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How many Chiropractic Sessions are needed for new pain? Lets look at the research Results from study into manual therapy and the effectiveness into ACUTE low back pain The recommended session time was 5 to 10 sessions over a 2 to 4 week period 10 sessions at max is an incredible result ! To think in 1 month you could get out of your acute episode by going to the chiropractor, making better lifestyle choices is AMAZING The study also stated that when compared with other interventions , Chiropractic is either equivalent or SUPERIOR in improving pain and function compared to other things like medication, and education and exercise We have been helping our community for over 10+ years with their muscle and spinal problems. Please call Health Wise Chiropractic at 03 9467 7889 or book online to see if one of our Chiropractors in Sunbury or Melton/Strathtulloh could do the same for you! OR Chiropractic has moved online. We offer our online programs -STAND CORRECTED- To help you through the day. They contain health advice for your conditions, nutritional advice, and exercises for you to do at home or at the workplace to help you achieve your health goals. We understand that coming to the Chiropractic clinic may be costly and time-consuming. This way if you can't make it into the chiropractic office, you can do any of our 20+ online health programs at your leisure. Enjoy and we hope they spark a little bit of joy and help you achieve your health goals. Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help The following conditions are now available for online sessions migraine cervicogenic headaches cervical facet neck pain tension headaches cervical radiculopathy (pins and needles in the arm originating from the neck) shoulder impingement relief thoracic outlet syndrome frozen shoulder rotator cuff chronic lumbar (Low Back) disc pain acute Lumbar(low back) disc pain Lumbar facet pain sciatica and piriformis syndrome meniscus (knee pain) Plantar fasciitis (Foot Pain) Shin Splints Tennis Elbow/Golfers elbow Carpal tunnel Syndrome Upper Crossed Syndrome( Poor Posture) Lower Crossed Syndrome ( Poor Posture) Dizziness-Vertigo Arthritis Welcome To Chiropractic TMJ (Jaw Pain) NASS Contemporary Concepts in Spine Care: spinal manipulation therapy for acute low back pain Simon Dagenais 1 , Ralph E Gay, Andrea C Tricco, Michael D Freeman, John M Mayer

Dry Needling or Kinesio Taping in muscle treatment ? A 2022 study looked into the upper trapezius muscle and whether it would respond better to dry needling or Kinesio taping Muscle disorders are one of the main causes of pain, one in three patients have myofascial pain syndrome ( this is when trigger points develop in the skeletal muscles) We develop trigger points thanks to our sedentary lifestyle, as we spend most of our time in a static posture, in fact, research has shown that we sit for more than Half our day ( it should be less than 6 hours total) The trapezius muscles function is - stabilise the scapula - move the scapula - rotate the scapula and extend the neck The trapezius, when trigger points are present, can refer pain to - pain on the side of the neck - pain on the back of the neck - pain behind the ear - pain in your temples A major reason that people develop trap problems is a forward head posture The results were great for either option Both dry needling and Kinesio taping increased pressure pain threshold AND reduced muscle thickness We have been helping our community for over 10+ years with their muscle and spinal problems. Please call Health Wise Chiropractic at 03 9467 7889 or book online to see if one of our Chiropractors in Sunbury or Melton/Strathtulloh could do the same for you! OR Chiropractic has moved online. We offer our online programs -STAND CORRECTED- To help you through the day. They contain health advice for your conditions, nutritional advice, and exercises for you to do at home or at the workplace to help you achieve your health goals. We understand that coming to the Chiropractic clinic may be costly and time-consuming. This way if you can't make it into the chiropractic office, you can do any of our 20+ online health programs at your leisure. Enjoy and we hope they spark a little bit of joy and help you achieve your health goals. Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help The following conditions are now available for online sessions migraine cervicogenic headaches cervical facet neck pain tension headaches cervical radiculopathy (pins and needles in the arm originating from the neck) shoulder impingement relief thoracic outlet syndrome frozen shoulder rotator cuff chronic lumbar (Low Back) disc pain acute Lumbar(low back) disc pain Lumbar facet pain sciatica and piriformis syndrome meniscus (knee pain) Plantar fasciitis (Foot Pain) Shin Splints Tennis Elbow/Golfers elbow Carpal tunnel Syndrome Upper Crossed Syndrome( Poor Posture) Lower Crossed Syndrome ( Poor Posture) Dizziness-Vertigo Arthritis Welcome To Chiropractic TMJ (Jaw Pain) Reference J Chiropr Med. 2022 Mar; 21(1): 23–31. Published online 2022 Mar 16. doi: 10.1016/j.jcm.2022.01.003 PMCID: PMC9209818 PMID: 35747613 Comparison of Dry Needling and Inhibitory Kinesio Taping in Treatment of Myofascial Pain Syndrome of the Upper Trapezius Muscle: A Randomized Controlled Trial Rasool Bagheri, PT, PhD,a Cyrus Taghizadeh Delkhoush, PT, PhD,a,⁎Majid Mirmohammadkhani, MD, PhD,b Ziaeddin Safavi Farokhi, PT, PhD,a and Soghra Bakhshi, PT, MSca

