At Melbourne Massage and Treatment in Fitzroy North, we frequently encounter clients dealing with tennis elbow (lateral epicondylitis) and golfer’s elbow (medial epicondylitis). These conditions can cause significant discomfort and limit your ability to enjoy sports and everyday activities. While they are often associated with repetitive arm and wrist movements, it’s essential to consider how poor shoulder mobility and stability can contribute to these issues. What Are Tennis and Golfer’s Elbow? Tennis Elbow Tennis elbow affects the outer part of the elbow, causing pain and tenderness on the outside. This condition typically arises from overuse of the forearm muscles, especially those responsible for wrist extension. Activities such as painting, or even prolonged computer use, or overstreching of extensor muscles can trigger this condition. Golfer’s Elbow Conversely, a golfer’s elbow affects the inner part of the elbow, leading to pain on the inside. This condition is commonly associated with activities that require gripping, flexing the wrist, or repetitive forearm movements, such as golfing, throwing, or lifting. In this presentation is the common flexor tendon that get’s irritated, and refer with pain. The Connection to Shoulder Mobility and Stability While tennis and golfer’s elbow are localized conditions, they often stem from dysfunctions higher up in the kinetic chain, particularly in the shoulder. Poor shoulder mobility and stability can lead to compensatory patterns that place undue stress on the forearm and elbow joints. Shoulder Mobility Limited shoulder mobility can restrict the natural range of motion for various activities. For instance, if your shoulders lack mobility, you may overcompensate with your forearm muscles during tasks that require reaching, lifting, or throwing. This overcompensation can lead to strain, resulting in conditions like tennis or golfer’s elbow. To maintain proper shoulder mobility, you want to ensure the use of the glenohumeral joint along your exercises and move it with specific drills, as this would stimulate the joint synovial fluid and maintain the joint lubricated. On the other hand, if the joint is hypermobile, we should look into how to stabilize it better. Shoulder Stability Shoulder stability is crucial for maintaining proper alignment during movement. Weakness in the shoulder stabilizers can cause the shoulder joint to become unstable, leading to altered movement patterns. When the shoulder isn’t stable, the body often compensates by engaging the forearm and elbow excessively, increasing the risk of injury. As mentioned in the paragraph above, this is what would occur when someone presents with a hypermobility body. In the hypermobility presentation, the ligaments are more lax and don’t hold back the joint movement as expected. Assessing and Addressing the Issue At Melbourne Massage and Treatment, we recommend a comprehensive approach to address tennis and golfer’s elbow effectively: Assessment of elbow epicondylitis Understanding the root cause of your pain is vital. During an initial consultation, we still mainly focused on your elbow presentation and addressed what movement reproduced the discomfort. But not only that. Throughout a tailored investigation, we will address what could be the root cause of the problem. This way, it would be easier to develop a tailored treatment plan. Treatment for elbow epicondylitis Massage Therapy: Targeted massage can alleviate tension in the forearm and improve blood flow, promoting healing. MDN: Myofascial Dry Needling plays a really effective role in tendinitis management. It focuses on targeting the underactive muscles, restoring the neural connection between the central nervous system and muscle, and desensitizing the painful area. Mobilisation: Mobilisation is an ideal technique to address mobility issue, and improve the range of motion of a joint. For epicondylitis presentations, the mobilisation could focus on wrist, elbow or shoulder. This would be based on the finding along the assessment. Strengthening Exercises: In the exercise program, we will initially focus on exercises that can desitentize the elbow area, such as isometric holds, and then move to eccentric and concentric exercises. In this second step, we would already focus on specific shoulder mobility or stability exercises, as needed. Education Understanding proper biomechanics can empower you to make lifestyle changes that prevent future injuries. Giovanni will guide you through exercises and techniques to maintain shoulder health and prevent elbow pain. Conclusion Tennis and golfer’s elbow can be debilitating, but addressing shoulder mobility and stability is key to recovery and prevention. At Melbourne Massage and Treatment in Fitzroy North, Giovanni is dedicated to helping you achieve optimal function and well-being. If you’re experiencing symptoms of tennis or golfer’s elbow, don’t hesitate to contact Giovanni or Book Now your 15-minute free phone consultation to learn more about a personalized assessment and treatment plan. Together, we can work towards getting you back to the activities you love, pain-free. FAQ Q: What are tennis elbow and golfer’s elbow? A: Lateral epicondylitis, affects the outer part of the elbow, causing pain due to overuse of the forearm muscles, particularly those responsible for wrist extension. Common activities that can trigger it include painting and prolonged computer use. Medial epicondylitis, impacts the inner part of the elbow, leading to pain often associated with gripping, flexing the wrist, or repetitive movements like golfing or throwing. Q: How are shoulder mobility and stability related to these conditions? A: Poor shoulder mobility can lead to overcompensation by the forearm muscles during activities requiring reaching, lifting, or throwing. Similarly, weak shoulder stabilizers can cause the shoulder joint to become unstable, forcing the forearm and elbow to work harder, which increases the risk of injury. Both factors contribute to the development of tennis and golfer’s elbow. Q: What are the signs of limited shoulder mobility? A: Signs include restricted movement during overhead activities, difficulty reaching behind your back, and discomfort during routine tasks that involve lifting or throwing. These limitations can lead to compensatory movements that stress the elbow. Q: How do you assess tennis or golfer’s elbow at Melbourne Massage and Treatment? A: We conduct a thorough assessment that focuses on your elbow presentation, identifying movements that reproduce discomfort. This investigation also explores potential underlying issues related to shoulder mobility and stability, helping us understand the root […]
Tag Archives: Fitzroy North
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Cosmetic Surgery Recovery and Lymphatic Drainage
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TMJ Clicking: Why can be painful?
