Browsing Category


Back pain, Mobility, neck pain

Exercises to fix iHunch

May 25, 2017 • By

With all great things, there is always an equal and opposite, and with improved technology and greater availability, we now have a new syndrome. The iHunch. Luckily for you, we know the best exercise to straighten your hunch out.

Just like Yin and Yang, most things follow Newton’s third law, where is always and equal and opposite force and now that we have such easy availability of technology, we can easily spend most of our days looking at screens. Whether this is laptops, desktops, tablets, phones or watches, we are forever looking down.

iHunch exercises to fixAnd looking down is the big issue.

Most of our heads are around 6kg but as our shoulders hunch and our head protrudes forward, the load on our neck increases a huge amount as you can see in the picture here

Over time, our body adapts to this posture and our upper back stiffens and loses extension, our pecs tighten and pull the shoulders forward and the muscles in our upper neck cramp up. This then causes pain and can really put you in a bad mood.(1)


So here is how you can sort iHunch at home. Stretch out that hunch and maybe even make yourself taller!

1. Thoracic extension stretch

Stretch out you upper back over a Foam Roller or stretch ball. The foam roller can either be across your back or up your spine for a more gentle approach.

Hold the stretch for at least one minute and then move higher, making sure not to put the roller or ball under your low back or neck.

You can also wrap your arms around your chest and roll up and down to massage the muscles

improve your thoracic mobility quick and easy

back stretch thoracic ihunch

2. Pec stretch

Using a doorway, place your forearm against the frame and gently lean forward. Hold the stretch for at least 30 seconds each side

Pec stretch

3. Wall angels

This is one of the best exercises for improving postural strength as if fires up all of your shoulder and spine extensor muscles

Make sure your bum, upper back and head are touching the wall, as well as your knuckles and elbow to start (a). then slide your arms up and down as far as you can without your elbow or hand coming off the wall. You will feel a good burn between your shoulder blades.

Repeat for 3 sets of 15 reps

wall angels, shoulder pain


The only other thing you can do to help prevent iHunch is to stop looking down so much! Hold your phone up in front of you, get a stand-up desk and walk more.

And that’s it. Mobilize the spine, stretch the pecs and strengthen your extensors and you will feel much better for it.

Health, Mobility

Muscle Knots: What, Why and how to get rid of them

November 14, 2016 • By

Muscle knots, self releaseIf I had to pick one question that I am most often asked when treating patients is, what are muscle knots? And what causes them?

And fair enough too, I would be asking some serious questions too if someone told me that I had some kind of ball of tissue within my muscle… That’s not normal right?


This excerpt by Paul Ingraham gives a good little explanation:

Does your body feel like a toxic waste dump?

It may be more literally true than you realized! Some evidence shows that a knot may be a patch of polluted tissue: a nasty little cesspool of waste metabolites. If so, it’s no wonder they hurt, and no wonder they cause so many strange sensations: it’s more like being poisoned than being injured. Back pain is the best known symptom of the common muscle knot, but they can cause an astonishing array of other aches and pains. Misdiagnosis is much more common than diagnosis.(1)

Muscle knots are very helpful. They are like signposts in our body, pointing to the areas that are overworked and struggling. If you come across a point in your muscle that is reasonably uncomfortable and causes you to grimace a little, then you know this is a spot that needs working over.

Muscle knots are localized, irritable points in skeletal muscle, not caused by any one specific event. This can basically be explained as a small permanently contracted part of a muscle. They can also act like tensioners, pulling at bones and joints via their tendons and causing all sorts of grief, including making you feel “out of place”

To add even more fuel to the fire, knots can also refer pain elsewhere, again, not where the actual knot is.

Take the Quadratus lumborum (QL) for example. This muscle in your back does a lot of good work but when irritated, can cause some confusing pain at times.

Ql Quadratus lumborum trigger point muscle knots

This muscle that runs down the side of your lumbar spine often refers pain into the hip and glutes, not at all where the muscle is.


So how do we get rid of muscle knots?

1. Heat

Heat increase blood-flow, eases pain and helps with muscle relaxation so definitely worth the effort of warming up your wheat bag!

2. Self-massage and self-myofascial release

Get a Foam Roller or massage balls into those tight areas. If you need a whole lot more guidance and self-treatment techniques, grab our New Ebook that has just released!

3. Exercise

Normalise muscle function through good exercise with and around the troublesome area. Whether it is upper trap pain and you need to get the lower traps firing better, hamstring pain because the Gluts aren’t doing their job or because you just aren’t moving right – exercise can help address this.


Hopefully that has cleared things up a bit! Give these tips a go and feel free to check out our new Ebook that is full of helpful tips and self-treatment exercises.


3 Killer Exercises for Tight Muscles

May 7, 2015 • By

Tight muscles are a real drag, slowing us down, causing injury and generally just putting you in a crappy mood. So I’m going to show you the three best exercises to loosen up your body from top to bottom – and all you need is five minutes!

