
Later in life, goals often shift toward personal fulfillment and leaving a legacy. Whether it’s spending quality time with loved ones, traveling, mentoring others, or staying active, this stage is about embracing what brings you the most joy and purpose.
Goal-Setting Tips for Every Stage
- Be Flexible: Life changes, and your goals should adapt along the way.
- Prioritise Health: Physical and mental well-being is a foundation for success at any age.
- Celebrate Progress: Recognise even the small wins to stay motivated.
- Stay True to Your Values: Align goals with what genuinely matters to you.
Final Thoughts
Setting goals isn’t just about checking items off a list; it’s about living intentionally and moving forward with purpose. No matter your stage of life, thoughtful goals can help you achieve balance, growth, and fulfillment.
At Realign Physio & Co, we’re here to support you every step of the way. Whether you’re starting a new fitness routine, managing health challenges, or simply looking to feel your best, our team is ready to help you make 2025 your best year yet!
Understanding ACL Injuries
An ACL (anterior cruciate ligament) tear is a serious injury that can lead to long-term knee impairments, especially if not treated correctly. A tear can occur due to sudden movements, such as twisting, pivoting, or a direct impact. The ACL is crucial for stabilising the knee joint, and its injury can often cause pain, swelling, and a loss of mobility.
Surgical vs Non-Surgical Treatment
For a complete ACL tear, treatment options typically fall into two categories: surgical reconstruction (ACLR) or non-surgical rehabilitation. ACL reconstruction is often considered the primary method for addressing a torn ACL, especially for those who participate in high-level sports or physical activities that demand knee stability. The surgery reconstructs the ligament to restore knee function.
However, recent studies have highlighted that some individuals, particularly in certain subgroups, can recover from an ACL tear without surgery and still return to elite-level sports. These individuals typically show strong knee mobility, no swelling, and good quadriceps strength. Whether or not you opt for surgery, full knee mobility and quadriceps strength are essential for recovery.
The Role of Physiotherapy in ACL Recovery
Physiotherapy is key in both surgical and non-surgical ACL recovery. For both pathways, it focuses on improving knee mobility, reducing pain, and strengthening muscles surrounding the knee—such as the quadriceps, hamstrings, and calf muscles. A well-structured physiotherapy program often begins with light non-weightbearing exercises and gradually progresses to more intense agility drills and sprints.
A well-conditioned knee before surgery can improve outcomes after surgery and facilitate a quicker return to sport. In fact, a good pre-op physiotherapy plan can set the foundation for better long-term results.
Preventing ACL Injuries
Preventing ACL injuries is crucial for athletes, especially those who participate in sports that involve sudden changes in direction, jumping, and landing. Several strategies can help reduce the risk of ACL injury:
Strengthening key muscle groups: Strong quadriceps, hamstrings, and calf muscles can help stabilise the knee and reduce strain on the ACL.
Improving balance and proprioception: Balance exercises and proprioceptive training help improve the body’s awareness of its position in space, reducing the risk of awkward landings or movements that could lead to injury.
Proper warm-up and flexibility exercises: Warming up before activity can prepare muscles and ligaments for intense movement.
Technique modification: Coaches and trainers can help athletes develop proper landing techniques, such as landing with a bent knee and avoiding locking the knee when jumping or pivoting.
Use of appropriate footwear: Wearing the correct shoes for the specific sport can help with traction and alignment, decreasing the chance of knee injuries.
Post-Surgery Recovery and Return to Sport
Recovery from ACL surgery is typically long and challenging. Most individuals can expect a recovery time of 9-14 months before they can safely return to sport. The timeline can vary based on the intensity of the rehab and the patient’s commitment to following through with physiotherapy. After 9 months post-surgery, for each additional month before returning to sport, the risk of reinjury reduces by about 30%.
It’s important to remember that the road to full recovery will require hard work and perseverance, but the results are well worth it. A structured and progressive rehab program is essential, and with the right support, you’ll be able to safely return to the activities you love.
At Realign Physio & Co, we’re committed to guiding you through every step of your ACL recovery journey. Whether you choose surgery or not, we’re here to support your progress and ensure that you earn your way back to full health.
The Importance of Regular Exercise for Strength and Falls Prevention in the older adults.
Regular exercise is crucial for individuals of all ages, but it becomes even more essential as we grow older. Exercise plays a significant role in maintaining strength, balance, and overall well-being. In this blog post, we will explore the importance of regular exercise for strength and falls prevention.
Maintaining Muscle Strength:
As we age, we naturally lose muscle mass and strength, leading to decreased mobility and increased risk of falls. Regular exercise, particularly strength training, can help counteract this decline by building and maintaining muscle mass. Strength exercises such as lifting weights, resistance training, or using resistance bands can significantly improve muscle strength and overall functional abilities in older adults.