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Aug
Tendinopathy refers to the tendon’s painful or irritating condition, usually brought about by repetitive stress or overuse. Symptoms include pain, tenderness, and swelling in the affected area. It often results from activities that put excessive strain on the tendon or sudden increases in activity levels. What is a tendon? A tendon is a tough, flexible band of fibrous connective tissue that ties a muscle to a bone. The force generated by the muscle would be relayed through tendons onto the bones, thereby allowing movement of the body. Tendons are made of closely packed bundles of collagen fibers, which enable them to be strong enough to bear such stresses of activities. As tendons are not as stretchy as muscle fibres, they deal with load differently. Indeed, if put under an intense load, repetitively stretched, or used for repetitive movement, tendons get irritated. What are the stages of tendon degeneration? Regardless of age or biological gender, we will all experience some form of tendon degeneration throughout life. The more tendons are used, the earlier the degenerative process will be. In this context, we must reevaluate the negativity of the world’s “degeneration.” So, instead of giving a negative value to this world, let’s consider tendon degeneration only as a process of change in the tendon structure. This process is made of 3 stages: Reactive Tendinopathy: The first stage is characterized by a non-inflammatory reaction with a thickened tendon from increased protein production. The tendon can return to normal if the stress is reduced. Tendon Disrepair: If untreated, this is typically the second phase after reactive tendinopathy and is identified by further separation of collagen, disorganization of matrix, increased vascularity, and neural ingrowth. It normally needs to be diagnosed through imaging. Degenerative Tendinopathy: This is the final stage, characterized by permanent changes including cell death and marked matrix disorganization; it results in thickened and nodular tendons. Poor prognosis is associated with this condition. What to do when experiencing tendon pain? As you start experiencing pain, it is always suggested to reach out to a professional health therapist to evaluate what the problem is. In regards to tendon pain, the first step, independently from which stage of degeneration the tendon is in to, is suggested rest from the movement that flair up the area. On top of that the usage of heat pack is reccomended for a couple of times a day for 10 to 15 minutes. Tendon have a low blood supply compared to muscles, and the heat applied from outside can help in driving more blood to the area. Moving forward, if the pain is still present after three days, then the usage of an anti-inflammatory is recommended. The suggestion is to wait 3 days because, in the first three days of pain, the body puts in place what we call the “initial inflammatory response”, a phase in which the body increases blood volume to the area together with other biochemical reactions that kickstart the healing process. If, after three days, the inflammation has not ceased, that’s when the anti-inflammatories are needed. How do we treat tendinopathy at Melbourne Massage and Treatment? As a Clinical Myotherapist, I would suggest starting in the early stage with hands-on treatment and exercises-rehabilitation, such as a Myotherapy session. Past the first 3 days of inflammatory response, is good to start looking into why the presentation is not progressing for the better. Treatment modalities: Deep tissue massage is a modality that can stimulate relaxation and drive more blood to the area affected. Myofascial Dry Needling (MDN) can target the muscle attached to the tendon/s. It can help boost a new inflammatory response, desensitise the painful area, and increase muscle activation by interacting with the central nervous system. Exercises are then the takeaway for home. In the early stage, we would use isometric exercises to desensitize the area, partially load the muscle and keep the tendon active with constant load. This type of exercise can be used during the 1st or the 2nd week, based on the degenerative process we are dealing with. In terms of the time of load, based on the subjective finding, a time would be outlined. Roughly, we know that we are looking at an isometric load that would last about 30 to 45 secs with a break between one load and the next one, of the equivalent time. How long could it take to recover fully? Scientific studies have shown that the recovery process for tendinopathy varies from 3 weeks to 6 months. This is a big range of time, of course, and it is all about the gravity of the presentation, the tendon location, and the amount of rest that can be achieved along the recovery process. That said, as per all the exercises, the program is suggested for a minimum of three days a week and a maximum of five days a week. That would give enough time for the structure to be loaded and have time to recover, too. In conclusion, if you are suspicious of suffering from a tendinopathy, do not hesitate to reach out to Giovanni and Book Now for your next Myotherapy treatment. FAQ Q: What is tendinopathy? A: Tendinopathy is an injury to the tendons and results from repetitive stress or overuse. The result of the tendinopathy is pain, tenderness, and swelling into the affected area. Common activities causing this generally include over-straining or suddenly increasing the level of activity. Q: What is the degeneration process of the tendons? A: The tendon degeneration progresses in three stages: 1) Reactive Tendinopathy. 2) Tendon Disrepair. 3) Degenerative Tendinopathy. Q: What should I do if I have tendon pain? A: If suffering from tendon pain, basic things that you may try include: Rest the tendon from any activities that worsen the pain. Apply a heat pack for 10-15 minutes several times during the day as this helps to increase blood flow. Anti-inflammatory medication can be considered after three days, as this is typically when the initial inflammatory response has […]
