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Do you love your heat pack? Me too!
There are plenty of reasons to keep your heat pack close by, and not just because we're entering winter! Heat treatment is great for muscle pain - its cheap, effective, and drug-free! Have you ever wondered why heating your sore muscles helps them so much? Some pains are categorised as ischaemic pain - that means that the tissue has a reduction of oxygen supply which is needed for normal cell activity. This tends to happen if we're in positions that compress or over stretch areas for a long time - like sitting at a desk for a few hours without getting up to move around. Heating an area increases the local blood flow, which means the blood vessels widen to get more fresh, oxygenated blood into your muscles and joints. What kind of pain should you use heat for? Many kinds of non-inflammatory pains will respond really nicely to heat, including things like cramping and spasming, stiffness and persistent tight or pulling muscles. Heat packs are easy to use for neck, shoulder, lower back or hip pain. If you have a lot of painful areas, a warm bath can be another great way of getting heat into your muscles - why not add some Epsom salts for the added magnesium benefits for sore, tight muscles! When should you not use heat? Avoid heating up any fresh injuries, especially if you have open wounds or if the injury has become infected. These kinds of injuries will be in the inflammatory stage of healing - you'll be able to tell because the area may be swollen, red and hot, and most likely it'll be much more sensitive than usual! Of course, you do need to be careful with heat packs or hot water bottles to make sure you don't burn yourself. Always wrap your heat pack or hot water bottle in a something like a pillow case, thin blanket or a towel so you don't have the hot surface directly on your skin. Using heat for too long might give you heat rash, so I usually suggest about 20 minutes at a time. Heat on its own is more for symptom relief than for resolving the underlying issue. If you have an injury or feel that you have a lot of long term tension built up in the muscles, book a treatment with your local Myotherapist.
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As a myotherapist, I see my fair share of weird and wonderful injuries. But one of the most common injuries that requires proper rehabilitation is a dislocated joint. So let’s look at all the things you need to know if you’ve dislocated a joint.  What is a dislocation?
A dislocation is the full displacement of a bone at the joint. So the bone is moved to somewhere outside of the joint it belongs to. Dislocating a joint is incredibly painful for most people. But along with short-term severe pain, it can also predispose someone to chronic pain if not rehabilitated correctly. Why do dislocations happen? Generally, dislocations occur due to high-impact trauma to the joint – think car accidents, falls, fights or high-impact sports like football and rugby. However, if you have a joint that is weakened or unstable, it could be caused by something with minimal force. This is commonly seen in people with hypermobile joints or a hypermobility condition. Joint shape differences such as hip dysplasia or variations in the shape of shoulder bones can also increase risk of dislocation. Joints that are at risk of dislocating Pretty much any joint in the body can be dislocated if there’s enough force. But some have a greater risk of dislocation because of their location and/or their structure. They include:
Dislocation red flags to watch for If you’ve experienced a dislocation, there are a few things to keep an eye on. These can often warrant medical attention.
The rehab process for dislocations This can depend on the type of dislocation. The greater the damage to muscles, tendons or ligaments, the longer the process of rehabilitation. For some people, recovery will take a few weeks, and they will regain their full strength. For others, they are starting with almost no function or stability. So for those people, it’s like learning how to use the joint from scratch. A history of previous dislocation to the same joint can also mean a longer rehab, as you’ll be attempting to heal twice the damage (or more!) to regain full function. What can a myotherapist do for dislocations? So you’ve dislocated a joint, and you want to know what your friendly local myotherapist can do for you. Here’s what I can do to help you recover!
What I CANNOT do is help you relocate a joint that is still dislocated. Relocating dislocations is a medical procedure that is out of my scope as a practitioner. If you come to the clinic with a dislocated joint, I’ll send you straight over to the Angliss for medical attention! So do yourself a favour and skip the myotherapy session until your joint has been relocated by a medical professional. Are you recovering from a dislocation injury? Head on over to my booking page, so we can start strengthening your injured joint and get you back to living life! Most people understand joint dislocations. But subluxations, or partial dislocations, are a bit different. As a myotherapist, I see plenty of subluxations and related injuries every week. So let’s look at why subluxations aren’t quite dislocations, and what you can do about them! What is a subluxation? Unlike a dislocation, a subluxation is a partial displacement of the joint. With a dislocation, the bone is completely out of the joint it belongs to. But with a subluxation, the bone is only partly out. Just because it is not a full dislocation doesn’t mean that it won’t hurt! Subluxation can still be painful, as the joint is being wrenched out of its usual spot. It can also leave you at higher risk of chronic pain if the joint isn’t rehabilitated after the injury.  In the image above, we're looking at the ball and socket joint of the hip. The Normal hip joint shows the ball of the femur (thigh bone) sitting neatly inside the socket joint of the pelvis. In Dysplasia, the shape of the socket is not correctly formed so the socket doesn't snugly hold the ball of the femur. In Subluxation, the ball of the femur has partially slid out from the socket, and while its still almost in the right spot, it likely won't move smooth and painfree like the normal hip. And in the Dislocation, the ball of the femur has entirely moved out of the socket.
