Brentwood Precision Physiotherapy



Ruth Lira (Physio) in Brentwood Precision Physiotherapy


Located at 67 Cranford Avenue, Brentwood. Inside Brentwood Village Medical Centre

Precision Physiotherapy welcomes Ruth Lira [Physiotherapist] to our Brentwood practice.
Ruth has 10 years of experience in musculoskeletal physiotherapy, including; spinal pain, shoulder dysfunction, post-operative joint rehabilitation, jaw pain, woman’s health concerns, post-natal and incontinence issues.
Ruth also has a special interest and extensive training in treating vertigo and balance disorders, offering a comprehensive assessment to manage these vestibular problems.
Ruth will start by working 2-3 days per week, including Thursdays (a.m. and p.m.) and Saturday mornings. Matthew Irwin will continue to work the remaining shifts Mon-Fri.
Bookings essential. Online at or phone: 9313 3999

Hamstring Sprain


Sports Injuries Part 3

Hamstring strain

By Melissa Mongeal B.Sc. Physiotherapy, APAM.

Melissa works from East Fremantle practice Monday to Saturday.

Background: The hamstrings are a group of 3 muscles that run from the sitting bones (pelvis) to the back of the knee (leg bones). The hamstrings function to bend the knee joint, as well as straighten the hip joint. They enable us to walk, run, stand up from sitting and walk upstairs. 

Symptoms: Hamstring strain results in sudden, minimal-to-severe pain located at the back of the thigh. A “popping” or tearing feeling may be experienced during some strains. Sometimes swelling and bruising can occur, however this may be delayed for several days after the initial injury.

Causes: Hamstring strains are common when running is combined with rapid starting and stopping such as sprinting and jumping, as well as in contact sports such as AFL and soccer, where quick contractions are regular. Many risk factors including poor flexibility, strength imbalance and fatigue have been proposed as risk factors for hamstring injuries.

Treatments: Surgical intervention is an extremely rare procedure after a hamstring strain. Only in cases of a complete rupture of the hamstrings is surgery recommended. The use of specific rehabilitation programs is more common.


  • Injury rate, mechanism, and risk factors of hamstring strain injuries in sports: A review of the literature, September 2012, Journal of Sport and Health Science 1(2):92–101, DOI: 10.1016/j.jshs.2012.07.003. Hui Liu, Beijing Sport University; William Garrett, Duke University Medical Centre; Claude T. Moorman; Bing Yu, University of North Carolina at Chapel Hill

  • Hamstring Injuries in the Athlete: Diagnosis, Treatment, and Return to Play,Curr Sports Med Rep. 2016 May-Jun; 15(3): 184-190.DOI: 10.1249/JSR.0000000000000264. Samuel K. Chu, MD, Monica E. Rho, MD

Plantar Fasciitis


Sports Injuries Part 1


Plantar Fasciitis


By Dr. Aubrey Monie [B.Sc. Physio, Ph.D., M.M.T., M.Med.Sc., Grad.Dip. Sports M.T.]

Aubrey works from our Alfred Cove practice Monday to Friday.
Background: The Plantar fascia, which helps to support the foot, is a tuff, fibrous band spanning the undersurface of the foot. It can become painful (usually closer to the heel) through wear and tear. Plantar Fascia pain affects 1 in 10 people in their lifetime. The suffix -itis implies inflammation e.g. tonsilitis, tendonitis, fasciitis, however not all fascia pain is inflamed. Without evidence of significant inflammation, this condition is gradually being referred to as Plantar Fasciopathy [pathology/condition of the fascia]. The more recent research suggests that Plantar Fasciopathy is a degenerative process rather than an inflammatory process.
Symptoms: Pain under the foot, close to the heel, sharpened with the first few steps of walking in the morning or after a long period of rest, in one or both feet. The condition affects both genders, either in elite or recreational athletes and women are affected slightly more than men.
Cause: Anatomical variations, functional demands, overuse, incorrect training technique and inadequate footwear, can all contribute to plantar fascia pain.
Treatment: Conservative treatment, including Physiotherapy [which may include manual therapy, education, over-the-counter medication, home exercise program, orthotics, technique adjustment…] has been shown to resolve approximately 90% of cases over 12 months. Surgical options are available for refractory cases.
• Plantar fasciopathy: A current concepts review.
Monteagudo M, de Albornoz PM, Gutierrez B, Tabuenca J, Álvarez I.
EFORT Open Rev. 2018 Aug 29;3(8):485-493. doi: 10.1302/2058-5241.3.170080.
• Plantar fasciitis in athletes: diagnostic and treatment strategies. A systematic review
Federica Petraglia 1, Ileana Ramazzina 2, Cosimo Costantino 2
PMID: 28717618 PMCID: PMC5505577 DOI: 10.11138/mltj/2017.7.1.107

Anterior Cruciate Ligament [ ACL ] tear



Sports Injuries Part 2

Condition: Anterior Cruciate Ligament (ACL)Tear

By Phillip McShane B.Sc. Physiotherapy (Curtin), APAM.


Phillip works from our Manning practice Monday to Saturday.

Background: The Anterior Cruciate Ligament (ACL) connects the shin bone to the thigh bone, at the knee joint. Its role is to restrain the shin from shifting forwards on the thigh, and vice-versa. Injury to the ACL most frequently occurs during sport and males between the age of 18 and 25 are most at risk. 

Symptoms: An audible pop or crack is often heard at the time of injury, as well as sharp pain initially. Swelling often occurs following a tear, but this is not always the case. Instability and episodes of knee buckling or “giving way” can be key signs of an ACL rupture.

Cause: The ACL is commonly ruptured during sport, in particular high-impact sports and sudden changes of direction. 70% of ACL ruptures occur without contact, often twisting or pivoting on a single planted foot.

Treatment: Grade III (complete) ACL tears are traditionally treated with an ACL reconstruction surgical procedure, where a section of hamstring or quadricep tendon is grafted and used to replace the ACL. A synthetic ligament (LARS) is also sometimes used as an alternative replacement. This is followed by a thorough rehabilitation program with a physiotherapist in order to regain strength, stability and function, with resumption of running usually around 3 months post-op and return to sport between 6 and 12 months.


  •  Management of Anterior Cruciate Ligament: What’s In and What’s Out? Raines BT, NAclerio E, Sherman SL. Indian J Orthop. 2017 Sep-Oct; 51 (5): 563-575. DOI: 10.4103/ortho.IJOrtho_245_17. PMCID: PMC5609378 PMID: 28966380

Current Concepts for Anterior Cruciate Ligament Reconstruction: A Criterion-Based Rehabilitation Progression. Adams D, Logerstedt D, Hunter-Giordano A, Axe MJ, Snyder-Mackler L. J Orthop Sports Phys Ther. 2012 Jul; 42 (7) 601-614. Doi: 10.2519/jospt.2012.3871. PMID 22402434 PMCID: PMC357689