Good physio in Brisbane?

I'm not a doctor but… 
Cycling injury, recovery and health issues.
Forum rules
The information / discussion in the Cycling Health Forum is not qualified medical advice. Please consult your doctor.

Good physio in Brisbane?

Postby Queestce » Fri Sep 09, 2011 4:46 pm

Hey all,

I'm having a little trouble with my left knee and although it's not an issue as yet, I sense it getting worse before it gets better unless I sort it out. I'm hoping to make an appointment with a physio in Brisbane but figured I'd check if anyone on here could reccomend any? Ideally someone with a good knowledge of cycling would be helpful as I'm fairly sure increased riding is the cause! I'm located in New Farm so anywhere close to the CBD would also be easier, but I can travel if it's worth it :wink: Any insight would be much appreciated!

Cheers,

Tk
User avatar
Queestce
 
Posts: 132
Joined: Fri Aug 19, 2011 8:53 pm

by BNA » Fri Sep 09, 2011 5:08 pm

BNA
 

Re: Good physio in Brisbane?

Postby winstonw » Fri Sep 09, 2011 5:08 pm

User avatar
winstonw
 
Posts: 1793
Joined: Sun Apr 10, 2011 7:18 pm
Location: Brisbane

Re: Good physio in Brisbane?

Postby Queestce » Sat Sep 10, 2011 2:40 pm

Thanks for that link. After a bit more research it seems that's exactly what I was looking for. Will get in touch with them.

Cheers,

Tk
User avatar
Queestce
 
Posts: 132
Joined: Fri Aug 19, 2011 8:53 pm

Good physio in Brisbane?

Postby Comedian » Sat Sep 10, 2011 3:18 pm

Cyclephysio.com.au is good but not centrally located.
Once you can climb hills on a bike it's all downhill. :mrgreen:

Hopefully I'll know what that's like..... one day. :shock: :lol:

Image
User avatar
Comedian
 
Posts: 4414
Joined: Mon Aug 09, 2010 7:35 pm
Location: Brisbane

Re: Good physio in Brisbane?

Postby Phill_B_34 » Sat Sep 10, 2011 5:18 pm

Comedian wrote:Cyclephysio.com.au is good but not centrally located.


+1 for David from Cycle Physio. Great for a bike setup and ongoing body/physio maintenance.
Phill B
User avatar
Phill_B_34
 
Posts: 116
Joined: Fri Aug 13, 2010 10:22 pm
Location: Brisbane

Re: Good physio in Brisbane?

Postby winstonw » Sat Sep 10, 2011 9:37 pm

Can anyone tell me if David measures
- hip asymmetry
- femoral, tibial, fibula length and torsional asymmetry
- ankle and sub talar joint range of motion and degenerative disease.
- forefoot varus/valgus

If so, does he do it with x-rays, or another way?

Does he have a view on orthotics with metatarsal domes?

Did he experiment with cleat vs in-the-shoe wedges, vs leg length shims, vs pedal spacers, vs crank length?

I understand his focus is more on core strength. Can anyone give insight into his recommended exercises for core strength, or stretches for lower limbs, spine,and upper limbs; relaxation for neck?
User avatar
winstonw
 
Posts: 1793
Joined: Sun Apr 10, 2011 7:18 pm
Location: Brisbane

Re: Good physio in Brisbane?

Postby Comedian » Sat Sep 10, 2011 10:49 pm

winstonw wrote:Can anyone tell me if David measures
- hip asymmetry
- femoral, tibial, fibula length and torsional asymmetry
- ankle and sub talar joint range of motion and degenerative disease.
- forefoot varus/valgus

If so, does he do it with x-rays, or another way?

Does he have a view on orthotics with metatarsal domes?

Did he experiment with cleat vs in-the-shoe wedges, vs leg length shims, vs pedal spacers, vs crank length?

I understand his focus is more on core strength. Can anyone give insight into his recommended exercises for core strength, or stretches for lower limbs, spine,and upper limbs; relaxation for neck?

Mate... I'm an IT geek. David took lots of measurements. I can't tell you all the !! BAN ME NOW FOR SWEARING !! he measured. Actually about the only thing he didn't measure I definitely can't tell you about. :mrgreen: :mrgreen:

What I can tell you for sure is there were no x-rays involved... he thought metatarsal domes were really good.. he measured my foot thingy and told me to get some wedges (I love sour creme and chilli!). :)
Once you can climb hills on a bike it's all downhill. :mrgreen:

Hopefully I'll know what that's like..... one day. :shock: :lol:

Image
User avatar
Comedian
 
Posts: 4414
Joined: Mon Aug 09, 2010 7:35 pm
Location: Brisbane

Re: Good physio in Brisbane?

Postby Phill_B_34 » Sat Sep 10, 2011 11:20 pm

winstonw wrote:Can anyone tell me if David measures
- hip asymmetry
- femoral, tibial, fibula length and torsional asymmetry
- ankle and sub talar joint range of motion and degenerative disease.
- forefoot varus/valgus

If so, does he do it with x-rays, or another way?
.
.
.
I understand his focus is more on core strength. Can anyone give insight into his recommended exercises for core strength, or stretches for lower limbs, spine,and upper limbs; relaxation for neck?


