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Travel time! - How Do I Keep My Body Happy?

6/3/2025

 
By Rachael Bird, Myotherapist 
Tips for Using a Ball to Relieve Soreness on Your Trip
So, it's time to head off for your trip! Here are some little tips to help you along the way when you get there.
Bringing a ball with you—this might seem like a silly thing to do, but trust me, when you're feeling sore, it's a fantastic way to tackle those pesky tight spots while you're away.
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How to Use the Ball
  1. Identify Tight Areas: Place the ball on the areas causing discomfort. Apply light pressure—pushing too hard can make the area feel bruised.
  2. Positioning Options:
    • Glutes, Hamstrings, Calves: Sit with the ball underneath the targeted muscle.
    • Lower Back: Lie on your back, bend your knees with your feet flat on the floor, and tuck your hips forward to create a flat back for better relief.
    • Upper Back, Back of Shoulders: Use a wall or the floor. For between the shoulders, lift the arm of the side you're working on, placing that hand on the opposite shoulder to open up the scapula. If you have a frozen shoulder, avoid this movement or use a smaller range to prevent pain.
    • Upper Arms, Delts: Lean against a wall with the ball positioned on your side.
    • Lower Arms: Place the ball on a table, then press down on the ball with your other hand.
    • Upper Shoulders, Traps: To keep the ball from rolling off, place your hand on your head and lean back. Use caution if you have a frozen shoulder.
    • Chest, Pecs: Use a door frame to lean into the front of your shoulder with light pressure. Avoid using too much pressure.
    • Quads, Shins: Lie face down on the floor.
    • Hip, Side Glute, IT Band: Lie on your side.
    • Feet, Plantar Fascia: Place the ball under your foot, using a wall or chair for balance.
    • Hands: Place the ball on a table and press it into the palm of your hand.
Maximising the Effectiveness of the Ball:
  • The secret to using the ball is to move the muscle you're treating. For example, if you're working on your calves, sit with the ball under the calf, and slowly point and flex your foot until the muscle relaxes.
Final Tips:
  • Don’t forget to use heat and stretch the areas that need extra attention when needed.
  • Drink plenty of water to prevent dehydration, fatigue, and help the effects of jet lag. Staying hydrated keeps your energy up, your mind clear, and helps with sore muscle recovery by flushing out toxins. So keep feeling your best—drink more and enjoy the rest!
  • Resting well while travelling keeps you energised and ready for your adventures! A good night’s sleep boosts your mood and helps you make the most of every moment. So, hit the hay and wake up ready to explore the day! 🙂
Taking care of minor issues, like soreness, is the best way to avoid bigger problems down the line. Rachael helps people every week stay ahead of these major issues. If you're still feeling sore after your trip, book online to keep yourself on track and prevent your sore spots from getting worse.

Low back pain isn't always what it seems

20/2/2025

 
By Peter Pascalis, Clinical Myotherapist
2 Minute Read
Low back pain is commonly seen in clinical presentations. The cause of many back pain complaints is myofascial pain (coming from the muscles and fascia) or somatic referred pain (originating from the lumbar discs, facet joints, lumbar ligaments, and referred pain from the sacroiliac joints (SIJs).
Other sources of back pain include nerve-related irritations or entrapments, such as sciatica (also known as Deep Gluteal Pain Syndrome) or peripheral neuropathies, where nerves become compressed by bony structures.

This is by no means an exhaustive or comprehensive list of all the known causes of back pain, but these are some of the more common ones. Radiculopathy, which involves changes in sensation and strength in the lower limb, can also be associated with back pain.
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Why is the cause of back pain important?
When treating pain or dysfunction, it is crucial to understand, or at least infer, which structures or factors are involved to provide the best patient care. This knowledge allows us to direct treatment toward its resolution.

Somatic pain may require slightly different treatments compared to painful radiculopathy, as different anatomical structures are affected. Treatments beneficial for nerve pathology may not be effective for muscle dysfunction.
Some common treatments for muscular pain include soft and deep tissue massage, followed by activity modifications for a period of time, and exercise to address underlying factors such as weakness or instability that need to be addressed for long-term benefit. Dry needling can be very helpful in desensitizing painful structures by improving muscle health and delivering non-painful input into the nervous system, which can override the painful signals arriving at the spinal cord and brain.
Nerve disorders can be significantly improved with techniques that decompress vertebral structures, as these are where the nerve roots exit the spine, and mobilization exercises aimed at moving the spinal nerve along its anatomical pathway, affecting the entire leg and spine.
Education plays an invaluable role in treatment outcomes, as back pain has a strong association with mental health and other factors that contribute to lowering our pain threshold (the minimum stimulus required for us to perceive pain).

