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 […]
Tag Archives: myotherapy
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How Strength Exercises Can Help With Bone Density
Bone density is a key factor in bond fracture prevention. Bone is made of cells [...]
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How Lymphatic Drainage Massage Can Help with Menopause Symptoms?
Menopause is a natural transition in every woman’s life, which marks the end of a [...]
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Blog Melbourne Massage and Treatment
Body scans as a Diagnostic Tools
Musculoskeletal pain can be complex, and orthopedic tests and hands-on treatment, sometimes, can be a [...]
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Meralgia Paresthetica: Causes, Symptoms, and Myotherapy Treatment
Meralgia Paresthetica is a condition characterized by numbness, tingling, and burning pain in the outer [...]
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How Exercises can help you in preventing Alzhaimer’s
Alzheimer’s is a growing concern worldwide, affecting millions of individuals and their families. As we [...]
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Mar
Musculoskeletal pain can be complex, and orthopedic tests and hands-on treatment, sometimes, can be a limited tool to individualise what is happening with the body’s internal structure. Indeed, there are times when a deeper look is required to ensure we are on the right path. This is where body scans imaging comes into play to identify presentations like tendinopathy, bursitis, ligament tear or other underlying conditions. The Role of Body’s Scan in Diagnosing Pathology Body scans include a series of imaging technologies, such as ultrasound, x-ray, MRI, to name a few. Ultrasound is a highly effective imaging tool used to assess soft tissue structures in real-time. Unlike X-rays, which primarily show bone, ultrasound provides detailed images of muscles, tendons, bursae, and ligaments. This makes it an excellent tool for diagnosing conditions such as: Tendinopathy – A chronic condition involving tendon degeneration due to overuse or injury. Bursitis – Inflammation of the bursae, the small fluid-filled sacs that reduce friction between tissues. Those tissue types are found along different body joints, like the shoulder and the hip. Ligament Tears – Partial or complete tears of ligaments, often occurring after trauma or excessive stress. Baker’s cyst – is a fluid-filled swelling that forms behind the knee, often resulting from knee joint conditions like arthritis or meniscal tears, causing discomfort and limited mobility. When we are suspicious of one of those presentations, due to positive results obtained by orthopedic test and medical history, including mechanism of injury, we attempt a recovery process, based on the type of injury, symptoms, and other relevant information. Along this recovery process, we may start with isometric exercises. If, with the first 6 weeks, and a series of sessions, 3 to 4 sessions with this time frame, we still don’t see a major recovery, then we may want to get extra investigation ongoing via an ultrasound scan, which can clarify the underlying pathology. It allows us to confirm or rule out certain conditions, ensuring that treatment strategies are aligned with the actual tissue damage (if any is present). On the other hand, based always on the individual case, we could also require X-rays, which are often more helpful in diagnosing conditions related to the bones, such as arthritis or fractures, as they provide a clear view of bone structure and joint spaces. MRI is a scan that is used for Brain imaging, and when the investigation needs higher details, like when looking at the spine or a joint that via ultrasound was not giving any sign of issue. Ultrasound is also comparable to MRI, as it is faster, easier to deliver, and has fewer complications. How can myotherapy treatment help recovery from what a body scans would show? As we already discussed in another blog, Myotherapy is a practice that looks into the well-being of the skeletal muscle structure. To understand what can be done about a painful presentation, we would initially take a detailed clinical history, then look into objective measurements, such as your movement and body presentation. Given the result we can obtain, we would build up a treatment plan which includes: Hands-on Treatment – Techniques such as deep tissue massage, myofascial release, and dry needling can help reduce pain and improve mobility. Exercise Prescription – Strengthening and mobility exercises help restore function and prevent future injuries. Load Management Strategies – Proper guidance on activity levels ensures tissues heal without excessive strain. That management technique would then be combined and adjusted around the scan’s results. Here are a few examples: Bursitis: If a bursitis is confirmed, medications may be given to reduce the inflammation of the bursa, for that, we concentrate on MLD treatment to further reduce the inflammation and exercises to build strength on the structure that needs support. Ligament tear: When talking of ligament tear, the healing time can dilagate to months if not also a year, so we know now why the 6 weeks program may was not as responsive. We will keep focusing on the strength of the muscle that surrounds the specific joint, and use hands-on treatment to boost blood to the area affected. Arthritis: Medication or dietary change may be put in consideration for pain management and inflammatory reduction. Also in this case, MLD can be used to manage the pain response, and exercises for mantain movement in the affected joint/s. When Should You Consider an Ultrasound or other body scans? If you experience ongoing pain, swelling, or restricted movement that is not improving with therapy, an ultrasound or other scan helps identify the cause. This can prevent prolonged discomfort and allow for a more targeted treatment approach. At Melbourne Massage and Treatment, in Fitzroy North, we aim to provide the most effective care possible. If you’re dealing with persistent musculoskeletal pain, book a consultation with Giovanni today. Together, we’ll determine the best action to get you back to optimal function. Frequently Asked Questions (FAQs) About Musculoskeletal Pain and Body Scans Imaging 1. What are body scans, and how do they help diagnose musculoskeletal pain?Body scans include imaging technologies such as ultrasound, X-ray, and MRI. These scans help diagnose soft tissue injuries (like tendinopathy, bursitis, and ligament tears) or bone-related conditions (such as fractures or arthritis). They provide a clearer picture of what might be causing pain, inflammation, or restricted movement. 2. Why is ultrasound commonly used in diagnosing soft tissue injuries?Ultrasound is highly effective for real-time imaging of soft tissues like muscles, tendons, bursae, and ligaments. It helps diagnose conditions such as tendinopathy, bursitis, and ligament tears, providing a dynamic view of the area being studied without the need for invasive procedures. 3. When should I consider getting an ultrasound or other scans for my injury?If you’re experiencing persistent pain, swelling, or limited mobility that isn’t improving with initial therapy (such as exercises or hands-on treatment), it might be time to consider an ultrasound or other scans. These can help identify the underlying cause of your symptoms and allow for a more targeted treatment approach. 4. How do orthopedic […]
