Burleigh Osteopathic Clinic in Burleigh Heads, Queensland | Medical and health

Burleigh Osteopathic Clinic

Locality: Burleigh Heads, Queensland

Phone: +61 7 5568 7010

Address: Unit 3, 31 Connor Street 4220 Burleigh Heads, QLD, Australia

Website: http://www.burleighosteopathic.com.au

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24.01.2022 The post images are from a case report that documents the resolution of a lumbar disc herniation without surgery and demonstrates that pain can ...return when the apparent disc ‘injury’ is no longer present. Pain is complex! The MRIs shown here are from a 32 year old male who presented to the hospital with severe back pain in two different occasions. On October 2012, the patient did not have any neurological deficits, so physical therapy and a short course of oral steroids were ordered and his pain resolved. In October 2013, another MRI was ordered when the same patient once again entered the hospital with severe back pain. This time around, his disc herniation was no longer visible. What does this teach us 1Pain does not necessarily indicate tissue damage. In both situations documented above, the patient had low back pain. At the time of the first episode, a potential tissue insult could be identified. This was not true at the time of the second episode of back pain. 2Disc herniations can resolve with conservative care and time. The details of this individual’s rehab were not given, but it is important to know that relatively simple programs that include movements like walking, general low back mobility drills and low load resistance training exercises help the majority of people. A healthy dose of patience (up to 4-6 months) is important too. A rehab program for pain associated with a disc herniation can be found by visiting the link below. https://rehabscience.com/product/sciatica/

24.01.2022 Please do not enter our surgery without calling if you have either a fever, runny nose, sore throat, cough, muscle aches and pains or a headache irrespective of travelling overseas.

23.01.2022 In an effort to limit the spread of COVID-19, many people are working from home. Here are 5 tips to help support your neck while being productive at home. Get more great tips here: https://bit.ly/2xIQgFu

23.01.2022 As always Paul Ingraham does a good job at debunking the common myths that just refuse to go away. Stretching is one of those areas that has been justified on ...the basis of "everyone does it so it must be right". You only need to be a flexible as the demands of the sport required. For example, what is the benefit to a distance runner for having the hamstring flexibility of a gymnast? The "more is better" concept isnt backed by good science. On a final note, flexibility is largely genetically determined. You will never be able to stretch yourself to becoming an Olympic gymnast! Derek Griffin is on a roll this week, Im sharing all his posts

22.01.2022 Nice to see Andy, one of our senior Osteopaths, being recognised for all his efforts, and hard training in his chosen sport and as an Osteopath.

22.01.2022 Demonstrated here are three excellent exercises for training the low back that also keep the spine in a relatively neutral position and mini...mize stress on potentially sensitive structures. 1With the dead bug, we use many of our trunk muscles, but the major emphasis is on the lumbar flexors or abs. Try to keep your rib cage tucked down while reaching with your arm and leg to maximally engage your abdominals. 2The side bridge targets the muscles along the lateral wall of the torso and is an important compliment to the first two. Notice that the feet are not stacked like a traditional side plank. Instead, the top foot is placed just in front of the bottom foot in order to more effectively target the trunk musculature. 3In the bird dog, the spinal extensors, along with many other posterior chain muscles are recruited to generate movement. You can basically think of this exercise as the opposite of the dead bug (spinal flexors vs extensors). Yes, my lumbar spine shows a bit of hyperextension. DONT worry about it! By performing these three simple core exercises, you can be confident that you are hitting the major muscles that control the low back.

22.01.2022 Great infographic from the June issue of the Physio Network Research Reviews To read the full review, and get access to over 400 other reviews on the most recent and clinically relevant studies in physio, click here https://www.physio-network.com/research-reviews/

21.01.2022 I have not source-checked this one, but it resonates with similar information Ive seen before. Shared by Marc Bronson

21.01.2022 The thoracic spine is made up of twelve vertebrae (T1-T12) and naturally assumes a slightly rounded or kyphotic curve. Because the thorac...ic spine also has connections to the ribs, it is naturally more stable and less mobile than either the lumbar or cervical spinal regions. Interestingly, previous research has shown that mobilizations directed at the thoracic spine can be helpful in terms of reducing both shoulder and neck pain. In the clinic, we often teach patients how to self-mobilize the thoracic spine when treating low back, shoulder and neck issues. If you are experiencing pain or stiffness in the spine or shoulders, give the exercises shown here a try and let me know if you have any questions. As always, if your symptoms are not improving or worsening, be sure to schedule an evaluation with your preferred healthcare provider. 1Roller Mobilization 2Roller Extension 3Sidelying Rotation 4Quadruped Rotation 5Cat-Camel