Peter is our treating myotherapist who specialises in all things nerve and joint pain! He is dedicated to creating a safe space where he can support you through your recovery. Book your first consultation with him today! 

Back & Hip Pain During Pregnancy

13/5/2024

 
By Megan Cornish, Pre/Post Natal Myotherapist

I would like to first and foremost start this blog by talking about the idea of pregnancy related musculoskeletal aches and pains being “a normal and common part of pregnancy”. And while that may be so for the majority of pregnant women, my biggest pet peeve is when prenatal ladies are told that their back and/or hip pain is “normal” and to basically deal with it til the baby comes out. No further pain management strategies or options are discussed, and mama's are left concerned and in pain without a plan, and that in my opinion is a disservice to all women!


I am writing this blog to solidify that just because these types of muscular aches and pains are frequent occurrences during pregnancy, you absolutely do not have to just ‘put up’ with the pain. Pain management strategies are definitely out there if needed - myotherapy being one of them - and I want ALL women to feel empowered to utilise these strategies as needed to feel the absolute best they can for the duration of their pregnancy. Please never feel that you need to just power on through pain.
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For the purpose of this blog we will learn why muscle and joint pain is common during pregnancy particularly in the lower back and hip regions. We will also look into how myotherapy works to reduce and manage pain as well as other alternatives and options available to you.   

So why is it that the soft tissues of the lower back and hips get so sore?
The most common regions to get affected by musculoskeletal aches during pregnancy are hip joints and surrounding muscles and the lower back.  An element of the reason why this happens is going to be due to the growth of your baby throughout pregnancy and the pressure/added weight that this brings to the joints themselves. Wherever there is excess strain or pressure on our joints our muscles automatically guard to protect that joint - this will be the source of the pain.
Another element to why you might experience pain in these regions is going to be because muscle relaxant hormones become involved, these hormones - relaxin and progesterone - cause a softening of tendons and ligaments surrounding the pelvis/lower back to prepare your body for the physical act of giving birth. As a result of the increasing laxity of these joint stabilisers muscles again begin to guard to compensate and protect the joints.
 

How does myotherapy help to reduce and manage my pain? 
If you’ve had a massage or myotherapy treatment before you probably already know how amazing your body feels during and after the treatment. Its a very safe and effective way to manage and treat pain during pregnancy and works in a few ways to ease your discomfort. 
Massage releases muscular tension 
During your massage a few biomechanic functions are stimulated which is what is going to make the physical change to the musculoskeletal tissue as well as rewire the way your brain is processing the pain you are experiencing . Massage will release muscular tension by stimulating blood flow and increasing circulation to the muscle tissue. Endogenous opioids which are your “feel good” hormones also get released and therefore interrupt the pain cycle. The inflammatory response is our body’s healing response which is also triggered during the massage. 

Advanced Pain Relief Techniques
Advanced techniques like dry needling and cupping are mighty helpful during pregnancy, and when they are used by a Myotherapists who are well educated on pre natal care they can provide a great amount of relief. We can use techniques like dry needling for reaching deeper into your glute muscles without needing to be heavy handed, and this can be incredible when you have sciatic pain or that build up of pressure around your pelvis and sacrum.

Calm the CNS (Central Nervous System) 
Our central nervous system consists of our brain and spinal cord, this is how our body receives, responds and processes sensory information. During the massage sensory receptors carrying messages of sensation to the brain are calmed and therefore relaxing muscle tissue and reducing pain. 

Safely lay on your tummy!
We have excellent pregnancy therapy cushions that allow you to safely lay on your tummy and protect your growing bump and sensitive breasts. All our mama’s simply love to be able to spend some time supported and face down, plus its a great position for us to really effectively manage back, neck, shoulder and hip pain.

Taping your pelvis
Pressure and instability in the joints of the pelvis are some of the most common complaints, especially when baby is becoming big! Taping can help to offload some of the pressure around your pelvis, or to support it if you’re starting to feel a bit wobbly, pinchy or unstable. 


Are there any other available strategies that I can utilise? 
There are also other ways that pain in pregnancy can be managed as well, this could be any or a combination of the following. 

Yoga and Exercise 
Recent studies of the benefits of movement throughout pregnancy show positive effects on reducing and managing pain while pregnant as well as improved general overall health and wellbeing. Yoga and gentle stretching are great ways to ease muscular discomfort and exercise will work to increase blood flow and support healthy muscle tissue. 

Thermotherapy (Heat Therapy) 
This is an easy and accessible way to get relief from pain at home, warm baths and warm wheat bags are able to be utilised to address muscle pain as this allows for opening of blood vessels to increase blood flow to the soft tissues. However with this management strategy please note we want WARM but not HOT. It can be potentially dangerous for bubs if a mothers internal body raises too much which is why hot tubs and spas are not advised. If you are ever unsure about this strategy consult your treating practitioner before use.