Mar
Meralgia Paresthetica is a condition characterized by numbness, tingling, and burning pain in the outer thigh. It occurs when the “lateral femoral cutaneous nerve” (LFCN), which supplies sensation to the skin of the thigh, becomes compressed or irritated. While not life-threatening, it can be uncomfortable and disruptive to daily activities. Now let’s see how Myotherapy treatment can help with this presentation. Causes of Meralgia Paresthetica Meralgia Paresthetica presents with symptoms of lateral thigh weakness and numbness, which are caused by compression or the lateral femoral cutaneous nerve. This compression can have typical causes, which include: Tight clothing – Wearing tight jeans, belts, or shapewear can compress the nerve at the hip height. Obesity or weight gain – Excess weight puts pressure on the nerve. Pregnancy – The growing uterus may contribute to nerve compression. Prolonged standing or walking – Excessive movement can irritate the nerve. Injury or trauma – Previous surgeries, injuries, or direct impact to the hip area can damage the nerve. Diabetes – Diabetic neuropathy may increase susceptibility to nerve-related conditions. Inguinal ligament – The LFCN passes right under the inguinal ligament, which may create compression on the nerve itself. All those factors can compress the branch of the femoral nerve, which innervates the lateral portion of the thigh. The origin of the nerve is at the lumbar level L2/L3. Indeed, when a portion of the skin has altered sensation, it is often a peripheral compression that causes the symptoms. Symptoms of Meralgia Paresthetica The symptoms for Meraglia Parestetica often involved one leg only, as it is quiet uncommon to get compression bilaterally. Those symptoms include: Burning, tingling, or numbness in the outer thigh. The skin of the lateral thigh can also become very sensitive and painful to the touch. Sharp or aching pain that worsens with prolonged standing or walking. If the compression is due to organs or the inguinal ligament, movement can aggravate the presentation due to the tightness of the structure during movement. Increased sensitivity to touch in the affected area. Muscle weakness is not a symptom, as this condition affects sensation, not motor function. How can myotherapy treatment help individualise this presentation? As a myotherapist, I specialise in muscular skeletal presentations, and we focus on soft tissues. Through a series of assessments, we can determine whether the compression is peripheral or root nerve compression. Let’s see how. Medical History In the first step, we examine the medical history and physical examination, identifying risk factors and symptoms. Along with the physical examination, we examine the Myotome and Dermatome. Examination On top of active range of motion and another orthopedic test to rule in and out other possible presentations, there are some specific tests which we want to focus on, Myotome and Dermatome. The Myotome are resisted movement, like in this case, hip flexion, knee flexion, knee extension, where it would result in positive findings if we have evident weakness and or back pain. This test would rule in a compression to the spine level. Dermatome, on the other hand, are used to test the connectivity of the cutaneous nerve. So with a sharp and soft object, we will mark some line along the thigh area, looking for loss or confused sensations. This test would rule in a peripheral compression of the nerve. Notice that both presentations can be presented at the same time. Other tests that can be done for this presentation include: Electromyography (EMG) – To rule out other neurological disorders. Imaging tests (MRI, X-ray, or ultrasound) – Identifying structural issues or nerve compression. For those tests, Giovanni would write a referral letter for your GP. Treatment Options for Meralgia Paresthetica As often happens, the treatment options are multiple and must be embraced in groups, not individually. The overall aim of any treatment is to relieve pressure on the nerve and reduce symptoms. Here is a list of treatment options and modalities: Lifestyle Modifications Wear loose-fitting clothing to reduce nerve compression. Weight management to decrease excess pressure on the nerve. Avoid prolonged standing or walking if symptoms worsen. Medical Treatments Pain relievers – NSAIDs (like ibuprofen) or acetaminophen for mild pain relief. Myotherapy treatment – along a series of myotherapy sessions we can reduce symptoms and improve the presentation. Corticosteroid injections – Reduce inflammation and pain. Nerve blocks – In severe cases, numbing the nerve can provide relief. Surgical Options (For Severe Cases) Nerve decompression surgery – Relieves pressure on the nerve. Neurectomy – Removing the affected nerve if pain is persistent. How Myotherapy Can Help At Melbourne Massage and Treatment, during a myotherapy session, after ensuring we are dealing with a Meralgia Paresthetica I may use a series of techniques to help you out with your symptoms. What technique to use is based on your individual presentation,, other cohexsitng presentations, adn also your choice and comfort. Here is a list of modalities used during a Myotherapy session: Muscle Energetic Technique (MET) – Helps reduce tension in the hip, thigh, and lower back muscles that may be contributing to nerve compression. Trigger Point Therapy – Addresses myofascial trigger points that can exacerbate pain and discomfort. Mobility and Strengthening Exercises – Improves mobility and reduces pressure on the nerve. Postural Education – Helps correct movement patterns that may be aggravating symptoms. Joint Mobilization – Enhances circulation and reduces inflammation in affected joints. Dry needling – Using a needle can help reduce pain and muscle ache and increase the neurological connection of those same soft tissues. After the hands-on treatment, we will then look into exercises that can help maintain the change we created. That said, there are other precautions to take in consideration, like: Maintain a healthy weight to prevent excess pressure on the nerve. Choose comfortable clothing that doesn’t constrict the waist or thighs. Incorporate gentle mobility and exercise into your routine. Monitor underlying conditions, such as diabetes, to reduce nerve-related complications. Conclusion Meralgia Paresthetica can be managed effectively with lifestyle changes, medical treatment, and preventive care. Myotherapy can be a valuable complementary […]
Blog, Melbourne Massage and Treatment
Whiplash: Symptoms, Causes, and Effective Exercises for Recovery
Feb
