Exercise Health Injury Pregnancy

Injury blog: Plantar fasciopathy

Injury blog: Plantar fasciopathy

It’s morning, and the alarm clock has just told you it’s time to get out of bed. Another few minutes won’t hurt. You check your emails, social media sites, and even ring mum to see how the dog slept last night… basically anything to delay putting your feet on the ground and taking those first steps to get the day started. And it’s because of this pain you’ve been getting on the bottom of your heel every morning for the last few weeks. And it’s getting worse… time to see your osteopath!

There are a few things that can cause pain on the bottom of the heel, but the most common cause is a condition named plantar fasciopathy (pronounced ‘fash-ee-op-a-thee’ — previously known as plantar fasciitis (pronounced ‘fash-ee-i-tis’)). There are many other conditions very closely related to this or overlapping with this and it may mean the standard treatment or stretches don’t work for you.

 

What is plantar fasciopathy?

Plantar fasciopathy is an overuse condition affecting the plantar fascia. The plantar fascia is a layer of soft tissue that stretches along the bottom of the foot, from the heel bone to the metatarsal bones in the front of the foot. It helps to provide stability to the arch of the foot and is similar in make-up to a tendon (the things that attach muscle to bone). If too much stress is placed on this structure, over time the tissue can degenerate, weaken, and start to give you pain. The pain is commonly felt where the plantar fascia attaches into the heel bone.

 

Risk factors

Scientific research suggests there are a few groups of people who are more prone to developing plantar fasciopathy. These include:

  • Runners
  • People who are overweight and lead a sedentary lifestyle and/or spend long periods standing for work (e.g. a factory worker)

Important things to consider with these at-risk groups include:

  • Foot alignment and arch height: Having a very low or high arch or having excessive or not enough movement in the foot joints may lead to the development of this problem.
  • Amount of training: Increased levels of training may place greater stress on the plantar fascia more regularly.
  • Footwear: Wearing certain types of footwear when training may lead to an increased risk of plantar fasciopathy (i.e. wearing athletics spikes, or the wrong footwear for your foot type).
  • Muscle strength and flexibility: Decreased strength in the muscles that control toe movement, as well as weakened and tight calf, hamstring and gluteal muscles are all associated with higher rates of plantar fasciopathy.

Personally I’ve found weaker calves, or a sudden increase in load are the two most common causes. This may be a change in activity (e.g. after a break), starting a new sport , and change in footwear.

 

Signs and symptoms of plantar fasciopathy

The signs and symptoms of plantar fasciopathy include:

  • Pain at the bottom of the heel or arch
  • A gradual onset of pain initially, but can be sharp and sudden once it’s there
  • Feeling pain first thing in the morning (i.e. taking those first steps out of bed in the morning is classic!)
  • Pain that decreases with activity, but increases again afterwards (early stages)
  • Pain that increases with activity and pain felt at night (latter stages)
  • Periods of prolonged rest during the day causing pain (i.e. being sat at your desk for 2-3 hours and then getting up again)
  • Tight foot, calf, hamstring and gluteal muscles
  • Weak muscles that help to support the arch of the foot
  • Stiff or over-flexible foot and ankle joints

 

Diagnosis and treatment

First things first, if you have heel pain that sounds similar to the picture we have painted above, make an appointment with us (you know what to do… call us on 9846 2800). Once we have asked the relevant questions, performed the necessary tests, and we are in agreement that the issue stems from the plantar fascia, we will formulate a plan with you with short and long-term goals to reach within a set time.

Initial hands-on treatment will include a combination of massage, joint mobilisation and manipulation, and sometimes dry needling of the lower limb muscles with the aim of assisting any mechanical issues that are playing a role in this issue. Depending on the presentation, we may also use tape around the foot and ankle to provide support and reduce the stress being placed on the tissues. Other treatment will include advice on weight loss (if required), training regimen, footwear, and exercise prescription that helps to lengthen and strengthen tight and weak muscles. Some cases of plantar fasciopathy may require a foot orthotic or in-sole to provide extra support to the foot whilst wearing shoes. We may advise on footwear too! 

Plantar fasciopathy is a tricky condition to treat which may require ongoing treatment for several months, but we like do things quickly if possible. We will endeavour to get you pain-free in the shortest time possible, so we recommend following all advice to a T, which may include a reduction in the amount of training you are doing at present allowing for a gradual build up. When you start to hit goals and we see improvements being made, we’ll have you back up to your full training program before you can say “plantar fasciopathy”.

 

Imaging?

People regularly ask if they need imaging for such an issue? The majority of cases may be diagnosed through case history and physical assessment. This is where we excel! Imaging is there for cases that do not respond to treatment and for those instances where we need to rule out a more serious problem.

If you need help with heel pain, please call us today on 9846 2800 to book your appointment. We are located in Donvale, Templestowe and Warrandyte. Let’s have you putting your best foot forward, ASAP! 👌

 

References

1. Thompson, JV. et al. 2014. Diagnosis and management of plantar fasciitis. Journal of American Osteopathic Association. 114 (12). Available from: https://jaoa.org/aoa/content_public/journal/jaoa/933660/900.pdf
2. Brukner, P. et al. 2017. Clinical Sports Medicine. 5th ed. Australia: McGraw Hill Education
3. Harvard Health Publishing. 2007. Easing the pain of plantar fasciitis. [Online]. Available from: https://www.health.harvard.edu/newsletter_article/Easing_the_pain_of_plantar_fasciitis. [Accessed 15 Jul 2020]
4. Orthoinfo. 2010. Plantar fasciitis and bone spurs. [Online]. Available from: https://orthoinfo.aaos.org/en/diseases–conditions/plantar-fasciitis-and-bone-spurs. [Accessed 15 Jul 2020]

 

Exercise Food and cafes Health

Healthy habits for 2022

Healthy habits for 2022

A very Happy New Year to you all! We trust you have had a jolly good break over the holiday season. We’re getting straight into it this month. January… the month for those dreaded resolutions that many of you have good intentions of sticking to when you set out, but struggle to stick to as the months tick by. After an indulgent Christmas break, being healthy is often at the top of the list. As your trusty go-to health advisors, we’re here to give you some tips on making 2022 a healthy year. Please read on for your healthy habit manual!

 

Best book on building habits = Atomic Habits by James Clear

 

Move, move, move!

This sounds easy, but for many it’s a big struggle. We are a sedentary world compared to the past. We have everything at our fingertips with supermarkets, stores and online shopping providing everything we need. Phones, tablets, TV, gaming and desk jobs many of us tend to sit down a lot, even during leisure time. Even more so given the lockdowns have reduced our incidental movement time meeting friends or browsing the local events and food markets (have you tried the Wonga Park Farmers Market?). Thus it is little surprise that our world is facing a huge obesity issue. Did you know that since 1975, obesity rates have tripled and continue to rise?! That is a very worrying stat. If you want to do all you can to avoid becoming overweight or obese, then one very simple thing to do is move more. Your bodies are designed for it and will love you for it. We suggest going for a short walk or bike ride on a regular basis to keep the heart and joints healthy. If you get the train or bus to work, try leaving a bit of extra time and get off a few stops early to walk the rest of the way. Park at the back of the car park and walk that little bit further into the shops. You’ll soon get your steps in. Better still, go with a friend or family member… After all, exercise feels less of a chore when you have company or maybe even learn from a podcast.

 

Have a routine

This follows on nicely from our last point. As part of your promise to move more, why not have a little exercise routine that you can bust out on those nights you choose to stay in and watch your favourite show or movie. It doesn’t matter what you do, but doing something is better than just sitting there vegging out. We’re all for chill time, however, aim to work on your body a little every day and the results will be seen in no time. Have a yoga mat, resistance bands, light weights and a foam roller nearby and get to work on them whilst you are enjoying an episode or two. Fifteen minutes is all that is needed. If you want help working out a suitable routine, speak to us next time you are in for a session.

 

See your osteo regularly

So, you are in for a session with us, good work! Who better to ask for help than a professional expert in body and health? We know a lot of people go to osteo’s when they are in pain, but we’re here for you in the pain-free times as well. We may also help with gentle reminders, assisting you heading towards your goals, or maybe even giving you a different perspective when things aren’t going your way. Yes, we love to work with people to appreciate and use their bodies, but we also love to give lifestyle advice too. Whether it’s dietary, exercise, sleep or working out which couch to buy (OK, the last one is all you, but feel free to ask us anyway!), we’re happy to help.

 

Less screen time

Here’s some lifestyle advice for you. Aim for less screen time this year. It’s so easy to get dragged into being on your phone or tablet all the time. They travel round in our pockets, we use them to talk, email, check the news, play games…The list is endless! How many of you wake up and the first thing you do is check your phone? How many of you also put the phone down last thing at night before closing your eyes? The long-term effects of increased screen time are not yet known and probably won’t be for years to come, but some recent research shows that increased screen time correlated to lower scores in thinking and language tests in children. Other negative effects include sleep disturbance, lack of creativity and becoming disconnected from your social circle. We don’t think any of this is particularly good, so why not vow to reduce screen time and instead dust off the board games. You’ll get awesome family time, lots of laughs (hello happy hormones!) and a happy brain. Win win win!

