Lateral ankle sprains (LAS) are injuries that happen to the ligament/s of the outer part of the ankle.

These ligaments are called the anterior talo-fibular ligament, anterior tibiofibular ligament and the calcaneofibular ligament. This ligament attaches to the talus, a bone in the foot, and the fibula, one of the two bones in the leg (shin).

The typical signs and symptoms that are associated with this injury include:

  • Pain felt in the area of the outer part of the ankle
  • Swelling
  • Stiffness
  • Joint instability (feels like it will ‘give way’)


LAS’ is a common problem and occur at a rate of one injury per 10,000 people a day.

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Anterior Cruciate Ligament (ACL) Injuries

– Cindy Octhaliany, Physiotherapist at Optimum Health Solutions Liverpool and Croydon Park 


The anterior cruciate ligament is one of two very strong ligaments that are located inside your knee joint.  Injury to the ligament can often occur during sports during twisting positions, fast deceleration or when you land heavily after a jump with poor control. You may have seen ACL injuries happen on video during sports such as AFL (definitely one for the “Try not to cringe” challenge!). Another way the ligament can be injured is if someone applies a direct force on your knee, placing a stretch on the ACL

What are the symptoms of an ACL injury?

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Meniscus Injuries: Rehabilitation and Return to Sports

– By Elaine Tan, APA Sports and Exercise Physiotherapist, Optimum Health Solutions Croydon Park



The meniscus is a crescent-shaped cartilage that is located inside the knee joint to help shock absorption and reduce friction during movement in the knee – we have two meniscii in each knee.

There are mainly 2 ways these structures can be injured:

1. From traumatic incidents such as forcefully twisting or rotating your knee while your foot is planted on the ground, especially if you have your full weight on your leg, for example during a sudden change in direction when running; or


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By Elaine Tan, APA Sports and Exercise Physiotherapist at Optimum Health Solutions


Martial arts is a form of sport mainly used for combat and self-defence, eg. taekwondo, judo, kungfu etc. A lot of these sports originated from East Asia, and can look a bit similar to those unfamiliar with them. In this article, I will be talking about the top 3 most injured body parts in Judo, a martial art that originated in Japan which involves mainly grappling and throwing.


The shoulder joint is the most mobile joint in the human body with the widest range of motion. It is also the easiest to get dislocated when a judo athlete lands awkwardly during a throw.

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What you can and cannot do post spinal fusion surgery:

– By  Katie Gallagher Physiotherapist at Optimum Health Solutions Sylvania

post surgery

The physiotherapists on the ward will assist with walking and provide any required assistive devices such as walking frames. They will also advise you on what you can and cannot do in the first few weeks following surgery.

Weeks 1 – 6:

  • Avoid sitting longer than 20 or 30 minutes at one time.
  • Sleep in any position that does not cause back pain.
  • Use log roll technique to get in and out of bed.
  • Avoid bending at the waist. Instead bend at the knees and squat down to reach ground.
  • Avoid lifting or carry anything heavier than around 2-3kg (e.g.a kettle of water).
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Rehabilitation following Spinal Fusion: What will physiotherapy involve?

– By  Katie Gallagher Physiotherapist at Optimum Health Solutions Sylvania


What is a spinal fusion surgery?

Spinal fusion is a surgery that involves fusing two or more of the spinal bones (vertebrae) together to eliminate movement at a segment of the spine which is causing pain. This is done by placing bone, bone-like material or a spacer between the spinal vertebrae which encourages new bone to grow and connect the vertebrae together. Metal screws, plates or rods are used to secure the vertebrae together – eliminating any movement at that segment.

Who might require a spinal fusion?

Many spinal conditions can be treated though spinal fusion including:

  • Spinal stenosis
  • Degenerative discs
  • Spinal tumours
  • Fractures of the spine
  • Spondylolisthesis (slipping vertebrae)
  • Scoliosis and Kyphosis (abnormal curvatures of the spine)

Rehabilitation following Spinal Fusion.

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Cycling & Injuries: Just part of it or avoidable?

– By Elaine, Head of Physiotherapy at Optimum Health Solutions


Cyclists do get injuries all over their body from head to toe depending on its causes. Traumatic causes can include bike crashes, bird attacks, potholes etc. Non-traumatic causes is usually due to poor bike set-up or poor load management. I will talk about some of these non-traumatic causes and what you need to look out for.

Types of Injuries in Cycling

1. Neck pain: Usually due to sustained neck extension and often related to the side the cyclist has to look over.

Possible bike errors: Handlebar too low, too far forward or too wide; or saddle height could be too high.

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The Importance of Evidence Based Practice in Physiotherapy

– By Katie Gallagher, Physiotherapist at Optimum Health Solutions Sylvania


EBP refers to the way in which practitioners, such as physiotherapists, base their assessments and treatments on currently available research, which provides evidence that they are accurate or effective. The term has been defined as:

“The integration of best research evidence with clinical expertise and patient values.”

This means that in order to be an evidence-based practitioner, physiotherapists must consider:

  • What assessments and treatments the currently available research supports
  • Incorporate their own clinical knowledge, experience, the scope of practice (what they are competently trained in) and judgement 
  • Keeping in line with their patient’s personal values and beliefs, preferences and abilities.
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– By Delena, Physiotherapist at Optimum  Health Solutions Campbelltown


As people get older, they may need some extra help around the home or out in the community to maintain their independence. Common things aged-care support workers may help with for people living out in the community include personal care, helping with shopping, cooking, cleaning and even helping people engage in fun, social activities around the home. 


There is a high need for physiotherapists to support older people as they age, as there’s health and fitness declines. This can lead to more frequent falls and higher risk of injury.

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Lumbopelvic Pain in Pregnancy

– By Katie Gallagher, Physiotherapist at Optimum Health Solutions Sylvania

Lumbopelvic pain in Pregnancy


Approximately 70% of women experience back or pelvic pain during pregnancy, known as lumbopelvic pain.  Lumbopelvic pain typically occurs later in pregnancy, between 5 – 7 months.

Women who have pre-existing low back pain prior to pregnancy, are at higher risk of developing pregnancy-related low back pain.  This can become debilitating, affecting the expectant mother’s ability to mobilise comfortably, sleep, work or socialise and can often lead to increased stress and anxiety.  In up to one-third of cases, lumbopelvic pain does not alleviate postpartum and can continue for up to 1 year. 

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