Whiplash is a common neck injury caused by a sudden and forceful back-and-forth motion of the head. We often see this in patients who go through a car accident, contact sports injuries (AFL, rugby or even Soccer), or falls. While whiplash is usually not life-threatening, we now know that it can cause persistent pain and discomfort, affecting daily activities. Therefore, it is important to understand its symptoms, causes, and the best exercises for recovery, which can help individuals manage and overcome this condition effectively. Common Causes of Whiplash Whiplash is a term used to describe a fast rocking motion of the cervical area and is most frequently caused by: Car accidents: Rear-end collisions are the leading cause, as the sudden force propels the head forward and backward. Sports injuries: Contact sports like football, boxing, or hockey but even AFL, Rugby or even Soccer increase the risk of whiplash injuries. Falls: Slipping and falling can cause the head to jerk suddenly, leading to whiplash. Physical assaults: Blows to the head or sudden jolts, such as those experienced in shaken baby syndrome, can result in whiplash. What are the consequences of Whiplash for the cervical ligaments? The consequences of whiplash for the cervical ligaments can be significant, leading to long-term instability and chronic pain. When the ligaments are overstretched or torn, they lose their ability to support the cervical spine, resulting in properly: Reduced Stability: Weakened ligaments can no longer provide adequate support to the cervical vertebrae, leading to excessive movement and an increased risk of further injury. That’s why stretching is not recommended either. Chronic Pain and Stiffness: Persistent discomfort may arise as the muscles attempt to compensate for the lack of ligament support. Increased Risk of Degeneration: Ligament damage can accelerate wear and tear on the cervical joints, potentially leading to conditions such as osteoarthritis. Neurological Symptoms: Instability in the cervical spine may irritate or compress nerves, leading to headaches, dizziness, or numbness in the arms. Symptoms of Whiplash Whiplash symptoms can range from mild discomfort to severe pain, and they often appear within hours or days of the injury. Common symptoms include: Neck pain and stiffness: One of the most prevalent symptoms, often worsening with movement. Headaches: Typically originating from the base of the skull and radiating toward the forehead. Shoulder and upper back pain: The impact can cause muscle strain in surrounding areas. Reduced range of motion: Difficulty moving the neck due to stiffness and discomfort. Dizziness and fatigue: A common reaction as the body copes with the injury. Tingling or numbness in the arms: Nerve involvement may lead to sensations of pins and needles. Cognitive issues: Some people experience memory problems, difficulty concentrating, and irritability. Those symptoms may not present all at once, and they can belong to other presentations, while whiplash did or didn’t happen anytime before. That’s why when we go through a clinical history taking, as Myotherapist, we take our time to dig into your past and your body habits, as this can give us important information about your current presentation and what we can do to improve it. Why Can Whiplash Become a Lifelong Issue? In some cases, whiplash can become a chronic condition due to the instability of cervical ligaments. Cervical vertebrae can be divided into two parts, Mobile and Stable joints. C1 to C2 are the mobile ones, whereas C3 to C7 are the stable ones. Now, if along a whiplash incident, the ligaments of either the mobile or, most luckily, the stable side get strained, the muscles surrounding that segment of the joint would have to work harder to maintain stability. This would lead to to ongoing discomfort, reduced mobility due to pain and muscle spasms, and increased vulnerability to future injuries. If left untreated or managed improperly, this is how the condition can become chronic and lead to other injuries along the way. Importance of Thoracic Mobility Thoracic mobility plays a crucial role in preventing the chain effect of mobility and stability issues between the thoracic spine, lower cervical, and upper cervical regions. If the thoracic spine is stiff or restricted, the lower and upper cervical spine must compensate, leading to increased strain and pain. Improving thoracic mobility through targeted exercises can help reduce this compensatory stress, allowing for better neck function and reducing the risk of chronic discomfort. In a case of a previous history of whiplash, maintaining good thoracic mobility would allow the cervical area to focus on its duties, so stability for the lower portion and mobility for the upper. Reducing the risk of overcompensation and muscle fatigue. Effective Exercises for Whiplash Recovery A structured exercise program is essential for whiplash recovery. This program should begin with isometric exercises to restore basic cervical movement, progress to concentric exercises to rebuild strength, and eventually include thoracic mobility drills to enhance overall spinal function. Phase 1: Isometric Exercises for Early Recovery. For the first 2 weeks post-injury, 5 to 7 days a week. Isometric exercises help activate muscles without excessive movement, providing a stable foundation for recovery. This step is essential to start driving more blood to the area irritated by the whiplash and also allow the central nervous system to feel confident in perceiving the cervical structure moving without pain. Isometric Neck Holds: Place your hand on your forehead and gently press against it without moving your head. Push only 25% of your strength, as it has to be a pain-free exercise. Hold for 5-10 seconds and repeat 5 times. These exercises can be done in any cervical movement, such as extension, lateral flexion, or rotation, by using your hand as a resistance and pushing always at 25% of your strength. The strenght of push does not ever progress, what you will progress within isometric exercises are the time fram of push, repetitions and sets. Phase 2: Concentric Strengthening Exercises. From week 3 post-injury onwards,3 to 5 times a week. Once the pain subsides, which we would expect to happen in 2 weeks about it, gradual […]
Jan