Aug
Exercise is the cure for pain, and it is an underestimated medicine that could sort out many of our bodies’ aches. Strengthening exercise, such as exercising under load or resistance, can be done at home or the gym, and it should be part of our weekly routine. It is never too late to start exercising; everyone can benefit from it. At Melbourne Massage and Treatment, we always encourage our patients to make a treasure of the exercises we show, and if you have any questions about it, do not hesitate to ask. Exercises as Medicine. Exercise can be considered a potent medicine, offering many benefits beyond physical fitness. Regular physical activity has been scientifically proven to reduce the risk of chronic diseases such as heart disease, type 2 diabetes, and certain cancers. It also helps manage weight, improve mood, and enhance mental well-being by reducing symptoms of anxiety and depression. Additionally, exercise strengthens muscles and bones, improves sleep quality, and boosts overall energy levels. Its ability to promote longevity and quality of life underscores its role as an indispensable component of preventive healthcare, highlighting the transformative power of exercise as medicine (Ruegsegger & Booth, 2018). How Exercises can help: Mechanotherapy. Mechanotherapy is the therapeutic application of mechanical forces to tissues and cells to promote healing and enhance physiological function. This approach harnesses the body’s innate response to physical stimuli, such as exercise, massage, and physical therapy, to stimulate tissue repair, reduce inflammation, and improve overall tissue resilience. By strategically applying mechanical forces, mechanotherapy aims to optimize biomechanical properties, restore normal tissue function, and alleviate symptoms associated with musculoskeletal injuries or chronic conditions. This therapeutic modality underscores the importance of tailored physical interventions in healthcare, offering a holistic approach to rehabilitation and wellness that complements traditional medical treatments. How many days a week? Ideally, you would like to exercise 3 to 5 times a week for 45 minutes to 1 hour daily, with 1 to 2 days of rest. The reason behind this is covered by the scientific research and data that we have in hand nowadays, which reveal the importance of loading the body with resistance and weights to grow and regenerate the body components, like muscle, tendons, ligaments, etc… and also the fact that, once the body has been put under load, it also needs time to rest and repair itself, which is crucial for maintaining optimal physical and mental health (Lee et al., 2017). Indeed, if we look at the effect of exercises on muscles, the muscles present with micro tears and micro damage post-exercise, which, the day after the training, reproduce pain, better known as DOMS ( Delayed Onset Muscle Soreness ). Time is needed to allow those microtears to recover. How long should DOMS last? As per all the inflammatory responses, DOMS can last between 24 to 72 hours. During this time frame, the body supplies extra blood to the muscles in order to implement a recovery process. During this time frame, to reduce discomfort and aches, you can use a heat pack (remember, no longer than 15 minutes), massage the area with oil, and do gentle movement. Avoid taking anti-inflammatories, as those would slow down the inflammatory response put in place by your body to heal. If pain persists longer than 72 hours, you can book a consultation or refer to a GP for advice on meds or scans. Can exercises be DOMS-free? Yes, exercises don’t have to reproduce pain every time. When you don’t feel that your muscles have been working that hard, it means that you haven’t pushed them to their limits, and therefore, they are not developing new fibres. Is this a bad thing? No, not necessarily. It is all about what you are aiming for. Indeed, if you are aiming to recover from an injury or you are training for a competition, then yes, you would aim to feel the DOMS the day after, especially if you are at the start of your training journey. On the other hand, if you are happy with the level of strength achieved, you can keep the current presentation by doing general training, without pushing your body close to its limit, by exercising twice a week only and by not increasing the load of resistance/weights as weeks pass by. Exercises and muscle bulk. Doing regular exercise is not going to make you bulky unless you are keen to be hyper-disciplined about the type of exercise, timing, and nutrition. But let’s see in more