5 Steps to Maximise Your 1st Online Physiotherapy Consultation

Video consultation

With the rapid advancement of technology over the last five years, online video consultations (often referred to as telehealth) have become an excellent way of reaching remote, at risk or time poor individuals who need to get their healthcare on the go.

At Pinnacle Health Group we have been offering video consultations for clients for many years, using Skype and Zoom, and more recently things have changed fast.

Due to the COVID-19 global crisis, we have seen a huge uptake in video consultations for Physiotherapy. With clients wanting to stay physically active, pain free and mentally sharp, we have reviewed and updated our treatment protocols and staff training to optimise our service delivery.

With so many of our clients working from home, we have reinvested in the most up to date technology available, PhysiApp – download and check it out! This ensures your video consultation experience is world-class and frictionless when you book a consultation with us.

It’s Just Like A Normal Consultation

Just like a normal consultation, you can expect a discussion about your goals for wellbeing, specific questions relating to your area of concern, and the best way to treat your present concern or condition.

For example, a Physiotherapy consultation normally begins with questions about the injury or area of concern. Then the experienced Physiotherapist will know which questions to ask to ascertain a diagnosis, prognosis and then treatment pathway that will most likely include rehabilitation.

Rehabilitation will include follow up with the client with a tailored exercise programme, using the PhysiApp app. You will also be given evidence based self mobilising, stretching and self release technique advice, with the Physiotherapist ensuring correct technique before the session ends.

To optimise your experience and based on the last three weeks of video consults, here are our top steps you can take to maximise the benefit of your first online video consultation with our experienced team.

1. Check Your Tech

A video consultation is an exciting experience for both the Physiotherapist and client. To connect so seamlessly and in the comfort of your home is often reported as a real time saver for clients.

The only thing that can potentially add friction to your experience is the dreaded technological issue.

The video consultation can be done via a PC, laptop, mobile or tablet – you choose your own adventure here – but we ask that you ensure a few things:

The camera and sound is enabled on your device

You connect to Wi-Fi

Your battery is charged

I know these points are obvious but we would hate for your appointment to be interrupted by a bad signal or a vintage device!

2. Space To Move

We love to get you moving and grooving, and our advice for the video consultation is simple: get yourself comfortable in your home.

A study, spare room, nook or lounge room is a perfect space for your consultation.

To begin the consultation, you will be sitting in front of the device and talking with the Physiotherapist.

Once the session progresses into assessment, it is likely that you will be asked to move into standing or lying to do some movement tests and analysis!

3. Dress Active

If you have a back or lower limb issue, we ask that you are comfortable enough in your dress, pants or shorts to bend your hips and knees without ruining your clothes. If you are unsure – always wear some leggings or shorts – this will save you time and make the assessment more accurate and effective. An example of a movement test would be the Physiotherapist watching you do a squat.

If you have a shoulder, upper body or neck issue, we will most likely need to look at your shoulder movement, past ninety degrees and over your head. Ideally wearing a t-shirt or some loose clothing will allow the Physiotherapist to see what is really going on. An example of a shoulder test would be asking you to do a push up against the wall.

Dress for activity!

4. Bring Your Tools

Most of our clients will have purchased some mobility or strength tools over the years. Here is a list of some common pieces of equipment that we would love you to bring.

Theraband (stretchy coloured bands – great for strength, stretch)

Foam roller

Swiss-ball (aka fit-ball)

Dumbbells

Kettle bells

All of these tools, small or large, can be so beneficial when it comes to the treatment planning stage of your consultation.

When used correctly, the Physiotherapist can ensure you get the most value out of your initial purchase. This will speed up progress to your desired outcome, whether that be to run five kilometres pain free or to be able to lift your children up for a cuddle.

5. Write Some Questions

Sometimes when we visit health professionals we have so many questions before the appointment, and then we walk out and forget to ask the important stuff! It happens all the time and we encourage you to ask us as many questions as you need. Some of our most dedicated clients actually write a list of questions on a piece of paper. We welcome this and accept follow up phone calls or emails for questions.

Here are some great sample questions we encourage you to ask:

How long do you expect this issue to go on for?

What should I be doing to help this issue over the next 1-2 weeks?

Do you recommend I see any other health professionals to help my issue?

What do you think is the main cause of my issue?

Video consultations are easily accessible and perfect for time poor individuals who want to take control of their issues.