A deadlift (conventional deadlift) is a popular exercise that aims to strengthen your posterior chain muscle, including the erector spinae muscle, glutes, and hamstring. It is considered a really top list of important exercises to do, and it can be fun and rewarding, but when the weight you move starts increasing, it can lead to severe injuries if you are not using the right technique. Let’s then look into what we need to do to get a good deadlift by starting to analyse from bottom to top how the body should be placed. Centre of mass and biomechanics in deadlift To start with, let’s talk about the biomechanics and the centre of mass for a deadlift. When doing exercises, biomechanics plays a crucial role in safety and optimal exercise execution, and there is no exception for the deadlift. Furthermore, along with all exercises, the lifting and the descending part, the weight has to be in line with the centre of mass. These two components are strictly interconnected to the other one, which means if I don’t use the right biomechanics, I am not going to have the weight aligned with the centre of mass, or if the weight is not aligned with the centre of mass, I am not using my biomechanics at its full potential. So, what’s the centre of mass in the deadlift? The centre of mass in a deadlift is that imaginary line that runs right from the mid-portion of your feet up right in front of your shins, and as you lift the weight up, it passes right in front of your pelvis. That’s where the bar is going to end once you complete the lifting motion. What happens if I don’t keep the bar along the centre of mass? At any stage, during the lifting or the descending motion, if you move the bar further away from the centre of the mass line, there is a great danger of injury. This is because, as the weight travels away from the centre of mass, there is an increase in momentum, which means that your muscles and ligaments that are working hard to move the weight are suddenly placed under a greater load. What are then the proper biomechanics to observe along a deadlift? Ankle and Knee To execute a good deadlift, we want to ensure we have good ankle dorsiflexion, which is not as important as when we squat, but still, we better ensure it is working right. This would allow a straight forward movement of the knee, which would not need to find its way medially or laterally along the initial bending for when we go to grab the bar. Moving up the chain, as we said, the knee have to point straight ahead, following the toes direction. Hip and lower back Next is the hip. This is an important joint, and here is where we need to make sure that we tilt the pelvis forward (bring the teil bone upwards) and as we hinge the hip, we have to have enough movement in there that the greater trochanter (bone landmark that represents the side of the femur’s head) is posterior to the malleolus (the bone landmark that make the side and medial portion of the ankle). Now, if we managed to have tailbone project far back and up, and hip hinged with a slightly bent knee, our back up to cervical area would be alrady quiet flat. Thoracic and head If we keep going upwards, we get to the upper thoracic area, right between the scapula. Here, we want to keep the scapula protracted and have the rhomboids and serratus anterior muscles active and strong so that the arms can hang down straight towards the bar and sit right next to the knee. Regarding the head, use your eyesight to look down at the floor at 45° in front of you and feel the ears pulling away from the shoulder. That would keep your neck nice and long and place the head in the right position. Arms and hands Arms hang down from the shoulder in a straight line, from the AC Joint down to the wrist. The arm has to feel heavy and prolonged, and the hands must sit right next to the shin. Indeed, your arms must stay as wide as your shoulders. That would ensure that your arms are at 90° with the bar, and from a vertical pool point of view, they can take the maximum load ever. Lastly, regarding the hands, there are different grip types that can be used for the deadlift. What is most important is that the wrist is straight following the armline. For exercise purposes, you can have a regular grip where your thumb is gripping around the bar. For heavier weights, you may want to do a mixed grip, where one hand (the dominant one) has the palm facing forward, and the other hand has the palm facing you. In conclusion, the biomechanics of the deadlift, if used correctly, will allow you to always weight in a safe spot, in line with the centre of mass. Your back has to be flat at all times, and along the exercise execution, you want to grasp air in, engage the core to flat out the lower back and then you can lift off. Benefits of Deadlifting Now, let’s look into the benefits of deadlifting. Full-body workout: Deadlifts engage multiple muscle groups—glutes, hamstrings, quads, lower back, core, traps, and forearms—providing a full-body workout in a single movement. Improved strength: Deadlifts are among the best exercises for building overall strength, especially in the posterior chain (back, glutes, and hamstrings). Better posture: Deadlifts can improve posture and reduce the risk of slouching by strengthening your back and core muscles. Core stability: The movement requires significant core activation, helping to enhance core strength and stability. Increased athletic performance: Deadlifts translate well to other athletic movements, as they improve explosiveness, agility, and endurance. Fat loss: The intensity and demand on […]
Dec
Lymphoedema is a condition often associated with cancer survivors, particularly those who have undergone surgery or radiation therapy, but it can also occur due to other chronic conditions or injuries. Characterized by the swelling of limbs due to the accumulation of lymphatic fluid, lymphoedema can significantly impact a person’s mobility, emotional well-being, and overall quality of life. Early diagnosis of lymphedema and management are key to preventing long-term complications, and at Melbourne Massage and Treatment in Fitzroy North, Giovanni, a skilled Myotherapist and Lymphoedema therapist, specializes in identifying and managing this condition using a combination of manual techniques and physical assessments. In this blog, we’ll explore how lymphoedema is diagnosed, the challenges of identifying it early, and Giovanni’s approaches to detecting and managing the condition. What is Lymphoedema? Lymphoedema occurs when there is a disruption in the lymphatic system, leading to the accumulation of lymph fluid, a protein-rich fluid that sits beneath the skin and between the body’s tissue, which often causes swelling in the limbs or other areas of the body. This condition can develop due to a variety of factors, such as lymph node removal during surgery, radiation treatments, injury, or genetic predisposition. Early detection of lymphoedema is crucial to prevent the condition from worsening and causing complications like tissue fibrosis, infections, or reduced mobility. Challenges in the Diagnosis of Lymphoedema Lymphoedema can be difficult to diagnose, especially in its early stages. In its initial phase, symptoms such as heaviness, tightness, or mild swelling may seem subtle and easy to overlook. Patients might attribute these sensations to muscle strain or arthritis, delaying the diagnosis. Furthermore, swelling can fluctuate, making it even harder to identify at the outset. By the time noticeable swelling occurs, the condition may have already advanced, complicating treatment and requiring more intensive management. This is why early detection is so important, as it allows for less invasive treatments and better long-term outcomes. Giovanni’s Approach to Diagnosis of Lymphoedema As a Myotherapist and Lymphoedema therapist at Melbourne Massage and Treatment, Giovanni uses manual techniques and physical assessments to diagnose lymphoedema. Although he does not use imaging technology or machines to detect the condition, Giovanni’s training and experience enable him to identify the signs and symptoms through careful observation, palpation, and physical examination. That said, if it is needed, Giovanni can write a referral doctor for your GP to indicate why he believes it is important for you to undertake a specific scan or some medical test. 1. History taking The earlier approach to Lymphoedema diagnosis is an extended look at the medical history, where any past surgery, injury, accident or medications need to be outlined and taken into consideration. 