OUR SERVICES

Clinical Pilates

Dry Needling

Balance Testing - MAT, Berg

Concussion Assessment

Sports Injury - Prevention & Management

Hand Therapy

Running Assessment - Video Analysis

Rehabilitation - orthopaedic, neurological, post surgical

Aquatic Physiotherapy

Pre and Post Natal Exercise Prescription

Manual Handling / Ergonomic Training and Assessment

Spinal Care / Hands on Therapy

Musculo Skeletal Screening: Prevention, Enhancing Performance

National Disability Insurance Scheme (NDIS)

Clive Munzberg Physiotherapy has a long standing commitment to people in the Port Pirie region. We deliver a full range of tailored services aimed at ensuring pain free movement to people of all ages and vocations

 

Clinical Pilates

Clinical Pilates has been developed by an Australian physiotherapist and is a modification of the traditional Pilates and focuses on muscle and movement control.  This specialist adaptation improves balance, increases core muscles and spinal stability, enhances performance and assists with the recovery from injury and rehabilitation.  Each treatment session is individualised to the client and specific to each person’s needs.

Clinical Pilates is so much more than simply Pilates exercises used in a clinical setting.  Clinical Pilates is a method to assess and then treat your problem.  It involves identifying the directions of movement that aggravate and alleviate your problem and then using specific exercises. The goal is to facilitate better movement quality and ease your problem.  Increasingly Clinical Pilates is being used in the sporting sphere as its benefits have become more well-known to improve athletic performance.

Clinical Pilates programs utilise special equipment in the clinic and they can also be used in home based programs. In the clinic we use specialised spring-loaded equipment such as a Reformer and a Trapeze Table which is first done on a one-on-one basis and then you can progress through to small group classes.  Clinical Pilates is backed by the latest research evidence and aims to deliver positive outcomes with a long-term solution.

Clinical Pilates:

  • Is an individually tailored treatment method used to assess and treat

  • It is used in conjunction with other physiotherapy techniques

  • It is only provided by trained physiotherapists in this field

  • It is not only unique and different from generic fitness Pilates but it has been demonstrated through research to be more effective

  • It aims to get to and fix the root cause of an injury not just the injury. If we move well we will stop overloading irritating other tissues

 

How can Clinical Pilates help me?:

  • Correct poor movement patterns and mechanics that contribute to injury

  • Reduce pain and safely manage your injury/issue

  • Improved resistance to injury and prevention of future problems

  • Improve the efficiency and safety through training muscle groups

  • An increased sense of well-being, improved balance, improved motor patterns or movement patterns and improvements in posture

  • Improve your appearance and muscle tone

 

Clinical Pilates is not only limited to those with injuries but is excellent for fitness or improving posture, pre-and postnatal programs, maximising performance in sport and as a general injury prevention program.

When attending a Clinical Pilates program you should wear non-restrictive comfortable clothing and you must wear socks at all times, ideally nonslip grip stocks are best.  You’ll need to be able to move freely and comfortably while still maintaining dignity.

 

Conditions commonly treated by Clinical Pilates include:

  • Back, neck and other spinal pain of all diagnosis such as discs facet joints sciatic

  • Shoulder and neck pain

  • Lower limb pain particularly recurrent injuries e.g. hamstrings, ostitis pubis

  • Surgical conditions both pre-surgery as well as post surgery

  • Pre-and post-natal conditions particularly rectus diastasis

  • Men’s health issues

  • Arthritis including osteo and rheumatoid and conditions like fibromyalgia

  • Neurological conditions such as multiple sclerosis, acquired brain injuries, chronic fatigue

  • Reducing falls risks by improving static and dynamic balance in older adults

 

Dry Needling

Pain and muscle spasm getting the better of you, want to feel better but still do the things you have to?

The practice of ‘dry needling’ involves inserting an acupuncture needle into a trigger point and is typically used to treat the pain associated with injuries. Dry needling is a very safe and relaxing process. There is no sharp or excessive pain, maybe a slight ache and indeed many clients do not feel the needles being inserted at all.

 

Dry needling seeks to relieve the pain caused by musculoskeletal dysfunction through relaxing muscle trigger points — these are taut bands that develop within a muscle that can occur in cases of both acute and chronic pain. Trigger points may develop in a muscle as a result of stresses such as poor posture, repetitive actions, or emotional trauma, and can refer pain and create dysfunction in other parts of the body, including severe headaches.


What type of problems can be treated with dry needling?

There is a wide range of acute and chronic orthopedic and musculoskeletal conditions that can be treated through the use of dry needling, often in conjunction with other physiotherapy techniques. Some conditions may include but not limited to neck, back and shoulder pain, arm pain (tennis elbow, carpal tunnel, golfer’s elbow), headache to include migraines and tension-type headaches, jaw pain, buttock pain and leg pain (sciatica, hamstring strains, calf tightness/spasms, shin splints) and sporting injuries.

 

Is the procedure painful?

Most patients do not feel the insertion of the needle. The local twitch response elicits a very brief (less than a second) painful response. Some patients describe this as a little electrical shock; others feel it more like a cramping sensation. Again, the therapeutic response occurs with the elicitation of local twitch responses and that is a good and desirable reaction.

 

Prior to the treatment

A thorough medical assessment is carried out to rule out sinister pathology. A diagnosis/ hypothesis is established in regard to the type of pain mechanism involved and related musculoskeletal dysfunctions. This assessment will identify who cannot undertake dry needling e.g.  cardiac pacemakers, heart valve replacement or first trimester of pregnancy.

