unstable shoulder

Unstable shoulder

Unstable shoulder 774 619 Ace Health Centre

The Unstable Shoulder

There is new classification surrounding an unstable shoulder. Based on the Stanmore classification of shoulder instability there are 3 types:
Polar type I (structural instability), Polar type II (Atraumatic instability), and Polar type III (Neurological dysfunction/muscle patterning). This can be simplified to Born loose, Torn loose, Worn Loose.

Polar Type I:

The Unstable shoulder may present with general rotator cuff weakness, and positive apprehension test, while also showing deficits particularly in subscapularis with a lift-off test. As this type begins to progress a patients shoulder may exhibit increased scapular dysfunction, and abnormal muscle activation. Imaging should only be used when there is suspected structural instability, with arthroscopy being useful to pinpoint areas causing instability.

Polar Type II:

May present with increased capsular laxity, excessive ER, a sulcus sign, and potentially GIRD. Abnormal anterior translation may be present due to laxity, scapular dyskinesia, muscle imbalance, and congenital labral pathology.

Polar Type III:

Will present with large muscle activation occurring (Lat Dorsi, Pec Mj, Ant Delt, and Infraspinatus) while other rotator cuff muscles may be suppressed.

What can you do for an unstable shoulder?

Imaging can be used on the unstable shoulder using X-ray at first to gain an insight into the structural damage done and the position of joint. CT and MRI can be used when diagnoses is still unclear and soft tissue imaging could be of greater benefit.
Each polar type causes different mechanisms for instability and pain. It can be helpful to classify patients to better manage symptoms and create the appropriate exercise program. Physiotherapy can be beneficial to help manage symptoms and limit risk of dislocations.
Each program should be tailored to each patient, however early stages should start with regaining ROM, with AAROM or PROM to help normalise the movement. While Isometrics can be used to help with muscle activation, and proprioception (hands on table) to help with joint stability.
Once joint stability has been restored the patient can progress. Progression is to include increased strengthening within varying ranges, and stabilisation exercises (wall ball, wall push ups).
The Unstable shoulder final stage of rehab can include a progressed exercise program. This includes plyometric work and increased dynamic movements and stability work, along with return to sport/work activities.
Futsal injury prevention and treatment

Futsal injury prevention and treatment

Futsal injury prevention and treatment 1280 720 Ace Health Centre

Futsal injury prevention and treatment

In this blog we talk about Futsal injury prevention and treatment. Playing soccer / football can be a great activity for all ages, but like any other sport there is always an associated risk of injury. There are some injuries that are more evident in younger players such as Osgoode-schlatters or Severs, while in older players we might see more ACL, meniscus or concussion type injuries. Some common injuries are:

  • Stress fractures
  • Growing pain such as Osgoode-schlatters and Severs
  • Sprained ankles
  • Muscle strain or tears
  • Injured tendons for example Tendinopathy
  • Knee injuries such as ACL, MCL, PCL, LCL, Meniscus injury, Patellofemoral pain syndrome
  • Concussion
  • Shin splints
  • Foot injuries

Out of these there are 4 that stand out more than others.

Most common Injuries

  1. Shin splints – This is the overuse of the muscles along the inside of the leg. It can be related to flat feet and pronation, sudden increase in exercise, poor running posture and weakness.
  2. Ankle sprains – Its easy to sprain an ankle especially in futsal. Fast side to side movements. this can be related to foot posture, flexability and poor balance. This is the most common futsal injury.
  3. ACL injuryACL stands for Anterior cruciate ligament. This ligament is in the knee joint. It gets put under high stress during turning and pivoting. This is why its such a highly injured area.
  4. Hamstring strain – Your hamstring is placed under high stress during most activities. Jumping, running, stopping. This must be rehabilitated properly post injury due to its high load job.

CLICK HERE to find out what signs and symptoms to look for and if you potentially have an injury. 

