// Added by CCS 1-7-15//
Ryde Chiropractor: Rotator Cuff Injuries

Ryde Chiropractor: Rotator Cuff Injuries

 Ryde Chiropractor in Focus: Rotator Cuff Injuries   Chiropractors as well as many health professionals see plenty of shoulder injuries, particularly involving a group of muscles called the ‘Rotator Cuff’. The term rotator cuff is used to describe the four main stabilising muscles of the shoulder. Given the shoulder joint is the most unstable joint in our body, the muscles of the rotator cuff have an important role in maintaining shoulder stability and integrity. Injuries of the rotator cuff tend to occur in sport related activities, particularly in young athletes, and can also occur with repetitive overhead movement or a fall on an outstretched hand. However, the population most affected by rotator cuff injuries is the over-50’s age group. As we get older, the tendon that attaches the rotator cuff muscles to the upper arm become thinner and more avascular. This reduction in blood flow results in an increased likely hood of fraying and even tearing the rotator cuff tendon. When presented with a patient complaining of shoulder pain, a Chiropractor is able to clinically diagnose whether the patient is suffering from a rotator cuff pathology. Once a clinical diagnose is determined, your Chiropractor may refer you for imaging to confirm the extent of the injury. Generally, conservative management which involves rehabilitative exercise and manual therapy is the recommended option in most cases of rotator cuff injuries. Your Chiropractor will aim to achieve three main goals during rotator cuff rehabilitation; Protection: immobilise the shoulder for a period of up to 6 weeks Regain mobility: Begin shoulder mobility exercises to regain movement Regain strength: Begin pain free shoulder strength training...
Is the way you walk contributing to your pain?

Is the way you walk contributing to your pain?

            Walking is something we do every day without giving it much thought. It’s how we have been getting from A to B since we found out what our legs were for.   As a Chiropractor at Back to Health Clinic one part of my job is to observe human movement, particularly our walking pattern or gait. You will be surprised how much information there is about a patient’s pain history simply by observing how they get up from their chair and walk over to the treatment room. And in many cases the way people walk could very well be contributing to their pain.   So here is a simple 3-point checklist on how to turn your walking pattern from a pain generator to a therapy;   Swing your arms             Might sound simple, right? However, you will be surprised how many people come to our clinic with pain and walk without swinging one or even both arms. Swinging your arms from the shoulders will create momentum and use the stored elastic energy in your back muscles which significantly reduces the activity of those stiff and sore muscles that are causing your pain. Increased arm movement during walking can also help with shoulder injuries such as sub-acromial bursitis and rotator cuff tendinopathies.   Lift your chest Have you ever seen helped an elderly person cross the street? Most likely she will be hunched forward and struggling to walk at your pace. But you don’t need to be old to be hunched. Almost everybody these days are stuck at a computer screen or looking down at their smart phones, which...
Exercise Physiology Services now NDIS approved at Back to Health Clinic

Exercise Physiology Services now NDIS approved at Back to Health Clinic

Exercise Physiology Services now NDIS approved at Back to Health Clinic, Ryde We are excited to announce that at Back to Health Clinic, our Exercise Physiology Services have been approved to be a part of the NDIS. This will help many of our clients around the Ryde area suffering from disabilities gain access to Exercise Services that are ‘completely’ covered by the NDIS Scheme. What is the NDIS? NDIS stands for ‘National Disability Insurance Scheme’ and it’s a new way of giving support to people with disabilities. The NDIS provides many areas of support including therapy services such as Exercise Physiology. How do I access the NDIS to see if I’m eligible? To find out if you are eligible for NDIS Services it’s best to visit the NDIS website at www.ndis.gov.au. There you will find how to start your NDIS cover and contact details if you would like to speak with a representative. How can Exercise Physiology help my condition? Accredited Exercise Physiologists are best positioned to provide exercise and lifestyle programs to help manage a wide variety of chronic health conditions such as; Multiple Sclerosis, Parkinson’s Disease and Stroke. At Back To Health Clinic our Exercise Physiology services include individualised exercise prescription, supervised group exercise classes, one-on-one exercise sessions and exercise reviews. So you will have no problem finding a service to suit your needs. Our Clinic is located in the Ryde area with easy ambulatory access and parking. To find out more information about our Exercise Physiology and Chiropractic Services, please call us today on 9874 1519. Back to Health Clinic...
Headache? Chiropractor to the Rescue!

