Carlin Roche | Physical therapist

Carlin Roche

Phone: +61 438 314 850

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25.01.2022 Do you know anyone with knee pain? CASE STUDY 34 y.o accountant lad came to the clinic with knee pain had been there for 4 months and he didnt know how it started. He was sent by his personal trainer. He is usually a quite active and runs regularly, though though could only run 1500m before hes pain started to became quite severe, forcing him to stop. He had seen a couple of different therapists that werent able to help.... We went through a detailed history specific to his lifestyle and went ahead with the mechanical assessment, where he was able to reproduce this pain consistently. Hes specific assessment pointed towards us attempting a certain movement that was repeated a few times that we monitored closely. Following this repeated movement, his knee pain almost completely abolished when he tried his usual pain-causing movement. Following this I said and I quote Ill eat my hat if this isnt the movement that fixes your problem. By the 3rd session that we had to closely monitor the progress, his pain was completely gone. It was all done by ONE specific movement, that he was able to do wherever he was. So, we established the cause and made sure that wasnt going to be a factor for him moving forward. Now this happy customer has been empowered take care of this issue without assistance. He no longer needs to visit a practitioner for treatment for this problem. Hes since returned to regular 8-12km runs, WITHOUT pain. Do you know anyone with knee pain? We may be able to help.

24.01.2022 This old mate was all over it #lumbarjack

23.01.2022 Billy knows best...

23.01.2022 Bit of common sense goes a long way. #posture #spinehealth #melbourne #melbourneiloveyou #neutralspine #textneck #pokeneck #liftyourphoneupinstead #sustainablehealth #wellness #health #ergonomics #ifitstillhurtsletmeknow

22.01.2022 It seems posture may have become a bit of a dirty word in recent times with various reviews suggesting posture seems to have little / no relationship with peoples musculoskeletal pain or function. Just wanted to share a case study (with the patients consent, she said it was spine) that highlighted to me the importance of considering the individual person and helping them understand that different postures may impact on their symptoms at different times; and that if they ...can become a little more self-aware of the effect of various postures, they can incorporate simple postural strategies into their overall management. I recently assessed and treated a 60 year old lady from NSW, whilst she was on holidays in Victoria. 7 months ago she woke with pain over her left gluteal / upper outside of the thigh and almost no feeling in the left lower leg and foot. She reported only sleeping 3-4 hours per night because of the pain. She had seen a variety of clinicians but only seemed to gain temporary relief from treatment. After taking a full history and deciding it was safe to examine her, I recommended she start a program of repeated movements targeting her direction preference for lumbar extension. I also suggested she be mindful of her posture and the effect it had on her symptoms. I suggested she use a lumbar roll when sitting to help her maintain her lumbar lordosis. (She reported being worse with sustained lumbar flexion (slouch) and better when maintaining a more neutral spine.) No hands on / manual treatment was provided. Since that one-off visit, she returned to NSW and I have kept in touch with her via phone and email, to make suggestions about how she could progress her management. She reports she has significantly improved over the last three weeks. Importantly, she feels more empowered as she has some simple movement and posture based self-management strategies, and is not having to seek regular face to face treatment. One thing I found interesting was that she reported she had been told by other clinicians that her posture eg slouching, was irrelevant to her problem. She had not been given any education about being aware of the effect of different postures / positions on her symptoms, or, that by modifying some of those postures (at least in the short term), it could potentially assist with pain relief / her recovery. As well as having her engage in an active exercise program, this case reinforced to me the importance of posture, as part of the overall management plan. It also made me reflect on how I used to tell many patients that posture wasnt important, even when they were telling me that certain postures / positions consistently made them worse. So spinally, posture IS important, no need to be afraid or hypervigilant about your posture but understand that it can be relevant at certain times. If we always overlook or ignore posture, we may not be doing the best thing by you in your recovery. See more

18.01.2022 Throwback to that time when you get up for a sunrise cos you're in Portugal. #Lagos #Extenspo #nearlyfellasleepagain

18.01.2022 Well said by a fellow #MDT clinician from Florida, USA... REPOST Woods undergoes another back surgery... REALLY?! As if two surgeries didn't do enough damage? It's unbelievable that no one spoke to you about #McKenzieMDT @tigerwoods See more

16.01.2022 Tbt to a retreat in Thailand where I was invited to provide assessments and retreat-ments to all that attended. Liliana the legend was happy to run through a history take in the lounge and to work through the mechanical in nowhere other than the infinity pool, at sunset. #rudenotto

15.01.2022 Don't listen to your monkey mind for just a second or 2 at a time today ;)

13.01.2022 Great to see the guys doing their personalised stretches before heading out on the big rigs! Another day of assessments, reducing pain and creating awareness about musculoskeletal pain and injury on site.