detail what happens to the muscle cells during exercise. Firstly, we have to understand that hypertrophy. Hypertrophy refers to the increase in the size of muscle cells due to the rise in their component proteins. There are two primary types of hypertrophy: myofibrillar hypertrophy and sarcoplasmic hypertrophy. Myofibrillar Hypertrophy: This type of hypertrophy involves increased size and number of myofibrils within muscle fibres. Myofibrils are the contractile units responsible for muscle contraction. Training focusing on heavy resistance and lower repetitions (e.g., weightlifting) typically induces myofibrillar hypertrophy, increasing muscle strength and density. Sarcoplasmic Hypertrophy: Sarcoplasm is muscle cells’ fluid and energy storage area. Sarcoplasmic hypertrophy involves an increase in the volume of sarcoplasm within the muscle fibres. This type of hypertrophy is often associated with higher repetition ranges and moderate resistance (e.g., bodybuilding workouts). It results in larger, more visually noticeable muscles but with less emphasis on maximal strength gains compared to myofibrillar hypertrophy. Mechanism of Muscle Growth: During exercise, particularly resistance training, muscle fibers experience microscopic tears. In response to these tears, the body initiates a repair process that involves synthesising new proteins to rebuild and strengthen the muscle fibers. Over time, with consistent exercise and adequate nutrition, this repair process leads to an increase in muscle size and strength. Importance of Nutrition: Proper nutrition is crucial for supporting muscle growth. Adequate protein intake is essential as proteins are the building blocks of muscle tissue. Carbohydrates provide energy for workouts, while fats contribute to overall health and hormone regulation. Additionally, sufficient […]
Jul
The NDIS (National Disability Insurance Scheme) stands as a transformative initiative in Australia, particularly significant in Melbourne, Victoria’s vibrant capital. Designed to provide support and services to Australians with disabilities, NDIS embodies a commitment to inclusivity, empowerment, and improved quality of life for participants across the country. NDIS and Massage Therapy Understanding the NDIS Established in 2013, NDIS represents a shift towards individualised support plans tailored to meet the specific needs and goals of people with disabilities. In Melbourne, this framework ensures that individuals have access to necessary supports that enhance their independence and participation in the community. How It Works At its core, NDIS operates by providing eligible individuals with funding for a range of supports and services. These can include personal care, access to therapies, assistive technology, and modifications to homes or vehicles, all aimed at fostering greater autonomy and well-being. Impact on Melbourne Communities Melbourne, renowned for its diversity and inclusivity, has embraced the principles of NDIS wholeheartedly. The scheme not only supports participants directly but also fosters a network of providers and community organizations dedicated to delivering high-quality services. This collaborative approach ensures that Melburnians with disabilities have access to a wide array of support options, tailored to their unique circumstances. NDSI services at Melbourne Massage and Treatment Giovanni, a dedicated Myotherapist based in North Fitzroy, plays a crucial role in the local implementation of NDIS services. His practice extends its services to surrounding suburbs, providing essential musculoskeletal therapies that enhance the physical well-being and quality of life for NDIS participants. Giovanni’s personalized treatment plans are designed to meet the unique needs of each individual, contributing to their overall health and independence. Services covered by the NDIS scheme include Remedial Massage, Myotherapy, and Manual Lymphatic Drainage (MLD). NDIS and Myotherapy In the vibrant landscape of Melbourne’s National Disability Insurance Scheme (NDIS), Myotherapy stands out as a pivotal therapy for enhancing participant well-being. Myotherapy focuses on assessing and treating musculoskeletal conditions through advanced techniques such as dry needling, joint mobilization, and tailored corrective exercises. For individuals with disabilities, this specialized approach targets pain management and improves physical function, empowering them to navigate daily life with greater comfort and mobility. NDIS and Remedial Massage Remedial Massage therapy plays a complementary role within the NDIS framework, offering participants relaxation, stress reduction, and relief from muscle tension. This therapeutic modality is essential for promoting overall physical and mental well-being. By addressing muscular discomfort and enhancing circulation, remedial massage supports participants in achieving a sense of relaxation and renewed vitality. NDIS and Manual lymphatic Drainage Manual Lymphatic Drainage (MLD) emerges as a vital service under the NDIS, particularly beneficial for individuals managing conditions such as lymphedema. This gentle, specialized massage technique promotes lymph flow, reduces swelling, and supports immune function. MLD not only helps in managing symptoms but also contributes to enhancing participants’ quality of life by improving