This October, as we focus on Breast Awareness month, I wanted to take an opportunity to break away from Covid talk and shift the focus towards raising breast awareness for the early detection of Breast Cancer, the most commonly diagnosed cancer in Australia.
Did you know:
1 in 7 women & 1 in 700 men will be diagnosed with breast cancer in their lifetime
55 Aussies are diagnosed every day, that’s 20,000 every year
80% of breast cancers occurs in those over the age of 50
1000 women under the age of 40 were diagnosed in 2020 – I was one of them
Sadly 3000 people lost their lives to breast cancer in 2021
As a cancer breast cancer survivor, and a health professional who works with breasts, here’s what I would I’d like you to know:
You’re never too young to “get to know” your breasts. Being ‘breast aware’ means becoming familiar with your normal. You need to learn the look and feel of your breasts so that you can report any unusual changes to your doctor as soon as possible. This can be difficult in younger women in their 20s and 30s as they generally have denser breasts, are lactating/breastfeeding, or have undergone breast augmentation such as implants, all of which can change the “normal” feel of your breasts.
Breast cancer is the most common cancer in women ages 15 to 39. Approximately 40% of these cancers are detected by women who feel a lump, so establishing a regular breast self-exam/routine is very important.
Young women are often diagnosed with more advanced and/or more aggressive subtypes of breast cancer than older women. There are no routine breast cancer screening tools for women younger than 40 years old, so it is vital that you perform a regular screen and get any abnormailities checked out.
Breast cancer risk increases slightly for approximately 10 years after a first birth. After that, it drops below the risk of women who don’t have children.
When in doubt get checked out!
Being breast aware means routinely undertaking breast self-exams as part of your overall breast cancer screening strategy. Everyone’s breasts look and feel different. You may have lumpy breasts, one breast larger than the other, breasts that are different shapes, or one or both nipples that are pulled in (inverted), which can be there from birth or happen when the breasts are developing. There’s no right or wrong way to check your breasts for any changes. You can do this in the bath or shower, when you use body lotion, or when you get dressed. Just decide what you are comfortable with and what suits you best. Remember to check all parts of your breast, your armpits, and all the way up to your collarbone.
Know what to look for:
A new lump in your breast or underarm (armpit)
Thickening or swelling of part of your breast
Irritation or dimpling of your breast skin
Redness or flaky skin in your nipple area or your breast
Pulling in of your nipple or pain in your nipple area
Nipple discharge other than breast milk
Any change in the size or the shape of your breast
Pain in any area of your breast
The importance of breast awareness, from personal experience:
I had a new, painful lump that did not go away. Deciding I should practice what I preach to my patients about getting checkups, I went to my GP and had him assess it. What followed was an ultrasound and mammogram, followed by a core biopsy to confirm it was cancer. That was the easy part. Then came the treatment…
If you learn nothing else from this post just remember “when in doubt get checked out”. Thanks to many generous donations to organisations such as the National Breast Cancer Foundation and the Breast Cancer Network of Australia who help fund life-saving research in breast cancer diagnosis and treatment, the 5-year survival rate is now 91%! But we know that the earlier these changes in breast tissue are detected and cancer diagnosed the better the outcome, and the less invasive the treatment course can be.
So please join me this October in becoming more Breast Aware – it just might help save your life 🙂
25% of the body’s bones, 18% of joints and 6% of the muscle are in the feet. People often disregarded their feet as an essential part of the body and pay no heed to issues that are concerning them. Injuries and damage to the feet can cause and lead to serious problems in the knee, hips, pelvis, spine and affecting the body as a whole.
How do ¼ of the body’s bones have such an impact? To answer this lets first discuss biomechanics.
Biomechanics is the study of the structure, function, and motion of the mechanical aspects of biological systems, at any level from whole organisms to organs, cells, and cell organelles, using the methods of mechanics. So basically, for you this means how you move, what muscles, bones, ligaments, tendons, fascia is involved in the movement and how any change through this will affect the movement.
The foot biomechanics can be separated into static and dynamic elements. Bones, ligaments, fascia, and joint surface congruity form the static elements. While muscle function and arthrokinematics (movement of joint surfaces) of the tarsal bones the dynamic elements.
The static elements of the foot are the structure of the foot, they allow us to remain upright for a prolonged period without needing move. This is contributed to the passive ligamentous support of the plantar aponeurosis (fascia) and osseous (bony) support which maintains the arch in the static foot.
The plantar aponeurosis commonly referred to as the plantar fascia. Is a thick connective tissue, that functions to support and protect the underlying vital structures of the foot. The osseous support mainly comes from a beam like action of the metatarsals (long bones that connect ankle to toes).
These two components connect to help form the windlass mechanism. A windlass is a sailing apparatus used to haul or lift. The windlass mechanism of the foot describes the plantar aponeurosis tension ability to absorb increased stress. This occurs as the calcaneus (heel bone) and extension of the first metatarsophalangeal joint (MTPJ/big toe) move closer together.
