Bone density is a key factor in bond fracture prevention. Bone is made of cells that die and regenerate. When this process is compromised, the risk of fracture arises. During the early stages of life, we can ensure that we intake and store calcium through food to build up our bones, but after a certain age (about 30), the body stops absorbing calcium, and the storage that we created is now our reserve for the rest of life. Cell Regeneration in Bone and Other Body’s Tissues The body’s cells, like muscle cells, skin cells, tendon cells, ligament cells and even bond cells, are in constant change via a process called cell regeneration. Old cells die off and they get replaced with new cells. In the case of bone, the cells that allow this process to happen are called osteoblasts. While we age, this process slows down, meaning that cells would still die, but they don’t get replaced. A typical example is a woman going through menopause. Estrogen, which is the hormone responsible for bond metabolism, allows the activity of osteoblasts. During menopause, indeed, women have a drop in Estrogen production, and osteoblasts are not as operative as they used to be. Strength Exercises and Cell Regeneration As this meta-analysis shows, strength exercises are a positive stress stimulus for the body and can help the osteoblast work harder and maintain bone cell regeneration. When the body perceives stress as physical resistance, it does its best to establish a reparation mechanism. So whenever we pick a weight against gravity, the body would implement a regeneration of the tissue that are used to complete this action. Who Is at Risk of Losing Bone Mass? There are several factors that can contribute to decreased bone mass: Age: Bone density typically peaks in early adulthood and declines with age. Gender: Women, especially postmenopausal, are at higher risk due to hormonal changes that accelerate bone loss. Family History: A family history of osteoporosis can increase risk. Body Size: Individuals with smaller body frames may have less bone mass to draw from as they age. Hormonal Levels: Thyroid imbalances and reduced sex hormones can lead to bone loss. Dietary Factors: Low calcium and vitamin D intake contribute to diminished bone density. Lifestyle Choices: A sedentary lifestyle, excessive alcohol consumption, and smoking are linked to weaker bones. I have included factors like dietary and hormonal levels in the above list. Bear in mind that taking supplements such as calcium and vitamin D (which helps retain calcium) could have severe contraindications. So, always talk to your doctor or specialist about the intake of supplements. How to determine Bone Density? To determine bone density, there is a diagnostic test called Dual-energy X-ray Absorptiometry (DEXA or DXA). This non-invasive procedure measures the mineral content in bones, usually in areas like the spine, hip, or wrist, to assess bone density and identify potential risks of osteoporosis or fractures. The results are given as a T-score, which compares your bone density to the average peak bone mass of a healthy young adult. A T-score of -1.0 or above is considered normal, while a score between -1.0 and -2.5 indicates low bone mass (osteopenia), and a score of -2.5 or lower suggests osteoporosis. Other methods, like ultrasound or quantitative computed tomography (QCT), can also assess bone density, but DEXA remains the gold standard for bone health evaluations. Mobility before strengthening So far, we have discussed how strength exercises are a good way to maintain bond density. Still, I would not recommend that anyone who is not into strength exercise and has bone density issues go and start lifting heavily. Why (?), you may ask. Well, before we start lifting heavy, we want to ensure that the body mechanics are optimal for it, so we better start looking into your mobility and then pass on to the strength part of things. Please be aware that mobility has nothing to do with elasticity or stretching. Those are different practices. How Can We Achieve Great Mobility For people who decide to take a journey to ensure an optimal level of mobility and then strengthen the body, the first step is to assess their joint mobility with active and passive range of motion. After that, we could use a combo of Myotherapy treatment and mobility exercises to ensure they can quickly pick up the best of their mobility capacity, given their subjective presentation. And here is a list of mobility exercises which we may look into at first: Hip Openers to improve range of motion in the pelvis and lower back. Ankle Drills to support proper weight distribution in weight-bearing exercises. Thoracic Spine Mobility Exercises to prevent excessive strain on the lower back. AC Joint External rotation to ensure we can build strong rotator cuff muscles, essential for shoulder health It Is Time To Strength. How Can We Do This? Once the minimum mobility is achieved, which may take 1 to 2 weeks of training, depending on each individual and their subjective history and effort, we can start looking into more strengthening exercises. So, here is a list of different exercises that can help with strengthening, written with the progressions to follow: Calf raises with double leg, single leg and weight Hamstring and Quads Curl that gets weight added as weeks go by Standing Adduction and Abduction at cable machine or with resistance bend Glut Muscles training at cable machine or with resistance bend Deadlift for back and posterior chain muscle strength Squat with weights and explosion variations Cuff rotator-specific strength is Ideal before stepping into more complex arm weight-lifting Cervical muscle strength to prevent cervical headache and sore neck All of those exercises, except the cervical one, can then be modified to achieve plyometric drills and combined movement. But this is a process that would take months, and there is no rush to get to it, as I want you to be safe through out the all journey. Integrating Exercise into Myotherapy Treatment At Melbourne Massage and Treatment, I […]
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Hormones and Menopause: What is happening?
