Things to Avoid When You Have Back Pain - Physio Direct NZ

Things to Avoid When You Have Back Pain

Back pain is such a common experience that it is estimated up to 80% of adults will have at least one severe episode of back pain in their lifetime. 

For many people, the pain quickly resolves and things go back to normal. However the first time this happens to you it can be scary, particularly as very severe pain can occur suddenly and without warning. 

Statistics, however, are on your side. Most of the time, acute low back pain resolves without consequence and doesn’t recur. If you happen to be in the middle of an episode, here are a few tips to help you get through.

  1. Avoid heavy lifting

While this may seem obvious, there are a few people who will always try to push through the pain. The expression “no pain, no gain” is in many cases outdated and if your work requires heavy lifting, it is more than reasonable to take a few days off. 

2. Avoid too much rest.

On the other hand, lying in bed all day is bad for you as well. If you have severe back pain, gentle movement under the advice of a physiotherapist is much better for you than complete rest. 

3. Avoid long car or plane trips

If possible, now is the time to avoid long distance travel. If you absolutely must travel, speak to your physiotherapist about how to manage your pain during the trip. 

4. Avoid listening to horror stories

There are always stories about pain that never went away, requiring surgery, which only made it worse. While worst case scenarios do happen, being fearful is a negative factor in a healthy recovery. That terrible story is probably not going to happen to you and hearing these stories is only going to impact your recovery negatively.

5. Avoid delaying treatment

While your pain may go away on its own, it is important to have a professional assess your condition to screen for any serious injuries and advise you on how to best manage your pain while you are getting better. They can also help you recover as quickly as possible.

6.   Don’t expect a miracle cure

Back pain is complicated, and a single treatment that works for everyone does not exist. It is important to follow the directions of your therapist and work with them to set reasonable and realistic goals for your recovery. 

None of the information in this article is a replacement for proper medical advice. Always see a medical professional for advice on your individual injury.

Stress Fractures - Physio Direct NZ

Stress Fractures

What is a stress fracture?

A stress fracture is a microscopic fracture of the bone that is so small that it often cannot be picked up on X-ray. If left untreated, a stress fracture can cause significant disability and develop into a full fracture, possibly even requiring surgery.

The majority of stress fractures occur in the lower limb, being particularly common in the hip, shins and foot at points where the most force passes through when weight bearing. Most stress fractures are overuse injuries and are common in long distance runners.

What are the symptoms?

As with many overuse injuries, the pain of a stress fracture starts gradually, beginning with pain during or after activity or sometimes the morning after. If activity continues without modification, the pain will gradually increase. Eventually most people are unable to maintain their usual activity level. Stress fractures are common in runners and military personnel who are required to march for long periods. A stress fracture will be more likely to occur in a person who has weaker bone strength, such as someone with osteoporosis, which is itself affected by many factors such as adequate calcium intake, vitamin D deficiency and a history of inactivity.

How are stress fractures treated and how long will it take to get better?

Stress fractures can easily be mistaken for other conditions such as shin splints. As the fracture is often too small to show up on X-ray, definitive diagnosis can be made using MRI or bone scan.

After diagnosis, the most important part of treatment will be resting the area to allow the bone to heal before resuming activity. Stress fractures usually need at least 6 weeks to recover fully. Some areas of the body have poor blood supply, which makes healing more complicated.  For example, stress fractures of the navicular bone of the foot may need to be kept still and placed in a boot or cast for a period of time to heal properly.

Other aspects of treatment will involve correcting any factors that contributed to the original injury. There is some evidence that unsupportive footwear is a risk factor, along with poor biomechanics and weak muscles that provide inadequate support to the skeletal system during activity. Speak to your physiotherapist if you suspect you may have a stress fracture or simply want to know more.

None of the information in this article is a replacement for proper medical advice. Always see a medical professional for advice on your individual injury.