Chiropractic decreases the need for pain medications! Based on results from the USA Approximately 50 million adults reported having chronic pain 20 million say their chronic pain significantly interferes with their daily activities (Chronic pain is described as pain that has persisted for more than 12 weeks) Rates of opioid use in 2015 where 3 times higher than they where in 1999 We have discussed in previous posts that since 1990, muscle pain has increased by 30%, due to our changes in demands at work With opioids causing more than 47000 deaths in the 2018 alone, it’s great this research in 2022 came out showing that Chiropractic patients had a decrease need in opioid medications With 80% of adults having at least 1 low back pain episode in their lifetime, nearly half of patients receive opioid prescriptions despite the lack of compelling evidence 80% of these opioid users take their pain medication LONG TERM, The 2022 study found that Chiropractic patients had lower percentage of persons using any opioid use and less likely to have long term opioid use over a 12 month tracking program If you want more information about how we can help . Please call Health Wise Chiropractic 03 9467 7889 or book online to see one of our Chiropractors in Sunbury or Melton/Strathtulloh Today! We have been helping our community for over 10+ years with their muscle and spinal problems. Please call Health Wise Chiropractic at 03 9467 7889 or book online to see if one of our Chiropractors in Sunbury or Melton/Strathtulloh could do the same for you! OR Chiropractic has moved online. We offer our online programs -STAND CORRECTED- To help you through the day. They contain health advice for your conditions, nutritional advice, and exercises for you to do at home or at the workplace to help you achieve your health goals. We understand that coming to the Chiropractic clinic may be costly and time-consuming. This way if you can't make it into the chiropractic office, you can do any of our 20+ online health programs at your leisure. Enjoy and we hope they spark a little bit of joy and help you achieve your health goals. Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help The following conditions are now available for online sessions migraine cervicogenic headaches cervical facet neck pain tension headaches cervical radiculopathy (pins and needles in the arm originating from the neck) shoulder impingement relief thoracic outlet syndrome frozen shoulder rotator cuff chronic lumbar (Low Back) disc pain acute Lumbar(low back) disc pain Lumbar facet pain sciatica and piriformis syndrome meniscus (knee pain) Plantar fasciitis (Foot Pain) Shin Splints Tennis Elbow/Golfers elbow Carpal tunnel Syndrome Upper Crossed Syndrome( Poor Posture) Lower Crossed Syndrome ( Poor Posture) Dizziness-Vertigo Arthritis Welcome To Chiropractic TMJ (Jaw Pain) reference J Chiropr Med. 2022 Jun; 21(2): 67–76. Published online 2022 May 21. doi: 10.1016/j.jcm.2022.02.007 PMCID: PMC9237579 PMID: 35774633 Associations Between Early Chiropractic Care and Physical Therapy on Subsequent Opioid Use Among Persons With Low Back Pain in Arkansas Mahip Acharya, BPharm,a Divyan Chopra, MS,a Allen M. Smith, PharmD,a Julie M. Fritz, PhD, PT,b and Bradley C. Martin, PharmD, PhDa

Is neck pain related to your wrist ? More and more of us are moving into a service industry We are more likely now to need to use our wrists in terms of serving our clients in a restaurant , typing more on computers as well as our daily tasks like putting the dishes away and doing the gardening Neck pain is one of the leading causes of pain and disability worldwide and research is looking into whether neck pain alters proprioception in the wrist When we talk about proprioception, we are talking about our bodies ability to sense movement, action and location This study demonstrated that neck pain or fatigue can lead to altered afferent input to the central nervous system and can affect wrist Joint position sense. Whats even more impressive is, we are not talking about 100 sessions over a couple of months, the study found that the increase in joint position sense can improve after 1 session! We have been helping our community for over 10+ years with their muscle and spinal problems. Please call Health Wise Chiropractic at 03 9467 7889 or book online to see if one of our Chiropractors in Sunbury or Melton/Strathtulloh could do the same for you! OR Chiropractic has moved online. We offer our online programs -STAND CORRECTED- To help you through the day. They contain health advice for your conditions, nutritional advice, and exercises for you to do at home or at the workplace to help you achieve your health goals. We understand that coming to the Chiropractic clinic may be costly and time-consuming. This way if you can't make it into the chiropractic office, you can do any of our 20+ online health programs at your leisure. Enjoy and we hope they spark a little bit of joy and help you achieve your health goals. Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help The following conditions are now available for online sessions migraine cervicogenic headaches cervical facet neck pain tension headaches cervical radiculopathy (pins and needles in the arm originating from the neck) shoulder impingement relief thoracic outlet syndrome frozen shoulder rotator cuff chronic lumbar (Low Back) disc pain acute Lumbar(low back) disc pain Lumbar facet pain sciatica and piriformis syndrome meniscus (knee pain) Plantar fasciitis (Foot Pain) Shin Splints Tennis Elbow/Golfers elbow Carpal tunnel Syndrome Upper Crossed Syndrome( Poor Posture) Lower Crossed Syndrome ( Poor Posture) Dizziness-Vertigo Arthritis Welcome To Chiropractic TMJ (Jaw Pain) Reference J Manipulative Physiol Ther . 2022 Mar-Apr;45(3):216-226. doi: 10.1016/j.jmpt.2022.06.002.Epub 2022 Jul 26. Influence of Neck Pain, Cervical Extensor Muscle Fatigue, and Manual Therapy on Wrist Proprioception

