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Sarah Os Osteopath in Montrose, Victoria, Australia | Medical and health



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Sarah Os Osteopath

Locality: Montrose, Victoria, Australia



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22.01.2022 CHIARI MALFORMATION & HEADACHE Chiari Malformation refers to a condition where the lower portion of the brain (cerebellum) sits below the hole in the base of the skull (foramen magnum) where the spinal cord enters the spinal canal. The descent of the cerebellum through the foramen magnum leads to crowding of the sensitive tissues in this area. Your brain is nourished and cleansed by cerebrospinal fluid (CSF) which flows into and out of the cranium (skull) via a series of ch...ambers (ventricles). The brain has 4 ventricles and the 4th ventricle is situated in front of the cerebellum. This means that when the cerebellum sits low, it partially drops through the foramen magnum and due to the lack of space pushes on the 4th ventricle affecting drainage of the CSF leading to increased cranial (skull) pressure and accompanying headache. These headaches can often be aggravated by coughing, laughing and straining and tend to build over time. The suboccipital muscles, a group of muscles sitting behind this area, tend to become very tight and intensify this type of headache. It is not advisable to manipulate the cervical spine in the presence of Chiari Malformation and this technique often does not provide much relief either. More successful conservative treatment appears to involve relaxing of the suboccipital muscles to reduce pressure in this area and to very gently treat the muscles of the cranium and upper shoulders. Images c/of https://doctorlib.info/anatomy/clinical-neuroanatomy/11.html & http://acsneuro.com/conditions_a//chiari_malformation.html



17.01.2022 Easing of restrictions we’re at back!! But for all of those still working from home I thought I would post some stretches for Tennis Elbow.Tennis Elbow (Lateral Epicondylitis) causes pain and tenderness on the outside of the elbow. It involves irritation/inflammation or microtearing of the tendons and is caused by overuse, such as, repetitive wrist and arm motions. I’ve attached some stretches to help manage this condition but it is also worth considering the use of an ergo...nomic mouse to reduce pronation (twisting) of the forearm when working at your computer. These can be purchased from as little as $20.00. Treatment involves relaxing of hypertonic muscles connecting to the lateral epicondyle of the humerus, ensuring that the carpal (wrist bones) and radius and ulna have full range of motion, freeing any contracture of the fascia overlying the forearm extensors and assessment of the interosseous membrane which lies between the radius and ulna bones; thereby reducing the pull on the lateral epicondyle. Images c/of officeworks.com.au/shop and Lilydale Osteopathy & Natural Healthcare

15.01.2022 Ankle Sprains - more important than you think! Even mild ankle sprains or rolling of the ankle can have a big effect on the entire lower extremity. The talus (a bone that sits between the tibia and fibula forming the ankle joint), along with other bones, allows the foot to turn inwards or outwards and flex. These are important motions required for walking and running, especially over uneven surfaces. The most common form of ankle sprain is an inversion sprain. This means t...hat the foot tends to turn in. This affects the joints of the ankle - causing a bone the talus to roll outwards and sideways (it ends up sitting forwards on the calcaneus preventing proper drainage of the foot). Whilst the fibula (bone on the outside of the lower leg) moves slightly backwards at the knee changing the pull through the lower calf and hamstring muscles. This may lead to altered motion of the hip joint and one may also end up with lower back pain as the pelvis rotates to balance out the change in motion/biomechanics Drainage of the ankle may also be compromised leading to longer recovery time. It is therefore important to get the talus (and ankle joint) treated whenever we roll an ankle. This is particularly vital in runners where prolonged joint restriction can lead to overuse and stress injuries - remember you carry your entire body weight through one leg at a time (as the foot lands on the ground) so you want the ankle to move as well as possible allowing forces to be distributed correctly throughout all the joints involved in that motion. Images c/o the conversation.com

13.01.2022 Hello everybody, welcome to my page. With all the extra time I've had at home during lockdown I have finally decided to join the social media world and set up an information page. I look forward to adding some thoughts from time to time on how we can improve our health and well being.



13.01.2022 During COVID-19 with the lockdowns and numerous people working from home I'm finding many people suffering from headaches, lower back and pelvic pain. In the office people often move around more than they realise, walking to the water cooler, going to speak to someone at their workstation, walking to and from transport, going to the photocopier, leaving the office for lunch and so on. At home the set up is often not ideal and there is a tendency to sit for prolonged periods... without rising or moving, people can eat in the same position as well. This can weaken and fatigue muscles with the prolonged flexion leading to overloading of the spine which can cause disc irritation. It’s important to take breaks, get up and walk around the house or the garden and stretch every hour or so. With this in mind I’ve attached a few stretches for you to try at home. *Hold for a slow count of 30 or 3 to 4 deep slow breaths. *Repeat 2-3 times or several times throughout the day *Stretch only to mild pulling sensation, NOT into pain. *No bouncing when stretching. Remember to drink plenty of water too, it might force you to get up and move! Images c/o Lilydale Osteopathy & Natural Healthcare

07.01.2022 Knee pain Knee pain can have a lot to do with foot and pelvis motion. All the small bones in the feet need to be moving well so that the foot can pronate (roll inwards) allowing the tiba and fibula (lower leg bones) free motion which in turn assists the knee to move over the foot. Throughout this motion the pelvis is also required to pronate and if sacral motion (the triangle bone at the back between our hips) is limited this may affect the knee as well. Therefore with any ...knee pain it is important to assess biomechanics of the feet and the pelvis. Old sprain, strains or joint injuries can result in poor pronation of lower the extremity resulting in altered gait and overloading of the knee. Treatment is generally more effective if sought sooner rather than later as inflammation can build up within the joint leading to chronic pain. Over pronation and supination can also lead to problems but that’s a topic for another post! Image c/o: hopkinsmedicine.org

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