Articles in Category: Chiropractic

Assessing young athlete injuries − When to see a specialist?

Written by Don Williams BSc, MChiro, ICSSD. on Tuesday, 11 June 2019. Posted in Newsletters, Sporting Injuries, Chiropractic

 Assessing young athlete injuries − When to see a specialist?

 

This month’s newsletter article was stimulated by a phone call I received this morning in regards to a young footballer who suffered a head injury playing on the weekend. We were glad to hear that the young boy was taken to hospital and did have a brain scan to eliminate any significant bleeds or anything that was pathologically present immediately following the injury. The after management is the point that is concerning me somewhat more.

A recent sports medicine Australia conference on paediatric injuries shows that there has been a massive increase in the number of major injuries suffered by teenage athletes. Particularly head injuries and ACL ruptures have been increasing almost exponentially. Across the board injuries have also increased and this has thought to be as a result of increased training loads and competition loads that are above and beyond what a growing body can tolerate.

The growing body needs rest and recuperation purely to grow, not even considering the demands of high level youth sport. The concern at the conference was in regards to misdiagnose or inappropriate assessment of youth injuries with the assumption that the injury would not be pathological. In particular relevance were head injuries, and the requirement in the sport medicine guidelines is that a head injury requires three weeks off work. This has been unfortunately somewhat ignored or not understood by some members of the community.

Often a GP or an A and E specialist with no specific training in head injuries will give the youth a return to sport because there was no apparent pathology on brain scan. This is purely not the case and the guidelines currently state that for a significant injury, that a minimum of 19 days off competition and intense training should be observed. The broader question for us is about appropriate assessment and this is the nature of my article. If you have an injury of your young athlete or child has an injury, it is appropriate to have them assessed by a relevant professional. This often means someone who has extensive experience in testing orthopaedic musculoskeletal conditions in the case of musculoskeletal injuries.

So often we see people show up here after a number of visits to their GP where they have a significant injury that has been missed. This is not to knock their GP, but it is not necessarily their area of expertise. Some GP’s are excellent, some don’t focus on this area very much at all. It would be the same as us in the musculoskeletal arena diagnosing ear issues, and visceral issues for which we are not adequately trained.

So my take home message is if you have an injury, get it assessed by a relevant professional and ensure you get the best possible outcome, rather than just hoping its nothing severe and going forward and creating more issues down the track.

4 Exercises to Beat Text Neck

on Tuesday, 11 June 2019. Posted in General Health, Ergonomics, Chiropractic

What exercises help with good posture?

4 Exercises to Beat Text Neck

Over time, we have all suffered from what they call text neck or bad posture. Bad posture can come in many shapes and forms. Sitting at a desk for prolonged periods of time has people slouching and sticking their head forward, bad ergonomics can contribute to poor posture at the work desk and smartphones can cause bad posture. In fact, text neck is one of the leading causes of bad posture as younger generations progress to being attached to their smart devices.

Throughout time, there have been many products and cues that have been used to try and address the issue of bad posture. Products range from gym balls, back supports, postural chairs, postural belts and varidesks. Even postural cues like 'pull your shoulders back' or 'stand up tall' are common phrases used.

As much as these products and cues have their positive points, nothing beats having a good postural exercise regime that doesn't take too long to implement into a daily routine.

The first thing that should be implemented are micro breaks. Micro breaks are a great exercise for office workers that are sitting for the majority of the day. It works by setting an alarm or reminder to get up move around and reset the body.

Below I have listed four exercises that help address bad posture by either targeting weak muscles to help strengthen or by increasing the mobility through that stiff mid back region.

Seated thoracic stretch

Brugger stretch

Chin tucks

Floor angels

Written By Luke Attkins
Bsc Chiropractic, M. Clin. Chiropractic, Dip. Remedial, Dip. FIFA Medical, Cert. DNS Sport

Bedding Myths

Written by Don Williams BSc, MChiro, ICSSD. on Monday, 21 January 2019. Posted in Newsletters, General Health, Ergonomics, Chiropractic

Bedding Myths

At this time of year, we find lots of people are thinking about new beds. It might be something to do with New Year's resolutions. For whatever reason, a new bed could be a good idea if your old bed is getting on in years.

I thought I might cover some of the myths and 'marketing hype' that we see in the industry.

Firstly, do I need a new bed?

How old is your current bed? Most modern beds will last 10 years. In fact, almost all new beds have a 10 year warranty. Usually, once the bed is getting over 15 years, or it has big furrows or stains, it is time to get a new one. 

How do I know if my bed is causing my back/neck pain?

Try sleeping in a spare bed. Are you better? Then go back to your bed. Is your back/neck sore again? We often find that patients start to question their own bed when they go on holidays and their back pain goes away. The bed could be the issue; however, it could also be a variance in the activities that you do in your normal life. Our tip, use this as an excuse for a weekend away. 

Non-Flip Mattresses

There is a tendency to see a lot of non-flip mattresses now. While I acknowledge that better quality materials and manufacturing can mean better mattresses, simple physics dictates that you only have one surface to wear out. So a one-sided mattress will last less time. It is cheaper to manufacture a non-flip mattress and marketing tells us it saves your back because you don't need to flip it. Our experience is the mattress will not last as long. Our suggestion... Always buy a flip-able mattress for the longest mattress life.

Pillow Tops

All the rage at present! A pillow top feels luxurious; however, this would be the greatest source of complaints about mattresses. The pillow top will generally wear out before the support characteristics of the mattress (furrows and ridges) and it seems this is very difficult to rectify or address through a warranty claim. The biggest issue with a pillow top is that if the bed is too soft, it is very difficult to make it firmer. The best solution is to buy a mattress without a pillow top and if it is too firm, then buy a great overlay. We normally suggest a gel infused memory foam overlay as they are cool, comfortable and when they wear out, it is simple to throw it away and get a new one.

'Latex is Hot'

Generally this is not the case. Good quality latex beds are core drilled and are a natural fibre. They breathe well and conform well to the body, meaning generally no pressure points. 

At Institute of Sports and Spines we stock and sell high quality memory foam overlays, latex mattresses and both memory foam and latex pillows.

If you think you need a new mattress, pillow or overlay, talk to us and we can recommend and let you trial them at the clinic to identify what is the best solution for you.