The dynamic elements work in combination and are reliant on the static elements. The foot and ankle movement are complex and highly involved. It can be defined as a closed kinetic chain the combination of movement of several sequential joints and tissue structures where the terminal segment is met with considerable resistance. In this chain the ankle and foot work in triplane movements called pronation and supination. Pronation is the simultaneous movement in a transverse, sagittal and frontal plane or a combination of abduction, dorsiflexion, and eversion. Supination works in the same three planes although it is a combination of adduction, plantar flexion, and inversion. Pronation and Supination are needed to achieve a ‘normal’ gait.
Normal Gait (Walk) & Feet
A normal gait cycle is measured from initial contact to the ground of one foot to the lift-off and recontact of the same foot. To walk the movement does not just happen at the feet, there is distinct movements in the joints of the feet, ankles, knees hips and pelvis. As well as substantial muscle and ligament involvement from the feet to the pelvis.
During the gait cycle, the feet have an important role, especially in the stance phase. When the heel strikes the ground, the ankle is in dorsiflexion as the movement continues the hindfoot (subtalar, talonavicular, and calcaneocuboid joints) starts to evert allowing the ankle to start plantar flexing. This creates a loading effect on the plantar aponeurosis as the foot pronates moving into the mid-stance phase.
In the mid-stance, the tension in the plantar aponeurosis decreases allowing the foot to be able to shock absorb and adapt through the midfoot. As the foot prepares for the toe-off phase, the big toe moves into extension, which tightens the plantar aponeurosis and assists with supination of the foot.
Any change to the biomechanics or injuries to the muscles, tendons, or ligaments will alter how you stand and walk. These compensations can create issues up the chain including ankle, knee, hip, and lower back pain.
Do you have any issues that you think might be steming from you feet?
Our houses or apartments are full of furniture. Presumably, you have a lounge (or two), a dining table, and a bed at the very least. Modern conveniences designed to make our lives more comfortable. I wonder when you replaced your lounge? Perhaps when it started to sag in the middle and you had trouble getting up, or maybe when it no longer matched your decor? How about your mattress? On average we sleep 229,961 hours in a lifetime, that’s ⅓ of our lives spent lying down, on a mattress. When you last replaced the most important piece of furniture in your home?
Having the right mattress (and pillow) is imperative in obtaining a “good” night’s sleep. A night of good sleep not only has a direct impact on your mood and mental health – we have all woken cranky after a bad night’s sleep, it also helps your body recuperate, your muscles repair, but it also improves memory and focus, helps builds immunity, and helps control weight. So is your current mattress working for you or against you?
As a general rule, most mattresses will last 8-10 years. This is dependent on the quality of materials the mattress is made from, who uses the mattress, and how long per day. I once had a patient tell me they had been using the same mattress for 40 years! I highly doubt it was still supportive after almost half a century, and perhaps that was why I was providing them with treatment for musculoskeletal pain.
An old or poor-quality mattress can negatively affect your health, from short-term effects of drowsiness, headache, aches and pains to long-term effects such as respiratory problems, spine and back issues, and allergies. Most people think a good mattress is simply for comfort, a supportive mattress has a significant impact on your health – both physically and mentally.
Here is a list of seven things that may be seen due to an old or poor-quality mattress:
Pain: this is the most common complaint people have when sleeping and it can come down to your mattress. As mattresses age they start to lose their structure and support. An ill-supported, sagging mattress can lean to back and neck strains, sleeplessness, fragmented sleep, and daytime fatigue.
Microorganisms & Hygiene: dust mites multiply rapidly and find old mattresses in a haven. These microorganisms can cause skin conditions and respiratory problems such as allergies and eczema. Bed bugs love old damp mattresses and on average a person loses 0.5kg of sweat/night over time this creates a bed bug ideal habitat. Their bite creates health problems from sleep deprivation to anaemia. This damp environment is also perfect for bacteria, mould, and mildew, leading to skin and respiratory issues
Insomnia/Sleep Disturbances: waking still feeling tired, groggy, and grumpy. Your mattress may be the cause, an old mattress can reduce the quality of sleep you are getting, lowering your immune system. Over time issues like insomnia can lead to serious health issues like high blood pressure and other cardiovascular conditions.
Stress: inadequate sleep directly affects your day, after 1 sleepless night you are more irritable, short-tempered, and vulnerable to stress. High-stress levels can then affect sleep by increasing the body’s cortisol levels stimulating the brain to become alert and awake.
Snoring: mattresses are overlooked when it comes to snoring. An old mattress cannot support your spinal and head therefore the muscles in the jaw and throat can collapse which can limit your airway increasing snoring. Dust mites, mould, mildew and bacteria can also aggravate sinus issues and snoring.