As for your first question, he does measure everything, though not using any explicit x-rays taken for the setup process. I'm an above knee amputee with alot of asymmetry (back/hips/leg lengths) and we took quite a while dialling in my setup (which he's done a great job at :D )

Secondly, he has given me a number of stretches to do before and after riding, specific to my needs. The only way for you to get an real insight to his recommended exercises is to pay him a visit.

Good luck with it.
Phill B
User avatar
Phill_B_34
 
Posts: 116
Joined: Fri Aug 13, 2010 10:22 pm
Location: Brisbane

Re: Good physio in Brisbane?

Postby winstonw » Sun Sep 11, 2011 1:22 pm

Thanks for feedback guys. I had a few wines under the belt when I wrote that post above.
The reason for the 1000 questions is because I've seen two specialist bike fit physios already; and there was a lot of stuff I felt wasn't covered. They also contradicted each other on several issues.
User avatar
winstonw
 
Posts: 1793
Joined: Sun Apr 10, 2011 7:18 pm
Location: Brisbane

Re: Good physio in Brisbane?

Postby scotto » Mon Sep 12, 2011 2:01 pm

winstonw wrote:Thanks for feedback guys. I had a few wines under the belt when I wrote that post above.
The reason for the 1000 questions is because I've seen two specialist bike fit physios already; and there was a lot of stuff I felt wasn't covered. They also contradicted each other on several issues.

no surprises there. bike fitting is not a science, but more an art, based on experience (and some science / physiology) - just ask steve hogg. anyway,
now in messy point form.
  • measuring hip assymetry is subjective. so many factors can make you pelvis seem uneven - and they're rarely pelvic.
  • tibial and fibula length - just one will do, but we'll call it lower leg length, as its typically from knee joint line to that bump on the outside of your ankle.
  • torsional assymetry - do your feet point at at the same angle.
  • sub talar joint range - no idea why you'd care about this and i doubt anyone could measure it in a meaningful way.
  • hard to measure degenerative disease except via post mortem
  • forefoot valgus/varus. again, meaningful measurement is hard to attain. often rearfoot valgus is used for normal people, but us cyclists tend to be more 'on our toes' .

you'd never bother with an xray to measure any of this. whilst i can understand where youre coming from with your AKA, you might be looking into this just a little too deeply.

met domes are good, maybe even orthotics for the mid foot - though there's no need to worry with the heel that much.
and speedplay pedals - then you can shim / wedge / change axle length and have all the ankle float you need to be in more control of your lower limb cycling biomechanics...
:D
User avatar
scotto
 
Posts: 2370
Joined: Tue Dec 01, 2009 8:38 am
Location: Baulkham Hills

Re: Good physio in Brisbane?

Postby winstonw » Tue Sep 13, 2011 6:15 am

scotto wrote:no surprises there. bike fitting is not a science, but more an art, based on experience (and some science / physiology)


and I wonder about the science. The first guy was adamant I couldn't get more hip flexion unless I stretched my hamstrings.

The second reckons it isn't the hams that limit hip flexion in non overweight cyclists at least, because the muscle crosses two joints, and when the hip is flexing the knees are also, thus keeping the muscle slack enough not to restrict hip flexion. He also said the primary issue compromising a more aero position and stronger hip flexor engagement isn't a lack of hip flexion, but a lack of lumbar spine flexion.

Another point of disagreement related to my lateral knee excursion between 10 and 12 o'clock. One said it is due to foot alignment issues, and the other due to tight glut max and other butt muscles, but not hamstrings.
User avatar
winstonw
 
Posts: 1793
Joined: Sun Apr 10, 2011 7:18 pm
Location: Brisbane

Re: Good physio in Brisbane?

Postby Queestce » Wed Sep 21, 2011 8:58 pm

Just an update to this thread to give another positive review of David at Cycle Physio. I ended up going there as it seemed the best option and well priced. Money well spent! I'm yet to do many k's on the new set-up, but certain problems I was having were traced back to their logical beginning in a way I would never have considered. I came out of that couple of hours knowing a great deal more than I went in with! The pdf write up is very detailed too which is helpful. Makes me feel like an idiot for going to a bike store to get a very generic fit instead of spending that little bit extra and getting this done the first time!

+1
User avatar
Queestce
 
Posts: 132
Joined: Fri Aug 19, 2011 8:53 pm

Re: Good physio in Brisbane?

Postby Comedian » Wed Sep 21, 2011 9:16 pm

I received a generic email from David today saying that if you book before Oct the 1st the price is $180. All bookings after that will be $270.
Once you can climb hills on a bike it's all downhill. :mrgreen:

Hopefully I'll know what that's like..... one day. :shock: :lol:

Image
User avatar
Comedian
 
Posts: 4414
Joined: Mon Aug 09, 2010 7:35 pm
Location: Brisbane


Return to Cycling Health

Who is online

Users browsing this forum: No registered users



Popular Bike Shops
Wiggle Wiggle UK
Ground Effect Ground Effect NZ
Ebay Ebay AU
Chain Reaction Cycles CRC UK

“Bicycles BNA Twitter
“Bicycles BNA Facebook
“Google+ BNA Google+
“Bicycles BNA Newsletter

> FREE BNA Stickers
> BNA Cycling Kit