Hip differential Diagnosis and Prescriptive Exercise course through Trish Wisbey-Roth

September 26, 2016

David has spent the weekend at a course titled ‘Hip differential diagnosis and prescriptive exercises’ presented by Trish Wisby-Roth.


David has advised that the course has given him a far greater understanding of the complex interaction between hip structures and the lumbo-pelvic and lower limb regions.


David also managed to find time to watch live his beloved Sharks make their way into the NRL Grand Final and the GWS/ Bulldogs games.

ReActiv8 Implantable Neurostimulation System for Chronic Low Back Pain

July 18, 2016

David has recently completed his assessment to become a co-investigator for a research study titled- ReActiv8 Implantable Neurostimulation System for Chronic Low Back Pain

Dr Pek Ang, Psychiatrist Lecture

June 17, 2016

David and Lisa attended a great lecture by Dr Pek Ang, Psychiatrist regarding new ‎guidelines for the management of mood disorders.

Lumbopelvic Region and Dynamic Hip Retraining

June 14, 2016

David has just completed a 4 day training program with Trish Wisby-Roth. The course was broken into 2 components- assessment and treatment of the pelvic complex and lumbar spine, and optimising motor control of the lumbo-pelvic region and dynamic hip retraining.


Davids comment was that the course was amazing for the integration of biomechanical and motor control issues.

Treatment for shoulder impingement syndrome

November 6, 2015

Shoulder impingement syndrome (SIS) has been defined by Dong et al (2015) as the compression of the rotator cuff and the subacromial bursa between the acromion and humerus. The authors considered SIS to be one of the most common causes of shoulder pain, cited as a contributing factor to shoulder pain in up to 65% of cases, and is associated with pain localised to the anterolateral acromial area, possible radiation to the lateral mid humerus, night pain and a concurrent general loss of muscle strength.


Dong et al (2015) identified that while many of the common used treatment for SIS have been compared with other treatments by various investigators, a comprehensive treatment comparison is lacking. The authors have recently completed a systematic review and network meta-analysis involving 33 randomized controlled trials involving 2300 patients.


The review found that exercise and other exercise-based therapies are the most important treatment options for SIS patients. The authors concluded that for those patients who seek non-operative treatment option at an early stage of SIS, exercise combined with other physical therapies should be recommended. The authors advised that low-level laser therapy and the localised injection of NSAIDs are not recommended as stand-alone treatment. Interestingly a greater combined effect was found when the localised injection was used alongside exercise based intervention.


For patients with chronic SIS, operative treatment options may be considered. In this case, standard arthroscopic subacromial decompression surgery is a relatively superior option to open subacromial decompression and arthroscopic bursectomy. Notably, however, the decision for operative treatment should be made cautiously because similar outcomes may also be achieved by the implementation of exercise therapy.


The review reinforces the role for specific physical based intervention both in the early phase post onset of symptoms and reinforces it superiority over stand-alone localised injections of NSAIDs. Additionally the study also reinforced the important role of exercise based interventions as a first line treatment option with chronic SIS.
Ref: Wei Dong, MM, Hans Goost, MD, Xiang-Bo Lin, MD, Christof Burger, MD, Christian Paul, MD, Zeng-Li Wang, MM,Tian-Yi Zhang, MM, Zhi-Chao Jiang, MSc, Kristian Welle, MD, and Koroush Kabir, MD Treatments for Shoulder Impingement Syndrome- A PRISMA Systematic Review and Network Meta-Analysis, Medicine 2015 Mar; 94(10): e510.


The comments above are the implicit advice of Workplace Physiotherapy. The views expressed are based on current evidence-based research and accepted best practice approaches. Unless otherwise stated, these comments are not the view of WorkCover NSW or any other professional body. No reproduction or forwarding of this advice is permitted without the consent of the author.

New Workplace Physiotherapy office at Williamtown

September 29, 2015

Workplace Physiotherapy has now commenced providing Physiotherapy and Exercise Physiology services onsite at Williamtown to complement the Lend Lease/ Williamtown RAAF base upgrade project.