Cardiovascular, Immunity & Obesity: If you do not sleep well your heart tends to work harder. A study conducted by the European Heart Journal showed that people who suffer from lack of sleep or poor sleep, have 48 per cent more chances of developing a heart condition such as high blood pressure, compared to those who sleep well. Sleeping on an old mattress prevents you from getting high-quality sleep, which weakens your immune system, increasing your risk of colds and flu and other bacterial and viral conditions. Sleep has been linked to metabolic and endocrine functions, this means that old mattresses promote sleep deprivation which in turn promotes binge-eating and overeating.
Mental Health: Sleep and mental and emotional health have an intimate and bidirectional relationship, poor sleep quality has been linked to depression, anxiety, bipolar disorder, etc. Given their strong association, it is believed that improving sleep can have a beneficial impact on mental health and can be a component of treating many psychiatric disorders.
So where do you begin in searching for a new mattress?
It’s a significant investment so take your time, do some research, compare the brands, look at the materials used, check out the manufacturer, their reputation, history, where they are made, have they had any changes in the manufacturing recently, do they get good reviews, and do you trust where the information is coming from.
Or you can just wait for our next blog for our recommendations. We’ve done the hard work and researched it all for you so you don’t have to!
It’s no secret that as we get older, concerns about health start to grow for many. Chronic disease statistics within the global population increase with age. By the age of 75, there is a 60% chance of having developed two or more chronic conditions. By 85 this increases to a 75% chance. Some of the common conditions people associate with getting old are osteoarthritis, type 2 diabetes, dementia, hearing loss and eye conditions including cataracts and glaucoma. One very important condition that affects millions of people every year around the world is osteoporosis. Considering it affects so many of us as we age, it’s not always up there at the fore-front of people’s minds as one to watch out for.
We’ve put together this blog to inform you fully on some of the facts and myths surrounding osteoporosis and to let you know why it’s so important to act early in life to avoid this potentially debilitating condition.
What is osteoporosis?
Osteoporosis is a condition that affects the density of bones of the skeleton causing them to become weak and fragile to breaks. It occurs when bones lose high amounts of protein and minerals, particularly calcium. The internal structure of the bone changes (i.e. the amount of bone that makes up the structure decreases) and this weakens the bone. The condition mainly affects the elderly population, but this is a condition that can take years to develop with lifestyle decisions early on in life playing a major role in its development in some people.
Myths and facts
Let’s outline some of the myths (and debunk them with facts!) surrounding osteoporosis. We believe a healthy population can only come from being an informed population.
Osteoporosis only affects women: Stop right there! Yes, women are more susceptible to developing osteoporosis due to the hormonal changes they go through during menopause. The reduced production of oestrogen following menopause is one of the biggest risk factors for developing this condition because of the weakening affect it has on the bones. Make no mistake, men can also develop this condition. A fifth of men over 50 in the US will experience an osteoporotic bone fracture in their lifetime!
Osteoporosis only affects Caucasians: Osteoporosis can affect anyone regardless of race or ethnic origin. The stats show there are higher numbers of cases in white than black people. Research suggests black people tend to develop a greater bone mineral density during the growth stage of life than white people, leading to overall stronger bones. It also suggests black people lose bone at a slower rate than white people as they age. This condition should however be taken seriously by all.
Osteoporosis only affects the bones: Whilst osteoporosis primarily affects the strength of bones leading to increased fracture rates, this condition can affect the body in other ways as well. Recovery from hip fracture surgery due to a osteoporosis-related fall can be problematic and sometimes fatal due to other bodily complications such as immobility, heart and lung problems and increased infection rates following surgery.
You’re only likely to fracture if you have a fall: Falling down is a common way people fracture bones, particularly if you have a low bone mineral density or osteoporosis. Unfortunately for people with severe osteoporosis, even the smallest of movements could lead to a bone fracture. Sneezing, reaching to pick up an object from the floor, stepping off a pavement onto the road or even a sudden change in direction whilst walking are all movements that may trigger a break in someone with this condition.
Osteoporosis is painless: Many people believe that this condition is painless unless you physically fracture a bone. This may be true in the early stages of the disease as there may be no signs or symptoms of something changing in the bones until you experience your first fracture. As the disease progresses, chronic pain can be a big problem, particularly if there have been multiple fractures over the course of a person’s life. Osteoporosis is strongly linked with loss of muscle mass as we age, which leads to further deterioration of bone health. The body loses its ability to support the skeleton and various scenarios of pain states relating to posture and persistent pain following the healing of a fracture can exist.
I’ll worry about osteoporosis if it happens: Take no chances. How you live your life in the early stages will affect your body later on. Children and adolescents need to be active and eat a healthy diet consisting of the right vitamins and minerals because it is at this stage of life where our bones build in mass and strength. Females reach their peak bone mass around the age of 18 and males reach it around 20 years of age. After this, we start to lose bone as the years progress. Staying active and being healthy throughout life will help to reduce the loss of bone that occurs with age. The rule is to act early (teach your kids the importance of being active) and continue to act as the years go by!
