Injury2Robust Osteopathy in Melbourne, Victoria, Australia | Doctor
Injury2Robust Osteopathy
Locality: Melbourne, Victoria, Australia
Phone: +61 432 711 194
Address: 904 Glen Huntly Road, Caulfield South 3162 Melbourne, VIC, Australia
Website:
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25.01.2022 A very important message. Physical activity guidelines state 150 mins aerobic exercise per week, including 2x20 min sessions of resistance training, can help with reducing the risk, and/or managing non-communicable diseases like heart disease, diabetes, cancer and mental health conditions.... Meeting the PA guidelines is the low-hanging fruit regarding improving and maintaining health......but why are more than HALF of Australian adults not active enough? When we all know ...exercise is good for us? Motivation? Social determinants of health? Top-down education breakdown? The motivation must come from the patient....however we as health practitioners must keep pushing the message as a bare minimum...... We are living longer, but more unhealthily.....let’s keep pushing Connect Health and Movement Osteopathy Australia Craig Liebenson Ryan Chow Laura Latham Adam Ang Caity Haniver
24.01.2022 Train hard for longer by training smart now....
23.01.2022 Rehab for Low Back Pain......when do you need to be specific? - Here we have a pulling exercise to build capacity in the shoulder girdle and arms.... - Or is it a core or pillar exercise - maintaining a position in the mid section against gravity and moving limbs?........ - Or does it help with pain via neuromodulation? - Or does it help with pain because working out and being active is a meaningful activity for the client, helps with stress, and generally speaking makes the client feel strong? - When do you have to be specific with exercise for pain? It’s a question I heard at @greglehman ‘s fantastic course.....And I think the answer is..it depends... - What are your thoughts? See more
21.01.2022 It’s about landmarks, not timelines....... Dan Pfaff - the great American sprint coach - I think we can extrapolate that out to musculoskeletal disability.. - Basing treatment plans around PAIN - how many treatments.how long until the client is out of paint etc - is a very common, natural and on the surface justifiable and appropriate method to approach musculoskeletal disability.... - However, PAIN, especially the longer pain is felt after the onset, is a poor indicator of tissue damage..we also know PAIN is multi-factorial and non-linear, that is, there are so many factors that may contribute to the perception of pain.. - The above makes planning our treatment and management plan based solely on our client’s pain difficult to say the least.. - What if we pivoted away from pain symptoms, to FUNCTIONAL LANDMARKS when carrying out our interventions and management planning?.. - What if we concentrate on the ACTIVITY INTOLERANCES of our clients, rather than solely their PAIN PRESENTATION? - What are the things that the clients pain makes it hard for them to do? And can we help them improve their FUNCTION to help with the ACTIVITY INTOLERANCES? - This takes a different mindset from the clinicianone that focusses on FUNCTIONAL landmarks, and not timelines in regards to PAINit also may require a shift from PASSIVE modalities to a more ACTIVE intervention.. - Basing treatment and activity on PAIN levels may lead to under preparedness and overprotectionin contrast including functional landmarks that help with activity intolerances may help with reassurance and reactivation.the starting point to ROBUSTNESS.. - What are you thoughts? See more
21.01.2022 Let’s keep pushing this message Schwartz's Crossfit Melbourne
18.01.2022 Different strategies for different humans...... - Putting clients in the same position and watching their strategy to hold this position is a super interesting exercise..... - Everyone is different of course, and so how they achieve a position can be determined by multiple factors including current pain or injury history, general fitness and body awareness, mobility, stability, strength, etc.......... - The Beast hold is such an example, a position I put all my clients into if at all possible..... - It gives me information about mobility (great toe extension, ankle dorsiflexion, wrist extension) and stability (knee and hip, lumbar/thoracic/neck and shoulder girdle), and strength (quad, pillar/core, shoulder girdle)...... - Looking at each clients strategyto hold the position helps me learn about the weak-links in their system (I.e. is it a mobility or stability or strength or coordination or fitness or body awareness issue)...... - Depending on the activity intolerances and activity goals of the client, these findings may influence both, and could be key to helping the client with a tangible plan to meet their goals.... - Of course pain is important to address, however how our clients function, their strategy when put in certain positions, may point us to WHY they have pain or disability.....treat the why...don’t chase pain! - What are your thoughts? See more