Mindfulness and Meditation 
Mindfulness and Meditation exercises along with breath work are great techniques and strategies to use to manage pain. The body and mind are intertwined, especially when it comes to experiencing pain and discomfort. Studies have shown that a heightened nervous system can influence a person's overall experience of pain. By practising mindfulness and/or meditation your nervous system will relax and muscle tissue will follow, therefore decreasing pain.



Pain management strategies are out there and available to be used to treat and manage pain experienced during pregnancy.
Ladies! Please NEVER feel ashamed or hesitate when seeking these out.
As I mentioned earlier the biggest thing I would like you to take away from this blog is just because pain is a common and usual part of pregnancy, this does not mean you have to just power on through!


​Do you need help from a Myotherapist who has a great understanding about pre and post natal bodies? Thats me!! Book a time to see me for pregnancy care, I'm here 5 days a week. 
​
Simple Wellness Myotherapy is located at Shop 12B/150 Kelletts Rd, Rowville VIC 3178. Additionally, you can contact us on (03) 8204 0970 to arrange an appointment today. 

Spinal Stenosis - How Myotherapy Can Help

12/3/2024

 
By Duke Autret, Myotherapist

​Spinal stenosis is a condition that affects the spinal canal, the space within the spine housing the spinal cord and nerve roots. This narrowing of the spinal canal can exert pressure on the spinal cord and nerves, leading to a range of symptoms. In this article, we delve into the intricacies of spinal stenosis, exploring its causes, symptoms, and diverse treatment options
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Causes of Spinal Stenosis
Spinal stenosis can arise from various factors, including:
  • Degenerative Changes: Conditions like arthritis or disc degeneration can gradually narrow the spinal canal.
  • Herniated or Bulging Discs: Discs that protrude into the spinal canal may compress the spinal cord or nerves.
  • Congenital Conditions: Some individuals may have a naturally narrow spinal canal from birth.
  • Trauma or Injury: Spinal stenosis can develop in response to spine-related trauma or injury.
Symptoms of Spinal Stenosis
The symptoms of spinal stenosis manifest differently based on the severity and location of canal narrowing. Common symptoms include:
  • Pain or numbness in the back, legs, or arms.
  • Weakness or tingling sensations in the extremities.
  • Difficulty walking or standing for extended periods.
  • Loss of bladder or bowel control in severe cases.
Treatment Options for Spinal Stenosis
Effectively addressing spinal stenosis through myotherapy involves tailoring treatments to the individual's symptoms and the severity of the condition. Myotherapy, with its specialised focus on muscle and soft tissue therapy, offers targeted interventions for relief.
Myotherapy Techniques
  • Myotherapy Exercises: Tailored strengthening and stretching exercises play a crucial role in alleviating pressure on the spinal cord and nerves, thereby reducing the symptoms of spinal stenosis.
  • Soft Tissue Massage: Myotherapists utilise soft tissue massage to target specific areas, releasing tension and promoting healing in the muscles surrounding the affected spinal region.
  • Trigger Point Therapy: Targeted pressure on specific muscle points aids in relieving pain associated with spinal stenosis and improves overall range of motion.
  • Myofascial Release: This technique stretches and releases the connective tissue around the affected area, enhancing circulation and reducing pain.
Medical Management
In conjunction with myotherapy techniques, managing spinal stenosis symptoms may involve specific medications by working with a GP:
Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): These medications help alleviate pain and reduce inflammation associated with spinal stenosis.
  • Pain Medications: Myotherapists may collaborate with healthcare providers to incorporate pain medications into the treatment plan for enhanced relief.
Or a specialist Doctor or Orthopaedic surgeon: 
  • Injections: Corticosteroid injections administered by myotherapists can precisely target and reduce inflammation in the affected area, providing focused relief from symptoms.
  • Surgical Considerations: While myotherapy primarily focuses on non-invasive techniques, in severe cases, myotherapists may work alongside surgical interventions to relieve pressure on the spinal cord, potentially involving vertebrae removal or spinal canal widening. Myotherapists can offer pre-surgical and post-surgical care that can help a patient to have improved outcomes of the surgery.
Embracing Relief and Preventing Spinal Stenosis through Active Lifestyle through Myotherapy
While complete prevention may not be possible, myotherapy emphasises proactive measures to reduce the risk of developing or worsening spinal stenosis:
  • Myotherapy: Strengthening and stretching exercises alleviate pressure on the spinal cord and nerves, reducing symptoms.
  • Postural Awareness: Myotherapy emphasises good posture, educating individuals on maintaining spinal alignment to reduce stress on the spinal canal.
  • Tailored Exercise Programs: Myotherapists create customised exercise routines to strengthen and maintain spinal flexibility, promoting overall spine health.
  • Maintaining a Healthy Weight: Myotherapists guide individuals on exercises and lifestyle modifications to support a healthy weight, minimising strain on the spine.
  • Lifestyle Choices: Encouraging individuals to avoid smoking, a habit linked to the development of spinal stenosis, is a crucial aspect of myotherapy preventive care. 
  • Spinal stenosis, with its range of symptoms, necessitates a comprehensive approach for effective relief and management. Seeking guidance from a myotherapist can be the first step toward an active and healthy lifestyle, tailored to your individual needs. Consult a qualified myotherapy professional today to embark on the journey towards relief and improved well-being.