There is so much more we could discuss on this topic, but we’d be here all day! We hope this has given you a sound understanding of what osteoporosis is and the importance of acting early in life to avoid this condition. If you would like to know more, feel free to ask us next time you are in for a treatment or a chat, or check out Osteoporosis Australia. Stay safe everyone!
Question… Which is the largest organ in the human body? A lot of people think the answer is the brain, lungs or liver when asked this question. When in fact, the answer is the skin. All of the skin combined in a big heap would weigh more than any other organ. The skin equates to approximately 7% of total body weight in an average adult. It’s an incredibly intricate structure that forms the outer layers of our bodies. But why do we have skin? Read on to find out all the cool things our skin does for us…
Functions of the skin
The skin has six main jobs to do on a day-to-day basis. These include:
Controlling body temperature
This organ does a fantastic job of keeping our body temperature stable. It does this in two ways: through sweating, and changes in blood flow, depending on the temperature of the air around us. If we are in a hot climate, our body releases sweat from glands in the skin. The blood vessels that run through our skin also get wider allowing increased blood flow, therefore further releasing heat from the body. This process reverses in cold climates. We sweat less and the blood vessels get narrower, reducing the amount of blood flow which helps the body retain heat. Magic!
The skin also acts as a reservoir for our blood. Within the thin layers there are lots of blood vessels which, at rest (i.e. sitting or lying down), hold somewhere between 8-10% of the total blood in the body. That’s a LOT of blood
Our bodies are covered in one big protective coating. The skin protects us from the outside world and much of what it throws at us. Our skin is made up of very tightly packed, minuscule cells that produce a hardy protein known as Keratin. This protects the tissues inside us from heat, scratches, chemicals and any nasties that are floating around. Special glands in the skin produce an oily substance which covers our skin and hairs to stop them from drying out. Our sweat is also acidic and protects against nasty germs. Pigment in our skin protects us from the sun’s harmful UV rays. Finally, there are other special types of cells that recognise any nasties that have made their way through the layers and alerts our immune system to send in the soldiers to kill the unwanted guests. It really works hard to keep you safe!
Within its layers, there are thousands of tiny structures known as receptors, which help us to detect certain sensations. Nerve endings do a similar job. These sensations include touch, vibration, pressure, tickling, heat, cold, and pain.
Absorption and excretion
I.e. taking in and getting rid! Absorption refers to the movement of substances from the outside world, through the skin and into our bodies. We can absorb certain vitamins, drugs (think about a hydrocortisone cream), gases (oxygen and carbon dioxide), as well as many other substances through our skin. Many of these are good substances that we need to live. Others can be harmful to our bodies. Excretion refers to the removal of waste substances from the body. Our sweat is one way we can get rid of these waste substances. We also lose water from the surface through the process of evaporation.
Vitamin D production
We need Vitamin D for many processes in the body. It is produced when the sun’s UV rays hit our exposed skin. Vitamin D helps us absorb calcium from the food that we eat. Both of these substances are important for good bone and muscle health. This essential vitamin also plays a major role in our immune system function when we need to fight off an invasion of microbes. It is also needed by the body to reduce levels of inflammation.
Impressed? We are. How cool is that?! Or is it hot…? Oh, whatever ‘tickles’ your fancy! 😉
Tortora, G. and Derrickson, B. 2011. Principles of Anatomy and Physiology. 13th ed. Asia: John Wiley & Sons, Inc
It’s morning, and the alarm clock has just told you it’s time to get out of bed. Another few minutes won’t hurt. You check your emails, social media sites, and you even ring your mum to see how the dog slept last night… basically anything to delay putting your feet on the ground and taking those first steps to get the day started. And it’s because of this pain you’ve been getting on the bottom of your heel every morning for the last few weeks. And it’s getting worse… Time to see your osteopath!
There are a few things that can cause pain on the bottom of the heel, but the most common cause is a condition named plantar fasciopathy (pronounced ‘fash-ee-op-a-thee’. Previously known as plantar fasciitis (pronounced ‘fash-ee-i-tis’)).
What is plantar fasciopathy?
Plantar fasciopathy is an overuse condition affecting the plantar fascia. The plantar fascia is a layer of soft tissue that stretches along the bottom of the foot, from the heel bone to the metatarsal bones in the front of the foot. It helps to provide stability to the arch of the foot. It is similar in make-up to a tendon (the things that attach muscle to bone). If too much stress is placed on it over time the tissue can degenerate, weaken, and give you pain. The pain is commonly felt where the plantar fascia attaches into the heel bone.
Scientific research suggests there are a few groups of people who are more prone to developing plantar fasciopathy. These include:
People who are over-weight and lead a sedentary lifestyle and/or spend long periods standing for work (e.g. a factory worker)
Important things to consider with these at-risk groups include:
Foot alignment and arch height: Having a very low or high arch or having excessive or not enough movement in the foot joints can lead to the development of this problem.
