Spinal & Sports Care

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Spinal & Sports Care An experienced team of Chiropractors, Physiotherapists, Massage Therapists & Exercise Physiologists.

Spinal and Sports Care is a well-established business since 1977, based in 2 locations Parramatta & Castle Hill in Sydney. We are proudly a multi-disciplinary practice, combing the best of physiotherapy, chiropractic, massage therapy, naturopathy and exercise science/rehabilitation. We pride ourselves on providing the most effective evidence based treatment option for your injury. Our practitioners keep up to date with latest research, current techniques and state of the art equipment.

08/10/2026

Back for another round of sideline stories.

This time, our experienced clinicians, Lorenzo, Dylan and Nick, are sharing the injuries that have stuck with them over the years. Some pretty rough ones in this mix, with an interesting insight into the mentality of elite athletes!

Part 2 of the worst injuries our team has seen while working on the sidelines.

06/10/2026

What actually happens during an initial consultation? 👇

Here are 3 things I focus on before we decide what to do next:

1️⃣ Understanding the whole person and assessing rather than guessing...
We’ll chat about when the problem started, how it’s changed, what makes it better or worse, your medical history and what you’ve already tried.
It’s also really important for me to understand the person attached to the painful area. Your work, training, hobbies, family commitments and everything else you’ve got going on all matter. Care needs to be realistic and actually fit into your life.
From there, I’ll assess the complaint and any other regions that may be relevant. This could involve looking at your movement, mobility and strength, as well as neurological or orthopaedic testing where needed.

2️⃣ Helping you understand the “why”... 🧠
This is usually the part where I talk about anatomy like an overly excited kid...
We might cover what I think is happening, what may have contributed, expected recovery timeframes, how to manage flare-ups and what you can keep doing.
I don’t want you to just follow instructions. I want you to understand what may be happening and why I’m making certain recommendations.

3️⃣ Making decisions together, with an end goal in sight... 🎯
The big question for me is: what has this problem stopped you from doing, and what would meaningful improvement actually look like for you?
We’ll talk through the available options, what I recommend and why. You should always feel comfortable asking questions, raising concerns or declining any part of the recommended care.
We’ll then establish your goals, how we’ll measure progress, when we’ll reassess and what discharge looks like for you.
That means helping you confidently manage things yourself, knowing what to do if the problem returns and recognising when you may need some extra support.
Because without an end goal or exit plan, we’re just aiming in the dark and hoping something works.

04/10/2026

Your IT band probably isn’t “tight” in the way you think 🦵

That stubborn pulling sensation on the outside of your thigh can feel like something desperately needs to be stretched or rolled out.

But the research tells a more interesting story.

The ITB is a strong connective-tissue structure, and while it can deform under load, an RCT found that a session of stretching or foam rolling did not significantly change ITB stiffness. So when rolling makes it feel looser, you may be temporarily changing comfort, sensitivity or movement, not physically “releasing” the band. ✅

For ongoing ITB pain, the better long-term conversation is usually about capacity. A 2024 systematic review found hip strengthening was a common component of successful rehab programmes for runners, although there is still no single proven best protocol.

So keep the foam roller if it feels good.
Just don’t let it replace strength, sensible running loads and progressive rehab. 📈

Evidence: PMID 34123517, 32807326

Follow for more practical rehab and movement advice. ✅

04/10/2026

More uses than one. 🥁

Sit on it.
Carry it.
Move court to court.
Or apparently… use it as a bongo drum.

The collapsible Spinal & Sports sideline stool.

Built for the sidelines.
Tested for… other things. 😂

29/09/2026

Nerve flossing for the upper limb 🧠💪

Nerve-related symptoms can sometimes cause pain, tingling, numbness, or sensitivity throughout the arm and hand.
Nerve flossing can be used to gently introduce movement to the nervous system and improve tolerance to nerve movement.

▶️ Try these three nerve flossing variations:

✅ Exercise 1: Median Nerve Flossing
Targets the median nerve, which travels through the front of the arm and into the hand. Focus on gentle, controlled movements rather than forcing the stretch.

✅ Exercise 2: Radial Nerve Flossing
Targets the radial nerve, which travels along the back and outside of the arm. Keep the movement smooth and avoid pushing into symptoms.

✅ Exercise 3: Ulnar Nerve Flossing
Targets the ulnar nerve, which runs along the inside of the elbow and into the hand. Use a controlled range and gradually build tolerance.

