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xonicjan
13-10-2006, 12:00 PM
Im after recommendations for an exercise physiologist in the Inner Sydney/City area.

Ive been on the physio treadmill for a few years and Im still continuing to have shoulder/neck problems so would prefer a specialist in the shoulder/neck area.

any advice?

p.s. must be very patient but not wimpy. Gotta tell it like it is.....

jellybean
13-10-2006, 12:10 PM
Do you mean you're after a sports physio who specialises in shoulder/neck problems? (I don't think an exercise physiologist can really help you out there!?).

If so, and you're prepared to travel to North Sydney, I can recommend Joel Werman (The Oval Physiotherapy and Sports Injuries Centre - 283 Miller St - phone - 9955 8766).

He can be difficult to get into see but is very good and an excellent communicator.

Good luck!

xonicjan
13-10-2006, 12:37 PM
Do you mean you're after a sports physio who specialises in shoulder/neck problems? (I don't think an exercise physiologist can really help you out there!?).

If so, and you're prepared to travel to North Sydney, I can recommend Joel Werman (The Oval Physiotherapy and Sports Injuries Centre - 283 Miller St - phone - 9955 8766).

He can be difficult to get into see but is very good and an excellent communicator.

Good luck!

Thats funny... I was going to try him, but, thought I would try an exercise physiologist who is apparently a combo of physio/exercise trainer/occup therapist all rolled into one.

Im after more help with strengthening then physio, which Ive done to death for the last 3 years, and am kinda sick of it. (Also Exercise physiologists can be covered by medicare)

Maybe I will call this guy and see what he can do for me.

Thanks

Hipster
13-10-2006, 01:15 PM
Not trying to get into an argument with any exercise physiologists out there, but if pain and dysfunction are you're problems then they are not really the specialist you're probably looking for. You need a good sports or musculoskeletal physio (preferrably title holder) as jellybean has suggested, especially if you don't have an accurate diagnosis.

If you already been investigated and definitely know what your problem is, but have not had improvement with physio then you may need an assessment by a musculoskeletal physician who can do more invasive options like facet joint injections, medial branch blocks and radiofrequency nerve denervations. If that all sounds like gobbeldy gook then go and see the sports physio who can tell you whats actually wrong with you.

By the way anybody out there actually been to an exercise physiologist under medicare? And if so why?:p Serious question. No really, I want to know.

xonicjan
13-10-2006, 02:09 PM
You need a good sports or musculoskeletal physio (preferrably title holder) as jellybean has suggested, especially if you don't have an accurate diagnosis.

If you already been investigated and definitely know what your problem is, but have not had improvement with physio then you may need an assessment by a musculoskeletal physician who can do more invasive options like facet joint injections, medial branch blocks and radiofrequency nerve denervations. If that all sounds like gobbeldy gook then go and see the sports physio who can tell you whats actually wrong with you

Thanks for the reply.

I already know what the problems are.
Done the physio/sports doc/ortho already. But still having problems and not getting anywhere with the exercises either.

I think i definetly need an assessment by a muscoskeletal physician. Can J.W. do that?.

It has previously been recommended that I see Rob Boland.

jellybean
13-10-2006, 02:22 PM
I haven't heard of Rob Boland so can't comment there.

Joel is a sports physio (i.e is not a m/s physician).

If you're after a sports physician / consultant physician who specialises in shoulders Seamus Dalton is excellent (at North Sydney Orthopedic and Sports Medicine Centre, Pacific Hwy, Crows Nest) - phone - 9437 5999.

kjwilkin
13-10-2006, 06:21 PM
Hi there,

I totally agree with JB. Think you should see a sports physio that specialises in shoulder and neck problems.

A good first point of contact is a sports physician. If you get onto the right one they can make a big difference. Try going to the one JB suggested.

I see a great sports physician in Melbourne called Chris Bradshaw. He has made a big difference in helping to manage my knee and shoulder problems. He takes a holistic approach and not just one joint. He recommended I do pilates which has made a big difference. Maybe you could try that too.

