Get to know our doctors!

DR MONA SHABGHAREH

Mona joined the MP Sports Physicians team earlier this year. Mona consults from our Narre Warren rooms on Tuesdays, Wednesdays and Thursdays.

Mona obtained her medical degree and Bachelor of Medical Science at Shiraz University of Medical Science (Iran) in 2009.  Since then, Mona has been practicing in the field of Sport and Exercise medicine and in 2012 attained her sports Medicine fellowship.

Mona has a keen interest in women athletes health as well as ultrasound guided tendon and joint injections. Her personal interests are tennis, Pilates and Zoomba!

If you’d like to book an appointment with Mona, please call (03) 9770 2398.

 

 

Generalized Hypermobility

When should I be concerned?

Article written by Dr Mona Shabghareh

Basically a hyper mobile joint means a joint that can move easily beyond its normal expected range and having more than two hyper mobile joints is called generalized hyper mobility.
Although having hyper mobile joints is very common especially in young females and it is not usually a big concern, this increased range of movement might also be a sign of a serious disease.
So that is important to know when you should suspect having hyper mobile joints, how to manage it and when you should be concerned about it.
How do I know if I have hyper mobile joints?
There are 5 simple questions which you can use them as a simple screening tool and If you answer yes to two or more than two of these questions, it is very likely that you have hyper-mobile joints.
1. Can you now (or could you ever) place your hands flat on the floor without bending your knees?
2. Can you now (or could you ever) bend your thumb to touch your forearm?
3. As a child did you amuse your friends by contorting your body into strange shapes OR could you do the splits?
4. As a child or teenager did your shoulder or kneecap dislocate on more than one occasion?
5. Do you consider yourself double-jointed?
What should I do if my joints are hyper mobile?
As mentioned earlier, joint Hyper mobility is very common particularly among young females and athletes and if you have hyper mobile joints, it does not necessarily mean that you need special care unless you begin to develop some sign and symptoms.
A not every hyper mobile person becomes symptomatic but some symptoms such as joint pain or swelling, joint dislocation and subluxation, fatigue and muscle cramps are common. In addition, ligament sprains, tendon strains and other musculoskeletal injuries are more common in hyper mobile people. The good news is that many of these symptoms can be improved by strengthening and balance exercises and avoiding excessive stretching. Moreover, we naturally become more stiff as we become older, so many of these symptoms may attenuate later in life. However, there are some possible sequels such as premature degenerative changes in joints because of frequent moving beyond the normal range.
It is also worth mentioning that there is some evidence regarding the increased risk of osteoporosis in hyper mobile people, the reason is still unknown but it is wise to have a healthy diet and active lifestyle to prevent it. Your doctor may also advise you some dietary supplement such as vitamin C and D.
When should I see a Doctor?
There are some signs which could be suggestive of a more serious conditions in a person with hyper mobile joints so if you have any of the below signs, you should consult with a physician specially if you are doing moderate or high intensity exercise or want to start a new exercise program.
1- A first relative suffering from one of the connective tissue disorders such as Marfan or Ehlers danlos syndrome.
2- Disproportionately long arms, legs and fingers or tall and thin body.
3- Flat feet or curved spine.
4- Stretch marks on the skin which are not related to weight gain or loss.
5- Thin or elastic skin which easy get bruised or does not heal well.
5- Sunken or stuck out chest.
6- Heartor vascular problems such as valve disease or Aortic aneurysm.
7- Lung disease.
8- Sudden collapsing or fainting.
7- Eye problems such as sever near sightedness, dislocated lens, detached retina, glucoma or early cataract.
8- Chronic fatigue or muscle weakness.

If you’d like to book an appointment with Dr Mona Shabghareh, please call (03) 9770 2398.

COVID-19 UPDATE JULY 2020

MP Sports Physicians COVID infection control policy

Effective Friday 10th July 2020

In light of recent surges in COVID 19 infections in Victoria, the decision has been made to further tighten our infection control policy.

PATIENTS

Patients attending the clinic are encouraged to wear masks if they have access to one.

Patients should not attend the clinic if they have any cold or flu like symptoms.

We no longer allow friends/ family or other support people in our waiting room due to increased risk of transmission and increased difficulties of contact tracing if a case is identified.

Frail patients who are unsafe to ambulate alone may have a support person help them into the waiting room. Clinical staff will look after them from that point. Support people will be contacted to come back in at the end of the appointment.

Children may attend with a maximum of one parent.

Teleheath remains available for all consultations and is highly recommended where possible.

If a telehealth appointment is conducted and the Doctor deems it necessary for the patient to attend to complete the appointment, there is no additional charge for that attendance.

CLINICAL STAFF

Clinical staff will wear face masks for all patient interactions.

All staff will wear gloves for all direct patient skin contact, including physical examination.

Our staff will not attend work if they have respiratory or cold like symptoms

SUMMARY

These infection guidelines have been put in place to ensure the safety of our patients, staff and the wider community and we thank you for your efforts in helping us to control the spread of COVID 19.