Amount of training: Increased levels of training can place greater stress on the plantar fascia more regularly.
Footwear: Wearing certain types of footwear when training can lead to an increased risk of plantar fasciopathy. For example: wearing athletics spikes, or the wrong footwear for your foot type).
Muscle strength and flexibility: Decreased strength in the muscles that control toe movement, as well as weakened and tight calf, hamstring and gluteal muscles.
Signs and symptoms
The signs and symptoms of plantar fasciopathy include:
Pain at the bottom of the heel
Pain that appears as a gradual onset
Pain felt first thing in the morning (i.e. taking those first steps out of bed in the morning is classic!)
Pain that decreases with activity, but increases again afterwards (early stages)
Pain that increases with activity and pain felt at night (latter stages)
Pain felt after periods of prolonged rest during the day (i.e. being sat at your desk for 2-3 hours and then getting up again)
Tight calf, hamstring and gluteal muscles
Weak muscles that help to support the arch of the foot
Stiff or over-flexible foot and ankle joints
Diagnosis and treatment
First things first, if you have heel pain that sounds similar to the picture we have painted above, make an appointment with us now (you know what to do… call us on 02 4655 5588. Once we have asked the relevant questions, performed the necessary tests, and are convinced that the issue stems from the plantar fascia, we will formulate a plan with you with short and long-term goals to reach within a set time.
Initial hands-on treatment will include a combination of massage, joint mobilisation and manipulation, and dry needling of the lower limb muscles with the aim of correcting any mechanical issues that are playing a role in this issue. Depending on the presentation, we may also use tape around the foot and ankle to provide support and reduce the stress being placed on the tissues. Other treatment will include advice on weight loss (if required), training regimen, footwear, and exercise prescription that helps to lengthen and strengthen tight and weak muscles. Some cases of plantar fasciopathy may require a foot orthotic or in-sole to provide extra support to the foot whilst wearing shoes. We can advise on footwear too, and may even get you back into our favourite type of thongs!
Plantar fasciopathy is a tricky condition to treat which may require ongoing treatment for several months. We will endeavour to get you pain-free in the shortest time possible, so we recommend following all advice to a T, which may include a reduction in the amount of training you are doing at present. When you start to hit goals and we see improvements being made, we’ll have you back up to your full training program before you can say “plantar fasciopathy”.
People regularly ask if they need imaging for such an issue, but the majority of cases of plantar fasciopathy can be diagnosed with a thorough case history and physical assessment. This is where we excel! Imaging is there for cases that do not respond to treatment and for those instances where we need to rule out a more serious problem.
If you need help with heel pain, please call us today on 02 4655 5588 to book your appointment. Let’s have you putting your best foot forward, ASAP! 👌
Both Acupuncture and Dry Needling involve the insertion of a filiform stainless-steel needle through the skin to alleviate pain, but are they different and if so, how?
Let’s begin by having a brief look at the two modalities:
Originated in China about 6000 BCE. Based on the theory of meridians, Qi, Yin/Yang and 5 elements (fire, water, wind, earth, metal) and aims in restoring balance. The knowledge of health and disease in China developed purely from observation of living subjects because dissection was forbidden and the subject of anatomy did not exist
Origins are from western medicine based in scientific principles. It aims at improving function by releasing myofascial trigger points (tender points) Came about by using hypodermic needle (used to draw blood) to decrease pain, and came about by experiment of injecting saline into muscles
Needle placement follows the meridians of the body and will not necessarily be placed in the area of pain. There are 12 meridians with a connection to internal organs
Needle placement is in the region of pain, trigger points in muscle, tendon and fascia
Used in the management of a broad range of conditions, including pain, menstrual issues, infertility, gastric complaints and more.
Used to treat musculoskeletal conditions and dysfunction
Used in daily practice by TCM practitioners as a primary modality, commonly the only technique
Used as a supplementary tool in some treatments
Minimum 4-year bachelor’s degree with 100s hour supervised clinical experience
Usually a 48-72-hour course with minimal supervised clinical experience
Must be registered through a Chinese Medical Board and Australian Health Practitioner Regulation Agency.
No regulatory body needed – although usually completed as an adjunction therapy
Must complete mandatory continued professional development for registration
No required continued professional development
Professional indemnity insurance is compulsory
May not be covered by professional indemnity insurance
Now that you have a brief overview, let’s do a deep-dive into the history and philosophy of each approach to gain a better understanding of the difference between Acupuncture and Dry Needling.
Dry Needling (DN) is described as “the insertion of needles into tender point in the body without the injection of any substance to treat painful musculoskeletal disorders”(1) and was tied to the discovery of myofascial tender points and pain referral patterns.
It began in the late 1930’s with John Kellgren who was the first to publish that pain from muscles if often referred in a specific pattern to the individual muscle, and that pain could be relieved by injecting procaine into an acutely tender point which were often some distance from the site of pain outlasting the effects of anaesthetic(2).
