The niggle that hasn't settled

March 4, 2026

The niggle that hasn't settled

Why injuries spike in January to March and what to do about it

By late February, we start to see a second wave.  The New Year motivation is still there but now the load has gradually built up. Training sessions have become more regular.  Sport seasons are properly underway.  Gym programs are progressing.  Work routines are back in full swing. And that small “niggle” from January?  It hasn’t quite settled.  Instead, it’s becoming harder to ignore. A sore back that’s lingering.  A calf that keeps tightening after runs.  A shoulder that’s not coping with swimming or overhead work.  A knee that feels irritated after sport. Minor issues start turning into more significant ones.


Why does this happen?

1. Accumulated load

Holiday activity is inconsistent. Some people move less. Others suddenly do more, long walks, swimming, backyard sport, DIY projects. Then February arrives and work, training and sport all resume at full pace.  Without a gradual build-up, the body hasn’t had time to adapt to the increased load and that’s when soreness and injuries tend to surface.


2. Posture shifts back to desk mode

After the summer holiday period going  back to long desk hours can be a shock to the body.

Sitting for most of the day, looking at screens and moving less can quickly lead to neck and shoulder tension, headaches and low back stiffness. If you’ve been more active over the holidays, the sudden return to prolonged sitting can highlight tightness or weakness especially if you’re not taking regular movement breaks.


3. Stress load builds

By this point in the year, stress tends to build across multiple areas of life.

Work pressures increase. Family and school schedules become busier. There’s less downtime, and sleep quality is often compromised. Increased stress can also make you more sensitive to pain and more prone to flare-ups.


Common issues we see include;

  • Ongoing back and neck stiffness
  • Achilles irritation that hasn’t fully settled
  • Patellar tendon pain during sport
  • Hamstring tightness that keeps recurring
  • Shoulder pain from swimming over summer or gym programs
  • Knee pain after more frequent running, including volume building


The encouraging part?
These are usually very manageable when addressed early.

What to do if something isn’t settling?

Don’t wait for it to become “bad enough”

If pain has been lingering for 2-3 weeks, that’s your sign. Early assessment is much easier than rehab after a full strain or major flare-up.

Modify rather than stop completely.  Total rest often leads to stiffness and deconditioning.


What to do instead?

  • Adjust your load
  • Reduce intensity temporarily
  • Keep moving in ways that don’t aggravate symptoms


The key is finding right amount of movement.  Address the cause, not just the symptoms

Ongoing irritation usually means load progression needs adjusting, strength deficits need addressing and recovery time needs to be addressed. Our physios can help you work out exactly what needs to change so you don’t lose momentum.


How to reduce your risk heading into March

This is the time to consolidate, not accelerate.

  • Build gradually rather than adding “just one more session”
  • Prioritise sleep and recovery
  • Strengthen areas that fatigue quickly
  • Don’t ignore persistent soreness


Consistency beats intensity this time of year.


The bottom line

If something has been lingering, don’t wait for it to force you to stop. Address it early.  Adjust the load. Strengthen what needs strengthening. Small tweaks now prevent bigger setbacks later. If something isn’t settling, book an assessment and let’s keep your body smiling into the rest of the year.

