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  • Brain Health & Ageing in Sunbury & Melton – Can Exercise and Diet Prevent Cognitive Decline?

    Brain Health & Ageing – Can Exercise and Diet Prevent Cognitive Decline? About the Author Dr Julian Simpson is an Australian chiropractor with over 15 years of experience in musculoskeletal healthcare and rehabilitation. He is a Board Member of the Chiropractic Australia Research Foundation and has reviewed and written more than 800 evidence-based health articles focused on spinal health, rehabilitation, sports injuries and conservative care approaches. His treatment focus includes: Chiropractic adjustments Sports chiropractic Massage therapy Shockwave therapy Laser therapy Non-surgical spinal decompression Dr Simpson provides patient care through Healthwise Chiropractic, serving communities including Sunbury, Melton, Diggers Rest and surrounding regions. Maintaining brain health as you age is strongly linked to lifestyle. Research shows that combining regular exercise with a healthy diet can significantly improve overall cognitive function and may help slow age-related cognitive decline. At Health Wise Chiropractic in Sunbury & Melton, we help patients support long-term brain and nervous system health through movement, lifestyle advice, and personalised care. 🟨 WHAT IS AGE-RELATED COGNITIVE DECLINE? Cognitive decline refers to the gradual reduction in: Memory Focus and attention Processing speed Decision-making ability While some changes are a normal part of ageing, more significant decline can progress to mild cognitive impairment (MCI) or dementia. Globally, over 55 million people are affected by dementia, making prevention strategies more important than ever. 🟧 WHAT CAUSES COGNITIVE DECLINE? There isn’t a single cause—it's usually a combination of lifestyle and biological factors: Physical inactivity Poor nutrition Chronic inflammation Reduced blood flow to the brain Loss of muscle mass with age Low levels of brain-supporting chemicals The good news? Many of these are modifiable risk factors. 🟦 WHAT DOES THE LATEST RESEARCH SHOW? A large systematic review and meta-analysis of 14 clinical trials (over 4,000 adults aged 65+) found: ✅ Exercise + Nutrition Combined: Significantly improved overall cognitive function Helped maintain brain performance over time ❌ But: No strong improvements in specific areas like: Executive function (planning, multitasking) Visual processing 🧠 Key Insight: Even small improvements are clinically meaningful, because ageing naturally leads to decline. 👉 In simple terms: It’s not about boosting your brain—it’s about slowing the decline. 🟩 WHY DO EXERCISE AND DIET WORK TOGETHER? 🧠 1. Boosts Brain Repair (BDNF) Exercise increases a key brain chemical called BDNF (Brain-Derived Neurotrophic Factor), which helps: Grow new brain cells Strengthen neural connections Improve memory A nutrient-rich diet (especially omega-3s and antioxidants) enhances and prolongs this effect. 💪 2. The Muscle–Brain Connection Your muscles release substances called myokines during exercise that: Cross into the brain Support memory and learning Help protect against neurodegeneration 👉 This is why strength training + adequate protein intake is essential as we age. 🔥 3. Reduces Inflammation Chronic inflammation accelerates brain ageing Exercise creates an anti-inflammatory response Nutrition lowers baseline inflammation Together, they create a brain-protective environment 🟨 BEST TYPES OF EXERCISE FOR BRAIN HEALTH The research included a mix of programs, but the most effective approach was: ✔️ Combination Training: Resistance (strength) training Aerobic exercise (walking, cycling) Balance and coordination work 📅 Ideal Weekly Targets: Strength training: 2–3x per week Aerobic activity: 150+ minutes per week 🟧 WHAT SHOULD YOU EAT FOR BRAIN HEALTH? The most effective dietary patterns included: 🥗 Mediterranean / MIND Diet Principles: High intake of vegetables, fruits, and berries Whole grains and legumes Fish (2–3 times per week) Healthy fats (olive oil, nuts) Reduced processed foods and sugar 💊 Supplements Studied: Omega-3 fatty acids Vitamin D Protein Creatine Multivitamins ⚠️ Important: There is no single “best supplement”, and results vary depending on the individual. 🟦 HOW CHIROPRACTIC CARE CAN SUPPORT BRAIN HEALTH At Health Wise Chiropractic, we take a whole-body approach to ageing and cognitive health. We help support: Healthy nervous system function Movement and mobility Posture and spinal health Exercise guidance and progression Lifestyle and recovery strategies Your brain and body are deeply connected—movement is medicine for both. 🟩 WHEN SHOULD YOU SEEK HELP? You should consider an assessment if you notice: Memory lapses becoming more frequent Reduced concentration Slower thinking or reaction time Decreased balance or coordination Reduced physical activity levels Early intervention is key to maintaining independence and quality of life. 🟨 FINAL THOUGHTS The research is clear: 👉 Exercise or diet alone helps—but together, they are far more powerful While the improvements may seem small, they represent something critical: 🧠 Slowing brain ageing and preserving function over time 👉 Book online here: Reviewed by Dr Julian Simpson, Chiropractor at Health Wise Chiropractic, Sunbury 21 Powellet Street, Sunbury & 131 Wembley Avenue, Strathtulloh reference Castillo-Bernad S, Moradell A, Gómez-Bruton A, Matute-Llorente Á, González-Agüero A, Casajús JA, Gómez-Cabello A, Lozano-Berges G, Vicente-Rodríguez G. Effectiveness of exercise and nutrition interventions for cognitive function in older adults: A Systematic Review and Meta-analysis. Mech Ageing Dev. 2026 Apr 16:112183. doi: 10.1016/j.mad.2026.112183. Epub ahead of print. PMID: 41999780.

  • 💪 Creatine: The Tiny Supplement with BIG Power (and Faster Recovery)

    💪 Creatine: The Tiny Supplement with BIG Power (and Faster Recovery) If you’ve ever wondered why creatine is one of the most talked-about supplements in gyms, physio clinics, and elite sports teams, it’s because it actually works. And not in a hype way… in a 30+ years of science way. Let’s break down what the research says, why it matters for everyday gym-goers, and how it fits into recovery, strength, and spinal health. ⚡ What Is Creatine (and Why Do Muscles Love It)? Creatine is a naturally occurring compound stored in your muscles. Its main job?👉 Rapid energy production during high-intensity effort — think squats, sprints, lifting, pushing, pulling. It fuels your ATP-PC system, which is the body’s “quick energy” pathway. This system is dominant during: Heavy lifts Short bursts of power Explosive movements 🧠 Fun fact: Creatine supplementation can increase muscle phosphocreatine stores by 20–40% in just 5–7 days. That’s like upgrading your phone battery and charging speed at the same time. 🏋️ What Does the Science Actually Show? A recent double-blind, placebo-controlled study (the gold standard) looked at trained males performing repeated squat and bench press sessions after short-term creatine use. 🔥 Strength & Performance Gains Compared to placebo, creatine users experienced: More reps at moderate to heavy loads Bench press: ↑ reps at 60%, 70% & 80% of 1RM Back squat: ↑ reps at 60% & 80% of 1RM Faster lifting speed (velocity) across all intensities Higher power output, especially at heavier loads 📊 Some effect sizes were large to extremely large(Cohen’s d up to 4.0+, which is huge in human performance research) Translation?👉 You lift more, faster, and stronger — even across back-to-back sessions. 🫀 Creatine & Recovery: Not Just About Muscles This study didn’t stop at strength — it also looked at heart rate variability (HRV), a powerful marker of: Nervous system balance Fatigue Recovery readiness 🧘 What they found: Creatine users showed better parasympathetic (recovery) responses Some lifts were performed with lower cardiovascular strain HRV patterns suggested better recovery between sessions In simple terms:👉 Creatine didn’t just help people lift more — it helped their bodies cope better with the stress of training. 😖 Less Soreness, Faster Bounce-Back We’ve all felt it: DOMS (Delayed Onset Muscle Soreness). Creatine supplementation led to: Lower muscle soreness in both upper and lower limbs Better jump performance (a marker of neuromuscular recovery) Faster return to baseline strength before the next session 📉 Lower DOMS scores were seen 24–48 hours post-training compared to placebo. That means:👉 Less stiffness👉 Better movement👉 Higher quality training sessions ⏱️ Do You Have to “Load” Creatine? Short answer: No — but it helps you feel the benefits faster. Two common approaches: Loading phase: ~20g/day for 5 days✔ Faster saturation No loading: 3–5g/day✔ Same benefits, just takes ~3–4 weeks This study used a short-term, higher-dose approach and still saw: Immediate strength improvements Enhanced second-session performance Improved recovery markers So loading doesn’t make creatine stronger — it just makes it work sooner. 🦴 Why This Matters for Chiropractic Care At Health Wise Chiropractic, we don’t just care about pain relief — we care about: How your body moves How it recovers How it handles training stress Creatine may support: Better training tolerance Faster recovery between sessions Reduced muscle soreness and fatigue Improved performance consistency When movement quality improves, spinal load often becomes more balanced, and recovery between treatments can be smoother. 🧾 Is Creatine Safe? Yes — and that’s not opinion, that’s evidence. Creatine monohydrate is: One of the most researched supplements in history Proven safe in healthy individuals Effective in athletes and older adults 💧 Just remember: Stay hydrated Stick to recommended doses Chat with your health professional if unsure ✅ The Takeaway Creatine isn’t magic — it’s metabolic support. ✔ More strength✔ Faster lifts✔ Better recovery✔ Less soreness✔ Supported nervous system balance If you train regularly, lift weights, or want to move better with less fatigue, creatine might be one of the simplest, safest upgrades you can make. And as always — movement + recovery + smart support is where real progress happens. About the Author Dr Julian Simpson is an Australian chiropractor with over 15 years of experience in musculoskeletal healthcare and rehabilitation. He is a Board Member of the Chiropractic Australia Research Foundation and has reviewed and written more than 800 evidence-based health articles focused on spinal health, rehabilitation, sports injuries and conservative care approaches. His treatment focus includes: Chiropractic adjustments Sports chiropractic Massage therapy Shockwave therapy Laser therapy Non-surgical spinal decompression Dr Simpson provides patient care through Healthwise Chiropractic, serving communities including Sunbury, Melton, Diggers Rest and surrounding regions. For more information about how we can help YOU with your pain and improve your underlying dysfunction so the problem doesn’t come back . Please call Health Wise Chiropractic 03 9467 7889 or book online to see one of our Chiropractors in Sunbury or Melton/Strathtulloh Today! We are also really proud to offer our patients an APP for their Mobile- iPad. With access to your rehab exercises and our health tip blogs with over 600 articles. Health Wise Chiropractic Online Health Program via our exclusive app Chiropractic has moved online. We offer our online program -STAND CORRECTED- To help you through the day. We have over 30 programs on different health conditions Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help Salem A, Ammar A, Kerkeni M, Boujelbane MA, Merve Uyar A, Moritz Köbel L, Selvaraj S, Zare R, Heinrich KM, Jahrami H, Tounsi S, Grosso G, I Schöllhorn W, Trabelsi K, Chtourou H. Short-term creatine supplementation enhances strength, reduces fatigue, and accelerates recovery in resistance-trained athletes: a double-blind, randomized, crossover trial. J Int Soc Sports Nutr. 2025 Sep 30;22(sup1):2617283. doi: 10.1080/15502783.2026.2617283. Epub 2026 Jan 24. PMID: 41579075.