Remember, nerve flossing shouldn't be aggressive or painful. The goal is to gently move the nerve through its surrounding tissues rather than hold a strong stretch.
If symptoms are persistent, worsening, or accompanied by significant weakness or numbness, seek assessment from a qualified healthcare professional.

✅ Follow for more practical rehab and movement advice.

27/09/2026

Why does your hand go numb at night? ✋

Waking up with a dead, tingling hand and having to shake it back to life is surprisingly common - but which fingers are affected matters.

If the thumb, index and middle fingers are doing most of the complaining, the median nerve at the wrist becomes more suspicious. Night-time wrist position can make symptoms more noticeable, which is one reason carpal tunnel often seems determined to interrupt your sleep. 😴

But numbness in the hand is not automatically carpal tunnel. Symptoms mainly in the ring and little fingers can point more toward the ulnar nerve around the elbow, while arm symptoms that change with neck movement may also involve the neck as well.

Think of it less as “my hand is numb” and more as a nerve detective job, looking at where it travels, what position brings it on, and whether there is weakness; all help narrow down the source. 🧠

If you’re regularly waking with numbness, tingling or weakness in the hand, get it properly assessed rather than just shaking it out every night. 🚩
Follow for more practical rehab and movement advice. ✅

22/09/2026

Which ACL graft actually wins? 🦵

The research answer is not the most satisfying: there is no single graft that wins for everyone.

When we look specifically at recent randomised trials, quadriceps, hamstring and patellar tendon autografts generally produce similar outcomes for knee stability, patient-reported function and graft failure. Quadriceps tendon is increasingly well supported, with newer evidence also suggesting less donor-site trouble than the patellar tendon. ✅

Where it gets interesting is younger patients. A 2026 meta-analysis of 10,624 patients under 25 reported graft failure rates of 11.1% for hamstring, 5.1% for patellar tendon and 2.5% for quadriceps tendon. But the quadriceps group was much smaller, and this age-specific evidence was largely observational - so those numbers should not be treated as a universal ranking. 📊

Patellar tendon also comes with a real trade-off: anterior knee and kneeling pain remain recognised donor-site issues. And for younger, skeletally immature patients, recent evidence continues to raise concerns about higher failure and reoperation rates with allograft (donor tissue).

So graft choice is less “which tendon is best?” and more which set of trade-offs fits the person, sport and demands in front of you?

If you’re considering ACL reconstruction, graft choice should be an individual discussion with your surgeon, not a one-size-fits-all decision.

Evidence: PMID 42098886, 42340609, 41733021, 38562662, 39657067

20/09/2026

No contact doesn’t mean no force… 🤔

A lot of ACL injuries happen when an athlete suddenly changes direction, slows down or lands awkwardly, without anyone touching them.

One common mechanism is when the foot is planted away from the body’s centre of mass or intended direction of movement, while the knee moves into valgus and the femur rotates relative to the tibia. This can create a large rotational force, placing significant strain on the ACL and potentially causing it to rupture. Other structures may also be involved, including the meniscus or MCL.

You can’t prevent every ACL injury, but building strength and practising landing, cutting and deceleration can help prepare the body for these moments.

If an ACL injury occurs, a structured and professionally guided rehab plan is important. Rehab should gradually rebuild strength, confidence, movement quality and tolerance to the demands of your sport. It is more than just waiting for the knee to feel better.

Train for the movements your sport demands, and make sure your return is properly guided.

19/09/2026

🚴 $902,000 raised… and still counting ❤️

Spinal & Sports Care is incredibly proud to have been the Official Wellness Partner of the Ronald McDonald House Greater Western Sydney Big Spin 2026.

At last count, this year’s Big Spin has raised an extraordinary $902,000, with funds still coming in to support RMHGWS and the families who rely on its care and support.

A huge thank you to every rider, donor, sponsor, volunteer, organiser, and supporter who helped make this year’s event such a success.

We are proud to play our small part and to be associated with such a wonderful initiative and an even greater cause.

$902,000 and counting. What an effort 👏❤️

Address

32 Elizabeth Street
Parramatta, NSW
2150

Opening Hours

Monday 7:30am - 7pm
Tuesday 7:30am - 7pm
Wednesday 7:30am - 7pm
Thursday 7:30am - 9pm
Friday 7:30am - 7pm
Saturday 7:30am - 1:30pm

Telephone

+61296831110

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