I can’t recommend David at Myoactive highly enough. He treated me for my injury after a motor accident with utmost care and professionalism. He is very knowledgeable and able to identify my issues straight away. The exercises he prescribed were easy to follow and effective. I felt better and gained more strength after every the session and now I am back to normal. I can’t express my gratitude enough. He now treats 5 yeard old my daughter and has been fantastic! Thank you so much David and the team at Myoactive.
I’ve been treated by physiotherapist David Muehlenberg for the right hip muscle pain issue. The pain has been bothering me for over a year, which limited my movement when dancing. I was referred by a friend to see David. David is very knowledgeable and thorough in assessment. He went above and beyond to help me managing the pain. In addition to the usual physiotherapy sessions, he also created a gym program to help me strengthen the hip and leg muscles so I can continue my dancing routines. This has proven very useful. In addition, I found the whole team very friendly and tech savvy. So highly recommended!!!
Jayden is fantastic, very knowledgeable and experienced, and has gone above and beyond to help in my treatment.He eased the neck and shoulder pain that I had for weeks in one visit.Had been searching for a great myo for a while and Jayden ticks the boxes. Whole team is really friendly. Highly recommend!!
Physiotherapist David Muehlenberg has been fantastic in helping me get safely back to running after an inflammatory condition led me to stop all activity. Having the gym and professional support available at the same location has been great. I now have a tailored gym program to improve my strength, to help manage my condition, and to give me a better base to run injury free.
I would highly recommend David in the clinic. I dislocated my right elbow a few weeks ago, although the swelling was gone after a week, I still struggled to straighten my arm fully and the movement was very much restricted. Upon recommendation, I came to see David Muehlenberg, and was very impressed by his in-depth knowledge, caring personality and professionalism. David thoroughly assessed my condition, and then did a massaging session followed by a detailed instruction on further exercises I should do at home. Magically, I could extend my arm fully after the session. I have been trying to do the three exercises every day and my arm movement and strength has been almost restored after a week. I am happy that I can dance again, thank you so much David, you’re just amazing!
I tried out MyoActive after seeing their Google reviews and Jayden hasn’t disappointed!! He cares for his patients and works hard to not just provide treatment but actually develop a plan to avoid treatment. Having the gym there helps with demonstrating exercises. Not all surprised that Jayden recently won Australian Myo of the Year!!!!
Can’t recommend Osteo Matthew enough! After initially seeing him for a snowboarding neck injury, he helped me recover from the injury and restrengthen the area. He then worked closely with me with recommended exercises to improve overall muscle strength to reduce the risk of further injury. Matthew explained everything to me really well so that I understood why I was having each treatment and how it would help me with my injury.
I injured myself doing a 10km run in 2022. I went to David Muehlenberg at MyoActive for his advice. He explained my conditions to me, in a way that a layperson can understand. We worked on a program to strengthen myself. With his guidance, I learn to 'test my limits', when to pullback and restart. The outcome being I just finished a half-marathon at the Melbourne Marathon Festival in October.As recommended by David, I joined this gym, which I love. It's a smallish gym but packs a lot in there. Love the fact that it's not crowded.There’s a nice lake nearby if you want to take a walk or run after a workout.
I've been there once, for remedial massage and advice on old injuries, was very happy and felt like I could move more freely the next day, with that pleasant sore feeling. Definately going back again, Nat is fantastic.
Natalie is a miracle worker! She cleared up my sinus infection with some sinus massage and lymph drainage. A very stubborn and painful sinus infection that had gone on for months and was resistant to two courses of antibiotics. I literally woke up the next morning after a treatment with Natalie and was properly cured. She is so competent and such a bubbly and pleasant personality too. I found the booking process super easy with Myoactive also. I haven’t done PT here, but the equipment and trainers look really high quality, so look forward to giving that a go in the near future.
Absolutely love the team at MyoActive. Shoutout to Jayden, Nat and Bridget. I started as a client of David’s for physio and went the full hog by joining the gym. It’s not crowded and a wonderful space for working out. Shhh! Don’t share with too many people. 😉
The team was very good from when I started with asking what problem I’m having planning and helping treating my sciatica with the method of myotherapy everyone was so helpful and friendly now it’s getting bit better thanks to the team much appreciated hoping to recover soon
The team at Myoactive have been amazing! Very friendly staff and easy to book into online. With Jayden’s support and advice over 18 weeks I was able to run my first marathon! Highly recommend MyoActive
I’d highly recommend Ashley . Came for an injured shoulder during boxing sparring. He pointed me it that the inefficiency in transfer of force through your muscles overloaded your shoulders and gave me some exercises .His observations made me consider hiring a new boxing coach and he pointed the exact same thing that I was shoulder punching and not twisting enough. The dry needling and massage also helped my recovery to come back to training quicker.