Ensuring you get the most value out of your experience and working collaboratively with your Physiotherapist is the best mindset going into your first video consultation.

Online Video Consultation – Physiotherapists In Melbourne

Pinnacle Health Group provides a range of online video consultations including physiotherapy, podiatry, psychology, dietetics, and ergonomics. If you’re injured or need health advice, book an appointment from one of our centrally based health clinics or join a wellness class near you.

Are you an active couch potato?

Active couch potato

It is no secret, sitting for prolonged periods is NOT good for us.

With phrases like ‘sitting is the new smoking’ being used in the media, it’s important to really understand the key issues and be able to make informed decisions about how to look after ourselves at home and the workplace.

In 2015, I wrote a small article: 3 easy ways to create movement opportunities at work. At that point in time, new research findings were coming out from the University of Queensland that had caught my attention. According to their study into the effects of sitting for prolonged periods, even when adults met the recommended physical activity guidelines, the positive effects of that exercise were often negated by the amount of time they spent sitting.

In other words: Do you enjoy a High Intensity Training (HIT) session three times a week at the gym, but go back to work and sit like a desk jockey for the remaining 40 hours of the week? Then you are potentially sitting in the active couch potato seat and are not capitalising on opportunities for incidental movement in the workplace.

In 2018, the research continued to show that sedentary behaviours are strongly linked to negative health outcomes such as obesity, type 2 diabetes, cardiovascular, metabolic risks and premature death. The fact that all of the above are preventable is what is really concerning to me!

Based on my research and key learnings from the WELL Building standards study and Movement concept advisory, I recommend three easy solutions to avoid becoming an active couch potato.

Workplace Design

The future of work is technology enabled, hyper connected and agile in design. Gone are the days where you sit at the same desk every day and sit in meetings all day.

Modern workplaces are designed for movement. To help you figure out how your workplace stacks up, consider these questions:

Are your locker, printer and meeting rooms all a walk from where you spend the majority of the day?

Does the workplace have a wellness or fitness centre with exclusive deals for staff?

Are standing desks or active workstations available in break out areas?

If you said yes to all of the above – you are in a well workplace. The key question is are you making the most of the design?

Plan Your Work, Work Your Plan

As an astute observer of human behaviour and neuroscience enthusiast, it really bothers me when I see people walking with their phones glued to their hand in the early morning. I can see the phone lighting up like a Christmas tree with rapid push notifications jumping out of the screen. When you observe this happening, it really looks like a wave of anxiety, and I worry for the person’s brain and performance.

To address getting past this roadblock, I believe that planning your work and working your plan is essential. That means being diligent with your time management, and working hard to avoid having your time and attention sapped by unnecessary distractions.

Encourage Your People To Get Moving

Movement is great for your performance, mental health and resilience. If it were a pill everyone would be doing it! At Pinnacle Health Group, our teams utilise the walking meeting, pilates hour or exercise club to keep performance and morale high. This type of team activity is planned and organised to get the teams together once a week.

For anyone interested in learning about the neuroscience of brain function at work, I’d highly recommend the book titled “Your brain at work” by David Rock. It is for those of you who are interested in surviving and thriving in the modern workplace.

You Have To Take The Stairs

A wise person once said, there is no elevator to success – you have to take the stairs. You will see it every morning, there are people who take the elevator and those who take the stairs.

Choose the latter every time and this will improve your incidental movement output significantly.

In the modern workplace and cities of the future, active exterior design is critical to influencing physical engagement levels of the community. A nice practical resource on this topic is the walk score.

Summary

Movement is medicine for the mind and body with tangible returns on investment!

We spend 90% of our time indoors and one third of our lives at work. The great opportunity here is incidental movement – make the most of your time.

Learn more with Pinnacle Health Group

Sometimes all it takes is a reminder, but other times I’ve found that making a change takes effort. Our Physiotherapists are experts at designing exceptional treatment plans and have a wide range of treatment options available to you. Don’t delay in booking online today, as the longer you leave your sitting habits the more resistant they become! Experience the absolute Pinnacle in health care with Pinnacle Health Group.

An Introduction To Wellness Leave

Healthy nutrition
By Tom Bosna – Managing Director

 

3 reasons why wellness leave was introduced at Pinnacle Health Group (and why your business should too!)