Improving Balance and Stability:
Loss of balance is a common concern among the older adults, often leading to falls and injuries. Regular exercise that includes balance training can improve stability and reduce the risk of falling. Specific balance exercises can enhance muscle control and coordination, preventing falls and injuries.
Bone Health:
Osteoporosis, a condition characterised by reduced bone density and increased susceptibility to fractures, is a significant concern for many older adults. Weight-bearing exercises can help maintain bone density and reduce the risk of fractures. It’s crucial to incorporate weight-bearing exercises into an exercise routine to support bone health.
Conclusion:
Regular exercise is a powerful tool for maintaining strength, balance, and overall well-being in older adults. By incorporating a variety of exercises into their routine, older adults can reduce the risk of falls, improve muscle strength, enhance bone health. It’s important for seniors to consult with healthcare professionals before starting any exercise program and tailor their routine to their individual needs and capabilities. Remember, it’s never too late to start gaining the numerous benefits of regular exercise!
Pregnancy Pilates
Pregnancy is a remarkable journey filled with anticipation, joy, and significant physical changes. As your body adapts to support new life, maintaining your health and well-being becomes essential.
Did you know that Australian health guidelines suggest pregnant women should engage in 2.5 to 5 hours of exercise per week, including cardio, muscle strengthening, and pelvic floor exercises every day? Are you moving your body enough for a healthy pregnancy?
Pilates (studio) offers numerous scientifically-backed benefits and it is a gentle, yet effective method in a safe environment with instructors guiding every step. Pilates exercises can be modified to suit the changing needs and abilities of pregnant women, making it a versatile and adaptable form of exercise tailored to specific trimesters.
Benefits of Pilates for Pregnant Women:
- Increase core strength and stability:
Pilates emphasizes on core strength, which supports the spine, improves posture, alleviates lower back pain, and can also aid in labor and delivery. Strong core muscles also help decrease the progression of abdominal diastasis and can help at the moment of delivery.
Improve pelvic floor function:
Pilates includes exercises targeting the pelvic floor muscles, supporting the bladder, uterus, and bowels. Strengthening these muscles can reduce the risk of urinary incontinence during and after pregnancy.
Improve mobility and balance:
Pregnancy hormones loosen ligaments, increasing susceptibility to injury. Pilates exercises promote flexibility whilst improving stability, thus reducing the risk of strains or injuries and managing changes in posture from the growing abdomen.
Better mental health and breath control:
Engaging in Pilates can have positive effects on psychological well-being by reducing stress, anxiety, and improving mood. It incorporates breathing techniques beneficial during pregnancy and labor, helps managing stress and maintaining oxygen flow to both mother and baby.
While Pilates offers significant benefits, there are important considerations before starting. Particularly if you were sedentary before pregnancy, begin slowly and gradually increase your activity. Consider any risk factors; individual responses to exercise can vary. Consult your healthcare provider before starting any new exercise program, including Pilates. Avoid exercise if you have certain heart or lung diseases, cervical cerclage, placenta previa after 26 weeks, preeclampsia, or severe anemia.
After medical approval for exercise, find a trustworthy instructor and discuss your exercise history, injuries, and any concerns to ensure comfort and safety.
Tips for each Trimester:
First Trimester – Low energy, fatigue, nauseous. Don’t push your limits!
That’s time to educate your movements and breathing techniques, pelvic floor awareness and maintaining your existing fitness levels.
Second Trimester– Most energetic and not many limitations yet.
Your body is changing, but you can still keep your body in movement easily, so it’s time to get stronger! Be aware of balance and alignment as well.
Third Trimester– Tiredness, anxiety and weight gain.
Keep following the current exercise program, but respecting the limitations from the growing belly, tiredness and reduced mobility. Communicate with your instructor about discomforts like back or hip pain.
Postpartum– Follow your health care provider’s advice.
Typically, you can resume exercises around 6 weeks after delivery, but your body takes between 6 months to 1 year to get back to normal.
In conclusion, while Pilates can be safe and effective during pregnancy, it’s crucial to approach it cautiously, seek guidance from a qualified instructor, and ensure it meets your specific health needs and pregnancy status.
Plantar Fasciitis
What is Plantar Fasciitis?
The plantar fascia is a thick, fibrous band of tissue located on the bottom of your foot. It extends from the heel to the base of the toes. This tissue plays a crucial role in stabilising and supporting your foot as you move through daily activities. However, when the plantar fascia becomes overloaded and strained, it can become inflamed and injured, leading to pain and discomfort. This condition is known as plantar fasciitis.
