Myoskeletal Orthopaedic Manual Therapist
















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Deke Rivers
25 Kembla St
Balgownie 2519
0400 927 190
Myoskeletal Orthopaedic Manual Therapist

Chronic Pain Management

Orthopaedic Manual Therapist Deke Rivers introduces effective therapeutic muscular skeletal techniques that can prevent or eliminate multifaceted pain conditions, including chronic pain, sports injuries, rehabilitation and spinal, pelvic structural imbalances.

Manual Therapist Deke Rivers has received Intensive training over the years with many Certified organisations In Australia and overseas, including Dr. Erik Dalton Ph.D. Oklahoma USA a leader in the art & Industry of osteopathy & manual therapy & Founder of Dalton Myoskeletal. James Waslaski - Orthopaedic Massage in Texas & Frozen Shoulder Specialist, George Kousaleos - Core Sports Florida, Doug Nelson - Neuromuscular Therapy Illinois USA, Tom Myers - Anatomy Trains, Til Luchau, Whitney Lowe & John Gibbons. Rivers Myoskeletal continues making new discoveries each year researching new approaches to manage chronic pain conditions.




About - Rivers Myoskeletal Wollongong


In our Chronic Pain Society today finding relief can be an exhausting & exasperating ordeal for many.

Rivers Myoskeletal delights in helping Individuals who are looking for a quality of life free from stressful pain driven ordeals usually caused by muscle belly & postural-structural disturbances as a result of Sports Injuries, Work overloads, Rehabilitation, Stress & Anxiety, Sleep disturbances & Structural imbalance that can often leads Individuals to depression & frustration in finding a competent therapist that can offer help in giving them back a much better quality of life.

A frozen shoulder for example also referred to by surgeons as Adhesive Capsulitis causes pain and stiffness in the shoulder. Over time, the shoulder becomes very hard to move. Frozen shoulder occurs in about 2% of the general population. It most commonly affects people between the ages of 40 and 60, and occurs in women more often than men.

Your shoulder is a ball-and-socket joint made up of three bones: your upper arm bone (humerus), your shoulder blade (scapula), and your collarbone (clavicle). The head of the upper arm bone fits into a shallow socket in your shoulder blade. Strong connective tissue, called the shoulder capsule, surrounds the joint.

To help your shoulder move more easily, synovial fluid lubricates the shoulder capsule and the joint. In frozen shoulder, the shoulder capsule thickens and becomes tight. Stiff bands of tissue — called adhesions — develop. In many cases, there is less synovial fluid in the joint.

The hallmark sign of this condition is being unable to move your shoulder - either on your own or with the help of someone else. It develops in three stages: Freezing In the “freezing" stage, you slowly have more and more pain. As the pain worsens, your shoulder loses range of motion. Freezing typically lasts from 6 weeks to 9 months.

Frozen Painful symptoms may actually improve during this stage, but the stiffness remains. During the 4 to 6 months of the "frozen" stage, daily activities may be very difficult. Thawing Shoulder motion slowly improves during the "thawing" stage. Complete return to normal or close to normal strength and motion typically takes from 6 months to 2 years.

The causes of frozen shoulder were not fully understood [until now, see below]. There is no clear connection to arm dominance or occupation. A few factors may put you more at risk for developing frozen shoulder.

Diabetes. Frozen shoulder occurs much more often in people with diabetes, affecting 10% to 20% of these individuals. The reason for this is not known.

Other diseases. Some additional medical problems associated with frozen shoulder include hypothyroidism, hyperthyroidism, Parkinson's disease, and cardiac disease. Immobilization. Frozen shoulder can develop after a shoulder has been immobilized for a period of time due to surgery, a fracture, or other injury.

Having patients move their shoulders soon after injury or surgery is one measure prescribed to prevent frozen shoulder. Pain from frozen shoulder is usually dull or aching. It is typically worse early in the course of the disease and when you move your arm. The pain is usually located over the outer shoulder area and sometimes the upper arm.

James Waslaski from Orthopedic Massage has developed a treatment release technique for freeing up serious shoulder impingements due to the fixations that develop causing scar tissue to form in the joint capsule itself, when we apply James Waslaski's capsule release it usually reduces the fixation and scar tissue that can then lead to a non-surgical restored movement of arm and shoulder. My clients gain great relief from the Painful Adhesive Capsulitis symptoms.

Treatment for TMJ Disorders TemporoMandibular Joint Dysfunction

Bringing Pain Relief to TMJ Sufferers.

In 1934, legendary ear, nose and throat physician J. B. Costen coined the term temporomandibular joint dysfunction (TMJD). The most common symptoms associated with TMJD, are pain with chewing, clicking, or popping of the jaw.

Many other symptoms can result from TM dysfunction including: headaches, fatigue, sleep disturbances, irritability, a loss of focus, ringing in ears, head and neck tension, sinus congestion and ear infections.

Causes of TMJ dysfunction include blunt trauma to head and neck, slip and falls on the sacrum causing compensations up the spine and into the cranial bones, whiplash accidents, orthodontics, and prolonged desk work or “text-neck” leading to forward head postures.

Rivers Myoskeletal uses techniques designed to help relieve such cases as TMJ which if not treated may lead to other painful & functional disorders.

Symptoms that may accompany TMJD:
  • Suboccipital pain syndromes
  • Mouth breathing (sleep apnea)
  • Difficulty swallowing
  • Teeth and jaw clenching
  • Cranial nerve disorders (trigeminal neuralgia and Bell’s Palsy)
  • Migraines
  • Face, head and neck pain
  • Ear Infection
  • Tinnitis

Functional Scoliosis Responds Well to Orthopaedic Therapy!