  • Understanding Chronic vs. Acute Temporomandibular Disorder (TMD) in Adolescents: Key Insights and Implications

    Understanding Chronic vs. Acute Temporomandibular Disorder (TMD) in Adolescents: Key Insights and Implications Temporomandibular disorder (TMD) is a common musculoskeletal condition affecting the jaw joint (TMJ) and surrounding muscles. It can cause pain, stiffness, restricted jaw movement, headaches, and jaw noises such as clicking or popping. While TMD is often associated with adults, it is also prevalent in adolescents, and when left untreated, can lead to chronic symptoms and permanent structural changes. Acute vs. Chronic TMD TMD can be classified as acute (symptoms lasting less than 3 months) or chronic (symptoms persisting for 3 months or longer). Research in adolescents aged 12–18 years shows that chronic TMD is associated with more significant structural changes, longer treatment durations, and certain contributing lifestyle factors. Key Findings from Adolescent TMD Research 1. Treatment Duration:Chronic TMD patients often require extended treatment, with an average duration of almost 14 months, compared to 8 months in acute cases. Treatment lasting over a year was the strongest predictor of chronicity, increasing the likelihood of chronic TMD by over 8 times. 2. Structural Changes: TMJ Joint Space: Chronic TMD patients showed narrower anterior and posterior joint spaces on panoramic radiographs, indicating potential cartilage degeneration. Facial Midline Discrepancy: Greater nasomaxillary (Na-Mx) and maxillomandibular (Mx-Mn) deviations were observed in chronic TMD, reflecting possible long-term effects on facial symmetry. Disc Displacement: MRI revealed that anterior disc displacement (ADD) was significantly more common in chronic TMD patients (86.7% vs. 68% in acute cases). 3. Contributing Lifestyle and Clinical Factors: Chronic TMD was linked with: Bruxism (teeth grinding or clenching) Poor posture Sleep problems Headaches Irregular diet habits These factors may contribute to prolonged joint stress and symptom persistence. This is where we come in as Chiropractors , early detection can lead to better treatment options and delay the possible onset of headaches, poor posture and sleep problems. Why Early Diagnosis Matters The progression from acute to chronic TMD underscores the importance of early evaluation and intervention. Adolescents with persistent jaw pain, TMJ noises, or functional limitations should seek assessment promptly to prevent long-term structural changes and the need for prolonged treatment. Early management strategies may include: Correcting posture and ergonomic habits Managing bruxism through mouthguards or behavioral approaches Addressing sleep and dietary patterns Targeted jaw exercises and physical therapy Imaging for Better Diagnosis Panoramic X-rays can detect joint space narrowing and midline deviations, while MRI is the gold standard for evaluating disc position and joint health. Our team will help guide you on what is best for you Takeaway for Adolescents and Parents Persistent jaw pain in adolescence is not something to ignore. Chronic TMD can affect not only jaw function but also facial growth, posture, and quality of life. Timely evaluation, lifestyle modification, and personalized treatment can prevent chronicity and support long-term oral and musculoskeletal health. About the Author Dr Julian Simpson is an Australian chiropractor with over 15 years of experience in musculoskeletal healthcare and rehabilitation. He is a Board Member of the Chiropractic Australia Research Foundation and has reviewed and written more than 800 evidence-based health articles focused on spinal health, rehabilitation, sports injuries and conservative care approaches. His treatment focus includes: Chiropractic adjustments Sports chiropractic Massage therapy Shockwave therapy Laser therapy Non-surgical spinal decompression Dr Simpson provides patient care through Healthwise Chiropractic, serving communities including Sunbury, Melton, Diggers Rest and surrounding regions. For more information about how we can help YOU with your pain and improve your underlying dysfunction so the problem doesn’t come back . Please call Health Wise Chiropractic 03 9467 7889 or book online to see one of our Chiropractors in Sunbury or Melton/Strathtulloh Today! We are also really proud to offer our patients an APP for their Mobile- iPad. With access to your rehab exercises and our health tip blogs with over 600 articles. Health Wise Chiropractic Online Health Program via our exclusive app Chiropractic has moved online. We offer our online program -STAND CORRECTED- To help you through the day. We have over 30 programs on different health conditions Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help Lee YH, Auh QS, Jeon S, Jang SW, Kim TS. Distinguishing acute and chronic TMD in adolescent patients. Sci Rep. 2025 Oct 27;15(1):37402. doi: 10.1038/s41598-025-21302-0. PMID: 41145659; PMCID: PMC12559252.

  • Unlock Stronger Shoulders with Low-Load Training and Blood Flow Restriction (BFR)

    Unlock Stronger Shoulders with Low-Load Training and Blood Flow Restriction (BFR) At Healthwise Chiropractic , we’re always exploring evidence-based ways to help our patients build resilience, prevent injuries, and recover faster—especially around the shoulder, one of the most mobile (and injury-prone) joints in the body. A new clinical study from Sahmyook University in Korea has caught our attention because it offers a practical, low-risk strategy for strengthening the rotator cuff muscles that keep your shoulder stable. Here’s what the research found, and how you might use it in real life. Why the Rotator Cuff Matters (and Why It’s Hard to Train Safely) Your shoulder is built for mobility, not stability. The rotator cuff—four small muscles (supraspinatus, infraspinatus, teres minor, and subscapularis)—works overtime to keep the ball of your upper arm centred in the shallow socket of the shoulder blade. Weakness or imbalance here is a fast track to impingement, tendinitis, or frozen shoulder. Traditional advice says “lift heavy” (70%+ of your one-rep max) to get stronger. But after surgery, during a flare-up, or if you’re just starting out, heavy loads can aggravate pain or risk re-injury. Low-load training improves endurance but usually falls short on strength. Enter Blood Flow Restriction (BFR)—a clever workaround that tricks your muscles into responding like you’re lifting heavy… while using only light resistance. How BFR Works (in Plain English) A soft cuff is placed high on the arm (near the deltoid insertion) and inflated to about 80% of your resting systolic blood pressure. This partially blocks venous blood from leaving the limb while still allowing arterial blood in. The result? Metabolites (lactic acid, etc.) pool in the muscle Fast-twitch fibres fire even though the weight is light Growth hormone and IGF-1 spike systemically Translation: light weights + BFR = heavy-weight gains, minus the joint stress. Key Results Take-home: BFR gave significantly greater strength and activation in the two key external rotators—infraspinatus and teres minor—while both groups improved endurance and mobility equally. What This Means for You Post-surgery or pain flare-ups – Light BFR lets you start rehab earlier without overloading healing tissues. Injury prevention – Office workers, overhead athletes, or weekend warriors can bullet-proof their shoulders with minimal equipment. Older adults – Maintain muscle mass and cuff strength without heavy loads that stress joints. Practical Tips (If You Want to Try It) Equipment – A narrow (5 cm) automated BFR cuff is safest; avoid wide tourniquets. Pressure – 80% of resting systolic BP is a good starting point (measured with a home monitor). Protocol – 2 sessions/week: Warm-up: pendulum swings + assisted external rotation Main set: side-lying external rotation with elastic band (30/15/15/to fatigue) Rest 30 s between sets, 2 min between planes Safety first – Stop if you feel numbness, dizziness, or pain beyond normal muscle burn. Always work with a trained practitioner initially. The Catch: Discomfort Yes, the cuff feels strange and fatigue hits faster. Most people rate it 5–6/10—manageable, but noticeable. Narrower cuffs and lower pressures help. Ice and light stretching post-session also ease delayed soreness. About the Author Dr Julian Simpson is an Australian chiropractor with over 15 years of experience in musculoskeletal healthcare and rehabilitation. He is a Board Member of the Chiropractic Australia Research Foundation and has reviewed and written more than 800 evidence-based health articles focused on spinal health, rehabilitation, sports injuries and conservative care approaches. His treatment focus includes: Chiropractic adjustments Sports chiropractic Massage therapy Shockwave therapy Laser therapy Non-surgical spinal decompression Dr Simpson provides patient care through Healthwise Chiropractic, serving communities including Sunbury, Melton, Diggers Rest and surrounding regions. Shoulder Pain Chiropractor Q: Can chiropractic care help shoulder pain?Yes, chiropractic can help with frozen shoulder, rotator cuff issues, and posture-related pain. Q: How do adjustments help the shoulder?By restoring mobility, reducing nerve irritation, and relaxing tight muscles. Q: Is chiropractic safe for chronic shoulder pain?Yes, it’s a safe and drug-free option for many shoulder conditions. Q: Do I need imaging before treatment?Sometimes, depending on the severity or suspected injury. For more information about how we can help YOU with your shoulder pain and improve your underlying dysfunction so the problem doesn’t come back . Please call Health Wise Chiropractic 03 9467 7889 or book online to see one of our Chiropractors in Sunbury or Melton/Strathtulloh Today! We are also really proud to offer our patients an APP for their Mobile- iPad. With access to your rehab exercises and our health tip blogs with over 600 articles. Health Wise Chiropractic Online Health Program via our exclusive app Chiropractic has moved online. We offer our online program -STAND CORRECTED- To help you through the day. We have over 30 programs on different health conditions Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help reference Lee J, Jung K, Lee Y. Proximal Effects of Blood Flow Restriction on Shoulder Muscle Function and Discomfort During Low-Intensity Exercise. Sports (Basel). 2025 Oct 4;13(10):354. doi: 10.3390/sports13100354. PMID: 41150488.