 

Cut down on treats

We had to include something dietary here. At the end of the day, you get out what you put in. So, put in more good stuff than bad stuff (we’re not against treats altogether) and your body will shine. The body loves plant-based foods as they are easy to digest, low in calories, and full of good nutrients. We won’t tell you to cut anything out altogether, but try substituting a few treats for some fruits, veggies or yummy yoghurt. Your insides will thank you forever, and you’ll be ticking one more box towards a healthier, happier you. Check out our blogs on healthy eating for more info!

 

There you have it. Five easy steps to take in 2022. Let’s make this a winning year! If you would like to discuss any of the above points in detail, please ask us next time you are in and we will be happy to chat and offer our top-notch advice. Happy New Year! 

For more info on James Clear’s ‘Atomic Habits’: https://jamesclear.com/atomic-habits

Healthy Eating blogs:

https://infinityhealthandosteo.com.au/clippings/healthy-eating-guide-food-pyramid/

https://infinityhealthandosteo.com.au/clippings/three-diet-and-n…nes-for-everyone/

 

Health Kids Pregnancy

Pregnancy + Baby present ideas

Pregnancy + Baby present ideas

Are you or one of your nearest and dearest expecting? Here are some handy accessories and products that you might not have thought of which may prove incredibly helpful! 

 

Some of the best products for expecting mums are super cheap and accessible from companies like Kmart, Big W and Ikea. Evan’s tip is grabbing this stool from Kmart for $19 and using it as a kids chair and table (they sit on the bottom step)! 

(https://www.kmart.com.au/product/bamboo-step-stool/1347802)

 

Some tips of great items to get from our local new mums include: 

  • A formula machine: really great for mothers who don’t breastfeed. This may be helpful at reducing bubbles (aiding reflux), keeping formula at the perfect temperature and avoiding burns!
  • Anything with Zips! Stuff those annoying buttons – when it’s 3am and you’re tired a zipper will rule every time.
  • Swaddles and Angel suits: are great, with no risk of the baby covering themselves in a blanket. 
  • Mummy rocker: really useful for helping bubs get to sleep and to calm them down. 
  • Baby capsules: transportable seating that helps to reduce car sickness and are especially suitable for babies in car rides. A great range can be found at baby bunting (https://www.babybunting.com.au/car-seats/capsules.html). If you know a baby that gets very unhappy in the car, changing the car seat is worth every penny!
  • Cubo Baby monitor – HD, available to stream wherever you are!
  • Owlet smart sock – especially for prem babies (monitor heart rate and oxygen)

 

Some fun items to get for the new family can also include items like:

  • Shirts with pouches for carrying the new bub
  • Baby hip seats
  • Spill proof spouts for cups 

 

And of course some essentials products that you won’t want to be without! 

  • Baby wipes
  • Sudocrem
  • Plain white singlets
  • Vomit cloths

 

Some great maternity clothes are also a plus for our mums to be! We’ve found that emamaco (https://www.emamaco.com.au/) have a great range of maternity pants, as well as a range of nursing tops!

 

We’ve also had some of our mums review their favourite pregnancy support leggings and shorts, this is what they found! 

  • Active truth: RRP $100-130. These pants are super comfy and have great stomach support for active days! 
  • SRC: RRP $189. These pants sit up and over the bump, providing excellent pelvic support. Really great to wear on less active days and would be an amazing recovery garment too! In comparison to Active truth, these sit a bit higher but also feel like they give a little less stomach support.
Health

Compare Private Health Insurance

Private Health compared for Osteo

At Infinity, one of the questions we frequently get is about private health insurance: Should we get it? How much cover should I get? Which one is best? 

When considering getting private health insurance there are many things that need to be considered on an individual level, for example: 

  • I’m already getting charged a medicare levy, how much does getting private health reduce this and is this cost worth it for me? 
  • What extras do I need (for example dental and optical) and how much do these cost? 
  • Is their customer service experience pleasant? What do their customer reviews look like?

 

When getting healthcare it is important to do your own research and find out which companies best suit your needs. Whilst we can’t definitively say which health care is best for you, we have done some research into which health care providers may provide the best coverage for osteopathic treatments. 

You may also visit the Government website: https://www.privatehealth.gov.au/dynamic/Search/

We’ve assessed in depth healthcare providers with regards to two aspects – most dollar based coverage, and best percentage back at Infinity. 

 

Best total dollar coverage:

  1. Health partners – Best extras: covers $1200 combined osteo, physio and chiro
  2. Latrobe Health Services – Premier: covers $1000 osteo
  3. HBF – Flex 60: covers $1000 combined osteo, dental, pharmaceuticals, physio, chiro and other health care
  4. ACA – Health benefits fund: covers $850 combined osteo, physio, chiro and other health care
  5. HBF – Flex 50: covers $800 combined osteo, dental, pharmaceuticals, physio, chiro and other health care
  6. HIF – Vital options: covers $800 combined osteo, dental, chiro, physio and ambulance 
  7. Defence Health – Premier Extras: covers $750 combined osteo and chiro 
  8. Bupa – Top Extras 90: covers $700 combined osteo and chiro, with $1400 per membership 
  9. Police Health – Rolling Extras: covers $700 combined osteo, chiro, acupuncture and complementary therapies, rolling over to a max of $1400
  10. Aus Unity – Advanced 80%: covers $500 combined osteo and chiro
  11. NIB – Top: covers $500 combined osteo and chiro 
  12. Medibank – Top Extras 90: covers $500 combined osteo and chiro
  13. AIA – Enhanced extras: covers $400 combined osteo and chiro 

 

Best percentage returned per appointment at Infinity:

  1. Aus Unity – Advanced 80%: covers 80%
  2. ACA – Health benefits fund: covers 80% 
  3. Police Health – Rolling Extras: covers 80%
  4. NIB – Top: covers 75%
  5. Medibank – Top Extras 90: covers $63.60 initial (~72%), $44 subsequent 
  6. AIA – Enhanced extras: covers 70%
  7. Defence Health – Premier Extras: covers $54 initial (~61%), $40 subsequent 
  8. HBF – Flex 60: covers 60%
  9. Health Partners – Best Extras: covers $50 initial (~56%), $40 subsequent 
  10. Bupa – Top Extras 90: covers $50 for the first 10 appointments (~56%), $35 for the following 10 
  11. Latrobe Health Services – Premier: covers $45 (~51%)
  12. HBF – Flex 50: covers 50%
  13. HIF – Vital options: covers 50% 

 

Overall winners:

  • Health partners 
    • Best extras: covers $1200 combined osteo, physio and chiro
    • Best Extras: covers $50 initial (~56%), $40 subsequent 
  • ACA
    • Health benefits fund: covers $850 combined osteo, physio, chiro and other health care
    • Health benefits fund: covers 80%
  • HBF 
    • Flex 60: 
      • covers $1000 combined osteo, dental, pharmaceuticals, physio, chiro
      • covers 60%
    • Flex 50: 
      • covers $800 combined osteo, dental, pharmaceuticals, physio, chiro
      • covers 50%
  • Latrobe Health Services 
    • Premier: covers $1000 osteo
    • Premier: covers $45 (~51%)
  • Bupa
    • Top Extras 90: covers $700 combined osteo and chiro, with $1400 per membership
    • Top Extras 90: covers $50 for the first 10 appointments (~56%), $35 for the following 10

 

I really hope your company is on that list, because they were head and shoulders above the others! It’s time to evaluate your health cover, there are tax benefits, but you also need to be aware if extras cover is worth it for you.

 

Worst coverage (the shame list!)

  1. Latrobe – Core Essentials: $200 combined osteo, physio and chiro, 34% cover
  2. HCF: $150-300 combined osteo, chiro, chinese medicine and other services, ~50% cover
  3. CUA: $300 combined osteo and chiro, 60% extras cover 
  4. GMHBA: $350 combined osteo and chiro, 75% cover 
  5. Frank: $400 combined osteo and chiro, 50-80% cover 

 

Disclaimer  

These rankings do not take into consideration the cost of each package and some may include other services such as dental, physio and other health services. As such, it is important to do your own research to find out which private health insurance company will best suit you and your families needs. As a general rule, good coverage should have an annual limit towards or in the vicinity of $800. Lower coverages around $250 per annum are not as good and may fall short of your healthcare needs. 

*All information in this article correct at 1st July 2021

 

Exercise Health Injury

Pain in the…knee: Osteoarthritis

Pain in the…knee: Osteoarthritis

Knee pain in the middle to late decades of life is a common complaint amongst patients presenting to osteopathic clinics across the globe. Osteoarthritis (OA) is a common cause of knee pain in this age group of people. Research suggests approximately 654 million people aged 40 years and over were living with knee OA in 2020 around the world. This comes at an incredible cost to healthcare services worldwide, with figures in the billions of dollars! 