Do you have a diagnosis of spinal stenosis? Management of this condition is possible, particularly in the early stages of diagnosis. Book with our team to discuss the most important steps you can take to care for your spine.

Does Heavy Lifting Cause Back Pain?

11/1/2024

 
By Rachael Bird, Myotherapist

Lifting techniques can contribute to back pain - but like with so many things, its usually a combination of factors that lead to pain after lifting. 


​While I love helping people with back pain, I also understand that a lot of lifting related pain can be avoided by taking your time and managing the loads well. Here’s some of the nuggets of wisdom I give to my patients who injure their back while lifting.
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Some of the most common factors I see that lead to this kind of back pain are:

Poor Lifting Techniques: Improper lifting techniques, such as bending at the waist rather than the knees, can strain the back muscles and lead to injury. Also keep in mind to be careful if you need to twist or lean while holding a heavy load. Generally these lifting techniques may be alright for a small number of light lifts, but if you know you need to lift a lot of items or you know that what you need to move will be heavy, pay closer attention especially as you start to notice fatigue.

Overexertion: Moving heavy items like furniture without proper rest or support can cause muscle fatigue and strain. Take smart breaks if you are going to be lifting heavy or frequently, whether thats a one off event like moving house, or regular weight training at the gym.

Lack of Conditioning: If you are not accustomed to heavy lifting or physical exertion, sudden lifting or moving activities can strain unconditioned muscles and lead to injury. Slowly build up your strength so that you can feel more resilient. If you have a sensitivity from a previous injury, take that into consideration when planning activities that need you to lift heavy things.

Inadequate Support: Carrying heavy objects without proper support or assistance can put excessive stress on the back. Where you can, use a trolley, box or bag, or recruit a buddy to help move a large, awkward or heavy object.

Repetitive Strain: Repeated bending, lifting, and carrying many items over an extended period can cause cumulative stress on the back muscles and spine. Take frequent breaks, even if the workload is light and especially if you are unaccustomed to lifting.

Pre-existing Conditions: If you have a pre-existing back issue or sensitivity, you may be more susceptible to back pain when engaging in heavy lifting or moving activities. If you’ve been injured in the past, make sure you take it slow and take care of yourself.


Are you planning to move house soon? Do you have a job that involves moving things around, loading or unloading things? Or do you know that you need to do some serious lifting in the near future? Here are some of my top tips to minimise the risk of back pain when you’re lifting:

Use Protective Lifting Techniques: Lift with your legs, not your back. Bend your knees, keep your back straight, and use your leg muscles to lift. Engage your core.

Ask for Help: When moving heavy or bulky items, ask for help or use moving tools (like a trolley or straps) to share the load. Are you moving house? Consider outsourcing it to a removalist, it will cost you money instead of injury and pain!

Take Breaks: Don’t overexert yourself. Take breaks during moving tasks to rest and stretch your muscles. Take a break before your body feels like it needs a break - by the time you’re feeling it, you probably needed to rest 10 minutes earlier!

Use Proper Equipment: Utilise proper lifting equipment or tools designed to reduce strain on your back.

Stay Active and Strong: Regular exercise and maintaining overall fitness can help prepare your body for physical tasks like lifting and moving. 



Back pain resulting from heavy lifting or moving can be prevented by being mindful of these factors and taking appropriate precautions to protect your back and overall well-being.

Have you already hurt your back lifting something heavy and now need some pain relief? I’m here for you! Book in with me and we can make a plan that looks at relieving the pain in the short term, and building up the strength and resilience long term as a preventative to future injuries.

I can Barely Move My neck, What Could Cause This?

7/5/2023

 
If you've ever had that one-sided sharp, catching pain in your neck or back that stops you moving even slightly towards that painful side, you've likely experienced a sprained facet joint.
Facet joint sprains can be a source of intense back or neck pain, limiting our mobility and overall quality of life. This kind of injury is usually fairly short lived, but the first few days when its at its worst can be very highly sensitive and irritable. The acute phase usually doesn't last more than a week, and the pain usually subsides entirely within 2-3 weeks.