Over the next few years, an interest in pain relief from needling grew with many people experimenting with tender points, but it wasn’t until 1942 that Janet Travell and David Simmons’s research that Myofascial Trigger Points became a common term. Myofascial Trigger Points are defined as an “hyperirritable spot in skeletal muscle that is associated with a palpable nodule in a taut band. The spot is tender when pressed and can give rise to characteristic referred pain, motor dysfunction and autonomic phenomena”(1).
Needling without injection of a substance was first mentioned by Ernest Brav and Henry Sigmond in 1941 who proclaimed that pain could be relieved by simple needling without injecting anything, however the first sentence of their paper references a James Churchill’s publication on acupuncture from 1821(3, 4). The term ‘Dry Needling’ was coined in 1947 by J D Paulett who also established the relationship of effective treatment, deep needling, tender points and a reflex spasm (fasciculation/muscle twitch) (5). This was built upon by Karel Lewit in 1979 who stated that acupuncture needles had the same therapeutic results with less pain, bleeding and bruising then hypodermic needles(1).
This is how DN that is known today came about, with the use of acupuncture needles and the insertion and manipulation of the needle that creates a fasciculation to help reduce pain in musculoskeletal complaints.
Acupuncture is a key component of Traditional Chinese Medicine (TCM) to help balance the flow of energy known as qi (chi) which flows through medians in your body. By inserting filiform needles through a person’s skin at specific points along these meridians, to various depths, acupuncture practitioners believe that your energy flow will re-balance(6). Other methods may be used to stimulate the acupuncture points, including acupressure, moxibustion, cupping, laser therapy, electro-stimulation and massage, in order to rebalance the flow of qi(7).
Acupuncture is generally held to have originated in China, with instruments dating back to 6000 BCE being interpreted as acupuncture treatment(8), however this is widely debated.
1600-1046 BCE the Shang Dynasty linked Chinese medicine to the beliefs of ancestors, who were capable of endangering or even destroying human life, therefore healing practices attempted to restore not only the living but also the dead. This belief gave way to magical, demonological or supernatural beliefs, that demons caused disease such as swellings, and the insertion of needles or stone lancets etc., could be to kill or expel them(9). Meridians were first mentioned in 198 BCE in writings found in Ma-Wang-Dui tomb(8), however they differ from the ones commonly seen in TCM today.
The Huangdi Neijing (The Yellow Emperor’s Classic of Internal Medicine) is an antediluvian text on health and disease with an organised system of diagnosis and treatment. It is thought to be written in approximately 2600 BC by Emperor Huangdi. It is presented in the form of questions by the Emperor and learned replies from his ministers and is likely to be an accumulation of traditions handed down over centuries presented in terms of the prevailing Taoist philosophy. By this time the concept of meridians in which the Qi (energy/lifeforce) was established the precise anatomical locations of acupuncture point developed later(8, 10).
During the Han Dynasty (202 BCE – 220 CE) Chinese medical traditions flourished as Chinese health care started to follow theories to categorise phenomena into a limited number of causes and effects. Natural laws, conceptualised in doctrines such as ‘Yin‐yang’ and ‘Five elements (fire, water, wind, earth, metal),’ were used to explain health and disease, and to devise preventive and therapeutic strategies(9). However, these theories were not commonly accepted or consistent.
The development of acupuncture and the accumulation in texts over the next centuries gradually made acupuncture one of the standard therapies used in China, alongside herbs, massage, diet and moxibustion (heat)(8). Bronze statues from the 15th century show the acupuncture points, and were used for teaching and examination purposes(8). During the Ming Dynasty (1368–1644 CE), The Great Compendium of Acupuncture and Moxibustion was published, which forms the basis of modern acupuncture, in which clear descriptions of the full set (365 points) that represent meridian apertures in which Qi could be accessed via a needle. These points are still points used in modern acupuncture.
Several of our team practice Dry Needling for musculoskeletal complaints, including Teille, Amy, and Yahana. If you are interested in learning more about the various needling approaches, and which style might be best for you see Dr. Teille Wickstein. She is our go-to practitioner for all things needling related! You can read more about her below.
Dr Teille Wickstein is a dual-qualified Osteopath and Acupuncturist. She first obtained a degree in Chinese Medicine/Acupuncture, before undertaking a further 5 years of University training to become an Osteopath. Teille (pronounced “Teal”) is passionate about improving health and wellbeing, and truly believes in the holistic approach of treating the body as one unit.
Teille has an interest in treating both acute and chronic conditions through osteopathic treatment .
Teille uses a variety of different treatment techniques, from myofascial release to manipulation.
She aims to provide her patients with the knowledge required to not only treat their pain, but to understand it and subsequently prevent it using postural advice, ergonomic advice and strengthening techniques.
Teille is available for consultations from Tuesday – Saturday. She offers late afternoon and evening appointments.
For more information or to make an appointment call (02) 4655 5588 or click here to book an appointment now.