16.01.2022 Rehab -> Performance. GPP ties it together.
16.01.2022 A guideline I use to assess and treat...... a. Positions (MOBILITY) - can you get into positions that is efficient for the absorption and adaptations to stress (contextualised to your world)?... - Positions will be determined by PERIPHERAL SENSORY INPUT - including mechanoreceptors. - We can enhance the sensory rich environment by enhancing MOBILITY b. Patterns (STABILITY/MOTOR CONTROL) - can you control your available movement? - self-limiting because it will depend on POSITIONS. (EG. flexed tx spine harder to get arms flexed overhead) - Patterns are also governed by CNS PROCESSING - We can enhance this processing by COACHING and CUEING and getting the CNS’s ATTENTION! c. Performance (MOVEMENT WITH CAPACITY) - Positions + Patterns = Movement Performance (or Output or Behaviour) + Capacity - I will break these concepts down further in the coming week, however I would love to know how you assess and what you criteria you use, for mobility....if any? - Shout out to @gregdea for presenting these themes in this way - it has certainly resonated with me and made me a more critical practitioner when considering assessment and intervention....
16.01.2022 Great post from the team at KC The Sports Chiropractor.......we often are chasing our tails when seeking treatment......asking why allows us to explore the many systems of the body...and intervene wisely....not reactively!
14.01.2022 Our experience of pain is multi-factorial - Perceived DANGER/THREAT is a key factor in our pain experience. - As a clinician, I want to have a discussion with the client around why they may feel what they feel... - How at times, HURT does not equal HARM. - PAIN is sometimes not a good indicator of TISSUE DAMAGE - And what can be done to help them out of pain, and what they can do to continue to help themselves - From Manual Therapy, to Active Listening, to Goal Setting and understanding what’s important to them, to Graded Exposure to Movement, to Graded Exposure to Load - they can all be the UNLOCK to help calm the nervous system down to allow for positive adaptation to occur.. See more
13.01.2022 STABILITY for MOBILITY....... - One of the most influential concepts I learned from @functionalmvmt @dnsrehabilitation @dns_australia and its application from @kcsportschiro and @gregdea ...... - Or another way to say it is proximal stability for distal mobility.......... - Here my fixed (stable) point is my right shoulder girdle and pillar.....and I moving my left shoulder girdle overhead (pressing)........ - In @dnsrehabilitation this is similar to the 4.5 month pose.....or a version of a bridge..... - You can see I have trouble keeping my spine away from extension (sagital plane stability).... - Have a try and let me know how you went...... See more
12.01.2022 Schwartz's Crossfit Melbourne
11.01.2022 Big toe function......... - The ability to load through the big toe (1st MTP) efficiently is important for other joints up the chain..... - Ankle, knee, and hip function are all influenced.....as is Low back/T-spine and shoulder girdle depending on the activity requirements and body position....... - First slide BEAST position.....heels drift laterally (out to the side) due to inability to load evenly through 1st MTP joints..... - This can also be seen in slide 2.....where more stability requirements is needed against gravity and load.....less mobility in 1st MTP means change in other joints positioning..... - As a practitioner, I am always striving to help clients improve positions and postures so they are more efficient to ADAPT and ABSORB stress and load.....I hope this is the start for them to become more ROBUST in their world.... - Clinical goal is to improve 1st MTP loading....we can do this in a number of ways like plank saws, front planks, toe sit, lacrosse ball under foot, etc.... - This should help with positioning elsewhere in the body...... - What do you think? See more
11.01.2022 540 Million - back pain sufferers Globally, low back pain is the leading cause of Years Lived with Disability (YLD) according to the 2017 Global Burden of Disease Study, and has held this number one position for several decades. - With the ever increasing body of research on back pain, the improving technologies we have, the burgeoning number of physical therapy schools (Physio, Osteopathy, Chiro), one would think the PREVALENCE of LBP should be decreasing, but alas, this is ...not the case, and has not been the case for a long time! - Why? - Is it that we have traditionally had the view that the body was a machine that is prone to breaking or wearing out? If we were machines, then it would make sense to use PAIN as a marker of injured tissue.that needs to be FIXED! - Has this lead to OVER-DIAGNOSIS, labelling certain things as DYSFUNCTIONAL that have a particular technique FIX? - Has this lead to OVERTREATING? - Has this lead to TREATMENT DEPENDENCY? - Has this led to advice like don’t train if in PAIN, if painful avoid that activity? - Has this led to a systemic issue of FEAR AVOIDANCE, FRAGILISTAS and UNDERPREPARED CLIENTS? - Have we - HEALTH professionals - been the cause of this increase in prevalence? - We can de better - we must - for everyone that we serve! - And it starts with EDUCATION! LETS DO THIS! See more
