Our rehabilitation service is designed for any client or patient who is suffering from chronic or acute injuries to muscles, ligaments, tendons or nerves. Our facility includes a mezzanine treatment rooms & offices that overlook 250m2 of functional rehabilitation training and strength & conditioning equipment. This equipment is designed to get you healthy and injury free as quickly as possible.
What type of conditions are our rehabilitation treatments good for?
Our rehabilitation service has been used with great success for:
- Shoulder injuries (e.g. frozen shoulder, rotator cuff tendonitis),
- Knee pain (e.g. meniscus tears, ITB syndrome, patellar tendonitis),
- Back pain (e.g. disc irritation, nerve pain),
- Elbow injuries (e.g. tennis elbow, golfers elbow),
- Neck & jaw pain (e.g. TMJ, nerve pain, rotation pain)
These are only some of the conditions that we have treated successfully. If your injury or pain involves muscles, ligaments, nerves or tendons we can improve your condition. Also if your injury is sporting related (i.e. knee pain while running), we can also dramatically improve your condition.
A normal rehabilitation treatment lasts for 15-30 minutes. Unlike some physiotherapists or chiropractors, our service is based on the fact that practitioners need a certain amount of time with each patient to adequately address their unique needs and rehabilitation. In every treatment (not just the initial), we will assess you and question your progress. After this, whether it is a chiropractic or exercise physiology consultation, in most cases we will use Active Release Techniques (ART) as the main form of treatment. ART treatments are extremely effective at rehabilitating injuries and fixing problems you may have with muscles, nerve, tendons or ligaments. After the treatment, clients or patients are normally given 1-2 take home exercises or stretches to complete and rescheduled for their next appointment depending on how soon they need to be treated again.
Depending on the nature and severity of your injury, a normal recovery is a gradual improvement in your condition following each treatment. Some treatments may give relief and immediate cessation of pain. However it is more likely that you will have relief from your symptoms for longer and longer periods after each treatment. For example, after the first treatment your symptoms may only be improved for 1-2 days; after your second treatment, your symptoms may be improved for 2-3 days; after your third treatment, your symptoms may then be improved for 3-4 days and so on. Also after the first treatment, it is common for stiffness and slight soreness to be present the next day.
Your treatment schedule will depend on the nature and severity of your condition. In the initial stages of treatment, treatments may need to be scheduled as often as 3x a week and as your condition improves these treatments can be spaced further and further apart. Because the biggest risk of injury is previous injury, the last thing we want is for you to stop getting treatments and hurt yourself again. In a normal treatment series, once you are feeling little to no pain in you everyday activities, we will put you through a Functional Movement Screen (FMS) that acts as your discharge exam. If you score above a certain level on the FMS, we may not need to see you again. If you do not score above a certain level, Joseph and our staff may recommend further treatments or functional strength training and personal training depending on your progress.
- The Functional Movement Screen (FMS)
The Functional Movement Screen (FMS) is a series of 7 functional movements that become a ranking and grading system for your movement. Each movement is assessed out of a possible score of 3 with a total score being given out of 21. The scoring system is directly linked to the most beneficial corrective exercises to restore mechanically sound movement patterns and prevent injury. This score is also used to target problems and track progress. Research shows us that if you score below a certain amount or if you have asymmetries (differences) between limbs; you will be at far greater risk of injury and your progress will be handicapped. The FMS gives us valuable information about your movement quality, how other non-painful joints may be affecting your injury and what will need to be prioritized in your rehabilitation. We monitor the FMS score to track progress and to identify those exercises that will be most effective to restore proper movement and build strength in each individual.
- The Selective Functional Movement Assessment (SFMA)
The Selective Functional Movement Assessment (SFMA) is the medical professional’s version of the Functional Movement Screen. Like the FMS, it is a series of 7 full-body movement tests designed to assess fundamental patterns of movement such as bending and squatting in those with known musculoskeletal pain. When the clinical assessment is started from movement patterns, we have the opportunity to identify meaningful problems that may be seemingly unrelated to the main injury, but contribute to the pain. This concept, known as Regional Interdependence, is the central to how we use the SFMA. The assessment guides us to the most dysfunctional non-painful movement pattern, which is then assessed in detail. This approach is designed to complement the existing orthopedic exam and help us efficiently integrate posture, muscle balance and the patterns of movement into practice. By addressing the most dysfunctional non-painful problem, the application of targeted interventions (manual therapy and therapeutic exercise) is not adversely affected by pain.