These injuries can result from trauma (like a car accident), repetitive motions or rapid combination movements (like bending/twisting/lifting too quickly), or can be predisposed in degenerative conditions where the joint has been previously injured or where the joint isn't as healthy as it could be. Even though this condition is normally short-lived, it can be challenging to manage and exceptionally painful.
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Facet joints are small joints located at the back of the spine, connecting the vertebrae. When they are happy they provide stability and allow for easy non-painful movement in the spine. When these joints become injured or strained, it can be a very painful experience. Turning your head to the impacted side is usually very restricted by a sharp, bony pain. Often turning to the opposite side is much easier and without the same sting of instant pain.
Common causes include sudden trauma or whiplash type injuries, quick repetitive motions, or lifting and twisting at the same time. We'll often hear people say "I slept funny and now I can't turn my neck that way", this can be from sleeping in a weird or awkward position with the neck jammed up overnight.
Symptoms of facet joint sprains include localised pain which is usually one sided, stiffness, reduced range of motion due to intense pain, and muscle spasms. The muscles around the impacted facet joint can go into a protective spasm to prevent you from moving, but the spasm itself can be very painful and can cause referral of pain to other areas. If the sprained facet joint is in your neck, its common to get a headache referred from the surrounding muscles. If the sprained facet is in your back, the referral patterns from an upper back facet is usually to the shoulders, or from a lower back facet to your hips. 
These sprains can significantly impact daily activities, especially things that need you to be able to move easily and safely, like doing headchecks in the car, getting in and out of bed, or going to the gym.


When it comes to facet joint sprains, our myotherapists offer several benefits:

Pain Relief: Myotherapists utilise a range of techniques, including deep tissue massage, trigger point therapy, and joint mobilisation, to alleviate pain associated with facet joint sprains. By targeting the affected area and surrounding muscles, our myotherapists help reduce muscle tension, release endorphins, and improve blood circulation, resulting in pain relief. Techniques that can be used in acute stages include things like dry needling which can resolve muscle spasm without applying broad pressure over the area.

Muscle Relaxation and Joint Mobility: Facet joint sprains often lead to muscle spasms and restricted joint mobility. Myotherapy techniques such as gentle stretching, soft tissue mobilisation, and joint mobilisation help relax the muscles, increase flexibility, and restore normal joint motion. These interventions promote healing, reduce inflammation, and enhance overall range of motion. Gentle mobilisations encourage the correct glide of the facet joints to return, and using techniques like Muscle Energy Technique we can often reduce the protective spasm and improve the amount of movement and the irritability of the joint fairly quickly.
Muscle Imbalance: Musculoskeletal imbalances can contribute to facet joint sprains. Myotherapists assess and correct muscle imbalances through targeted exercises, ergonomic modifications, and postural retraining. By addressing these underlying issues, your myotherapist helps improve your alignment, reduce stress on the facet joints, and prevent further injury. 
Strength and Stability: Myotherapy focuses not only on treating the immediate pain but also on building strength and stability to prevent future sprains, once the pain intensity allows us to do so. Myotherapists develop customised exercise programs to strengthen the muscles supporting the spine, enhancing overall spinal stability and reducing the risk of recurrent facet joint sprains. For a facet joint sprain, we usually expect this part of your treatment plan to begin about 2 weeks into your program, once the pain has settled and you have regained mobility.
Education and Self-Care: Myotherapists play an essential role in educating our patients about facet joint sprains and self-care techniques. We provide guidance on proper body mechanics, ergonomics, and exercises to maintain a healthy spine and prevent further injuries. Empowering individuals with the knowledge to take control of their own well-being is a fundamental aspect of myotherapy.

Facet joint sprains can significantly impact our daily lives, causing pain and limiting our mobility. Myotherapy offers a comprehensive approach to treating facet joint sprains by addressing pain, muscle tension, joint mobility, and underlying imbalances. Through techniques such as pain relief, muscle relaxation, joint movement correction, and strength training, myotherapy aims to provide lasting relief and prevent future sprains. If you're struggling with facet joint sprains, seeking the expertise of our qualified myotherapists can be a valuable step towards finding relief and regaining functionality.

Book online with any of our great Myos, or call us on 03 8204 0970 for more information.

How Does Dry Needling Work?

27/7/2020

 
Dry Needling is a manual therapy technique used by Myotherapists to help reduce pain and tension in muscles.
We've previously discussed the similarities and differences between Dry Needling and Acupuncture, but you may still be wondering - how does Dry Needling actually work?
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The "Dry" Needle
The reason they are called "dry" needles is to differentiate them from hollow needles like the ones used for blood tests or vaccinations. A dry needle can't inject or withdraw fluids from your body.
The needles themselves are ultra thin and flexible. They come with a guide tube to allow us to place them with care and precision.
All needles used for dry needling are single use only.