lymphatic circulation and overall wellness. In Melbourne, practitioners like Giovanni integrate these therapies into NDIS plans with a personalized approach, ensuring participants receive comprehensive care tailored to their specific needs and goals. Through Myotherapy, Remedial Massage, and Manual Lymphatic Drainage, NDIS participants in Melbourne are empowered to achieve greater independence, alleviate discomfort, and enhance their overall well-being. Challenges and Opportunities While NDIS has been instrumental in improving the lives of many, challenges such as navigating the application process or understanding available supports can arise. In Melbourne, organizations and advocacy groups play a crucial role in assisting individuals and families through these complexities, ensuring that every participant maximizes the benefits of the scheme. Looking Ahead As NDIS continues to evolve, Melbourne remains at the forefront of innovation and advocacy in disability support. The city’s commitment to accessibility and inclusivity is reflected in its ongoing efforts to improve service delivery and expand opportunities for those with disabilities. That said, if you need treatment, do not hesitate to book now an initial consultation with Giovanni. During the first session, Giovanni would be able to draft a personal treatment plan that works best for your presentation. If you are in doubt about what treatment works best for you, just get in touch with Giovanni, by clicking here. Conclusion In conclusion, the NDIS has had a profound impact on Melbourne, empowering individuals with disabilities to live more independently and participate fully in society. Through its person-centred approach and collaborative spirit, NDIS exemplifies Australia’s commitment to equity and dignity for all. As Melbourne continues to grow and evolve, so too will the opportunities for individuals with disabilities to thrive, supported by a framework that values their unique strengths and aspirations. Whether you’re a participant, a provider like Giovanni in North Fitzroy, or an advocate, NDIS in Melbourne represents a beacon of hope and progress towards a more inclusive future.
On the occasion of my 4th time in Chiang Mai, since 2018, I am dedicating this post to Thai Massage in Pichest Boonthumme Style. When and where did it all start? In March 2018, I started studying and practising Thai Massage. I came here to Chiang Mai, to see Pichest Boonthumme, after a friend’s recommendation. I was looking into finding someone, that could teach and share a massage technique, not only based on sequence and repetitive movement. As often happens, as long as you ask, what you are looking for will show up. And now, after 3 long years of the Covid pandemic and limitations on travelling, I am back in Chiang Mai. This is my first trip out of Australia since 2019, so it was an excellent way to celebrate the freedom of travelling, once again. Being back at Pichest Thai Massage School is always challenging. Even though I spent the last three years training for Remedial Massage, Myotherapy and MLD, when I came here, there was always something new to learn. Along with that new practice, there is always the Thai/Buddhist philosophy aspect of how to see things. I did really like the way Pichest, with his limited English, can explain the complex way life can present and shape, and how simple it is to learn how to deal with it. Just observe the breath. Well, no surprise, as this is the principle of Vipassana Meditation itself. That said, what most often happens is that people who come here to study with Pichest ask to learn how to breathe, even before they can receive a massage. Many people come here because they heard of how good Pichest is at giving massages. And they all come with the expectation to get fixed. And it is just hilarious to see how Pichest, every time, turn these people away from treatment and asks them to learn how to breathe. We are used to thinking of Thai Massage as a painful approach, a strong technique, and it is. But not because we are physically suffering means we are getting better. If we can’t deal with the pain if we stop breathing as we perceive that pain, we keep creating tension in the body and will not let the healing process happen. Breathing during a massage comes with a series of benefits: helps the blood to be pushed around Oxygenation of the muscle tissues Improve relaxation It helps in dealing with the pain reproduced by the touch of a tense area Stimulates the Vagus Nerve, which controls the parasympathetic nervous system On the other hand, before we start doing deep work on the body, the patient does better take 5 minutes to practice breathing, and the first area to work would be around the posterior portion of the shoulder and the hip or Tibia area, to stimulates the blood flow within the body. In conclusion, Thai Massage as we know it in the West is a bit of a distortion of the real thing. Thai Massage, as with any deep tissue massage, can replicate pain, but the pain must be good, not sharp. The pain must help to release tensions and not increase them. And to be a Thai Massage therapist, you better know your anatomy well. Are you curious to find out what a traditional Thai Massage is like? Bookings are open for Traditional Thai Massage at Melbourne Massage and Treatment Fitzroy North studio.