Margherita Calzone - Physio Direct NZ

Margherita Calzone

Ingredients

Pizza Base:

1 cup plain Flour

1 cup Self Raising Flour

1 cup Warm Water

1 tsp. Yeast

1 tsp. Honey

Filling:

200gm Fresh Tomatoes

½ tsp. Fresh Basil, diced

100g. Mozzarella Cheese

Salt and Pepper

  1. To prepare dough, combine yeast, honey and water, stir thoroughly and allow to sit for 2-3 minutes to activate the yeast.
  • Place both plain and self-raising flour in a large mixing bowl, and knead thoroughly until a consistent dough is formed. Cover and leave to sit for a few minutes.
  • Preheat oven to 230 degrees celsius and sprinkle a tsp. of polenta onto the tray.
  • Cut a small segment of dough and use a rolling pin to flatten into a thin base approximately 20cm in diameter.
  • Add filling to one half of calzone, starting with tomato sauce, basil, tomatoes and top with mozzarella cheese.
  • Gently fold over calzone top and press edges together with a fork to make a closed pocket. Bake in the oven for 20 minutes or until golden brown.
Homemade Apple Crumble - Physio Direct NZ

Homemade Apple Crumble

Ingredients:

Filling

500g Apples, peeled and chopped

50g Brown Sugar

1 Tbsp. Plain Flour

1 pinch ground Cinnamon

1 tsp. Ginger, finely grated

Crumble

250g Plain Flour

150g Brown Sugar

200g Rolled Oats

250g Butter, melted

2 Tbsp. Honey

  1. Preheat oven to 180C/350F.
  2. Place flour, sugar, and oats into a mixing bowl. Melt butter and add to bowl, mixing through dry ingredients until well combined.
  1. Place filling ingredients in a saucepan with ½ cup water and cook on medium heat until apples begin to soften.
  2. Grease an ovenproof dish with butter or line with baking paper and spoon in the fruit mixture and cover with crumble mixture. Drizzle honey over the top of mixture.
  3. Place in the preheated oven and cook for 30-40 minutes until browned.
  4. Serve hot, use custard, ice-cream or vanilla yogurt as an optional side.

Ready to serve for four.

Three Telltale Signs It’s Time to See Your Physio - Physio Direct NZ

Three Telltale Signs It’s Time to See Your Physio

Your physiotherapist has a wide variety of skills that can help treat so much more than just pain and injury. Here are a few reasons to visit your physiotherapist that can keep you healthy and pain-free, before injury strikes.

Stiffness and Inflexibility

Almost all of us have experienced pain and stiffness after a day of increased or unaccustomed exercise. This kind of stiffness usually wears off quickly and is referred to as DOMS (delayed onset muscles soreness). However, if you find yourself feeling stiff for more extended periods, or even most the time – it might be time to see a physiotherapist. There are many different causes of stiffness and inflexibility; by far, the most common is lack of movement. Our joints and muscles both lose flexibility if not moved through their range regularly. Muscle stiffness can feel like a tightness with a bouncy feeling of restriction, and joint stiffness can create a hard ‘blocked’ feeling when you try to move. 

When it comes to stiffness that evolves from lack of movement, you may not even notice that you have lost range, as it can be very easy to adapt your movements to compensate. Your physiotherapist can help you to identify where you have areas of inflexibility and help you to exercise, stretch and mobilise your joints to get them back to a healthy range. Disease processes such as Osteoarthritis and Rheumatoid Arthritis can also cause prolonged stiffness, and your physiotherapist is well equipped to help you deal with these conditions. 

Reduced Strength or Weakness

There are many reasons for weakness in the body, from generalised disuse, weakness in one muscle group following an injury, neurological weakness or structural weakness of joint following a ligament tear. Musculoskeletal deficiency of any kind can predispose you to future injuries and can be surprisingly difficult to resolve without targeted exercises. Your physiotherapist can determine the cause of your weakness and determine the best treatment to restore your muscle strength. 

Reduced Balance

Keeping your balance is a very complicated process, and your body works hard to make sure you stay on your feet. Humans have a very small base of support for our height, and we use all our senses together to determine which movements we should make to stay upright, including our visual, vestibular, muscular and sensory systems. As balance is so essential for walking, if one system that supports our balance begins to weaken, the others will quickly compensate, so you may not notice that your balance has worsened until you fall or trip over more often. 

As a general rule, balance does deteriorate as we age, but this does not mean that falling should be an inevitable part of aging. Actively working to maintain or improve your balance can have a significant effect on your quality of life and confidence in getting around. Your physiotherapist is able to test all the aspects of your balance and provide effective rehabilitation to help keep you on your feet.

The information in this article is not a replacement for proper medical advice. Always see a medical professional for an assessment of your condition. 

Tips for Managing Tendon Injuries - Physio Direct NZ

Tips for Managing Tendon Injuries

Tendons, the soft connective tissues that join muscles to bone and are known for being notoriously difficult to treat once injured. The reason for this is that often they are injured through stress or overuse, and compared to muscles have relatively small blood flow, which is essential for healing. 