It all started with a big leadership question: How am I supporting the wellbeing of our people?

What led to this question was more interesting.

As a small business owner, a thick skin is required to deal with the magnitude of stress that is part of the deal when operating a growing business.

In 2015, our business Pinnacle Health Group doubled in staff, locations and launched interstate. The rhythm of business at this point in time can be best described as manic.

Keeping up with the demands of running Pinnacle Health Group in start-up mode for a number of years was starting to take its toll on my physical and mental health. Like most men, the way I would deal with it was to internalise the stress and put the head down and keep going.

Eventually, I found the time for a breather, and with my young family we booked a one-week holiday to Perth for some sun, relaxation and family time. But with so much activity still going on in the workplace, I really struggled to switch off mentally.

When I finally managed to put some daylight between myself and work, my body shut down and I found myself suffering from physical symptoms of exhaustion and burnout.

On this holiday, I spent an embarrassing four out of six days in and out of bed unwell with health issues relating to stress. The guilt of my family time being disrupted by work was real.

I realised at that point that I was burning out and that I’d neglected my own health over the last two years.

I thought to myself, if I am feeling like this way, how do our people feel?

More confronting for me was the question I asked myself. What am I specifically doing to support the wellbeing of our people?

A few months later as we geared up for another year at Pinnacle Health Group, this leadership question led to our employee wellbeing program Pinnacle Life being revamped and re-positioned for our people.

Led by our People and Operations Leader Emma Dwan, we took a methodical approach to influencing a positive change for our people.

We started by interviewing our people and collecting data. One of the most eye opening statistics was that 41% have felt stressed or overwhelmed at work in the previous 3 months. This statistic really bothered me.

 

So what is wellness leave?

Wellness leave is time taken away from work to hit the reset button and engage in some self-care. At Pinnacle Health Group, we proactively encourage our employees to take one day off per quarter to engage in activity that supports their wellbeing.

We envisaged our team having a sleep in, reflecting, doing an exercise class, reading a book or socialising with friends. Key to the whole process has been giving our people the space to choose their own adventure!

When it comes to talking about exactly why we’ve introduced wellness leave at Pinnacle Health Group – there are three big reasons.

 

Prevention is better than a cure

By sharing my personal story internally and hosting company wide meetings – we were able to introduce and encourage prevention. My personal story opened up dialogue internally about self care and mental health. This open dialogue helped give context to what we were striving to achieve and gave our policies and efforts toward preventative personal wellbeing a structure.
 

For the fun of it

Life is about enjoyment and sometimes we get lost in the busy-ness trap until that one dedicated holiday a year. By encouraging extra time away from work, we are really encouraging our team members to do something fun for themselves.

One of our team members said “Wellbeing leave was my favourite day of the year so far! It is so nice to have a day off when the rest of the world is working. I went to a morning gym class, met my bestie for coffee to celebrate her birthday. We talked for hours! The best part was being able to spend a lifetime in the shower and over lunch with no pressure to rush or be anywhere. In the early afternoon I took a drive down the Peninsula and went to a superb winery to finish off the day in style. This day was amazing, giving me the opportunity to relax, refresh and really unwind”

Another team member said “For my wellbeing leave I was able to get a light gym session done in the morning. Caught up on some admin and did some reading which is usually rare but seems more consistent since that day. The day also gave me time to think and reflect and I spoke to my uprise coach at the end of the day. The introduction of these days I’m sure has been welcomed companywide.”
 

To inspire our people and those around us

Our core purpose at Pinnacle Health Group is to inspire health changes in people and the workplace. We love what we do 100%, but sometimes the sheer volume of clients can lead to empathy fatigue and burnout.

For health professionals sometimes we are listening and consulting over 60 people a week. It simply wouldn’t make sense to work this hard to help others, only to fail to live up to our own advice and let our own health be compromised.

By establishing wellness leave as part of how we do things at Pinnacle Health Group, we have created some time for our people to do something fun, inspiring and remembering their why. In short, to inspire others, it is important to be inspired.
 

Summary

In 12 months, we have successfully had 73% of our team members take wellness leave. Absenteeism figures have dropped by a whopping 51% compared to the prior year.

I’d highly encourage your workplace to review HR policies relating to employee wellbeing.

Ask yourself, what can be done to support your people?

