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Back pain, Mobility, neck pain

Exercises to fix iHunch

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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

YouTube player

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

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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

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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.

YouTube player

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…

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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

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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:

YouTube player

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:

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.

Health, Mobility

Static Stretching, Is It Affecting Your Performance?

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static stretching - does it affect performanceIn the past, stretches have typically been a part of any warm up – whether getting ready for a run or a game of football.  However, now there are a plethora of studies showing that static stretching impairs performance. Could all that good warming up and stretching you have been doing before the game actually be impairing muscle performance? Today I am going to delve into these studies and let you know, in easy to read terms, if stretching really does affect performance.

Static stretching has been considered an important part of a pre-game/event warm up for decades and has been ingrained in the minds of young and old as the thing to do. Static stretching involves taking a muscle to end of range (on stretch) and holding it there for 15-60 seconds and yes has been shown to be effective in improving muscle length.

So if static stretching does the job we want in improving flexibility, then how can it decrease performance?

A decent amount of research has emerged over the last 15 years showing that sustained stretching can impair performance (1, 2, 3, 4 to list a few). Static stretching of over 30 seconds has been shown to decrease, strength power, balance and reaction time, such as:

  • A study by Nelson et al looked at the effect of static stretching on 20m sprint times and  showed that it had a significant increase in sprint times – slowing the sprinters down.
  • Behm et al showed that stretching for 45 seconds to the point of discomfort negatively affected both balance and reaction time.

The impairments  brought on by static stretching are thought to be due to changes in the muscle compliance – it may affect the muscle’s ability to detect and respond to changes in the muscle – Basically slowing down the reflexes and responses within the muscle.

There findings are significant for many athletes – particularly those that need explosive power and only minor differences can separate you from making the podium or not. Examples of this is sprinting, weight lifting etc were, small differences and loss in power can make or break it for you.


What you should do:

Before exercise: A warm up to minimise any impairments and loss in performance should include:

  • Sub-maximal aerobic activity (running, cycling etc)
  • Large amplitude dynamic stretching (this has NO affect on performance)
  • Sports specific dynamic activities/drills

After exercise:

  • 5-10 minutes cool down aerobic activity (light jog)
  • 5-10 minutes static stretching
  • Re-fuel

I must mention that there are a few ways to get around this decrease in performance with static stretching. The research has shown that stretches less than 30 seconds that are low intensity have little or no effect on performance. That is pretty ideal I think as I discussed in a earlier post, you get just as good an improvement with a 30 second stretch as you do with a 60 second-plus stretch! So if you do take part in a sport that requires a high degree of static flexibility – you should use low intensity stretches (don’t push to that ow point), held for short duration 15-30 seconds.



  • Dynamic stretching is best before exercise as this lengthens muscles AND gets them warmed up and firing.
  • Static stretching after exercise to reduce muscle soreness and enhance recovery.
  • Hold static stretches for 15-30 seconds – and they shouldn’t hurt!

Health, Mobility

Frequent Flyer Exercises – How To Beat Jet Lag

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How to beat jet lag?

Sitting at the airport this week on my way to Glasgow to ply my trade at the Commonwealth Games got me thinking. What are some easy things that everyone could and should do to decrease jet lag and minimise muscle dysfunction?

So I am going to let you in on the five best things to help you beat frequent flyer syndrome. And yes, and am going to get you stretching out in front of perfect strangers!


Now there are three major problems which we need to address:

1. Tight muscles and postural pain

Sitting for long periods, leads to certain muscles getting tight and annoyed and other muscles being stretched out and switched off. Your hip flexors are a big one for getting short and tight from prolonged sitting – imagine couple of giant pegs bunching up the skin at the front of your hips, your hip flexor muscles tightening up has a similar effect. This leads to you being stuck hunched over and compensating by arching your back more = sore back.

The muscles that tend to get tight and switched off and (not surprisingly) the opposite muscles – your gluts and hamstrings. Yip, these poor suckers and stretching out and un-used for hours on end, leaving you weak and out of sync.