Oct
Joint mobilisations are manual therapy techniques that improve joint mobility and flexibility and reduce joint pain. Joint mobilisation can be applied to many body joints. Some contraindications have to be taken into consideration for mobilisation: Joint swelling Osteo Arthritis Bone Fracture Bulge disk (if the mobs are intended on a vertebra) Mobilisation VS Adjustment. Mobilisations are different from Chiropractic adjustment. The difference is that Chiropractic adjustments are fast movements applied with more significant pressure. Mobilisations are constant slow, repetitive movements applied to the joint. Along with a Myotherapy treatment, Giovanni would evaluate if mobilisation is the proper treatment for your condition. For example, mobilisation along the spine is recommended when someone presents with a stiff back in the sacrum, lumbar, thoracic or lower cervical area. Giovanni would always double-check with you about what the mobs felt like. Types of Mobilisation. As we already know, the body is made of different types of joints. Given the different types of joints, like socket joints, plane joints and more, others are the type of mobilisation. For example: For a joint like the hip, we can apply mobility like a distraction, anterior-to-posterior pressure or posterior-to-anterior pull, internal rotation or superior-to-inferior pull. Some of these techniques can be applied to other joints, and each way of using a mobilisation aims to improve a specific range of motion. So, all up, the type of mobilisation that we have are: Superior to Inferior; Inferior to superior; Distraction; Posterior to Anterior; Anterior to Posterior; Posterior glide; Anterior glide; Lateral glide; Medial glide. Mobilisation Belt. A mobilisation belt can be used to deliver the mobilisation based on the joint we aim to work on. A belt is a tool wrapped around the designated joint we want to work on and is used to apply stretches that would not be as easy to achieve by hand. An example is a hip distraction. For distraction, we refer to it as a force that pulls a joint apart. In the case of a hip, the head of the femur is pulled away from the hip’s socket from the medial to the lateral direction. As you would imagine, using bare hands for applying this technique not only could result in an uncomfortable approach to the intimacy of the patient, but it would requireFr too much effort for the therapist, resulting in poor mobilisation delivery and risk of injury. Therefore, the best tool is a belt wrapped around the patient’s hip and the therapist’s waist. Why use the mobilisation technique? The mobilisation technique aims not to reproduce pain, cracking sound, or sharp sensation. Indeed, the aim is to reproduce a firm pressure/pull on the joint area. Regarding the thoracic area, if any of those vertebrae reproduce pain or sharp sensation, applying the mobs along the vertebrae/ribs joint would be better. Doing so would still possible to affect spine mobility indirectly. Giovanni’s training for this type of modality started during the Advance Diploma in Myotherapy at RMIT and continued at the Bachelor of Health Science at Torrens University. Mobilisations technique can be applied to Big Toe, Ankle, Shoulder, Feet, Hip, Wrist, Elbow, Vertebrae, SIJ joint, Facet Joint, Clavicle and other body areas. An example of joint mobilisation for the feet. Mobilisations at the ankle area are used for improving ankle mobility. Indeed, improving ankle mobility is to better support during the walk, standing and or running. Always talking about the feet area, the mobilisation applied to the Big Toes is used along the Metatasolphalangeal Joint. Do you feel your joints stiff? Your booking for a Myotherapy treatment with Giovanni is just a click away. This mobilisation is applied by creating a distraction movement within the joint, pulling the toes away and then using it for passive flexion and extension. As mentioned in another blog post about wearing bear foot shoes, the Big toes are meant to extend from 65° to 70°. Conclusion The Big Toes are the feet joint that should push the most in the feet strike as we walk. In conclusion, mobilisations are a great way to increase mobility within a joint allowing better movement and improving the range of motion.