1. Shoulder and neck release

One of the most popular posts on PhysioPrescription is easily this shoulder myofascial release, incredibly shared over 10000 times on Pinterest and viewed over 30000 times, it really is a go-to exercise for tight necks and shoulders. Grab a firm ball, place it under your upper traps bulk as shown on the video and bring your arm up and down, grinding out that tightness for 1-2 minutes.

2. Hip release

Glute stretches are a great loosener for tight muscles. Being one of the largest and most important muscle groups in the body – it can not be ignored! My favourite glute stretch is the sling stretch and if you do it right, it will easily become a regular for you. As shown in the pictures below, this is how it is done.

  1. Start on your hands and knees then bring a knee up between your hands and the foot across under your body
  2. Slide your other leg out to the back
  3. Now lower down onto your elbows and if you are really game stretch your arms right out as shown.
  4. To add a Lat stretch in, bring your arm (the one on the same side as your back leg) across in front of you as far as is comfortable.
  5. Hold for 30 seconds each side

glut and Lat stretch - Hip flexibilityglut and Lat stretch - Hip flexibilityglut and Lat stretch - Hip flexibility


3. Hamstring release

Who hasn’t had nasty hamstrings dragging you down at one point or another? Agin, get a firm ball, sit on a firm chair and place it under your thigh. Tilt your pelvis forward or hold the front of the chair and then straighten your knee in, and then out. Repeat this ten times and then move the ball up or down your hammy. Repeat a few times and you are done.

hamstring tight MFR - self muscle releaseHamstirng, thigh self myo-fascial release


Try one or all of these exercises out and make it a regular thing. Like, share and comment to let me know how you go.

Take 5 minutes out of your day, take the challenge and get rid of your tight muscles

Back pain, Health, Mobility, Spine

Treat your stiff back and neck with a peanut…

March 3, 2015 • By

The peanut - for neck and back stiffnessThe self-treatment tool I use the most, especially while on tour with teams, has got to be the Peanut. This is a handy little tool that you can use to loosen up your stiff back very effectively, and it’s not bad for doing a bit of muscle work too! The great thing it, you can make one at home and I’m going to show you how.

It is perfectly suited to give your spine a good loosen up as it has a nice groove down the middle for your vertebrae to rest in while bulging out to give the muscle down either side of your spine a nice firm massage. You can move it up and down your spine slowly, meaning at each level it;

1. Loosens up the muscles and other soft tissues and

2. Mobilizes your spine at the same time.

Your thoracic spine is very key for pain-free and strong neck and shoulders and is far too often overlooked and missed. So if you have any neck, shoulder or upper back pain or a stiff back – This will be a great exercise for you to try and even better to combine with this myofascial release for tight shoulders.

So, here is how to make your own peanut to mobilize your spine at home:

What you need:

1. Two balls (Mind out of the gutter!) – I prefer to use lacrosse balls but it is up to your preference, tennis balls can do a really good job too.

lacrosse balls


2. Tape: A good, strong and durable tape it best. I use strapping tape but that’s just because I have a lot of it! – Use what you have available.

Strapping tape - rigid


Put it all together:

Now all you need to do is strap the two balls together – the best way to do it is lengthwise around both balls at once and then around the middle before going around and around where-ever needed to hold them together. In other words, just give it a go, there is no exact way to do it!

Don’t have time to make one yourself? You can pop over to Amazon and buy one Here

How to use it?

It is best used in your upper back, otherwise known as your thoracic spine. Lie on your back and use you knees bent up and feet on the ground to roll it up and down. Stretching your arms over your head or across your chest can help also – experiment and give it a go, you will feel much better for it!

I will be making a video in the coming weeks to show you exactly how to give your upper back a good loosen up so stay tuned or make sure to follow us on Facebook or Twitter.

Good luck and let me know how you go!

Health, Mobility

Can’t get up off the floor or a chair? Here’s how to improve

December 15, 2014 • By

cant get up from chair? exercises to fix thisMovements that many of us take for granted at some can become harder with age,weight-gain or injury and it isn’t until we can’t do them that we really appreciate how important they are. Regular strengthening exercises and using the right technique can make the world of difference and give you the freedom you deserve.

A follower of PhysioPrescription emailed me last week asking me what he can do to help him get up off the floor and out of a chair better. Well let me tell you, you are not alone, not by a long shot and there are some easy exercises that you can do to get better at it. It limits our lives so much when we can’t do the simple things like getting put of a chair without a lot of pain and effort, let alone getting off the ground – a lot of people actually just don’t get onto the ground for fear of getting stuck there!

Fortunately, there are some great techniques and easy exercises that you can use to improve these.

We are going to run through

  1. The best techniques for getting up off the ground and out of a chair
  2. Exercises to strengthen the muscle that should be powering you out of a chair or off the floor.


Technique – Lets get the basics right

First of all, you need to be doing it the right way (which is the easiest and most efficient way). If you aren’t, you will  just be battling away and wasting energy – potentially leading to injury.

sit-to-stand correct technique and exercise1. Sit – To – Stand

Getting up out of a chair is something that is very, very often done wrong and there are some great tips to improve how you do it.

  • Lean forward at the hips

  • Look up

  • Nose over toes

  • Drive up!

