Clinical Myotherapy is what we do!
Clinical Myotherapy is the name given to those who have studied the degree qualification in Myotherapy. It is a government accredited degree which means all graduates are of a very high standard. We have 4 practitioners here at Waverley Myotherapy Clinic who all hold a degree qualification.
Clinical Myotherapy is the assessment, treatment and management of musculoskeletal pain and dysfunction. The assessment process can identify the difference between nerve, muscle, joint, tendon or ligament as a cause of your musculoskeletal pain or dysfunction. Treatment focuses on best practice techniques such as dry-needling, pressure pointing and mobilisation, to name a few. Management may involve prescribed exercises, ergonomic adjustments and referral to other health care professionals if medication, dietary changes or counselling services are indicated.
Furthermore, Clinical Myotherapy uses a ‘client-centered approach’ model which means we work with you to help your musculoskeletal pain or dysfunction. We will explain to you what we find in the assessment, we will talk to you about various treatment options and we will discuss management options making sure it fits in with your lifestyle and that you are on board with your recovery.
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Benefits of Myotherapy
- Myotherapy identifies the source of the problem and provides lasting relief from pain
- It Increases movement and flexibility
- It increases strength and function
- Drug free
- Cost effective – acute conditions are generally alleviated after only a few visits
- Only pay the gap with HICAPs for approved private health fund providers
Clinical Myotherapy can help with many musculoskeletal pains and dysfunctions whether they are caused by trauma, poor posture, overuse or misuse during occupational, sporting or recreational activities.
Most people that come to us have one of the following:
- Tight muscles from gym, boot-camp or sport
- Torn muscle
- Torn tendon acute or chronic (grade 1-2)
- Low back pain
- Neck pain
- Poor posture from computer work
- Overuse injury from computer work
- Sporting and recreational activity injuries
- Disc Bulge
- Facet joint irritation
- Sciatica and other pinched nerves in the neck and back
- Scoliosis and Kyphosis of the spine
- Knee pain or clicking
- Ankle pain or clicking
- Hip pain or clicking
- Groin pain
- Wrist pain
- Tennis and Golfers elbow
- Shoulder dysfunction or pain
- Multiple Sclerosis (MS)
- Pregnancy associated pain such as SIJ pain
- and much more…
We have a wide range of treatment options to allow us to find something that works both on the particular condition and also for you as a individual. For example dry needling can be extremely effective but some people have a fear or apprehension towards the use of needling so we can treat the problem in a different way. Furthermore latest research indicates that movement and education about pain to be extremely beneficial for long term recovery, these things aren’t really a modality but they do play a big role in our management.
We may use
- Digital Ischemic Pressure (DIP) more commonly known as pressure point release
- Dry-Needling also known as myofascial acupuncture
- Electro-needling is where we attach small electrodes to the needles
- Hot and Cold packs
- Exercises that may be performed in the session, after the session or given as a management program. Sometimes the exercises are performed by the practitioner for example passive stretches and other times they are performed actively by you.
- Joint play also known as mobilisation to gently loosen a joint
- Active cupping for the purpose of myofascial release. Active cupping is achieved my movement of either the cup or the body part.
- Ice massage
- Taping with Rock tape (kinesiotape) or Rigid tape to support a joint, assist muscle and fascia recovery and for pain relief where other techniques are contraindicated
Here’s more detail on some of the modalities we use:
Dry Needling / Myofascial Acupuncture
Dry Needling is also known as myofascial acupuncture. It is when we insert a acupuncture style needle into a myofascial trigger point to deactivate it.
Dry Needling is often less painful than pressure point release for trigger points so it is good for people who find it difficult to tolerate pressure pointing techniques.
We use single use acupuncture needles that are disposed of straight away. We apply pressure to the area to avoid post treatment soreness and bruising. We stay in the room with you and in cases where you have presented with multiple sites of pain we often work on another area while the dry needles are deactivating the myofascial trigger points.
Sometimes we use a tens machine attached to the acupuncture needles which is called electro-needling to help further stimulate the area. If you have a fear of needles, it is most likely that you will be able to tolerate dry needling. The needles are so thin you can tie them in a knot when long enough! We have had many clients with a fear of needles who haven’t felt a thing with the dry-needling technique and if we insert a needle and you feel uncomfortable we can take it out within seconds.
Digital Ischemic Pressure (DIP) – also known as trigger pointing, pressure pointing and releasing knots
DIP (digital ischemic pressure) is where we apply pressure directly to a active myofascial trigger point for approximately until it has eased off or released. There are various techniques such as increasing pressure as the pain reduces and gently bouncing between firm and light pressure. All types of DIP are designed to send signals to the brain that overrides the pain and contraction neuro-chemical pathway from the brain. This is one of our most commonly used techniques and is quite nice to receive as a patient because you can feel the tenderness easing off even though the practitioner hasn’t decreased their pressure!