1. Legge D. A History of Dry Needling. Journal of Musculoskeletal Pain. 2014;22.
2. Kellgren JH. Referred Pains from Muscle. Br Med J. 1938;1(4023):325-7.
3. Lu DP, Lu GP. An Historical Review and Perspective on the Impact of Acupuncture on U.S. Medicine and Society. Med Acupunct. 2013;25(5):311-6.
4. Brav EA, Sigmond H. Low Back Pain and the Needle. The Military Surgeon. 1942;90(5):545-9.
5. Paulett JD. Low Back Pain. The Lancet. 1947;250(6469):272-6.
6. Clinic M. Acupuncture: Mayo Clinic; 2017 [updated March 2020. Available from: https://www.mayoclinic.org/tests-procedures/acupuncture/about/pac-20392763.
Are you in (or approaching) your latter years and are wondering what you can do to ensure you maintain strong bones through the next period of your life? As we age it is common to begin feeling the effects of years of ‘life’ on your body. Diseases like osteoarthritis (i.e. degeneration of joints) and osteoporosis (i.e. weakening of bones) are more common in the elderly population. But just because the figures show this, it doesn’t mean these diseases will affect your ability to lead a full and active life.
The good news is, there is plenty you can do now to reduce the risk of bone-related problems down the line. Read ahead for a few exercises you can perform regularly to keep you and your bones in tip-top shape!
Weight-bearing and resistance are key
It is widely accepted that to increase bone health, we need to stress the bones of the skeleton. The best way to do this is through weight-bearing exercises (i.e. exercises performed in an upright position with our legs impacting the ground). Resistance-type exercises are also beneficial in protecting the skeleton against the effects of ageing. ‘Resistance’’ implies an exercise that is performed against a force acting on the body. A simple example would be to compare walking through your house to walking through strong head-on winds. The wind pushing against the body is the resistance aspect.
When we exercise, forces acting on our muscles help to build strength. The forces placed upon the skeleton through the muscles help to activate special bone-building cells within the bones, and these help to maintain or build strong bones depending on the intensity of the exercise. In order to increase bone strength, we need to regularly push our bodies beyond the intensity of simple everyday tasks, like walking.
Age is a factor
Now, if you’re worried, we’re going to suggest a new gym membership and intense weight lifting program, then rest easy. There are lots of things to consider, and age (as well as medical history) is a big factor when it comes to prescribing exercise. Someone who is 80 will need a different exercise regime compared to someone who is 55 when it comes to targeting bone health.
Exercises to try
The following are simple weight-bearing exercises you could have a go at doing:
Walking or jogging uphill
Hiking across the countryside
Stair climbing or step-ups
A friendly game of tennis, badminton or squash
Aerobics or dancing
You can add resistance to your exercise program by:
Lifting weights (always start light so as to not overload the body)
Exercising using cables or resistance bands (again, use light resistance to begin with)
Everyone has different requirements, so we suggest giving us a call on 4655 5588 or book in now so we can create an individual program that is perfect for you.
Have you ever been told you are flat-footed? Or have you noticed that the arches in your feet are not quite the same as others? Although we are all a part of the same species, many of us have variations in our anatomy that make us unique. Look at a crowd of people and you’ll notice many different shapes and sizes. Our feet are the same. Some people have very developed arches in their feet, others have under-developed arches and have an almost ‘flat’ look to their feet. This phenomenon is known as ‘pes planus’.
Why does it occur?
There are two main reasons a person may develop flat feet. They are:
Congenital: A person is born with it and the feet fail to develop an arch through childhood into adulthood. A small percentage of the population have a connective tissue disorder which can leave the joints in the body less stable and more mobile. These conditions (namely Ehlers-Danlos and Marfans Syndromes) are also associated with having flat feet.
Acquired: A person develops flat feet as a result of trauma, tendon degeneration, or through muscular or joint disease.
Most babies will look flat-footed at birth, but usually by the age of 10, a strong and supportive arch has developed. For some people, the arch simply does not develop, and this may or may not lead to problems down the line.
Signs and symptoms
The obvious sign to look for is a flattened arch of the foot. If you look at someone from the front or slightly to the side, you may notice that the majority or whole of the inside border of the foot is touching the ground, as opposed to there being a clear space between the heel and ball of the foot.
What effect can this have on the body? It is quite possible and very common, for someone to have flat feet and have no symptoms at all. This is known as being ‘asymptomatic’. It may surprise you to know that only 10% of people with flat feet experience symptoms. These people are known as ‘symptomatic’.
People who do experience pain as a result of this condition do so because the lack of arch supporting the inside region of the foot has a knock-on effect to the mechanics of the rest of the limb. This then affects how the pelvis and spine function too. Pain in the middle part of the foot, heel, knee, hip and lower back are all common complaints. It is also not uncommon for someone with flat feet to experience recurrent ankle sprains, where they regularly ‘roll the ankle.