Good luck !

xonicjan
13-10-2006, 09:39 PM
Thanks for the replys.

Just to clarify my vague earlier posts:

1) I have a chronic overuse injury to both shoulders and neck
2) Had physio for 3+ years due to various neck/shoulder problems
3) Seen a sports doctor who gave me 2 cortisone injections which didnt help
4) Tried a graduated theraband/weight program didnt help
5) Been referred to both Bokor and Goldberg. One says its my neck, the other overuse injury
6) Have tried doing nothing but the basic shoulder exercises for 6 months didnt help

Im assuming Seamus Dalton is a sports doctor/physician as well though specialises in shoulders? My sports doc was great.

I think I need a muscoskeletal assessment (can Seamus do this?) as I know part of my problem is scapula and shoulder joint instability and I have an annular tear in my neck which isnt improving.

Re: Medicare and exercise physiologists.
I would go too one under medicare as Im broke cause I cant work full time, but, need treatment and cant really afford to pay all of it.

This is when I start my rant on the lousy workers comp system......!!!!

once again thanks for the replys. Keep them coming!!!

kjwilkin
13-10-2006, 10:40 PM
Hi there,

I'd definitely give pilates a go. I currently have a shoulder and knee injury. Have tried everything, including physio, cortisone injections and the like. I find pilates really relaxing and there is something I can always do. I've been able to strengthen my shoulder more through pilates than any of my physio exercises.

What I was trying to say is that if you get a sports physician that takes a holistic approach they often think of ideas that you may not have thought of or tried. Pilates is basically my future as I have loose ligaments and is always something I can do.

I really don't think it will make much of a difference getting an opinion from a muskoletal physician. A sports physician is often at the forefront of treatment. So, are probably better off seeing a sports physician that has experience with the problems you are experiencing.
My sports physician, Chris Bradshaw often gets patients referred that are challenges. It may be worth coming down to Melbourne to see him.

Good luck !

xonicjan
14-10-2006, 08:14 AM
My physio actually is a Pilates instructor and I mentioned to her one day that Id like to give it a go and she knocked me back. Said I needed more specific training and Pilates may aggravate my problems. But that was in 2005 so I may try it.

Ive decided to give JW a try. He's been recommended to me before by my sports doc but my delightful employer wouldnt approve an independent assesment by him. So Ill give him a ring and see when I can get in.

Ive noticed that quite a few respondants have shoulder and knee problems

Is this due to seperate injuries?. Im interested because, even though Ive been healthy all my life, I found that once I had problems with my neck I then had problems with my shoulder, then my lower back, then my knees.
Its funny how when one thing packs it in the rest follows.(Actually its not that funny...)

Thanks guys/girls

kjwilkin
14-10-2006, 07:41 PM
Hi there,

I have loose ligaments so am predisposed to things like subluxations and dislocations of my major joints. I've had 2 ankle reconstructions and the last one in late January has worked really well. I had my left shoulder stabilised a couple of years ago and haven't had any problems since. In relation to my knees I've had patella instability for about 10 years. My right knee is totally fixed. Just need to get the left one sorted out. Am waiting for my knee surgeon to come back from holidays. Really hope he can do something as I'm in a lot of pain and am very frustrated with my knee popping out all the time.

Think it's important to choose a clinic that specialises in exercise rehabilitation and pilates. The clinic I go to in Melbourne is mainly for pilates and also have physio there. A lot of physios underestimate the importance of pilates. Pilates has helped me helps. Even though I have a problem with my shoulder there's heaps of gentle stuff I can do and many other exercises I can for my other joints and muscles. It's a great all over body workout. I've had to consider other things as often the traditional things such as physio haven't helped.

Good luck and let us know how you go. If I was you I'd spend the money in paying for the right treatment. Wouldn't worry if work won't cover it.