Our Services

Epworth Sportsmed December 2015 (398 of 477)

At Epworth Sports and Exercise Medicine Group we specialise in the diagnosis, treatment and prevention of sports, exercise, recreational and domestic injuries and conditions. Rehabilitation programs are often implemented to assist in injury recovery and prevention of recurrence.

Our doctors pursue professional development and keep abreast of innovations and developments, being aware of their possible relevance to the management of your condition.

Our goal is to use our knowledge and experience to maximise your health, wellbeing and physical performance.

Injuries can occur in acute or overuse settings but sometimes there is no obvious or identifiable cause. At ESEM our doctors take a relevant history and perform a physical examination with the aim of then making an accurate diagnosis upon which an appropriate management plan can be structured. Investigations e.g. radiology may be required to assist in the diagnostic and prognostic process.

We are fortunate to have convenient access to advanced radiology services – xray, ultrasound, CT, nuclear medicine and MRI, including at Epworth Medical Imaging within the Epworth Richmond precinct. Other nearby radiology practices also provide an excellent service. Our doctors have developed strong professional relationships with several expert musculoskeletal radiologists. We also have access to diagnostic services in other fields such as vascular, cardiac, neurological and respiratory, many of these are also within Epworth Richmond.

Rehabilitation

An appropriately designed rehabilitation program is often the key component in recovery from an injury, including in situations when surgery has been performed. ESEM doctors are experienced in the area of rehabilitation and exercise prescription for functional recovery following an injury as well as for prevention of further injury.

Although ESEM doctors are physicians they have a strong understanding as to the role and implications of surgery in musculoskeletal injuries and conditions. Whilst in most situations a conservative injury management approach is preferred some injuries require surgical intervention. Your ESEM doctor has the experience and perspective required to assist you with this decision making process. Our doctors have also developed strong working relationships with some of Melbourne’s best surgeons, many of them based at Epworth, and when necessary can arrange appropriate referral. Following surgery we, in conjunction with the surgeon, can assist you with your post operative recovery and rehabilitation.

There has been much public and media attention recently focused on sport related concussion. Following training or match based head injury resulting in a suspected or confirmed concussion guidelines recommend follow up by a medical practitioner experienced in the diagnosis and management of concussion. ESEM’s doctors, having had vast exposure through coverage of contact sport such as Australian Rules Football and Rugby League, are ideally qualified to provide this service. Following initial assessment including the use of the SCAT 3 assessment tool emphasis is on a medically supervised graded return to school or work and then sport.

Epworth Sportsmed December 2015 (112 of 477)

Extracorporeal Shock Wave Therapy (ESWT) has been used for decades, particularly in Europe and Northern America. ESEM doctors have been using ESWT as a conservative treatment for soft tissue and particularly tendon conditions that can be notoriously difficult to treat successfully, particularly in chronic cases. These include Achilles tendon, patellar tendon, tennis elbow, golfer’s elbow, plantar fasciitis and gluteal tendon.

After identifying the most tender injury area, pneumatic (air) shock waves are
delivered to the injury site via a conducting gel applied to the skin. Studies suggest that certain chemicals are released which provide pain relief and may stimulate a healing process in tissue that has previously failed to recover. Analgesia may occur immediately after a treatment session but the healing process can take several weeks to months to be complete.

Most injuries require 3 treatment sessions at weekly intervals, some injuries needing up to five treatments. Sessions last less than 10 minutes.

Taping techniques and protective/supportive devices can assist in injury recovery and prevention. ESEM doctors will provide taping and splinting advice and service when appropriate. The practice also stocks a range of off-the-shelf orthotic devices including heel lifts, ankle braces, knee sleeves and tennis elbow straps. More complex equipment can be acquired by referral to an appropriate podiatrist or orthotist.