Why do joints sublux? It is easier for a joint to sublux than it is to dislocate. That being said, if you have full strength and integrity in your joints, it will take a high-impact injury to sublux a joint. This is usually something like a fall, car accident or a sports injury. However, some people are at a higher risk due to weak, unstable or unusually shaped joints. A previous history of dislocation or subluxation can weaken the joint and make it more prone to a sublux. People with hypermobile joints can sublux joints with minimal force, because the ligaments (connective tissue that holds the joint together) are more elastic than they should be. This can lead to the person being very flexible but also more prone to subluxations – some of my more hypermobile clients can sublux joints while walking, sitting, or even sleeping! You can also have variations in the shape of your hip or shoulder joints that make it easier to sublux. Hip dysplasia is one common variation that increases the risk of subluxing a hip joint, like in the image above. Joints at risk of subluxation In the clinic, I’ve seen almost every subluxation possible, thanks to my hypermobile clients! But there are several joints that are easier to sublux due to their location and structure:
If you have hypermobile joints, you may be at risk of subluxing other joints like ribs, jaw and collarbone. How is a subluxed joint rehabilitated? It can depend on the type of subluxation, and how it occurred. If it was due to high-impact trauma, there’s likely to be a decent amount of joint damage that needs attention. It could take weeks before the pain subsides enough to focus on rehabilitation. But if the sublux occurred due to hypermobility or dysplasia, it might just need a little TLC for a week or two. After that, the focus will be on building up the muscles that support the joint to reduce the risk of recurrence. Either way, the focus for rehabilitating the joint will include stabilising it, minimising any symptoms, and rebuilding the strength and integrity. What can a myotherapist do for subluxations? If you’re dealing with a subluxed joint (or multiple!), I’m here to help. Let’s look at how myotherapy can help with subluxations:
So don’t sit at home and feel sore after a joint has subluxed. Come see your favourite myotherapist. We’ll have you feeling better in no time! Click here to book an appointment. Have you ever been diagnosed with bursitis? It’s one of the most common injuries I see in clients. But you don’t have to just put up with the pain – there are ways that myotherapy can help.  What is bursitis?
Simply put, bursitis is the inflammation of the bursa. Bursa are the soft fluid-filled cushion sacs that protect the bones, tendons and muscles around the joints. When they are functioning properly, they make it easy for tendons and muscles to move smoothly at the joint. When these fluid-y sacs become inflamed, they get swollen and enlarged, which can make movement difficult due to the physical space the bursa now takes up in the joint. The inflammation process also increases sensitivity in the area, giving you that familiar feeling of pain and aching in the joint. You have over 150 bursa throughout your body, so that is more than 150 places bursitis can occur. That being said, the most common bursitis I see is in the shoulder and hip joints. Less common locations include the toes, knees and elbows. What can cause bursitis? There are a number of factors that can cause or lead to bursitis. The most common are injuries, repeated pressure and overuse of a joint. But there are some chronic conditions that can lead to bursitis such as diabetes, rheumatoid arthritis and even an infection that reaches the bursa. What are the signs and symptoms of bursitis? The most common symptoms you’ll come across are:
What is the medical treatment for bursitis? Most of the time, doctors will refer you onto a musculoskeletal therapist such as a physiotherapist, osteopath or myotherapist (like me!) In severe cases, they will do an injection of cortisone, an anti-inflammatory steroid, into the joint. Although this can make you feel better temporarily, it is a bit of a bandaid approach. If you don’t remove the cause of the bursitis, you’ll have to keep getting a giant needle into the joint – ouch! Cortisone injections aren’t a guaranteed fix, and can have a limited time of effect from very short term (days or weeks) to longer term relief (months or years). Some patients may not get any relief at all, even temporary. I always like to remind people who are considering the injection that my opinion is a biased one – I tend to only see the people who the cortisone shot hasn’t worked for, because if it works, they don’t need to come back for treatment for that same bursitis issue! How can a myotherapist help with bursitis? Wanting to avoid the big needle into the joint or just prefer to manage your condition naturally? A myotherapist like myself can work on the acute pain and address the causes behind the bursitis. There are plenty of ways that the different techniques of myotherapy can help, including::
By working on the aggravating factors and finding ways to modify them, we can reduce the pain and inflammation over the long-term. Is the pain of bursitis holding you back from the things you love to do? Book an appointment today and we’ll get you back on track to health Many people know what it’s like to have a loose joint. Maybe you even considered yourself ‘double jointed’ when you were in primary school. But hypermobility is something that can be benign, or it can be a serious concern in some cases. So let’s look at hypermobility and how you can support a loose joint naturally.  What is hypermobility?