  • Why Modern Life Is So Hard on Your Lower Back

    Why Modern Life Is So Hard on Your Lower Back An evolutionary look at low back pain — and what we can do about it Low back pain is one of the most common health complaints in the world. In fact, almost everyone will experience it at some point in their life. It’s also one of the leading causes of disability, missed work, and reduced quality of life. But here’s a question we don’t ask often enough:Is low back pain really a “faulty spine” problem — or is it a modern lifestyle problem? At Health Wise Chiropractic, we believe the answer lies in how the human spine evolved… and how differently we use it today. The Spine Was Built for Movement — Not Sitting The human spine evolved over millions of years to support walking, climbing, lifting, resting on the ground, and frequent changes in posture. Early humans lived as hunter-gatherers, moving throughout the day and rarely staying in one position for long. When we look at ancient cave paintings, something interesting stands out:people are almost always shown upright, moving, standing, or lying down — not slouched, seated, or bent over for hours. These natural, dynamic postures place lower stress on spinal discs and joints, allowing the spine to do what it does best: adapt, move, and absorb load efficiently. How Farming Changed the Way We Use Our Backs The first major shift in spinal stress occurred when humans moved from hunting and gathering to settled agricultural life. Farming introduced: Prolonged bending and stooping Repetitive lifting Long hours in fixed working positions Artwork from ancient Egypt and early farming societies frequently shows people working seated, hunched, or bent forward — positions that significantly increase pressure on the lower back. Interestingly, modern scans of ancient mummies from this period reveal signs of spinal degeneration, even in relatively young individuals. This suggests that back problems are not just a modern or age-related issue, but are closely linked to how the spine is used. The Industrial Revolution: When Sitting Took Over The Industrial Revolution intensified the problem. Factory work, machinery, and urban living created: Long hours of sitting or forward-leaning work Heavy manual labour with poor lifting mechanics Repetitive movements and limited posture variation Historical paintings from this era clearly show workers — including women and children — in physically demanding and often poor spinal positions. Fast-forward to today, and many of us face a different but equally challenging load: Desk jobs Screen time Driving Phones and laptops Minimal movement during the day The result?A spine designed for movement now spends hours each day flexed, compressed, and static. Why Posture and Position Matter So Much Scientific studies measuring pressure inside spinal discs show just how sensitive the spine is to posture. In simple terms: Lying down and relaxed standing place low stress on the spine Supported sitting is better than unsupported sitting Slouching, bending forward, and lifting with a rounded back dramatically increase disc pressure Lifting a weight with a rounded back can place more than double the stress on spinal discs compared to lifting with good technique. Over time, these repeated stresses can contribute to: Disc injuries Joint irritation Muscle overload Chronic stiffness and pain It’s Not Just Bones — Fascia and Muscles Matter Too The spine doesn’t work alone. It’s supported by a complex system of muscles and fascia (connective tissue) that help stabilize, balance, and transfer force through the body. One key structure is the thoracolumbar fascia, which links the spine, pelvis, and hips. Modern habits like prolonged sitting and uneven loading can cause this tissue to become stiff, restricted, and painful. Over time, this can: Reduce movement efficiency Increase muscle tension Contribute to ongoing low back pain This is why many people experience pain even when scans show “nothing serious” — the problem may be functional, not structural. Why Some People Have Less Back Pain Populations that move more and sit less — including modern hunter-gatherer groups — consistently report lower rates of chronic back pain. Even in today’s world, research shows that: Regular movement breaks reduce back pain risk Varying posture is better than “perfect posture” Strong, mobile spines tolerate load better than stiff ones The spine thrives on movement, not stillness. What This Means for You Low back pain isn’t a sign that your spine is weak or broken. More often, it’s a sign that your spine is being asked to function outside the conditions it evolved for. The solution isn’t avoiding movement — it’s restoring it. At Health Wise Chiropractic, we focus on: Improving spinal mobility Reducing mechanical stress Supporting healthy posture and movement Helping your body adapt better to modern life Whether you sit, stand, lift, train, or chase kids all day — your spine deserves care that respects how it was designed to work. The Takeaway Your spine didn’t evolve for chairs, screens, or long periods of stillness.It evolved for movement, balance, and adaptability. Modern life has changed faster than our biology — but with the right care, movement habits, and awareness, we can close that gap. The goal isn’t to redesign the spine.It’s to redesign how we live around it. If you’re struggling with low back pain, we’re here to help you move better, feel better, and get back to living fully. 💙 Low Back Pain Chiropractor Q: How does chiropractic care help with lower back pain?Chiropractors address spinal misalignments, muscle tension, and posture issues that often cause or worsen back pain. Q: Is chiropractic safe for chronic back pain?Yes, chiropractic care is a safe and natural approach for managing both acute and chronic back pain without relying solely on medication. Q: How many sessions will I need for back pain?It depends on the severity. Some patients feel relief in just a few visits, while others need ongoing care. Q: Can chiropractic prevent future back pain?Yes, with posture correction, strengthening exercises, and regular spinal care, chiropractic can help reduce the risk of recurrence. About the Author Dr Julian Simpson is an Australian chiropractor with over 15 years of experience in musculoskeletal healthcare and rehabilitation. He is a Board Member of the Chiropractic Australia Research Foundation and has reviewed and written more than 800 evidence-based health articles focused on spinal health, rehabilitation, sports injuries and conservative care approaches. His treatment focus includes: Chiropractic adjustments Sports chiropractic Massage therapy Shockwave therapy Laser therapy Non-surgical spinal decompression Dr Simpson provides patient care through Healthwise Chiropractic, serving communities including Sunbury, Melton, Diggers Rest and surrounding regions. For more information about how we can help YOU with your headaches and improve your underlying dysfunction so the problem doesn’t come back . Please call Health Wise Chiropractic 03 9467 7889 or book online to see one of our Chiropractors in Sunbury or Melton/Strathtulloh Today! We are also really proud to offer our patients an APP for their Mobile- iPad. With access to your rehab exercises and our health tip blogs with over 600 articles. Health Wise Chiropractic Online Health Program via our exclusive app Chiropractic has moved online. We offer our online program -STAND CORRECTED- To help you through the day. We have over 30 programs on different health conditions Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help Taçyıldız AE, Sofuoğlu ÖE, Apaydın AS, Üçer M. Viewing low back pain through the lens of spinal evolution: Understanding the morphology and limits of the human spine. PLoS One. 2026 Jan 16;21(1):e0339032. doi: 10.1371/journal.pone.0339032. PMID: 41544028; PMCID: PMC12810782.

  • 📱 Smartphone Use, Hand Pain, and Chiropractic Care: Are Our Devices Hurting Us?

