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Foot and Ankle Pain Parramatta

Foot and Ankle Pain


ankle pain
ankle pain

Foot and Ankle pain are very common complaints seen by Physiotherapists in Parramatta. The ankle is the 2nd most commonly injured joint after the knee. The foot and ankle joints are most commonly seen injured in games such as rugby, soccer, netball, cricket and basketball. Other reasons for foot and ankle issues can include the use of inappropriate footwear, sudden change in exercise levels or the type of exercise.


  • Sudden onset of ankle pain
  • Can be localised sharp pain
  • Dull ache in the foot region
  • Can be constant pain or intermittent pain
  • Pain with weight bearing
  • Pain which develops after a while of weight bearing

Symptoms related to an Ankle Sprains:

  • Rolling the ankle while playing sports or walking
  • Hearing a pop or a crack
  • Localised swelling & tenderness
  • Bruising
  • Inability to walk normally due to pain

Physiotherapists are trained specialists when it comes to assessing and treating foot and ankle pain. Physiotherapists will conduct an individualised assessment to find out the exact cause of your symptoms before treatment is commenced.


Treatment can include:

  • A thorough examination & accurate diagnosis of your injury
    • Anti-inflammatory advice
    • Range of motion exercises
    • Strength work
    • Proprioceptive exercises
    • Strapping – if required


Physiotherapists at Physiotherapy Professionals Parramatta also have a special interest in assessing and treating other sports and general injuries including:

  • Costovertebral, Sternocostal & Sternoclavicular Joint injuries
  • Rib, & Rib Cartilage sprains
  • Sacroiliac Joint (SIJ) Dysfunction
  • Peripheral Neuropathies
  • Labral Tears of the hip & shoulder
  • Hernias
  • Overuse Injuries;
    • ITB Friction/Compression Syndrome
    • Anterior Knee Pain, or, Patellofemoral Pain Syndrome
    • Shin Splints
    • Plantar Fasciitis
    • Tendinopathies of;
      • Achilles tendon
      • Adductor tendons
      • Long Head of Biceps tendon
      • Wrist Extensor & Flexor tendons
      • Patella tendon
      • Gluteus Medius tendon
      • Hamstrings origin tendon
      • Biceps Femoris tendon
    • Bursitis, most commonly at the hip, knee & shoulder
    • Stress Fractures, more commonly in the lower limb
  • Compartment Syndrome
  • Joint Capsule Adhesions & Synovitis
  • Morton’s Neuroma of the Foot
  • Gout
  • Complex Regional Pain Syndrome (CRPS), & other Chronic pains.

Contact us today on 02 8006 9111 to make a booking. Alternatively you can email us on [email protected] Our Physiotherapists are Medicare, NDIS, DVA and Work Cover approved, specialising in injury management and rehabilitation to get you back to full function.


Common Sports Injuries in Parramatta

Common Sports Injuries in Parramatta

Sports injuries in Parramatta are more common than you would think. Thousands of people are diagnosed with a sporting injuries every single year. Rugby, Netball, Cricket, Soccer and Hockey seem to produce the most injuries. The sports that claim the most serious injuries include Boxing and Rock Climbing. Both men and women between the ages of 15 & 29 are almost 3 times as likely to experience an injury that requires medical attention.

Why So Many Injuries?

Common reason behind sports injury include over-training, overusing a particular part of the body, lack of warmup. Fast moving sports that require players to stop suddenly and/or quickly twist around are a common cause of strains and sprains on various parts of the body. Falling or receiving a direct hit to the body are also common causes of more serious injuries.

Common Sports Injuries

The most popular types of sports injuries include bruising, muscle sprains & strains, joint or ligament strains, fractures and dislocations. The areas of the body that are most often injured include the following:

1. Ankle Ankle sprains are very common. The outside ligaments are the areas of the ankle that are damaged most often as the foot is pushed past it’s normal range.

2. Knee Cartilage and ligament tears are common in sports where sudden change in direction or external force is required

3. Elbow Elbow injuries usually involve prolonged and repetitive use of our eblow and wrist joints. Which can result in the development of over use injuries such as tennis elbow or golfer’s elbow.

4. Shoulder Tears to the rotator cuff or shoulder dislocations can occur in the shoulders due to a various reasons.

5. Hamstring This type of injury occurs when the hamstring is over-stretched, resulting in tears to the muscle fibers. Commonly seen in sports which require constant running and sprinting or sudden change in direction

6. Calf Strain Just like most other muscle strains, calf strain occurs when muscles are over-stretched, which can lead to tears in the muscle.

7. Shin Injury or pain in the shin area can be cause due to various pre disposigin factors. Such as worn out or incorrect foot wear, tight calf muscles or flat feet.


If you have had a sports injury in Parramatta, seeing a physiotherapist is one of the best ways to get in treated. The best time to see a physiotherapist is during the first 48-72 hours after the injury. Until then be sure to treat your injury using the RICE principles – Rest, Ice, Compression and Elevation.

Contact us today on 02 8006 9111 to make a booking. Alternatively you can email us on [email protected] Our Physiotherapists are Medicare, NDIS, DVA and Work Cover approved, specialising in injury management and rehabilitation to get you back to full function.