What is osteoarthritis?

Osteoarthritis is just one of a number of forms of arthritis… Essentially a disease which affects the joints in our body. OA is the most common form of arthritis, with Rheumatoid Arthritis (RA) being the second most common form. This blog will focus on OA, a potentially debilitating disease that most commonly affects the weight-bearing joints of the body (i.e. knees, hips and lumbar spine). However, it can affect any joint in the body where the joint surfaces are covered in cartilage.

The characteristics of OA include loss of cartilage that covers the ends of bones that come together to form joints. The underlying and surrounding bone, as well as other joint structures (including joint capsules and other tissues) are also susceptible to degenerative changes that ultimately lead to poor functioning of a joint. This process usually occurs over a long period of time, often starting early in life. Interestingly, most people experience no symptoms at all during this time. It then progresses into the latter years. The severity of the disease varies from person to person with some people only experiencing mild symptoms throughout their life. Other people experience more severe symptoms and may require joint replacement surgery as a last port of call to ensure they may continue to live their life as pain-free as possible.

Osteoarthritis of the knee can affect either of the two main joint components of the knee… The joint between the ends of the thigh bone and the shin-bone (called the tibiofemoral joint), and the joint between the thigh-bone and the knee-cap (called the patella-femoral joint).

Risk factors

There are certain factors associated with higher rates of knee OA. These include:

  • Age: Rates of knee OA increase in the elderly
  • Gender: Females slightly out-do the males with this one, being approximately 1.5 times more likely to develop OA
  • Trauma: A trauma to the knee can increase your likelihood of developing knee OA
  • Obesity: Rates of knee OA increase with higher levels of obesity
  • Smoking: Smoking is associated with higher rates of knee OA

Signs and Symptoms

The signs and symptoms of knee OA include:

  • Pain
  • Stiffness
  • Swelling
  • Reduced range of motion
  • Difficulty performing functional movements including squatting and kneeling

Pain associated with tibiofemoral OA commonly affects the inside region of the knee first. This is where the two bones meet at the joint line. Patella-femoral related pain is often felt deep behind the kneecap. Pain will vary from one person to another, and the severity of pain does not necessarily relate to the severity of degeneration. Although if you speak to a person who is about to have a joint replacement surgery, they will likely tell you that the pain is extremely debilitating.

Pain and stiffness are regularly felt first thing in the morning and late at night. Therefore, OA tends to respond well to movement of the joints. People often find their pain and stiffness improves once they are up and moving. Only then does it return, once their day has finished and they are relaxing at night.

Treatment for Osteoarthritis

So, you’ve been diagnosed with knee OA. What to do? Call your osteo… Ta-dah!!!! Given we love teaching you how the human body moves (we study human biomechanics at uni), we’re good at picking up how the body should and shouldn’t move. There are no magic pills for treating OA of the knee. No practitioner can claim to treat the disease itself, as there is unfortunately no cure for OA. It is a progressive, degenerative disease, but there are ways of stunting the progression of this condition if the risk factors leading to its presence are attacked head on.

Poor movement resulting from daily postural repetitive strain, or an old injury that wasn’t resolved are major factors in the maintenance and development of OA in the knee. Poor movement or dysfunction occurring in the low back, hip or ankle can all lead to excessive load being placed through the knee joints, which can exacerbate the disease process. This is where we come in.

We may assess how you move and work out what is causing the excessive loads through the knee. We will then develop a plan to improve range of motion and flexibility, strengthen muscles and return you to (hopefully) pain-free daily activities. We’ll use a combination of soft tissue manipulation, joint mobilisation and progressive exercise programs to restore life to your body. Returning to efficient movement patterns after years of neglect, poor movement and a deconditioned body part will take time, but with determination from both you and your practitioner, it is more likely happen.

Knee pain? What are you waiting for? Call us today on 9846 2800 to book your appointment.

As previously mentioned, some cases of knee OA may end up requiring surgical intervention to replace either part of or the whole joint. The good news is, if you do have to go through this process, we have your back (well… in this case, your knee) and may help you through rehab and recovery. As a result, many people who have a knee replacement return to full daily activities and live a long and pain-free life.

 

Visit any of our locations at Donvale, Templestowe and Warrandyte to receive the best help you can!

More on knee pain: https://infinityhealthandosteo.com.au/conditions/knee-pain/

Health

Eat. Rest. Digest. Repeat.

Eat. Rest. Digest. Repeat.

Have you ever wondered about the inner workings of your body? We regularly talk about muscles, bones and joints, but this month we switched focus to our digestive system. Without this system working properly, the rest of the body can really struggle… which is why us osteos like to keep a close eye on it.

Often people will mention they are taking supplements, or ‘low in iron’, ‘Vitamin D deficiency’ – but there are more important habits to sort out first.

 

What is the digestive system and what does it do? 

The digestive system is the system that is responsible for breaking down all of the food and drink we consume into useful stuff for the body to use. It is essentially one long tube which starts at the mouth and ends at the back passage. In-between, the tube is divided into different sections, all of which have their own job in the process of food breakdown. On the journey from mouth to back passage, the tube is joined by a few assistants (called organs), which feed the tube with juices that help to mulch up the food.

The gut?

The tube (or ‘gut’) is broken down into the following sections:

  • Mouth: Food goes in, we chew, and the process of digestion begins with the mixture of food and saliva.
  • Oesophagus (aka ‘food-pipe’): This is the connecting tube between the mouth and stomach. The food-pipe is able to push food towards the stomach using muscles in the wall of the tube. Interesting fact… We do not voluntarily control this movement, and we also cannot feel it happening!
  • Stomach: An expanded section of the tube where the food is stored for a short while. Muscles of the stomach contract to mix the food with digestive juices and turn the solid food into a liquid.
  • Small intestine: Juices from our liver / gallbladder and pancreas enter the tube at the beginning of the small intestine to mix and breakdown the food from the stomach to make it suitable for the body to begin to absorb. Absorption of many nutrients (including broken down carbs, proteins and fats) happens in the small intestine.
  • Large intestine: This section is responsible for removing any remaining water from the food and putting it into the bloodstream, as well as forming the stool we eventually pass through our back passage. What we pass is the left-over material the body has no use for.
  • Anus: The final part of the digestive system. We all know what happens here.

In a nutshell, it’s a long and winding road from food in, to stool out. The digestive system breaks down the food we eat, absorbs all of the good stuff and leaves all of the unwanted stuff for us to get rid of.

 

You’re asking me questions about the food I eat… all I want is help with my low back pain!

You might be thinking to yourself, why is my osteo so interested in what food I eat when I have come asking for help with pain?! It’s a fair question, and you wouldn’t be the only person to ask it. The old phrase, “you get out what you put in” is very relevant when it comes to the body. And it’s pretty simple when it’s broken down (excuse the pun!) in front of you. Our bodies require a wide range of nutrients in order to function, repair and grow. For example, we need to be able to break down carbohydrates in pasta to provide the body with glucose to use as energy, so our muscles can contract and move us around.

If we don’t feed the body with the right amount and quality of nutrients it needs, then the body can start to feel sluggish, disease can take hold, and you might not feel like you can do simple things like run or jump as easily as you used to. Our point is, your body is only as healthy as the food and drink you consume. Many of the sugary and nutrient-poor foods modern day society consumes can even lead to higher levels of inflammation in the body which can play a major role in how someone experiences pain.

This is why we are so interested in what you eat each day. Yes, as osteopaths we primarily treat the musculoskeletal system using hands-on techniques, but always remember the body is a whole. It is a maze of interlocking systems. If one system falters, it can affect the whole body until balance is restored. Dietary changes and treatment of the digestive system can have a huge impact on a person’s pain. So, the next time you are wondering why we go so deep into our questioning, this is the reason why.

 

Ways you can help your digestive system

If you want to get the most out of your guts, follow some of these simple rules:

  • Drink plenty of fresh water every day: We need constant replenishment of water because the body cannot produce it on its own.
  • Eat a diet high in fibre: Your gut will love you. Diets poor in fibre result in digestive dysfunction including constipation.
  • Keep your diet varied and full of fresh vegetables and fruits: This will help to cover you for fibre intake, as well as provide the body with important energy, vitamins and minerals.
  • Give the system a rest every now and then: Our digestive system is constantly on the go. Be kind to it by not over-eating and bingeing regularly.

If you have any questions on how you may make your digestive system work better for you, speak to your osteopath during your next appointment. Don’t yet have a next appointment? Calls us today on 03 9846 2800

 

Are you vegan? Learn more about healthy eating here: https://infinityhealthandosteo.com.au/healthclippings/know-a-vegan/

References

  1. Chila, AG. et al. 2011. Foundations of Osteopathic Medicine. 3rd ed. Lippincott, Williams & Wilkins: Philadelphia
  2. National Institute of Diabetes and Digestive and Kidney Diseases. 2017. Your Digestive System & How it Works. [Online]. Available from: https://www.niddk.nih.gov/health-information/digestive-diseases/digestive-system-how-it-works. [Accessed 08 May 2021]
Health

Vertigo: symptoms and treatment

Vertigo: Symptoms and Treatment

This month, we’re focusing on the head — specifically, a condition that causes dizziness. Welcome to the world of Benign Paroxysmal Positional Vertigo (BPPV). Simply put, it’s a sudden, non-serious attack of dizziness triggered by changes in head position.