20.01.2022 The compelling link between physical activity and the bodys defense system Exercise is simply just good for you and your immune system but not always too muc...h! Acute exercise is an immune system adjuvant that improves defense activity and metabolic health. Data support a clear inverse relationship between moderate exercise training and illness risk. Exercise training has an anti-inflammatory influence mediated through multiple pathways. Illness risk is increased in athletes during periods of intensified training and competition. https://www.sciencedirect.com//artic/pii/S2095254618301005

18.01.2022 [STRONG ‘CALVES’ CAN BE PROTECTIVE AGAINST ACHILLES TENDINOPATHY] _ Here's a great post from @brad_beer and @physionetwork ... Achilles tendinopathy account for approx. 10% of all running injuries. Masters (>40yrs) runners tend to experience a greater incidence of achilles tendinopathy _ The good news is high plantarflexor (‘below the knee’: primarily gastrocnemius + soleus) capacity/function seem to be protective against achilles tendinopathy _ Willy & Paquette* @montanarunninglab in their review of masters runners stated ‘runners with greater eccentric plantarflexor strength & greater propulsive forces during running have a reduced risk of developing achilles tendinopathy’ _ The good news is that plantarflexor strength/capacity can be readily increased through strength & conditioning _ While heavy slow resistance work (eg in a gym) may be the most effective and beneficial way in which to improve plantarflexor strength, if you do not have access to a gym start with some single leg dumbbell calf raises (bent leg and straight leg) and build the load with increasing dumbbell size (a good target for example is to work towards 3-4sets of 5-8 reps with as heavy of load as you can execute a controlled raise with) _ TAKE HOME: BELOW THE KNEE IS THE KEY! Be sure to build ‘calf’ (plantarflexor) strength exercises into your week in order to reduce risk of developing achilles tendinopathy (particularly if you are a masters runner > 40yrs) _ Did you find this information useful? Our team of experts analyse and summarise the latest and most clinically relevant research for you. Learn more here https://www.physio-network.com/research-reviews/ _ *Ref: R. Willy, Paquette, M. (2019). The physiology and biomechanics of the masters runner. J Sports Med Arthrosc Rev 2019, 27: 15-21

17.01.2022 really cool directed sports rehab

16.01.2022 A finding worth sharing again and again!

15.01.2022 Men's Health Week More males die at every stages through life, more males have accidents, more males take their own lives and more males suffer from lifestyle-r...elated health conditions than females at the same age. Meanwhile, men are less frequent visitors to general practitioners or other health care professions like osteopaths. Your local osteopath can assist with a wide range of health and lifestyle advice or education so you can make the most out of life. For more information see www.menshealthweek.org.au

15.01.2022 Did you know over 1 million older Australians are living with chronic pain? #PainAwarenessMonth International Association for the Study of Pain (IASP)

14.01.2022 Did you know the spinal discs actually seem to appear healthier following certain types of activity and less healthy with inactivity? Thi...s infographic from @physiomeetsscience does a nice job of outlining some of the findings from the research. Here are a few references, if you are interested in exploring this topic further. 1Belav DL, et al. Can Exercise Positively Influence the Intervertebral Disc? Review article. Sports Med. 2016. 2Chiu CC, et al. The probability of spontaneous regression of lumbar herniated disc: a systematic review. Clin Rehabil. 2015. 3Teichtahl AJ, et al. Physical inactivity is associated with narrower lumbar intervertebral discs, high fat content of paraspinal muscles and low back pain and disability. Arthritis Res Ther. 2015. 4Steele J, et al. Can specific loading through exercise impart healing or regeneration of the intervertebral disc? Spine J. 2015. 5Belav DL, et al. Running exercise strengthens the intervertebral disc. Sci Rep. 2017.