Before you do that – open up the dialogue with your people. Develop a picture of where your organisation is at – like we did. And figure out how you’re going to track your success with the implementation of a wellness leave policy.

Wellness leave has become part of our culture at Pinnacle Health Group and this is only one initiative of our integrated wellness program Pinnacle Life.

If you are interested in learning more about Pinnacle Life please get in touch at hello@pinnaclehealthgroup.com.au or call 1300 2 PINNACLE today.

The Top 5 Benefits of Meditation

Several women practicing yoga in sunlight

It’s too easy to lose contact with your inner self while you are constantly negotiating your busy, stressful life. Take a breather from trying to get everything done all the time, and meditate. Its benefits are scientifically proven.

Meditation For Your Brain And Stress Levels

It seems counterintuitive, but slowing down to just sit and breathe for a while can actually make you more productive and happier, and the benefits of meditation don’t stop there.

It’s been shown that regular meditation changes the way your brain and body react to stress, making you more self-aware, calmer, and able to take setbacks and even chronic pain in your stride.

This Is Your Brain On Meditation

When you practice meditation you can reduce stress and inflammation in the body that can cause illness and disease.

This is one of the major reasons why people start a meditation routine.

It can be hard to get started, and to find the time to meditate, but it’s free and you can do it almost anywhere. Even meditating for a few minutes a day can improve your stress and anxiety levels.

Making You A Nicer Person

It’s not that you’re not a nice person, but sometimes you’re at your wit’s end with everything you have to deal with in a single day, and being kind all the time is just too hard.

When you meditate you become calmer, and you not only reconnect with yourself, you increase your empathy and make better connections with others.

Meditation makes you able to read the facial expressions and body language of others, and you become kinder and more understanding.

Most of us want to be better, kinder people but when we have an opportunity to show kindness we often push the thought away and don’t act on it. Regular meditation practice will make you more likely to act on your kind thoughts, and the world needs more of that.

Better Sleep

Who wouldn’t want to sleep better and wake up refreshed and eager to start the day?

Insomnia and other sleep disorders affect a large percentage of the population and many take prescription medication in an effort to get that much needed good night’s sleep.

Meditation can help you fall asleep faster and stay asleep longer, all without taking any harmful drugs.

Longer Attention Span

In order to meditate effectively, you need to focus your attention on your breathing, clear your mind and stop your thoughts from wandering.

This helps increase your attention span and think more clearly, with better memory retention.

Better Overall Health

A calm and happy person is more likely to enjoy better health, be less susceptible to addictions, age better with less chance of age-related brain conditions, have lower blood pressure, less systemic inflammation, and the list goes on.

Combined, these health benefits could ensure you live a long and happy life.

Helping You Reap the Benefits of Meditation

Pinnacle Health Group believes that healthier workplaces create healthier people, and we want to inspire change in every workplace.

We provide state-of-the-art health clinics and wellbeing initiatives to meet the demands of a progressive, modern lifestyle.

Call us on (03) 9600 3590 or contact us online for enquiries about our health and wellbeing services, or make a booking at one of our locations in Melbourne.

Quick Tips for Marathon Training

Runners run urban marathon in the the city

1 – Look Down

Test out the shoes and socks that you plan on wearing on race day. If the shoes aren’t your regular training shoes, wear them on at least one 12-15 km run at marathon pace. This test run will determine whether you’re likely to develop blisters or get sore feet–before it’s too late. If the shoes bother you on this run, get yourself another pair.
 

2 – Don’t get greedy 

Try to stick to your training plan in the weeks leading up to the race. You’re not cramming for a test so running more KM’s than you’re used to late in your training can hinder your performance rather than help it. 
 

3 – Taper

During your final week you should feel like you’re storing up energy, physically and mentally. Keep runs short, try to get good sleep and keep stress at bay. Get work projects under control, decline late night invitations and try to avoid long flights if possible. You should arrive on the start line feeling fresh and ready to smash your goals! 
 
The Melbourne Marathon is only a couple of weeks away. If you have any questions, niggles or need some more personalised advice get in touch today!

How Back Pain Inspired Me To Become A Chiropractor

 By Chiropractor Luka Fantela

 
During my late teenage years, when my ego was at its peak, I foolishly decided to push my bodies physical abilities beyond what I had prepared it for. Let me tell you it was a recipe for disaster, I was performing a complex movement, with poor technique, using a load beyond my capacity and I was far from focused on the task.

