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Physiotherapy Practice at Runaway Bay Marina

At Be Well Physiotherapy we will provide each patient with the individualized treatment they deserve to achieve the best outcome.

Our principal physiotherapist, Katia, started her carer as physiotherapist in Paris, France. She was running 2 successful physiotherapy clinics where she helped artists, sport professionals, dancers and others to reach best results.

Each assessments and treatments are individualized: we call it “one-on-one consultations”.

University Degree in Maxillofacial Rehabilitation

Our Maxillofacial Physiotherapist has a University Degree in Maxillofacial Rehabilitation from the Faculty of Medicine of the University of Montpellier.
 
She previously practiced in Paris, were she was referred by the main experts in maxillofacial surgery of Paris, including the maxillofacial surgeons of the Pitié Salpétrière hospital in Paris.

Fields of intervention in Maxillofacial Physiotherapy

  • TMJ pain and dysfunction: pain, discomfort, loss of movement of neck and jaw region
  • Pre-operative Physiotherapy: better results can be achieved when the patient has a few treatments of Physiotherapy prior to surgery. These treatments encourage increased mouth opening, relaxation of muscles and preparation of the neck. These treatments also offer the opportunity to educate about post-operative oedema, scarring, and beneficial movements.
  • Post-operative Physiotherapy: when clinically indicated and depending on patient’s history, Physiotherapy can start few days after surgery.
  • Aesthetic surgery
  • Wisdom teeth
  • Facial injuries with or without fracture (mandible, face) with or without surgery
  • Face and Oral pathology (including cancer)
  • Tongue movement dysfunction related to improper teeth positioning (mainly children)
  • Facial paralysis which could be:
  • Unilateral (one side affected): rehabilitation in early stages
  • Bilateral (two sides affected): rehabilitation after surgery (for instance, after masseter transposition)

Why does TMJ dysfunction or neck pain require management?

The jaw or Temporo-Mandibular Joint (TMJ) have muscles which are connected to the neck. Consequently, any neck pain or discomfort would need to be assessed with the TMJ and reciprocally. 
 
During the assessment, we consider for instance any symptoms such as abnormal movements of the mandible, muscle spasms, pain, migraines, reduce mouth opening, discomfort, abnormal sound when opening the mouth (“clicking”) …
 
TMJ is an important joint for speaking, eating, chewing. At Be Well Physiotherapy, we consider important to prevent any TMJ disorders which may occur in long term. So, our physiotherapist, will tell you during the assessment if your TMJ presents abnormalities without any clear noticeable symptoms. These abnormalities could be for instance, abnormal position of your bones at rest, muscle spasms, abnormal movement when opening the mouth…
 
According to the initial assessment, our Physiotherapist, Katia, can treat either the jaw or the neck, but also, both areas when required. It will be beneficial in long term.
 
At Be Well Physiotherapy, we can help you with orofacial pain, but also, we can teach you how to avoid relapses by eliminating habits related to your complaints.

The Head, Jaw and Neck Clinic, Maxillofacial Physiotherapy

We provide targeted physiotherapy treatments to patients suffering with symptoms affecting the head and/or the neck.

The neck or cervical spine is important for the stability and posture of the temporomandibular joint (TMJ) and the whole head, but also, for the information sent through nerves, such as the trigeminal nerve controlling muscles around the jaw.

Any chronic pain or mechanical dysfunction of the cervical spine could cause pain on the face, TMJ but also could affect the way muscles contract around the jaw.

What do we treat?

Jaw and cervical dystonia related to musculoskeletal and mechanical dysfunction

Headaches / migraines: temporal, above & behind eyes, pressure sensation on the skull, sensitivity to light

Chronic neck pain, loss of movement, abnormal cervical posture

Vertigo related to eye movements

Facial painsuch as trigeminal pain

TMJ dysfunction: jaw pain, teeth clenching and grinding (bruxism), reduced mouth opening

Ear pain, tinnitus & hearing loss related to spine and TMJ

Chronic visual discomfort:ongoing visual fatigue despite proper regular eye assessment, glasses and vision therapy.

Basis of Maxillofacial physiotherapy treatment

The treatment is holistic, comprehensive and evidence-based

Maxillofacial physiotherapy is safe and suitable for everyone as therapy is tailored to the needs and requirements of each individual.

Thorough assessments of the muscular system are to ensure successful treatments

Collaborative work with eye, head and neck specialists: treatment success relies also on close cooperation involving different healthcare providers. Our specialised clinic works closely with medical specialists of the head and neck. Our physiotherapist will refer to the eye doctors (ophthalmologist, optometrist), dental specialists (dentist, maxillofacial surgeon etc.) and neurologists for review throughout treatment progress. Should other investigations or opinions be required patient could also be referred to GP.

What is Global Postural Re-education (GPR or RPG)?

Global Postural Re-Education (RPG or GPR) is an innovative method of posture correction developed by the French physiotherapist Philippe Souchard.
 
RPG can treat postural and musculoskeletal complaints.
 