Hypermobility is when a joint has a greater range of movement than usual. This can be caused by a handful of factors, including:
Is hypermobility a bad thing? Not always. Some people can actually train their joints to become hypermobile over time – think people who do gymnastics or calisthenics. This isn’t a problem, as long as the joint isn’t damaged and the muscles are strong enough to prevent the joint from slipping out. There are also people that have one or more hypermobile joints, but don’t have any problems as a direct result. This is generally described as benign hypermobility. But it can be problematic for some people. Sometimes, it’s a short-term problem – like if you dislocate a shoulder during football. This will mean you need to nurse the joint back to normal mobility to prevent further injury. Sometimes, hypermobility is part of a bigger concern. There are conditions that present with hypermobile joints, including most forms of Ehlers-Danlos Syndrome and Marfan Syndrome. Sometimes, hypermobile joints that become problematic are the first clue that there is an underlying issue. Tips to support a hypermobile body part If you have some hypermobility and it’s not causing you any issues, you might be just fine. But if your joint is causing you pain, is unstable or affecting your life in any way, here are some tips to support it back to health. Keep exercising within your limitations The body thrives off movement, and it boosts blood flow throughout, which is needed for healing. If you have an injured body part, do any kind of exercise that doesn’t cause pain or discomfort. For example, if your shoulder is the issue, go for a daily walk still. If it’s an ankle, keep doing upper body work at the gym that doesn’t require standing. Remember, if you’re not sure how to exercise safely due to injury, the best course of action is to consult a myotherapist who can assess the situation for you. Use taping and other tools to increase proprioception One issue that is common with hypermobile joints is a loss of proprioception. Proprioception is where your brain thinks your joint is. If you lose proprioception, your body can start to think that the correct position for your joint is partially dislocated, or subluxed. A good tool to use to increase proprioception is taping. By taping a joint, you can stabilise the joint when it is very unstable. Once the joint improves, kinesiotape can help to increase your awareness, or proprioception, of the joint. In the clinic, I offer both rigid and kinesio taping services. In fact, return clients can book in a follow-up taping session, so we can re-tape a loose joint until it regains stability. To book a taping session, contact me directly. If your joint is particularly loose, you can also consider tools like splints, supports or orthotics to help with proprioception. These are most useful for highly unstable joints, or for times when you can’t focus solely on where a joint is. Not sure which tool is best for you? Ask your friendly myotherapist. Be cautious with stretching and yoga Stretching and yoga can have oodles of benefits. But if a joint is already stretched out of place, the wrong stretches or yoga poses can exacerbate the situation. Just because you can move into an extreme stretch doesn't always mean you should - often the safest option is to stop short of your absolute maximum stretch, because here you'll have the most control over your movement. Control at our very end range of movement can be difficult, and if your joints are prone to dislocation and instability due to loose or unreliable ligaments then ideally you should be aiming for a stretch where you can still keep excellent muscle control over the joint. If you’re not sure what is safe to do, have a chat to your practitioner or yoga teacher. Work with a hypermobile-literate myotherapist If your body is sore, a massage therapist can relieve some pain. But if you want to get the injury rehabilitated, you want to work with a myotherapist who is familiar with hypermobility. With myotherapy, we can not only give immediate relief using massage and other treatment techniques, but also put together a personalised treatment plan. A hypermobility management plan will include targeted strength and proprioception exercises. By rebuilding the muscles and teaching your joint where it should sit, you can get back on track. I’ve had the opportunity to work with many people who have hypermobility – both short-term and chronic. So whether you have a loose joint post-injury or a condition like Ehlers-Danlos Syndrome, I’m happy to help. Click here to book in an appointment. Nobody likes to feel sore and achey all the time. If you experience chronic pain, it can contribute to many other conditions and sabotage your mental health. But if you’re looking for natural ways to relieve pain, the first place to look to is your diet. My good friend and incredible Nutritionist, Sam Gemmell, has taken the time to write this guest blog to explain more.  Oily fish
