Laser Therapy – North Sydney

THOR Low Level Laser Therapy system

CLINICAL APPLICATIONS:

  • Acute or chronic tendinopathies
  • Sprains and strains
  • Neck and back pain
  • Osteoarthritis
  • Post-operative pain
  • Tissue healing

TREATMENT

Low Level Laser Therapy (LLLT) improves tissue repair, reduces pain and inflammation wherever the beam is applied. Treatments take only a few minutes and can be applied two or more times a week.

RESULTS

Significant reduction of inflammation equal to or better than NSAIDs within 2 hours, analgesic effects that last for 48 hours, healing time of chronic tendinopathies reduced by 70%.

HOW IT WORKS

When cells are stressed, nitric oxide (NO) inhibits oxygen consumption by mitochon- drial cytochrome c oxidase. This reduces production of ATP and causes oxidative stress leading to increased inflammation and reduced production of ATP. LLLT displaces NO from cytochrome c oxidase thereby reducing inflammation and restoring ATP production, helping tissues heal more quickly.

THOR

With over 3,000 customers using THOR lasers in 70 countries including Harvard Medical School, NASA researchers, US Navy, RAF, British Army, Royal Navy, NHS, BUPA, premier division football teams, British Lions Rugby , THOR can rightly claim to be the number one supplier in the world of LLLT technology and training.

 

LOW LEVEL LASER THERAPY (LLLT) OR NON-STEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDS)

An excellent alternative to NSAIDs. NSAIDs slow healing and often have side effects whereas LLLT actually improves healing, as well as reducing inflammation and pain.

LLLT IS SAFER AND MORE EFFECTIVE

Over 400 LLLT clinical trials ( RCTs) and over 4,000 laboratory studies have been published. It has proven more effective and safer than pharmaceutical anti-inflamma- tories across a range of musculoskeletal conditions. LLLT also improves healing and reduces muscle fatigue, muscle damage and DOMS. Read our blog for the latest news blog.thorlaser.com

“The use of low levels of visible or near infrared light for reducing pain, inflammation and edema, promoting healing of wounds, deeper tissues and nerves, and preventing cell death and tissue damage has been known for over forty years”
Prof. Michael Hamblin, Harvard-MIT Division of Health Sciences and Technology

“I use laser immediately on acute injuries, it is a very useful adjunct to have at major sporting games, treating acute and chronic injuries alongside manual therapy for pain relief and reduction of inflammation.”
Sarah Cooper BSc (Hons), physiotherapist to the British Olympic Athletic Team.

“I use laser where manipulation is contraindicated and where pain relief is required.”

Julian M. Winer Bsc(Ost) DO

Photobiomodulation Therapy [PBMT] Sydney

At Cartwright Physicaltherapy, our practitioners use the Thor PBMT Pro Laser – the most advanced “low level laser therapy” (LLLT) product available in the market today.Laser Therapy is a light therapy whereby laser or LED lights are passed over the affected area. Laser therapy works by restoring the proper functioning of soft tissue at the cellular level. It increases tissue repair, and reduces pain and inflammation. It is non-invasive, only needing skin contact to function. It targets the affected cells as they more readily absorb the rays transmitted by the laser. Once these photons are inside the affected cell it stimulates repair by creating a biological movement directed at the function of the mitochondria (powerhouse of the cell). While it has a long-term effect on the cells at a biological level, it has a short-term pain reducing function. The laser disturbs the pain-receptors in the area giving an analgesic effect. Laser therapy can be used on soft tissue, tendons, joints, and superficial wounds.

How many treatments are required?
– For acute injuries or recently painful areas – 1 to 5 treatments
– Chronic injuries – 5 to 20 treatments
– NOTE: the area being treated dictates the number of treatments because certain tissues respond more quickly than others. A larger area such as your back is likely to take longer than a smaller area, such as your forearm.

When should I seek treatment?
– With acute injuries and painful conditions, same day treatment is ideal otherwise as soon as possible to the date of injury or onset of pain.

How often should I be treated?
– For acute injuries and pain conditions, treatment administered on 3 consecutive days is ideal followed by 2-3 times per week.
– For chronic injuries, depending on severity, 2 to 3 times per week is sufficient.