CLICK HERE to find out the most common futsal and football injuries a podiatrist treats

Futsal injury prevention and treatment is important for every part of the body. Every injury will cause some sort of disruption to the athletes level of performance. At Ace we want to keep you on the court/field performing at your very best. See one of our health professionals to prevent injury or return to your best post injury and at a high level of performance. We are able to provide proper advice and education to better understand your injury as well as provide proper rehab exercises and make shoe recommendations.


Contact us today for an appointment. Call us on 5572 6222 or click this link to go to our contact page.

Time for bone to heal?

How long for a bone to heal?

How long for a bone to heal? 600 449 Ace Health Centre

How long for a bone to heal?

Time for bone to heal? So, you’ve just broken a bone. Not only having to deal with the pain associated with it, you have to wear a cast and potentially may need surgery. We are given general time frames as to when the bone will heal. But what does this process entail and why are we told 6-8 weeks for bone healing? Bone healing occurs over 5 phases. Initially we will see tissue destruction and haematoma formation (blood clot). Followed by inflammation. Soft bone formation. Hard bone formation, and finally a remodelling phase.

Haematoma formation and inflammation

Within the first week following a broken bone the body will respond by creating a blood clot. This is to provide the bone with increased blood supply and nutrients. Within the blood other responses occur to help begin clearing out dead bone fragments. As well we will see growth factors influence the bone to begin bone healing. Furthermore we will also see increased formation of blood vessels within the blood clot to help supply the area with the needed nutrients.  Similar to tissue healing this is the beginning of the healing phase, and starts from the beginning of injury and may overlap with the next stages of recovery.  This phase can last up to a week before moving on to the next phase.

Soft and hard bone formation

Now following the initial phase and the cleaning of dead bone fragments, the body will begin to form a connection between the two bone ends.  It does this by creating a soft bone made of cartilage in order to help stabilise the break.  From this increased stability the bone is able to continue with the healing process, and will continue to use the methods used in phase one and two to progress to a healthy bone.  As the process continues the soft or cartilaginous bone shifts to a harder bone (trabecular).  This bone will now be evident on imaging and appear swollen with respect to the rest of the bone.  These phases of the healing process can last up to 3 months.  Within this stage you may be given the all clear from your doctor to remove any casts and begin using the affected area again.

Remodelling phase of bone healing

Within the remodelling phase you may have been given the go ahead from your doctor already to start using the area again in a safe manner.  This phase can be simply put as a use it to improve it principle.  As bone is formed around the injury, it constantly reshapes itself to provide more support where its needed.  This phase can last up to 2 years.  This length of time will not prevent you from doing the things you enjoy. Although it is important to understand that although we are back to activity, the bone is still recovering.

It is important to note that with bone healing you should always listen to the advice of your doctor as to when you can return to activity.  Furthermore, it is important to work with physiotherapists to help prevent other complications. Complications may arise, as well as maintain movement in the surrounding areas.


Following this a physiotherapist can begin to progress exercises to further strengthen the area and mobility following the prolonged time of inactivity. Contact us today and see how we can help you.

Exercising at home during COVID-19

Exercising at home during COVID-19

Exercising at home during COVID-19 1200 628 Ace Health Centre

Exercising at home during COVID-19 is important. Especially for our older generation who are scared to leave the hours. The wonders of the modern world mean doing this is much easier than it was previously. Youtube and tell health leaves no excuse for not having ideas or motivation. Heres not only some motivation but also some exercises you can do by yourself, and with a partner.

Squat your dog!

This one is a great way to have fun, and a great way to get fit and strong. People with small dogs have the advantage here!


The climb over and around your partner exercise challenge

Now this one is a little harder and does require a bit more skill and strength for both people. There are a few different options for the road you take around your partner just so you don’t get bored. See how many times you can do it and beat your own record. This is a fun way of exercising at home during COVID-19.