Fatty fish are a potent source of omega-3 fatty acids, which are naturally anti-inflammatory. Most studies that have been published focus on omega-3 supplements. But there are small studies that support consuming it as part of the diet as well. One showed that consuming fatty fish 4 times per week can reduce inflammatory compounds in the body. 3-4 serves of oily fish per week is a good number to aim for. If you prefer plant-based sources, include walnuts, chia seeds, flaxseeds and hemp seeds daily to reap the benefits. Olive oil Looking for a healthy source of fat to include in your diet? High quality olive oil has properties that may help to reduce joint-related symptoms. One animal study showed that extra-virgin olive oil reduced joint swelling, slowed the destruction of cartilage and reduced inflammation. But don’t worry – the benefits are for people as well! One study showed that people who consume olive oil are less likely to have rheumatoid arthritis. Olive oil can be drizzled over salads, or used to sauté ingredients. But it's not great for deep frying - deep frying isn't good for you anyway! Berries Berries are the best fruit ever, at least in my opinion! They are chock-full of nutrients including vitamins, minerals and antioxidants that can help to reduce inflammation naturally. One study showed that people who ate at least two servings of strawberries per week were 14% less likely to have elevated inflammatory markers. Researchers also suggest that blueberries and strawberries may offer protection against arthritis. Want to up your berry intake? Chuck them in your smoothies, porridge, salads or just straight into your mouth. Spices Spice things up in the kitchen! Pretty much any herb or spice will have antioxidant and anti-inflammatory properties. But if we’re going to play favourites, turmeric and ginger are bestfor sore joints and arthritis. There are many research studies that show supplementing with turmeric can be beneficial for arthritis. But adding it into your diet can still help as well! Turmeric is not well absorbed, so the best consume it is with a source of good fats and some black pepper. Research into turmeric and ginger has shown that both have anti-arthritic effects. How to use them? It’s simple – sprinkle your favourites spices everywhere! Turmeric and ginger can be added to sweet and savoury dishes. Tart cherry juice Tart cherries are packed full of antioxidants that can support your joint health. One study looking at osteoarthritis showed that consuming 475ml of tart cherry juice daily significantly reduced symptoms and inflammation. Tart cherry juice can also reduce inflammatory markers. But the benefits don't stop there. Tart cherry juice is also a natural source of melatonin, which is needed for deep, restful sleep. If you’re not getting quality sleep, your body can’t repair damage effectively, which can exacerbate pain. Ready to get into tart cherry juice? Make sure you choose an unsweetened variety. Otherwise, a lot of the benefits will be cancelled out by excess sugar. Green tea Don’t get me wrong, I love my coffee. But green tea is king when it comes to caffeine-containing beverages if you’re in pain. Green tea contains a potent antioxidant known as ECGC. ECGC has been shown to reduce inflammatory cytokines in research. And although trials are in the early stages, the research also suggests that it could be beneficial in reducing inflammation in osteoarthritis. I often recommend that coffee drinkers alternate between coffee and green tea – so if you drink 4 cups of coffee per day, try 2 cups of coffee and 2 cups of green tea. But if you're not big on caffeine, even one cup a day can offer health benefits. About Sam Sam is a nutritionist, health writer and wellness speaker based in Melbourne. She loves to spread knowledge about food as medicine, and is passionate about personalised nutrition. You can find out more on her website. As we head into colder weather, many of us will start to feel the cold in our joints. If this is you, no need to fear! Today, I’m sharing my top tips to relieve joint pain in winter.  Why do joints hurt in cold weather?
The truth is, we’re not 100% sure. What specialists theorise is that the cold weather causes change in the tissues around the joints. The connective tissue becomes less flexible and more stiff. And if our joints are restricted, moving them can feel uncomfortable or even painful. Why am I feeling this pain, when others around me don’t feel it? Some people are more susceptible to weather-related joint pain than others. You are more likely to experience joint pain if:
If your pain is new, severe, and/or it is preventing you from enjoying everyday life – yes. Your friendly local myotherapist (me!) can help by providing treatments that reduce inflammation and stiffness in the joint. Tips to relieve joint pain in winter I know that you can’t always be in to see me. So if joint pain is getting you down, here are my top recommendations to ease the aches away.
Do you need a little extra TLC to relieve the aches and pains that cold weather brought on? Make sure you book in an appointment. |
Mel HanleyMel is a Myotherapist based in Ferntree Gully. Archives
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