Ante and post natal care
Relief from pain
Help with incontinence in men and women
Treatment and prevention of sports injuries and muscle strains
Tears and joint sprains
Restore motion in joints and increase range of motion
Neck and back care
Ergonomic advice regarding postural problems
Pre and post operative rehabilitation
Relief from chronic ailments like arthritis
Improve impaired mobility
Treatment of headaches, TMJ (jaw) problems
Some examples of conditions that can be treated are:
Ante and post natal issues
Tennis elbow/golfer’s elbow
Occupational overuse syndrome (OOS/RSI)
Post surgical rehabilitation
Soft tissue release
Pain is a feeling triggered in the nervous system. Pain may be sharp or dull. It may come and go, or it may be constant. You may feel pain in one area of your body, such as your back, abdomen or chest or you may feel pain all over, such as when your muscles ache from the flu.
Pain can be helpful in diagnosing a problem. Without pain, you might seriously hurt yourself without knowing it, or you might not realise you have a medical problem that needs treatment. Once you take care of the problem, pain usually goes away. However, sometimes pain goes on for weeks, months or even years. This is called chronic pain. Sometimes chronic pain is due to an ongoing cause, such as cancer or arthritis. Sometimes the cause is unknown.
Urinary incontinence is perhaps the most wide spread, least known affliction of the general population. It affects one in three women globally and up to one in ten men! It can be mild (occasional leakage of small amounts) or severe (daily leakage, wearing pads and avoiding normal activities/sports).
Symptoms can include:
- Increased frequency of urination
- Urgency (sudden and uncontrollable desire to go to the toilet)
- Urge incontinence (leaking before you can get to the toilet)
- Stress incontinence (leaking associated with activity, change of position, coughing, sneezing)
People are often reluctant to seek help but there is a great deal of help available from specialised women’s health physiotherapists. Some improvement in symptoms is possible for nearly everyone with incontinence. It is most common in women who have had children but it can also affect children, men and women without children.
Physiotherapy treatment involves assessment (you may be asked to complete a bladder diary) and depending on your symptoms, bladder retraining pelvic floor muscle rehabilitation (this takes motivation and patience, and can take weeks to notice improvement) advice and education on normal bladder habit.
Why care about pelvic floor muscle function?
Poor tonic muscle support of the pelvic floor is likely to be a factor in the following conditions:
- Urinary frequency
- Urinary urgency
- Urinary seepage
- Vaginal prolapse
Inadequate tonic muscle support and strength of the pelvic floor contributes to the following:
- Stress urinary incontinence
- Urge urinary incontinence
- Obstructed defaecation due to lack of rectal support
Pelvic floor muscle rehabilitation can help in many of these cases: Conservative management of stress urinary incontinence by rehabilitation of the pelvic floor muscles is advocated as a primary intervention. This approach has no adverse effects and has been shown to be effective in mild-to moderate cases of urine loss.
Why bother with supervised Pelvic Floor Muscle Exercises?
In normals (most of whom were Physios) when asked to perform a pelvic floor lift 65 per cent performed the correct procedure but 35 per cent bore down (not good if you’ve got a prolapse or incontinence problem).
Return to Form has an experienced women’s and men’s health physio and have links with Auckland Urologists and Gynaecologists.
Here’s great news for all women and especially you new mums. Now available in New Zealand exclusively through our clinic, specialised devices to help regain pelvic floor strength.
A few examples are:
The PelvicToner guarantees to make your pelvic floor exercises, much more effective and will help banish the embarrassing symptoms of stress incontinence in just a few weeks. And a stronger pelvic floor can have a dramatic impact on your sex life!
Clinically proven and doctor recommended
The PelvicToner is the only clinically proven pelvic floor exerciser available on GP prescription in the UK – and over 100,000 women can vouch for the benefits. And their partners appreciate it too!
NatraTone targets 3 specific muscles: Lower abdominals, diaphragm and the pelvic floor muscle. The exercises train these muscles to work together in sequence to become strong and coordinated.
Smart Balls come in 2 different weights, each suited to a different level of pelvic floor ‘fitness’. Smart Balls Uno and the Smart Balls Duo.
Like anything, trying something new can be a bit scary. But its good to remember that Pelvic Toner, SmartBalls and NatraTone have been designed by professionals, and tested by 100′s of women including ourselves – and yielded great results. Every time you use your Toner, Smart Balls or NatraTone – you’re one step closer to eliminating bladder weakness from your life.
