DR ROB TRIGGER sports medicine
assisting patients to return to their desired sport or physical activity when pain, injury or other barriers arise.
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Services
Medical Consultation
spending time to take a comprehensive history and a targeted exam is the key to identifying the diagnosis.
Once this is made confirmation with appropriate investigation is often needed and then a management plan can be developed for recovery
photo consulting here
Ultrasound guided injections
for some conditions ultrasound guided injections can be used to facilitate recovery
a targeted steroid injection may be beneficial in such conditions astendon sheath and bursal inflammation, or in perineural adhesion to other tissues
platelet rich plasma can be used in joints to delay the progression of mild to moderate osteoarthritis, and for torn or abnormal tendons and ligaments and their insertions ( for more about PRP go to
https://bangalowwellnesshub.com.au/musculoskeletal-prp/
photo here
prolotherapy ( hypertonic glucose therapy) can be used used when appropriate
comprehensive musculoskeletal medical consultations will lead to the diagnosis and management
ultrasound guided soft tissue/ joint injections - done himself using ultrasound guidance or referred if necessary
rcore strengthening using real time ultrasoundeferral to the appropriate specialist physiotherapist, osteopath or other allied health practitioner
often integration of musculoskeletal issues into management of co-existing other medical conditions is important
Real Time Ultrasound
Real time ultrasound is used to assist with core body activation. The transducer is applied onto the body in various sites and the client can observe how they can maintain core activation with simple breathing and then some simple movements to challenge them.
Follow up care
monitoring recovery with ongoing treatment prescription eg repeat injections, directed exercise rehabilitation and manual therapies with referral to a physio, osteopath, exercise physiologist or medical specialist may be required.
More about real time ultrasound
General benefits include improved sense of posture, and connection to centre and general well-being. Recovery and managing conditions such as back, hip pain, neck and shoulder pain, improved pelvic floor and also bladder issues for some clients. The goals will allow return to desired sporting and or other physical activity and reducing risk of reinjury.
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This video uses a lower transabdominal approach to assess and give feedback on pelvic floor activation.
The lift is demonstrated with an increase curve at the base of the bladder and then return to the relaxed position
Here we are assessing and giving feedback for improvement of the deep abdominal muscle activation - note the isolated slide of the deep transverse abdominus(TA) muscle to the right without excess involvement of the more superficial muscles(internal an external obliques). The TA is the deepest muscle and core stabliser of the belly. Isolated activation of this corset muscle is important to prevent back pain.
Testing for excessive movement and instability of pelvic floor with a cough impulse from a transperoneal approach