The end result? I was fortunate enough to experience a bilateral stress fracture in my lower back, that from the initial onset, I knew something was not quite right. At the time if you had told me I’d say you’re kidding, but looking back in hindsight, this personal experience was truly a blessing in disguise.

Although I hadn’t known it, this event would shape my pathway to becoming a Chiropractor fuelled with purpose and passion to help those suffering with a spine-related injury and pain.

 

5 things I learnt from suffering back pain as a teen:

 

A little reassurance can go a long way —

  • I still recall the moment when I sat in my first consult with a specialist, where I was told “you have the spine of an 80-year old man”, or when I asked what can be done which was met with “there’s nothing that can be done but pain management and hope it heals in time”.
  • These were some powerful words that a easily influenced and impressionable teenager took straight on board. Leaving me feeling helpless and having little control over my situation.
  • On the other hand, 8-months following the injury where I consulted a therapist, the first and only to offer me an empathetic ear and some reassurance. I can still remember the feeling of that insurmountable feeling and enormous weight on my shoulders finally beginning to feel lighter.

 

You’re not your x-ray, MRI or CT report —

  • My initial experience with specialists and therapists seemed to revolve around specific findings on my imaging, which with the traumatic nature of my injury is understandable. Although each professional seemed to point out a different structural cause from the last.
  • As time passed from weeks to months, the relevance of these findings diminished from a tissue healing perspective but was still the focus among therapists.
  • Looking back now, It wasn’t until I began to understand the other influences, such as my bio-mechanics, my beliefs and understanding of my injury and the lifestyles factors that could all be contributing to my pain experience was I able to make any real improvement.

 

Know that dinosaurs still exist —

  • Understand that some professionals are still stuck in the traditional biomedical model, where they can be overly focused on specific anatomical and structural findings as the source of an individual’s pain.
  • We know better now, we know pain is such a multi-dimensional experience, an experience that can be influenced by a plethora of variables from the way we move to the way we understand our condition.
  • Pain doesn’t always equal damage, especially as your condition persists for longer and longer. Pain is often an alarm system or a heightened level of sensitivity in response to a perceived threat. It’s up to you to show your nervous system it’s safe & okay through exposure, the way you think and managing other stresses in your life.

 

Don’t be afraid to get a second opinion —

  • While I’m not suggesting doctor shopping around to find some professional who promises to ‘fix’ you. What I am suggesting is don’t feel obliged to exclusively see a single therapist, especially if you don’t think you’re aligned with your management plan.
  • Feel free to get a second or even a third opinion on something, because you might just come across a different perspective that might resonate with you.

 

Your spine is more robust that you give it credit for —

  • When you think about it, from the day you began to walk to the end of your life, your spine is required to carry the load of your upper body for your entire life. This is no little feat and it’s quite impressive.
  • Give your spine a bit more credit – It’s a strong, robust and resilient structure bearing the weight of your body day in and day out. I think it can handle some bending here and there.

 
Thank you for reading.

3 reasons why you should add strength training to your running program

Back in the day, if you wanted to become a better runner you would simply run, and then run some more!

While this can be a useful strategy to some extent…

More and more, we now see recreational runners all the way to elite-level runners incorporating strength training into their weekly training routine and the outcomes have been impressive.

So here’s why you should be adding strength training into your training schedule…

Improved Running Economy —

This is defined as the oxygen uptake required at a given sub-maximal running velocity (1). In other words, the better your running economy (RE), the less oxygen you need to maintain your running pace.

In recent studies, both strength and resistance training have been shown to be effective means of improving RE in all levels of runners (1,2). So yes, even the weekend warrior can supplement their running with some resistance exercise and reap the rewards.

The great thing is, these demonstrated benefits don’t require months to years to attain but only several weeks before these changes can be achieved (3,4).

Improved Running Performance —

This is typically defined by the parameters of VO2 max, maximal anaerobic running velocity and power generation, which have all been shown to significantly improve in conjunction with a sound strength training programme.

In a few recent studies, direct improvements have been shown not only in short to intermediate distances but longer distances as well (e.g. 1,500 to 10,000 m) (2,4,5).

Once again, these changes in running performance were achieved in as little as two to three strength-training sessions per week (6).