13.01.2022 Pain is a very complex human experience. There is a tendency both in clinical practice & research to assume that more complex interventions are therefore requir...ed and more effective. "Multimodal" interventions are commonly recommended. While this is undoubtedly required in some instances, the problem is that the extra time/resources etc can limit the effectiveness of any such program. It is also important to point out that single interventions (e.g. exercise) can potentially address many of the multidimensional component influencing the pain experience. For example, exercise is a potential tool to enhance fitness, mood, social interaction etc. I therefore am a strong advocate of using simple, easy to implement strategies that give us most return for our investment. The study linked is one such example of testing such interventions. A simple exercise intervention performed for 15 minutes, 5 times per week was effectiveness in reducing pain among hospital workers. Despite this being a small study (and further research is required), the effects appear more effective that other more complex interventions that are more time consuming and costly. If we are to progress in terms of how we help people with pain and give people back control over their situation, we need to abandon outdated models of pain that have traditionally seen patients as passive recipients of healthcare. Testing simple, easy to implement, active interventions is the way forward. Ref: https://www.sciencedirect.com//artic/pii/S2468781219305958

13.01.2022 There are a few common misconceptions about osteopathy. Lets clear them up together. Did you know that osteopaths work on more than bones?

12.01.2022 Mens Health Week More males die at every stages through life, more males have accidents, more males take their own lives and more males suffer from lifestyle-r...elated health conditions than females at the same age. Meanwhile, men are less frequent visitors to general practitioners or other health care professions like osteopaths. Your local osteopath can assist with a wide range of health and lifestyle advice or education so you can make the most out of life. For more information see www.menshealthweek.org.au

11.01.2022 Facts about Intervertebral Discs From Physio Meets Science Running: ... https://www.nature.com/articles/srep45975 Resorption: https://www.ncbi.nlm.nih.gov/m/pubmed/28072796/ Physical Inactivity: https://www.ncbi.nlm.nih.gov/m/pubmed/25947906/ Physical Activity: https://onlinelibrary.wiley.com/doi/full/10.1002/jbmr.3357 Cyclists: https://www.ncbi.nlm.nih.gov/m/pubmed/30157104/ Wear and Tear ... ? https://www.ncbi.nlm.nih.gov/m/pubmed/19111259/ Loading and Healing: https://www.ncbi.nlm.nih.gov/m/pubmed/26409630/

11.01.2022 Health risk behaviours and allostatic load: A systematic review Highlights : Allostatic load links stress and trauma with morbidity and early mort...ality. Health risk behaviours (HRB) often occur as coping with chronic stress. Lifetime HRB contribute to increased allostatic load and morbidity. Reducing HRB may improve long-term health outcomes. https://www.sciencedirect.com//arti/pii/S0149763419309418

10.01.2022 TWO-THIRDS OF HERNIATED DISCS HEAL ON THEIR OWN! - RESULTS FROM A RECENT META-ANALYSIS Too many people think that once you have a disc herniation (or disc bulge...), that youve got it for life. Well, a recent meta-analysis has shown that 2/3 of disc bulges spontaneously heal on their own! Many of them within a few months too, not years. Conclusion from the paper: Because the overall incidence of disc de-herniation is now 66.66% according to our results, conservative treatment may become the first choice of treatment for LDH. Want to keep up to date with more interesting research like this? Check out the Physio Network Research Reviews - 12 studies per month broken down by industry experts for clinical application Learn more here https://www.physio-network.com/research-reviews/ Christmas Special running now Reference: Zhong et al 2017

10.01.2022 Osteopathy Australia member, Rebecca Kurrle shares with us her #TradiesTipOfTheWeek: Utilise correct lifting technique Poor lifting technique is ass...ociated with increased risk of injury to lower back joints and muscles. Position yourself close to the object to be lifted Bend the knees and lower into a squat position Keep your head and chest up facing forward and this will help to maintain a straight spine Tighten stomach muscles and drive through your legs when lifting the object. A good reminder is to squeeze your hip and leg muscles, and push the ground away with your feet! Impacted by pain whilst on the job? Seek out our local #osteo now and see how they be able to help www.osteopathy.org.au/find-an-osteo

09.01.2022 Unsurprisingly, many of us have been feeling more than a little stressed lately! But stress manifests itself differently from one body to the next, so how might... seeing an osteopath help you with your own stress? At your appointment, your osteopath may evaluate and assess how the physical aches, pains and discomfort you're presenting with may actually have been triggered by your stress levels. Through providing you with clinically-informed information and advice helping you to understand your body better, your osteopath may offer strategies to bring down your stress levels and reduce the load on your body. This may include recommendations for specific lifestyle adaptations, a new exercise or fitness program, or a referral to a specialist. Discover Osteopathy: www.osteopathy.org.au/about-osteopathy Infographic Source: www.reachout.com

07.01.2022 Hi all, Matthew Rimmer Podiatrist is returning his services to our clinic. If you have any issues of the lower leg, foot or ankle, be sure to book an appointment with Matthew.