The Milk Bottle workout

Now, what can you find around the house to help you work out? That’s right! A milk bottle! Simple easy functional and effective. Plus you can allow the weight for each person. Check out this video for a few ideas.

The shopping bag workout

There really isn’t any excuse for not working out. This workout can be done by anybody at any age. This one is the definition of functional exercise. Now, who hasn’t picked up a shopping bag in their lifetime and put it on the kitchen side? Now its a way you can get strong and fit! Check out this vid for a few ideas.

The Shopping Bag Workout

This video does exactly what it says on the tin. Post any videos of you bustin these moves out in the carpark at the supermarket in the comments below for a week’s free training down here at the studio!

Posted by Alex Backhouse Strength & Conditioning on Friday, 28 September 2018

What else do you need for Exercising at home during COVID-19

So there you go. A few fun and functional ideas for home workouts for Exercising at home during COVID-19. Were in this together, so let’s come out of it strong and fit together! If you need more ideas then contact us for an exercise program. Contact our physios are qualified in exercise programs. The can help you exercise safely and effectively.

Neck pain caused by Thoracic outlet syndrome

You neck pain could be Thoracic Outlet Syndrome

You neck pain could be Thoracic Outlet Syndrome 290 290 Ace Health Centre

What is Thoracic Outlet Syndrome (neck pain)?

Neck pain caused by Thoracic outlet syndrome occurs when there is tightness built up between the area of your neck and collarbone. This pressure build-up can affect the nerves or blood vessels that are found in this area. Thoracic outlet syndrome is not as common as other conditions but does generally affects females more than males. It may occur due to either of the following:
–      A traumatic event
–      Repetitive injuries
–      Pregnancy
–      Body structure changes (i.e. having an extra rib)

Many symptoms overlap with other types of conditions which may make it difficult to initially identify.

What are the Signs & Symptoms?

If you have thoracic outlet syndrome, symptoms can vary from person to person. No one will have the exact same symptoms but may include some of the following:
–      Face pain
–      Neck pain
–      Chest pain
–      Shoulder pain
–      Burning or prickling feeling anywhere along the arm
–      Altered sensation anywhere along the arm
–      Arm weakness
–      Arm heaviness
–      Altered skin coloration
–      Coldness in the hand or fingers

Signs and symptoms tend to worsen when you raise your arm overhead. You may notice these symptoms during activities like serving a tennis ball or painting a ceiling. Driving or typing on a computer may also bring on some of these symptoms.

How to Treat Thoracic Outlet Syndrome

Physiotherapy can help resolve the symptoms you are feeling above. Taking a thorough history of the symptoms you present with along with physical tests, can confirm or deny if you have thoracic outlet syndrome. Education regarding the condition can be provided to make you feel more assured and understand why you have these symptoms. Treatment may also include a mixture of the following:
–      Posture correction
–      Activity modification
–      Shoulder control exercises
–      Massage
–      Relaxation of tight muscles
–      Neck stretching exercises
–      Strengthening exercises
–      Shoulder joint mobilizations
–      Taping

Come see one of the physiotherapists at Ace today to relieve your pain and get your symptoms under control.

The Relationship between an Injury and your Mind

The Relationship between an Injury and your Mind

The Relationship between an Injury and your Mind 1200 675 Ace Health Centre

The Relationship between an Injury and your Mind

The Relationship between an Injury and your Mind is extremely important. When you become injured, it can become quite daunting at times. You may find it difficult to do everyday activities that may have been easy beforehand. For instance, activities like walking, participation in social events, work or sport may feel more like a chore. You may start to notice these restrictions throughout your everyday life. It is therefore important to be aware that there are many factors at play. However, stress and your perception of your injury are key factors that need to be addressed. When we get injured, there is both a physical and emotional response. Your physiotherapist can help ensure your stress and mindset from your injury is managed appropriately