2. Clinical Assessment Following the history taken to diagnose lymphoedema is the clinical assessment. Giovanni conducts a thorough physical examination of the affected limb or area, paying close attention to key signs of lymphoedema, such as: Persistent swelling that doesn’t subside with rest Feeling of heaviness or tightness in the limb Changes in skin texture, such as hardening or thickening Reduced range of motion in the affected area Along with your booking confirmation, you would also receive a form to fill in online, which would start paving the road to your diagnosis. 3. Tape Measurement Method One of the simplest, yet effective, ways Giovanni diagnoses lymphoedema is by using tape measurements. This involves measuring the circumference of the affected limb at various points (e.g., wrist, forearm, upper arm) and comparing these measurements to the unaffected side. Over time, consistent and progressive changes in limb circumference can indicate the development of lymphoedema. While this method is cost-effective and easy to perform, it may not detect early, subtle changes in limb volume. However, when paired with other assessments, it offers valuable information about the progression of the condition. 4. The Pitting Test Giovanni often performs the pitting test, a hands-on method to assess fluid accumulation in the affected area. This simple test involves pressing down on the swollen area with his fingers. If an indentation (or “pit”) remains for several seconds after the pressure is released, it indicates the presence of excess fluid in the tissue, which is a hallmark of lymphoedema. The pitting test helps Giovanni evaluate the severity of fluid retention, but it is more subjective than advanced diagnostic tools. 5. Stemmer’s Sign – Tissue assessment Giovanni also uses palpation (manual examination through touch) to assess the affected area’s tissue texture and consistency. In the early stages of lymphoedema, the tissue may feel soft and puffy, but as the condition progresses, it can become firmer, and in some cases, the skin may develop a thicker, fibrous texture. These changes are essential indicators of lymphoedema and are crucial for determining the stage of the condition. In addition to this, the Stemmer’s Sign is a test that consists of picking what we would expect to be wrinkled skin, like the one just before the toe/tarsal joint. A positive test would result in the impossibility of pinching any skin due to the swelling in the area. 6. Lymphoscintigraphy A lymphoscintigraphy is a scan that is part of nuclear medicine tests, and it is specifically used to detect any interruption within the lymphatic system. The test is done in the specific clinic, and no recovery is needed for it. The procedure consists of injecting a radioactive liquid either in the feet or hands and with a specific camera, detecting the movement of the liquid within the body. We would expect the liquid to move within a certain timing and pathway along the lymphatic system. If that doesn’t happen, this test can give a good understanding if anything is not functioning with teh lymphatic system. Why Early Detection is Crucial? The earlier lymphoedema is detected, the easier it is to manage. Early-stage lymphoedema is often easier to treat with less invasive interventions, such as manual lymphatic drainage (MLD), compression therapy (CDT), specific exercises, and skin care. These treatments can help reduce swelling, prevent the condition from worsening, and improve the patient’s […]
Nov
A meniscus is a cushion type of structure that sits between the femur head and the tibia, on the medial side of the knee and the femur and the fibula on the lateral side of the knee. Its role is to protect any friction between the femur head and the other bonds. In sports activities where there is a lot of stop-and-go or stop-and-twist type of motion, such as basketball or netball, the meniscus is put under intense stress, and the chance of injuries can increase. Meniscus tear classification? A meniscus tear is a type of injury that can be classified based on its severity and size. There are different types of classifications, but the most used and accepted is Laprade’s classification (LaPrade et al., 2014). Laprade classification of Meniscus root tears (MRTs) is based on the morphology during arthroscopic assessment. The classification includes five distinct lesions: Type 1 tears represent partial root tears that are stable (7% of all meniscus root tears). Type 2 tears represent complete radial tears within 9 mm of the root attachment centre (67.6%). This type of tear is then subdivided in three other sub-group based on the distance of the tear from the center of the root attachment (2A 0–3 mm, 2B 3–6 mm and 2C 6–9 mm). Type 3 tear was defined as bucket-handle tear with complete root detachment (5.6%). Type 4 tears are complex oblique tears with complete root detachment (10%) and bony avulsion of the root attachment (9.9%). Meniscus tear symptoms In order to diagnose a meniscus tear, the gold standard method is an MRI scan. That said, nowadays, the only time you would get an MRI scan to your knee for a meniscus injury, is for surgery purposes, as we now know, that live with a meniscus tear is possible, as long as the muscle that across the knee joint are well looked after. That said, in the early stage, the symptoms of meniscus tear can include: Joint swelling Tenderness in the knee on the medial or lateral portion of the knee A feeling of catch in the knee as is moving Limited range of motion A feeling of the knee not able to hold the weight. Localised pain To alleviate the discomfort, the aid of a crutch, especially in the early stage, is recommended, and as per all acute phase injuries, the first few days, rest and movement with pain-free range of motion are extremely important. In addition to this, heat can be applied for intervals of 15 minutes once or twice a day. How do we rehabilitate a meniscus tear? As with all injuries, there is not one rehabilitation process that works for everyone, but there are guidelines that can be used to lead a recovery process. Let’s start with the acute phase (first phase), which is the first 72 hours. In this time frame, we would avoid putting direct weight on the affected side and, where possible, do simple knee flex/ext pain-free movements. Placing a pillow under the knee could