    📱 Smartphone Use, Hand Pain, and Chiropractic Care: Are Our Devices Hurting Us? It’s no secret that smartphones have become an essential part of daily life — from work and study to social connection and entertainment. But as convenient as they are, excessive smartphone use is taking a silent toll on our bodies — especially our hands, wrists, and necks. Recent studies show that up to 80% of young adults may experience some level of smartphone addiction. And with that comes a noticeable rise in hand, wrist, and thumb pain, often caused by repetitive strain and poor posture during use. The Rise of “Texting Thumb” and Wrist Pain When you spend hours scrolling, typing, or holding your phone one-handed, the muscles and tendons in your thumb, wrist, and forearm are constantly under stress. Over time, this can lead to pain, stiffness, and even inflammation in the joints. Common issues include: Thumb pain or “texting thumb” – strain in the tendons that move your thumb. Wrist discomfort – due to prolonged bending and gripping. Finger fatigue or weakness – especially in the pinky, which often supports the bottom of the phone. Reduced grip strength and dexterity. In severe cases, conditions like De Quervain’s tenosynovitis, where tendon inflammation limits movement. What the Research Shows A new study from Nevşehir Hacı Bektaş Veli University in Turkey found that more than half of university students surveyed were classified as “smartphone addicted.” Among them, nearly 80% reported pain in one or both hands — most commonly in the thumb, wrist, and little finger. Students who used their phones for over five hours per day had significantly weaker grip strength and higher rates of discomfort. The pain was worse when phones were held in one hand, especially when the pinky finger supported the phone’s weight — a posture most of us use without realizing it! Interestingly, those who used both hands while texting or scrolling had slightly less thumb strain but more wrist discomfort. This shows that no posture is perfect — it’s the combination of prolonged use and repetitive motion that creates problems. Why It Matters for Your Spine and Nervous System As chiropractors, we often see that hand and wrist pain doesn’t exist in isolation. These issues are frequently linked to neck and shoulder tension, nerve irritation, and poor posture from looking down at a screen for long periods (aka text neck). When the neck and upper back are misaligned, they can alter nerve flow to the arms and hands — increasing pain sensitivity and reducing muscle control. Correcting these imbalances through chiropractic adjustments can relieve pressure, restore nerve communication, and help prevent recurring pain. Practical Tips to Protect Your Hands and Wrists Here are a few easy ways to reduce smartphone-related strain: Take regular breaks – every 20 minutes, rest your hands and stretch your wrists and fingers. Use both hands – alternate thumbs when typing to avoid overuse of one side. Avoid “pinky support” – use a phone grip, stand, or pop socket instead. Keep wrists neutral – avoid bending them too far up or down. Try voice-to-text – especially for longer messages. Stretch your forearms – gentle wrist flexor and extensor stretches can help maintain mobility. Check your posture – keep your phone at eye level to reduce neck strain. And of course — if you’re already experiencing pain, stiffness, or numbness in your hands, wrists, or arms — it’s time for a chiropractic check-up. How Chiropractic Can Help At Health Wise Chiropractic, we see many patients experiencing symptoms from overuse and digital posture strain. Chiropractic care can: Correct spinal and wrist misalignments. Reduce muscle tension in the neck, shoulders, and forearms. Improve joint mobility and circulation to affected areas. Prevent nerve irritation that can cause tingling or weakness in the hands. Combined with ergonomic advice and simple at-home exercises, chiropractic adjustments can help your body recover and adapt — so you can stay connected without the pain. 👋 Ready to Give Your Hands a Break? If your thumbs, wrists, or forearms have been aching after long days on your phone, it’s time to get them checked. Book a consultation with our team at Health Wise Chiropractic — we’ll assess your posture, muscle balance, and nerve function to help you move and feel better again. 📅 Book your appointment today and give your hands the care they deserve. Neck Pain Chiropractor Q: What causes neck pain that chiropractors treat?Common causes include poor posture, desk work, whiplash, and muscle tension. Q: How does chiropractic care relieve neck pain?Through gentle spinal adjustments, soft tissue therapy, and posture correction. Q: Is it safe to adjust the neck?Yes, when performed by a qualified chiropractor, neck adjustments are safe and effective. Q: Can chiropractic help with tech neck?Absolutely — chiropractic care can ease strain from long hours at computers or devices. About the Author Dr Julian Simpson is an Australian chiropractor with over 15 years of experience in musculoskeletal healthcare and rehabilitation. He is a Board Member of the Chiropractic Australia Research Foundation and has reviewed and written more than 800 evidence-based health articles focused on spinal health, rehabilitation, sports injuries and conservative care approaches. His treatment focus includes: Chiropractic adjustments Sports chiropractic Massage therapy Shockwave therapy Laser therapy Non-surgical spinal decompression Dr Simpson provides patient care through Healthwise Chiropractic, serving communities including Sunbury, Melton, Diggers Rest and surrounding regions. For more information about how we can help YOU with your neck pain and improve your underlying dysfunction so the problem doesn’t come back . Please call Health Wise Chiropractic 03 9467 7889 or book online to see one of our Chiropractors in Sunbury or Melton/Strathtulloh Today! We are also really proud to offer our patients an APP for their Mobile- iPad. With access to your rehab exercises and our health tip blogs with over 600 articles. Health Wise Chiropractic Online Health Program via our exclusive app Chiropractic has moved online. We offer our online program -STAND CORRECTED- To help you through the day. We have over 30 programs on different health conditions Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help References Özalp M, Güven M. The impact of smartphone addiction and posture on the prevalence of hand pain among university students. BMC Public Health. 2025 Oct 22;25(1):3573. doi: 10.1186/s12889-025-23824-8. PMID: 41126133; PMCID: PMC12542440. References Iqbal A, Rizk A, Alghadir A, Alghadir T, Alghadir F, Gabr S. Smartphone addiction and musculoskeletal associated disorders in university students: biomechanical measures and questionnaire survey analysis. Eur J Med Res. 2025. https://doi.org/10.1186/s40001-025-02413-w. Article PubMed PubMed Central Google Scholar Ozdincler A, Yasacı Z, Griffiths M, Zirek E, Mustafaoglu R. The relationship between smartphone addiction and musculoskeletal pain prevalence among young population: a cross-sectional study. Korean J Pain. 2021;34:72–81. Article PubMed PubMed Central Google Scholar Al-Dhafer BAA, Alessa HA Sr, Albesher MA Sr, Alnaim MF, Albawardi SK, Albesher M. The association between smartphone addiction/overuse with hand and wrist musculoskeletal complaints, Saudi Arabia. Cureus. 2023;15(11):e48752. https://doi.org/10.7759/cureus.48752. Choi Y-S. A study on mobile phone addiction and physical pain based on characteristics of mobile phone usage. J Med Imaging Health Inform. 2019;9:1191–5. Google Scholar Wang Y, Jeon HS, Park JH, Kim YJ, Moon KA. A survey on smartphone use posture and pain in upper body musculoskeletal system. Arch Phys Med Rehabil. 2023;104(3):e8–e9. https://doi.org/10.1016/j.apmr.2022.12.021. Pääkkönen R, Korpinen L, Gobba F. Self-reported wrist and finger symptoms associated with other physical/mental symptoms and use of computers/mobile phones. Int J Occup Saf Ergon. 2018;24:82–90. Article PubMed Google Scholar Lorestani T, Maleki-Ghahfarokhi A, Khodakarim S, Saremi M. Cognitive failures and hand/neck discomfort: does smartphone addiction contribute? Work. 2025;80(1):285–94. https://doi.org/10.3233/WOR-220669. Baabdullah A, Bokhary D, Kabli Y, Saggaf O, Daiwali M, Hamdi A. The association between smartphone addiction and thumb/wrist pain: a cross-sectional study. Medicine (Baltimore). 2020;99(10):e19124. https://doi.org/10.1097/MD.0000000000019124. Ahmed S, Mishra A, Akter R, Mitra DK. Smartphone addiction and its impact on musculoskeletal pain in neck, shoulder, elbow, and hand among college-going students: a cross-sectional study. Bull Fac Phys Ther. 2022;27:5. https://doi.org/10.1186/s43161-021-00067-3. Elshennawy S, Eltalawy H, Mamdouh K, Aly M, Mohamed A. Smartphone addiction and manual coordination, strength and hand pain in normal teenage students: a cross-sectional study. Egypt J Hosp Med. 2022. https://doi.org/10.21608/ejhm.2022.266025. Article Google Scholar Gandhi K, M S, Mahaver D, Shandilya A, Bhagat OL. Analysis of correlation between anthropometry of hand and smartphone overuse on musculoskeletal pain in humb/wrist in medical students: a cross sectional study at tertiary care center of central India. ijok. 2023;3(1):47–5. Available from:https://ijok.org/index.php/ijok/article/view/72. Cited 2025 Aug. 14. Bahathiq M, Almadaabgy A, Marzogi K, Alnahdi AM, Mufti HH, Alsharif K. The association between smartphones and thumb/wrist pain among students at Umm Al-Qura University, Makkah, Saudi Arabia. Int J Med Dev Ctries. 2020;4(11):1924–37. https://doi.org/10.24911/IJMDC.51-1601759283. Gustafsson E, Thomée S, Grimby-Ekman A, Hagberg M. Texting on mobile phones and musculoskeletal disorders in young adults: a five-year cohort study. Appl Ergon. 2017;58:208–14. Article PubMed Google Scholar İnal EE, Demİrcİ k, Çetİntürk A, Akgönül M, Savaş S. Effects of smartphone overuse on hand function, pinch strength, and the median nerve. Muscle Nerve. 2015;52(2):183–8. https://doi.org/10.1002/mus.24695. Dilek B, Gökmen İG, Akalın E, Gökmen HM, Gülbahar S. Addiction of smartphones and related finger deformities: a case report. Turk J Phys Med Rehabil. 2020;66:476–9. Article PubMed PubMed Central Google Scholar Ojha R, Sindhu B, Sen S. Effects of smartphone addiction on sitting neck posture & hand discomfort: a cross sectional study. Int J of Health Sci. 2022;6(S2):13642–50. Available from:https://www.sciencescholar.us/journal/index.php/ijhs/article/view/8595. Cited 2025 Aug. 14. Depreli O, Angin E. The relationship between smartphone usage position, pain, smartphone addiction, and hand function. J Back Musculoskelet Rehabil. 2024;37(6):1695–1704. https://doi.org/10.3233/BMR-240154. Jain J, Bhende R, Shinde S. Estimation of intrinsic and extrinsic hand muscle performance in chronic smartphone users. Int J Occup Saf Health. 2024. https://doi.org/10.3126/ijosh.v14i3.50212. Article Google Scholar Banadaki FD, Rahimian B, Moraveji F, Varmazyar S. The impact of smartphone use duration and posture on the prevalence of hand pain among college students. BMC Musculoskelet Disord. 2024;25(1):574. Article PubMed PubMed Central Google Scholar Xiong J, Muraki S. An ergonomics study of thumb movements on smartphone touch screen. Ergonomics. 2014;57(6):943–55. Article PubMed Google Scholar Amjad F, Farooq MN, Batool R, Irshad A. Frequency of wrist pain and its associated risk factors in students using mobile phones. Pak J Med Sci. 2020;36(4):746. Article PubMed PubMed Central Google Scholar Lee S, Kyung G, Yi J, Choi D, Park S, Choi B, Lee S. Determining ergonomic smartphone forms with high grip comfort and attractive design. Hum Factors. 2019;61(1):90–104. Article PubMed Google Scholar Noyan CO, Enez Darcin A, Nurmedov S, Yilmaz O, Dilbaz N. Validity and reliability of the Turkish version of the smartphone addiction scale-short version among university students. Anatolian J Psychiatry. 2015;16. https://doi.org/10.5455/apd.176101. Erdinc O, Hot K, Ozkaya M. Turkish version of the Cornell musculoskeletal discomfort questionnaire: cross-cultural adaptation and validation. Work. 2011;39(3):251–60. PubMed Google Scholar Mustafaoglu R, Yasacı Z, Zirek E, Griffiths M, Ozdincler A. The relationship between smartphone addiction and musculoskeletal pain prevalence among young population: a cross-sectional study. Korean J Pain. 2021;34:72–81. Article PubMed PubMed Central Google Scholar Gökmen HM, Gökmen İG, Dilek B, Gülbahar S, Akalın E. Addiction of smartphones and related finger deformities: a case report. Turk J Phys Med Rehabil. 2020;66:476–9. Article PubMed PubMed Central Google Scholar Bhuvaneshwari D. A study to assess the correlation between smart phone use addiction with text neck syndrome and hand discomfort among the adult students in Saveetha University. Int J Allied Med Sci Clin Res. 2020;7(3):908–14. Available from: https://ijamscr.com/ijamscr/article/view/752. Cited 2025 Aug 14. Alsalameh AM, Harisi MJ, Alduayji MA, Almutham AA, Mahmood FM. Evaluating the relationship between smartphone addiction/overuse and musculoskeletal pain among medical students at Qassim University. J Family Med Prim Care. 2019;8(9):2953–9. Article PubMed PubMed Central Google Scholar Amjad F, Farooq MN, Batool R, Irshad A. Frequency of wrist pain and its associated risk factors in students using mobile phones. Pak J Med Sci. 2020;36(4):746–9. https://doi.org/10.12669/pjms.36.4.1797. Ahmed S, Akter R, Pokhrel N, Samuel AJ. Prevalence of text neck syndrome and SMS thumb among smartphone users in college-going students: a cross-sectional survey study. J Public Health. 2021;29(2):411–6. Article Google Scholar Shamsi RF, Sadeeqa A, Khan AA, Khan FM, Saeed A, Sheeraz SN. Correlation of smartphone addiction with text neck syndrome during covid-19 pandemic. The Rehabilitation Journal. 2022;6(04):442–5. Article Google Scholar Tao D, Yang K, Zhang T, Qu X. Typing with mobile devices: a comparison of upper limb and shoulder muscle activities, typing performance and perceived workload under varied body postures, typing styles and device types. Appl Ergon. 2022;102: 103760. Article PubMed Google Scholar Baabdullah A, Bokhary D, Kabli Y, Saggaf O, Daiwali M, Hamdi A. The association between smartphone addiction and thumb/wrist pain: a cross-sectional study. Medicine (Baltimore). 2020;99(10): e19124. Article PubMed Google Scholar Wang Y, Kim Y, Moon K, Park J-H, Jeon H. Comparison of musculoskeletal pain in neck, trunk, and upper limbs among Korean and Chinese smartphone users by posture: a cross-sectional survey. J Back Musculoskelet Rehabil. 2025. https://doi.org/10.1177/10538127241296339. Article PubMed PubMed Central Google Scholar Shah PP, Sheth MS. Correlation of smartphone use addiction with text neck syndrome and SMS thumb in physiotherapy students. Int J Community Med Public Health. 2018;5(6):2512. Article Google Scholar Hua BH, Sugumaran SV, Faryza E, Atiqah N, Jasvindar K, Kabir MS, et al. Prevalence of musculoskeletal disorders (MSD) and smartphone addictions among university students in Malaysia. Int J Health Sci. 2022;6(S3):1075–88. Article Google Scholar Gustafsson E, Coenen P, Campbell A, Straker L. Texting with touchscreen and keypad phones-a comparison of thumb kinematics, upper limb muscle activity, exertion, discomfort, and performance. Appl Ergon. 2018;70:232–9. Article PubMed Google Scholar