Shoulder Impingement Syndrome- How Chiropractic can help Research released in February 2023 looked into shoulder impingement syndrome and whether a thoracic spinal thrust manipulation could be of benefit With 55% of the working population likely to have Shoulder Pain this year, it's important to get the right treatment and get back to doing the things we like doing without pain and dysfunction Studies showed - immediate improvement in range of motion - pain reduction - exercise therapy is also beneficial in getting improvement This is where I like to remind patients about the importance of lifestyle factors There is no point in getting adjusted/massaged if you continue the bad habits after the adjustment - spending more than 30 minutes on technology daily - not exercising - sitting more than 6 hours a day Next time you come in, discuss with the chiropractor how you can get more benefit out of your session with lifestyle changes! or Redo the welcome to chiropractic online course that has great information We have been helping our community for over 10+ years with their muscle and spinal problems. Please call Health Wise Chiropractic at 03 9467 7889 or book online to see if one of our Chiropractors in Sunbury or Melton/Strathtulloh could do the same for you! OR Chiropractic has moved online. We offer our online programs -STAND CORRECTED- To help you through the day. They contain health advice for your conditions, nutritional advice, and exercises for you to do at home or at the workplace to help you achieve your health goals. We understand that coming to the Chiropractic clinic may be costly and time-consuming. This way if you can't make it into the chiropractic office, you can do any of our 20+ online health programs at your leisure. Enjoy and we hope they spark a little bit of joy and help you achieve your health goals. Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help The following conditions are now available for online sessions migraine cervicogenic headaches cervical facet neck pain tension headaches cervical radiculopathy (pins and needles in the arm originating from the neck) shoulder impingement relief thoracic outlet syndrome frozen shoulder rotator cuff chronic lumbar (Low Back) disc pain acute Lumbar(low back) disc pain Lumbar facet pain sciatica and piriformis syndrome meniscus (knee pain) Plantar fasciitis (Foot Pain) Shin Splints Tennis Elbow/Golfers elbow Carpal tunnel Syndrome Upper Crossed Syndrome( Poor Posture) Lower Crossed Syndrome ( Poor Posture) Dizziness-Vertigo Arthritis Welcome To Chiropractic TMJ (Jaw Pain) SHOULDER ONLINE BLOGS shoulder impingement relief chiropractic treatment online! Stand Corrected https://www.healthwisechiropractic.com.au/challenge-page/shoulderimpingementbursitisonlineprogramhealthwisechiropracticsunburymeltonstrathtulloh Or check out our relevant blogs https://www.healthwisechiropractic.com.au/post/shoulder-impingement-syndrome-how-chiropractic-can-help https://www.healthwisechiropractic.com.au/post/effectiveness-of-scapular-mobilisation-in-impingement-syndrome-shoulder-pain https://www.healthwisechiropractic.com.au/post/pain-in-the-shoulder-it-could-be-impingement-syndrome https://www.healthwisechiropractic.com.au/post/chiropractic-or-injections-for-shoulder-pain https://www.healthwisechiropractic.com.au/post/shoulder-pain-is-it-quadrangular-space-syndrome https://www.healthwisechiropractic.com.au/post/calcific-bursitis-and-tendonitis-causing-shoulder-pain https://www.healthwisechiropractic.com.au/post/do-you-have-poor-posture-you-are-2000-more-likely-to-have-a J Pak Med Assoc . 2023 Feb;73(2):338-345. doi: 10.47391/JPMA.5151. Effects of thoracic spinal thrust manipulation for the management of shoulder impingement syndrome: Systematic review Bazal Bukhari 1, Ashfaq Ahmad 1, Arooj Fatima 2, Sarwat Ali 3

Spinal Adjustments can INFLUENCE brain Activity in patients with symptomatic disc herniations Spinal Adjustments can INFLUENCE brain Activity in patients with symptomatic disc herniations Lumbar Disc Herniation is one of the leading causes of low back pain It presents in my clinic as pain, reflex loss and muscle weakness Chiropractic Spinal manipulative therapy can relieve pain and can promote internal and external stabilisation of the LUMBAR spine This recent study calculated the amplitude of low frequency fluctuations (ALFF)and fractional amplitude of low frequency fluctuations (ALFF is used to detect the regional intensity of spontaneous fluctuations) They found that altered regional patterns in spontaneous neural activity in patients with lumbar disc herniation They found an increase in the right lingual gyro and increased in Left cerebellum Crus The right lingual gurus may be involved in the perception and recognition of familiar landmarks We have been helping our community for over 10+ years with their muscle and spinal problems. Please call Health Wise Chiropractic at 03 9467 7889 or book online to see if one of our Chiropractors in Sunbury or Melton/Strathtulloh could do the same for you! OR Chiropractic has moved online. We offer our online programs -STAND CORRECTED- To help you through the day. They contain health advice for your conditions, nutritional advice, and exercises for you to do at home or at the workplace to help you achieve your health goals. We understand that coming to the Chiropractic clinic may be costly and time-consuming. This way if you can't make it into the chiropractic office, you can do any of our 20+ online health programs at your leisure. Enjoy and we hope they spark a little bit of joy and help you achieve your health goals. Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help The following conditions are now available for online sessions migraine cervicogenic headaches cervical facet neck pain tension headaches cervical radiculopathy (pins and needles in the arm originating from the neck) shoulder impingement relief thoracic outlet syndrome frozen shoulder rotator cuff chronic lumbar (Low Back) disc pain acute Lumbar(low back) disc pain Lumbar facet pain sciatica and piriformis syndrome meniscus (knee pain) Plantar fasciitis (Foot Pain) Shin Splints Tennis Elbow/Golfers elbow Carpal tunnel Syndrome Upper Crossed Syndrome( Poor Posture) Lower Crossed Syndrome ( Poor Posture) Dizziness-Vertigo Arthritis Welcome To Chiropractic TMJ (Jaw Pain) Chiropractic information blogs https://www.healthwisechiropractic.com.au/post/what-sort-of-chiropractic-care-is-best https://www.healthwisechiropractic.com.au/post/improve-your-quality-of-life-with-chiropractic https://www.healthwisechiropractic.com.au/post/chiropractic-decreases-the-need-for-pain-medications https://www.healthwisechiropractic.com.au/post/effects-of-blood-flow-in-chiropractic-neck-adjustments https://www.healthwisechiropractic.com.au/post/improve-your-sporting-performance-with-chiropractic-care https://www.healthwisechiropractic.com.au/post/your-odds-of-needing-surgery-are-decreased-if-under-chiropractic-care https://www.healthwisechiropractic.com.au/post/how-many-chiropractic-sessions-are-needed-for-new-pain-lets-look-at-the-research https://www.healthwisechiropractic.com.au/post/what-is-the-effect-of-chiropractic-adjustments-on-your-musculoskeletal-system https://www.healthwisechiropractic.com.au/post/want-less-drug-side-effects-chiropractic-care-has-been-shown-to-help-with-your-pain-management https://www.healthwisechiropractic.com.au/post/how-many-sessions-is-best-for-less-pain-overall-in-a-given-year https://www.healthwisechiropractic.com.au/post/does-paracetamol-need-to-be-taken-with-your-chiropractic-treatment https://www.healthwisechiropractic.com.au/post/chiropractic-care-in-the-elderly-helping-to-reduce-risks-of-falling-and-improving-senses https://www.healthwisechiropractic.com.au/post/did-you-know-chiropractic-adjustments-can-increase-muscle-strength https://www.healthwisechiropractic.com.au/post/effects-of-chiropratic-on-inflammatory-mediators-in-patients-with-non-specific-low-back-pain https://www.healthwisechiropractic.com.au/post/what-is-manipulation-and-what-is-an-adjustment Front Neurosci actions * Search in PubMed * Search in NLM Catalog * Add to Search . 2022 Sep 7;16:974792. doi: 10.3389/fnins.2022.974792. eCollection 2022. A spinal manipulative therapy altered brain activity in patients with lumbar disc herniation: A resting-state functional magnetic resonance imaging study Ya Wen 1 , Xiao-Min Chen 1 , Xin Jin 1 , Dong-Ya Ling 2 , Shao Chen 1 , Qin Huang 1 , Ning Kong 2 , Jin-Er Chai 1 , Qing Wang 3 , Mao-Sheng Xu 2 , Hong-Gen Du 1bo

Poor Posture? You probably have breathing problems too- Here’s what the research says The link with POOR posture and Breathing problems I talk about it all the time, poor posture and bad lifestyle choices can have negative affects on the body Research looked into if you had forward head posture, whether it could lead to respiratory dysfunction So what is exactly forward head posture Well one of the first lifestyle habits i ask my patients is how long are you spending on the devices, as its recommended that it be a max of 30 minutes a day - i usually get a response of laughs or big shock eyes as most are clearly spending WAY more than 30 minutes a day on devices So becuase of this and other lifestyle choices like the way we sit, stand etc we can develop forward head posture Bad neck posture consist of hyperextend ion of the upper cervical vertebrae and forward translation of the cervical vertebrae - causing loading on the tissues like the facet joints and ligaments Some signs and symptoms you have forward head posture are neck pain Headache TMJ (temporomandibular pain) Musculoskeletal The results found that the forward head posture caused EXPANSION of the upper thorax and CONTRACTION of the lower thorax - these changes cased a DECREASE in respiratory function These findings suggest that the shape of the thorax changed and respiration decreased with forward head posture relative to a neutral head position - the person didn’t necessarily have to have neck pain to have the breathing dysfunction We have been helping our community for over 10+ years with their muscle and spinal problems. Please call Health Wise Chiropractic at 03 9467 7889 or book online to see if one of our Chiropractors in Sunbury or Melton/Strathtulloh could do the same for you! OR Chiropractic has moved online. We offer our online programs -STAND CORRECTED- To help you through the day. They contain health advice for your conditions, nutritional advice, and exercises for you to do at home or at the workplace to help you achieve your health goals. We understand that coming to the Chiropractic clinic may be costly and time-consuming. This way if you can't make it into the chiropractic office, you can do any of our 20+ online health programs at your leisure. Enjoy and we hope they spark a little bit of joy and help you achieve your health goals. Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help The following conditions are now available for online sessions migraine cervicogenic headaches cervical facet neck pain tension headaches cervical radiculopathy (pins and needles in the arm originating from the neck) shoulder impingement relief thoracic outlet syndrome frozen shoulder rotator cuff chronic lumbar (Low Back) disc pain acute Lumbar(low back) disc pain Lumbar facet pain sciatica and piriformis syndrome meniscus (knee pain) Plantar fasciitis (Foot Pain) Shin Splints Tennis Elbow/Golfers elbow Carpal tunnel Syndrome Upper Crossed Syndrome( Poor Posture) Lower Crossed Syndrome ( Poor Posture) Dizziness-Vertigo Arthritis Welcome To Chiropractic TMJ (Jaw Pain) upper cross relief chiropractic treatment online! Stand Corrected https://www.healthwisechiropractic.com.au/challenge-page/uppercrosssyndromeonlineprogramhealthwisechiropracticsunburymeltonstrathtulloh Or check out our relevant blogs https://www.healthwisechiropractic.com.au/post/bad-posture-it-could-be-upper-crossed-syndrome https://www.healthwisechiropractic.com.au/post/poor-posture-you-probably-have-breathing-problems-too-here-s-what-the-research-says https://www.healthwisechiropractic.com.au/post/does-bad-posture-lead-to-headaches https://www.healthwisechiropractic.com.au/post/do-you-have-poor-posture-you-are-2000-more-likely-to-have-a https://www.healthwisechiropractic.com.au/post/sitting-alot-you-could-develop-lower-cross-syndrome lower cross relief chiropractic treatment online! Stand Corrected https://www.healthwisechiropractic.com.au/challenge-page/LowerCrossedsyndromebadpotureonlineprogramhealthwisechiropractic J Phys Ther Sci. 2019 Jan; 31(1): 63–68. Published online 2019 Jan 10. doi: 10.1589/jpts.31.63 PMCID: PMC6348172PMID: 30774207 Effect of forward head posture on thoracic shape and respiratory function Taiichi Koseki, PT, MS,1,2 Fujiyasu Kakizaki, PT, PhD,3 Shogo Hayashi, MD, PhD,4,* Naoya Nishida, PT, MS,1,5 and Masahiro Itoh, MD, PhD1

A recent Dutch study found that overweight children have increased chances of - structural spinal abnormalities - Disc Bulging - endplate irregularities - abnormal disc height most were present in the lower back region We have been helping our community for over 10+ years with their muscle and spinal problems. Please call Health Wise Chiropractic at 03 9467 7889 or book online to see if one of our Chiropractors in Sunbury or Melton/Strathtulloh could do the same for you! OR Chiropractic has moved online. We offer our online programs -STAND CORRECTED- To help you through the day. They contain health advice for your conditions, nutritional advice, and exercises for you to do at home or at the workplace to help you achieve your health goals. We understand that coming to the Chiropractic clinic may be costly and time-consuming. This way if you can't make it into the chiropractic office, you can do any of our 20+ online health programs at your leisure. Enjoy and we hope they spark a little bit of joy and help you achieve your health goals. Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help The following conditions are now available for online sessions migraine cervicogenic headaches cervical facet neck pain tension headaches cervical radiculopathy (pins and needles in the arm originating from the neck) shoulder impingement relief thoracic outlet syndrome frozen shoulder rotator cuff chronic lumbar (Low Back) disc pain acute Lumbar(low back) disc pain Lumbar facet pain sciatica and piriformis syndrome meniscus (knee pain) Plantar fasciitis (Foot Pain) Shin Splints Tennis Elbow/Golfers elbow Carpal tunnel Syndrome Upper Crossed Syndrome( Poor Posture) Lower Crossed Syndrome ( Poor Posture) Dizziness-Vertigo Arthritis Welcome To Chiropractic TMJ (Jaw Pain) CItation Structural spinal abnormalities on MRI and associations with weight status in a general paediatric population Author links open overlay panelMarleen M.van den HeuvelMDabEdwin H.G.OeiMD, PhDcJeroen J.M.RenkensMDdSita M.A.Bierma-ZeinstraPhDaMarienkevan MiddelkoopPhDa

The study suggests both higher levels of PC and pressure sensitivity have a cumulative impact on risk screening for pain-related outcomes, considering gender in functional avoidance (task-related outcome) Psychological risk factors are commonly Family history of mental health problems. Complications during pregnancy or birth. Personal history of Traumatic Brain Injury. Chronic medical conditions such as cancer or diabetes, especially hypothyroidism or other brain-related illness such as Alzheimer's or Parkinson's. Use of alcohol or drugs. We have been helping our community for over 10+ years with their muscle and spinal problems. Please call Health Wise Chiropractic at 03 9467 7889 or book online to see if one of our Chiropractors in Sunbury or Melton/Strathtulloh could do the same for you! OR Chiropractic has moved online. We offer our online programs -STAND CORRECTED- To help you through the day. They contain health advice for your conditions, nutritional advice, and exercises for you to do at home or at the workplace to help you achieve your health goals. We understand that coming to the Chiropractic clinic may be costly and time-consuming. This way if you can't make it into the chiropractic office, you can do any of our 20+ online health programs at your leisure. Enjoy and we hope they spark a little bit of joy and help you achieve your health goals. Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help The following conditions are now available for online sessions migraine cervicogenic headaches cervical facet neck pain tension headaches cervical radiculopathy (pins and needles in the arm originating from the neck) shoulder impingement relief thoracic outlet syndrome frozen shoulder rotator cuff chronic lumbar (Low Back) disc pain acute Lumbar(low back) disc pain Lumbar facet pain sciatica and piriformis syndrome meniscus (knee pain) Plantar fasciitis (Foot Pain) Shin Splints Tennis Elbow/Golfers elbow Carpal tunnel Syndrome Upper Crossed Syndrome( Poor Posture) Lower Crossed Syndrome ( Poor Posture) Dizziness-Vertigo Arthritis Welcome To Chiropractic TMJ (Jaw Pain) reference Pain Pract . 2020 Dec 14. doi: 10.1111/papr.12987. Online ahead of print. A Cumulative Impact of Psychological and Sensitization Risk Factors on Pain-Related Outcomes Zakir Uddin 1, Arthur Woznowski-Vu 1, Daniel Flegg 1, Andrea Aternali 1, Timothy H Wideman 1 Affiliations expand PMID: 33316140 DOI: 10.1111/papr.12987