By Miriam Wynne December 13, 2025
Building confidence before and after injury or surgery When you’re facing surgery or recovering from an injury, it often feels like your body has let you down. You might worry about whether you’ll get back to normal, whether movement will hurt, or whether you’re doing the “right” things. It’s completely normal to feel unsure, frustrated, or even a bit scared, especially when everyday activities suddenly feel harder than they used to. Before and after surgery, confidence can take a real hit. Pain, stiffness, and uncertainty can make you second-guess every step. You are absolutely not alone in feeling this way. Confidence isn’t just a mindset, it’s a key part of recovery, and it can be rebuilt with the right guidance and support. Why confidence matters Understanding the psychology of confidence Confidence isn’t about pretending everything is fine or pushing through pain. It’s about knowing what your body is capable of, understanding what’s normal, and recognising your progress - even when it feels slow. Recovery isn’t just physical, confidence, education and reassurance are are all key parts of progress. When you understand the “why” behind each exercise and what sensations to expect, fear is replaced with clarity. And clarity builds confidence. Consistency leads to results People who feel safe and informed tend to stay consistent with their rehab. That consistency is what builds long-term strength, mobility, and trust in how your body moves. Preparing before surgery How prehab builds confidence Feeling nervous before surgery is perfectly understandable. Prehabilitation (prehab) helps you feel prepared rather than overwhelmed. You build strength, improve mobility, and learn the exercises you’ll use afterwards so nothing feels foreign once you’re home. VicGov’s Better Health Channel explains the benefits of preparing physically and mentally before surgery: https://www.betterhealth.vic.gov.au/health/servicesandsupport/seeing-an-allied-health-professional What a typical prehab plan looks like A personalised prehab program often includes: • Gentle strength work (e.g. quads, glutes, core for lower-limb surgeries; shoulder and scapular stabilisers before rotator cuff repair) • Mobility exercises to improve joint movement • Low-impact conditioning for overall fitness • Education about what to expect in hospital and immediately afterwards. • Learning early post-op exercises ahead of time • Strategies for reducing swelling, pain and inflammation Walking into surgery feeling prepared boosts both physical and mental confidence. Rebuilding trust after surgery The early stages of recovery Once surgery is over, recovery really begins. Pain, swelling, or stiffness can make you doubt your body, even when everything is progressing exactly as expected. Gentle, guided movement is what helps tissues heal, restore function, and rebuild trust. The Australian Physiotherapy Association recommends early, guided movement after many procedures to support safe healing: https://australian.physio/ What a typical rehab plan looks like Rehab is structured in stages and matched to your surgeon’s protocol. Early phase (Week 1–3) • Swelling and pain management • Gentle range-of-motion exercises • Supported walking or gait retraining for lower limb or simple arm exercises for shoulders • Safe activation of key muscle groups • Clear guidance on what and how to avoid Middle phase (Week 4–8) • Progressive strengthening • Balance and stability work • Gradual increases in load • Functional tasks such as stairs, sit-to-stand and controlled bending Later phase (Week 8+) • Higher-level strengthening • Functional or sport-specific activities • Hydrotherapy or Clinical Pilates for controlled, confidence-building movement • Planning for long-term independence Each phase is explained clearly so you always know what’s safe, what’s normal, and what comes next. From recovery to resilience Why rehab doesn’t stop when pain settles Pain relief doesn’t mean your recovery is complete. Long-term confidence comes from restoring strength, balance and control. Many people continue with guided exercise, Clinical Pilates or maintenance physio as part of their ongoing wellbeing. The bigger picture • Prehab prepares joints, muscles and the nervous system • Rehab guides how well and how safely you heal • Lifestyle choices; sleep, nutrition, daily movement all support long-term recovery Confidence develops when your recovery has structure, clarity and consistent support. Explore our ongoing exercise and Pilates options . Where EBR fits in Continuing your care after specialist treatment Once your surgeon or specialist completes their part of your treatment, physiotherapy becomes the next essential step. Our physiotherapists work closely with specialists across Melbourne to ensure your rehab aligns with your medical plan. Feeling supported makes it easier to rebuild confidence. Our goal is to guide you from uncertainty to strength, from hesitation to trust, and from recovery to long-term independence. Key takeaways • Confidence is a major factor in surgical and injury recovery. • Prehab helps you feel physically and mentally prepared for surgery. • Early, guided rehab restores trust in your movement. • Progress is gradual but powerful when you have structure and support. • Long-term resilience comes from ongoing strength, stability and good movement habits. • You don’t have to navigate any of this alone. FAQs Do I need to feel confident before surgery? Not at all. Prehab helps build confidence by preparing your body and teaching you what to expect. Is it normal to feel scared to move after surgery? Yes. Pain and stiffness can make you hesitate, even when everything is healing well. How soon will I trust my body again? Many people feel more confident within a few weeks as movement becomes easier and strength starts to return. Can I do the exercises on my own? You can, but physio guidance ensures you’re progressing safely and avoiding compensation or delays. Do I need physio even if the pain has gone? Often yes. Pain relief doesn’t always mean your strength, balance or stability have fully returned. Call to action If you’re preparing for surgery, recovering from an injury, or feeling unsure about how to trust your body again, we’re here to help. Book an appointment online Have questions? Contact our team You can read more about how we support patients preparing for surgery here: https://www.ebrphysio.com.au/our-services
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