We have all heard the advice to “walk it off” when feeling stressed. For decades this was vague lifestyle advice. But science has fundamentally changed this picture — exercise isn’t just a side dish in mental healthcare; it is the main course. Research now confirms that for many people, hitting the gym or the pavement can be just as effective as medication or counselling.1 

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As we move into late summer and early autumn, many athletes are shifting gears toward pre-season training for AFL and NRL. This is a phase where training volume, speed work, and (for contact sports) tackling gradually increase. From a physio’s perspective, this period isn’t something to fear — but it does benefit from smart preparation and good load management.

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Shoulder pain is a common problem, with 15-30% of people experiencing it at some point in their lives.1 There are various things that are thought to contribute to shoulder pain, such as repetitive strain injuries, falls, and accidents. The most common causes of musculoskeletal shoulder pain are injuries to the rotator cuff, glenohumeral joint instability, and acromioclavicular (AC) joint injuries.

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The importance of mental health in the modern world cannot be overstated. In 2019, it was reported that globally, 1 in 8 people were affected by a mental-health disorder, at an estimated cost of approximately $2.5 trillion USD. 1 Fortunately, there exists a simple yet profound tool that can significantly benefit mental well-being: exercise.

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In Australia, 4.74 million people over the age of 50 have been classified as having osteoporosis, osteopenia or poor bone health (Osteoporosis Australia, 2023). Osteoporosis is characterised by low bone mass and the disruption of bone microarchitecture which compromised bone strength and can lead to an increase in the risk of fractures (Australian Institute of Health and Welfare, 2023). The World Health Organisation (WHO) defines osteoporosis when bone mineral density is below -2.5 SD. Osteopenia is defined as a T-score between –1 and –2.5 SD (Osteoporosis Australia, 2023).

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Balance, the delicate dance between stability and motion, is a marvel of the human body. 

Our ability to remain upright relies on a symphony of intricate interactions between various systems in our body. If just one of these systems fails to play their part, we may literally end up right on our head. In this exploration, let’s unravel how these systems contribute to balance and shed light on the conditions that can disrupt this delicate harmony.

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