Chiropractic & Central Afferent Inhibition: A Chiropractic Care Path & Mechanism for Chronic Pain, Tremors, Spatial and Inhibitory Distortion Recent studies have shown that chronic pain harms the cortical areas unrelated to pain, long term pain alters the functional connectivity of cortical regions known to be active at rest. MRI of back pain patients who perform a simple task showed that these patients had had decreased brain function and shows that there could be a link between the default mode network and cognitive and behavioral impairments The default mode of brain function is the existence of a resting state in which the brain remained active in an organised matter. The default mode network is disrupted in Autism, Alzheimer's, depression, and ADHD. Potential changes in the default mode network could be related to symptoms commonly exhibited by chronic pain patients like depression, anxiety, and sleep disturbances. Studies show that there are significantly less deactivations in chronic back pain patients than healthy subjects in the prefrontal cortex, amygdala and posterior cingulate/ cuneate cortexes. Patients exhibit increased pre-frontal cortex activity in relation to spontaneous pain, in addition to dorsolateral prefrontal cortex atrophy. Therefore, the decreased deactivations described here may be related to the dorsolateral pre-frontal cortex /pre-frontal cortex mutual inhibitory interactions perturbed with time Recent Chiropractic studies have found after several weeks of chiropractic care in chronic pain patients, found that they have an improvement in the gating of peripheral afferent input to the brain, improving cortical motor areas, and improving processing of motor programs. We have been helping our community for over 10+ years with their muscle and spinal problems. Please call Health Wise Chiropractic at 03 9467 7889 or book online to see if one of our Chiropractors in Sunbury or Melton/Strathtulloh could do the same for you! OR Chiropractic has moved online. We offer our online programs -STAND CORRECTED- To help you through the day. They contain health advice for your conditions, nutritional advice, and exercises for you to do at home or at the workplace to help you achieve your health goals. We understand that coming to the Chiropractic clinic may be costly and time-consuming. This way if you can't make it into the chiropractic office, you can do any of our 20+ online health programs at your leisure. Enjoy and we hope they spark a little bit of joy and help you achieve your health goals. Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help The following conditions are now available for online sessions migraine cervicogenic headaches cervical facet neck pain tension headaches cervical radiculopathy (pins and needles in the arm originating from the neck) shoulder impingement relief thoracic outlet syndrome frozen shoulder rotator cuff chronic lumbar (Low Back) disc pain acute Lumbar(low back) disc pain Lumbar facet pain sciatica and piriformis syndrome meniscus (knee pain) Plantar fasciitis (Foot Pain) Shin Splints Tennis Elbow/Golfers elbow Carpal tunnel Syndrome Upper Crossed Syndrome( Poor Posture) Lower Crossed Syndrome ( Poor Posture) Dizziness-Vertigo Arthritis Welcome To Chiropractic TMJ (Jaw Pain) References: 2. Haavik, H., Niazi, I. K., Holt, K., & Murphy, B. (2017). Effects of 12 Weeks of Chiropractic Care on Central Integration of Dual Somatosensory Input in Chronic Pain Patients: A Preliminary Study. Journal of manipulative and physiological therapeutics, 40(3), 127-138. 3. Restuccia, D., Valeriani, M., Barba, C., Le Pera, D., Bentivoglio, A., Albanese, A. & Tonali, P. (2003). Abnormal gating of somatosensory inputs in essential tremor. Clinical neurophysiology, 114(1), 120-129. 4. Baliki N., Geha P., Apkarian A., Chialvo D., (2008) Beyond Feeling: Chronic Pain Hurts the Brain, disrupting the Default-Mode Network Dynamics, Journal of Neurosciences 28(6) 1398-1403

How many sessions do you need? There are some predictors ! 2021 research looked into who is most likely to need follow up care. The research looked into patients after a 2 year period The main factors where: -Overweight -Obese -Army Veterans -a high rate of co existing medical conditions before injury If you want more information. Please call Health Wise Chiropractic 03 9467 7889 or book online to see one of our Chiropractors #melton #meltonsouth #strathtulloh #cobblebank #weirviews #thornhillpark #eynesbury #plumpton #aintree #rockbank #kurunjang #harkness #brookfield #meltonchiropractor #meltonsouthchiropractor #strathtullohchiropractor #cobblebankchiropractor #weirviewschiropractor #thornhillparkchiropractor #eynesburychiropractor #plumptonchiropractor #aintreechiropractor #rockbankchiropractor #kurunjangchiropractor #harknesschiropractor #brookfieldchiropractor #chiropractic #chiropractor #Sunbury #Wildwood #Diggersrest #Clarkefield #Bulla #oaklandsjunction #calderpark #riddellscreek #Romsey #lancefield #Sunburychiropractor #Wildwoodchiropractor #Diggersrestchiropractor #Clarkefieldchiropractor #Bullachiropractor #oaklandsjunctionchiropractor #calderparkchiropractor #riddellscreekchiropractor #Romseychiropractor #lancefieldchiropractor #backpain #headache #shoulderpain #neckpain #musclepain Reference Risk factors associated with healthcare utilization for spine pain. Higgins DM, Han L, Kerns RD, Driscoll MA, Heapy AA, Skanderson M, Lisi AJ, Mattocks KM, Brandt C, Haskell SG. Pain Med. 2022 Jan 6. pii: pnab351. doi: 10.1093/pm/pnab351. Results Among 331,908 veterans without spine pain episodes of care during the 2-year