Dr. Marcus Matear talks to Alexandra Minichiello, a physiotherapist from Port Melbourne who has done continued training in Clinical Pilates, Dry Needling, Cancer Rehabilitation, and Vestibular Rehabilitation. She has worked in private practice settings across New Zealand and Australia since 2009. In this episode, they talk about Alexandra’s different fields of specialty, her holistic approach to physiotherapy, and tips to improve workplace ergonomics.
[00:47] How Alexandra become a physiotherapist
[01:48] Cancer rehabilitation
[04:15] Complex Regional Pain Syndrome (CRPS)
[06:13] Antenatal and postpartum physiotherapy
[08:38] Prevention of physical health problems
[10:39] Ergonomics in the workplace
[15:26] Recommended stretching and exercises
[17:27] Clinical Pilates
[21:04] Physical therapy and stretching classes online
[23:10] Dry needling
[26:53] Optimal sleeping conditions
[28:02] Integrated care is the future
Physiotherapists help patients maximise their mobility through a variety of techniques like dry needling, massages, and exercise. The actual treatment plan will vary for each person. It’s more beneficial for physiotherapists to work with doctors, psychologists, dieticians, and other healthcare professionals in order to provide a well-rounded program.
By looking at a person’s chair, table, and body position, you can assess if his/her workplace has good or bad ergonomics. A standing desk is useful to some degree, but what ultimately helps is when you change positions frequently. Alternate between standing and sitting. Walk around and sneak in stretches when you can. Now that the majority of people work from home, it’s easier to implement lasting changes to their behaviour or environment. If something is troubling you, it’s always best to consult with a physiotherapist who can tailor a personalised program for you.
Got questions about physiotherapy? Shoot Alexandra an e-mail at [email protected].
Port Melbourne Physiotherapy and Pilates: https://portmelbournephysio.com.au/physiotherapists-team/
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Tips to prevent severe cumulative trauma, back, neck, and muscle pain
Set timers when sitting for long periodsso you sit for 20-30min and get up to move
May be hard for dentists/physio, etc other ways
Walks-aim for 10,000 steps/day if medically-able
Other exercises- clinical pilates, swimming, cycling. Any movement is better than none
Sleep: On your side generally, Car: ergonomics can be assessed by physio
Office ergonomics: How to sit: not slouch, what chairs are more ergonomic, assessment with physio to work out best ergonomic aids i.e chair, desk, wrist support etc
Assessing the cause,
a) Individualised Clinical pilates program
b) Exercising weaker muscles, alleviating imbalances
c) Alleviating acute muscle pain: massage, dry needling, etc