Tip: This technique utilizes your body weight going froward – hence why you need to lean forward so that you nose goes over past your toes. This will start you falling forward, and then all you need to do is push up with your legs to stand up-right.

Note: remember if you are looking down, you might go down, so keep you chest up-right and focus on the top of the wall.

2. How to get up off the floor

The main thing here is to:

  1. Roll onto your side and plant your hands on the floor
  2. push your upper body up, so that your arms and straight
  3. Pivot onto your knees so that your hip comes off the ground – This will get you into four-point kneeling
  4. From there you need to bring one foot forward and plant it – from there you can drive up with that leg.

Watch the video here for a good demo of how to get both down safely and up again:

Exercises to strengthen

Strengthening exercises, when done regularly can make so many daily activities a lot easier. And I don’t mean going to the gym and throwing iron around – There are some great exercises that you can do from home!

1. Sit-to-stand

wpid-wp-1411171453740.jpegGreat functional exercise. If you are finding it difficult to stand up out of a seat, then one of the best ways to improve is practice – build up the muscle memory using the correct technique.

sitting down into a chair and standing up again is almost like doing a good squat and you can use the same technique to do it right.

Now, I know that not everyone can start doing this straight away, so I have included two levels:

Level 1: Modified sit-to-stand

Here, we make it easier by adding a pillow or cushion to the chair – This raises up the platform and means less distance for you to go up, making it easier on your legs.

Now, I want you to use the correct sit-to-stand technique I taught you above, to do this exercise. Stand up from the chair, not using your arms (your legs are only going to get stronger by working at it) and then slowly sit back down again using the same technique as when you came up (except in reverse!)

This is a great one for strengthening your posterior chain and is very functional. Remember to make it easier just place cushions, or solid books etc on the chair seat to raise the platform.

Do 3 lots of 10 – that means do ten sit-to-stands, have 1 minute break and repeat 2 more times.

Level 2: full sit-to-stand

This the same as above but without the cushion or pillow to raise it up – you are doing it right onto the chair seat.

tip: to make it harder hold, a small weight in your hands in front of you , start with 1-3kg.


Bridge - increase leg strength, glute activationa dn decrease back pain. physiotherapy exercises for everyone

Bridge – increase leg strength, glute activationa dn decrease back pain.

2. Bridges

Your extensors (Glutes, back muscles, hamstrings etc) are what really drive you upwards and straighten you up at the hip and torso. This is a great exercise to do to get them working for YOU and the good thing is that it can be done on a firm bed or bench, as well as the ground.


  • Lying on your back, on the ground, firm bed or bench, bend your knees up and place your feet on the ground.
  • Pushing through your heels and keeping your back straight, lift your bottom off the ground
  • Lower down again, in control the entire time
  • Repeat 10 times for 3 sets.

Tip: If you get back pain doing this or hamstring spasm, try moving your feet in closer to your bottom – this will likely make it easier.


3. Lunges

lunge to strengthen glutes exerciseThis exercise builds great control and strength through your hips.


  • From a standing start, take a step forward, planting your front foot
  • As shown in the picture, bend the back knee towards the ground, keeping your toes on the ground.
  • Control this all the way with your front leg – this will be doing a lot of the work
  • Only go down as far as you can comfortably and safely
  • Push off with your front leg so that you come back to standing
  • Repeat 5 times on each side for 3 sets.


wall squat exercise4. Wall squats

These exercises are easier than the name lends to thinking and is great for targeting your quads (thighs), these, along with your extensors help drive you upwards, straightening out your knees.

Again, there is two levels here, so that you aren’t thrown straight in the deep end and can start where you feel comfortable:

Level one: Squat and hold


  • Lean against a wall with your feet at least a foot out from the wall
  • Slide your back down the wall, controlling this with your legs until you are about halfway down
  • Only go down as far as you are comfortable with!
  • Hold this for 5 seconds and then slide back up again
  • Repeat 10 times

Wall ball squat exerciseLevel two: Swiss ball wall squats

You will need a swiss ball (also called gym balls among other things) for this good little exercise


  • Place the ball against the wall and lean against it at the height of your low-back – make sure your feet are out from the wall
  • Slowly squat down, keeping the pressure against the ball
  • Only go down as far as is comfortable.
  • Return back up and repeat 10 times for 3 sets


Bosu ball, wobble board ankle and calf re-training rehab quick5. Single leg standing – For balance and hip control

Level 1:


  • Stand on one leg on the floor
  • Don’t let your legs touch each other
  • Goal: hold for 1 minute

Tip: if you cannot hold this very well, you can start with one finger on a wall or bench close to you

Level 2:


  • Stand on a wobble board, dura disc or bosu ball on one leg
  • Aim to hold this for 1 minute or build up to it
  • If you cannot afford one of these you can also fold up a towel and stand on that – rolling it up firm to make it harder


As I mentioned above, these exercises are effective if they are done regularly, so make it routine and stick to it.

Aim to do these exercises at least 4 times per week and you will really notice the difference.


You may also like: Quick stability and balance test


Note: it is always best to consult with your GP first if you have any medical conditions and have someone standing by when trying these exercises.