Reduction in Running-related Injuries —

It’s difficult to determine the injury risk in running, due to so many potential variables at play. What we can do is take the data we have from common running injuries involving the knee, Achilles, shin and hip and consider the similarities among them, with one of the most prominent being reductions in strength.

Also, if we consider the main interventions in the management of running-related injuries, exercises focused on building strength, endurance and power have been highly considered first-line and recommended treatment (7,8,9,10).

We know running places considerable loads through our body, with the foot and ankle required to withstand loads of 6-8x our body weight at a jogging pace (11). In order to improve the body’s ability to handle these loads, we need to ensure we have sufficient capacity in the muscles attenuating the loads. What better way to do this than with a resistance training routine tailored to your running requirements?

Takeaways

Adding in 2-3 resistance training sessions into your running can improve running economy, running performance and make you more injury resilient. The benefits associated with resistance training can be seen in just weeks.

Apply this now by adding in some exercises into your training routine, focusing on key muscles involved in running such as: calf complex, hamstrings, quadriceps and hip stabilisers to improve physical capacity.

Thanks for reading.

Want to find out more about how strength training can optimise your running? Please feel free to reach out to me at luka@pinnaclehealthgroup.com.au or book a consultation with a Physiotherapist.

  1. Balsalobre-Fernandez C et al. (2016) Effects of strength training on running economy in highly trained runners: a systematic review with meta-analysis of controlled trials. J Strength Cond Rest, 30(8):2361-8
  2. Yamamoto LM et al. (2018) The effects of resistance training on endurance distance running performance among highly trained runners: a systematic review. J Strength Cond Res; 22(6):2036-44
  3. Denadai BS et al. (2017) Explosive training and heavy weight training are effective for improving running economy in endurance athletes: a systematic review and meta-analysis. Sports Med, 47(3):545-554
  4. Alcaraz-Ilbanez M & Rodriquez-Perez M (2018) Effects of resistance training on performance in previously trained endurance runners: a systematic review. J Sports Sci, 36(6):613-629
  5. Beattie K et al. (2014) The effects of strength training on performance in endurance athletes. Sports Med, 44(6):845-65
  6. Blagrove RC et al. (2018) Effects of strength training on the physiological determinants of middle- and long-distance running performance: a systematic review. Sports Med, 48(5):1117-1149
  7. Zouita S et al. (2016) Strength training reduces injury rate in elite young soccer players during one season. J Strength Cond Res, 30(5): 1295-307
  8. Santos TR et al. (2015) Effectiveness of hip muscle strengthening in patellofemoral pain syndrome patients: a systematic review. Braz J Phys Ther, 19(3):167-76
  9. Esculier JF et al (2018) Predictors of clinical success in runners with patellofemoral pain: secondary analyses of a randomized clinical trial. J Sci Med Sports, 21(8): 777-782
  10. Van der Vlist AC et al. (2019) Clinical risk factors for Achilles tendinopathy: a systematic review. Br J Sports Med
  11. Dorn DW et al. (2012) Muscular strategy shift in human running: dependence of running speed on hip and ankle muscle performance. J. Exp. Biol. 215, 1944-1956

Suffering From Lower Back Pain? These 3 Tips Will Help You Manage

Low back pain is one of the most troublesome and common workplace disorders, with this burden being recognised worldwide¹ ². The majority of lower back pain is non-specific in origin, meaning it is uncommon for these problems to be caused by any specific underlying condition such as infection, arthritis, fracture or cancer². As a Chiropractor, I frequently get to assess, diagnose and manage clients troubled by this burdensome condition.

Suffering from lower back pain? In this article, I’ll be highlighting three important tips for managing your next episode of lower back pain.

1. Understanding is Key

It’s important for me to highlight once again that the majority of lower back pain is rarely attributed to a specific reason. Instead, try to become aware of other factors in your life that can possibly be amplifying and intensifying your pain, such as aggravating movements and postures, excessive muscle tension, long-term stress, heightened anxiety and many others that may be contributing and possibly intensifying your pain experience³.

2. Getting Back to Life

It’s essential to remain active and keep moving on a daily basis while keeping within your tolerance, which will increase gradually. Physical movement is simple, effective and a potent pain relieving strategy that you have at your exposure⁴. When taking the first steps after an episode of lower back pain, it’s always a good idea to slowly and gradually get back to the activities that matter most to you, whether that be running, playing golf or even being active with the kids. Start with what you can manage at this very moment, no matter how big or small it may be.