baseline observation period, 16.5% (n = 54,852) had a new episode of care during the following 2-year observation period. Of those 54,852 veterans, 37,025 had an outpatient visit data during the final 2-year follow-up period, with 53.7% (n = 19,865) evidencing continued spine pain care. Those with continued care were more likely to be overweight or obese, non-smokers, Army veterans, have higher education, and had higher rates of diagnoses of all medical and mental health conditions examined at baseline. Among several important findings, women had 13% lower odds of continued care during the final 2-year observation period, OR 0.87 (0.81, 0.95). Conclusions A number of important demographics and clinical correlates were associated with increased likelihood of seeking new and continued episodes of care for spine pain; however, further examination of risk factors associated with healthcare utilization for spine pain is indicated.

As of 6th of August 2020 there are 3 reason to see anyone face to face Condition 1: If the allied health practitioner is registered with AHPRA (Chiro, Physio, Podiatry & Acupuncture) you can attend appointments providing you have a condition that would likely change or deteriorate if left untreated escalating the problem. There is no need for GP referrals. OR Condition 2: The service we provide is required to ensure the health, safety and wellbeing of vulnerable people (Definition of vulnerable is “able to be easily hurt ~ physically/emotionally/mentally”) OR Condition 3: For health services NOT governed by AHPRA, (therapeutic massage, myotherapy & colonics) a referral from a medical practitioner is required Here is our Covid Safe Plan Guidance Hygiene Provide and promote hand sanitiser stations for use on entering building and other locations in the worksite and ensure adequate supplies of hand soap and paper towels are available for staff. Sanitiser station for use upon entry and exit.Sanitiser at workstations Other sanitiser through out clinic to ensure readily available Station checked each two hours, refilled as needed. Hand soap and paper towel at sink. Laminated handwashing poster in bathroom and at sink Laminated hand washing poster in a clear and obvious place at front door. Conditions of entry are displayed (website, social media, entry points) Where possible: enhance airflow by opening windows and adjusting air conditioning. Airconditioner runs at all times to refresh air. Filter cleaning schedule developed and implemented. In areas or workplaces where it is required, ensure all staff wear a face covering and/or required PPE, unless a lawful exception applies. Ensure adequate face coverings and PPE are available to staff that do not have their own. Staff have been trained on how and why to wear PPE. Stock readily available and used. Extra supplies to ensure extra for patients/clients Provide training to staff on the correct use and disposal of face coverings and PPE, and on good hygiene practices and slowing the spread of coronavirus (COVID-19). Staff have completed training. Online. NHHI Handwashing and Infection Control Covid 19 Ongoing keeping up to date and informed. For example Information re mask use. Staff have been provided individually with written instructions related to COVID-19, covering: - personal hygiene (handwashing, cough etiquette) - physical distancing - cleaning of workstations and communal areas - symptoms of concern and when to get tested Frequent updates are sent to staff via Manager communications and weekly Cliniko message board Each patient has informal education when the attend session and by use of social media. Replace high-touch communal items with alternatives. Clinic has had decorative items removed. Magazines removed. Toys removed. Communal refreshments and water station is removed EFTPOS is contactless. Payments are only accepted via tap and go. Health receipts no longer getting signed off by client/patient Front door adjusted to be foot controlled. Seating arranged to maximise distancing. Boxes in use to hold any client/patient personal item eg wallet/phone (cleaned after use) to minimise these items being put down around the clinic. Boxes in use to hold any client/patient personal item eg wallet/phone (cleaned after use) to minimise these items being put down around the clinic. Cleaning Increase environmental cleaning (including between changes of staff), ensure high touch surfaces are cleaned and disinfected regularly (at least twice daily). Cleaning and disinfecting in accordance with guidance from Safe Work Australia and public health authority. Frequently touched surfaces including counters, doors, phones, keyboards and EFTPOS facilities are regularly cleaned. Task sheet in place. Procedures in place and documented. Equipment and adjusting tables are wiped clean with surface wipes after each use. Clients/patients are requested not to touch items around clinic. Front door modified to be opened by foot controller All equipment is sanitised after every use. Ensure adequate supplies of cleaning products, including detergent and disinfectant. Cleaning and disinfecting are done in accordance with guidance from Safe Work Australia and Health authorities Frequently touched surfaces have all been identified for regular cleaning. Staff instructed on how to clean own personal property brought into work eg keys, phone. Cleaning task sheet in place. Documented processes in place Guidelines for cleaning by Surface from Safe Work Australia has been adapted for use on site to specifically out line which products we use. MSD available Bulk purchase of stock completed. Inventory checklist developed. Physical distancing and limiting workplace attendance Ensure that all staff that can work from