Had a really great experience. Jayden was friendly, experienced and great at relieving the pain I was having. He also spent time explaining to me some exercises to alleviate in future and sending me instructions to refer to. Thanks very much Jayden!Update: I visited again today and met Ashley. Had the same great and professional experience as before. Thanks again guys.
Highly recommend Myoactive. Jayden is incredible; I’ve seen a lot of different therapists for my jaw pain over the years and have always had it disregarded, or ignored as a ‘symptom’. Jayden actually listened! He has a holistic approach that makes a lot of sense (and is not airy fairy) and always takes the time to work on and release my jaw. Across three appointments these treatments and the exercises and lifestyle tweaks he suggested have made a significant improvement to my pain and mobility.
I’ve been seeing Ash for some time now for a variety of long-standing injuries. My recovery had previously been very frustrating, having seen many other practitioners with little progress to show for it.I’ve finally been making real inroads on my recovery, which I wholly attribute to Ash’s approach. He’s highly knowledgeable and well ahead of the curve for the hands-on and exercise components of treatment, but what really ties it all together is his whiteboard approach where he assesses and breaks down all the other factors that may be relevant to recovery, including your routines/actions outside of training and client mindset.This holistic approach helped to identify a number of problems affecting my progress in the other 23 hours of my day outside of the gym that I would otherwise never have identified. The combination of effective exercise selection, and several key changes to my routine and mindset towards my injuries/training have resulted in more progress over the last 3 months than in the previous 3 years. If you feel like you’re spinning your wheels elsewhere and struggling to make progress, then I couldn’t recommend Ash and the team at MyoActive more highly.
MyoActive looks after me very well. The people are very nice and knowledgeable (I've seen three therapists at MyoActive, Jayden, Ash and Taylor) and have worked with me to sort out various issues, physical and mental. Great bunch of people who know what they're doing.
Been seeing Jayden and Ash for a mixture of Myotherapy and Osteopathy as I recover from a chronic injury. The interconnected nature of this facility is what truly makes it unique, the team works cohesively and have been instrumental in my recovery. Amazing facility with everything you need to train whether you’re just beginning your fitness journey or are well experienced, young and old, all are welcome 🙏🏽
Amazing osteopath! Helped so much with my torn quad, provided so many tools to achieve my goals and recover without re injuring when returning to sports. Ash is a fantastic professional who doesn’t just look at the injury but takes into account a individuals whole lifestyle. Highly recommend Ash to anyone who's struggling with a injury or who needs a achievable and individualised recovery plan!
Another member of my family has been to Ash Hamilton and had great results, so after I tweaked my shoulder/neck I made an appointment.I have a physical labour job, as well as playing at a semi professional level of a physical sport (ice hockey).Ash did a full review of me physically and we have been working to alleviate my initial issue (which is done) and working to rebalance some areas that I have been avoiding due to some old injuries/aggrevations.I am already feeling great benefit, and have a plan to help strengthen some areas that will benefit me moving forward!Ash has been great to work with and I would fully endorse him (which I have already done to some friends!).
Absolutely love Ash's approach in management of my injury. Really thorough history taking, explained the big picture of where I'm at and through treatment and strengthening exercises where he wants me to get to, which is hopefully back on the netball court.Recovery has been much quicker than I anticipated, which I am extremely happy about. Highly recommended Ash and the very well run Myoactive Clinic.
I found Ash Hamilton through having ongoing (but intermittent) back issues and reaching out to a Facebook group for recommendations.Ash's name came up multiple time from people who all had great results and recoveries by being clients/patients of his so I booked in to see him at the MyoActive venue.I have prolapsed discs in my back, so have had various therapists and therapies over 10+ years, and I can state, working with Ash to both remedy the immediate issue, as well as working with him to build myself for prevention has been simply amazing.He takes the time to work through what your immediate issue is, but also identifies other areas that you may not have been aware of, but are contributing to the issue (which for me was general stiffness in the upper torso) and uses various techniques and methods to remedy them.Highly recommended!!!!!
