HeadFirst Physiotherapy

Achilles tendinopathy rehab = **progressive loading.**

I’m a Sports Physiotherapist and I’ve been covering Achilles tendinopathy with the postgraduate students this week — focusing on the latest evidence around progressive tendon loading.

A simple evidence-based progression:
→ Double -> single leg
→ Straight and bent-knee calf loading
1. Isometrics
2. Heavy slow resistance
3. Increased range
4. Plyometrics

I’ll also address any individual strength, mobility or biomechanical factors that may be contributing.

The goal is to progressively build tendon capacity and tolerance to the demands of sport and activity.

If you’re a runner who has had Achilles issues give these a go or send to someone who needs this!

TendonRehab StrengthAndConditioning SportsPhysio

Knee pain? Think beyond the knee. 🦵

Inspired by this week’s lecturing on hip & knee assessment and differential diagnosis, here’s a look at how I approach a clinical assessment.

🔎 Clinical testing: knee ROM, meniscal & ligament testing, alongside screen of the hip.

🏋️ Functional testing: single-leg hip thrusts, squat, single leg squat/step-downs and movement control under load, stability.

The aim isn’t simply to find a “positive test”,it’s to bring together the history, mechanism of injury, clinical findings and functional presentation to determine the most likely pain source and contributing factors.

Evidence-based assessment + clinical reasoning helps form differential diagnosis and individualised rehab. 🧠

📍 City Beach
📩 Book via link in bio

🥲

One of the most important discussions I have with parents of young athletes and professional athletes alike is whether it’s safe to continue playing contact sport after multiple concussions.

The answer is rarely straightforward.

A previous concussion is one of the strongest predictors of sustaining another concussion, but it doesn’t automatically mean an athlete has to retire from sport.

What matters most is whether they’ve recovered fully and addressed the factors that may reduce future risk.

Current evidence suggests concussion risk may be reduced by improving:
💪 Neck strength
⚡ Reactive Balance
👀 Vision and sensorimotor control
🏃 Sport-specific neuromuscular training

This is why, before many professional athletes return to full contact, they’re expected to demonstrate objective physical benchmarks including neck strength relative to their teammates, alongside symptom resolution and sport-specific progression.

If you’ve sustained multiple concussions, the goal isn’t simply to get back on the field. It’s to complete full rehabilitation, address modifiable risk factors, and make an informed decision about returning to sport.

Every concussion is different. Every return-to-play decision should be too.

AFL

🧠For many people with persistent post-concussion symptoms, assessing the visual and vestibular systems is an essential part of the clinical picture.

When your visual and vestibular systems aren’t working together properly, you may experience:
⚡ Headaches
🤢 Nausea
💫 Dizziness
📱 Poor screen tolerance
📖 Difficulty reading or concentrating
🚶 Motion sensitivity

In this assessment, I’m screening:
🔹 VOR
🔹 Smooth pursuits
🔹 Saccades
🔹 Convergence
🔹 Visual Motion Sensitivity
🔹 Head Thrust Test
🔹 Dynamic Visual Acuity

Rehab should be individualised to the deficits we find, progressing visual tracking, vestibular loading, balance, dual-tasking and sensorimotor control.

In this reel you’ll see:
🏐 Ball toss drills
⬆️ Vertical tracking
🌈 Rainbow hand passes
🦵 Single-leg balance challenges

Concussion rehab is about much more than rest. The right assessment and targeted rehabilitation can make a significant difference in recovery and help people return confidently to school, work and sport.

Save this post or share it a physio colleague or someone recovering from a concussion.

vestibularphysio

Click link to book in person or via telehealth

What is Vestibular physiotherapy?

Dizziness can arise from a range of causes including positional vertigo (BPPV), vestibular migraine, vestibular neuritis, concussion and vestibular hypo-function.

Symptoms can present as:
• Vertigo or room spinning
• Feeling off balance or unsteady
• Motion sensitivity
• Brain fog
• Nausea
• Visual motion sensitivity
• Dizziness when rolling in bed, looking up or turning quickly

A typical vestibular assessment may include:

1️⃣ Eye movement assessment
• Oculomotor screening (VOMS)
• Saccades
• Visual tracking

2️⃣ Vestibular function testing
• Vestibulo-ocular reflex (VOR)
• Gaze stability

3️⃣ Cervical screening
• Neck mobility
• Cervicogenic contributors to dizziness

4️⃣ Positional testing for BPPV

5️⃣ Balance assessment

Treatment is individualised and may include repositioning manoeuvres, vestibular rehabilitation exercises, gaze stabilisation, balance retraining and graded return to work, exercise or sport.

📍Perth, WA