Where We Apply It
Myotherapists use dry needling in painful, tight or restricted muscle groups. You may have heard about Trigger Points - those painful, tight bands that can form within a muscle over time, with repeated use or from injury. Dry needling is a technique that helps address these trigger point areas in a very specific and precise way.
We assess the areas through watching you move and through palpating the muscles to find the best spots within the muscle to position the needle to relieve the trigger point. We also assess the surrounding joints and muscles, for example for hip pain we may find that dry needling in your lower back or in your thigh can help relieve pain and strain from your hip.

What Happens When We Needle A Trigger Point?
When we first insert the needle to the muscle, it can be felt as a little pinprick sensation on the skin. We then guide the tip of the needle into the right angle and depth of the muscle to directly stimulate the trigger point. This takes some skill and the ability to visualise in 3D the target muscle and the surrounding tissue like nerves, veins, arteries, bones and ligaments.
By applying the needle into that trigger point, it causes a combination of chemical and electrical responses by the muscle. The micro damage causes by inserting the needle sends chemical messengers to the brain to get a healing response to occur. It can also cause a nerve impulse to occur, making the muscle twitch and release.

To Stimulate or Not To Stimulate
Because our aim in using dry needling is to get a change in the muscle tension, we often can stimulate the needle. This means we might gently move the needle in a pulsing in/out movement to repeatedly stimulate the trigger point, or we might twist the needle in a particular direction or in a series of back and forward movements.
Stimulation of the needle can lead to more twitching, what we call Local Twitch Response. Dry needling can be effective even without the involuntary muscle twitch response.
Some practitioners prefer a more intensive stimulation of the needles, however we prefer a gentle and slow approach.

Does Dry Needling Hurt?
In most cases, not really. Which is often surprising! The most common sensations you'll feel are the pinprick of the needle being positioned, a dull aching or tightening sensation around the needle, and the quick twitching response of the muscles releasing. The twitching can sometimes feel intense, but only lasts a very short time.
After needling, some people can experience a little localised soreness at the sites of the needles, but most people just feel relief from tension and pain in those areas.

Is Dry Needling Safe?
In the hands of a trained practitioner, dry needling is a safe and effective technique.
Myotherapists undergo many months of training and assessment in the skillful use of dry needling, however not all practitioners who offer dry needling are Myotherapists. Remedial Massage Therapists, Chiropractors, Physiotherapists, and other skilled practitioners can opt to undertake short courses in dry needling.
Here in the Simple Wellness Myotherapy clinic, we only allow our Myotherapists to use dry needling on our patients, and we strongly believe that a weekend short course is not enough time to develop the skills needed to use dry needling safely and effectively.

What Sort Of Pain Can Dry Needling Help Treat?

Dry needling is great for releasing tight trigger point areas all throughout the body. It can be effective in treating headaches, neck and shoulder pain, back pain, bursitis, pain from disc injuries, sports injuries, plantar fasciitis - so many things!

Want to try dry needling for your muscle pain? Book an appointment with one of our Myotherapists.

Research Spotlight: Can You Have A Bulging Disc and Not Be In Pain?

28/5/2020

 
Many people are familiar with the term "bulging disc" in regards to lower back pain. It can feel like an intense, sharp, stabbing sensation that can often travel down your leg through your hips and bum, sometimes as far as your feet.

This is a common diagnosis when you start to develop back pain. You get a scan which shows changes in the disc, and the pain matches the effected nerve area. It can be a scary diagnosis.

But you may be surprised to know that a lot of people who don't have pain have also been found to have changes in their discs. I find this study to be really encouraging, because it shows that people who have significant changes to their disc structure can still live a painfree life. It suggests that the disc changes may have already been there for some time before any painful symptoms even began, and gives hope that even if the structure doesn't change, that the pain can change.

Lets have a look at this interesting literature review, particularly in regards to the findings around disc degeneration, disc bulges and disc protrusions.
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This is a literature review of 33 separate studies that investigated the imaging of spinal degeneration in painfree people ranging from their 20's to their 80's. It was published in the American Journal of Neuroradiology in 2014.

In total, the review takes into account MRI and CT scan imaging on 3110 individuals with no painful symptoms.

As you would likely predict, the number of findings increased with the participants age group, showing age-related degeneration occurs even in people who aren't experiencing pain.

Lets have a look at the imaging results for the disc degeneration, bulge and protrusion categories:

Disc degeneration - changes to the disc and surrounding vertebrae that result in loss of cushioning and support, may include signs of osteoarthritis at the joint.