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How Strength Exercises Can Help With Bone Density
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How Lymphatic Drainage Massage Can Help with Menopause Symptoms?
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Body scans as a Diagnostic Tools
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Nov
Swelling reduction in a lymphoedema presentation is the key component of successful treatment. Fluid accumulation under the skin can lead to severe swelling, skin cracks, and consequent infections. At Melbourne Massage and Treatment, Giovanni focuses on lymphoedema management using techniques like Manual Lymphatic Drainage (MLD) and Combined Decongestive Therapy (CDT). The Lymphatic System: How It Works The lymphatic system plays a crucial role in maintaining our body’s fluid balance and supporting the immune system. It begins with tiny vessels called lymphatic capillaries, which are interspersed throughout the body, especially in tissues. These capillaries collect excess interstitial fluid, which surrounds cells. This fluid is made of proteins, fats, bacteria, viruses, dust, or anything that the body doesn’t recognise. The lymph then travels through progressively larger vessels called lymphatic collectors, connected by lymph nodes. Is here where the immune system clean the fluid. Once the clean is done, eventually the fluid would merge into larger ducts like the thoracic duct and the right lymphatic duct. These ducts drain lymph back into the bloodstream, ensuring that excess fluid is removed and helping maintain overall fluid balance. Muscle Movement and Its Role in Lymphatic Flow Muscle movement plays a vital role in facilitating lymphatic flow. Unlike the circulatory system, the lymphatic system doesn’t have a central pump like the heart. Instead, it relies on the contraction of surrounding muscles to push lymph through the vessels. When we move, especially during activities like walking or exercising, the rhythmic contractions of our muscles compress the lymphatic vessels, propelling lymph upward toward the ducts. This is why physical activity is essential not only for circulation but also for swelling reduction and maintaining a healthy lymphatic system. Understanding Lymphoedema: Causes and Types Lymphoedema occurs when a disruption in the lymphatic system leads to an abnormal accumulation of lymph fluid, usually in the arms or legs. There are two types of lymphoedema: primary and secondary. Primary lymphoedema is a genetic condition that results from malformations in the lymphatic system, often present at birth or developing during puberty. In contrast, secondary lymphoedema results from damage or obstruction of the lymphatic system due to factors such as surgery, radiation therapy, infection, or trauma. Understanding the differences between these types is crucial for effective management and treatment. Combined Decongestive Therapy (CDT): A Path to Swelling Reduction One effective treatment for lymphoedema is Combined Decongestive Therapy (CDT). This comprehensive approach combines manual lymphatic drainage (MLD) compression therapy, exercise, and skincare to promote lymphatic flow and support swelling reduction. The manual lymphatic drainage technique helps stimulate the lymphatic vessels and facilitates the movement of lymph fluid, while compression garments assist in maintaining the reduction achieved during therapy. By addressing both the symptoms and the underlying causes of lymphoedema, CDT provides individuals with a practical strategy for managing their condition. Combined Decongestive Therapy (CDT) and Bandaging Techniques Combined Decongestive Therapy (CDT) incorporates techniques, including specialized bandaging, to effectively manage lymphoedema. Two primary types of bandages are short-stretch and long-stretch bandages. Short-stretch Bandages These bandages have low elasticity and provide firm compression without causing excessive pressure during movement, making them ideal for managing lymphatic fluid in a stable manner. They support the natural muscle pump action, allowing the patient to move their limbs freely and promoting lymphatic drainage as the muscles contract. Long-stretch Bandages In contrast, long-stretch bandages offer elastic compression, which can create resting pressure that may be less effective during activity. This type of bandage works best when the patient is less likely to move their limb. In CDT, short-stretch bandages are generally preferred because they maintain consistent pressure on the affected limb, helping to reduce swelling more effectively while allowing for functional mobility. This strategic choice creates an optimal environment for lymphatic flow and manages the symptoms of lymphoedema. Melbourne Massage and Treatment: Promoting Health and Lymphoedema Swelling Reduction At Melbourne Massage and Treatment in Fitzroy North, Giovanni specializes in therapies that reduce swelling and enhance overall wellness. By understanding the lymphatic system and the importance of movement, you can take proactive steps