Tendons and muscles work together to move your joints and are called a contractile unit. As muscles are exercised and gain strength, the attaching tendons are also placed under tension and adapt to this to become stronger. If the load placed on the tissues exceeds their capacity, the tendon fibres can begin to break down and become stiff and painful. 

Is my pain related to a tendon injury?

For an accurate diagnosis, you will need to be assessed by a physiotherapist. However, some signs that your pain might be coming from an in issue with your tendon are; 

· The pain is quite specific and can be felt over the tendon itself. 

· The pain is worse when under stress and improves when rested. 

· The pain improves after exercise has started, but it might be worse the day after. 

· The area around the tendon may feel stiff after periods of rest, particularly in the morning. 

How are tendon injuries treated?

When it comes to recovery, tendons are often treated differently to other injuries. While each tendon injury is unique and will require assessment and intervention by a physiotherapist, there are a few general approaches that usually help with all tendon injuries.  

Reducing your activity to a comfortable level is the first step to recovery. Complete rest can actually delay healing as the tendon simply becomes weaker and less able to cope with subsequent loads. Your physiotherapist can provide you with a targeted exercise program to aid your recovery. Eccentric exercises, which are exercises that work alongside gravity, have been shown to stimulate tendon healing and strength.

Stretching may aggravate your injury and should be used with caution. Assessment of any biomechanical faults or stresses that are placing undue load on the tendon is also a central component of treatment. Your physiotherapist is able to guide you with your recovery and return to sport to avoid aggravating any injury. 

The information in this newsletter is not a replacement for proper medical advice. Always see a medical professional for an assessment of your condition. 

Vegan Red Cabbage and Carrot Patties - Physio Direct NZ

Vegan Red Cabbage and Carrot Patties

Ingredients

½ Small Red Cabbage

2 Large Carrots

½ Spanish Onion, diced

1 tsp. Chia Seeds

4 Tbsp. Water

1/2 Cup Flour

3 Tbsp. Olive Oil

2 Garlic Cloves, diced

1 tsp. Turmeric

1 Tbsp. Fresh Coriander

Salt and Pepper

  • Bring a medium sized frying pan to medium heat, add 1 Tbsp. olive oil, salt and pepper, onion and garlic. Cook until onions and garlic are soft. Lower heat and cover.
  • In a separate bowl, finely grate carrot and slice cabbage, dice coriander and mix thoroughly.
  • Add chia seeds to a small glass with water and leave to thicken.
  • Add cooked onion and garlic to carrot and cabbage and mix thoroughly. Add flour, turmeric, chia seeds and coriander and knead until a dough of even consistency is formed.
  • Shape mixture into small patties and pan fry on medium heat with 2 Tbsp. Olive Oil. Drain excess oil with paper towel and serve immediately.
Acute Wry Neck - Physio Direct NZ

Acute Wry Neck

Have you ever woken up with an inexplicably stiff and painful neck that will only turn to one side? You might have been suffering from acute wry neck, a painful condition following a typical pattern of symptoms. In the clinic, wry neck is classified as one of two different types – Facet or Discogenic wry neck. 

Facet Wry Neck:

Facet joints are found on either side of the spine and allow controlled rotation and side bending of the neck. An awkward or sudden movement of the neck can cause a part of the joint capsule to tear or get caught in the joint, making it feel locked. The muscles around the area can also become tight and spasm, which amplifies the pain. The pain is usually sharp and can be pinpointed quite accurately to the part of the neck causing the problem, and the pain rarely travels down into the arm. It is usually possible to find a resting position where the pain goes away completely, only having pain when turning in specific directions. The good news about Facet Wry Neck is that your physiotherapist is usually able to help you ‘unlock’ the neck quite quickly with gentle mobilisations. Most of the time, a full recovery can be expected within a week. 

Discogenic Wry Neck: 

The vertebrae of the neck are separated from each other by fibrous discs, filled with a gelatinous centre. These discs provide support, flexibility and shock absorption. When placed under pressure, these discs may bulge or tear, and the resulting swelling can cause pain and muscle spasm in the surrounding area. It is important to note that in an area as sensitive as the neck, a small amount of damage can result in a large amount of pain. 