help avoid locking the knee, which may not feel comfortable. Second phase: In this phase, which would be somewhere after the initial 72 hours, if it feels comfortable, we can start placing some gentle weight on the knee, even though using a crutch can still be acceptable, especially in the early stage of this phase. The second phase can last up to 5 or 6 weeks. An active range of motion, where the knee flexion is always greater, and the knee extension is getting closer to full extension, would keep increasing daily. In this phase, we can introduce Isometric exercises for knee flexion and extension. Those types of exercises can be done with a bench curl machine or an elastic band or ankle weight. What is most important is to start with lightweight or resistance, hold the weight for 40 seconds, and release for 40 seconds. The time frame can be adapted to the patient’s comfort. Halfway through this phase, we can start to introduce eccentric and concentric loads with weights and potential assisted sit and stands type of movement, with a chair that is higher than average and something in front of the patient where they can hold on to (like the back of another chair). As the patients’ confidence and muscles start responding more and more to these exercises, we can move to the third phase, and here we are in week 7 or 8. The chair for sitting and standing is now at average height; we may not need anterior assistance anymore. It is now essential to ensure the patient is walking and confident about placing weight on the affected side. Single-leg squats can be initiated, maybe even with the aid of a stick initially, and day by day without. The load on the anterior and posterior chain muscles of the thigh is increased, and as we move forward from week 10 to week 12, plyometric exercises can be introduced. Along those exercises, we look into explosive lunge, squatting, skipping the rope and running. A great test would be the hopping test, which consists of single-leg hopping, side to side. One minute of oping should not reproduce any pain. All these progressions are approximations of a natural healing process, and based on the individual presentation, this protocol can be modified and enriched as needed. Meniscus tear and surgery. In their meta-analysis of 6 randomised control trials, Meng et al., 2024, concluded that data favour exercise therapy over surgery as a first intervention for meniscus tears. These conclusions come from the fact that the pain reduction, estimated with the knee Knee Injury and Osteoarthritis Outcome Score (KOOS), does not show any difference between the arthroscopic partial meniscectomy (APM) and exercise therapy. That said, it doesn’t mean that surgery is never an option. What Meng et al., 2024 prove is that before heading for an invasive procedure, it is worth it to look into exercise therapy on its own. If the conservative method does […]
Sep
Fallen arches, or Flat Feet, are often misunderstood and can be a source of concern for many. However, as a Clinical Myotherapist, I want to reassure you that flat feet are not inherently problematic. In fact, they can be pretty standard and, in many cases, don’t require any treatment at all. Let’s learn why. Understanding Flat Feet (FF) When the feet’ arch presents as flat, what is occurring is a flat foot, resulting in the entire sole of the foot making contact with the ground. What you may not have noticed yet is that this presentation can be triggered by being on your feet, as in standing on it, and not by lying down or in a seated position with the feet off the ground. This is what we would call structural FF. What are Structural Flat Feet? Structural FF also known as rigid FF , involve an anatomical abnormality where the arch does not form properly. This “malformation” could be caused by genetic factors or developmental issues. What the arch would look like is lower than usual or absent entirely, which is often a lifelong condition. Now, despite their appearance, structurally flat feet are less likely to lead to pain or discomfort. The body, indeed, as it is a functional bio-machine, would easily adapt well to this anatomical variation, and many people with structural flat feet can lead active and healthy lives without any special interventions. Different is the anatomical presentation for functional flat feet, and let’s see why. Functional Flat Feet Functional FF on the other hand, result from how the foot functions rather than an inherent structural issue. In this case, the foot arch may appear flat when standing or walking due to excessive strain or an imbalance in the muscles and tendons that support the arch. When the foot is not bearing weight, the arch may appear normal. Potentially, you could also have one flat foot and one that isn’t when having a functional presentation. This is a common one for those who suffer from structural scoliosis. The main reasons why you may present with functional FF is due to muscle Imbalance, within the foot and ankle. This might be due to overuse, poor posture, or repetitive stress. Other reasons include conditions such as overpronation or excessive weight. Addressing these underlying issues can often alleviate the problem. What can be done for Functional Flat Feet? Changing in foot wear, could be an option. Based on the activity that you are doing on a daily basis life, certain types of footwear may help more than others. Orthotics, which are custom or over-the-counter arch supports, can provide temporary relief and improve function, but these often are over-estimated tools that get prescribed at random. Exercises: Strengthening exercises for the feet and lower legs can help improve muscle balance and support the arch, reduce the pain and improve motor function. In some cases, as explained in this study by Sanchez-Rodriguez et al. (2020), exercises can change the shape of the feet for the better if the intervention is done at an early age; in others, it can help maintain the feet pain-free. When Should You Worry? Most people with flat feet experience no symptoms, and if that’s the case, you do not need to worry about changing the presentation, as it could lead to pain and discomfort. If you are experiencing pain, on the other hand, is worth it to consult an health care practitioner, that can be a podiatrist, or book an appointment at Melbourne Massage and Treatment, where we are going to evaluate if the pain is due to the flat feet it self, or to other conditions such as plantar fasciitis, shin splints, or other pathologies. The Bigger Picture It’s essential to remember that FF are just one of many variations of normal foot anatomy. They do not necessarily indicate a health problem or affect your overall well-being. For most individuals, flat feet are simply a characteristic of their body and do not require any special treatment. In conclusion, whether you have structural or functional flat feet, it’s essential to focus on how you feel and function rather than the appearance of your feet. In many cases, flat feet are perfectly normal and do not pose any significant health risks.