Causes
The primary cause of plantar fasciitis is a change in how you load your foot. Several factors can increase your risk of developing this condition, including:
Overuse and over-training
- Inadequate or worn-out footwear
- Poor strength, mobility, and flexibility in the lower limbs
- Muscle imbalances and dysfunction
- Weight gain and a sedentary lifestyle
- Rigid feet with poor mobility and flexibility, which are inadequate to absorb shock
- Leg length differences
- Abnormal walking and running patterns that place extra stress on the heel bone and ligaments
- Careers and hobbies that involve prolonged periods of standing
- Age; as you get older, your tissues become less elastic
When high loads are repeatedly placed on the heel bone and surrounding soft tissues, they can become fatigued and lose their ability to absorb shock effectively, leading to plantar fasciitis.
Symptoms
Plantar fasciitis typically begins with mild pain at the heel bone, often described as a stone bruise. This pain is usually felt after (not during) exercise. It is most pronounced right after getting up in the morning or after a period of sitting. Without treatment, plantar fasciitis can become a chronic condition, potentially leading to reduced activity levels and further issues with the foot, knee, hip, and back, as the condition can alter your walking pattern.
Treatment
Managing plantar fasciitis involves a combination of exercises, physiotherapy, and massage to alleviate pain and promote healing. Here are some effective treatment methods:
- Stretching Exercises: Regular stretching of the calf muscles and the plantar fascia can help reduce tension and promote flexibility. Try stretching exercises such as calf stretches, towel stretches, and toe stretches.
- Strengthening Exercises: Strengthening the muscles of the foot and lower leg can improve stability and reduce strain on the plantar fascia. Exercises like toe curls, picking up marbles with your toes, and resistance band exercises are beneficial.
- Physiotherapy: A physiotherapist can design a personalised exercise program, taping, and manual therapy to reduce pain and inflammation.
- Massage: Regular massage can help increase blood flow to the affected area, reduce muscle tension, and alleviate pain. Techniques such as deep tissue massage and trigger point therapy are particularly effective.
- Footwear: Wearing supportive shoes with good arch support and cushioning can help alleviate symptoms. In some cases, orthotic inserts may also provide additional support and reduce strain on the plantar fascia.
- Rest and Ice: Resting the affected foot and applying ice can help reduce inflammation and pain. It’s important to avoid activities that exacerbate the condition.
By understanding the causes, recognising the symptoms, and following a comprehensive treatment plan, you can effectively manage plantar fasciitis and maintain your active lifestyle.
Strength x Tension
Tight Muscles Might Actually Be Weak Muscles
There is a common belief that when a muscle is tight, that it needs to be stretched and strengthening that muscle may aggravate the issue. Let’s explore why this isn’t the case and what should be done instead.
What Really Causes Muscle Tightness?
People often think tight muscles mean the muscle is too strong and just needs stretching to loosen up. But sometimes, tightness means the muscle is weak and is trying hard to protect itself and nearby parts—like joints and ligaments—from getting hurt. This protective tightening can happen when there’s a risk of injury, or when an injury has already happened, and the muscle is trying to guard against further harm.
The False Belief: More Stretching, Less Strengthening
There is currently an existing belief that “tight muscle = needs to stretch”, which often leads to neglect in strengthening. While stretching does play a role in maintaining flexibility, it does not address the underlying weakness. Strengthening, on the other hand, teaches the muscle to function correctly through its full range of motion and to tolerate load effectively, which can reduce unnecessary tightness.
Why Strengthening Should Not Be Overlooked
Strengthening weak muscles can:
• Improve Muscle Balance: It takes the burden off overly tight muscles, helping them relax naturally.
• Enhance Flexibility and Range of Motion: Strong muscles can handle greater stretches and activity, improving overall functionality.
• Prevent Injury: Strong muscles support joints and protect the body, reducing the risk of strains, sprains, and other injuries.
Exercises to Consider
Here are a few exercises designed to strengthen muscles through their full range of motion. Remember, the goal is controlled movement, focusing on both strength and flexibility:
• Romanian Deadlifts: Excellent for strengthening the entire posterior chain, including hamstrings and lower back.
• Squats: Full-depth squats promote strength and mobility in the hips, knees, and ankles.
• Lunges: These target multiple muscle groups in the legs and improve hip flexibility.
• Dumbbell Shoulder Press: Enhances shoulder stability and range by strengthening through the full movement.
• Push Ups: Great for building upper body strength and core stability while engaging multiple muscle groups.
Always Consult a Physiotherapist or Exercise Physiologist:
Before starting any exercise program, especially if you have pain, past injuries, or specific health conditions, it’s important to speak with a physiotherapist or exercise physiologist. They’ll assess your needs and ensure your exercise plan is safe and tailored to your individual requirements, including disease management if needed. This step helps prevent injuries and maximizes the benefits of exercise for your overall health.