You don’t have to have an injury to see a physio.
We are specialists in human movement and have expert knowledge at our fingertips to not only prevent injury before it occurs but make use of the best types of stretches and exercises to return the body to top form and maintain top form.
Return to Form clinic has a great studio fully lined, carpeted and mirrors to keep tabs on your form.
There are various classes throughout the week with more to come.
Current classes are ;
Pilates: mat and equipment 1:1 and small group classes
Total Gravity System 1:1. 1:2 and small group circuits.
If there is a particular type of class you would like to take part in, please do let us know and we can try arrange this.
Gravity Group Fitness Classes
We now offer group fitness classes with our fully trained personal trainer. You will get to use our Gravity machines which give you a full body workout. We have small group classes with only 4 people and run 6 weeks courses. We currently are only running a beginners course, with an intermediate course being commenced shortly. Small classes, BIG results! For more information about our gravity machines click here
We have 1:1 personal training sessions using our Total Gravity System. Sessions will focus on weight loss, toning and strengthening. You set the goals and work with our trainer to achieve them. Give us a call on 09 551 4460 to register your interest or for more information.
Joint injuries and fractures
Joint injuries can often be the result of a fall when you hit the ground too heavily or twist the joint as you land. Immediate damage may show as swelling, followed by severe bruising around the joint.
Joint injuries are most common in the shoulder, knee and ankle often involving fit young people. Sometimes the effects of a joint injury can reappear years later when osteoarthritis develops.
The cause of fractures (broken bones) is similar. In young people it is sometimes the long bones between the joints that take the impact and are broken.
A fracture in the leg frequently makes it impossible to walk immediately following the injury. In older people, fractures are often at the wrist or hip, and may need a long period of recovery.
If you suspect you have broken a bone, or that the supporting structures around a joint have been damaged, you often need to go to the Accident and Emergency service at your local hospital, where you may get a plaster cast, to keep the bone still while it heals. Sometimes an orthopaedic surgeon has to do a repair.
Physiotherapists play a major role in helping you regain your independence once the initial healing has occurred. This often involves an exercise programme specifically made for you, and can include the use of gym equipment to help you regain your strength and any movement lost in the joint. You may also need advice on how to use crutches or other walking aids.
muscle strains and tears
Muscle strains are common. They can occur when you stretch or reach out past your normal range while running, playing sport, gardening etc. A muscle tear is more serious as some of the muscle fibres will be broken.
Initial treatment for both injuries involves RICED.
- Rest – stop the activity you are doing to avoid further damage
- Ice – place crushed ice wrapped in a damp towel on the injured area for 20 minutes every 2 hours for the first 48 hours
- Compression – firm bandaging helps reduce swelling and bleeding
- Elevation – keep the affected area raised as much as possible
- Diagnosis – it is very important to see your doctor or physiotherapist if the pain and swelling gets worse or you have not improved after a couple of days
The best way to prevent muscle strains and tears is to include a warm-up programme before starting any exercise, and then cool down and stretch when you have finished the activity. Advice on warm-up programmes and cool-down activities can be obtained from your physiotherapist.
Following an injury, your physiotherapist can help your rehabilitation. The earlier you get help, the faster your injury is likely to heal. Treatment will include an exercise programme, possibly with the use of some gym equipment to increase your strength and co-ordination and restore any movement lost in the joint.
If you are a keen sportsperson your physiotherapist can help you with your training programme to decrease the chance of re-injury.
Incontinence affects men as well as women as much as upto one in ten men can be affected at any stage of there life. A major cause of incontinence that physio’s see men for is prostate surgery due to cancer.
Incontinence can be an embarrassing consequence of this surgery. The symptom of accidental leakage of urine can be embarrassing and the best way to deal with this is to be prepared and learn how to minimise it. Pelvic ﬂoor muscle exercises can also help to enhance the quality of an erection which can be an issue after this type of surgery, we can improve this with acupuncture and progressive strengthening exercises.
We use Pilates based matwork, swiss ball and machine based exercises to enable you, to return to full everyday activities and your sport without embarrassing incidents
Basic general anatomy and workings of the bladder will be taught before assessment and teaching of the correct exercise regime.
Ideally, if you’re going for surgery you should start your exercise regime four to six weeks prior to surgery and then after the catheter has been removed.