We will be working alongside Newcastle Onsite and Dr Chris Barnett to provide pre-employment, preventative and injury management services to contractors and sub-contractors involved in the 7-10 year project. These services are also available to other individuals and employers in the region.


The onsite medical centre is located next to Fighter World on Medowie Road, Williamtown RAAF.


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Stage 3 Independent Physiotherapy Consultant (IPC) Assessments- Northern NSW

September 22, 2015

Mr David Elvish is likely to be undertaking offsite Independent Physiotherapy Consultant Assessments in the following areas:


Tamworth: October 2015
Ballina: October 2015
Coffs Harbour: November 2015Coffs-Port-Ballina-Tamworth
Port Macquarie: November 2015


Independent Physiotherapy Consultant Assessments aim to:


• Review whether the present treatment/ intervention continues to fulfill the criteria for reasonably necessary treatment
• Identify barriers to the progression of work-related function
• Provide recommendations on intervention to achieve optimal RTW outcomes and mitigation of barriers to further progression
• Provide an opinion on medical certification
• Review requests for aides and equipment


Please do not hesitate to contact Workplace Physiotherapy on 4985 1808 if you would like to discuss a possible referral. Alternatively, if you would like to proceed with arranging an appointment, please make use of the blue ‘Make a Referral’ button on the right of this page.

Mobilisation of the Neuroimmune System- Neuro Orthopaedic Institute (NOI)

August 26, 2015

Last week Lisa MacPherson, one of our highly experienced physiotherapists attended a two day course ‘Mobilisation of the Neuroimmune System’ through the Neuro Orthopaedic Institute (NOI). Lisa did an early version of this course around 20 years ago when the concept of mobilising nerves was first promoted. In the past 20 years the science behind what happens with nerves, pain and injury has advanced enormously and of particular interest was the changing concept of what has been known as the nervous system now being considered to be the Neuroimmune System.NOI Logo


The comprehensive lecture and hands-on course integrated the latest research on neurodynamics and neuroimmune science to provide a clinical reasoning framework to identify those patients who will benefit from neuroimmune mobilisation and management of the physical health of the nervous system after injury.


One of our current clinical interests is in improving management of cluneal nerve entrapment- a source of low back and flank pain that we are managing using a combination of postural correction, stretches of quadratus lumborum and nerve gliding techniques. The incorporation of these contemporary approaches for patients who have previously not responded well to treatment has resulted in very pleasing outcomes.



Affiliation with Hunter Clinical Research

July 30, 2015

Workplace Physiotherapy have maintained a strong working relationship with Hunter Clinical Research for many years with Workplace Physiotherapy staff being utilised within Hunter Clinical Research clinic trials.
HCR logo

Hunter Clinical Research offers an efficient, professional clinical trial service and is regarded as one of Australia’s leading private clinical research sites, having completed over 40 clinical trials. Their focus is to bring new and otherwise unavailable treatments to the Newcastle area while providing exceptional patient care.


Hunter Clinical Research is the first private clinical trials site in the country to have ISO9001 accreditation and they welcome opportunities to partner with new investigators in their area. Their established network of research partners provide them with the ability to offer a range of clinical trial services and address complex protocol requirements.


Their experience and capacity to engage dedicated research management staff means that their clients receive consistent, high-quality service so the investigators and clinical staff can focus on what they do best!


To find out more about Hunter Clinical Research please visit their website www.hunterclinicalresearch.com.au or call 02 4985 1860.

2015 Australian Pain Society Annual Scientific Meeting

March 23, 2015


David, Lisa, Karlene and Lauren have just spent 4 days in Brisbane at the 2015 Australian Pain Society Annual Scientific Meeting.


The conference brings together an array of international researchers and clinicians to discuss contemporary approaches to the management of pain.APS logo


Highlights of the conference were talks on brain plasticity in chronic pain, the yummy morning teas, brain circuits and mediating pain, inflammatory cytokines and pain, the even yummier lunches, the opioids wars, toxins and pain, brain reward motivational circuits, the pick me up afternoon teas, management of musculoskeletal pain and maybe the odd beverage to offset the Brisbane heat.


All the staff have come back with a wealth of new knowledge, an eagerness to augment the new ideas into their current treatment approaches and slightly larger waist lines.