– By Cindy Octhaliany, Physiotherapist at Optimum Health Solutions Liverpool.

frozen shoulder

What is frozen shoulder?

Frozen shoulder (shoulder adhesive capsulitis) is a chronic condition in which scar tissue builds up around the shoulder joint, causing progressive pain and reduced ability to move the shoulder. It usually resolves within 1.5-2 years although a small number of people may have residual ongoing pain and stiffness


Who is at risk of developing it?

Frozen shoulder is a rare condition that affects 1-5% of the population. It usually occurs in people aged between 40-70 years old, and slightly more common in women. Conditions that may place a patient at higher risk of developing it include:

  • Diabetes
  • Previous history of having it in one arm
  • Previous history of shoulder trauma, surgery or shoulder immobilisation


What are the symptoms of frozen shoulder?

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How Can Exercise Benefit Those Living With MS?

– By Demi Ljilja, Exercise Physiologist at Optimum Health Soltuions Campbelltown.

banana booster (8)

What is MS?

A chronic disease of central nervous system (CNS referring to brain and spinal cord). The immune system mistakenly starts to attack myelin, the protective coating around nerve cells in the CNS that assists with nerve conduction. The symptoms are unpredictable and vary from one individual to another.

Commonly Reported Symptoms:

  • Motor Control: muscular spasms and problems with weakness, coordination, balance and functioning of the arms and legs
  • Fatigue: including heat sensitivity
  • Other neurological symptoms: vertigo, pins and needles, neuralgia and visual disturbances
  • Continence problems: bladder incontinence and constipation
  • Neuropsychological symptoms: depression, cognitive difficulties and memory loss

How can exercise benefit those living with MS?

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Mac n Cheese


  • 300g Macaroni
  • 2 Bunches asparagus, trimmed, chopped
  • 1 Cup Frozen Peas
  • 3 Green Onions, chopped
  • 3 Cups Skim Milk
  • 2 Tablespoons Cornflour
  • 1/2 Cup Grated Parmesan
  • 4 Cups Green Salad, to serve


1. Cook macaroni in a large saucepan of boiling water according to packet instructions.

2. Add asparagus and peas in the last 2 minutes of cooking. Drain pasta and veggies.

3. Return the pan to the stove and add a small amount of oil. Cook green onion over medium heat for 2 minutes, or until softened.

4. In a large jug, whisk together milk and cornflour until smooth, then pour into saucepan while stirring.

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Augmentative and Alternative Communication – Supporting Communication

Speech facts (14)

What is AAC?

  • AAC is any way of supporting communication.
  • Any way of ‘making language visual’ by using pictures, photos, objects, signs, etc
  • Can range from using gestures & body movements to using ‘high tech’ devices (“talking machines”).
  • Augmentative (Aided) Communication is using pictures, sign, etc with speech
  • Alternative Communication is using pictures, sign, etc instead of speech

Categories of AAC:

Speech facts (17)


  • Crying
  • Body Movements
  • Facial Expression
  • Eye Contact
  • Natural Gesture
  • Pointing
  • Mime
  • Touch
  • Key Word Signing
Speech facts (16)


  • Objects/Tangible Eg, juice packet for ‘drink’
  • Photographs Eg, photo of bowl for ‘lunch’
  • Pictographs Eg, PCS
  • Written Word
Speech facts (15)

Low Tech

Thornleigh Speech Pathology

High Tech

Our Expertise

Our Speech Pathologists study, diagnose and treat communication disorders, including difficulties with speaking, listening, understanding language, reading, writing, social skills, stuttering and using voice.

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Are You Using Your Muscles? – Deconditioning

– By Mario Juric, Physiotherapist at Optimum Health Solutions Blacktown


Deconditioning refers to a generalised decrease in fitness or weakness due to not using your muscles, which can happen as a result of prolonged inactivity or bed rest. It is most commonly seen amongst the elderly population, particularly those who have been hospitalized from an illness. Unfortunately, unlike the illness that was admitted for, the effects of being deconditioned stick around and affect your ability to do things at home and in your community after you leave the hospital.


Deconditioning occurs when the muscles that are used to a certain amount of stress, every day, suddenly don’t receive that stress for some time longer than what they are used to.

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– In Collaboration of Optimum Health Solutions Dietitians  


After months of uncertainty and home schooling, it appears the majority of our kids will be returning to full time schooling next week. While this may bring mixed feelings for many parents, one question I’m sure we are all asking is; What do I put in their lunchbox?

Considering what nutrition your child needs is incredibly important to ensure optimal growth, energy levels and alertness in the classroom and with each passing year, your child’s nutritional requirements may alter and increase.

Below is a table from the Australian Guide to Healthy Eating Website:  depicting recommended serving sizes for your child’s age and gender for each food group.

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– By Chloe Horne, Dietitian at Optimum Health Solutions.

banana booster


  • 1 Cup Skim or Light milk
  • 2 bananas
  • 3 Teaspoon Greek or Natural Yoghurt
  • 1⁄2 Teaspoon ground cinnamon
  • 1  Teaspoon LSA mix (heaped) or Almond Meal
  • 1 Tablespoon honey


1. Place all ingredients into a blender and blend until smooth. If smoothie is too thick, add more liquid to reach the desired consistency.

2. Pour into glasses and serve immediately.

Adapted from Nutrition Australia and Dairy Australia.

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By Cindy Octhaliany, Physiotherapist at Optimum Health Solutions Liverpool

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Do you have pain on the outside of your hip? 

You may be suffering from a condition called Greater Trochanteric Pain Syndrome (GTPS)!

Where does the pain from GTPS usually occur?  

The pain that arises from GTPS can usually be localised at a bony prominence on the outside of your hip called your greater trochanter. This point is often very tender to touch. The pain can also radiate down the outside of your leg.


What activities usually make the pain worse?

Activities that usually cause pain in patients with GTPS include:

  • Standing for a long time
  • Walking
  • Walking up stairs
  • Getting in and out of a car
  • Standing after sitting down for a while
  • Side lying on the side that is painful


What causes GTPS?

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Do you get pain on the outside of your elbow and your forearms every time you type? You may have tennis elbow from typing!

Tennis elbow / lateral elbow pain refers to the pain you get in the outside of your elbow and forearm muscles. This is also called tendinopathy, where the tendon that attaches muscle to your bone, does not cope with the load that is put on it. This can occur on an elbow that is underused (sedentary lifestyle, with a sudden increase in the intensity of activity), or overused (using the muscle over an extensive amount of time without giving rest).

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