to manage lymphoedema and promote better health. If you want to know more about how Giovanni can help you with your lymphoedema management plan, book a 15-minute free consultation today. FAQ: Lymphoedema and Swelling Reduction Q: What is lymphoedema? A: Lymphoedema is characterized by the abnormal accumulation of lymph fluid, usually in the arms or legs, leading to severe swelling. It occurs when the lymphatic system is disrupted or obstructed. Q: What causes lymphoedema? A: There are two types of lymphoedema. Primary lymphoedema is genetic and results from malformations in the lymphatic system. Secondary lymphoedema is caused by damage or obstruction due to surgery, radiation therapy, infection, or trauma. Q: How does the lymphatic system work? A: The lymphatic system maintains fluid balance and supports the immune system. It begins with lymphatic capillaries that collect excess interstitial fluid, which transforms into lymph and travels through larger vessels, eventually draining back into the bloodstream. Q: How can muscle movement help with lymphatic flow? A: Muscle movement aids lymphatic flow by contracting and compressing the lymphatic vessels, propelling lymph toward the ducts. This is essential for circulation and swelling reduction, as the contractions facilitate the movement of lymph fluid. Q: What is Combined Decongestive Therapy (CDT)? A: CDT is a comprehensive treatment for lymphoedema that includes manual lymphatic drainage, compression therapy, exercise, and skincare. It promotes lymphatic flow and supports swelling reduction, addressing both symptoms and underlying causes. Q: Why are short-stretch bandages preferred in CDT? A: Short-stretch bandages are preferred because they maintain consistent pressure on the affected limb, promoting effective swelling reduction while allowing for mobility. This helps create an optimal environment for lymphatic flow. Q: How can I learn more about managing lymphoedema? A: For more information on lymphoedema management, you can book a 15-minute free consultation with Giovanni at Melbourne Massage and Treatment, Lymphoedema Clinic, in Fitzroy North. Giovanni specializes in therapies designed to reduce swelling and enhance overall wellness.
Oct
Welcome to Melbourne Massage and Treatment, a Lymphoedema Clinic located in the heart of Fitzroy North. If you’re seeking effective management for lymphoedema, our specialised Clinic, led by experienced therapist Giovanni, is here to help you reclaim your comfort and quality of life. Understanding Lymphoedema Lymphoedema is a chronic degenerative condition characterised by swelling, typically in the arms or legs, but it can also occur in the abdominal, thoracic, or genital areas. A buildup of lymph fluid causes lymphoedema and can arise from various factors, including cancer surgery (mastectomy), radiation treatment, or genetic predisposition. When it is a genetic predisposition, it is categorised as Primary Lymphoedema, and when it develops post-surgery or due to external factors, it is characterised as Secondary Lymphoedema. Managing lymphoedema is crucial to preventing further complications and enhancing overall well-being. Meet Giovanni, Your Lymphoedema Specialist Giovanni is a dedicated myotherapyst trained at the prestigious Vodder Academy, renowned for its comprehensive approach to lymphatic health. With extensive experience in Manual Lymphatic Drainage (MLD) and Combined Destive Therapy (CDT), Giovanni employs proven techniques to reduce swelling, alleviate discomfort, and promote lymphatic flow. Manual Lymphatic Drainage (MLD) MLD is a gentle, non-invasive massage technique designed to stimulate the lymphatic system. Giovanni’s expert hands help to encourage the movement of lymph fluid, reducing swelling and improving circulation. This technique allows the stimulation of your lymphatic system’s parallel channels (anastomosis), which would not be active unless stimulated. This is a crucial step in Lymphoedema management as the lymph fluid would not have anywhere to go due to its damaged structure. Combined Decongestive Therapy (CDT) As Melbourne Massage and Treatment is also a Lymphoedema Clinic, the treatment that you can receive from Giovanni is not going to be focused on MLD only, but once the anastomosis has been activated, Giovanni would apply Combined Decongestive Therapy. This holistic approach focuses on the application of compression bandaging, which maintains the skin’s lymphatic fluid under pressure. Other types of care approaches to be aware of along this presentation are skin care and exercise, providing a comprehensive management plan tailored to each patient’s needs through garment wear. Giovanni will work closely with you to develop a personalised strategy that addresses your specific concerns and lifestyle. Free Initial Consultation Understanding your condition and exploring your treatment options can be overwhelming. To support you, Giovanni offers a 15-minute free phone consultation for lymphoedema patients. This initial conversation provides an opportunity to discuss your symptoms, ask questions, and