Shin Pain

Are you suffering from pain at the front of your lower leg?

Shin splint is the name given to a condition which causes pain in the lower leg, which is caused due to excessive physical activity or inflammation.

Shin splints is a general term for pain in the shin rather than a specific diagnosis. It is sometimes called medial tibial stress syndrome and is one of the most common problems in the lower leg in people who run, jump, exercise or play sports.

Typically shin splint pain is felt more over the inner part of your shin. It is important that you see a Physiotherapist if you are experiencing pain in this area with exercise. Getting the correct diagnosis, and seeing someone who can identify the actual causes of the pain will influence greatly the correct treatment and the overall outcome.

The causes of shin pain are varied and specific to each individual. Accordingly, the rehabilitation plan also needs to be specific to you. Unlike other injuries, it is important that the cause of the symptoms are treated. Or else your pain will return quickly and severely interrupt your training.

What are the symptoms of shin splints?

The main symptom is pain in the shin area. The pain tends to be in the middle and lower shin and on the medial (inner) half. Pain first comes on after running or exercising. However, over time, the pain can come on during running or exercising. If severe, it may also come on when climbing stairs.

What causes shin splints?

The exact cause of shin splints is not known. They are considered as an overuse injury and typically affects runners. There are certain things that have been suggested that may make shin splints more likely.

  • A sudden increase in training frequency or intensity.
  • Hard running surfaces (particularly a sudden change from soft to hard surfaces).
  • Incline running
  • Worn out shoes
  • Tightness or weakness problems with muscles in the lower leg.
  • Weakness of abdominal and/ or hip (gluteal) muscles.
  • Foot position- this can include over-pronation of the foot, thereby stressing the shin muscles.

One, or a combination of these factors can lead to shin splints. Experts differ in their opinion as to exactly what is happening to cause the pain associated with shin splints but basically it is an inflammation and irritation of the tibia (the larger of the shin bones) and the muscles that attach to it.

What else could cause pain ?

Stress fractures of the tibia (one of the two bones in the leg below the knee) can also cause shin splint-type pain. A stress fracture is a type of incomplete fracture in a bone. Stress fractures tend to occur as a result of overuse and left untreated shin splints can lead to stress fracture. In some cases untreated stress fractures can lead to an actual fracture of the tibia.

What is the treatment?

The key to treating shin splints is the correct identification of the primary causes and “fixing” them. This can often involve a biomechanical assessment (also known as a muscle balance assessment) to identify areas of tightness and or weakness, which are leading to you over loading your lower leg when running. If you only treat the symptoms (the pain) and these areas of tightness and weakness are not identified and corrected with a tailored rehab programme your pain will soon return.

Management protocol

Rest. This may mean avoiding any activity, such as running, that may have led to the shin splints. It may not mean stopping running altogether. For example, it may mean changing the surface you are running on or it may mean doing less running sessions and cross training (swimming, cycling, rowing, boxing) other sessions. This depends on many variables and you (your coach) and your Physiotherapist are the best people to sit down and make a plan for this

Ice. Applying ice to your shin and raising your leg after activity may also help to relieve pain from shin splints. The cold from the ice is thought to reduce blood flow to the inflamed area. This may limit pain and inflammation. Apply for 15-20 minutes and then re-apply every two hours.

Massage. Massage can relax the muscles which have become tight due to overuse to help settle down the pain associated with shin splints. This is important but as stressed many times if the cause of the tightness is not identified and “fixed” the pain will return sooner or later.

Painkillers such as paracetamol are useful to ease pain. They should not be used to mask pain so that you can continue to run. It is best to take these regularly initially. Anti-inflammatory painkillers are an alternative. There are many types and brands. They relieve pain and may also limit inflammation and swelling. Side effects sometimes occur with anti-inflammatory painkillers. Stomach pain, and bleeding from the stomach are the most serious. Some people with asthma, high blood pressure, kidney failure, and heart failure may not be able to take anti-inflammatory painkillers so you should see your Doctor first

What is the prognosis (outlook)?

With the correct intervention you can fully recover from shin splints. However, the chances are that they will recur if you do not look at the underlying cause of your shin splints.

Can shin splints be prevented?

Studies and trials have found that no single prevention method has been found to be consistently effective in preventing shin splints. This is not surprising considering the multi-factorial nature of the problem and that the causes are very much individual specific.

If you are serious about your running or starting up running then it is advisable to see a Physiotherapist. They can identify potential problem areas before they become an issue and help you structure your training to help progressively load your muscles, hence avoiding the problem. Similarly, if you have early signs of shin splints immediate intervention is the best option. Don’t delay seeking professional help at Physiotherapy Professionals Parramatta because if you wait until the pain is severe it is likely you will spend a lot of time resting to allow inflammation to settle.

Contact us today on 02 8006 9111 to make a booking. Alternatively you can email us on [email protected] Our Physiotherapists are Medicare, NDIS, DVA and Work Cover approved, specialising in injury management and rehabilitation to get you back to full function.