The Results:
Disc degeneration in painfree participants was identified in:
  • 37% of 20-29 year olds
  • 52% of 30-39 year olds
  • 68% of 40-49 year olds
  • 80% of 50-59 year olds
  • 88% of 60-69 year olds
  • 93% of 70-79 year olds
  • 96% of 80+ year olds

Disc bulge - changes that alter the shape of the disc and can make portions of it "bulge" out of place, which can apply pressure to nearby nerves.

The Results:
Disc bulge in painfree participants was identified in:
  • 30% of 20-29 year olds
  • 40% of 30-39 year olds
  • 50% of 40-49 year olds
  • 60% of 50-59 year olds
  • 69% of 60-69 year olds
  • 77% of 70-79 year olds
  • 84% of 80+ year olds

Disc protrusion - changes to the annular membranes around the disc allows the disc nucleus to protrude and apply pressure to the nerves.

The Results:
Disc protrusion in painfree participants was identified in:
  • 29% of 20-29 year olds
  • 31% of 30-39 year olds
  • 33% of 40-49 year olds
  • 36% of 50-59 year olds
  • 38% of 60-69 year olds
  • 40% of 70-79 year olds
  • 43% of 80+ year olds


What does this mean for your bulging disc?
It means that theres a good chance that your structural changes were already present before your back became painful. The area may be irritated or flared up right now, but these findings are a good indication that even if your scans don't change, your back pain still can settle down.
It means that a scan showing disc changes doesn't have to be a life sentence of pain.

Does this mean bulging discs DON'T cause pain, then?
Don't get me wrong, bulging discs can be painful, and for some people it can be severe. This study just helps to show us that theres more to back pain that what shows up on MRI or CT scans. Structural changes are just one layer in the complex onion that is back pain.

We can help!
There are lots of ways we can change your experience of back pain through massage and myotherapy techniques like dry needling, taping and support, strengthening the surrounding muscles with exercises that are appropriate for you, and supporting your understanding of how your back functions.
Book a time to come see us to talk about your back pain and creating a treatment plan to reduce it.

Hydrotherapy for Joint Pain

2/3/2020

 
If you have joint pain, chances are that hydrotherapy is going to be a huge help to you.
A hydrotherapy pool is a warm water pool for doing exercises. Its quite different from swimming laps, although a lot of people find that swimming can be helpful too, if its not painful to do it. Can’t swim? It doesn’t matter, a hydrotherapy pool is usually quite shallow, it usually doesn’t have a “deep end” where you can’t touch the bottom.
 
Our local hydrotherapy pool is at Knox Leisureworks in Boronia. The centre has a lot to offer, actually. There is the hydrotherapy pool, as well as a kids pool, a regular lap pool, a spa and sauna, and an onsite gym.
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So why is Hydrotherapy such a great option?
Buoyancy – Being in the water takes the pressure off the joint due to the water supporting your body weight. This makes it a great option for weight bearing joints like hips, knees and ankles, especially following injuries or surgeries like hip and knee replacements or fractured bones.
 
Warmth – Heated hydrotherapy pools allow muscles to stay warm and relaxed while exercising. Typically a hydrotherapy pool is heated to about 33*, warmer than a normal swimming pool.
 
Low Impact – Unlike running, doing exercises in water is friendly on vulnerable joints. The water doesn’t allow you to move as fast as in air, so the force of impact is less than running or jogging on a hard surface.
 
Resistance – The water provides great resistance for strengthening the body, without feeling painful. It can be tiring afterwards due to the resistance of the water, though, so starting with short sessions is best.
 
Low Cost – Knox Leisureworks has a great hydrotherapy pool. You can access the hydro pool with your standard pool entry fee of around $8, or if you plan to go frequently they have multi visit passes or memberships.
 

What kinds of pains or conditions does it work well for?
Hydrotherapy is fantastic for helping with pain in big joints and weight bearing joints, like hips, knees and ankles. Lower back pain can respond very well to hydrotherapy because of the way the water helps take pressure off the spine and support the weight of the body while you move. It can also be great for things like arthritis, and rehabilitation after a fracture or surgical repair.
It can be great for general fitness, too!
 
 
How do you get started?
Initially just walking through the water can be really helpful. You can also include day to day movements like bending and straightening your knee or hip while standing with you back against the pool wall for support. You can use a floating board or pool noodle to hold onto and do gentle squats or lunges.
 
If you’re uncertain, talk to us about specific pool exercises at your next appointment and we can help create a program tailored for you.

A Myotherapist’s Top Tips For Desk Workers

28/10/2019

 
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If you work at a desk for hours on end, you know that it can be uncomfortable at the best of times. Office workers have just as much risk of injury and chronic pain as other more physically strenuous occupations. You may be at risk of issues including back pain, neck pain, repetitive strain injury or RSI and carpal tunnel syndrome.