  • 🏒 Slap Shots & Sore Backs: What Hockey Players Need to Know About Low Back Pain

    🏒 Slap Shots & Sore Backs: What Hockey Players Need to Know About Low Back Pain At Health Wise Chiropractic, we love working with athletes — and if there’s one sport that puts the body to the test, it’s ice hockey. Fast skating. Explosive direction changes. Powerful shots.And hours spent in a forward-flexed position. It’s no surprise that hockey players have one of the highest rates of low back pain (LBP) in sport. Let’s break down what the research tells us — and what you can do about it. 🧠 Why Hockey Stresses the Lower Back Hockey players spend most of their time in: A hip-flexed posture A forward trunk lean Repeated explosive rotational movements Then sitting on the bench… still in hip flexion Over time, this leads to: ✔ Shortened hip flexors✔ Increased lumbar lordosis (lower back arch)✔ Increased torque through the lumbopelvic region✔ Higher spinal stress And that’s where things get interesting. 🔎 The Thomas Test: A Simple Predictor Researchers used the classic Thomas Test (first described in 1876 by Hugh Owen Thomas) to measure hip flexor tightness. Here’s what they discovered: 60% of players had tight hip flexors Players with tight hip flexors were 3.17× more likely to develop low back pain 15.7% of tight players developed LBP vs just 5.1% with normal flexibility Tight players missed: 5× more games Nearly 4× more practices That’s a massive performance impact. And this risk was consistent across: High school boys College men College women Gender and age didn’t matter.Hip flexor tightness did. 💪 What About Strength? You might assume stronger hips = safer back. Surprisingly, the study showed: Hip strength (flexion, abduction, adduction) did not significantly reduce LBP risk Even strong athletes with tight hip flexors were still at higher risk 65% of players weak in hip flexion were also tight So strength alone isn’t the solution. Mobility matters. 🧊 Why Tight Hip Flexors Cause Problems When hip flexors shorten: The pelvis tilts forward Lumbar spine compression increases Disc stress rises Rotation loads the lower back more aggressively Combine that with repeated skating torque and shooting mechanics — and the lumbar spine takes the hit. In fact: 44% of hockey players with LBP in one study had spondylolysis 73% occurred on the shooting side Rotation deficits higher up (thoracic spine) can also shift stress downward into the lower back. ✅ The Good News: This Is Modifiable Clinical research shows: Hip flexor stretching improves Thomas Test range Stretching reduces lumbar lordosis Stretching improves symptoms in patients with LBP Postural retraining reduces lumbar strain That means: 🎯 Screening + Stretching + Postural correction = Prevention opportunity Because the Thomas Test is simple and reliable, preseason screening can identify athletes at risk before the season starts. 🏒 What Hockey Players Should Be Doing At Health Wise Chiropractic, we recommend: 1️⃣ Hip Flexor Mobility Work (Daily) Kneeling hip flexor stretch Couch stretch Dynamic skating-specific mobility drills 2️⃣ Thoracic Spine Rotation Work Open books Thread-the-needle Seated rotation drills 3️⃣ Postural Awareness Neutral pelvis training Avoid excessive lumbar arch during skating prep Bench posture correction 4️⃣ Individualised Chiropractic Care Spinal mobility Pelvic alignment Movement pattern assessment Injury risk screening For more information about how we can help YOU with your sports performance and/or injury. Please call Health Wise Chiropractic 03 9467 7889 or book online to see one of our Chiropractors in Sunbury or Melton/Strathtulloh Today! We are also really proud to offer our patients an APP for their Mobile- iPad. With access to your rehab exercises and our health tip blogs with over 600 articles. Health Wise Chiropractic Online Health Program via our exclusive app Chiropractic has moved online. We offer our online program -STAND CORRECTED- To help you through the day. We have over 30 programs on different health conditions Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help McHugh MP, Tyler TF, Schmitt BM, Kwiecien SY, Nicholas SJ. The Association Between Hip Flexibility and Low Back Pain in Ice Hockey Players. Orthop J Sports Med. 2026 Feb 5;14(2):23259671251404068. doi: 10.1177/23259671251404068. PMID: 41660292; PMCID: PMC12876650.