How a Physiotherapist Can Help The Relationship between an Injury and your Mind

Physiotherapists can assist in your recovery both physically and emotionally.
By addressing the areas below, a holistic recovery care plan can be developed. We can help you The Relationship between an Injury and your Mind by understanding:
  • Your unique pain experience
  • Expectations regarding the rehab process
  • Helpful coping strategies
  • Emotions revolving around your injury and day to day activities
  • The many capabilities you still have

What are Coping Strategies to help

Coping strategies can be broken into two categories. Firstly Behavioral (your actions) and secondly Cognitive (your thought process).
Some examples of helpful behavioral coping strategies include:
  • Pacing activities
  • Goal setting
  • Seeking social support
Some examples of helpful cognitive coping strategies include:
  • Pleasant imagery
  • Reinterpreting pain
  • Coping self-statements
Stress is a natural response when an injury occurs. It is important to find positive coping mechanisms to help decrease your stress while your injury heals. By decreasing your stress you are also decreasing your pain. This improves your recovery overall and will assist with a speedy recovery.
no gap orthotics gold coast

No Gap Custom Orthotics On The Gold Coast

No Gap Custom Orthotics On The Gold Coast 600 400 Ace Health Centre

No gap orthotics on the gold coast

At Ace in Gold Coast clinic we’re not just doing cheap or semi custom orthotics for our no gap* deal. We are supplying MotionX world’s first fully custom 3D printed orthotics. These are at the top of orthotic innovation and customization. New to the world of supplying orthotics their technology was only available as of 2019. They are the first in Australia to possess this technology an one of the first in the world. We are very lucky to be the first clinic in the world that has started supplying them. Our no gap* orthotics gold coast offer is available now.

No gaps in our No gap* deal

Just because you don’t pay anything out of pocket doesn’t mean that you will receive any less attention, service or followup. As the same as everybody else, you will receive a biomechanical analysis, free / no gap* fitting and follow ups, and a satisfaction guarantee.


What type of orthotics can you have?

The answer is whatever you need. If you need some new orthotics to help you hit that new PB, to recover from an injury, to help prevent you getting an injury or for everyday comfort.

We have models for your dress and fashion shoes, high heels, running shoes and more. You can choose from harder materials and softer, or we can cover hard materials with soft materials.

We can do all of these options with out no gap offer* at our clinic located mid Gold Coast.


How do i claim for my No Gap* Orthotics on the Gold Coast

To claim for our no gap orthotics offer at our Gold Coast clinic there are a couple of things you need to know. *No gap is subject to your private health fund, fund rules, level of cover, being processed via out HICAPS and reset date. To be able to claim you must have an appointment with our podiatrist. Please also note To be able to claim we must swipe your health fund card for the orthotics at the time of collection.

Please note that it is not our responsibility to know what level of cover you have and how much your health fund will cover you for. Accept all major health funds including HCF, Medibank, BUPA, CBHS, Teachers, Defence Health and more.


To get your no gap* orthotics gold coast book here today.

Pressure distribution analysis. ACE Health Centre. Gold Coast.

Podiatrist Job On The Gold Coast

Podiatrist Job On The Gold Coast 1000 667 Ace Health Centre

The Ultimate Podiatrist Job On The Gold Coast

Here at ACE health center, we have come to the point where we need to add to our team! We are looking for a podiatrist who would like to work and live on the sunny Gold Coast. Ace health center is a multidisciplinary clinic that also utilizes pilates and gym equipment to help rehab clients back to health. Our clinicians have a strong background in strength and conditioning and would love to be able to pass their knowledge onto somebody new.

So why come work for us?