Sep
Golfer’s Elbow also known as “medial epicondylitis” is an inflammation of the tendons that originates from the medial elbow side. The pain sensation can be local or spread along the forearm till down the wrist. Indeed, Golfer’s Elbow is similar to a tennis elbow, which occurs on the lateral side of the elbow. Both these conditions are not limited to those who play golf or tennis but can affect anyone who does repetitive movement their for usually builds pain usually builds up with time and can get quite intense if the condition is not looked after. Therefore, rest, massage and specific exercises are well recommended. Golfer’s Elbow Symptoms Pain: The area of pain as described above is around the medial side of the elbow and can spread down the forearm to the wrist Stiffness: The area of inflammation controls the forearm flexors, indeed, making a fist or flexing the fingers/wrist can be difficult or painful. Even the elbow can feel stiff in movement. Weakness: Due to the pain, you may experience weakness in the affected arm/forearm Numbness or tingling: Along the medial side of the elbow, pass the Ulnar nerve, which can refer to the ring finger and pinky finger with numbness or tingling sensation. Risk factors for Golfer’s Elbow Here below is the risk factors list for Golfer’s Elbow: Age 40 or older Doing repetitive movement of wrist/elbow daily Obese If this post talks to you, book your next massage session now. Golfer’s Elbow Treatment Option The treatment options for Golfer’s Elbow are many. Along Melbourne Massage and Treatment Services, MLD can be the least invasive and recommended. The gentle touch and repetitive mechanical stimulation of the cutaneous nervous system can help reduce inflammation, stimulate relaxation, and reduce swellings in the area. Said so, as MLD can have several absolute and partial contraindications. This treatment can not be applied to all. So other services such as Myotherapy, Remedial Massage or Thai Massage are more recommended. The treatment would aim to work on the surrounding area of the inflamed tendon to improve the tone of the forearm flexors. Medications such as anti-inflammatories can also be considered for this condition, especially when rest is impossible due to work commitments. Therefore, you better talk to your GP about the medication option.
Sep
Myotherapy is a massage technique to treat or prevent soft tissue pain and restricted joint movement. “Myotherapy” stands for “Myo” Muscle “Therapy” therapy. In Australia, and specifically in Melbourne, it is a practice that took over the massage market in the last few decades and is not becoming more and more popular. There is Dry Needling and Joint Mobilization along the different techniques used in a Myotherapy treatment. Is Myotherapy Safe? Yes, Myotherapy is a safe treatment. Said so, you want to ensure that the therapist treating you has their qualification up to date. Here is a link to my qualification. What about Dry Needling in a Myotherapy Treatment? Dry needling is one of the many ways a Myotherapist can treat a client, but it is unnecessary. Before using needles, the therapist always has to double-check with the clients the following: No metal allergy No bleeding disorders No needle fear or phobia The client feels comfortable with such treatment The therapist does explain how dry needling works Is Myotherapy available at Melbourne Massage and Treatment? Yes, it is. I am a fully qualified Myotherapist who completed an Advance Diploma in Myotherapy at RMIT University. On top of all, I am now enrolled in the last year of my Bachelor’s Degree in the Myotherapy Clinic at Torrens University. What’s the difference between Myotherapy Treatment and Remedial Massage? Myotherapy is similar to a Remedial Massage session. The difference is that a Myotherapist has more knowledge about the human anatomy, joints, and functionality. So before the session, the therapist would guide the patient through a specific range of motion to evaluate the body’s presentation. Done so, the therapist has an idea of what can be done to improve the body’s presentation. Furthermore, a Myotherapist is trained to use mobilization, which is a repetitive joint movement to improve the joint’s range of motion. My favourite “mobs” are along the spine. They consist of a gentle push over the transverse process of the spine. Applying this constant firm push, the transverse process gain mobility, allowing all the muscle inserts originating from that joint to be more mobile. Is a mobilization the same as what a chiro does? No is not. The Chiro makes an adjustment, which is a fast joint pull or push, to adjust its position or functionality. Along with an adjustment, the patient has no control over the fast movement. Indeed, during mobilisation, the patient can take control of the push and stop the treatment if he/she does feel uncomfortable. Book Now your Myotherapy treatment with Giovanni. Giovanni is available in Fitzroy North at 175 Holden St Monday to Saturday 9 am to 7pm.