What Is Vertigo?

Vertigo is a type of dizziness where you feel like you or your surroundings are spinning, swaying, or whirling. It often feels like movement is happening when it isn’t. The most common cause of vertigo is BPPV. Other causes include Ménière’s disease (which also involves hearing loss and ringing ears) and labyrinthitis (inflammation of the inner ear).

Your ear has three parts: outer, middle, and inner. The outer ear is what you see on your head. It leads to the middle ear, which houses tiny ear bones and connects to the inner ear. The inner ear contains the cochlea (for hearing) and the vestibular system (for balance). BPPV involves this inner ear section.

What Causes BPPV?

The inner ear is complex. It’s a maze of fluid-filled chambers and canals. There are three semi-circular canals positioned to detect head movement in three directions: nodding, tilting, and turning. Tiny crystals inside these chambers help send movement signals to your brain.

Sometimes, these crystals detach and move into the canals. When this happens, they disrupt signals to the brain. The brain then thinks you are moving even when you are still. This mismatch between what your eyes see and what your ears feel causes vertigo. It’s like a confusing mix-up your brain can’t ignore — and it feels pretty unpleasant!

BPPV attacks often happen with quick head movements, like rolling over in bed, sitting up, or looking up. A recent head injury or age-related changes in the inner ear may also trigger BPPV.

Signs and Symptoms

The main symptom is a spinning or swaying sensation. You might also feel light-headed, off-balance, or nauseous. Attacks usually last a few minutes and come and go. Some people have symptom-free periods that last months.

If your vertigo lasts longer than a few minutes or you have additional symptoms like headache, hearing loss, numbness, tingling, speech trouble, or difficulty coordinating movements, seek medical help immediately. These may be signs of a more serious condition.

Can Vertigo Be Treated?

Good news: BPPV is very treatable. Most people first see their GP, who may refer them to us at Infinity for assessment and treatment. We start with a detailed consultation and physical exam. To confirm BPPV, we might perform a Dix-Hallpike test. This test may temporarily trigger symptoms, but we explain everything clearly and get your consent before proceeding.

Treatment involves specific head and body movements to move the crystals back to their proper place. The most common treatment is called the Epley Manoeuvre. It starts with you seated, then moving to lying down, and back to sitting upright. Sometimes, other manoeuvres are needed depending on which canal is affected.

After treatment, we give you advice on what to do (and avoid). You may need to keep your head still for the rest of the day and avoid heavy exercise. We usually see you again within a few days to check progress and continue treatment if needed.

Final Thoughts

Many patients come thinking they have vertigo, but it’s often other structural issues causing dizziness. That’s why a thorough consultation is key to getting the right diagnosis and treatment plan. If you suspect you have vertigo, come see us. Osteopaths are highly trained to treat dizziness and much more.

Helpful Links:
Jayden’s Explanation: https://youtu.be/4dFY8N9jsmw
More on Vertigo: https://infinityhealthandosteo.com.au/healthclippings/vertigo/

Health

How to incorporate mindfulness into your daily life

How to incorporate mindfulness into your daily life

What is mindfulness?

Mindfulness is simply paying focused attention to the present moment in a curious and nonjudgmental way. The need for an empty mind during meditation is a common misconception and often leads to a feeling of failure, causing people to give up. The great thing about mindfulness is that you can’t really fail! When your mind starts wandering off again, you can always bring it back to the present moment, observe your own thoughts, feelings and sensations.

How does it work?

Some experts believe that mindfulness works by helping people to accept their experiences-including painful emotions, rather than avoiding them. For instance, it lessens the feeling of pain, as the region of the brain that feels this pain is less connected. This induces change in both your brain and your body, as it is seen to have physiological effects. Mindfulness has an effect on the hormones and chemicals that the body produces, causing a relaxed state.

What are the benefits?

  • Reduces stress
  • Decreases anxiety
  • Improves memory
  • Reduces overthinking
  • Experience fewer depressive symptoms
  • Increase in focus and attention
  • Decreases emotional reactivity
  • May help with chronic pain

Simple mindfulness techniques:

  1. Basic mindfulness meditation – Sit quietly and focus on your breathing. Allow thoughts to come and go without judgment and return to your focus on breath.
  2. Body sensations – Notice body sensations such as warmth or tingling without judgment and let them pass. Notice each part of your body from head to toe.
  3. Sensory – Notice sights, sounds, smells, tastes, and touches without judgment and let them go.
  4. Emotions – Practice naming emotions: “joy,” “anger,” “sadness.” Accept the presence of the emotions without judgment and let them go.
  5. You may choose any daily task or moment to practice mindfulness, such as eating, showering, walking, or relaxing.

 

For more mindful and healthy habits to implement in your daily life: https://infinityhealthandosteo.com.au/exercise/healthy-habits-for-2022/

Exercise Health Injury

Cycling pain or problems?

Cycling pain or problems?

Don’t stop riding, but find a way to do it well and stay comfortable. You often hear how good cycling is for you, but you needn’t endure unnecessary pain or discomfort in your joints whilst doing it! 

What falls into this category?

  • Thoracic outlet syndrome
  • Neck/lumbar facet sprains
  • Headaches
  • Muscle strains
  • Shoulder, knee or hip injury
  • Bursitis 
  • Fractures (from falls)
  • Elbow or wrist sprain or injuries

What are the symptoms?

  • Tingling in arms
  • Pain or stiffness
  • Aching in lower back or hips
  • Catching or pinching sensation

When should I get treatment? 

If you are experiencing persistent or worsening pains for over a few weeks. It’s best to seek help earlier rather than later to avoid potentially making things harder for yourself in the long run! Even more so, it usually means less layoff time and we will try to avoid stopping you cycling as much as possible!

What treatments help?

It actually heavily depends on your issue for this, but it’s worth asking the question. Typically we’ll aim to reduce the load for your problem, and strengthen it to prevent it being an ongoing issue, but it may include some of the following:

  • Manual therapy (eg. massage, stretching etc)
  • Exercise prescription (better endurance, power or generalised core stability)
  • Plyometrics use for serious riders
  • Postural management
  • Bike setup for less strain through neck and shoulders
  • Stretches (for hip, hammy and Low back flexibility)
  • Yoga may be very beneficial too!

 

We love cycling and want you to feel comfortable on the bike as much as possible.

Book online to improve your performance or feel better

Reference: https://pubmed.ncbi.nlm.nih.gov/2011683/

Health

Injury blog: Shoulder impingement

Injury blog: Shoulder impingement

Suffering from shoulder pain?

As osteopaths, shoulder pain is up there as one of the most common complaints we treat. Office workers, gym goers and overhead sports people such as basketballers and netballers are all regular victims of shoulder pain. Subcranial, or shoulder impingement is a common complaint we see. Say ‘shoulder’ and most people think of a ball and socket joint. This does indeed make up a large part of the shoulder, but there is much more to it than that. Above the ball and socket joint sits a bony ‘bridge’ which is made up of the collar bone. The shoulder blade (specifically the ‘acromion’ part of the shoulder blade). And finally a joint which connects the two (aptly named the ‘acromio-clavicular’ joint). Beneath the bridge and above the ball and socket joint is a small gap called the sub-acromial space (sub= underneath). It is within this space that impingement occurs and causes pain when moving the arm.

Why does impingement occur?

Well, there are quite a few soft tissues which run through this space that help keep the shoulder functioning. These parts include the tendons of the biceps and one of the rotator cuff muscles (a ligament and a fluid-filled sac called a ‘bursa’). Bursi allow smooth, frictionless movement around joints and can be found all over the body. Any of these body parts can be involved in shoulder impingement if they become inflamed. Repeated overhead arm use in throwing sports, or chronic poor positioning of the shoulder in desk workers can lead to these soft tissues becoming irritated and inflamed. For example, a cricketer who spends a large part of their career throwing a ball could experience increased stress placed on the rotator cuff tendon that passes through the space, leading to inflammation, wear and tear, and poor movement. This then has a direct effect on other surrounding structures, potentially causing an inflamed bursa too.