  • We have state of the art facilities including 3D scanners, shockwave therapy, digital gait analysis, pilates, and gym
  • We pioneer the worlds first full-color 3d printed orthotics
  • Use Australia’s only full color industrial in house 3D printer
  • Try orthotic manufacturing and finishing
  • Learn digital orthotic design
  • Perform shockwave therapy
  • Learn injury rehab with strength and conditioning qualifications
  • Learn about business
  • Get a mixed client load, from ages 1-100 years old
  • Mixed treatment base – ingrown toenails, orthotics, injury rehab, corns, callus, verrucae, balance classes and more
  • Learn from the Gold Coast top 3 podiatrists 2019, podiatrist of the year finalist 2019, and young entrepreneur 2017, 2018, 2019
  • Learn from Griffith uni lecturer and our physio Amelia
  • Have fun with our great team
  • Regular clinical meetings and learning
  • Quarterly CPD with an external talker
  • Company mobile phone and possible car (dependant on job taken and experience)
  • Learn digital gait analysis
  • No cleaning your own instruments or doing your own sterilizing
  • We have an air purifier (trust us, this one is important)
  • We reward hard work and teamwork

What do we want for our Gold Coast Podiatry position?

  • Hard-working – we reward hard work and it won’t go unnoticed
  • Teamwork – nobody is superman, so offload some things and help each other out
  • Refer – no one person can know or do everything. What has a great team and they are all very smart.
  • Tell the truth – this may seem like a simple one but sometimes tell the truth can pay off
  • Talk to us – If you have a problem and we don’t know, how can we help you, or resolve the issue.
  • Be happy and have fun – these things are contagious and rubs off on each other

I’m not really sure what else you would want in a job?

Our Gold Coast podiatrist job can either be clinical or a mix of clinical and representative work (chatting to orthotic clients, helping them prescribe, showing products and doing walkthroughs). We are open to knowing what you want in a job and what you hope to achieve within your time with us. Within our Gold Coast podiatry job, you can choose your own role. You can either have a very clinical role or part clinical and part sales / representative role.

We have 3 Physio’s, dietitians, pilates, and podiatry in our clinic. in clear island waters. There is a lot to learn from each modality and we can all benefit each other and help our clients better.

We hope that after reading this you will have an idea if this is the job for you. If you think you have what it takes then give us a call today and ask to speak with Mike!

Women Physiotherapy. Best Physio Gold Coast. Best Physio for pregnant. Physiotherapy throughout the pregnancy. Best Women's physio. Ace Health Centre. Bulk billing physiotherapy. Private health funds physio.

Post Natal Physiotherapy – Ace Health Centre

Post Natal Physiotherapy – Ace Health Centre 1000 667 Ace Health Centre

In post natal physiotherapy at Ace Health Centre the primary focus for treatment after delivering a baby is for the mother is often rest and taking care of the baby. So much so, the mother’s recovery is often neglected. In the six months after childbirth, the mother’s body also needs extra care. The mother’s body has gone through hormonal changes, where ligaments have become softened to accomodate for the growing baby. The pelvic floor muscles and the abdominal ligaments have been stretched out. Therefore, it is imperative to visit a physiotherapist to properly rehabilitate to prevent injuries and other common post-pregnancy complications. Below are some of the most common post-pregnancy conditions the mother may experience.

Post Natal  Bladder problems after childbirth

Some common bladder problems include difficulty starting the flow of urine, incomplete emptying of the bladder, leakage of urine and reduced sensation of bladder filing. Most bladder problems improve in the first two weeks, if it does not, please contact a physiotherapist regarding your bladder problems.

Post Natal Good Bowel habits

In Post Natal Physiotherapy straining and constipation can weaken the pelvic floor muscle and may cause fissures and prolapse. Therefore, good toileting habits are important. Some good tips are as follows. Going to the pass a bowel motion as soon as you get an urge, sitting up correctly keeping the back straight, leaning forward , resting the forearms on the knees bulging the stomach out and feet on a small footstool if your feet do not touch the ground.

Abdominal separation or diastasis of the rectus abdomens (DRAM)

The abdominal ligaments have softened and separated throughout pregnancy to accomodate for the growing baby. After birth, there is very little tension in the fascia in between the abdominal muscles. Therefore, the quicker a physiotherapist can assess the degree of the abdominal separation and rehabilitate it, the quicker the mother can regain strength and lessen the DRAM whilst the ligaments are still soft.