Dr. Erik Dalton - Scoliosis is a medical condition that causes the spine to curve sideways & in some cases, the spine rotates & causes one shoulder blade to project (stick out) farther than the other.

Scoliosis can affect the thoracic spine (mid-back) and lumbar spine (lower-back), usually when someone hears a diagnosis “Scoliosis” they often think about someone who is hump-backed and deformed, but often is not the case at all, as there are many various degrees of spinal curvature.

Functional Scoliosis refers to a structural normal spine that appears curved due to a temporary abnormality caused by various conditions such as leg length inequality and spasmodic muscles, muscle guarding. hip injuries, sciatica, poor posture, back injury, thoracic outlet syndrome, etc.

Although the disorder is considered only temporary, proper muscle & spinal Myoskeletal approaches are often needed to treat and restore the underlying imbalance pattern.

From the excellent training of Dr. Erik Dalton, Deke works hard to effectively help bring relief & prevent the dysfunction Scoliosis from advancing to a painful level, resulting in a better quality of life for Scoliosis Sufferers.

Fibromyalgia What Is It?

Fibromyalgia syndrome (FMS) is a widespread musculoskeletal pain and fatigue disorder for which the cause is still unknown and effects Millions worldwide every year.

Fibromyalgia primarily manifests as pain in muscles, ligaments and tendons — the fibrous tissues in the body. FMS was originally termed fibrositis, implying the presence of muscle inflammation, Fibromyalgic symptoms have been described as steady, radiating, burning, and spreading over large areas of the body.

The pain often involves the neck, shoulders, back, and Hips. Clients report that pain seems to emanate specifically from muscles, tendons, ligaments, bursa, and joints. Fibromyalgia pain appears to worsen with cold temperatures, increased humidity, weather changes, overexertion, and stress. Many clients report symptomatic pain reduction with hot baths, heating pads, and warm weather.

There are many symptoms that may mimic FMS so the first step in assessing true fibromyalgia pain is to determine if similar functional/structural disorders are at play. The first line of defense for relieving basic Fibromyalgic symptoms should be body therapy and exercise.

Causes of Fibromyalgia:

Although the cause or causes of fibromyalgia are not known. It is more common in people with:
  • lupu or rheumatoid arthritis
  • an illness such as virus (or a recent illness or infection)
  • pain from an injury or trauma
  • emotional stress and depression
  • family history
  • previous pain syndromes
  • mood disorders
  • substance abuse
  • weak muscles (Atrophy)

Commonly Associated Symptoms of Fibromyalgia:
  • Chronic headaches
  • Cognitive or memory impairment
  • Dizziness or light headedness
  • Fatigue
  • Irritable bowel syndrome
  • Jaw pain
  • Muscle pain or morning stiffness
  • Painful menstruation
  • Skin and chemical sensitivities
  • Sleep disorders

Rivers Myoskeletal Wollongong offers structured manual therapy sessions designed to relieve these chronic everyday pain conditions helping reduce symptoms of Fibromyalgia Sufferers & working towards giving them back a quality of a pain free life.

Cervical Spinal Stenosis


Cervical spinal stenosis is the narrowing of the spinal canal in the neck. The bony spinal canal normally has more than enough room for the spinal cord. Typically, the canal is 17 to 18 millimetres around, slightly less than the size of a penny.

Spinal stenosis occurs when the canal narrows to 13 millimetres or less. When the size drops to 10 millimetres, severe symptoms of myelopathy occur. Myelopathy is a term for any condition that affects the spinal cord. The symptoms of myelopathy result from pressure against the spinal cord and reduced blood supply in the spinal cord as a result of the pressure.

Dr. Erik Dalton describes a condition called Vertebrobasilar Syndrome which is where the artery of the neck can become compressed & rupture over time as a result of stress factors & degeneration or Stenosis leading to eventually stroke.

Wear and tear on the spine from ageing and from repeated stress and strain can cause many problems in the cervical spine. The intervertebral disc can begin to collapse, shrinking the space between vertebrae. Bone spurs may form that protrude into the spinal canal and reduce the space available to the spinal cord.

That is why Spinal stability is a key factor in avoiding these painful damaging and sometimes life threatening conditions from forming over time, and a good therapist combined with regular stretching exercise is the key to help prevent such conditions from occurring or worsening over time.

Kyphosis & Lordosis?


Kyphosis is a forward rounding of the back. Some rounding is normal, but the term "Hyperkyphosis" usually refers to an exaggerated rounding of the back or hump. While kyphosis can occur at any age it's most common in older people however in our modern day society "Computing or Texting" is becoming an alarming cause of forward head posture in our younger generation.

Hyperlordosis is were the lumber spine gets pulled inward posteriorly due to structural & postural imbalances.

If you are a sufferer of Hyper Kyphosis or extreme lordosis then you need a competent therapist who has been trained to deal with these structural imbalances that can bring you the correction & lasting relief you need.

Call Rivers Myoskeletal today for more information and a treatment protocol designed especially for your condition.

Location of Clinic: Kembla st Balgownie Wollongong NSW'


Wollongong: 0400 927 190
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Qualifications



Diploma's in Myoskeletal, Orthopedic Massage, Deep Tissue Sports Injuries, Myofascial Release, Remedial Massage

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