“Do I need treatment if I am flat-footed?” If you have no symptoms and having flat feet does not affect your life in any way, the answer is simply ‘no’.
If you have pain caused by this problem, then this is where we (and other professionals) come in. Pes planus is a great example of how a problem in one part of the body may lead to pain and dysfunction in a completely different part of the body. It’s an osteo’s dream! Not your pain, of course… However, we are experts at recognising the root cause of a problem and putting a plan in place to get it resolved fast.
Techniques we use may include soft tissue massage, joint mobilisation of the foot, ankle, knee, hip or spine and strengthening exercises. Exercises will aim to strengthen the arch itself, but may focus up the chain to the thigh, glutes and trunk as well. A large part of our job here is to also educate a patient on which footwear to use and whether or not they require the help of orthotics (these are special insoles for your footwear). Some children and adults may need some extra support inside their shoes to help reduce the effect of mechanical change up the limb. We may decide that you will benefit from seeing a podiatrist or other foot specialist who is able to design and supply you with insoles that are unique to you and the shape of your foot. Being obese can also increase the load on the lower limbs, therefore increasing the effects of pes planus in the process. In these cases, we can help to advise on how you go about losing weight through changes to your diet and exercise regimes.
For the majority of cases, a combination of these treatments above will result in improved mechanics and reduced pain, allowing the patient to continue doing the things they love. For the very few people who do not respond to treatment, an orthopaedic specialist’s opinion may be required for long term management. This is always a last resort.
Check out your feet. Do you look flat-footed when you stand up and weight bear? Is there any associated pain? If so, call us today on 02 4655 5588 or book now and we’ll tell you what needs to be done to beat the pain! Arch you glad you read this now?! 😉
It has been and continues to be, uncertain times for many of us as the COVID-19 pandemic continues to sweep across the globe. Lockdown has meant many of us have had to batten down the hatches and re-discover what it means to be ‘at home’. We ask you the question “how is your body being affected?” Are you suffering from Pandemic Posture?
Let us take you on a scan of the body, focus on some potentially problematic areas, and give you some advice to avoid any long-term issues.
Head and neck
The first stop is the very top! For all of you that normally head out to the office every day, the pandemic might mean you’ve had to start working from home. Not having your usual desk set up can place a great deal of stress on the neck region. Are you now working on a laptop instead of a desktop computer? Are you sitting on the sofa instead of an adjustable chair? Close your eyes for 30 seconds and hone your thoughts into your neck. Move it around… How does it feel? Is it tight, restricted or does your head feel heavier than usual? It could be that your new ‘desk’ set up’ is causing some strain in places it doesn’t usually. Think about the effect of having your head looking down at a laptop for 8 hours a day compared to straight up at a monitor set to the ideal height… Your poor muscles must be feeling the strain too.
We recommend trying to recreate your office space as close as possible to the real thing. If you don’t have a desk at home, a dining table may be more suitable than sitting on a sofa or armchair. You also need to ensure you are moving your neck and shoulders more regularly to avoid them being in a strained position for too long. Take a break every 30 minutes and move into a different position.
For more information to help combat pandemic posture, click here for a copy of our latest E-book “Working from Home: How to set up Ergonomically Set Up your workstation”.
Our spine sits at the core of the body, and we need good function throughout to ensure our limbs can also function with minimal effort and maximum efficiency. Are you used to an active job and now you find yourself homeschooling the children, or trying to break the day up with a bit of reading, gaming, TV or doing a crossword? Life is suddenly much more sedentary for most of us, so it’s important to avoid getting stiff. Sitting with poor spinal posture for extended periods, day after day can wreak havoc. Our spines curve ‘out in the mid-back and ‘in ’ in the lower back. If we don’t look after those curves carefully by protecting our posture from excessive strains, then we leave ourselves open to sore backs and poor functioning limbs as a result.
We recommend avoiding long periods of sitting or lying down. Save it for bedtime! Try some standing spinal twists or bends (gently, of course), go for a walk around the garden, or do a session of yoga, Pilates or simple stretching through the day to mobilise your spine. If you have kids, get them to do it with you. They will enjoy a break from their school work, no doubt.
Anyone who works in a seated position knows what effect this can have on the hips. Having your hips in a ‘flexed’ or in a seated position for long periods of time can leave your hip flexor muscles tight and short. This decreases your ability to open the body out into a fully straight position, reducing flow of fluids through the central part of your body and leaving the back chain of muscles in a lengthened state, which can eventually result in the weakening of the chain.
We recommend lots of upright exercises for this one. Counteract the time spent seated working or binge-watching a TV series with some standing-based exercise. Jumps, skipping, walking, running or bridging is a nice way to open those hips and get the blood flowing.
Our underlying message through all of this is to move, move, move! You are a movement machine, so regularly start the ignition and go for a spin. Look after yourselves and please get in touch today on 02 4655 5588 or book now if you need help keeping your pandemic posture in check!