Post Natal Weakness of pelvic floor

The weight of your baby over the course of the pregnancy has stretched on the pelvic floor muscles. Therefore, you can imagine how weak it is. The pelvic floor muscles are responsible for holding your pelvic organs up to prevent prolapse and also holds your urine and faeces in when you do not want to pass it to prevent incontinence.

Even if you have stitches or swelling straight after birth, gentle contractions of the pelvic floor muscle can help improve circulation and reduce swelling. Many people think they know how to do a pelvic floor contraction. However, they sometimes either do it incorrectly, or incompletely, or are unable to do it at all. Therefore, it is important to seek the guidance of a Post Natal physiotherapist.

General weakness of muscles affected by pregnancy

Exercise is important after pregnancy when doing Post Natal Physiotherapy as it helps with physical recovery of muscles affected by pregnancy and childbirth. Post pregnancy, a lot of time is spent lifting, bending and sitting more than usual. This increase in activity when taking care of your newborn in combination with weakness of your muscles increases your risk of a back injury. Therefore, retraining and strengthening your muscles to support your joints has great benefits straight after delivery. Other benefits of exercise includes weight control and facilitation with mental wellbeing. Exercise should be gradual and should be prescribed by a physiotherapist to avoid injuries as it often takes 6 months or longer for your body to recover.


Book Now with our Post Natal Physiotherapist.

Ingrown Toenail.A condition in which the corner or side of a toenail grows into the flesh . Best podiatrist Gold coast. Bulk Billing Podiatry. Medicare Podiatry. Ace Health Centre.

Fixing an ingrown toenail on the Gold Coast

Fixing an ingrown toenail on the Gold Coast 1000 667 Ace Health Centre

Fixing an ingrown toenail on the Gold Coast

Fixing an ingrown toenail on the Gold Coast is a fast and easy procedure. Many people have horror stories from prevues treatments where they have needed stitches, the nail has returned and worse the nail is still infected. The other point is that a course of anti-biotics will not cure an ingrown toenail. If the nail is still in the skin the infection will simply return once the course of antibiotics has worn off. If the piece of nail, is not removed the issue will not be resolved. There a quite a few different treatment options.

Ingrown Toenail Treatment Options

Trim the nail

This is often the case for first timers. The cause of the ingrown toenail is often damage. The toenail was possibly cut wrong, a spike was left or it was kicked. Therefore trimming the nail so then it can grow out normal can sometimes resolve the issue. If it is particularly painful and aesthetic can be given.

Surgery with Phenolisation

This is the best way to resolve re-occurent ingrown toenails, or toenails with growth of excess skin at the side (hyper-granulation tissue). This is performed under local anaesthetic. The side of the nail is gently lifted and the nail trimmed. It is then removed. Phenol is then applied to the area the nail was removed. The phenol prevents the nails from regrowing in the area it is applied too. This is 99% successful if applied correctly. This is the best way for fixing an ingrown toenail.

Total removal of the nail

For extreme cases where the nail is very damaged, has extreme fungal infections where the nail is very thick. In other words this can be the best option. The nail is again numbed with a local aesthetics, gently lifted, removed and phenol applied. Above all when healed healthy skin covers the surface of the toe where the nail used to be. This makes it look clean and not obvious than anything has been done.


Conclusion For Fixing An Ingrown Toenail

In conclusion if you want a job doing correctly then go to the correct specialist. It’s the same as taking your car to a guy who fixes then from home, or taking it to a person who specialises in that brand. You are always going to get a much better outcome and job with the specialist. Whatever procedure you require fixing an ingrown toenail is pretty straight forward and easy. Call us today to book in today at our Gold Coast clinic with out podiatrist and see if we can