Our integrated treatment model, incorporates skilled manual therapy,dry needling, movement efficiency and postural awareness retraining, and energetically based, traditional oriental acupuncture. All components of the body are interconnected and that all parts affect and are in turn affected by all others in some way. When pain or dysfunction arises it is commonly seen, by the wider therapeutic and medical community, as the beginning of a problem when it is in fact an end point in a process or a “blip” in a longer degenerative process. Our tissues are often in the process of responding to abnormal loading and have a huge capacity to do so before developing pain sensitivity. We are often unaware of a problem until the onset of pain. It is one thing to diagnose or name a pain sensitive structure in the body but to explain the “why” behind it or to identify the barriers to why healing has not occurred is another. A treatment process needs to involve the identification of causative or barrier movement dysfunction, treatment intervention to stimulate physiological and movement changes in the body and a process of movement learning or retraining to prevent reoccurrence of the same or new problems. Physiotherapist Andrew Hutton is an APA Titled Sports Physiotherapist , works with an emphasis on a pro-active, client based approach to treatment in which patient education and participation are complemented by accurate diagnostic skills, excellent hands on technique, exercise prescription and specific movement retraining. He has been practicing as a musculoskeletal and sports physiotherapist since 1990 integrating traditional acupuncture and dry needling in a physiotherapy environment, treating sports injuries at all levels and, neck and back pain.
Andrew gained his APA Sports Physiotherapy Title just prior to the Sydney 2000 Olympic Games and had extensive experience treating injuries associated with:
- individual swimmers and swimming squads, and elite, age group tri-athletes. This has involved not only treating acute injuries but treatment and screening for injury prevention and performance enhancement
- middle and long distance runners
- road cyclists and mountain bikers
- surfers,surf ski paddlers, dragonboat and outrigger canoe paddlers
Andrew uses a movement focus rather than a pain focus in his approach to treatment and retraining, working to identify and restore efficient movement patterns that have led to injury and training awareness and integratiion of new or restored movement patterns in order to prevent reoccurrence. Andrew has been integrating traditional acupuncture and dry needling in a physiotherapy environment to treating sports injuries at all levels and, neck and back pain since the early 1990’s which has provided him with a great tool to stimulate tissue and physiological change. How long or how well changes are maintained depends on how well new movement or postural strategies are maintained, which is where the coaching and learning of efficient functional movements is important. Video and digital postural assessment are some of the tools used in this phase of treatment.
There has been growing interest in the Australian physiotherapy community and in the general community in ‘dry needling’ (the use of needles in a western physiological paradigm). Physiotherapists have come to recognise the advantages skilful use of needling has in complementing manual techniques, not the least of these being a reduction in post treatment soreness experienced by the patient
Some of the effects of needling are:
•the stimulation of structural change in the collagen matrix
•alteration in the neural activity in the peripheral and central nervous systems
•local tissue changes such as improved circulation, inflammation regulation and stimulation of tissue repair
The specific approach to dry needling used at Integrated Physiotherapy is Integrated Dryneedling, an approach developed and taught by Andrew to over 2000 of his peers around Australasia since 1996.
It is not uncommon for the bodies tissue healing and inflammatory response to be less than optimal due to:
- immune system compromise
- autonomic nervous system imbalance
- altered body chemistry
- altered brain chemistry
- hormonal imbalance
In many of these situations the inclusion of acupuncture in the treatment regime provides a regulatory influence allowing a particular condition to progress where biomechanical and locally focused treatment alone has not. Andrew’s particular approach to acupuncture is influenced by Japanese Meridian Therapy which characterises itself from other approaches by the use of many needles with light tissue stimulation and an emphasis on palpation of the bodies tissues and meridians for diagnostic and reassessment purposes. More about acupuncture