Sep
Preeclampsia is a condition that can affect pregnant women. Preeclampsia is a severe condition of pregnancy, most of the time characterised by: high blood pressure protein in the urine severe swelling Most women who suffer from preeclampsia are unaware of this condition, which is why continuous monitoring during pregnancy is so important. There is no cure for this condition, and the only step it can be taken to prevent the death of the mother the baby is to deliver the baby by opting for a C-section birth. What happens during preeclampsia? What does happen during preeclampsia is that the blood pressure increase to a dangerous level. The consequences can be catastrophic for both the mother and the baby. Indeed, the mother’s organs, such as the liver, kidney, heart and brain, are in great danger. The increase of protein in the urine also cand puts the kidney and liver in danger. How can MLD help with a preeclampsia presentation? In this case, MLD would not be applied to reduce preeclampsia. Still, it can be used when the baby is delivered, and there is a need to reduce the swelling postpartum that eventually would build up in the legs and abdominal area after the C-Section. On the other hand, MLD would also help scar healing by moving fluid away from the scar tissue and reducing the swelling around the scar itself. Said so, as you may already read in other blog posts about MLD, liver and kidney failure are absolute contraindications, and condition as high blood pressure too can be a partial contraindications. Indeed, before starting any treatment, the “good to go” from the doctor would be needed in this case. How would MLD be applied after the C-section? In regards to the type of approach needed in this case, the MLD session would start by: Working on the neck and terminus area Applied MLD on the abdominal area to clear off the Cisterna Chyli And finally, MLD along both leg A simple sequence would be used because a wound is still there when doing MLD on the legs. I would not recommend that the client lies in a side position, which could hurt the wound. So when should I come in for my first session? If the doctors reckon that your liver and kidney are functioning at 100% and your blood pressure has decreased since giving birth, you can start receiving MLD immediately. I already had a client, who had preeclampsia, and thanks to the suggestion of the nurses they book in their session just 10 days after the birth. After just one session, they realised how the swelling was reducing. Said so, it can take longer to reduce the swelling down to the desired level. What else can be done in combination with MLD? In combination with MLD, I am walking and staying active help. Also, lots of water is always highly recommended, especially after an MLD session. In conclusion, if you need an MLD treatment due to Preeclampsia or other body swellings, and you have no Liver or kidney conditions or DVT, MLD is the treatment that does for you. Then click here to book your next session. Or click here if you have any enquiries about MLD or Melbourne Massage and Treatment services.
Aug
Myofascial Dry Needling (MDN) treats sore muscles and trigger points. How does Dry Needling work? As discussed in another blog post, muscles are made of many individual fibres. As the fibre contract and stretches, this does give the muscle the ability to have strength and elasticity. Along with repetitive movements and lack of posture, the muscle fibres can accumulate tension that we generally call knots. Those “knots” are also known as trigger points. This is one of the many theories behind the formation of trigger points. Said so, a trigger point is a terminology used to describe a painful spot. And still, nowadays, there is no exact explanation for how trigger point forms and what exactly they are. But what we know for sure is that not everyone develops trigger points in the same spot. Now, to release the tension out of the trigger points, we can either apply external pressure, with the thumb or the elbow, in case of a Remedial Massage or even the knee or the heel of the foot with a Thai Massage, or we can break the fibres from within by using a needle. What a needle is like? The needles used in this practice have a diameter from 0.15 to 0.25mm, so really thin needles. Whereas the length can vary from 15mm to 90mm. Depending on the target muscle, the length of the needle is different. So, as we penetrate the muscle with the needle, we brake the fibre, and we recall an inflammatory response from the patient’s immune system. Which drives more blood and nutrients to the target area. As discussed further in this study published on PubMed, Dry Needling is effective for chronic non-specific neck pain 1. Is dry needling safe? Yes, it is, as long as the practitioner offering the service is qualified for it, and well knows the anatomy of the muscles. Said so, when you receive dry needling, there are a few things that you may want to consider. Firstly you better not have any metal allergy. Also, Dry Needling is not recommended if you have just done any strong physical activity or training, as the muscles would be in an acute inflammatory stage. In addition to this, other contraindications are: If the patient is on a blood thinner Diabetes type 1 The area is affected by Lymphedema The patient is unable to give the consent The patient would not be able to stay still as the needle is in the body Book now, your next Myotherapy session at Melbourne Massage and Treatment, Fitzroy North Clinic. How long the needle stays in the body? Depending on the area needing treatment, the needle may stay in the body for 3 to 10 minutes. And always based on the target muscle that needs to be treated would also depend on the type of treatment. Indeed, the needle could be placed in the muscle and left there to sit and create the physiological response needed, or it could even be partially extracted, moved around and placed back. This type of technique is called “peppering”. Peppering along a dry needling session allows the therapist to target other fibres around the muscle fibre area. 1. Cerezo-Téllez E, Torres-Lacomba M, Fuentes-Gallardo I, Perez-Muñoz M, Mayoral-Del-Moral O, Lluch-Girbés E, Prieto-Valiente L, Falla D. Effectiveness of dry needling for chronic nonspecific neck pain: a randomized, single-blinded, clinical trial. Pain. 2016 Sep;157(9):1905-1917. DOI: 10.1097/j.pain.0000000000000591. PMID: 27537209.