I found Myoactive on the web and after seeing the good reviews, i decided to give it a go as I have been in pain due to shoulder injuries for 6 months and unable to sleep due to the pain. Been to osteo and physiotherapist which did not have positive outcome. After just 1 session with Jayden, the pain has reduced a lot where i am able to sleep better without pain and the recommended exercises also a few sessions have helped to be able to lift up the shoulder slowly. Thank you Jayden and highly recommend Myoactive.
I went to Jayden as I could not lift up my right hand and could not sleep due to the pain. He was super good cos just after one session of therapy and some rest, I was able to lift my hand again! Their staff was also very friendly! Will definitely recommend Jayden to my friends!
I highly recommend David Muehlenberg (the best physio ever!!!) I had stiff neck for 3 weeks and in a bad pain. David reduced my pain by at least 50% with the 1st visit! He is very knowledgeable with a great manner.
Shoulder bursitis is a common condition that occurs when the small, fluid-filled sacs (called bursae) that cushion the bones, tendons, and muscles in the shoulder become inflamed. This inflammation can cause pain, stiffness, and discomfort in the shoulder, particularly when moving the arm or shoulder.
Symptoms of shoulder bursitis may include:
Pain when moving the arm or shoulder, or when applying pressure to the affected area
Stiffness or difficulty moving the arm or shoulder
Swelling or tenderness in the affected area
Redness or warmth in the affected area
A dull ache in the shoulder, particularly when the arm is at rest
There are several treatment options for shoulder bursitis, including:
Rest: Avoiding activities that strain or irritate the shoulder can help reduce inflammation and allow the bursae to heal.
Ice: Applying ice to the affected area can help reduce inflammation and numb the pain.
Nonsteroidal anti-inflammatory drugs (NSAIDs): Over-the-counter medications such as ibuprofen or naproxen can help reduce inflammation and relieve pain.
Physical therapy: A physical therapist can teach you exercises to stretch and strengthen the muscles and tendons around the shoulder, which can help reduce inflammation and improve mobility.
Corticosteroid injections: If other treatments are not effective, a healthcare provider may inject a corticosteroid medication into the affected bursa to reduce inflammation.
In some cases, surgery may be necessary to remove the inflamed bursa or to repair any underlying damage to the shoulder. However, surgery is usually only recommended if other treatment options have been unsuccessful.
It’s important to see a healthcare provider if you are experiencing shoulder pain that is not improving with home remedies or over-the-counter pain medication. Your provider can help determine the cause of your pain and recommend the most appropriate treatment.
Our physiotherapist, osteopath and myotherapists can assist you with shoulder pain especially shoulder bursitis. In most circumstances we will see quick results with 5 sessions and most pain gone within 8-12 weeks following a strengthening program.
Training Loads and Injury Risk – Finding the Sweet Spot
Regular participation in sport and exercise is one of the best things we can do to optimise our health and well-being. The benefits of regular physical activity are numerous and well-established. Some of these include: reduced risk of cardiovascular and metabolic health complications, improved weight management, improved mental health, and a shorter recovery and less severe outcomes if you become sick. This is not to mention the multitude of other social and psychological benefits associated with team sports and group exercise.
Around this time of year – where new year’s resolutions are being set and the summer sun is inviting us to soak in its splendour outdoors – people are starting to ramp up their exercise. Great! With more and more people beginning to increase their training, this time each year we start to see the same pattern pop up: people go too hard, overdo it, and get injured. So why do we reliably get injured when we exercise more, when our more athletic friends seem to get away with training year-round injury-free?
It’s all about Risk
Injuries happen. Look at any professional sporting team – even with the best doctors, physiotherapists, and allied health staff working around the clock to keep their athletes in top condition – you’ll see injuries popping up every single week. While we’ve made great strides in reducing rates of certain types of injury in sport using modern warm-up and strengthening protocols (such as the FIFA11+ protocol for professional football, or the KNEE program for netball), injuries are a part of life and something we will never get rid of completely.
Sport, exercise, and all forms of physical activity inherently come with a certain risk of injury. Though many sporting injuries are the result of physical contact, slips, and traumas, the majority of injuries we see are considered overuse injuries – something we’re a lot better at predicting and preventing.