This method is present in France, all the southern part of Europe and the American continent. It has been practiced for over 30 years by qualified doctors and physiotherapists.. 
 
RPG uses of manual therapy through Therapeutic Posture Exercises and focuses on stretching soft tissues in order to gain flexibility, muscular tonus balance and eliminate unnecessary tension. 

What are the purposes of RPG ?

RPG method main goal is to ameliorate/align any morphological deviation in order to progressively regain body functions. In other words, the Global Postural Re-education method can help you to do things for your day-to-day life. By correcting your posture, RPG method contributes to ease the related complaints.
 
RPG treats musculoskeletal conditions which cause pain, weakness, stiffness or loss of movement.

RPG : fields of intervention

  • Spinal misalignments, spinal imbalances : scoliosis, hyperkyphosis, hyperlordosis, …
  • Postural education (children, adolescents, adults)
  • Upper and lower limbs deformities: rolled shoulders, flat foot …
  • Spinal pain syndromes : neck pain, torticollis, …
  • Articular /tendon dysfunctions: frozen shoulder, epicondylitis…
  • Neurological disorders of a mechanical origin: numbness and paresthesia of upper or lower limbs, cephaleas, migraines, dizziness or vertigo, ocular muscle imbalances, pelvic floor dysfunction (urinary incontinence)
  • Respiratory dysfunctions: chest inspiratory position, …
  • Post-traumatic sequela: fracture, joint dislocation, post-surgical recovery…
  • Pre and post-natal body training 
  • Maintenance gymnastics
  • Recovery after training and sports activities
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Work cover patients

Our objective is to achieve the best treatment outcomes for all patients. Considering the expertise of our physiotherapists and the time allowance of our treatments, which are well above what is covered by the insurance treatment framework, our practice charges a gap fee for WorkCover services.

Work Injury Physiotherapy

After a work-related injury, you may need rehabilitation while on leave or continuing to work.
Physiotherapy treatment is an important part of your recovery process.
At Be Well Physiotherapy, our physiotherapists can help you with your rehabilitation.

If you are under Workcover, what you need is :

  • A current worker’s compensation medical certificate from your doctor
  • Your workcover contact details (case manager)
  • A worker’s compensation claim number provided by Workcover Queensland

What is Global Active Stretching method (SGA) ?

Global Active Stretching originates from the RPG method and follows the same principles. This method consists of a series of stretching exercises based on specific, controlled and progressive postures with the goal of promoting improved soft tissue flexibility and consequently a better range of movement.
 
Using the SGA method, you can increase your flexibility on the whole muscle chains related to your specific needs. All the joints involved within the treated muscle chains can move more easily, faster and with less effort.
 
With a detailed assessment, we will help you identify which muscle chains you need to work on and which to prioritise according to your posture, your way of moving and the specific performance that you would like to achieve. Katia who is RPG/SGA trained physiotherapist, will also teach you how to continue the tailored SGA program independently.

What are the advantages of using SGA method?

  • Improved sport performance
  • Prevention of sport injuries 
  • Better flexibility and range of movement
  • Ability to move easily, faster and with less effort
  • Tailored program: SGA method considers your body particularities and compensations, personal morphology and individual history of muscular retractions
  • Better posture and body awareness when performing sport gestures
  • Prevention of work related injuries

Why does SGA help with improving performance?

SGA does not apply basic stretching, but this method considers the whole body and muscle physiology (static/dynamic).
 
All our muscles are connected (physical and neurological) which is represented by the "motor coordination chains" principles from the RPG method. Some of our muscles (static muscles) are mainly used for our basic functions as human beings (like standing against gravity). Other muscles are mainly used when performing a movement (dynamic muscles).
 
Muscles become shorter after exercise.
 
To maintain movements and performance people tend to compensate loss of length by using other body parts inappropriately. It is performed in a way that doesn't follow body biomechanics. As a result, it is less effective and detrimental in long-term. People tend to use more energy (more effort to move) due to increased resistance for the accomplishment of a specific sport gesture.
 
The main consequences of muscle shortening are injuries and loss of performance.
 
SGA method can help you with muscle length and related consequences.

Lymphoedema Physiotherapist Practitioner

Katia, our senior physiotherapist, was trained in lymphoedema management in France (Paris), Belgium and in Australia (Royal Brisbane Women’s Hospital)

Why does lymphoedema require management?

Management of lymphoedema will help you to prevent progression of the volume of liquid and associated symptoms.
 
Lymphoedema can be reduced and stabilized by management. There are risks like skin breakdown or infection which can occur if lymphoedema is not managed. By reducing lymphoedema, you will contribute to reduce these risks and improve your function (how you move your affected limb and how you do things with it). These will benefit your overall quality of life. Patients will have the best outcome if the treatment starts early.

Where can my lymphoedema be managed?

It is better to be treated by therapists who are specifically lymphoedema trained.
 
At Be Well Physiotherapy, Katia is lymphoedema trained Physiotherapist.
 
At Be Well Physiotherapy, each treatment is individualized.
 

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