learn how our clinic can assist you on your journey to better health. Why Choose Us? Expertise: Giovanni’s training at the Vodder Academy ensures you receive care rooted in the latest techniques and knowledge. Personalised Care: We understand that each patient is unique. Giovanni tailors treatment plans to fit your individual needs and lifestyle. Convenient Location: My clinic in Fitzroy North is easily accessible, making it convenient for local patients to receive ongoing care. Supportive Environment: We prioritise creating a welcoming atmosphere where you can feel comfortable discussing your health concerns. Get Started Today! If you’re ready to take the next step in managing your lymphoedema, contact the Melbourne Massage and Treatment Clinic today. Schedule your free initial phone consultation with Giovanni and discover how MLD and CDT can help you achieve a healthier, more comfortable life. Visit our website or call us to learn more about our services and how we can assist you on your path to recovery. Your well-being is our priority, and we look forward to supporting you every step of the way! FAQS – Melbourne Massage and Treatment (Lymphoedema Clinic) 1. What is lymphoedema? Lymphoedema is a chronic condition caused by a buildup of lymph fluid, leading to swelling, usually in the arms or legs. It can also affect the abdomen, chest, or genital area. It may result from cancer treatments (like mastectomy or radiation), surgery, or genetic factors (primary lymphoedema). 2. What are the differences between primary and secondary lymphoedema? Primary Lymphoedema is genetic and occurs due to an inherited malfunction in the lymphatic system. Secondary Lymphoedema develops due to external factors like surgery (e.g., mastectomy), radiation therapy, trauma, or infection. 3. How can lymphoedema be managed? Lymphoedema is a degenerative condition, meaning it worsens over time if untreated. However, proper management through Manual Lymphatic Drainage (MLD), Combined Decongestive Therapy (CDT), compression garments, skin care, and exercise can significantly reduce symptoms and improve quality of life. 4. What is Manual Lymphatic Drainage (MLD)? MLD is a gentle, specialised massage technique that stimulates the lymphatic system to improve lymph flow, reduce swelling, and activate alternative lymphatic pathways (anastomosis) when the main vessels are damaged. 5. What is Combined Decongestive Therapy (CDT)? CDT stands for Combined Decongestive Therapy and is about applying compression to the limb affected by lymphoedema to get the fluid in exceed to keep moving post MLD therapy. 6. Do you offer a free consultation? Yes! I offer lymphoedema patients a free 15-minute phone consultation to discuss symptoms, treatment options, and how I can help. 7. Where is the clinic located? Melbourne Massage and Treatment Lymphoedema clinic is conveniently located in Fitzroy North, Melbourne, making it easily accessible for local patients. 8. Can lymphoedema be cured? While lymphoedema is a chronic condition, proper management can significantly reduce swelling, discomfort, and the risk of complications. Early intervention and consistent therapy are key. 9. Is compression therapy necessary for lymphoedema? Yes, compression garments or bandages are essential in CDT to maintain pressure on tissues, prevent fluid re-accumulation, and support long-term management. 10. Can exercise help with lymphoedema? Yes! Gentle, guided exercises can promote lymphatic drainage and improve mobility. Giovanni can recommend safe exercises tailored to your condition. 11. How often should I get MLD or CDT treatments? The frequency depends on the severity of your condition. Some patients benefit from weekly sessions, while others may need maintenance treatments less often. Giovanni will create a personalised plan for you. 12. Does private health insurance cover lymphoedema treatments? Some private health funds may cover part of the […]
Jun
A surgery, even the most minor cut, is a big deal for the body. And a robust Lymphatic System can help you recover faster from this type of intervention. The lymphatic system is a body system that collects, moves and cleans the excess water and substances, like bacteria, viruses, dirt, tattoos, ink and more, from below the skin and then passes it to the bloodstream. Lymphatic System and Surgery. 