10.01.2022 Let me re(introduce) myself.......
09.01.2022 Spanish Squats for patella tendon pain.... - Tendons and loading......one cause of sensitivity and also how improvement in sensitivity and capacity can occur..... - Isometric loading with Spanish squats...5x30 sec holds....... - Isometrics have the ability to decrease pain via central means......whilst also ensuring chronic workload capacity for an injured client......important for recovery and perhaps future injury mitigation..... - Ever use this exercise? What are your thoughts? See more
08.01.2022 The Jefferson Curl....aka flexion of spine movement...... - Sometimes in practice we have a choice...we can calm shit down and build shit back up...or poke into pain....(@greglehman).... - In this case, back pain and apprehension to forward flexion has been prevalent for many months........ - Progressively flexing forward and poking into pain has allowed for habituation, and a decrease of sensitivity over time.... - With the patients goal of moving/bending/twisting for work and sport, this was the appropriate intervention for him.... - There is no cookie cutter treatment plan or intervention because everyone’s story, capabilities and goals are different.... - Listen, ensure goals are clearly set and known, understand where they are at and where they want to be, connect the dots for them, perhaps graded exposure to activity.... - What are your thoughts? See more
07.01.2022 So important Connect Health and Movement
06.01.2022 We have some choices....... - For me, this is THE question I ask myself when treating....... - Should I take away and/or manage all aggravating and maintaining factors to this clients pain presentation?... - Or.....should I poke into pain? - In reality..... my management lies on a continuum that prescribes both methods....because it always depends on the person in front of me....... - Poking into pain may lead to HABITUATION - or DE-SENSITISATION - of ones pain presentation - and probably is part of the building shit back up side of things..... - This is where pain education is so important with patient management......HURT does NOT always equal HARM! - What are your thoughts?
06.01.2022 To meet the national activity guidelines, we should be undertaking 150 minutes of moderate cardiovascular exercise and 2x resistance type exercise for 20 minutes weekly...... To not do this....is a matter of life and death...... The low hanging fruit for a healthy life is to get active.....