- Active Release Techniques
Active Release Techniques is a state of the art active movement based massage technique that treats problems with muscles, tendons, ligaments, fascia and nerves.
Headaches, back pain, carpal tunnel syndrome, shin splints, shoulder pain, sciatica, plantar fasciitis, knee problems, and tennis elbow are just a few of the conditions that can be treated rapidly and permanently with ART. These conditions are all often a result of muscles that have been overused.
Over-used muscles (and other soft tissues) change in three important ways: i) from acute conditions (pulls, tears, collisions), ii) from buildup of small tears (micro-trauma including weight training) and iii) not getting enough oxygen (hypoxia).
Each of these can cause your body to produce tough, dense scar tissue in the area. This scar tissue hampers tissues that need to move freely. As the scar tissue builds up, muscles become shorter and weaker, tension on tendons causes tendonitis, and nerves can become trapped. This can cause a loss in range of motion, loss of strength, and pain. If a nerve is trapped you may also feel tingling, numbness, and weakness.
Every ART consultation is a combination of examination and treatment. We use our hands to evaluate the texture, tightness and movement of muscles, fascia, tendons, ligaments and nerves. Abnormal tissues are treated by combining precisely directed tension with very specific patient movements.
These treatment protocols – over 500 specific moves – are unique to ART. The protocols allow us to identify and fix the specific tissues that are affecting you.
- Kinesio Taping
Kinesio Tape creates a bio-mechanical lifting effect that decompresses the tissue just under the skin. This decompression and having tape on our skin is used for 4 main purposes: i) reducing swelling & bruising by allowing greater lymphatic drainage and better blood flow to the tissue; ii) improving tissue movement (e.g. slide and glide between muscles) to allow for better biomechanics; iii) alleviating pressure on nerve endings to reduce the pain response and improving proprioception (e.g. our sense of where our body is in time and space) which reduces recurrent micro trauma before and after injury; and iv) enhancing postural and functional movement reinforcement (e.g. Kinesiotape can be used to reinforce correct posture).
- Quadrastep Orthotics
For people who need orthotics as part of their treatment or for everyday life, The Quadrastep System is based on a clinical assessment process that is performed by our physiotherapist. This system identifies and places the structural and functional aspects of the foot into 6 specific foot “types”. Each foot type influences not only the your gait pattern but also the conditions and symptoms that may affect you in your life e.g. lower back pain, knee pain, hip pain, groin pain, shin splints. The Quadrastep orthotic can bring immediate improvement to your symptoms and reduce the stresses that create pain from being on your feet each day.
- Personal Training for Rehabilitation
Personal training for rehabilitation is a functional strength and flexibility training program that is tailored to your rehabilitation needs. The exercise physiologist or trainer supervising you makes sure your form, tempo (exercise speed of execution), amount of weight used, rest periods and technique are all correct. They also ensure that you are completing the exercises at the appropriate intensity for your rehabilitation, specific needs and experience.
Because strength and flexibility plays such a massive part in rehabilitating injuries and preventing future injuries, it is highly recommended that you complete 12 weeks of personal training (individualized strength and flexibility training) tailored to your rehabilitation with us. By getting treatments and personal training at the same time, your progress will be far superior than just getting one or the other. This is also true when comparing our service at Coyne versus completing your rehabilitation training at home or your local gym. We know that two sessions with our training systems are better than four with any other training service so we want you to be involved in our system for best possible results and the quickest possible rehabilitation. We use methods like core stabilisation work, blood flow restriction training and reactive neuromuscular training to get you back to doing what you need to as soon as possible.
- Queensland, Australian & Olympian swimmers;
- Queensland, Australian, professional and world champion surf life saving Iron Men;
- World champion Brazilian Jiu-Jitsu fighters;
- World champion Tae-Kwon-Doe fighters;
- World champion beach sprinters;
- International representative & professional Super Rugby players;
- ASP WQS professional surfers;
- Gold Coast, Queensland & Australian representative junior tennis players;
- Competitive bodybuilders including two Mr. Australia’;
- International representative Touch Football players;
- Members of the Gold Coast Titans Under 20s rugby league team;
- Members of the Gold Coast Titans NRL rugby league team;
- Members of the Tweed Seagulls & Burleigh Bears Queensland Cup rugby league teams;
- International strongmen competitors