80% of the Lymphatic System seats below the skin, and 20% sits with the deep fascia. When going for surgery and the skin gets cut, the superficial layer of the lymphatic system gets interrupted and so damaged. Unless we intervene, the lymphatic system will have a hard time regenerating. Indeed the lymphatic system can regenerate if stimulated. The stimulation of the lymphatic system happens through the touch, like with MLD or through the movement of the body, like exercises, even as simple as muscle contraction. How MLD can help the pre and post-surgery. Indeed, before or after surgery, it is recommended to stay active. This would allow the Lymphatic System to stay active and robust and regenerate quickly. On the other hand, being active post-surgery is not always an option. In fact, during the post-surgery, being active in the area that got stitches can be a contraindication, as the stitches could brake. A cast may be present in other cases, and the muscle near the surgery can’t be moved. That’s where MLD can help the lymphatic system to be stimulated. By doing so, we can guarantee the circulation of liquids in the body. But not only that. Reducing the swell around the cutting area or below the area affected by the operation would guarantee a fast recovery. This is because the oxygen released from the blood capillary, which would initially be too far from the swollen skin, can now reach the wound and help recover the skin cut. But if the area is puffed or swollen, that oxygen can’t travel as far, and the healing will not be as fast. So MLD, by boosting the lymphatic system, reduces the swelling and allows the body’s natural healing process. What to do if I have to go for surgery then? If you are up for surgery soon and you have no contraindication to MLD, what you can do to guarantee a faster recovery is, keep moving as much as you can, stay active, and book yourself in for a few MLD treatments just for the days before your surgery is due. That would help with the Lymphatic System recovery, as a more robust and healthier Lymphatic System would recover faster. And as the risk of infection and post-surgery are under control, and your blood pressure is within the acceptable range (this depends on what type of surgery you did), get moving as possible and come back for a few more sessions of MLD. Whit, what type of intervention can MLD help with? C-section (preeclampsia) bone fracture liposuction carpal tunnel knee reconstruction hip replacement day hospital intervention I went for surgery, and I got Lymph Nodes removed. As often can happen for cancer surgery, lymph nodes get removed if they are contaminated by the cancerogenic cells. Lymph node removal prevents the cancer cell from spreading along the rest of the body. If that’s the case, I may not be the practitioner that does this for you, as my qualification for MLD are up to a level where I can work with a patient who has an entire lymphatic system. Said so, I can still refer you to a practitioner who would be able to look after yourself. Do you have any questions about this topic? Or would you like to book in now your next session? Get in touch now through the contact page or place a booking by clicking here.
Dec
The Nervous System (NS) controls the voluntary and automatic functions of the body. It is made up of: brain spinal cord nerves Subdivision of the Nervous System The nervous system, initially, can be divided into the Central Nervous system (CNS), which is made of the Brain and Spinal Cord and the Perhiperic Nervous System (PNS), which consists of nerves that connect the CNS to the rest of the body. In more detail, the PNS can be divided into Sensory Neurons and Motor Neurons, the Motor Neurons can be divided into Somatic Neurons and Autonomic Neurons, and finally, this last is divided into the Sympathetic and Parasympathetic Nervous Systems. The function of the Nervous System The nervous system can also be defined by its functionality. For this subdivision, we have three categories: Sensory Affarent function Integrative function Motor Efferent Function The afferent function is characterised by a signal that travels to the brain from the PNS. The integrative part analyses the sensory information, stores some aspects, and makes decisions regarding appropriate behaviours. The Motor does respond to the stimulus by initiating an action. The Nervous System is made of Neurons. Neurons carry messages to and from different parts of the body. To be functional, neurons need three components: Oxygen Stimulation Food Neurons can start within the brain and travel down to the spine or can begin with the peripheric portion of the body and travel to the spine and brain next. Either way, the information can travel in one direction only. For afferent neurons, the direction is from the peripheric body portion to the brain, and the efferent is from the CNS or Brain to the peripheric part. Synapses connect neurons. The Synapse is the space where information is exchanged between two neurons. For a signal to be transmitted along a neuron, a chemical reaction has to happen within the neuron cell. This chemical reaction is better known as Action Potential. Once an Action Potential is started, an electric signal, within the order of mV would be transmitted from the Neuron cell to the opposite end, called Axon Terminal. At The Axon Terminal, the neurotransmitter would be passed and sent to the next neuron, receiving those substances through the receptors on its cell membrane. This is just a simplification of how communication between two neurons happens. In reality, there are variations to this communication methodology, and not always does the communication succeed. The NS is responsible for the following: memory, learning and intelligence movement controls the organs’ functions: – heart beating – breathing – digestion – sweating the senses: – sight – hear – taste – touch – smell The Sympathetic and Para-Sympathetic NS. The Autonomic NS controls the body parts we don’t have to think about it, like breathing, sweating or shivering, indeed the main organs. The SNS controls how we respond to emergencies. It makes our heart beat faster and causes the release of adrenaline. Where the parasympathetic nervous system prepares the body for rest (for example, when we go to sleep). The PSNS and the SNS work together to manage the body’s responses to our changing environment and needs. Massage and Nervous System As massage or manual therapy is a direct stimulus of the body, it plays a role in the response of the NS. What can happen is due to genetic factors, muscle tensions, and bulge disk nerves can get trapped along the way. Using the different testing approaches, such as Myotome and Dermatome, Giovanni can guide you through understanding where the nerve got entrapped or pinched. But this type of work is mainly for conditions where physically the nerve is involved in pour functionality. An example can be when someone has poor strength, on one hand, compared to the other, or when the sensitivity of a patch of skin is not so accurate. MLD and Nervous System Another technique, such as MLD (Manual Lymphatic Drainage), plays a role in the Parasympathetic Nervous System. An MLD treatment is profoundly relaxing, as it calms the nervous system, reduces pain and restores balance. This happens because of the mechanic repetitive movement used during the technique. There for, no pain has to be replicated during the treatment, or the SNS gets activated, as per pain response, and the body goes into “alarm” mode. Physical or mental pathologies can play a crucial role in the functionality of the nervous system, and techniques like MLD or Massage therapy generally can help in reducing symptoms and assisting in overcoming pain and body dysfunctions. Along the mental conditions, we find Anxiety or Depression too. In conclusion, any Massage Therapy or Manual Therapy, including Thai Massage, Remedial Massage, MLD and or Myotherapy, are great tools to release the tension in the body and improve the status of the nervous system. On the other hand, breathing, as per already disgust in the breathing wave blogs (Blog 1, Blog 2) plays a vital role in the well-being of the body, mind and nervous system. Feel stressed and need to release some tension? Book now your next massage at Melbourne Massage and Treatment.
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
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.
Muscle and Tendon are two types of fibres that connect bonds, allowing the joint to be moved by contracting or extending. Muscles and Tendons characteristics. A muscle consists of fibres of muscle cells covered by fascia, bundled with many more fibres, surrounded by thick protective tissue. So each muscle fibre is covered in the fascia, then wrapped as a whole muscle in more fascia. A tendon is a high-tensile-strength band of dense fibery connective tissue. Indeed tendons can transmit the mechanical forces of muscle to the skeletal system. Tendons, as per ligaments, are made of collagen fibres. Compared to a tendon, a muscle is elastic and sits in between 2 tendons parts which keep the muscle itself connected to bonds. So yes, muscles are not directly connected to bond themself. Luckily, there is to say, because if this was the case, it would be really easy to suffer from injuries like a muscle tear. Said so, it is now easy to understand that tendons are capable of holding more force. Injury type Due to the consistency of the tendon and its functionality, we can now understand why a tendon tear or rupture is a severe injury that requires surgical intervention and months of rehabilitation. On the other hand, often, after months of rehabilitation, still, the tendon would not go back to its original state. A common tendon rupture is Achille’s tendon. Achille’s tendon connects the lower part of the Gastrocnemius and Soleus to the foothill. Repetitive movement and repetitive partial load on this tendon are the leading cause of injury. Healthy muscle and tendon Simple and gentle exercises are a good way to keep your muscle and tendon out of trouble. The key points of these types of exercises are: Consistency Resisted load (by using rubber bands) Starting with light weight to then building up with time heavier load Good posture doing the exercises Have a day of rest from exercises once a week Avoid exercises that aggravate your pain. Said so, other critical points for muscle and tendons good health seating into: Having a good night’s rest Eating more fresh food than overprocessed food Regarding recovery from an injury, as previously mentioned in the ice pack and/or heat pack posts, the usage of temperature is recommended based on the stage of the injury and the pain experienced with it. Even though on an inflamed tendon, never apply a heat pack. Are you in need of treatment? Don’t look any further, and book your initial consultation by clicking here.