home, do work from home. N/A Establish a system that ensures staff members are not working across multiple settings/work sites. N/A Establish a system to screen employees and visitors before accessing the workplace. Employers cannot require employees to work when unwell. Educate and inform: Consulted with staff and completed training Educate each client/patient The business website includes a prominent banner with COVID-19 information about service access Vic State Govt. Staff have read and signed off the checklist. Temperature checking On arrival patents/clients are asked screening questions. Appointment session times are kept to a minimum. Appointments are spaced and timed to ensure minimal, if any, patient cross over and that there is time to clean and sanitise. Clients/patients are advised not to bring family or friends to appointment. They are advised to stay in their car if they arrive early and not to come into clinic. Chiropractic technique modified to ensure minimum face to face care (adjustments in prone position are used as much as is practical). Before treatment eg at greeting/ reception client/patient is verbally screened to check they have no Covid19 symptoms/risks. They are to wash hands. Staff, clients/patients encouraged to download COVIDsafe App. Configure communal work areas so that there is no more than one worker per four square meters of enclosed workspace, and employees are spaced at least 1.5m apart. Also consider installing screens or barriers. At reception a transparent barrier has been installed Moved chiro tables, desks and chairs further apart to comply with social distancing Use floor markings to provide minimum physical distancing guides between workstations or areas that are likely to create a congregation of staff. markers to stick to the floor have been installed Maximum capacity has been calculated for each space Modify the alignment of workstations so that employees do not face one another. Staff have own assigned workstations. Each workstation is provided with appropriate cleaning products, and staff instructed to clean the desk etc Minimise the build up of employees waiting to enter and exit the workplace. Clinic only has two staff. Chiropractor and Receptionist so N/A Starting times are staggered Provide training to staff on physical distancing expectations while working and socialising (e.g. during lunchbreaks). Provided staff with information and training on COVID-19, including when to get tested, physical distancing and cleaning. Review delivery protocols to limit contact between delivery drivers and staff. Deliveries are kept to a minimum and are arranged to be contactless Stock levels increased to ensure availability and less deliveries then required. Review and update work rosters and timetables where possible to ensure temporal as well as physical distancing. Information is sent out on the electronic communication system Cliniko via its dashboard. Where staff meetings are required, they are held over the phone and information sent by email/ cliniko dashboard communication system where possible. Where relevant, ensure clear and visible signage in areas that are open to the general public that specifies maximum occupancy of that space, as determined by the ‘four square metre’ rule. put up physical distancing posters in plain sight consulted with staff Educate each client/patient and Inform via regular social media updates what the expectations and requirements are. The business website includes a prominent banner with COVID-19 information about service access and every appointment has this information sent to them. Record keeping Establish a process to record the attendance of customers, clients, visitors and workplace inspectors, delivery drivers. This information will assist employers to identify close contacts. Cliniko records all patient/ client appointments and contact information. Provide guidance to staff on the effective use of the workplace OHS reporting system (where available). Communication system in place. Covid 19 Risk Register completed. Safework Australia checklists completed and any actions required have been completed. These are then used to audit ongoing. Guidance Action to prepare for your response Preparing your response to a suspected or confirmed COVID-19 case Prepare or update your business continuity plan to consider the impacts of an outbreak and potential closure of the workplace. Completed. Prepare to assist DHHS with contact tracing and providing staff and visitor records to support contact tracing. As per Cliniko and attendance register. Prepare to undertake cleaning and disinfection at your business premises. Assess whether the workplace or parts of the workplace must be closed. Guidelines for cleaning by Surface from Safe Work Australia has been adapted for use on site to specifically out line which products we use. MSD available Prepare for how you will manage a suspected or confirmed case in an employee during work hours. Staff have been briefed on symptoms of COVID-19 and have been told to stay home if they aren’t feeling well. If a staff member becomes unwell at work, a process is in place to isolate them and arrange for them to be sent home to receive medical attention. Safe Work Covid 19 at the Workplace flow chart attached. Prepare to notify workforce and site visitors of a confirmed or suspected case. Mailchimp email service. Template in place. Prepare to immediately notify WorkSafe Victoria on 13 23 60 if you have a confirmed COVID-19 case at your workplace. As per Safe Work Covid 19 in workplace flow chart ( page 8) Confirm that your workplace can safely re-open and workers can return to work. Complete audits and checklists. Follow advice from Worksafe and DHHS.