How does LLLT benefit me?
– Initiates the body’s natural healing response to restore tissue at a faster rate
– No side effects
– Reduces inflammation quickly
– Provides an analgesic effect (pain relief) quickly, whilst concurrently working to reduce pain permanently.

Will I be able to feel anything during treatment?
– Most of the time, patients will not feel anything while undergoing treatment. If the patients experience anything, it will be a very light tingling or heat sensation. Patients have also reported feeling sleepy following treatment.

When can LLLT not be used?
– The use of LLLT is not recommended on areas where known cancer sites exist.
– It is also not recommended for pregnant women over the developing fetus.
– Patients should never look directly into laser, protective eyewear is supplied during treatment.

WARNING!! Laser therapy must be used with caution with patients who:
– Have had an organ transplant
– Have photosensitivity
– Have photosensitive epilepsy
– Possible mild adverse reaction for patients with tattoos or very dark skin

Low Level Laser Therapy [LLLT] Sydney

At Cartwright Physicaltherapy, our practitioners use the Thor PBMT Pro Laser – the most advanced “low level laser therapy” (LLLT) product available in the market today.Laser Therapy is a light therapy whereby laser or LED lights are passed over the affected area. Laser therapy works by restoring the proper functioning of soft tissue at the cellular level. It increases tissue repair, and reduces pain and inflammation. It is non-invasive, only needing skin contact to function. It targets the affected cells as they more readily absorb the rays transmitted by the laser. Once these photons are inside the affected cell it stimulates repair by creating a biological movement directed at the function of the mitochondria (powerhouse of the cell). While it has a long-term effect on the cells at a biological level, it has a short-term pain reducing function. The laser disturbs the pain-receptors in the area giving an analgesic effect. Laser therapy can be used on soft tissue, tendons, joints, and superficial wounds.

How many treatments are required?
– For acute injuries or recently painful areas – 1 to 5 treatments
– Chronic injuries – 5 to 20 treatments
– NOTE: the area being treated dictates the number of treatments because certain tissues respond more quickly than others. A larger area such as your back is likely to take longer than a smaller area, such as your forearm.

When should I seek treatment?
– With acute injuries and painful conditions, same day treatment is ideal otherwise as soon as possible to the date of injury or onset of pain.

How often should I be treated?
– For acute injuries and pain conditions, treatment administered on 3 consecutive days is ideal followed by 2-3 times per week.
– For chronic injuries, depending on severity, 2 to 3 times per week is sufficient.

How does LLLT benefit me?
– Initiates the body’s natural healing response to restore tissue at a faster rate
– No side effects
– Reduces inflammation quickly
– Provides an analgesic effect (pain relief) quickly, whilst concurrently working to reduce pain permanently.

Will I be able to feel anything during treatment?
– Most of the time, patients will not feel anything while undergoing treatment. If the patients experience anything, it will be a very light tingling or heat sensation. Patients have also reported feeling sleepy following treatment.

When can LLLT not be used?
– The use of LLLT is not recommended on areas where known cancer sites exist.
– It is also not recommended for pregnant women over the developing fetus.
– Patients should never look directly into laser, protective eyewear is supplied during treatment.

WARNING!! Laser therapy must be used with caution with patients who:
– Have had an organ transplant
– Have photosensitivity
– Have photosensitive epilepsy
– Possible mild adverse reaction for patients with tattoos or very dark skin

Cold Laser Therapy Sydney

At Cartwright Physicaltherapy, our practitioners use the Thor PBMT Pro Laser – the most advanced “low level laser therapy” (LLLT) product available in the market today.Laser Therapy is a light therapy whereby laser or LED lights are passed over the affected area. Laser therapy works by restoring the proper functioning of soft tissue at the cellular level. It increases tissue repair, and reduces pain and inflammation. It is non-invasive, only needing skin contact to function. It targets the affected cells as they more readily absorb the rays transmitted by the laser. Once these photons are inside the affected cell it stimulates repair by creating a biological movement directed at the function of the mitochondria (powerhouse of the cell). While it has a long-term effect on the cells at a biological level, it has a short-term pain reducing function. The laser disturbs the pain-receptors in the area giving an analgesic effect. Laser therapy can be used on soft tissue, tendons, joints, and superficial wounds.