12.01.2022 Don't be a shy turtle this week!!

11.01.2022 Finally, this issue is being brought into light. "You know we're just wasting hundreds of millions of dollars sending people off for unnecessary tests and exposing them to unnecessary radiation." "About 1 billion dollars has been spent in the last 10 years in imaging of the lower back" "At least half of all back scans are of no value" ... I'd say it's far more than half, but this is a good conservative start. "Over half of the spinal fusion surgeries done are needless" Ask for the evidence before getting a back scan, or better still, get a good orthopaedic, mechanical assessment. http://www.abc.net.au/4corners/stories/2015//28/4318883.htm

09.01.2022 Me; "OK Lumbar, holidays are over mate, time to head back to the clinic." Lumbar Jack replies; "Oh righto chief! Cool your jets, I'll think about it when I'm done with me g&t! Me "Ok, ok, just give a tap on a vertebra when you're ready" We're back in full swing next week! PM, text or call if you think Lumbar and I could help with your summer sprains or pains.

09.01.2022 Yo! Just so you know, we don't only work with spines and back pain This research article shows the simple, fast and effective reduction of knee pain of an athlete, using our assessment and treatment principles. #mckenzieMDT #onceyougomackyounevergoback #itsnotmagic #justaboutthough http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3578196/

09.01.2022 "Failure of spine surgery is so common that it has been given its own name: Failed Back Surgery Syndrome." Ian Harris, Orthopaedic surgeon. A fella came to the clinic this morning for the first time, he's had 2 separate spinal fusions, he is NO better from them and now he cannot work. Just a reminder to always get a second opinion and exhaust conservative care.

08.01.2022 What a way to kick a day off by 'punching a tiger in the ears' and 'holding the monkey' (I think that's what they said) in Tai Chi class. Next week again for sure!

07.01.2022 http://buff.ly/2ahUBmM More useful information suggesting that for many people #MovementIsMedicine: "Our results should encourage clinicians and middle aged pat...ients with degenerative meniscal tear and no definitive radiographic evidence of osteoarthritis to consider supervised exercise therapy as a treatment option." #MDT See more

06.01.2022 Mick the greyhound; "keen for another walk foster Dad? Me; "righto mate" Mick; "yea sweet, cheers, yea that'd be good"

05.01.2022 Lumbar Jack is thawing out after a bone-chilling but beautiful couple of days, in the snow-capped Yarra Ranges. If you know anyone else struggling with winter aches or pains, tell them send us through a message

04.01.2022 Just another Retreat-ment here in Phuket Thailand. Im here as a consultant for any aches or pains anyone has while on this fitness and martial-arts retreat, and giving people the skills to self-care once back at home.

04.01.2022 Thanks Gav! Glad we could help

04.01.2022 5 Reasons to Stand Up Straight: Surprising reasons to stop slouching- 1. Less back pain. Sitting in front of your computer or in the car all day especially i...n a hunched or slouched position increases pressure on disks in the spine, which can cause its supporting muscles and ligaments to degenerate sooner, says Esther Yaniv, M.D., a physical medicine and rehabilitation specialist in Austin, TX. This can lead to back pain and may worsen herniated disks or pinched nerves. 2. More energy. Good circulation is crucial to keeping your mind alert and body energized. But slumping tightens your chest and compresses your lungs which means less oxygen makes its way into your bloodstream, leaving you tired, stressed, and mentally foggy. And strain in any part of your body saps energy, says Yaniv: Tense postures have the same fatiguing effect as holding a biceps curl for two hours. 3. Fewer headaches. Headaches are a common by-product of our constant use of computers and other electronic gadgets notice how gravity draws your head forward when youre staring at a screen. Trouble is, that position pulls on neck muscles and sensitive nerves in the back of your head and cuts blood flow to the brain. The result: a throbbing noggin. Sit straighter and youll prevent the pain. 4. Fewer bone and joint aches. Poor posture can be a slowly occurring injury that can lead to the shortening of muscles over time. For example, slouching when youre sitting causes hip flexors to become shorter and less flexible than they should be, leading to joint pain. And if you sit with rounded shoulders, you may get rotator-cuff pain. Over time, this wear and tear can lead to arthritis. 5. Better digestion. Slouching on the sofa after eating causes your tummy muscles to tighten, which can push stomach acid into your esophagus and cause heartburn. Standing or sitting up straight allows your digestive system to work more efficiently, so you wont experience that or other gastro problems, like gas. Instant Posture-Perfecters:

03.01.2022 Moving the movers @manwithavan

02.01.2022 ****BE PART OF A WORLD FIRST**** This week is 'Bring-a-friend for free' week at Spine Health! Bring a friend and only pay for ONE initial appointment!... http://bit.ly/1kzv1sY This is a world first (as far as I know :), could very well not be too), where 2 initial consultations are done in the one extended session. Who better to keep you accountable and make sure that we finally get to the bottom of those recurring back, neck or joint pains and flare-ups, than those that we are closest to? So round up your partner, best mate, a sibling or your Mum to kickstart and make the most of this summer together! Please LIKE or SHARE, or TAG anyone that you know needs to see this. It's next week only offer so get on board, it'll be a lot of fun! :) http://bit.ly/1kzv1sY CLICK this link or the BOOK NOW button to get the ball rolling, PM me if you have questions or want further details. Late appointments available Monday and Wednesday. Individual appointments still available.

01.01.2022 Happy patient, happy life #thatswhyidothis