Headache? Chiropractor to the Rescue!

Waking up with a pounding headache? Or can’t sit at your computer for more than 20 minutes without feeling a headache coming on?   You’re not alone!   Approximately 60% of people suffer from some form of headache at one time or another, with 30% going on to develop repeated episodes. This is a major pain in the rear! Not only are they annoying, but headaches also limit your work and social activities which costs our economy millions in reduced productivity.   However not all headaches are the same. Some are much more debilitating than others. So here is a list of the most common types of headaches;   Tension Headache: The most common form. Tends to develop throughout the day and is characterised by pain on BOTH sides of the head. The pain can even travel down the neck and to the tops of the shoulders. Mostly prevalent in occupations that require long hours of sitting and computer work. Migraine Headache: Affects 10% of the population. Many sufferers describe the beginnings of a Migraine as an ’Aura’; sensory disturbances such as blurred vision, difficulty focusing on objects and even tingling in the face and arms. The Migraine itself is characterised by pain on ONE side of the head and can involve; sensitivity to light and sound, nausea and vomiting and a general look physically run down. Cervicogenic Headache: Fairly common with pain originating from the neck and can refer pain to the head. Usually made worse by turning your head a certain way which can cause feelings of nausea and dizziness. Most commonly caused by an inflamed joint...
Coccydynia or Tail Bone Pain

Coccydynia or Tail Bone Pain

The coccyx, or better known as the tail bone, makes up the lowest most portion of the spine and can be a source of acute or chronic pain. Despite its small size, the coccyx plays and important role in the lumbo-sacral area by providing various attachment points for some of the strongest ligaments in the body, as well as attachment points for the posterior hip and pelvic musculature. When people present in clinic with pain in the lowest most portion of the spine, the coccyx is on top of the clinician’s working diagnosis list. When the coccyx is affected, people will often complain of sharp, pin point pain located at the upper portion of the gluteal folds. The pain is commonly caused from prolonged sitting or from trauma involving falling backwards on to the coccyx. The pain from an injury to the coccyx can be associated with bone bruising, ligament injury, joint subluxation (most commonly the sacro-coccygeal joint) or even a fracture of one of the segments of the coccyx. With respect to the management of coccydynia, it’s important to note that 90% will completely recover from their pain within 6-8 weeks, even if a fracture is present, using conservative therapies which include; rest, ice, massage, joint mobilisations, TENS therapy, stretching of related musculature and acupuncture (L. Smallwood Lirette, et al., 2014). When pain does persist and turns chronic the methods of treatment would include steriod injection, and if the injection fails to relieve the pain, surgical intervention is advised. In summary coccydynia is a common complaint seen by chiropractors and health professionals. It can be successfully treated with manual therapy and conservative treatment, however if the pain is mismanaged or ignored...

What is an Exercise Physiologist

I often get asked about what Exercise Physiologists do and how they are different from physiotherapists, and given it’s a reasonably new profession, I’m not surprised that people haven’t heard of Exercise Physiologists at all. So this blog will be dedicated to helping you better understand the role of Exercise Physiologists. Exercise Physiology is a reasonably new profession on the Australian health care scene, and the profession received its first big break through in 2006 when Exercise Physiology services were recognised under Medicare, meaning the government would provide rebates for Exercise Physiology services much in the same way as Physiotherapy and Dietetic services. So where do Exercise Physiologists fit in the health care landscape? Exercise Physiologists are university trained allied health professionals and their role in the healthcare system is to provide lifestyle and exercise interventions for the prevention and management of many chronic diseases such as Type 2 Diabetes, Obesity, Heart Disease, Arthritis, Injury rehabilitation and Neurological diseases to name a few. The key difference that separates Exercise Physiologists from Physiotherapists is that Exercise Physiologists exclusively deal with ‘chronic and complex diseases’ whereas Physiotherapists more commonly manage ‘acute and sub-acute’ conditions such as acute low back and neck pain, ankle sprains, sport injuries, acute post-operative rehabilitation etc. Moreover Exercise Physiologists solely rely on exercise prescription and lifestyle change for managing chronic disease, whereas Physiotherapists are also able to apply manual therapy. Therefore the role of Exercise Physiologists is quite unique and I believe they are best positioned to help tackle the current chronic disease epidemic that is ever increasing in Australia. So if you are having trouble in...