  • Adolescent Scoliosis Treatment in Sunbury and Melton– How Breathing Therapy + Chiropractic Adjustment Improves Spine Shape, Pain & Function

    Adolescent Scoliosis Treatment in Sunbury and Melton– How Breathing Therapy + Chiropractic Adjustment Improves Spine Shape, Pain & Function Recent clinical research shows that combining respiratory (breathing-based) rehabilitation with chiropractic spinal adjustment significantly improves outcomes in adolescents with idiopathic scoliosis. Compared to standard traction alone, the combined approach leads to greater improvements in Cobb angle reduction, spinal symmetry, muscle strength, pain reduction, exercise capacity, and quality of life—suggesting a more effective multi-system approach to scoliosis care. 🧠 What is Adolescent Idiopathic Scoliosis? Adolescent Idiopathic Scoliosis is a complex spinal condition where the spine curves and rotates in three dimensions, most commonly developing between ages 10–18. It affects: Spinal alignment (side curvature + rotation) Rib cage and posture symmetry Muscle balance around the spine In some cases, breathing efficiency and movement capacity If left unmanaged, it may progress during growth and impact posture, function, and quality of life. ⚠️ Why Scoliosis Affects More Than Just the Spine This study highlights that scoliosis is not only a structural issue—it is a whole-body movement and control problem  involving: Muscle imbalance around the spine Reduced trunk strength and endurance Altered breathing mechanics Postural asymmetry (shoulders, pelvis, head) Reduced exercise tolerance That’s why treatment needs to go beyond just “straightening the curve.” 🌬️ + 🦴 Two-Key Treatment Approach: Breathing + Chiropractic This study compared: Standard traction therapy vs Combined respiratory guidance + chiropractic spinal adjustment And found significantly better results with the combined approach. 🔑 How the Combined Approach Works 🌬️ 1. Respiratory (Breathing) Rehabilitation Breathing was used as an active correction tool—not just a passive function. Key methods included: Deep breathing with directional guidance (inhale toward the concave side, exhale toward the convex side) Postural reverse traction exercises Controlled breathing in corrective postures Why it matters: Improves rib cage expansion symmetry Helps retrain spinal muscle coordination Enhances thoracic mobility Supports long-term postural correction 🦴 2. Chiropractic Spinal Adjustment Manual therapy was used to address structural and joint dysfunction. This included: Soft tissue release (muscles and fascia) Pelvic correction techniques Lumbar and spinal joint adjustments Individualised corrective positioning Why it matters: Improves spinal alignment mechanics Reduces compensatory movement patterns Restores joint mobility Supports neuromuscular balance 📊 Key Findings from the Research (108 Adolescents) Compared with standard care, the combined therapy achieved: 📉 Greater spinal improvement Reduced Cobb angle (curve severity) Improved trunk rotation Better shoulder & pelvic symmetry Reduced head deviation 💪 Increased muscle strength Back and trunk strength improved more significantly in the combined group, supporting better spinal stability. 🚶 Better functional capacity Longer 6-minute walking distance Improved exercise endurance Better daily movement tolerance 😌 Reduced pain levels Participants reported lower pain scores after treatment, especially during movement. 🧍 Improved posture symmetry Measured improvements included: Reduced rib hump / trunk rotation Better spinal balance Improved postural alignment scores 🧠 Better quality of life Using scoliosis-specific outcome measures, patients showed improvements in: Physical function Body image confidence Psychological wellbeing 📈 Why This Combination Works So Well This study supports a key rehabilitation principle: 👉 Scoliosis responds best to combined structural + functional therapy The synergy: Chiropractic adjustment → improves structure & joint mechanics Breathing therapy → retrains movement patterns & muscle control Together they: Improve spinal alignment Strengthen stabilising muscles Enhance breathing mechanics Reinforce long-term postural change 👩‍⚕️ Why This Matters for Families in Sunbury and Melton For adolescents with scoliosis, early and structured intervention is important because: The spine is still growing Curves may progress during growth spurts Muscle imbalance can become reinforced over time Early rehab improves long-term outcomes A combined chiropractic + movement-based approach may help: Reduce progression risk Improve posture and confidence Enhance physical performance Support long-term spinal health 📌 Key Takeaway The most effective scoliosis care is not one-dimensional. This study shows that combining: Breathing-based rehabilitation Chiropractic spinal adjustment leads to significantly better improvements in: Spinal curvature Posture symmetry Strength Pain Quality of life Reviewed by Dr Julian Simpson, Chiropractor at Health Wise Chiropractic, Sunbury 21 Powellet Street, Sunbury & 131 Wembley Avenue, Strathtulloh At Health Wise Chiropractic, we regularly treat patients with [condition], helping them return to work, sport, and daily activities pain-free. reference Li N, Shan Y, Chang H, Zhao Y, Zhang Y, Wu G, Zhou P. Rehabilitation effects of combined respiratory guidance and chiropractic adjustment on adolescents with idiopathic scoliosis. Am J Transl Res. 2026 Feb 15;18(2):1553-1563. doi: 10.62347/BDLX3098. PMID: 41868889; PMCID: PMC13000848.

  • Why Your Low Back Pain Isn’t Just About Pain (And What Actually Drives Disability)

    Why Your Low Back Pain Isn’t Just About Pain (And What Actually Drives Disability) Low back pain isn’t just common—it’s one of the biggest health problems in the world . In fact: 🌍 Low back pain is the #1 cause of disability globally ⚠️ 10–40% of acute cases become chronic 📊 Around 85% of chronic cases have no clear structural cause That last point is important—because it means most people dealing with long-term back pain aren’t suffering from a single “injury”… but something more complex. The Real Problem: Chronic Low Back Pain Chronic nonspecific low back pain (CNLBP) is what most people experience when pain sticks around longer than 3 months. And it doesn’t just hurt—it affects your entire life: Reduced mobility 🚶 Difficulty with daily tasks 🏠 Lower quality of life 😞 Increased healthcare costs 💸 But here’s the key insight… 👉 Pain alone doesn’t explain why some people struggle more than others. What Actually Causes Disability? (New Research Insights) A recent study of 252 adults with chronic low back pain uncovered something powerful: 👉 Disability is multi-factorial — not just pain-driven The researchers found that 81% of disability could be explained by a combination of physical, psychological, and functional factors. The biggest drivers of disability were: 1. Pain During Movement (Not Just Pain at Rest) Strongest pain-related predictor Linked to avoiding movement and daily activities 👉 Translation:If it hurts when you move, you’re more likely to stop moving—and that’s where problems escalate. 2. Fear of Movement (Kinesiophobia) Strong correlation with disability People avoid activity due to fear of pain or injury 👉 This creates a vicious cycle:Pain → Fear → Avoidance → Weakness → More pain 3. Muscle Strength (Especially Lower Body) Weaker legs = higher disability Slower sit-to-stand times linked to worse outcomes 👉 Your legs and hips are critical for supporting your spine. 4. Balance & Stability Poor balance strongly linked to higher disability Especially: Forward/backward (anteroposterior) stability Dynamic balance (movement control) 👉 Your body literally struggles to “trust” itself. 5. Mobility (Especially Back Extension) Reduced spinal movement = higher disability Limited extension (leaning backwards) was a key predictor 👉 Stiff spines don’t tolerate life well. 6. Functional Movement (How You Move Daily) The strongest overall predictor of disability Measured by simple tasks like standing, walking, turning 👉 It’s not about gym performance—it’s about real-life movement. 7. Posture & Spinal Control Poor posture = increased disability Reduced spinal control leads to inefficient movement and overload 8. Mental Health Factors Depression and stress were linked to worse outcomes Not always a primary cause—but definitely a contributor What This Means for You If you’ve been told: “Your scans are fine”“It’s just wear and tear”“You’ll have to live with it” That’s not the full story. 👉 Your pain is real—but it’s only one piece of the puzzle. Why Traditional Approaches Often Fail Many treatments focus only on: Pain relief Passive therapies Short-term fixes But this research shows: ❌ Treating pain alone is not enough✅ You need a multi-dimensional approach What Actually Works (According to the Evidence) To reduce disability and get your life back, you need to address: ✅ Movement-based pain ✅ Strength (especially hips & legs) ✅ Balance & stability ✅ Mobility (particularly spinal extension) ✅ Fear of movement ✅ Functional movement patterns The Bottom Line Chronic low back pain is not just a back problem . It’s a whole-body, whole-person condition involving: Your muscles 💪 Your movement 🏃 Your nervous system 🧠 Your mindset 🧩 Our Approach at Health Wise Chiropractic At our clinics in Sunbury and Melton, we don’t just chase pain—we focus on what actually drives long-term results: ✔️ Restore movement✔️ Build strength✔️ Improve posture & control✔️ Reduce fear of movement✔️ Get you confidently back to life Ready to Fix the Root Cause? If your back pain keeps coming back—or is stopping you from living fully—there’s a reason. And more importantly… there’s a solution. Posture Correction Chiropractor Q: Can chiropractic correct bad posture? Yes, chiropractic care can help realign the spine and retrain muscles for better posture. Q: What causes poor posture? Common causes include desk jobs, phone use, weak muscles, and spinal misalignments. Q: How long does posture correction take? It varies — some patients notice changes within weeks, others need longer-term care. Q: Can posture correction reduce pain? Yes, correcting posture often reduces back pain, neck pain, and headaches. To learn how we can help relieve your pain, restore proper movement, and address the root cause so your issue doesn’t keep coming back, get in touch with our experienced team today. If you’re searching for a trusted chiropractor in Sunbury  or a reliable chiropractor in Melton / Strathtulloh , Health Wise Chiropractic is here to help. Our tailored care plans are designed to support long-term results—not just short-term relief. 📞 Call us on 03 9467 7889  or book online today   to secure your appointment with one of our experienced chiropractors in Sunbury or Melton. We also offer our patients access to our convenient mobile app (available on iPhone and iPad), where you can follow your personalised rehab exercises and explore our library of 800+ health and wellness articles—helping you stay on track between visits and get the most out of your care. Health Wise Chiropractic Online Health Program via our exclusive app Chiropractic has moved online. We offer our online program -STAND CORRECTED- To help you through the day. We have over 30 programs on different health conditions Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help Canli İ, Özüdoğru A. Biopsychosocial Factors Affecting Disability in Individuals with Chronic Nonspecific Low Back Pain: A Cross-Sectional Study. J Pain Res. 2026 Mar 13;19:590191. doi: 10.2147/JPR.S590191. PMID: 41852872; PMCID: PMC12994534.