Signs and symptoms


When someone has shoulder impingement, they may experience any or all of the following:
– Pain when moving the arm
– Decreased range of motion in the shoulder
– Weakness when using the arm
– Reduced ability to perform everyday tasks such as reaching up high in a cupboard, doing up a bra, putting on a coat or holding/lifting a child
Get to the osteo!
If you want to get on top of your shoulder pain quickly, then we recommend a trip to see us here at Infinity. During a thorough assessment we will work out what lifestyle or movement factors are responsible for your pain. Using a combination of soft tissue massage, joint mobilising, and many other techniques, will help reduce your pain and get you moving. Those with shoulder problems often have issues related to neck or back movement, so don’t be surprised if we look further than the shoulder for answers to your problem. If you are a thrower, we may ask you to demonstrate a throw so we may see how you are moving (don’t worry, we won’t ask you to do this if you are in acute pain). Likewise, if you are a desk worker, we may ask to look at your desk set up and sitting posture. Getting you to take a photo of yourself at your desk is often helpful for us to see if you need to make postural changes. When it comes to lifestyle advice, whether it’s the hobbies you have or the way you sleep, we’ve got you covered!We pride ourselves on awesome treatment, but shoulders are often tricky to treat, and some cases may take longer than others. To ensure you get back on the right path as quickly as possible, always follow our advice between treatments, and please do your exercises! Weakness and instability (a possible cause of shoulder impingement) need strengthening, and strength takes time to build. Consistency is key with exercise. We will educate you on what you need to do, but you need to be the one to do it at the end of the day. It’s a team effort. We know it’s hard to keep motivated, but rest assured we will always be there on those days when you need a hand!

If you want to give pain the cold shoulder, book an appointment today at infinityosteo.com.au. Or give us a call on 9846 2800 and visit us at Donvale, Templestowe or Warrandyte.

Clippings Health Injury

Let’s talk about TMJ dysfunction

Let’s talk about TMJ dysfunction

The summer of 2021 is here and with that is often an  influx of social gatherings, work Christmas parties and family get-togethers coming your way. What do we do at these gatherings? We talk, eat, drink…! Therefore, it’s very important that you have a good functioning jaw right?! Do you get jaw pain or clicking? Do you also suffer from headaches or neck pain? This month we’re focusing on our jaw joints – what we use them for, how these joints can cause issues and what we may do to help.

A bit of anatomy…

The jawbone (or mandible) is the bone which hangs from your skull, creating the lower part of your head. It houses the lower teeth and attaches to either side of the head just in front of the ears. Put your fingers just in front your ears in line with the ear holes, slowly open and close your mouth and you will be able to feel movement at these joints.

These joints are called the temporo-mandibular joints, or TMJ. Movement at these joints occur when we open and close our mouth during activities such as eating and talking. As well as opening and closing our jaw, we may move it side to side and forwards and backwards.

Movements of the jaw, such as chewing, are controlled by various muscles. Three main muscles close our mouth, and one main muscle aids with opening it. This makes sense when you think about the effect of gravity on the body- we need a bit more help to close our mouth and bite into our food than we do to open it and let it hang.

Problems with the TMJ

A common jaw condition Osteos treat is TMJ dysfunction, which affects women twice as much as men. Problems can arise from many structures in and around the joint, including the muscles, joint surfaces and a small disc which sits inside. Muscle imbalances are common and can lead to stiffness or pain (or both) when opening and closing our mouth.

Tightness in the surrounding muscles could be a result of trauma to the jaw (like with being punched or hitting your chin during a fall), clenching when sleeping (known as ‘Bruxism’), a neck dysfunction/restriction, or from dental problems such as having an uneven bite. People who are highly stressed will often clench their jaw in their sleep, which may lead to waking up with a sore jaw or headaches.

The small disc inside the TMJ slides and moves during jaw movements. Sometimes this disc can become ‘displaced’ and may not slide and move as smoothly as it should. This can often lead to a jaw that clicks or cracks when opening the mouth. For the most part, the click is painless, however some people may experience pain alongside a click. In some severe cases the jaw may temporarily lock, which as you can imagine would be quite distressing. Pain from the jaw joints can sometimes present as ear pain.

 

Osteopathic treatment for TMJ dysfunction

Treatment for TMJ dysfunction will depend on the cause of the dysfunction. A simple muscle imbalance may be corrected by soft tissue release of the jaw muscles, joint mobilisation, and corrective mobility and strengthening exercises. It is rarely that simple though. More often than not, a TMJ dysfunction will come hand in hand with a problem in the neck and shoulders, be it restriction of movement or poor stability and strength in the region.

An osteopathic approach to treating TMJ dysfunction will include a thorough assessment of the head, jaw, neck, shoulders and mid-back. Because of the proximity of the jaw and neck, you rarely get dysfunction in one without the other. Your osteo will ask you about your occupation, sleeping habits, hobbies, and current stress levels – all of which may be playing a part in your condition. If your osteo believes your TMJ issues stem from a dental issue, they may advise a visit to the dentist (Templestowe Dental Group) for a check-up as sometimes problems may be resolved with input from both professions. If clenching is an issue, you may find it useful to wear a gum shield or mouth guard to bed to alleviate pressure on the jaw and teeth.

We appreciate it’s not the best look in the world, but it may be a game changer! Stress management including breathing exercises, relaxation and mindfulness techniques may also be a great way to handle that stress in your life. Don’t worry, your osteo will have some tricks and tips up their sleeves for this too. Always let them know if you feel like you need help with this aspect of your life.

If you think you might have a jaw problem, don’t keep it tight-lipped. We’ll have you ready for copious amounts of food, drink (we say copious, but we mean in moderation, of course) and chin-wagging in the upcoming festive season. We hope you have a jaw-lly good Christmas!

Look after yourselves,

Evan

Health

The Lymphatic System

The Lymphatic System

What is the lymphatic system?

One part of it is a collection of small tubes found right throughout the body, and you can think of these tubes as part of the circulatory system of the body. Say ‘circulatory’ and everyone thinks of blood, arteries and veins, but the buck doesn’t stop there. The lymphatic tubes are well and truly just as important as the tubes that carry blood around the body. The other part of the lymphatic system is a collection of larger tissues found in various areas of the body and you can think of these as part of the body’s defence system. So straight away, you can see it’s pretty important!

Let us take a look at these areas in a little more detail… A little recap for you on circulation…Arteries take blood from the heart to the body, and veins take blood from the body back to the heart. Where does the lymphatic system fit in to all of this? Well, the tubes (or vessels) of the lymphatic system roughly follow the pathway of the veins in the body (so back towards the heart). The pump of the heart creates pressure, which drives blood through the arteries where it gets distributed to all of the different tissues of the body (i.e. our skin, muscles, bones and organs). However, the pressure from the arteries causes some of the fluid and nutrients in blood to leak out into the surrounding areas. This is where the lymphatic tubes kick in. They pick up the excess fluid and nutrients (mainly proteins) and send it all back towards the heart to be re-used by the body. This ensures every valuable bit of fluid and nutrition in the body is not wasted. Very efficient right?! The fluid that travels through lymph vessels is simply called ‘lymph’.

The lymph is transported through the lymph vessels by a combination of muscle contractions in the vessel walls, and us moving our bodies (another reason why moving is so good for you!). Along the way back up to the heart, the fluid is passed through a filtering station called a lymph node. Here, any of the bacteria, viruses, or even cancer cells that are in the lymph are dealt with swiftly by our immune cells. The freshly cleaned lymph is then sent further along the chain until it reaches a vein close to the heart. Here, the lymph re-enters the blood and the cycle continues.

Before we forget, in the small intestines there are some very specialised lymph vessels which help the body to absorb fats from the foods we eat. This is another important function of the lymphatic system!

Defence, defence, defence!

On the defensive front, there are various tissues located around the body (called lymphoid tissues) where the production of the defence cells of our immune system occurs. The main tissues include the ‘thymus’ – which is found in the upper chest region, and the ‘spleen’ – found in the abdomen. If it wasn’t for these handy organs, we would be much more susceptible to infection and disease. We have a lot to be thankful for with the lymphatic system!

How to book an appointment

To book with one of our practitioners: For pure lymphatic drainage, I would suggest calling 03 9846 2800 and booking with one of our wonderful Massage/Myo Therapists. If you’re not sure you might like to book with any practitioner that suits you so we can determine what will best help the flow of your lymphatic, and circulatory systems. To do this you can also call 03 9846 2800, or you can book online

We love lymphatic systems

So why are we so interested in this system? Well, at the heart of Osteopathy lies the principle of maintaining fluid balance throughout the body – we’re all about keeping the flow going. But sometimes, the flow of fluid in the body may become compromised, perhaps due to injury or disease. Congestion in the tissues then occurs and things start to stagnate. This may lead to a whole host of issues including reduction in mobility, pain, and imbalance throughout the body. A dysfunctional lymphatic system may lead to a type of swelling called lymphedema, which is essentially a backlog of lymph fluid. This often occurs in the hands, arms, feet and legs. Depending on the cause, this is something your trusty Osteo is skilled at dealing with, so always seek help if you notice swelling. Regardless of your issue, our treatment will aim to restore the flow of fluid through the body.

We hope this has been interesting and educational, and that you now have a newfound respect for the intricacies of the human body and the importance of looking after those bodies! Here’s to health!!