Aug
At Melbourne Massage and Treatment, we specialise in providing tailored remedial massage therapies designed to alleviate chronic pain. These therapies are meticulously designed to target the root causes of pain, fostering relief and recovery through specialised techniques. Our expert therapists are committed to assisting individuals in reclaiming their comfort and mobility, paving the way for a healthier, more active lifestyle. Key Takeaways: Tailored Approach: Each treatment is customised to address specific pain areas, enhancing effectiveness. Professional Expertise: Our therapists are highly trained in a variety of techniques to offer optimal relief. Holistic Benefits: Beyond pain relief, enjoy improved mobility and reduced stress. The Power of Remedial Massage Remedial massage is not just about relaxation; it’s a potent therapeutic tool for chronic pain management. By manipulating the soft tissues of the body, remedial massage helps in breaking down knots and improving blood circulation. This process not only alleviates pain but also enhances the healing process of the muscles and tissues. For individuals with conditions like arthritis, fibromyalgia, and back pain, a regular remedial massage can be a cornerstone of effective management. How Remedial Massage Works Pain Relief: Through techniques such as kneading and pressure, remedial massage relieves muscular tension and pain. Improves Circulation: Enhanced blood flow aids in faster recovery of sore, overworked muscles. Increases Mobility: Regular sessions help in restoring flexibility and range of motion. Addressing Chronic Pain Conditions with Remedial Massage Remedial massage not only provides immediate relief but also long-term benefits to those suffering from chronic pain conditions. By focusing on specific areas of tension and imbalance within the muscular system, remedial therapy can significantly alleviate the symptoms associated with chronic musculoskeletal conditions. For individuals dealing with repetitive strain injuries or postural problems, remedial massage provides essential relief that is both healing and preventive. By increasing tissue elasticity and fluidity, the therapy ensures less tension in the muscles, which is often the root cause of ongoing pain and stiffness. Individualised Treatment Plans Our approach at Melbourne Massage and Treatment is deeply rooted in understanding the unique conditions and needs of each client. During the initial consultation, our therapists perform a thorough assessment to determine the most effective treatment strategy. This personalised plan is aimed at not only addressing the pain but also at promoting recovery and preventing future issues. Each session is adapted to progress with the client’s recovery, ensuring the most beneficial outcome. Techniques and Therapies Remedial massage incorporates a variety of techniques, each chosen for its ability to target different issues: Deep Tissue Massage: Focuses on deeper layers of muscles and connective tissue, helpful in releasing chronic muscle tension. Myofascial Release: Targets the fascia, the connective tissue around muscles, alleviating tension and restoring mobility. Trigger Point Therapy: Aims at specific areas of tight muscles that cause pain in other parts of the body, often described as ‘knots’. Benefits Beyond Pain Relief The benefits of remedial massage extend beyond the direct treatment of pain. Regular sessions contribute to: Enhanced Recovery: Speeding up the recovery process from injuries and surgeries. Improved Posture: Regular massage helps in correcting posture and muscle imbalances. Stress Reduction: The relaxation aspect of massage helps reduce stress levels, which is often a contributor to chronic pain. Real Client Success Stories At Melbourne Massage and Treatment, we’ve seen remarkable transformations in our clients’ health. For instance, a client with chronic back pain, who had tried various treatments without significant improvement, found relief after a series of targeted remedial massage sessions. This individual story is just one of many that exemplify the healing potential of dedicated remedial massage treatment. Integrating Remedial Massage into Your Health Regimen Incorporating remedial massage into your regular health care routine can profoundly affect your overall well-being. It’s recommended for anyone suffering from chronic pain to consider setting up a routine with our skilled therapists. This not only helps in managing pain but also enhances general health and prevents the recurrence of injuries. Expert Care at Melbourne Massage and Treatment Our team of therapists at Melbourne Massage and Treatment is not only skilled in a variety of massage techniques but also in assessing the needs of our clients. They continually update their skills and knowledge to include the latest in remedial massage research and techniques. This commitment ensures that our clients receive the highest standard of care currently available in the field of massage therapy. Understanding Chronic Pain Management Chronic pain is a complex condition that affects every aspect of an individual’s life. At Melbourne Massage and Treatment, we believe in a multidisciplinary approach to pain management. Remedial massage is a cornerstone of this approach, but it is most effective when combined with other treatments and lifestyle adjustments. Our therapists often work in conjunction with physiotherapists, chiropractors, and doctors to provide a comprehensive treatment plan that addresses all aspects of the client’s health. Lifestyle and Remedial Massage Incorporating lifestyle changes alongside regular remedial massage sessions can dramatically improve outcomes for individuals with chronic pain. Simple adjustments like improving ergonomic setups at work, maintaining a balanced diet, and regular physical activity can complement the effects of massage therapy. Our therapists provide guidance on these aspects, offering a holistic approach to managing chronic pain. Education as a Tool for Empowerment Knowledge is power when it comes to managing chronic pain. Our therapists ensure that clients are educated about their conditions and the mechanics of pain, which empowers them to make informed decisions about their health. This education includes understanding how various massage techniques work to alleviate pain and how they can actively participate in their recovery process. The Role of Regular Assessment Regular assessments are crucial to the success of any treatment plan. By consistently evaluating a client’s progress, therapists can adjust treatments as needed, ensuring that each session is as effective as possible. These assessments look at pain levels, functionality, and overall mobility, adjusting the course of treatment to match the changing needs of the client. Conclusion At Melbourne Massage and Treatment, we understand the debilitating nature of chronic pain. Our remedial […]
Aug