  • The Mediterranean Diet, Oxidative Stress & Athletic Performance

    The Mediterranean Diet, Oxidative Stress & Athletic Performance At Health Wise Chiropractic , we talk a lot about movement, recovery, and performance. But there’s a powerful piece of the puzzle that often gets overlooked: 👉 What you eat directly affects how your body adapts to exercise. Today, we’re diving into the science of oxidative stress, antioxidants, and why the Mediterranean Diet  may be one of the most powerful nutritional approaches for active individuals and athletes. 🧬 Exercise: Good Stress vs. Too Much Stress When you exercise, your body produces reactive oxygen species (ROS)  — often called “free radicals.” This isn’t automatically bad. In fact: Controlled levels of ROS help trigger mitochondrial growth They stimulate antioxidant enzyme production They support endurance and strength adaptation They improve metabolic efficiency This is called hormesis  — a little stress makes you stronger. But here’s the catch: If ROS production exceeds your body’s antioxidant capacity, it can lead to: Increased muscle damage Delayed recovery Fatigue Inflammation Reduced training capacity Elite and high-volume athletes are especially exposed to this redox stress. 🥗 Why the Mediterranean Diet Stands Out The Mediterranean Diet (MD)  isn’t a supplement plan. It’s a whole-food, synergistic dietary pattern  emphasising: Extra virgin olive oil (EVOO) Fruits and vegetables (3–5+ servings daily) Legumes and whole grains Nuts and seeds Oily fish (2–4 times per week) Moderate dairy Limited processed foods and red meat Recognised by UNESCO as cultural heritage, it’s also one of the most researched dietary patterns globally. But what makes it special for athletes? 🫒 Olive Oil: More Than Just a Fat Extra virgin olive oil contains powerful polyphenols such as: Hydroxytyrosol Oleuropein These compounds: Activate endogenous antioxidant pathways Reduce inflammatory signalling Support mitochondrial efficiency Enhance redox balance In controlled trials (such as the PREDIMED study in high-risk adults), Mediterranean diets enriched with virgin olive oil or nuts significantly increased plasma antioxidant capacity within one year. For athletes, this means improved baseline resilience before training stress even begins. 🐟 Omega-3 Fatty Acids & Recovery Oily fish in the Mediterranean Diet provide EPA and DHA. Evidence shows intakes of 1–5 g/day (around 3 g optimal)  over 4–12 weeks may: Reduce inflammation Improve recovery Support endurance performance Improve muscle membrane stability For high-training loads, this becomes particularly relevant. 🍇 Polyphenols & Performance Polyphenols from fruits, vegetables, herbs, and red grapes influence key pathways involved in: Mitochondrial biogenesis Blood vessel function Immune regulation Oxidative stress modulation Some supplementation studies show: Quercetin may improve VO₂max in untrained individuals Pomegranate juice reduces muscle soreness Cherry juice reduces post-marathon inflammation Blueberries may reduce oxidative stress markers after endurance events But here’s the important distinction: High-dose single antioxidants (like mega-dose vitamin C or E) can sometimes blunt training adaptations. Whole-food antioxidant networks — like those in the Mediterranean Diet — appear to support recovery without suppressing beneficial adaptation signals . ⚠️ Why Supplementation Isn’t Always the Answer Common athlete supplements include: Vitamin C (500–2000 mg/day) Vitamin E (400–800 IU) Selenium (200–400 µg/day) Curcumin (400–1000 mg/day) NAC (1.2–20 g/day) CoQ10 (100–300 mg/day) Results are mixed. Some reduce oxidative markers. Some improve recovery. Some show no performance benefit. Some may interfere with adaptation if taken long-term. The evidence consistently suggests: 👉 Whole-food antioxidant intake is more physiologically balanced than isolated supplementation. 🏃 Mediterranean Diet & Athletic Performance A 2025 systematic review analysing 192 competitive athletes found: 5 of 9 studies showed improved performance with higher Mediterranean adherence Associations included improved aerobic power, anaerobic power, and explosive strength Lower body fat percentage correlated with higher adherence Although pooled quantitative results were inconclusive, the trend was positive. Mechanistically, the Mediterranean Diet may support: Mitochondrial function Endothelial health Reduced oxidative damage Improved lipid metabolism Better inflammatory control All of which influence performance and recovery. 🛡 Immune Protection During Heavy Training Athletes are at higher risk of upper respiratory tract infections (URTI) after intense competition. Studies show: 1 g/day quercetin reduced URTI symptoms post-cycling Polyphenol-rich non-alcoholic beverages reduced URTI incidence by more than 3× post-marathon Higher Mediterranean adherence is associated with lower systemic inflammation While direct MD–athlete infection trials are limited, the anti-inflammatory and immune-modulating potential is promising. 🧠 The Redox “Tuning” Effect One fascinating finding from long-term Mediterranean research: People with low baseline antioxidant status improved significantly. Those already high in antioxidant status did not overshoot. This suggests the body regulates antioxidant balance dynamically — avoiding “redox overload.” That’s very different from high-dose supplements, which in some meta-analyses have shown potential adverse long-term effects when taken excessively. 🏋️ Practical Mediterranean Strategy for Athletes If you train regularly, here’s how to apply it: 🍞 Carbohydrates 6–12 g/kg/day from: Whole grains Legumes Starchy vegetables Fruit 🍗 Protein 1.2–2.0 g/kg/day from: Fish Poultry Legumes Dairy Nuts 🫒 Fats 20–35% of total intake: Prioritize EVOO Include nuts and seeds daily Oily fish 2–4× per week 🥦 Antioxidants 3–5+ servings of fruit and vegetables daily. Use herbs, spices, and polyphenol-rich foods consistently. 🥗 Before Competition Reduce fermentable fibre 24–72 hours prior if GI comfort is needed. 💡 What This Means For You Whether you’re: A competitive athlete A weekend warrior Or simply someone who trains hard Your body needs to balance: ⚡ Stress (training stimulus)🛡 Recovery (redox and inflammatory control)🔁 Adaptation (mitochondrial and structural remodelling) The Mediterranean Diet offers a sustainable, evidence-aligned framework to support that balance. Not by eliminating stress.But by optimising resilience. Posture Correction Chiropractor Q: Can chiropractic correct bad posture? Yes, chiropractic care can help realign the spine and retrain muscles for better posture. Q: What causes poor posture? Common causes include desk jobs, phone use, weak muscles, and spinal misalignments. Q: How long does posture correction take? It varies — some patients notice changes within weeks, others need longer-term care. Q: Can posture correction reduce pain? Yes, correcting posture often reduces back pain, neck pain, and headaches. For more information about how we can help YOU with your pain and improve your underlying dysfunction so the problem doesn’t come back . Please call Health Wise Chiropractic 03 9467 7889  or book online  to see one of our Chiropractors in Sunbury or Melton/Strathtulloh Today! We are also really proud to offer our patients an APP for their Mobile- iPad. With access to your rehab exercises and our health tip blogs with over 600 articles. Health Wise Chiropractic Online Health Program via our exclusive app Chiropractic has moved online. We offer our online program -STAND CORRECTED- To help you through the day. We have over 30 programs on different health conditions Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help Annunziata G, Camajani E, Galasso M, Verde L, Caprio M, Muscogiuri G, Paoli A, Barrea L. Antioxidants and Exercise Performance: Focus on Mediterranean Diet. Antioxidants (Basel). 2025 Dec 21;15(1):10. doi: 10.3390/antiox15010010. PMID: 41596069; PMCID: PMC12837825.