Training Load & Supercompensation
Overuse injuries occur when repetitive loading of a tissue, joint, or other structure within the body exceed the body’s ability to recover from the damage associated with that load. These include common conditions such as; patellofemoral pain, shin splints, bursitis, tendinopathies, and at the extreme end can include stress fractures and muscle tears. High levels of training load results in minor damage to bones, joints, and muscles, which our body responds to by repairing that damage and making the tissue stronger and more durable for next time. This is usually called supercompensation. This process occurs with rest, and takes time. For muscles, we’re looking at days for this regeneration to occur, and for bones, joints, and other tissues, we’re looking at weeks.
Simply put, training load can be thought of as the total amount of exercise performed multiplied by the difficulty of that exercise. In professional sporting contexts, this can be quantified a number of different ways, for example by calculating the total weight lifted in a workout, the total distance ran during competition, or the number of minutes spent exercising above a certain heart rate. A simple method of quantifying training load for recreational athletes involves rating a workout’s difficulty using the Rate of Perceived Exertion (RPE) – a simple scale of 1-10 where 1 feels like minimal exercise and 10 feels like maximal exercise.
So as we begin to ramp up our training loads in preparation for beach cricket or this year’s Christmas pudding, we run the risk of overloading our bodies without allowing adequate time for rest and recovery – eventually leading to injury. However, we know from the research that progressively overloading the body is a key variable in improving our our strength, fitness, and sports performance (that is, gradually increasing workout difficulty, duration, or intensity from week to week). So how do we achieve supercompensation and reach our fitness goals without increasing our risk of injury?
Optimal Training Loads and the Acute:Chronic Workload Ratio
When looking to significantly increase training loads, we need to consider the speed at which we begin to ramp things up. Multiple studies have been conducted looking at training loads and injury risk, and conclusions have always been fairly consistent. This chart from the British Journal of Sports Medicine shows the likelihood of injury in multiple Aussie sports represented using an acute:chronic workload ratio. Here, the acute workload represents the total training volume of the past week, and the chronic workload represents the average total weekly training volume of the previous 3-6 weeks.
Gabbett TJ. The training—injury prevention paradox: should athletes be training smarter and harder? British Journal of Sports Medicine 2016;50:273-280.
What this chart shows is that the timing of any changes to our training volume is incredibly important in predicting our risk of injury. As the author of the above study notes, there seems to be a ‘sweet spot’ where injury risk is lowest when acute:chronic workload ratios sit between 0.8-1.3.
It should now come as no surprise that any significant increases to training load over a 3-6 week period drastically increase our risk of getting injured. This means that going from running 2-times a week to running 5-times a week without allowing your body the time to adapt to that volume is likely to end in pain or injury. In the same way, increasing from a 50kg to 100kg bench press over the course of 4 weeks also carries an increased risk of injury than increasing to, say, 70kgs. What may be a more interesting finding is that any significant decrease in training load over the same period is also associated with an increased risk of injury. In much the same way that we lose strength and fitness after any significant time away from training, our bodies lose their capacity to handle load with significant periods of rest. A sudden decrease in training load is likely associated with a decrease in body strength and robustness, leading to a higher chance of injury when exercise is performed.
Practical Tips & Take Home Messages
Our bodies are strong and resilient, and can handle most of whatever we choose to throw at them. With that said, sudden increases or decreases in current exercise volumes can lead to an increased risk of injury. In order to enjoy your summer and reduce your chance of needing to see us, here are some general tips to avoid injury:
Establish an exercise routine and stick to it. This will avoid any sudden spikes in training load due to inconsistent training scheduling.
Avoid sudden spikes in training load – this includes sudden increases or decreases.
Slowly get stronger. Regular gym work and strength and conditioning has been shown to significantly reduce your likelihood of many common injuries, and will probably help your sport performance too!
Optimise your recovery. Ensuring that rest, nutrition, and stress levels are well managed is vital to recovery from exercise and creating a supercompensation response. This includes aiming for 7-9 hours of good quality sleep per night.
Unsure where to start? Speak to a professional! Here at MyoActive, our team of Myotherapists, Physiotherapists, and Osteopaths are all trained in exercise prescription and modern injury prevention protocols. To find an available appointment, simply call 0422 580 035 or book online via https://myoactive.cliniko.com/bookings.