3. Harness the Power of Exercise

I have to admit I am a little biased, but the research tends to agree with me on this one: Resistance or strength exercise has been shown to have a positive effect on pain levels, in people dealing with low back pain. Strength exercise is commonly performed in a gym environment, but don’t let that discourage you as it can also be performed at home or outdoors. Strength exercise offers a plethora of additional health benefits, from improved bone density, improving muscular strength and decreasing overuse-type injuries. So if you haven’t tried it before, it comes strongly recommended by myself!

I hope you found these tips helpful. If you find yourself struggling with the management of your low back pain, come find me or book an appointment with one of our efficient therapists at Pinnacle Health Group. We’ll help you along your road to recovery.

1. Blanchette et al. (2016). Effectiveness and economic evaluation of chiropractic care for the treatment of low back pain; a systematic review of pragmatic studies. PLOS

2. Chou et al. (2018). The global spine care initiative; applying evidence-based guidelines on the non-invasive management of back and neck pain to low and middle-income communities. Euro Spi J

3. Bunzli et al. (2016). Patient perspectives on participation in cognitive functional therapy for chronic low back pain. Physical Therapy; 96:9

4. Loras et al. (2015). Medical exercise therapy for treating musculoskeletal pain: a narrative review of results from randomized controlled trials with a theoretical perspective. Physiother Res Int; 20(3): 182-90

5. Searle et al. (2015). Exercise interventions for the treatment of chronic low back pain: a systematic review and meta-analysis of randomised controlled trials. Clinical Rehabilitation; 29:12, 1155-1167

WHAT IS CHIROPRACTIC & HOW CAN IT HELP ME?

By Chiropractor Luka Fantela

I thought I’d take a moment to discuss a common question I receive, and that is what is Chiropractic & how can it help me? The easiest way for me to answer this is to give you my very own approach as a Chiropractor and to provide you with some insight into how I help clients treat and manage their musculoskeletal conditions, ultimately getting them back to the activities that matter most to them.

What do Chiropractors do?

Chiropractors are professionals who diagnose conditions of the musculoskeletal system, along with overseeing the conservative treatment and management of clients. However, we are a little more renown for the conservative care of pelvic and spinal-related conditions. Chiropractors are qualified and trained to manage a variety of soft tissue, bone and joint conditions through non-pharmacological and non-surgical interventions.

How can a Chiropractor help you? 

As a Chiropractor, I take a holistic approach to patient care, where I might find myself using an array of manual therapies or ‘hands-on’ approaches, this may be in the form of manipulations, mobilisation or other soft tissue therapies to improve short-term pain and disability 1,2

I’m also a strong advocate for active care, where I might prescribe a tailored progressive rehabilitation and exercise plan to get you moving freely while building mental and physical resilience. In collaboration with you, we would then work towards developing a management plan that works for you and your unique lifestyle, to do our best to decrease the likelihood of a re-occurrence down-the-road.

I hope this provides a bit of insight into what Chiropractic is and more importantly, how it can help you get back to living your fullest life. 

1. Bussieres et al. (2018). Spinal manipulative therapy and other conservative treatments for low back pain; a guideline from the Canadian chiropractic guideline initiative. J Manip Phys Thera 

2. Randoll et al. (2017). The mechanism of back pain relief by spinal manipulation relies on decreased temporal summation of pain. Neuroscience 

National Foot Health Week 2018

By Senior Podiatrist Michael Johnston

A staggering 48% of Australians have experienced heel or arch pain in the last 12 months but 56% of us don’t know what a Podiatrist does. 
Podiatrists are specialists in the foot and lower limb so can treat foot, ankle, knee and hip pain. 
Here are some of the most common issues we manage;

  • Heel pain – Plantar Fasciitis, Achilles injuries
  • Shin Splints
  • Ankle injuries
  • Knee Pain
  • Bunions
  • Ingrown and fungal infection of toenails
  • Corns, callus and verrucas

And here are some of the things we can do to fix you;

  • Custom orthotics
  • Shock wave therapy
  • Strapping
  • Dry Needling
  • Surgery 
  • Gait re-training
  • Footwear advice

As part of Foot Health Week we are offering 15 minute Walking/Running assessments with video analysis at our Melbourne clinics for the rest of October.