04.01.2022 You have a scoliosis. You pronate your feet. You have a twist in your pelvis. Don’t push through pain.. Your x-rays show degeneration.... Your back is out.. Your disc has slipped. You are too old to do that. Its wear and tear. - If we are continually bombarded with words that describe findings on scans, findings on assessment, words that prescribe to you being BROKEN and DISABLED..there is a fair chance we will start acting this way - It may manifest in avoiding certain activities and movements, even activities that are meaningful and important.this is called FEAR AVOIDANCE..and it HUGE factor in persistent pain - These avoided activities may occur in very social environments..avoiding the activity means withdrawing from friends and families.another factor that can contribute to persistent pain. - Stress and anxiety may result from not doing meaningful tasks or activitiesyou guessed it.another factor that may contribute to persistent pain.. - We can become OVERPROTECTIVE and as a consequence.UNDERPREPAREDwhich in turn can lead to OVERPROTECTION and so on.. - Words matter.and updating our priors regarding persistent pain and all its contributing factors, is a must if we are to stem the overwhelmingly high rate of muscle-skeletal disability around the world. - What are your thoughts? See more
04.01.2022 Regressing exercise to encourage control of movement
04.01.2022 Anti-rotation med ball throw..... - I have been using this exercise with clients who have a had a hx of lower neck/upper back pain...... - Whilst it clearly helps with pillar stability, it challenges the system with horizontal arm activity with load and increased leverage.....often an action that can aggravate neck pain........ - It can also be used as an exercise targeting energy release/energy storage of the upper limbs.... - Follow @fred_duncan and @dr.ryanchow for more information re this type of intervention...... - Today’s session started with lots of T-spine mobility, scapular-thoracic mobility and stability, big toe extension and ankle dorsisflexion, push/pull and carry. This was preceded with hands on mobility of the posterior shoulder capsule.... - Positions.....patterns....power See more
03.01.2022 Train the feet...... - Peripheral sensory input from our body to our nervous system is most rich from our feet, our hands and forearms..... - The more information the brain has from the periphery (our limbs), the more options it can give us as an output of movement (or controlling movement)........ - The greater options our clients have, the greater bandwidth of error will be available.....and hopefully a buffer for injury.... - Feet and hands.....start there... - What are your thoughts? See more
02.01.2022 Training the brakes...... - End point hamstring recovery.... - Eccentric loading after plenty of isometric holds, pillar work, foot work, plyometrics, listening........ - CC: R Hamstring AI: sitting, bending forward, stopping when running at tennis, running MS: toe touch, 1leg hop Floor: Side bridge, 1leg bridge, ankle dorisflexion, tissue capacity (underpreparedness), education (hurt doesn’t equal harm) - All of the consultations have been via Telehealth....interventions combined mobility and stability/strength/force absorption and release..... - Patient reports more confidence in her body.....and she had control of this.... - Telehealth has been a challenge for me because it required me to get away from a fix it mindset, improve communication and cueing, and to improve my programming for progressive overload to help ensure the patient does the hardest thing that they do well for adaptation and to have a positive experience with movement..... - What are your thoughts? See more
02.01.2022 The kettlebell armbar for SHOULDER health...... - What’s happening here? - Scapula retraction - Glenohumeral compression... - Gripping for irradiation - thoracic spine rotation (and control of) - Contra lateral hip relative extension - The armbar has a lot of PROPRIOCEPTIVE features.....due to the shape of the kettlebell, the myriad of primary and secondary muscles surrounding the shoulder girdle have to activate to hold the position..... - It also can improve T-spine range...not by active movement...but by actively resisting movement....we will have some more posts on this in the future...... - It helps to place the shoulder girdle in a position opposite to that sometimes found in a sitting or slumped position...namely tilted forward and rotated inwards.... - Giving the nervous system more information from the periphery allows for more opportunity for movement strategies....and reflexive stability more centrally (around the spine and scapular).... - The armbar is multi dimensional and great for rehab or movement prep for overhead positioning.... - What do you think? See more
02.01.2022 Injury2Robust - Better Health and Performance
01.01.2022 Perhaps lets list what Foam Rolling does NOT do - based on current research; 1. It does not smooth out bumps in our tissues 2. It does not change the length of fascia or muscle... What it could do; 3. It could provide mechanoreceptor stimulation - by stimulating mechanoreceptors (receptors found in skin, muscles, joint capsules/ligaments) by direct pressure via a foam roller, we provide input into our nervous system that may help relax tone in our muscles (or reorganising body maps in the local area). However, if this was the the primary way foam rolling works, then just stretching/moving/sitting or a chair should do something similar, shouldn’t it? What it most likely does! 4. Facilitates Diffuse Noxious Inhibitory Control (DNIC) - WHATTTTTT? - By putting pressure on tender spots of our body, we facilitate our brain to turn down the volume of Nociceptor signals (they signal threat or danger from the body to the brain), and as a result our experience of pain. - DNIC is best served with sustained input - DNIC may be a reason why many hand-on therapies work - perhaps for another post - Why do you feel like you are less stiff and have greater range of movement after foam rolling? - - Nociception leads to muscle guarding, change in movement patterns and stiffness (all due to nociceptors telling our nervous system that there is danger) - decreasing nociception activity via foam rolling will also decrease these by-products