2. Poor circulation

Again, sitting for hours on end can do terrible things to you and in this case, it leads to poor circulation and your blood giving in to gravity. Normally your muscle help pump blood back up to your heart (veins travel up through muscle in a lot of places, so when the muscle contract, they squeeze the veins and form a muscle pump), but when you don’t use your muscles, i’m sure you can imagine what happens – this is why a lot of people need to wear compression garments when flying to prevent blood clots, DVT and swollen ankles.

This is a problem for everyone, not just the elderly.


3. Dehydration The air conditioning in planes dehydrates you faster than normal. Combine this with a warped sense of time and often free beverages (alcohol is a diuretic – makes you pee more!), you can get dehydrated fast! This is a big contributor to giving you that jet lagged feeling. These all combine to make you feel tight, uncomfortable and out of sync during and long, long after your flight.


So, what are these five things then??

Here they are:

1. Calf pumping in-flight. Keep your muscle pump working by paddling your feet up and down every 10-20 minutes. You can also try scrunching your toes up like soldiers often do when standing to attention for long periods to prevent collapse. Although this does not always work! Do this little and often. image


2. Hydrate, hydrate and hydrate some more. Too much i hear, “but i will have to get up and use the toilet” or even “I’m scared I’ll get sucked down the toilet!”. The way i look at it, having to get up and go to the loo means bonus exercise, helping prevent points 1 and 2 above!

Generally speaking, aim to drink double what you normally would – especially athletes.

And no, you won’t get sucked down.


wpid-images-1.jpg.jpeg3. Hip flexor stretch Hold for 30sec at least





wpid-download-2.jpg.jpeg4. Doorway/Pec stretch As shown in the picture here, having your elbows at different heights targets different muscle fibers, so do what feels best for you. You can also do this with one arm of course, just step forward with your inside foot and turn away to place the stretch on.


wpid-download.jpg5. Bridges Do 2 x sets of 10, making sure to activate your gluts. – if you don’t want to get down on the ground, some squats can really be great for getting by our posterior chain firing again. Do 10 bum to chair squats, where your bum, just touches the chair and up again:



Note athletes: Wearing compression garments will really help minimise the effects of flyibg, especially f you are competing in the next 1-2 days.





Jet lag hack, written at Brisbane international airport.

Mobility, running

Myofascial Release – Tight Hamstring Treatment

• By

If you experience tight hamstrings or chronic hamstring pain or if you just want to improve flexibility, then this tight hamstring release treatment is for you. This is a great myofascial release that really targets the hamstrings and is often far more effective than foam rolling or stretching.

What can this hamstring release treatment help you with?

  • back pain while squatingLess low back pain and risk of back injury
  • Improved flexibility
  • Decreased hamstring pain
  • Decreased risk of hamstring injury
  • Endorphins released, increased blood flow + You feel better!

Before you start – How do you know if this hamstring release treatment has helped improve your mobility?

Here’s how: Keeping your knees straight, bend down towards your toes – mark or remember how far down your leg the tips of your fingers get (you can even get someone to do a little mark with a pen!). After you have done this quick tight hamstring treatment, re-test and see the difference.

Hamstring myofascial release

Here is how to release your hamstrings:

Position: Sitting on a hard surface – such as a hard bed, bench or a chair. Preferably your feet should be off the ground. Place a hard ball (I use a lacrosse ball as they are hard and grippy, so it isn’t going anywhere!) under the hamstring, starting higher up as shown.

hamstring tight MFR - self muscle release

Action: Putting your weight through the leg then, as tolerable, flex and extend the knee (straighten and bend). By doing this you are gliding the muscle over the ball, stretching out the muscle, kneading out knots and breaking down adhesions.

Hamstirng, thigh self myo-fascial releaseRepeat: Straighten the knee out 10 times and then move then ball to the next tight spot (likely closer down towards the knee, in the middle of the muscle) and repeat so that you work out all those tight spots throughout your hammies. Do this on both legs so that things are evened out and then you are good to go!

Give it a go and let me know what you think and if you want more self-treatment ideas, check out our content-packed Ebook

Get 25% OFF all Rehab Guides for a limited time (use code: TAKE25)