The development of discogenic wry neck is usually due to a combination of factors, including neck stiffness, poor posture and biomechanics than can contribute to the disc being vulnerable prior to the injury. In this case, it can be challenging to find a comfortable position, and it is more likely for the pain to travel into the arm and include pins and needles.

Treatment of discogenic wry neck is focused on reducing pain and muscle spasm with massage, taping, heat and postural education. Further treatment aims to reduce any stress that is being placed on the disc, mobilise any stiff spinal segments and correct any muscle imbalances. While the initial symptoms may settle down quite quickly, it can take up to six weeks to fully recover from discogenic wry neck. In this condition, it is also essential to address all the factors that may cause a recurrence of the issue.

The information in this newsletter is not a replacement for proper medical advice. Always see a medical professional for an assessment of your condition. 

Tips For Setting Up Your Home Office - Physio Direct NZ

Tips For Setting Up Your Home Office

Many of us spend more time at our desks than any other place. While the risk of injury while seated can seem very unlikely, spending hours in a poorly set up workspace can place vast amounts of pressure on your body and lead to overuse injuries. Below are a few tips that can help you set up your workstation correctly.

Your Chair

Starting with the height of your chair is the best place to begin. Ideally, your feet should be flat on the floor, and if you can adjust the height of the chair, your thighs should be parallel to the floor. If your chair has armrests, they should be low enough to allow your elbows to sit comfortably between 90-110 degrees and resting by the side of your body. A small cushion or rolled-up towel may be added to the back of the chair to add support to the lower back, and this can also help to prevent slouching. 

If you are unable to adjust your chair and it is too high, you can use a footrest to allow them to rest comfortably. 

Your Desk 

The height of your desk should be set so that your arms can rest comfortably at the keyboard and hands, wrists and forearms can sit in a neutral position and parallel to the floor. Where possible, put everything you need within easy reach and alternate days using your mouse and phone with different hands-on different days. 

Your Screen

The height of your computer should be raised so that the top of the screen is slightly below eye level. Allowing your neck to rest in a neutral position can help to prevent neck pain and headaches. Ideally, if you can set the screen to be 20-40 inches away from your face, this will reduce strain on your eyes while reading. 

Some other tips

Being comfortable is extremely important for productivity and focus if you are struggling with pain; your work will often suffer. Even joint stiffness and muscle tightness can disrupt your workflow, and taking the time to adjust your workstation can save you countless hours in the long run and prevent painful overuse injuries. 

Taking active breaks from sitting to move and stretch can help to maintain muscle and joint health, which can be compromised from being in the same posture too long. You can set a timer or make an active effort to take phone calls and meetings while standing. 

Speak to your physiotherapist for personalized advice on your workplace setup. 

Trochanteric Bursitis - Physio Direct NZ

Trochanteric Bursitis

What is Trochanteric Bursitis?

The muscles that surround the hips have a complicated role to play. They work to keep the pelvis level and control one of the most flexible joints of the body. They are organized in layers, and the deeper muscles are separated from the outer muscles by sheets of connective tissue, to allow easy gliding, as they interact with each other. 

With all the layers of muscles working together, some points in the body are more prone to experiencing tension and friction during movement. Small sacs called bursa release a natural lubricant to allow gliding and sliding of different muscular layers and are scattered around the body at points of increased stress.

They are found all over the body and usually are quite inconspicuous, which is why most people have never heard of them. However, occasionally something goes wrong, and they become irritated and painful. This will usually happen in a few typical places in the body and one of them this over the greater trochanter, the bony part of the outer hip. 

What Are The Symptoms?

The most common symptoms of trochanteric bursitis are a sharp, superficial pain on the outside of your hip, which may radiate down to the knee. You can experience pain with a number of activities such as walking, jogging, climbing stairs and cycling or simply lying on the affected side.

How Does It Happen?

The most common cause for this is a combination poor biomechanics and overuse. When you have poor biomechanics, the structures around the bursa become tighter and can begin to irritate the bursa.

Some things that contribute to poor biomechanics around the hip are weak, uncontrolled muscles, tight muscles, flat feet with unsupportive footwear, a difference in leg length, incorrect equipment settings and scoliosis. These can all lead to irritation of the bursa around the hip.

How Can Physiotherapy Help?

As there are many other conditions that can cause pain at the outer hip, correct diagnosis is essential. Once diagnosis is confirmed, the first phase of treatment is to reduce pain and irritation.