So how can you minimise your chance of hurting yourself and stay at the top of your game? Our myotherapist Emily shares some of her tips for staying healthy and preventing pain and injury for office workers.

Stretch often
When you’re focused on your work, you often forget to shift position. Unfortunately, our bodies weren’t designed to stay in a position for hours at a time. That’s why the simplest tip is to stretch whenever you feel stiff, sore or fatigued.

Stretching can also help to boost blood flow to the brain, which means you are more focused and productive.

You can simply stretch at your desk if needed – stretch out your neck, shoulders and back, and do some circles with your ankles. But you can also do a standing stretch, which brings us to our next tip.

Set yourself reminders to move
Small amounts of movement throughout the day add up when it comes to preventing office injuries. But when you’re in the zone, you might forget! That’s why it’s useful to set yourself a reminder or alarm on your phone or computer.

Aim for at least 1-2 minutes per hour of movement. This might be standing and stretching, going and getting a glass of water, making yourself a coffee or tea, going to the toilet or just walking around the office to get your muscles and joints moving.

Give a sit/stand desk a try
Desks that can alternate between a seated and standing position have become popular recently. They allow you the best of both worlds – you can sit for a bit, then switch to standing as a break from sitting.

Have a chat to your employer about whether you can trial a sit-stand desk. The good thing is that many people find sit-stand desks boost productivity, so employers are often open to them.

If you work for yourself or you are the boss, you can hire sit-stand desks and other equipment before purchasing.

Make the most of lunchtime
It can be tempting to eat lunch at your desk and power through the to-dos. But your lunch and break times are an opportunity to move around and give your muscles and joints a break as well.

Get up and get moving. Head to a local park to have your lunch if it’s sunny outside. Grab a coffee from the café around the corner. You can even go for a brisk 5-minute walk around the block at the end of your break to wake up your brain and your body. That way, you’ll go back to work feeling refreshed.

Get moving before or after work
Some days you won’t get much time to move at work, so make the most of the hours outside of work. Find a way to get your body moving on a regular basis.


This doesn’t mean you need to slog away at the gym for an hour every day. You can do some yoga stretches at home, walk the dog or go to the playground with your kids.

If you do find yourself too tired to move after work, try getting up 15 minutes earlier and go for a walk around the block before work. It seems counter-intuitive, but exercise actually boosts your energy and relieves fatigue. Even a little bit each day will add up!


Get a regular remedial massage or myotherapy treatment
Your muscles and joints need care, just like every other part of you. That’s why regular treatments can help to prevent injury and pain.

Our desk worker clients find that a treatment every 2-6 weeks helps to relieve tension and pain. Many report that they have fewer headaches, lower stress levels, improved sleep and mood and greater movement in joints and muscles. So if any of those are on your wish list, regular massage and myotherapy might be the answer!



Is regular massage or myotherapy on your to-do list? Our myotherapist Emily is currently open for new clients. You can book with a session with her here.



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    Meet Our Team

    We have a team of great practitioners available 7 days a week at our Rowville clinic.

    Mel Simon
    Mel is our Senior Myotherapist.
    She's a nerdy, geeky bookworm who loves to help explain complex pain in an easy to understand way.
    ​She has a special interest in chronic pain conditions like fibromyalgia and Ehlers Danlos Syndrome, and more.

    Duke Autret
    Duke is an outstanding Myotherapist and Remedial Massage Therapist.
    He has a deep interest in movement and alignment. He enjoys helping people regain strength and mobility to reduce their pain.

    Kel Levi
    Kel is an experienced Myotherapist and Remedial Massage Therapist, currently also working with AFL Premiers Melbourne Football Club.
    She has a great firm pressure and expertly uses Myotherapy tools like dry needling and cupping to ease pain.

    Peter Pascalis
    Peter has over 10 years experience as a Remedial Massage Therapist, and completed his Bachelor of Health Science in Myotherapy in 2022.
    He is known as our Dry Needling Wizard, and gets exceptional results for chronic pain and acute injuries using advanced needling techniques.

    Megan Cornish
    Megan is a Myotherapist and Remedial Massage Therapist. She has a background in dancing and is a qualified personal trainer. She has personal interest in womens health issues like pregnancy care, endometriosis and PCOS.

    Rachael Bird
    Rachael is a Myotherapist and Remedial Massage Therapist, with a background in beauty therapy. She is enthusiastic about helping people recover from pain and live well.

    Ethan Farr
    Ethan is a Sports Myotherapist and Exercise Scientist. He loves to help people get back to sport, exercise and activity after injuries by planning out a comprehensive rehab plan.

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