Corrective, Preventative and Rehabilitative Exercises
There are not many patients that leave our clinic without a ‘get out of pain routine’ as we like to call them. We might prescribe an exercise to promote better posture, to strengthen something to avoid an injury, to strengthen an area that has had an injury, to stretch something that is causing poor posture, to train your brain a correct technique and so on. There are so many different exercises and many different reasons why we might prescribe something. In most cases the exercise is a short term thing or something that needs to be built upon, however there are some patients who find the exercises so helpful they will no doubt do them for life! Furthermore we have access to rehabilitation equipment including Pilates machines with a Clinical Pilates Instructor on board and a team of other Pilates Instructors through Waverley Pilates if you wish to continue once your rehabilitation is complete.
Active Myofascial Cupping
Myofascial cupping can involve actively move the cups over a certain area to gently lift the underlying tissues. We use this in cases where pressure pointing is sharp in nature and unbearable. After cupping the sharpness eases off and then we can Trigger Point deeper into the muscle where it is needed. We use plastic cups with a suction mechanism so as to control the amount of suction being used. Beware as some older techniques that use a glass cup and ignition (often using a alcohol swab and a match) to create the suction which can cause burning and leave scars. Active cupping can also be acheived by moving the body part under the cup. This is particularly helpful for the rotator cuff and hip muscles but can be used on the calves, the back and the neck as well.
Check with your health fund if you are covered for Myotherapy or for the code 105 (initial consult code) and 205 (follow up consult code). Some health providers recognise us under natural therapies or remedial massage.
The following Funds currently rebate for Myotherapy treatments:
- Australian Unity
- ACA Health Benefits Funds
- Aust Country Health
- CBHS Friendly Society
- Cessnock District Health
- CUA Health Limited
- Defence Health
- Doctors Health Fund
- Fit Health Insurance
- Frank Private Health Insurance
- Health Care Insurance Ltd
- Grand United
- Government Employees Fund
- Health Partners
- HIF WA
- Latrobe Health Services (Federation Health)
- Manchester Unity (subsidary of HCF)
- Medibank Private
- Mildura & District Health
- Mutual Health
- Navy Health Fund
- NIB Health
- Peoplecare Health Insurance
- Phoenix Health Fund
- Police Health Fund
- Queensland Country Health Ltd
- Railway and Transport Health Fund
- Seniors Advantage
- St Luke’s Health
- Teachers Federation Health
- Transport Health
- Teachers Union Health
Clinical Myotherapy – 1 complaint
- Initial Consult $77
- Follow up Consult $60
Clinical Myotherapy – 2 complaints
- Initial Consult $92
- Follow up Consult $77
Clinical Myotherapy – 3+ complaints
- Initial Consult $107
- Follow up Consult $92
- 10% concession available for pensioners, low income earners and children under the age of 15.
Body Back Buddy
The Body Back Buddy gives you the ability to treat many different areas in the comfort of your own home. It helps you to reach the areas that are tough to get to with other tools such as the bottom of your feet of you upper shoulders. It is advised that you get assistance off your Clinical Myotherapist on how to safely use this tool for your pain or condition.
Step Forward Orthotic
The Step Forward Orthotic is unique in that it helps reverse problems of the feet that may be affecting not only your feet and ankles but postural concerns up into the knees, hips, back, neck and shoulders. It flexes and massages your feet as you walk to bring them back into balance. Traditional orthotics work by molding to your problem and are certainly effective in many circumstances but we prefer to bring the body back to it’s natural state wherever possible which is why we have decided to stock this particular orthotic. The assessment is free and only takes about 10-20 minutes you can book online here.
Ancient Minerals Topical Magnesium
We stock the Ancient Minerals magnesium oil and gel. It is applied topically to absorb through the skin, one of the most effective ways to get magnesium into your body. For people very low in magnesium you can add this to a magnesium supplement as advised by your doctor or naturopath. For people who are showing a few minor signs of magnesium deficiency it is quite effective on its own.
Various Self Myofascial Release Tools
We stock foam rollers, rumble rollers, spikey balls, reflex balls, back release balls, trigger point knuckles, body back buddies and more! Feel free to come in a try a few different types to see which feels the best. We advise getting your Myotherapist to assist you with the most suitable tool for your pain or condition. Please make an appointment with reception if you would like to come in and try on (03) 9888 3473
We stock a anti-burst fit ball. We can pump it up for you (if you have a big car) or you can pump it up at home with a standard bike pump. We stock 3 sizes, 55cm, 65cm and 75cm.
PilatesBall (also known as ChiBall)
These balls are great for behind the head/neck or under the pelvis during certain exercises. Particularly good for people who suffer low back pain when lying on their back for exercise purposes. It feels very relieving.
Graded Resistance Bands
These resistance bands can take you all the way through your rehabilitation program back to tasks of daily function, body weight exercises and other fitness based exercises depending on your goals.
Tape (stretchy and rigid tape available)
We don’t stock all these colours but there are lots of options to make your taping suit your personality! We use the tape in sessions for no extra charge when needed but you can buy the roles and do it yourself if you are confident and is an area that is easily accessible by yourself. 2 of our practitioners have done training in ROCKtape application (Sarah and Jonathan). It can be used to treat sports injuries, support muscles and joints, prevent injuries and fatigue, enhance performance and reduce pain.