Clippings Exercise Health Injury Pregnancy

Lumbar Disc Injury

Lumbar Disc Injury

Lumbar disc prolapse: Symptoms and treatment

It’s moving day and you’ve been running around packing, unpacking and lifting boxes and awkward furniture all day. You can’t stop though, because there’s still more to do. It’s onwards and upwards with another load in the back of the ute. You bend down to pick up the umpteenth box of the day and bang! You’re hit with excruciating low back pain and a shooting pain down the back of your leg. It’s crippling and you’re struggling to catch your breath and stand up straight. It’s a scenario that a lot of us are familiar with, unfortunately, but what has caused this searing pain? One possible and relatively common cause for such pain is a lumbar disc prolapse. Sit back with a coffee and let us take you through the ins and outs.

What is a disc and what just happened when I bent down?

Your spine is made up of many vertebrae spanning from the neck all the way down to the tailbone. Between each vertebra sits an elastic-like structure called a disc. The disc is made up of a tough outer section called the ‘annulus fibrosus’ and a gel-like inner section called the ‘nucleus pulposus’. The discs separate the vertebrae to allow movement, and during movement they provide shock absorption to forces acting on the spine.

Common causes of disc prolapse include trauma, degeneration of the disc tissue as a result of poor posture (for example, lots of slouching or slumping) and repetitive bending movements. When we bend forward, particularly under load (like with our house mover above who had been repetitively picking up and putting down heavy boxes), the forces acting on the discs (especially the inner nucleus) increase drastically. Over time these repetitive movements may cause small micro-tears in the layers of the outer annulus, which weakens the overall structure of the disc. Slowly, the nucleus gets forced out and a small bulge may occur (there is often no pain at all at this stage). If these movements continue, or if you go to pick up that box which is just too heavy for you, the force is too much and the bulge may progress to a larger protrusion.

As with any injury, the initial response of the body is inflammation. The presence of inflammatory chemicals alone may cause irritation to the surrounding nerve tissue as it exits the spine, or you may get actual contact of the disc on the nerve itself, causing impingement. This process may be quite painful and you should be seeking medical advice if you feel pain.

 

‘What should I expect to feel when this happens?

The signs and symptoms of a disc prolapse can vary greatly depending on the type and severity of the prolapse and where the spine is affected. A prolapse may happen slightly out to one side of the disc, affecting only the nerves on that side of the body (this is most common). Or it may occur in a backwards direction, potentially affecting nerves on both sides of the body. A small bulge may only yield mild symptoms, whereas a large prolapse may cause more severe symptoms. However, this is not always the case.

 

Some of the symptoms you may experience include:

  • Low back pain
  • Pain running down the front, side or back of the leg
  • Pins and needles or tingling down the leg
  • Numbness down the leg
  • Muscle weakness (this may manifest as losing the ability to lift your foot)

The most common disc prolapse affects the L5/S1 disc (the lowest disc in the spine) and will give symptoms down the side and back of the leg. Your practitioner will ask you lots of questions and do a number of tests to determine exactly which area is being affected.

 

How do we treat disc prolapses?

Initially, you may be in a lot of pain and simple movements such as standing up straight may be very difficult to perform. This is because the body is trying to protect you from doing further damage. Once inflammation occurs, the body needs a few days to deal with what has happened. So, if you come to see your Osteo straight away, don’t expect to feel better after one visit. In fact, it is quite possible you will feel worse in the coming days before you start to feel better. The advantage of seeing your Osteo early is that they can educate you on the do’s and don’ts, tell you what to look out for and inform you of what to expect going forward. The unknown is often scary, but your Osteo will be able to ease your mind, even if not the pain immediately.

Early on, we’ll get you moving better. We will also give you breathing, relaxation and core activation exercises to help the body cope better with the pain. A disc will often prolapse because of poor core stability, so getting you on the path to rehabilitating your core is very important. When it is possible, we will relax the tight muscles and reinstate movement to joints that may have seized up and become restricted following injury.

Our focus is to ensure the fluids of the body (i.e. blood, joint fluid, and lymphatic fluid) are moving freely around the body. When injury occurs, these fluids may become congested and a bit stuck around the area of injury, and sometimes need a little help to get moving again. This will ensure a speedier recovery. The injury site will need lots of fresh blood to the area, while the lymphatic system will need to be flushed- ridding the area of all the bad stuff. Depending on the severity, discs generally take around 3-6 months to fully recover.

Your Osteo is trained to help you through the injury process, so you can rest assured that you are in good hands. We know when and how to treat, and know what to look for to ensure you are seen by the right people if it’s required (this might include your GP or a specialist if necessary). If you think you have a disc prolapse or have previously been diagnosed with one and need help managing it, then look no further. Call us today to book your appointment.

Health

Stiff and painful neck? Facet joint injury explained

Stiff and painful neck? Facet joint injury explained

Treating stiff and sore necks has to be up there as one of the most common things we do for patients on a day-to-day basis. There are numerous causes for neck pain, the most common being muscle strain, joint restriction, underlying degeneration and disc-related injuries. We regularly see injuries relating to the facet joints of the neck. Facet joints are the small joints between two vertebrae in the spine.

What are facet joints there for?

Depending on their position, they restrict and allow certain movements based on how the joint surfaces are orientated. In the neck, the joints are orientated in such a way that allows for relatively large amounts of movement, through forward and backward bending (flexion and extension), side-to-side bending (lateral flexion), and some twisting (rotation) too. If you move your head around, you will notice your neck is the most mobile part of your spine. This can mean it is at higher risk of injury.

How do these joints get injured?

It could be something as silly as a quick glance over the shoulder to check your blind spot in the car, or spending an extended period looking up like when having to paint a ceiling in a house. There are usually underlying movement issues that lead you to this point, such as joint restrictions higher up in the neck or in the mid-back. That quick glance over the shoulder could be enough to sprain it (some patients call it a “crick”), or the long period spent looking up could over-compress the joint surfaces and lead them to lock up. Mums who spend hours looking down at their bubbas can also put these joints under strain, ending up with a very stiff and painful neck.

Can an Osteopath help?

Of course! In addition to our manual, hands-on treatments, there are many ways we may help. When you come into Infinity, we will sit down with you and have an in-depth chat to get a real understanding of your lifestyle and the issue you’re currently experiencing. We’ll scan through the risk factors and help you understand how to minimise them so that you can try to prevent those pesky sore neck issues. We’ll look into your home and work life, hobbies and sports and even how you spend your time relaxing and sleeping. These are all areas that may play a part in your health.

Initially, we will focus our attention on relieving your pain. Our treatment will be hands on to massage the muscles, mobilise the joints, and possible use of manipulation to achieve optimal joint motion and muscle relaxation. We’ll then give you some exercises and lifestyle advice so you leave knowing how to manage the problem at home and continue to improve further.

A locked facet joint will typically take a few days to calm down following injury. Once the initial inflammation reduces, the pain will begin to decrease, movement will start to improve and you should start to feel back to normal again. We want you pain free and moving better than ever!

Look after yourselves,

Evan

Health

How it all started

I have loved sports from a young age. Dad grew up playing tennis and rugby, and watching motorsports. It definitely rubbed off on me, but my passion for sport was a little different. While I really liked sport and wanted to be involved, I knew I wasn’t athletically good at anything in particular (I tried everything). Oddly, what I really liked was watching replays of people injuring themselves. What did they do? Why is that different from that other thing? It clicked. I was fascinated by the human body.

My earliest memory of replaying an injury over and over again is the video below. It’s Darren Cresswell from Sydney whacking his kneecap back in after it dislocated. I didn’t really know what was happening but looking back, I now realise that this was the awakening of my obsession with rehab. My own knee injury a number of years ago resulted in physio, myo and osteo treatment. Call it recon, but I wanted to experience the different treatments and experience all the different aspects of therapy.

While the human body has been extensively researched and studied, our knowledge is still evolving and prior recommendations are now being altered, flipped and rewritten. Now the fun bit is following the updates and following that passion that still rumbles inside. We’re forever learning, changing and adapting, and I’m loving every second of it!

Look after yourselves,

Evan

 

Warning: Graphic kneecap dislocation video

Health Injury

How To Simplify A Shoulder

The shoulder consists of many different structures (tendons, bursa, capsules, ligaments and more) and each of these structures create different sensations when problematic. This can make treating shoulder issues seem complex and confusing from a patient’s perspective. The number of tests, yet lack of specificity, sensitivity and in some instances, unreliability of MRI scans are create some significant problems with the shoulder. To simplify things for the patient, we ask a couple of straightforward questions.

Is it torn, stiff or irritable?

To question the quality of pain you can simplify it to three terms – torn, stiff and irritable. Once we get an idea of what kind of pain and where you are suffering, the job of a therapist is to change that. Reduce the pain, improve the motion and ensure it’s unlikely to happen again. The practitioner will need to seek out the pain causing structure and determine the best cause for reducing the load. This may be as simple as removing an activity or altering a strengthening exercise.