How many treatments are required?
– For acute injuries or recently painful areas – 1 to 5 treatments
– Chronic injuries – 5 to 20 treatments
– NOTE: the area being treated dictates the number of treatments because certain tissues respond more quickly than others. A larger area such as your back is likely to take longer than a smaller area, such as your forearm.

When should I seek treatment?
– With acute injuries and painful conditions, same day treatment is ideal otherwise as soon as possible to the date of injury or onset of pain.

How often should I be treated?
– For acute injuries and pain conditions, treatment administered on 3 consecutive days is ideal followed by 2-3 times per week.
– For chronic injuries, depending on severity, 2 to 3 times per week is sufficient.

How does LLLT benefit me?
– Initiates the body’s natural healing response to restore tissue at a faster rate
– No side effects
– Reduces inflammation quickly
– Provides an analgesic effect (pain relief) quickly, whilst concurrently working to reduce pain permanently.

Will I be able to feel anything during treatment?
– Most of the time, patients will not feel anything while undergoing treatment. If the patients experience anything, it will be a very light tingling or heat sensation. Patients have also reported feeling sleepy following treatment.

When can LLLT not be used?
– The use of LLLT is not recommended on areas where known cancer sites exist.
– It is also not recommended for pregnant women over the developing fetus.
– Patients should never look directly into laser, protective eyewear is supplied during treatment.

WARNING!! Laser therapy must be used with caution with patients who:
– Have had an organ transplant
– Have photosensitivity
– Have photosensitive epilepsy
– Possible mild adverse reaction for patients with tattoos or very dark skin

Graston Technique Sydney

Graston Technique is used specifically for the diagnosis and treatment of soft tissue. The Graston Technique utilises stainless steel apparatus in combination with therapeutic active movements to restore range of motion. The tools are used as an extension to manual therapy, they are more precise and accurate in amplifying any fibrotic changes in soft tissue. This allows the practitioner to accurately localise and treat the patient’s areas of discomfort. The mobilisation of soft tissue reduces the formation of scar tissue, fascial restrictions, and chronic inflammation. By breaking down these lesions the inflammatory process is stimulated leading to an increase in healing, reduced need for pain medication, and less time in rehabilitation.

The Graston Technique is used widely in the US in competitive sports such as the NBA, NHL, NFL, and Minor League Baseball trainers. The technique can be used for a wide range of pathologies ranging from Tennis Elbow and Shin splints to trigger finger, carpal tunnel syndrome and osteoarthritis.

For all people wanting to have Graston Technique Therapy, please take special care to come appropriately dressed. Your therapist will need direct skin access to your area of complaint. Please note that Graston Therapy is not effective through clothing. We advice men and women wishing to have Graston Technique Therapy over the gluts, hips, and adductor region

If you would like to experience Graston Technique, book online with Tom as he is the only accredicted Graston Technique Therapist in Sydney.

 

The Importance of a Strong Core

Recently a patient of mine, Adam, was diagnosed with an inguinal hernia. A hernia is the protrusion of an organ or tissue through its surrounding walls, in this case the lower abdominal wall towards the groin. Patients typically present with pain or discomfort when coughing, exercising or during bowel movements.

Mechanical causes of this condition include improper heavy weight lifting, hard bouts of coughing, sharp blows to the abdomen, and incorrect posture. Furthermore, conditions that increase the pressure of the abdominal cavity may also lead to hernias such as obesity, over-straining during bowel movements or urination, and chronic lung disease. Hernias are also more likely to occur in people with weakened muscles as a result of poor nutrition, smoking and overexertion. Sometimes hernias can be left alone, but in this particular case, Adam required surgical repair to avoid untreated complications.

Adam returned for chiropractic care two and a half months post surgery. I was surprised to hear from him that he had received no recommendation to undergo any exercise or core strengthening program. With my understanding that hernias almost always co-exist in individuals with compromised abdominal and core strength, it seemed vital that some sort of rehabilitation should be undertaken.