 

What side effects can I expect after the treatment?

Mild soreness is common after the procedure. Clients may feel a little tired, as after a rigorous exercise session, but there are no lingering effects and most people are able to continue with their day (including playing sports) as normal. Adverse reactions are very rare.

 

Are the needles sterile?

We only use high quality sterile disposable needles, used once, that have TGA approval.

 

How long does it take for the procedure to work?

Many clients respond positively to dry needling almost at once, finding that the problem muscles are less taut and contracted, and that they can move with more freedom. We are trying to cause mechanical and biochemical changes, looking for a cumulative response to achieve a certain threshold after which the pain cycle is disturbed. Several sessions of dry needling will be required for a lasting benefit to be felt and for the muscle fully to resume functioning normally again.

 

Once I am feeling better, how often do I need to come back to maintain my progress?

Most of the time once the dysfunction or imbalance has been corrected the body will often maintain the appropriate balance. However, the musculoskeletal system is under constant stress from the demands of varying postures, gravity, psychological and emotional states etc. A regular exercise program combined with good posture can prevent many problems. If the pain comes back, occasional sessions are recommended to treat and prevent serious injuries.

 

Why is dry needling concept different?

  • To understand the dry needling concept one has to look at the mechanisms involved in pain.

  • Musculoskeletal pain is often associated with an area of exquisite tenderness (hyperalgesia) at a trigger point site. This site is tender due to sensitized nerve ending.

  • The trigger point site is often accompanied by muscle shortening.

  • A shortened muscle can become painful, not work properly, pull on the tendon e.g. tennis elbow.

  • A muscle with trigger points is much weaker due to a pain. This causes muscle imbalance and secondary biomechanical problems.

  • Trigger points can refer pain by themselves, but also irritate nerves and cause further pain in a remote area.

  • These trigger points can be found in muscle, fascia, ligaments, tendons and bone.

 

Following the treatment:

  • The muscle tension is reset.

  • The trigger point is desensitized by the body’s own neuro-transmitting chemicals (opiods, enkephalins, serotonin, Beta endorphins, etc).

  • Neurochemicals, such as Endorphins and Corticosteroids, are released; the immune system brings white blood cells to the injured area, and red blood cells carrying oxygen and nutrients run to the site (inflammatory response).

 

Where does dry needling fit in the entire rehabilitation program?

Dry needling is the modality of choice when it comes to treating acute injuries, muscle spasms or muscle pattern imbalances. It is very common to initiate dry needling at the beginning of your treatment program to break the pain cycle. Once that is achieved, other treatment options are introduced such as Clinical Pilates, rehabilitation etc.

 

National Disability Insurance Scheme (NDIS)

NDIS is about helping and supporting people and their families in our community with a disability to reach their goals and aspirations. As a physio for over 27 years Clive loves to see people with challenges achieve their goals and to work with such people along that journey gives him great satisfaction..

 

Our motto is to do everything for the client but nothing they can do for themselves. This means we will help to fill in the gaps but not take away someone’s independence. Also, if we are not best placed to assist someone, we will help them to find someone who can.

 

In relation to NDIS, Clive Munzberg Physiotherapy is well equipped to assist in the following ways:

  • We will provide services where they are needed, whether that be at home, in the community or clinic based, whatever best suits the needs of the person we work with.

  • The services we provide are broad, drawing on years of experience in the Aged and Disability sectors, we can assist NDIS clients with:

    • Physiotherapy treatment services

    • Clinical Pilates services working on neuromuscular control. Clinical Pilates is increasingly shown to be effective with adult neurological disorders e.g. stroke, MS, etc.

    • Assessing and assisting with provision of equipment whether that be for home, work or school. We have developed close links with organisations locally and state based that provide equipment e.g. Joy to Independence. Experienced gained through working in the Dom Care and HACC area for over 10 years whilst at PPRHS. 

    • Assessing, fitting and manufacture of braces, splints and aides to assist with achieving goals. This may be as simple as provision of a wrist splint or maybe helping the person by making a brace or referring to another agency that can manufacture splints.

    • Providing services not only at the time of contact but with a heavy emphasis on home and community based treatment. Most of our clients go away from a session with home work to do, thus giving the best chance to ensure results.

    • Rehabilitation services to ensure the person achieves their fullest potential. Once progress has plateaued we will then set an ongoing maintenance program.

  • Manual handling training and provision of equipment to ensure safety for the client and their families/carers. We have had extensive experience in this area and provide training to numerous organisations around the region including PPRHS, Nyrstar, St Joseph's, Lealholme, Bedford Industries, SCOSA, St Marks College, ISSA services and more. We keep abreast of the latest in equipment and techniques to ensure safety and longevity.

  • Our clinic is well set up to provide the services noted above. We have a very well equipped Pilates studio, a gym which allows us to work with all conditions that present for example SCOSA attended weekly with their Fit Club, our Medically Orientated Gym (MOG).

  • We have a range of tools to monitor progress, so we can see how people are progressing. This includes muscle strength testing equipment, video analysis and assessment, grip strength testing, balance testing equipment as well as a range of outcome measures designed to monitor progress, ensuring we are achieving our goals.

  • Having worked in the public health sector for over 11 years before private the last 17 we have had experience with a wide variety of clients and conditions e.g. CVA, Guillain-Barre, Parkinsons, Huntingtons Chorea, Spina Bifida, MND, amputees, spinal cord injuries.