07.01.2022 SHAM SURGERY VS MENISCAL SURGERIES: DECONSTRUCTING THE MYTH Some time ago we reviewed 2 interesting articles, in which arthroscopic partial meniscectomy was com...pared to a sham arthroscopy, the results were more than striking, as there were no differences when comparing procedures in terms of pain and disability. But, why does knee arthroscopy not provide better results than with a sham surgery? An interesting article by Thorlund J. 2017, performs a deconstruction on the mythology that involves the surgical procedure in meniscus and knee, in the first instance, knee surgery, particularly arthroscopy, traditionally relies on some arguments such as the following: Mechanical explanation of changes in pain that makes intuitive sense The rationale for cutting damaged meniscal tissue is based on the premise that the injured parts of the menisci are the main cause of the patients pain and discomfort The use of the simple analogy of "mechanical repair of cars". Knee pain is explained by the presence of early degenerative changes (including meniscal degenerative tissue) or established osteoarthritis in the knee. However, current research discredits the explanation that meniscal tears always cause pain, in fact, there is growing evidence that meniscal ruptures, in large part of the population, are asymptomatic and are seen to even coexist with other pathologies of the knee joint. On the other hand it has been seen that the clinical improvement or the improvements reported by the patient, could perhaps be attributed to the natural history of the disease, spontaneous remission, regression to the mean or a combination of the three phenomena. Another reason for the observed improvements, could be attributed to the placebo effect and the surrounding clinical context in which the treatment is delivered. According to the above, it has been observed that the clinical ritual prior to surgery is an important factor a posteriori, some steps of the ritual include the following: The trip to a place of healing (that is, to the hospital). Fasting prior to surgery Anointing with cleansing fluid (ie, preparation of the skin such as shaving or applying povidone-iodine solution), The encounter with the masked healer (ie, the surgeon), and more. These rituals create expectations. A more invasive central ritual probably leads to greater expectations of the person for improvement, and therefore, a greater placebo response. This notion is supported by the dose-response relationship found for the method of delivering the treatment in several studies, indicating that the more invasive treatments create a higher response, which is also the reason why the surgery has been labeled "The Last Placebo" in a recent book. Finally, it has been shown that mechanical myths contribute to the belief shared by the person and the orthopedic surgeon, that meniscal surgery is necessary to alleviate the symptoms. A call is made to demystify and contextualize the procedure very well, to understand other effects and factors such as those already mentioned in this article. In conclusion, advances in the understanding of the components of the placebo effect contribute to an explanation of why we should not be surprised when placebo surgery offers the same treatment effect as real surgery for meniscal ruptures in middle-aged people and seniors, "We need to abandon the logic of car repair and stop treating patients as if they were cars." Ref: https://bjsm.bmj.com/content/51/22/1630 By Andrs R. Nez Gmez, PT.

07.01.2022 Exercise is good for the immune system The immune system is responsive to the physiological stress imposed by the exercise workload. Technological ...advances now allow a systems biology approach to exercise immunology. Immune response to exercise is influenced by small-molecule metabolites and proteins. Exercise has a modulating effect on gut microbial populations. https://www.sciencedirect.com//arti/pii/S2095254619301528

06.01.2022 [STRONG CALVES CAN BE PROTECTIVE AGAINST ACHILLES TENDINOPATHY] _ Heres a great post from @brad_beer and @physionetwork ... Achilles tendinopathy account for approx. 10% of all running injuries. Masters (>40yrs) runners tend to experience a greater incidence of achilles tendinopathy _ The good news is high plantarflexor (below the knee: primarily gastrocnemius + soleus) capacity/function seem to be protective against achilles tendinopathy _ Willy & Paquette* @montanarunninglab in their review of masters runners stated runners with greater eccentric plantarflexor strength & greater propulsive forces during running have a reduced risk of developing achilles tendinopathy _ The good news is that plantarflexor strength/capacity can be readily increased through strength & conditioning _ While heavy slow resistance work (eg in a gym) may be the most effective and beneficial way in which to improve plantarflexor strength, if you do not have access to a gym start with some single leg dumbbell calf raises (bent leg and straight leg) and build the load with increasing dumbbell size (a good target for example is to work towards 3-4sets of 5-8 reps with as heavy of load as you can execute a controlled raise with) _ TAKE HOME: BELOW THE KNEE IS THE KEY! Be sure to build calf (plantarflexor) strength exercises into your week in order to reduce risk of developing achilles tendinopathy (particularly if you are a masters runner > 40yrs) _ Did you find this information useful? Our team of experts analyse and summarise the latest and most clinically relevant research for you. Learn more here https://www.physio-network.com/research-reviews/ _ *Ref: R. Willy, Paquette, M. (2019). The physiology and biomechanics of the masters runner. J Sports Med Arthrosc Rev 2019, 27: 15-21

