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03 443 7271 | 25a Russell street,
Wanaka
| Remarkable Physios, The Landing, Unit 15
5 Hawthorne Drive
Frankton, Queenstown

Hip, back and pelvic pain

Are you waking with stiffness of the hips? Low back pain during or after sport? Sharp pelvis pain on impact? Hip, pelvis and back pain can be ongoing, irritating and debilitating issues that are often hard to resolve.

Our therapists take a holistic view of the condition by assessing the client from head to bare toes by looking at functional movements, range of motion, breathing technique,

neural tension and discussing topics such as stress, diet and past injuries.  As they say the wrist watch is connected to the pelvis isnt it? In our opinion it is!!!

Conditions we treat

There is no need to put up with niggly hip pain. The sooner you can get onto hip pain the more likely you will be to prevent long term complications. Hip pain can be a result of poor biomechanics, high impact sport with poor technique or injury through repetitive movements.

Our therapists can target the deeper structures of the hip that are interlinked with the pelvic floor to create a whole body picture and could be the missing link to that ongoing hip pain.

Low back pain is a term that is loosely thrown around and can be caused by a host of issues. Our therapists take a holistic view and treat the individual as a whole, assisting them to find the mental, physical and emotional reasons that low back pain is persisting.

The Pelvic floor works with the deep abdominal’s, the diaphragm and the lumbar spine and can often been a major link overlooked which is why we treat lumbar pain through different lenses.

Pelvic pain can be hugely debilitating. If the muscles are to tight they can cause slow flow of urination, frequency of urination, trouble getting and maintaining an erection due to lack of blood flow and pain of the penis, perinium, testicles, anus or sacrum.

Pelvic pain can also be caused by muscle imbalances around the pelvis or imbalances further up or down the chain.

Our pelvic health physios are here to help!

Services related to hip and back pain

Pelvic floor muscle strengthening

Getting these muscles optimised to their full potential is what we are best at! This is our jam! No flimpsy pamphlet and generic instruction given… we assess you fully, and get your started on how to get these wonderful muscles, power house strong, and able to respond to what you will throw at it. Your program will be individualised to EXACTLY what you need. We don’t want your pelvic floor muscles to be your weakest link! Sometimes that might involve pelvic floor muscles relaxation first, before we can work on the strength, power, co-ordination and endurance of these muscles. They have to be fast enough to catch those coughs and sneezes, and have enough endurance to last a full day on your feet! They have to have enough tone to support your pelvic organs, and be able to fully relax to wee, poo and have sex! They need to be able to respond to impact during a lift or a jump…. And if you follow our recommendations… …. the can certainly help sexual performance!

Postural assessment

One of the first things we do in our assessments is look at how your posture is faring. Why? How you sit, stand, walk, move, exercise, play…. it is all interconnected and your alignment underpins how your core machine works together as a team.

When the pelvis is tilted forward or back (think ‘butt tucking’ or ‘butt sticking out’ J-Lo style!) then the alignment with our spine, pelvis and rib-cage is compromised. This can throw everything out of whack, causing pain and constricting the breath.

All of this lengthening, weakening or tension of our abdominal muscles can affect the control of our pelvic floor, spine and pelvis.

Breathing assessment

It’s ALL about the breath. Restoring the breathing mechanics is always the first step.  Everything must move at the rhythm of the diaphragm.  So if this breathing muscle is not working as it should, the team mates have to compensate.  Without the right sort of breathing, other rehab on core or the pelvic floor muscles is null and void.

The pelvic floor and the diaphragm work in a piston like movement, moving up and down with your breath. On your inhale the rib-cage and stomach expands, the diaphragm lowers and the pelvic floor chillaxes. On your exhale the rib-cage and stomach softens, the diaphragm ascends and the pelvic floor elevates slightly.

Breathing right is the first step towards restoring our posture and our pelvic floor, getting the diaphragm and pelvic floor to work in synergy. Often, gentle hands on massage and myofascial release from our physiotherapists is the first step to get rid of any restrictions so our gentleman are ready for breathing well, functional movement and getting their strength back.

Manual therapy

What is manual therapy? This is where the therapist uses their magical healing hands to manipulate or manually handle joints, muscles or nerves in order to restore mobility and relax or activate muscles. The physiotherapist team at Pelvic Solutions are post graduate trained in specialist manipulative therapy and consistently find amazing results with their clients.

We combine manual therapy techniques with dry needling and self-release exercises, which can include using balls or foam rollers, to release tight areas of the body and help our clients find lightness and freedom in their movements.

Dry Needling and acupuncture

Dry needling

Dry needling technique involves the insertion of acupuncture needles into taut muscle bands with the aim being to gain muscle relaxation, stimulate healing, and restore the normal nerve function.  Tension through muscles can contribute to postural problems,  faulty movement patterns and pain and by restoring muscle function  we can improve these issues.  We use dry needling in combination with other treatment techniques like manual therapy, functional movement retraining, and exercise prescription for lasting treatment effect.

It is reasonably common to experience a temporary ache in the area that has been treated for a few hours after treatment along with a welcome improvement in mobility.

Acupuncture

We use acupuncture in combination with other therapeutic methods to encourage healing, reduce or resolve pain and restore balance and function to many areas of the body, including the internal systems (such as the bladder and gut). Acupuncture involves the insertion of very fine needles through the skin and tissues at specific points on the body. Acupuncture can be a hugely affective treatment modality for a wide range of pelvic health and other health conditions.

Pain education

The experience of pain is not necessarily mean there is injury or disease.  It is a brain output that causes pain and this is influenced by many things including stress, movement patterns, how you think and feel, and past experiences.  We aim to restore the ability of the nervous system to move and stretch as you move, with functional movement and rehabilitation. Movement combined with knowledge of other contributors to pain, can help liberate you from being in pain.

We use a biopsychosocial approach, with strong clinical reasoning strategies, to help address not only the physical aspects of the nervous system, but also educate about acute and chronic musculoskeletal, central and peripheral and neuropathic pain states.

 

Book an appointment

Take the first step and book your appointment 60 minute appointment, which is always 1:1, and involves a treatment tailored to you exact needs.

Would you prefer to chat over the phone?

Wondering if we can help? Give our trained staff a call!
We can answer your detailed questions, and if we're not a great fit for you, we can provide resources and recommendations for treatment options.

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