 

Is it strong enough to do what it needs to do?

This second question enables us to determine how much and where we need to build the strength of the shoulder, to enable it to do the tasks you want it to. Those tasks can be simple day to day things like hanging clothes and cleaning, or as difficult as overhead lifting for roofing.

Yes, there may be an issue with being too simplistic when considering a complex joint. However here in lies the failure of the current understanding where often diagnosis of “impingement” or “rotator cuff” and prescribing exercises for “scapular stabilisation” are not helpful enough and does not provide sufficient information. As mentioned above, they all are unreliable on testing and MRI. A lot of therapists may over complicate a very difficult joint, but the easier it is for you as a patient to understand, the more efficient you can be with your exercise. Which is a brilliant thing for getting you back playing tennis, carrying little ones or serving pizza!

Exercise Health Kids

You Need to Start Walking

You Need to Start Walking

Man has spent centuries on packaging the world into a neat space with a roof, lights, and climate control. Because of this, we tell ourselves that we are advanced, evolved beings.

But we’ve got it wrong.

The modern fitness world has spent billions of dollars developing machines (and advertising them to you) in order to keep you fit and healthy.

But they’ve got it wrong, too.

Walking is the single most beneficial thing you can do for yourself after going to bed earlier and eating better.

Consider the following:

  • twelve-year study by Hakim et al. found that men who walked less than a mile per day died at a rate double that of those who walked at least two miles per day.
  • 2015 study by Zhao et al. found that for men without critical diseases found that walking over two hours per day was significantly associated with lower all-cause mortality. For men with critical diseases, walking one to two hours per day showed a protective effect on mortality compared with walking less than half an hour per day.
  • ten-year study published in 2015 by Dwyer et al. showed that increasing your step count to 10,000 steps per day (for me this amounts to roughly 5km of walking plus my normal back and forth in the gym) lowered risk of death by 46%.

In addition, a nearly ten-year study by Williams and Thompson published in 2013 found some amazing things relating to walking:

  • People who walked slower than 24.19 minutes-per-mile (equivalent to covering 400m during a six-minute walk test) showed the highest risk of death from cardiovascular disease, heart failure, and dementia.
  • The risk of dementia increased 6.6% with every extra minute per mile. That is to say, the slower you walk the more likely you are to develop dementia. During their test, researchers found the slowest walkers had a nearly three times more likely chance of developing dementia than the fastest walkers.
  • A slower minute-per-mile pace led to a 2.4% greater chance of cardiovascular disease, a 2.8% increase in risk for ischemic heart disease, a 6.5% greater risk for heart disease, and a 6.2% increased risk for hypertensive heart disease.

The Link Between Walking and Vitamin D

If you’re not sold on walking yet there’s another factor to consider. Vitamin D is an important hormone in our health. Low levels of Vitamin D may lead to:

  • Depression
  • Increased risk of bone fractures and osteoporosis
  • Muscle aches and weakness
  • Periodontitis (bone weakness relating to tooth loss)
  • Birth defects

Vitamin D deficiency has also been found to be highly associated with obesity.  That also means it may be a precursor to diseases that stem from obesity such as diabetes, hypertension, and heart disease.

Do you know what the number one source of Vitamin D is? It’s the sun.

This is one of those things where modern gyms have almost got things right, but then failed right when it counts. They provide a way for you to increase your walking daily by having treadmills available but those treadmills are inside and under a bunch of fluorescent lights that don’t help you get any vitamin D.

While I understand that sometimes a treadmill is useful — like if it’s cold, dark, snowing, or possibly unsafe to walk the streets — then it’s a great way to add some walking to your day. However, if it’s not cold, dark, snowing, or unsafe, then it’s probably best to walk outside so we maximize the benefits and absorb as much vitamin D as possible.

The Science of Walking and Stress Relief

The benefits of walking don’t end at Vitamin D and mortality rates. On a short-term basis, walking may help to counter regular daily stress. And when paired with sleep, walking becomes a powerful one-two punch to allow you to turbo charge your recovery.

How can adding more movement to your day help, you ask? Surely everything has a recovery cost? In most cases that is true. Loaded walking, such as farmer walks or rucking, definitely has a recovery cost. However, unloaded walking has a recovery benefit. This kind of walking is like moving meditation when it comes to lowering stress hormones in the body and coaxing us back to a more recovered state.

For instance, a 2007 study by Morita et al. out of Japan found that walking in nature led to a decrease in stress response and emotions. They measured heart rate variability (HRV), blood pressure, pulse, and cortisol as well as subjective measurements of comfort, calm, and relaxation. They found a significant shift in HRV towards the relaxing (parasympathetic) side of the nervous system. Said simply: walking calmed the nervous system. In a world filled with stress, instant messaging, and lack of sleep, walking definitively calmed the body down.

This was backed up with a 2017 study by Di Blasio et al. that found that post-menopausal women experienced a significant lowering of cortisol provided they walked daily. Those who walked sporadically did not see any significant reduction.

But we’re still not done with walking…

How It Improves Body Composition

One of the things I always do is benchmark. I make a practice of noticing what the most successful people do and emulate it. When it comes to being lean and muscular, bodybuilders have it right. Forget the excessive drug use and being as big as a house. At its core, bodybuilding is about having a lean and muscular physique — something I am sure many would want.

If you ever spend time with a bodybuilder, you will notice one thing when it comes to their cutting phase — there is never any high-intensity interval work. None. Zero Zip. Zilch. Nada. The reason is simple — it is too costly and may result in decreased muscle mass. Bodybuilders have intuitively grasped the elements of recovery necessary for muscle growth and, in an effort to always optimize that growth, they spend the rest of their time doing the minimum they can to get the best result. And that result comes from low impact, easy effort cardio.

In other words, they will go for a slow walk.

If you’re a 90kg male, then you’ll burn roughly 400cal/hour walking. That may not sound like much, and in relation to many other activities like running (~700-1000cal/hour) it isn’t. However, remember that walking lowers stress, allows you to absorb vitamin D, and helps you live longer — so maybe all exercise isn’t about the calorie count.

But even with all that taken into consideration, if you walk for an hour a day you’ll burn 2800 cal/week (400 calories x 7 days). One kilogram of fat has 9,000 calories. That means an hour of walking a day will help shave one kilogram (2.2 pounds) off your waistline over a three-week period. That amounts to 17lb or 8kg over the course of a year — and all with no actual food restriction to achieve it. Who wouldn’t like to lose that much fat over the next twelve months?

Make It a Year of Walking

If you haven’t figured it out yet, I am a huge fan of walking. There are just too many benefits to ignore. If you want to make this year your healthiest year ever, you need to start with a foundation of health first. Sleep, wholesome food choices, and walking are the cornerstones of building enormous fitness potential. With so many benefits you really have no reason not to lace up and get outside more often.

Written by Andrew Read and originally posted on Whole Life Challenge

Health Kids Pregnancy

How to Nurse a Baby Without Back and Neck Pain

How to Nurse a Baby Without Back and Neck Pain

Bringing a newborn home is one of life’s most exciting—and exhausting—moments. But for many new mums, breastfeeding also brings unexpected challenges, including back and neck pain caused by long hours in awkward positions. The good news? With the right setup and a few adjustments, you can nurse your baby in comfort and protect your body at the same time.

This guide is part of our Postpartum Pain Clinic series, where we explore common challenges new parents face and how to prevent them. Today, we’re focusing on breastfeeding ergonomics and what you may do to avoid the aches that often come with it.

Why Breastfeeding Can Cause Pain

In the early days, much of the focus is on getting your baby to latch properly—a process that can take weeks or even months. But even after that hurdle is cleared, many mums find themselves hunching forward, craning their necks, or twisting into awkward positions during feeds. Over time, this may lead to:

  • Neck stiffness and headaches
  • Upper and lower back pain
  • Wrist and hand discomfort (sometimes even tendonitis)

When you’re feeding every few hours around the clock, these postural stresses add up quickly.

Do: Support Your Body and Your Baby

Physical therapist Stephanie Leaf, a specialist in postpartum recovery, offers some key advice:

  • Keep your back supported and upright – choose a chair with good lumbar support or add a cushion behind you.
  • Engage your upper back – slowly pull your shoulder blades back to protect your neck and upper spine.
  • Bring baby to you – use a nursing pillow or cushions so you don’t slouch down toward the baby.
  • Support your wrists and hands – hold the baby with flat, open hands rather than gripping tightly.
  • Ground your feet – keep both feet supported on the floor, or use a small stool if needed.

Many mums find that a specialised nursing pillow, or even a stack of regular pillows, may make a huge difference. A nursing stool may also help by keeping your knees and hips in a comfortable position.

Don’t: Fall Into Common Postural Traps

It’s easy to slip into positions that feel convenient in the moment but cause pain later. Avoid:

  • Sitting hunched to the side with crossed legs
  • Rounding your shoulders forward and dropping your head down
  • Balancing awkwardly without back or arm support

If possible, invest in a comfortable chair or glider. Being able to lean your head back and relax during feeds may dramatically reduce neck and shoulder strain.