This can be done with muscle release techniques, ice application, rest, fitting you with orthotics and advice for modification to your lifestyle. Your physiotherapist will also evaluate the causes of the irritation and prescribe a suitable rehabilitation program to change your biomechanics.

Serious cases can be treated with corticosteroid injection or even surgery, but with thorough physiotherapy treatment, you can usually get back into action within six weeks. 

None of the information in this article is a replacement for proper medical advice. Always see a medical professional for advice on your injury. 

How To Create Your Own At Home Gym - Physio Direct NZ

How To Create Your Own At Home Gym

Staying active at home can be challenging especially when many of us don’t have access to our local gym. Physical health and wellbeing are  equally important both mental health and with this in mind, we’re offering a few suggestions for how to use everyday home objects to stay in shape. Even if you don’t have access to a single piece of gym equipment, there are many items in your home that can be used to keep you active.

Water bottles, soup cans or jug of laundry detergent – these things are substitutes for dumbbells. The size or weight of the bottles or cans will depend on how heavy you can lift. If you have empty water bottles just sitting around in your garage, fill them with sand or rocks for a heavier load.

Chair – choose the most stable chair in your house then you can start doing triceps dips and push-ups. When you do these exercises, you’re using your own body weight, thus, eliminating the need for other equipment.

Towels – these can be used to strengthen and stretch your muscles. For example, place each of your hands on the ends of the towel. Bring your arms over your head and then, pull the towel on both sides. Doing so can tone your arm muscles. For stretching, hold one end of the towel and position one arm as if you’re doing a triceps curl. Place your other arm behind your lower back and hold the towel. Pull the towel downwards until you feel a stretch on your triceps. Hold that position for 30 seconds and do that for five repetitions. Repeat this on your other arm.

Wall – if you’re having a hard time perfecting your squats, standing with your back against the wall can help as it promotes the proper posture and alignment of your body when doing squats.

Stairs – going up and down the stairs will boost your cardio level. To challenge yourself further, run up and down the stairs a couple of times a day. You can also strengthen your calves on the first step of the stairs by doing toe lifts.

Basketball, volleyball or soccer ball – use any of these balls as a medicine ball alternative. These would be great for thigh and leg squeezes. You can also use the balls if you want to improve your balance.

Backpack – get your backpack and fill it with anything you want. Just make sure you’ll be able to carry it. When you’re ready, do some squats, lunges and push-ups. The added weight on your backpack maximizes your workout by engaging your muscles better and getting your heart rate up faster.

Working out at home can require a little more creativity but can be done! Speak to one of our physiotherapists for more tips so you can keep active at home.The information in this article is not a replacement for proper medical advice. Always see a medical professional for an assessment of your condition. 

Hearty Chorizo and Tomato Soup - Physio Direct NZ

Hearty Chorizo and Tomato Soup

Ingredients

3 Tbsp. Olive Oil

2 Garlic Cloves, diced

½ Spanish Onion, diced

2 tins Whole Tomatoes

1 Cup Vegetarian Stock

1 Cup Red Lentils

1 Chorizo Sausage, sliced

¼ Cup Fresh Basil

1 tsp. Fennel Seeds

½  tsp. Fresh Chilli, diced

Salt and Pepper

  1. In a medium-sized saucepan, sauté olive oil, diced onion, chilli, fennel, garlic, salt and pepper, and chorizo. Cook on medium heat until onions have softened and chorizo is cooked. Lower heat and cover.
  • Add two tins of whole tomatoes to the saucepan and bring to boil. Cover and reduce heat to medium. Add vegetarian stock and continue to simmer.
  • Add 1 cup of red lentils. Allow soup to simmer for 20-30 minutes, stirring occasionally. Add one clove of star anise.
  • Once lentils are soft blend with a food processor to even out consistency.

Serve with fresh basil and pepper for garnish.

The Two Minute Workout Challenge - Physio Direct NZ

The Two Minute Workout Challenge

Keeping active while at home for long periods can be challenging. For many people, going out for a run or taking time to perform a full workout can be daunting, especially if this is not a part of their usual routine. 

There are a few quick and easy ways to add some movement to your day, starting with something as simple as boiling the kettle. As the average kettle takes 2-3 minutes to boil, challenge yourself to see if you can complete these five exercises while waiting for your cup of tea. You can focus on one each day, or work through one different one each time. 