I was concerned for Adam as he clearly did not have the knowledge of the seriousness of his condition, and how engaging in some sort of corrective strengthening program should be mandatory in order to prevent future complications. Adam’s experience, emphasises that the treatment aspect of a condition, be it surgical or conservative therapy, is really only a small part of the process of healing a patient. Educating patients about their conditions plays a central part in healing. The more patients understand their conditions, the more the mode of treatment of their condition makes sense to them, and most importantly, the more likely they are to comply with any post-treatment advice (exercise prescription, nutrition, rest, etc).

In Adam’s case, it was clear to me that he should be engaging in core strengthening exercises to tighten up his abdominal wall and thus prevent any future hernias or complications thereof. My first challenge was to help him understand what exactly the core is, and why a strong core would be the best remedy.

For me, the best definition of the core musculature, is that of Dr Stuart McGill’s, professor of spine biomechanics, University of Waterloo, Canada. He describes the core musculature as all the muscles that exist between the shoulder and hip joints. The core thus comprises many muscles and is not simply just your abdominal muscles. Its function is to create stiffness along the length of the spine. Sometimes I refer to the core as the “seatbelt of the spine”. It’s a useful analogy when explaining to patients the core’s function, which is to brace the spine for any impact it is about to experience. This might be resisting movement throughout the spine when bending over to pick up an object, landing after jumping, or even fending off an annoying sibling trying to poke you in the stomach.

Do you remember the famous Olympic sprinter, Michael Johnson? One of my favourite video clips demonstrating one application of core strength is some footage of Michael sprinting. You can watch it below, take extra special note of his running form from 1:00 to 1:12.

People often recall Michael’s running style to be unorthodox, or at least, very distinct. Today our understanding of the core’s function however, helps us realise that it was this distinct style that enabled Michael to run so fast, so efficiently. I know from my own limited experience in sprint training, that the faster you want to move your legs, the faster you need to pump your arms. It is impossible to run [with any efficiency] in such a way that your arms and legs move non-synchronously.

Remaining completely stiff through the torso whilst sprinting as fast as you can, sees the least amount of energy leak between the arms and legs, thereby improving efficiency. In other words, if you want to run really fast, you need to develop the skill of maintaining a very stiff core whilst moving your arms and legs as fast as you can. There is of course, a lot more detail to coaching sprinting and running technique, the point here is simply to illustrate where the core’s function fits in.

A stiff core essentially provides a stable foundation from which to operate other parts of your body safely and efficiently. In sport, a strong core is always beneficial as it enhances your ability to move, jump, throw, swing, lift, etcetera. If youre not a sportsman however, a strong core is still essential. Daily activities like lifting, dressing, cleaning, sitting and climbing and descending stairs, often see us moving our bodies into awkward and compromising postures and positions. If we do not have the ability to adequately brace and protect our spine, we can cause injury to this region, if not our other appendages.

Adam is a desk worker, and doesn’t exercise a great deal. He acknowledges this aspect of his life needs some attention, so I decided to set some achievable goals for him. It can be daunting for someone who isn’t in the habit of exercising, to suddenly embark upon a full exercise program. I gave him two core exercises to practice every other day, for two weeks: the plank and the side plank. These two exercises require absolute stiffness throughout the core in order to be performed properly, they also work the vast majority of muscles between the shoulder and hip joints, and so are very applicable to the objective.

Adam reported back to me two weeks later. His feedback was that whilst he could manage the exercises, performing them for the recommended duration was more challenging than he thought. More importantly though, doing the exercises combined with a deeper understanding of hernias, and their relationship to the abdominal wall and core strength, he is now motivated to integrate exercise and core strengthening into his weekly routine.

Obviously, there are a multitude of exercises available to facilitate a stronger core. The plank and the side plank are two simple-to-teach exercises which I feel most people should be able to perform well. In practice, if I find people are unable to hold a front plank for at least 30 seconds, and a side plank for at least 15 seconds, it is my opinion that they may be in danger of injuring their spine.

The topic of core strength is very detailed and there is much debate as to its definition, function and methods for training. The purpose of this article is simply to provide the lay person with a basic understanding of why core strength is important, and a starting point for training. Please refer to some other useful information on Core Strength and Sit ups are bad for you.

If you suspect you have a weak core and/or have been suffering any pain throughout your spine, book online with one of our therapists NOW.