Sports Performance


– By Mario Juric, Physiotherapist at Optimum Health Solutions

Patello-femoral Pain Syndrome

According to the Journal of Orthopedics and Sports Physical Therapy, patellofemoral pain syndrome (PFPS) is commonly used to describe a condition of anterior knee pain. It is frequently diagnosed in patients younger than 50 with knee complaints. The term anterior knee pain covers all of the problems related to the anterior part of the knee. Therefore, in order to successfully diagnose that the cause of pain, is in fact, PFPS, we muscle exclude all other pathologies.

How do we know it is PFPS?

Diagnosis consists of the following:

  • Presence of retropatellar (behind the knee cap) or peri-patellar (on the knee cap) pain.
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Have You Strained a Muscle?

By Aathi Thirunanthakumar, Physiotherapist at Optimum Health Solutions – Croydon Park.

Physio Image 2

Have you strained a muscle whilst running, exercising or enduring any other physical activity? 

Strains can be quite frustrating as it stops you from performing while causing significant pain. Physiotherapy treatment including massage, dry needling, and exercise prescription can provide a safe rehabilitative pathway facilitating your return to activity.

Muscle strains occur when the muscle fibres fail to cope up with an increased amount of load (i.e. suddenly increasing your running intensity). When large forces are loaded onto a muscle, its fibres stretch excessively, causing a tear.


Types of tears

Grade (I):

  • Mild sprain
  • Little swelling and discomfort
  • Mild loss of strength

Grade (II):

  • Moderate sprain
  • Local hematoma (bruising)
  • Evident loss of strength and ability to contract

Grade (III):

  • Severe strain or rupture


What do I do if I have a muscle strain/tear?

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3 Running Tips to Help You Get Fit

Written by Shane Cassel, Exercise Physiologist at Blacktown. Article from June 2019

3 Running Tips to Help You Get Fit


As a keen runner myself, I have taken this opportunity to summarize what I believe to be 3 key aspects of running that anyone can apply to their own health routine to assist in achieving their goals. Some are easier to apply than others, however, I will explain and give examples of how you would implement these into your routine. Enjoy!

1) Increase Gradually
There is a common method amongst runners and running coaches that increasing your total run volume by 10% each week is the best way to go about it.

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Patellofemoral Pain

Written by Adrian Choy, Exercise Physiologist at Blacktown. Article from October 2018

Patellofemoral Pain


Do you experience knee pain in the front of your knee but don’t know why? You may be experiencing what’s called patellofemoral pain syndrome. This condition is multifactorial but can be treated with appropriately prescribed exercise.

In PTFP, the patella may be the main issue whereby it is not in the correct position it should be, leading to pain being felt in the kneecap region. The patella itself may be tilted, shifted or hypermobile. A potential reason for this can be due to a muscle imbalance between two quadriceps muscles sitting either side of the patella – the vastus medialis and vastus lateralis.

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Charcot-Marie-Tooth Disease & Exercise

Written by Adrian Choy, Exercise Physiologist at Blacktown. Article from September 2018

Charcot-Marie-Tooth Disease & Exercise


What is it?

Charcot-Marie-Tooth Disease (CMT) is a group of genetic disorders presenting with chronic progressive neuropathy affecting motor and sensory nerves (1). The main features of CMT range from mild to severe in severity and involve progressive weakness and impaired sensory function in the upper and lower limbs (2) as muscle atrophy develops with areflexia (absence of neurologic reflexes) (1). The chronic nature of this condition leads to foot and toe deformity with likely involvement of the hands to follow.

Who can help?

Due to this disease being a slowly progressive neurodegenerative disease, it is imperative patients receive regular assessments by a Physiotherapist, Exercise Physiologist, and Occupational Therapist to assist in maintaining range of motion for their benefit of appropriate functioning (1).

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Injuries In Sport

Written by Matthew Craig, Exercise Physiologist at Blacktown. Article from June 2018

Injuries In Sport: Just another aspect, or is it avoidable?

injuries in sport

Injuries in sport. A topic that definitely hits a little too close to home. Every day I sit down with new clients for initial consultations and one of the most common things I hear (especially in people under 50) is ‘I have a bit of knee and ankle pain….but you know, that’s netball’. Too often we get drawn into the idea that injuries in sport are normal, a trap I personally fell in to.

All the time you see your favourite professional athletes get plagued by the ‘injury bug’ and we just write it off as part of the job.

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Exercising With Sore Knees

Written by Adam Shepherd, Exercise Physiologist at Croydon Park. Article from October 2018

Exercising With Sore Knees

knee osteo

At some stage, we have all suffered from sore knees. It is an extremely common musculoskeletal issue that plagues a lot of patients that I see. It can stem from various issues such as:

  • Increased levels of physical activity.
  • Malalignment of the patella as it moves through the femoral groove.
  • Quadriceps muscle imbalance.
  • Tight anatomical structures, e.g. retinaculum or iliotibial band.

Having sore knees can be a killer when it comes to exercise as naturally we tend to avoid exercises that are uncomfortable or painful.

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Workout Smarter With Compound Exercises

Written by Gabriel Pisanu, Exercise Physiologist at Croydon Park. Article published October 2018

Compound Exercises and Exercise Efficiency

Compound Exercise

Within the last few weeks, I have decided to reflect on some of the outcomes of my clients’ goal reviews. It made me realise that people exercise for so many different reasons. Some people exercise to lose weight, people exercise to reduce chronic pain, people exercise for aesthetic purposes. Whatever the reason, with the majority of clients that see an Exercise Physiologist through Optimum Health Solutions is due to the fact they need help to manage their lifestyle. One of the major barriers people bring up to exercise adherence is a lack of time.

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Cardiovascular Testing

Written by Dean Katselas, Exercise Physiologist at Campbelltown. Article from January 2018

Cardiovascular Testing

heart test

As part of our standard assessment procedures, we aim not only to identify musculoskeletal deficiencies but also the health of the cardiovascular system. The cardiovascular system comprises of the heart itself and the associated blood vessels, veins and arteries which circulate blood and oxygen to all the tissues of our body. Generally your blood pressure is taken by your General Practitioner at rest, which is used to help identify risk of cardiovascular disease and stroke. However, blood pressure is highly variable and fluctuates throughout the day and with physical exertion.

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Lifting For Osteoarthritis – Exercise Intervention

Written by Adrian Choy, Exercise Physiologist at Blacktown. Article from October 2017

Lifting For Osteoarthritis – Exercise Intervention

knee osteo

Arthritis is an umbrella term used for more than 100 medical conditions affecting the joints of the human body causing stiffness, inflammation, pain and damage to joint structures. This can further lead to joint instability, deformities and weakness ultimately interfering with activities of daily living eg. Housework, food prep, and walking.

3.85 million Australians are affected by this condition as it is the major cause for disability and chronic pain in the country. As a result, the cost to our economy equates to more than $23.9 billion/year in medical care and secondary costs eg.

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