1. Challenge your balance. 

Standing on one leg is something many of us assume we can do, yet rarely take the time to check. This is an essential skill that can deteriorate without being noticed until everyday activities, such as getting dressed, are impacted. Being able to stand on one leg is important for putting on shoes, trousers and reduced balance can be a risk factor for falls. 

Start by seeing if you can stand on one leg with your eyes open for the entire time the kettle is boiling. Test both legs and if this is too difficult, make sure you are close to a bench that you can use to support yourself. To increase the difficulty, try balancing with your eyes closed, then progress to balancing on your tiptoes. If you can balance on your tiptoes, with your eyes closed, then you may need to ask your physio for more suggestions.

2. Heel Raises

Start by keeping your knees slightly bent and lift both heels off the ground at the same time. You can begin with repetitions of 5, have a quick rest then repeat. Challenge yourself to increase the speed of your heel raises and see how many you can fit into your waiting time. As you bend your knees, aim to keep your knees over your second toe. If you feel this is a little too easy, you can progress to single-leg heel raises, which will also improve your balance!

You can start a daily competition with the people in your household to see who can complete the most. 

3. Squats

Squats are a great exercise to keep your large muscles working. You can start with small squats and reps of 5, aiming to slowly increase your number and progressively squat to a lower position. As with heel raises, when you start to find squats to be less of a challenge, you can move to single-leg squats. 

Don’t hesitate to ask one of our physios for tips on how to stay active while at home. The information in this newsletter is not a replacement for proper medical advice. 

Keeping Healthy While Working from Home - Physio Direct NZ

Keeping Healthy While Working from Home

Over the next few months, many of us will be spending more time at home. For each of us, this will mean something different; however, regardless of your circumstances, there are a few things you can do to make your time at home a little easier and healthier. 

Maintain a routine.  

A new routine may take a while to develop and will depend on the demands placed on you by your work or children, however, some things can help with both mental and physical health when staying at home for long periods. Waking up and going to sleep at the same time every day can have a significant impact on wellness, ensuring that you have a better sleep and also feel more settled when you wake up. 

Use screens thoughtfully. 

Technology can help us to connect with those who are not there, yet can also take us away from things happening around us. Delete the apps that you find distracting, such as news or social media and schedule in quality catch-ups with friends and family via video.  

Take time to adjust your home workstation.

If you will be spending hours at a time on your computer, it is essential to take the time to ensure your workstation is set up optimally to reduce stress on your body while working. You can chat with your physiotherapist for some tips on how to set up your home office.

Stay in touch with your physio.

If you are struggling with pain at home, your physiotherapist can offer a variety of online treatment solutions, even if you can’t make it to the clinic. Reach out to your physiotherapist if you are in pain either via email or telehealth sessions to see how they can help you – you might be surprised at how much they can help.

Join an online fitness group and workout with others.

Joining a daily online workout session is one way to keep active and also stick to a schedule. Many of the videos allow you to join in live, helping to increase commitment and a sense of community with your fellow athletes.  

Stretch before bed. 

Start with just three simple stretches, calf, hamstrings and triceps and slowly build up your repertoire. Stretching before bed can help to prepare your body for rest while also improving flexibility. Try to hold each stretch for at least 30 seconds for optimal effect.  

Vegetarian Fettucine Carbonara - Physio Direct NZ

Vegetarian Fettucine Carbonara

Ingredients

Fettuccine Pasta

2 Eggs

2 Garlic Cloves, diced

½ Spanish Onion, sliced

200gm Fresh Mushrooms

½ Small Eggplant, Sliced

½  tsp. Fresh Chilli, diced

½ Cup Fresh Spinach

Leaves

50g. Parmesan Cheese

3 Tbsp. Olive Oil

Salt and Pepper

  1. Bring a medium-sized saucepan of lightly salted water to boil. Add 1 Tbsp. of olive oil and cover.
  • In a medium-sized frying pan, add the rest of the olive oil, onion, garlic, salt and pepper, chilli, mushrooms and eggplant. Cook on medium heat until onions have softened. Lower temperature and cover.
  • Add fettuccine pasta to boiling water and cook while covered until past as al dente. Strain, rinse and set aside.
  • Separate two egg yolks and discard whites. Add to a small bowl and whisk with grated parmesan cheese briefly.
  • Add cooked fettuccine pasta to the frying pan and stir through ingredients. Remove from heat and allow to sit for 1-2 minutes. Add egg and Parmesan mixture and stir through pasta until it is thoroughly covered.