Conclusion
Tight muscles often need more than just stretching; they need to be strengthened as well so that the muscle will get stronger through a larger range of motion. Understanding and addressing muscle weakness can lead to better flexibility, fewer injuries, and improved overall health. Take the first step towards improving your muscle health today by consulting with one of our physiotherapists or exercise physiologist to develop an exercise plan design for your needs.
Football (“soccer”) injuries
Soccer is a contact sport with loads of sprinting and cutting, jumping and explosive movements such as kicking a ball. Each of these can lead to a different type of injury, from an ankle or knee sprain to a muscle injury or a ligament injury. Aside the goal keepers injuries (hand and wrist), the lower limb is the most affected body part. Hamstring and calf strains are the most common type of muscle injury. Groin pains are usually due to an imbalance between inner thigh muscles strength (adductor) and hip mobility and strength, but it can also be a referred pain from a hip injury (i.e. labral tears or cam injuries). The knee is the most common site of pain, coming from the patellar femoral joint (PFP, i.e chondromalacia), patellar tendon, collateral ligaments, or from internal structures in the knee, such as the meniscus or the ligaments ACL/PCL. Ankle injuries are usually from sprains. Treatment will vary on the site location and severity. When acute injuries such as a cork (contusion in the muscle) or a sprain, physiotherapy would focus primarily in reducing pain and inflammation and restoring movement; when pain is not due to an acute injury, like muscle cramps, or knee pain or patellar or achilles tendinopathy, treatment should focus not only on manual therapy techniques but mainly on exercises to build capacity and reduce recurrences. Regardless of the type of injury, we can help. Understanding the biomechanics of the sport and the most common injuries, a preventive exercise program can be implemented to help reduce the risk of injuries, along with understanding your body’s current capacity and how to build it up.
Perfect posture is a myth, but good posture still matters!
While perfect posture is a myth, it is still important to address it. It has been a lot of debate around posture lately. Some believe it’s not important at all, others defend it is.
Only GPR does it for you!
Global Postural Re-education – GPR has helped thousands of people with back pain, neck pain and many other musculoskeletal pathologies.
Scoliosis in Children – Watch out for your kid
Scoliosis is a tri-dimensional deformity which can affect the spine at any stage in life. Idiopathic scoliosis occurs more frequently from ten years old, and its progression is closely related to children’s growth spurt.
Surf Smart: Common Injuries & How to Prevent Them
Surfing is an incredible way to stay fit, enjoy the outdoors and connect with the ocean — but like any sport, it can place unique demands on your body. At Realign Physio & Co, we’ve been seeing more surfers lately (no surprise with so many great breaks here on the Gold Coast!) experiencing similar aches, pains and injuries.
The good news? With the right preparation and care, most of these issues can be prevented or managed.
Most Common Surfing-Related Injuries🏄
1. Shoulder Pain
Paddling puts a lot of repetitive stress on the shoulders, especially the rotator cuff muscles. This can lead to overuse injuries like tendinopathy or impingement.
Prevention Tip: Strengthen your rotator cuff and upper back muscles, and make sure you warm up before you paddle out.
2. Lower Back Strain
Arching the spine while paddling can irritate the lower back or cause muscle strains. Surfers often describe stiffness or soreness after longer sessions.
Prevention Tip: Improve your core stability and flexibility through exercises like Pilates or targeted physiotherapy programs.
3. Neck Tightness
Keeping your head lifted for long periods can strain the neck muscles and joints.
Prevention Tip: Include regular neck mobility and stretching exercises in your routine. Short breaks to rest your neck between sets can also help.
4. Knee & Ankle Injuries
Rapid pop-ups, twists and landings in unstable positions can stress the knees and ankles, sometimes resulting in sprains or ligament strains.
Prevention Tip: Work on balance, proprioception and leg strength off the board — single-leg exercises and wobble board drills are great options.
How Physiotherapy Can Help
Physiotherapists understand the specific demands of surfing. Whether you’re recovering from an injury or trying to prevent one, a tailored program can:
Improve your paddling and pop-up mechanics
Strengthen key muscle groups
Enhance flexibility and balance
Reduce pain and speed up recovery
At Realign Physio & Co, we offer personalised rehab and conditioning plans for surfers of all levels — plus Pilates and exercise physiology sessions to build resilience and keep you in the water longer.
Takeaway Message
Surfing is tough on the body, but it doesn’t have to lead to pain. By investing a little time into injury prevention and proper recovery, you can enjoy more sessions and fewer setbacks — whether you’re catching waves on the Gold Coast or beyond.
Need help with a surf-related ache or injury? Book an appointment with our team today and get back to doing what you love.