Try Nursing in Different Positions

Remember, you don’t have to stick to one position. Nursing while lying on your side, for example, may be a lifesaver during nighttime feeds. With the right head and arm support, this position may ease pressure on your back and give you much-needed rest.

Other Tips for Postpartum Comfort

  • Take breaks – careful stretches between feeds may help release tension.
  • Set up your space – keep water, snacks, and pillows nearby so you’re not constantly adjusting mid-feed.
  • Use support tools – nursing pillows, cushions, and stools aren’t luxuries—they’re essentials for your health.

It Gets Easier

As your baby grows, feeding usually becomes easier. Your little one won’t need as much propping, and you’ll naturally find more comfortable rhythms. Until then, setting up supportive nursing habits may make a world of difference.

Looking for the Perfect Gift for a New Parent?

If you’re expecting—or know someone who is—consider gifting items that support comfort and wellbeing. Check out our guide to pregnancy and baby presents for inspiration.

Final Thoughts

Breastfeeding doesn’t have to leave you with an aching back and stiff neck. By supporting your body properly, using the right tools, and varying your feeding positions, you can keep yourself comfortable and reduce pain while caring for your newborn.

At Infinity Osteo, we regularly help new mums navigate the physical challenges of postpartum life. If you’re struggling with ongoing pain, book an appointment with our team—we’d love to help you recover and thrive in this new chapter.

Health Kids

Conservative Health Care: A Smart Investment in Pain Relief

Conservative Health Care: A Smart Investment in Pain Relief

“You can’t cut out pain.” – every good orthopaedic surgeon ever

Despite all that we know about pain today, many people are still given treatments that don’t work very well, cost a fortune, and sometimes even cause harm. From medications that are ineffective for certain conditions (like anti-inflammatories and low back pain), to long courses of passive therapies with limited benefit, poor pain management is all too common.

And that’s just the beginning. The big-ticket items—like injections, nerve blocks, and surgery—often carry significant risks with very little long-term benefit. Of course, these treatments have their place, but they should not be the first line of care for most musculoskeletal problems. This is where conservative health care comes in.

What Is Conservative Health Care?

Conservative health care refers to non-invasive, low-risk approaches to pain and injury management. Rather than rushing into surgery or relying on heavy medications, conservative care focuses on flexible, more sustainable strategies to restore health.

Examples of conservative health care include:

  • Education, advice, and reassurance
  • Lifestyle and dietary changes (including supplementation)
  • Exercise-based interventions and rehabilitation
  • Physical or manual therapy
  • Certain medications (used appropriately)

When Should You Choose Conservative Care?

Conservative management isn’t right for every situation. Serious conditions like major infections, cancer, organ disease, or traumatic injuries require urgent medical or surgical treatment.

However, conservative care is ideal for:

  • Chronic, stable conditions that progress slowly
  • Non-specific presentations, like many cases of low back pain
  • Self-limiting conditions that resolve with time and supportive care

A general practitioner may often advise when conservative options are appropriate, making it a good first step for most patients.

Why Conservative Health Care Matters

Pain is the number one reason people see their GP. Unfortunately, much of it is poorly managed at the start, which may push people toward unnecessary invasive treatments later on. Conservative care shines here, offering targeted, cost-effective solutions that empower people to take charge of their recovery.

The Economic Impact

Let’s put it into perspective. In Australia, musculoskeletal conditions like back pain and osteoarthritis cost the economy more than $55 billion annually. Only a fraction of this comes from direct medical costs like imaging or medication—the real financial burden is the loss of productivity, income, and quality of life.

Despite clinical guidelines recommending conservative care as first-line treatment, only about 20% of low back pain patients receive guideline-based care. That leaves most people missing out on treatment that could prevent long-term suffering and reduce costs to both patients and the health system.

Benefits of Conservative Health Care

  • Safer – low risk compared to surgery or invasive procedures.
  • Cost-effective – more affordable upfront and reduces costly complications later.
  • Sustainable – lifestyle and exercise-based approaches may be maintained long-term.
  • Empowering – patients are active participants, not passive recipients.

Barriers to Accessing Conservative Care

So, if it’s so good, why don’t more people receive it? A few key barriers include:

  • Market forces – limited public health funding means GPs don’t always have time to provide education and reassurance.
  • Patient expectations – people often want a quick “fix” instead of gradual lifestyle changes.
  • Practitioner training – many clinicians are skilled at treatment, but less confident with behaviour change and long-term coaching.

From Cost to Investment

Many people view health care as an expense. But what if we reframed it as an investment? Just like a term deposit grows your wealth over time, conservative care grows your health. By spending a little time and energy now—on exercise, education, and healthier habits—you may reduce pain, prevent relapse, and improve your quality of life for years to come.

The returns on this investment are huge: fewer surgeries, less reliance on medications, and more years of active, independent living. In other words, more life in your years, and more years in your life.

Final Thoughts

Conservative health care is not about doing less—it’s about doing smarter. With the right education, lifestyle changes, and active management, many people may achieve lasting results without the risks and costs of surgery or long-term medications.

If you’re living with pain, don’t wait until it becomes overwhelming. Ask your health professional about conservative options and long-term management strategies that put you in control of your recovery. At Infinity Osteo, we help guide patients through this process every day.

📌 Learn more about related topics:
DOMS and recovery | Pain vs Damage

Ready to invest in your health? Book an appointment with our team today and take the first step toward sustainable pain relief and long-term wellbeing!

Exercise Health Injury

My Achilles Hurts: Causes, Recovery & Treatment Tips

My Achilles Hurts

Last night I played futsal (a form of indoor soccer), and this morning my Achilles hurts. Those first few steps to the kitchen felt like I was walking on bricks. The good news? I know it will settle — because this has happened before — and I’ve picked up a few tricks along the way that may help.

Why Achilles Pain Happens

The Achilles tendon is the largest tendon in the body, which makes it incredibly strong. That means pain in the tendon doesn’t always mean you’re at risk of a rupture — even though many people fear the infamous “gunshot” Achilles tear. In fact, most cases of pain are due to Achilles tendinopathy, not rupture.

While the exact cause of Achilles tendinopathy isn’t fully understood, there are some common risk factors:

  • 58% of sufferers are male
  • Reduced ankle motion, strength, or power (often after a previous ankle sprain)
  • Increasing load too quickly (returning from injury, sudden training spikes)
  • Training errors such as excessive hills, high frequency, or lack of rest
  • Poor footwear choices

It most commonly affects two groups: young athletes (15–25 years old) and desk workers over 45 who have limited activity. Both groups experience very different lifestyles but often share the same outcome — irritated, overloaded tendons.

The Recovery Journey

Recovering from Achilles tendinopathy can be a frustrating process. Not only is it slow to settle, but it can flare up again quickly if managed poorly. The psychological aspect also plays a big role. Many patients worry about rupture, which increases stress and slows recovery. Studies show that fear of tendon damage can cause people to avoid basic activities like walking or climbing stairs — which in turn reduces quality of life.

Research by Silbernagel et al (2010) found that even after 5 years, only 65% of people who followed progressive strengthening programs were completely symptom-free. Around 15% developed new symptoms, and 20% had ongoing issues. This highlights just how persistent Achilles problems can be — and why long-term management is essential.

What You Can Do

Managing Achilles pain appropriately means taking a structured, patient approach:

  • Understand your pain: Recognise the stage of recovery you’re in so you choose the right strategy.
  • Address lifestyle factors: Manage stress, get adequate sleep, and consider diet’s role in recovery.
  • Exercise wisely: Isometric exercises may provide pain relief, while eccentric loading helps rebuild strength.
  • Build tolerance: Gradually increase load to reduce pain and restore function.
  • Seek guidance: An osteopath may assess your tendon and provide hands-on treatment plus a tailored exercise plan.

Long-Term Management

To keep Achilles tendinopathy at bay, ongoing self-management is crucial. This includes both exercise and education. Runners should avoid certain high-risk patterns such as morning runs, hill training, or back-to-back running days until strength and resilience improve. Balancing training with proper rest and recovery is key.

For more strategies, you might also like our post on How to Fix 4 Common Running Injuries, which covers other overuse injuries like shin splints and runner’s knee. If you’re interested in structured exercise for injury prevention, see our article on Exercise as Medicine.

When to Seek Help

If your Achilles pain doesn’t settle, keeps flaring up, or stops you from doing the activities you enjoy, it’s time to seek professional help. At Infinity Health & Osteo, we may assess your tendon, reduce pain with hands-on care, and guide you through progressive rehabilitation to get you back to sport, exercise, or simply moving without discomfort.

Book an appointment today at our Doncaster East or Warrandyte clinics and take the first step toward healthy, pain-free movement.

Thanks to Clinical Edge, McAuliffe et al (2017), Silbernagel et al (2010), and tendon experts Tom Goom and Peter Malliaris for their insights.