Concussion in Sports


Concussion is a type of brain injury. It is recognised as a complex injury that is a challenge to evaluate and manage. It generally results from a knock often to the head, face or neck but may be anywhere on the body — which transmits an impulsive force to the head. It commonly involves short-lived impairment of brain function. Concussion is an evolving injury that may change over the first few hours and sometimes over a few days. In most cases symptoms have resolved by seven days post injury.

It affects athletes at all levels of sport from recreational sports to the full-time sports professionals. There has been growing concern in Australia and internationally about the incidence of sport-related concussion and potential health ramifications for athletes. If managed correctly most symptoms and signs will resolve spontaneously. However, complications can occur such as prolonged duration of symptoms and increased susceptibility to further injury if not managed correctly.

Possible signs and symptoms

* Headache
* ‘Pressure in the head’
* Neck pain
* Nausea or vomiting
* Dizziness
* Blurred vision
* Balance problems
* Sensitivity to light
* Sensitivity to noise
* Feeling slowed down
* Feeling like ‘in a fog’
* ‘Don’t feel right’
* Difficulty concentrating
* Difficulty remembering
* Fatigue or low energy
* Confusion
* Drowsiness
* Trouble falling asleep
* More emotional
* Irritability
* Sadness
* Nervous or anxious

Key Points

* Difficult to detect. The symptoms and signs can be varied, non-specific and subtle.
* Athletes with suspected concussion should be removed from the game and assessed by a medical doctor.
* Children and adolescents take longer to recover from concussion. A more conservative approach should be taken with those aged 18 or younger.
* Gradual return to sport protocol should be extended for individuals aged 18 and younger
* Medical imaging is not indicated unless there is suspicion of more serious head or brain injury.

Concussion in Sports – Website

Knee Pain Treatment

Knee Pain Treatment

Do you suffer from knee pain?

Knee pain treatment: The knee joint is a complex joint in the body which can often get injured while playing sports or just generally due to age related changes.

The location and severity of knee pain can vary depending on the structures involved.
Signs and symptoms that sometimes accompany knee pain include:

  • Swelling
  • Warm to the touch
  • Weakness
  • Instability
  • Popping or crunching noises
  • Inability to fully straighten the knee

    Check out this website –  Physiotherapy for knee pain:


If you are suffering from knee pain, get in touch with Physiotherapy Professionals Parramatta for expert advice and treatment for your knee pain. Located walking distance from Parramatta and Harris Park stations.

tennis elbow

Tennis Elbow

Tennis Elbow

Did you know, 50% of tennis players will be diagnosed with ‘tennis elbow’ at some stage in their life?

Symptoms consist of pain on the outside border of your elbow. You don’t have to be a tennis player to develop symptoms. Individuals who are required to do repetitive work with their arm are more prone to this injury. Generally speaking, over use of the extensor muscles will lead to symptoms.

Tasks such as gripping or resisted finger movements can cause pain. Effective treatment is available for managing the symptoms. Speak to Physiotherapy Professionals Parramatta and see how we can help you.

growing pain

Growing Pains

Growing Pains

Do you have active kids?

Children while going through a growth spurt, can often complain of growing pains – Knee pain, ankle pain or even back pain.

It’s important to get the right advice and treatment early to maintain activity levels and your child’s health. These pains are often felt in active kids who are growing or even in adolescents and young adults. Growing pains occur when the bones grow in size and the muscles which attach onto the bones can’t keep up. Muscles take longer to catch up. As a result, tightness is a common complaint and pain over the muscle attachment site can be felt.

Pains occurring due to the growth phase can be effectively managed by a Physiotherapist. I have see too many patients in the past who have been wrongly advised to take the whole season off sports.

 Speak to Physiotherapy Professionals Parramatta today and see how we can help you.

The knee is a common area where kids complain of pain during the growth phase. If left untreated, an extra bump can develop under the knee due to tight muscles pulling on the bone

Hamstring Strain treatment

Hamstring Strain Treatment

Hamstring Strain Treatment

Did you know, high speed running or high kicking are some of the common reasons for a hamstring strain? It is a common condition which residents of Parramatta regularly seek treatment for. Get in touch with Physiotherapy Professionals Parramatta today for hamstring strain treatment. Located walking distance from Parramatta and Harris Park station. Appointments available 6 days a week.

pulled hamstring

Hamstring strains: Pulled a hammy?

Pulled Hamstring?

Pulled hamstring? Hamstring strains are a common sports injury involving a tear in one or more of the hamstring muscles. Severity of the strain can range from mild to very severe – complete tear of the hamstring muscle.

Some causes of a hamstring strain:

  • Poor running mechanics
  • Tight muscles
  • Not warming up properly
  • Fatigue
  • Lower back issues

Physiotherapy can speed up recovery and get you back to pre injury levels sooner. Talk to Physiotherapy Professionals Parramatta and see how we can assist you.

Contact us today on 02 8006 9111 to make a booking. Alternatively you can email us on [email protected] Our Physiotherapists are Medicare, NDIS, DVA and Work Cover approved, specialising in injury management and rehabilitation to get you back to full function.