  • How Yoga Can Help Manage Fibromyalgia: What the Research Shows

    How Yoga Can Help Manage Fibromyalgia: What the Research Shows Fibromyalgia is a complex condition that affects millions of people around the world. It’s best known for causing widespread pain, but that’s often just the beginning — fatigue, poor sleep, stiffness, “brain fog,” and mood changes are also very common. For many people, fibromyalgia can interfere with daily life, work, and emotional well-being. While fibromyalgia is more common in women and its exact cause remains unclear, experts believe it involves both physical and emotional factors — such as chronic stress, genetics, inflammation, and changes in how the brain and nervous system process pain. This means that effective management needs to go beyond just medication. A holistic approach that addresses the mind and body together often gives the best results. One non-drug therapy gaining attention for fibromyalgia is yoga  — a practice that blends movement, breathing, mindfulness, and relaxation. Recent research has shown that yoga may offer real, measurable benefits for people living with chronic pain conditions like fibromyalgia. What the Research Looked At Each yoga program included gentle stretching, relaxation, breathing exercises, and mindfulness meditation — all adapted to suit people with chronic pain. Some sessions also focused on self-awareness, coping strategies, and group discussions. The Results: Real Benefits for Pain and Quality of Life Across the studies, the results were consistently positive: ✅ Less Pain and Stiffness: Participants who practiced yoga reported significant reductions in pain levels, muscle stiffness, and tenderness. One study even measured pain before and after each yoga class and found immediate pain relief after every session . ✅ Better Sleep and Energy: Yoga improved sleep quality and helped reduce chronic fatigue — two of the most frustrating symptoms for people with fibromyalgia. ✅ Improved Mood and Mental Wellbeing: Mindfulness and breathing components of yoga helped calm the nervous system, reduce stress, and improve mood. Participants felt less anxious and depressed, and many reported feeling more in control of their pain. ✅ Better Daily Function and Coping: Yoga participants showed better physical function (such as standing and moving with less difficulty) and reported healthier ways of coping with pain and stress. In some studies, these benefits lasted up to three months after the program ended. ✅ Safe and Sustainable : Importantly, none of the studies reported any side effects or injuries. Yoga was well-tolerated, and participants were more likely to keep up with their practice compared to those in traditional exercise programs — a key factor in long-term management. Why Yoga Works for Fibromyalgia Fibromyalgia pain is thought to come from an overactive nervous system — where the brain becomes overly sensitive to pain signals. Yoga helps by calming this sensitivity  and teaching the body to shift from a “fight or flight” state to a “rest and restore” mode. The combination of gentle movement, controlled breathing, and mindfulness helps regulate pain perception, lower stress hormones, and improve sleep quality. Over time, this can help retrain the nervous system to respond more calmly to pain signals. How Chiropractic and Yoga Can Work Together At Health Wise Chiropractic , we understand that fibromyalgia affects much more than just your muscles and joints — it affects your entire body and mind. Chiropractic care can complement yoga beautifully by improving spinal alignment, enhancing nervous system function, and reducing mechanical stress on the body. When combined with yoga and other gentle exercises, chiropractic adjustments can help improve movement, decrease pain, and support your body’s natural ability to heal and self-regulate. Takeaway The evidence is clear: Yoga is a safe, accessible, and effective non-drug option for people with fibromyalgia. It can help reduce pain, improve mood, boost energy, and enhance overall quality of life. If you or someone you know is living with fibromyalgia, consider integrating yoga and chiropractic care into your wellness routine. These two holistic approaches work hand-in-hand to support both body and mind — helping you move better, feel better, and live better. Want to know how to get started? Talk to our team at Health Wise Chiropractic . We can guide you through gentle movement, posture advice, and stress-relief strategies designed to suit your unique needs. For more information about how we can help YOU with your pain and improve your underlying dysfunction so the problem doesn’t come back . Please call Health Wise Chiropractic 03 9467 7889  or book online  to see one of our Chiropractors in Sunbury or Melton/Strathtulloh Today! We are also really proud to offer our patients an APP for their Mobile- iPad. With access to your rehab exercises and our health tip blogs with over 600 articles. Health Wise Chiropractic Online Health Program via our exclusive app Chiropractic has moved online. We offer our online program -STAND CORRECTED- To help you through the day. We have over 30 programs on different health conditions Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help Durusoy E, Ünal E. The Role of Yoga as Mind-Body Exercise in Fibromyalgia Management: A Systematic Review. Complement Ther Med. 2025 Oct 30:103290. doi: 10.1016/j.ctim.2025.103290. Epub ahead of print. PMID: 41176184.

  • Understanding Tension-Type Headaches and How Manual Therapy Can Help

    Understanding Tension-Type Headaches and How Manual Therapy Can Help Tension-type headache (TTH) is the most common type of primary headache, affecting 26–38% of people worldwide . In fact, it accounts for around 60–78% of all primary headache cases . This high prevalence makes TTH not just a personal inconvenience but a major public health issue , as it can significantly reduce quality of life, interfere with daily activities, and even impact work productivity. Despite how common TTH is, many people don’t seek professional care. This may be due to a lack of awareness about effective treatments or previous negative healthcare experiences. What Is a Tension-Type Headache? TTH is classified by the International Classification of Headache Disorders (ICHD-3). Common features include: Bilateral location (affecting both sides of the head) Pressing or tightening sensation Mild to moderate intensity Duration : from minutes to several days Unlike migraines, TTH usually isn’t worsened by routine physical activity , and symptoms like nausea, light sensitivity (photophobia), or sound sensitivity (phonophobia) are usually mild or absent. Although the exact cause of TTH isn’t fully understood, research suggests that the cervical spine (neck) may play a key role . Pain signals from the upper cervical spine (C1–C3) may interact with nerves that supply the head, which explains why neck tension can contribute to headaches. How Manual Therapy Can Help Manual therapy refers to hands-on techniques applied by trained practitioners, such as chiropractors or physiotherapists, to target muscles, joints, and connective tissues. For TTH, research has shown that manual therapy can: Reduce headache frequency and intensity Improve muscle tension and pain sensitivity Be safe and well-tolerated , with only mild temporary discomfort reported in some cases Common manual therapy techniques for TTH include: Spinal manipulation : High-velocity, low-amplitude movements, often targeting the suboccipital region at the base of the skull. Friction massage : Focused on neck muscles to relieve tension. Soft tissue inhibition and myofascial trigger point release : Addresses tight or painful spots in muscles like the upper trapezius or sternocleidomastoid. Spinal mobilisation and postural correction : Gentle movements and guidance to improve alignment and reduce tension. Treatment plans typically last 4–6 weeks , with sessions ranging from 15–45 minutes and frequency from 1–2 times per week . Many studies reported positive outcomes using these approaches, particularly when administered by experienced practitioners. What the Research Shows A review of 33 randomised controlled trials involving 1,852 participants highlighted: Most participants were female (75%) , aged 20–54 years Manual therapy was generally safe , with only mild side effects Techniques varied widely, but consistent benefits were observed in headache reduction and pain sensitivity Treatments delivered by experienced therapists , often with specialized manual therapy training, had the best results However, research also shows high variability in how treatments are applied, including session numbers, duration, and techniques used. This makes it difficult to standardize treatment for every patient, highlighting the importance of individualized care . Why Individualized Care Matters TTH is a complex condition influenced by: Muscle tightness in the neck and shoulders Joint stiffness in the cervical spine Stress, anxiety, and other psychosocial factors Because every person’s headache pattern is different, manual therapy works best when tailored to the individual. Experienced chiropractors at Health Wise Chiropractic assess these factors carefully to design a treatment plan that addresses the root cause of tension headaches , not just the symptoms. Key Takeaways Tension-type headaches are extremely common , affecting up to 38% of people worldwide. Manual therapy is a safe, effective, non-drug approach to reducing headache frequency and intensity. Techniques include spinal manipulation, massage, trigger point release, and postural correction. Experienced chiropractors play a crucial role in personalising treatment for the best outcomes. While research supports manual therapy, individualised care is essential due to variations in headache patterns. If you’re suffering from recurring tension headaches, manual therapy could be the solution to reduce pain, improve mobility, and restore your quality of life . At Health Wise Chiropractic, we combine evidence-based techniques with individualised care to help you take control of your headaches safely and effectively . Headache Chiropractor Q: Can a chiropractor help with headaches? Yes, chiropractic care can help relieve tension headaches and cervicogenic headaches by improving spinal alignment and reducing muscle tension. Q: How does chiropractic treat headaches? We use gentle spinal adjustments, posture correction, and muscle therapy to relieve the stress and pressure that often trigger headaches. Q: Is chiropractic care safe for frequent headaches? Yes, chiropractic is a safe and drug-free option for many types of headaches when provided by qualified practitioners. Q: How soon will I feel headache relief? Some patients notice improvement after their first few visits, while others may need a tailored care plan depending on the cause of their headaches. To learn how we can help relieve your pain, restore proper movement, and address the root cause so your issue doesn’t keep coming back, get in touch with our experienced team today. If you’re searching for a trusted chiropractor in Sunbury  or a reliable chiropractor in Melton / Strathtulloh , Health Wise Chiropractic is here to help. Our tailored care plans are designed to support long-term results—not just short-term relief. 📞 Call us on 03 9467 7889  or book online today   to secure your appointment with one of our experienced chiropractors in Sunbury or Melton. We also offer our patients access to our convenient mobile app (available on iPhone and iPad), where you can follow your personalised rehab exercises and explore our library of 800+ health and wellness articles—helping you stay on track between visits and get the most out of your care. Health Wise Chiropractic Online Health Program via our exclusive app Chiropractic has moved online. We offer our online program -STAND CORRECTED- To help you through the day. We have over 30 programs on different health conditions Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help Bravo-Vazquez A, Anarte-Lazo E, Gonzalez-Alvarez ME, Rodriguez-Blanco C, Bernal-Utrera C. Clinical features of manual therapy interventions in people with tension-type headache: A scoping review. Musculoskelet Sci Pract. 2026 Apr;82:103526. doi: 10.1016/j.msksp.2026.103526. Epub 2026 Feb 24. PMID: 41759491.

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