05.01.2022 Muscle strains often cause short to long-term functional issues when it comes to completing everyday activities or undergoing physical exercise. Often ignored a...nd left untreated, they can lead to muscular weakness and ongoing pain. Manual therapy may support muscle tissue, movement and recovery by using hands-on treatment provided by your #osteopath. Suffering a muscle strain? Consult with your local #osteo now www.osteopathy.org.au/find-an-osteo

05.01.2022 The body responds positively to progressive loading. Dont spend too much time resting...get out there and MOVE! Listed below are the refe...rences from this awesome infographic (originally created by Anthony Halimi). 1Schoenfeld BJ, et al. Resistance Training Volume Enhances Muscle Hypertrophy but Not Strength in Trained Men. Med Sci Sports Exerc. 2019. 2Goodman CA, et al. Bone and skeletal muscle: Key players in mechanotransduction and potential overlapping mechanisms. Bone. 2015. 3Watson SL, et al. Heavy resistance training is safe and improves bone, function, and stature in postmenopausal women with low to very low bone mass: novel early findings from the LIFTMOR trial. Osteoporos Int. 2015. 4Grzelak P, et al. Hypertrophied cruciate ligament in high performance weightlifters observed in magnetic resonance imaging. Int Orthop. 2012. 5Mersmann F, et al. Imbalances in the Development of Muscle and Tendon as Risk Factor for Tendinopathies in Youth Athletes: A Review of Current Evidence and Concepts of Prevention. Front Physiol. 2017. 6Alentorn-Geli E, et al. The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta-analysis. J Orthop Sports Phys Ther. 2017. 7Ponzio DY, et al. Low Prevalence of Hip and Knee Arthritis in Active Marathon Runners. J Bone Joint Surg Am. 2018. 8Belav DL, et al. Running exercise strengthens the intervertebral disc. Sci Rep. 2017.

04.01.2022 Love this Do you agree? / @themvmtpts

03.01.2022 Today is RU Ok? Day In these times with COVID-19, its really important to check in with friends, family, colleagues. Is your gut instinct saying someone might n...ot be doing so well? Perhaps they're just not themselves and you've noticed a change in what they're saying or doing? You've got what it takes to ask "are you ok?" and make a difference. Follow RU Ok? Day here: https://www.ruok.org.au/get-involved See more

03.01.2022 A study in the Bone journal demonstrated that one year of resistance training (3x/week) had a significant impact on bone mineral density (BMD)... and overall bone strength, which could help reduce the incidence of osteoporotic fractures. Some of you may be saying, this doesnt apply to me as I am still young. It is well understood that peak bone density is reached fairly early in life (20s-30s) and then hormonal changes (women) and increasing age (males and females) lead to decreases in BMD. Even if you are young, now is the time to maximize bone density through proper training and nutritional habits as these may help reduce your risk of fractures later in life. If you havent already, strongly consider adding resistance training to your exercise program as the benefits to the musculoskeletal system are numerous. The program does not need to be complicated either. The video showcases the resistance exercises that were used in the study. Find the appropriate load for yourself and give them a try. 1Squat 2Deadlift 3Bent-Over Row 4Calf Raise 5Shoulder Press 6Lunges (not shown) Hinton PS, et al. Effectiveness of resistance training or jumping-exercise to increase bone mineral density in men with low bone mass: A 12-month randomized, clinical trial. Bone. 2015.

02.01.2022 Low Back Pain Treatment Principles Whats new is old ... . Much of how we view and treat low back pain still has its roots from progressive clinicians and ...researchers such has Gordon Waddell. . Here is some of what he had to say from 1987 on the treatment of low back pain. https://pubmed.ncbi.nlm.nih.gov/2961080/