Remedial massage offers a therapeutic approach to easing pain and hastening recovery from injuries, blending traditional techniques with tailored treatments to suit individual needs. At Melbourne Massage and Treatment, we specialise in this intricate therapy, aiming to not only alleviate pain but also to restore function and enhance overall well-being. Key Takeaways: Remedial massage provides targeted pain relief, enhancing comfort during recovery. This therapy promotes increased circulation, aiding the body’s natural healing process. Regular treatments can improve flexibility and mobility in affected areas. The therapy also supports mental well-being, helping reduce stress associated with injuries. How Remedial Massage Can Help in Recovering from Injuries Direct Impact on Injury Sites: Remedial massage techniques are adept at targeting the specific tissues affected by an injury. By applying controlled pressure to the injured area, these techniques help break down scar tissue and adhesions that can restrict movement and cause pain. As a result, the direct manipulation of these tissues stimulates healing and the restoration of healthy function. Enhancing Lymphatic Drainage: One of the lesser-known but critical benefits of remedial massage is its ability to stimulate the lymphatic system, which is pivotal in reducing swelling and inflammation often associated with injuries. Improved lymphatic drainage not only alleviates pain but also enhances immune system function, which is crucial in fighting off potential infections that can complicate the recovery process. Stimulation of Endorphin Release: The process of remedial massage helps in stimulating the body’s production of endorphins, the natural ‘feel good’ hormones. These hormones act as natural painkillers, reducing the perception of pain and promoting a sense of well-being. This psychological boost is essential, as it can significantly impact one’s motivation and enthusiasm for continuing with the rehabilitation process. Restoring Muscular Balance and Posture: Injuries often disrupt the normal muscular balance within the body, leading to compensatory movements and postures that can themselves lead to further discomfort or injury. Remedial massage helps to identify and correct these imbalances. By easing the tension in overused muscles and stimulating underactive ones, the body can return to a more natural posture and reduce the risk of recurring injuries. Preventative Measures for Future Injuries: Beyond just aiding in recovery, remedial massage serves a preventative function. Regular sessions can identify and mitigate risk factors associated with injuries, such as tightness in certain muscles or limited joint mobility. This proactive approach not only helps to prevent future injuries but also enhances overall physical performance and endurance. Integrating Remedial Massage into Recovery Plans Integrating remedial massage into an injury recovery plan should be done with consideration to the individual’s specific needs and medical history. Collaboration with healthcare professionals can ensure that massage techniques are effectively aligned with other treatment modalities, such as physical therapy or medication, for optimal recovery. Customised Treatment Approaches: Every injury is unique, and thus, every remedial massage session should be tailored to the specific needs of the individual. Experienced therapists at Melbourne Massage and Treatment assess each client’s condition and create a personalised treatment plan. Long-Term Health Benefits The benefits of remedial massage extend far beyond immediate injury recovery. Regular sessions contribute to maintaining a healthy musculoskeletal system, reducing the risk of injury by keeping muscles loose and flexible and improving joint mobility and stability. Furthermore, the relaxation benefits of massage can help manage stress, which is a common factor in many chronic health conditions. Holistic Approach to Well-being: Melbourne Massage and Treatment promotes a holistic approach to health, where remedial massage is integrated with other wellness practices. This might include guidance on nutrition, exercise, and mental health strategies to support a well-rounded recovery and maintain long-term health and well-being. Empowering Clients: Educating clients about their body and the healing process is a critical component of the service provided. By understanding the mechanics of their recovery and the role remedial massage plays, clients are better equipped to take proactive steps towards their health, further enhancing the effectiveness of their treatment. Enhancing Mental and Emotional Well-being An often overlooked aspect of remedial massage is its capacity to improve mental and emotional health. The stress of dealing with an injury can be overwhelming, leading to anxiety and depression. Remedial massage helps mitigate these issues by promoting relaxation and reducing stress levels. The soothing effect of hands-on therapy provides a therapeutic escape from the constant concern over injury and recovery, which in turn can accelerate the physical healing process. Optimal Circulatory Health Improved blood circulation is another significant benefit of remedial massage. By enhancing blood flow, more nutrients and oxygen are delivered to damaged tissues, which is crucial for repairing injuries. Additionally, better circulation helps to remove waste products and toxins from the body, which can accumulate around injury sites and slow down the healing process. This aspect of remedial massage is essential for those recovering from muscular injuries and strains, as it ensures that tissues receive the necessary components for swift recovery. Flexibility and Strength Remedial massage plays a crucial role in enhancing flexibility and strength, particularly post-injury. Techniques like stretching and kneading increase the elasticity of muscle fibers, preventing stiffness and increasing range of motion. This is particularly beneficial for individuals who are recovering from joint or muscle injuries, as it aids in gradually restoring strength without adding undue stress on the recovering tissues. Synergy with Other Therapies For comprehensive recovery, remedial massage often works best when combined with other therapeutic approaches. For instance, integrating massage with physiotherapy or chiropractic care can provide a more holistic recovery plan. Each therapy complements the other, with massage easing muscle tension and improving flexibility, while other treatments focus on alignment and functional improvement. Educating Clients on Self-Care At Melbourne Massage and Treatment, we believe in empowering our clients with knowledge about self-care techniques that complement their in-clinic massage sessions. Simple strategies, such as regular stretching, proper hydration, and stress management techniques, are shared to enhance recovery and prevent future injuries. This education is crucial, as it helps clients maintain the benefits of massage between sessions and builds a foundation for lasting health. […]