Jun
Lymph nodes (or lymph glands) are small lumps of tissue containing white blood cells that fight infection. They are part of the body’s immune system and filter lymph fluid, composed of water and waste products from body tissues. Introduction to Lymph Nodes Lymph nodes are located in different body areas. On average, we have approx 600 LN. In the neck area only, we find 160 LN itself. LN can vary in size and go from 2 to 30 mm. Lymph Nodes are connected by vessels, better known as afferent and efferent vessels. The afferent vessels carry the lymph to the lymph node, and the efferent vessels take the lymph away from the lymph nodes. So, the lymph nodes are also connected directly to the blood system, veins, and arteria. What is a lymph node made of? Despite the structures that enter and leave the lymph node, these cleaning stations are made of: Connective tissue capsule Supporting strands of connective tissue inside Below the marginal sinus, there are clusters of lymphocytes lymphoid follicles Artery, vein and nerve As for the filtering station, the lymph node is essential to ensure that no bacteria, viruses or dirt can access the blood system. Where we find no lymph nodes in the brain. Indeed, the lymph fluid around this area gets drained by the Optic and Olfactory nerve. Following then the position of the lymph nodes, we can define the watershed. MLD and Lymph Nodes. Lymph Nodes can occasionally be swollen, which happens when the body fights an infection. In my practitioner experience, I often have to refer to the lymph node concept to introduce the client to MLD treatment. Not many clients know about this technique; they are more familiar with Myotherapy or Thai Massage and Remedial Massage. Said so, the client who tried MLD are all well impressed with its benefit. During an MLD session, what happens is that with a gentle stretch and recoil of the skin, I help your lymphatic system to work faster. Consequently, that’s how swollen area gets reduced. In pushing your lymphatic system to work harder, the lymph node would receive more liquid to process. On the other hand, knowing where the lymph nodes are, is essential to ensure we push the lymph liquid in the right direction. If you haven’t booked your appointment yet and wish to set a goal for MLD, please follow this link.
Jun
Calf muscles make up the lower posterior portion of the leg. Calf Muscles are: 2 are the calf muscles, the Gastrocnemius and Soleus. Below is a table with Gastrocnemius and Soleus’s Origin, Insertion and Action. Gastrocnemius Origin The posterior surface of the lateral and medial condyle of the femurs Insertion Calcaneus via calcaneus tendon Action Flex the knee Plantar flex the ankle Soleus Origin Soleal line; the proximal posterior surface of the tibia and posterior aspect of the head of the fibula Insertion Action Plantar flex the ankle So, due to their origins and insertions, we can clearly understand how the Gastrocnemius is involved in knee flexion and how the Soleus is not. The Gastrocnemius does across the knee, as it originates from the femur itself. On the other hand, the Soleus doesn’t cross the knee, so it doesn’t play any role at the knee level. This aspect is so important to differentiate what of these 2 muscles are involved in the restrictive movement at the ankle, and or in calf pain. Calf Muscles testing Firstly the patient is lying down in a supine position (face up) doing active dorsiflexion. Secondly, we will ask the patient to lie in a prone position (face down), and we knee bend (passively), they would go in ankle dorsiflexion again. What happens there is when the knee is flexed passively, the Gastrocnemius is deactivated, and so the ankle dorsiflexion is happening by pulling the soleus only. Now, 2 are the case scenarios that could happen: Still a limited range of motion at ankle dorsiflexion with or without pain A better quality of ROM with a greater angle in dorsiflexion. In the first case, the tension muscles could still be both. In the second case, the Gastrocnemius is clearly the muscle limiting the ROM. For ankle ROM in dorsiflexion, we are looking for a minimum of 20° to up to 30°. It is not all about Muscle Pain. But can calf pain be related to something else and not just to muscle pain? The answer is YES. Calf muscle pain can be a RED FLEG for Deep Veins Thrombosis (DVT), especially after a flight. DVT Symptoms: Sharp pain; Heat at the touch; Soreness at the touch; Redness on the skin. In this case, you want to contact your GP immediately. Massages are absolute contraindications. In conclusion, for a full calf or muscle recovery, we want to look in too some exercises. Remedial Massage, Myotherapy, and Thai Massage are great ways to reduce pain and manage symptoms, but exercises are essential actually to heal a muscle. Indeed, when we talked about plantar fasciitis, those exercises are something that we can look at for calf strengthening.