Our Osteopath Dr Jerome Smith put together a daily schedule to help people incorporate more movement into their day.

Working from an office, or anywhere that is not your home, requires a certain amount of incidental exercise. You might have to walk to a bus stop, or from a train station to your workplace. You might pop out for a coffee mid morning, or out to get some lunch in the middle of the day. Walk to a meeting, or to talk to someone in another part of your workplace. Commuting home. It’s surprising how many steps a day come just from this.

So you should try to stick to some of these routines. Even though you don’t have to commute, you should walk for 10 or 15 minutes in the morning before you start working. Don’t just get up, make a coffee and sit at your desk. Do this at lunchtime too – after having something to eat walk a lap of your block, get some fresh air and sunshine before resuming work. And once more at the end of the day.

Here is an example of a way to structure movement into your day:

Let’s say you start work at 9am. At 830, go outside, walk to the end of your street and back.

At 10 am you should lay on your back and stretch your glutes and hips

At 11am lay on your roller for 5 minutes 

12noon stretch your neck 

1pm Go outside, walk around for 15 minutes in the sun, then use the roller again for 5 minutes, 

2pm do some theraband exercises (like seated rows) to strengthen your scapular retracting muscles

3pm do some neck retraction exercises

4pm stretch your hip flexors and hamstrings

5pm use your roller for 5 minutes while doing slow breathing (5 breaths per minute) – this has been shown to reduce stress in your fight or flight nervous system. That way you get to finish your work day, de-stress and feel good.

All you really need is a foam roller and a theraband and you can maintain your mobility and strength when working from home. 

Hello,

With a couple of Eastern Suburbs beaches reopening this week, are we allowed to start feeling cautiously optimistic? 

We hope you and yours are all safe and well.

Our Osteopath Jerome has very generously offered to give FREE online ergonomic assessments to those of you working from home. He can skype/zoom etc you to see what your setup is and give you advice on little modifications you can make or exercises you can do during the day.

Email us harleyplacehealth@gmail.com if you want to grab that great offer.

There have been a LOT of people coming in the last couple of weeks with problems related to working from home. Most of these people coming in are experiencing lower back or neck pain. Others just want to escape their partners and kids for a while….

You have a great opportunity at the moment to move more than ever before. In a conventional office setting it’s probably not practical for you to get down on your mat and use your foam roller a couple of times a day, but it is now.

So rather than feeling worse from working at home, if you create a routine and get it done a few times a day you can actually come out of this feeling better.

The NUMBER ONE cause of injuries isn’t the chair you sit on, it’s HOW LONG YOU SIT.

Your traditional working day probably involved a lot more incidental exercise than you may think. The walk to the bus stop. The walk from the train station to your office. Popping out for a coffee or to get lunch. 

So you should try to find ways to incorporate more movement into your day. Instead of getting up, having breakfast then sitting down at your ‘desk’, walk a lap of your block. At lunchtime, do another lap. And at the end of the day, before you reach for that glass of wine, do another lap. 

At least three times a day get away from your chair, and do a few stretches. If you need advice on routines you can do during the day, check out our Facebook page https://www.facebook.com/HarleyPlaceHealth/ where we have filmed some videos showing you what to do.

Harley Place Health remains open. We have changed our operating hours to ensure there is space between appointments.

This minimises patient interaction and gives us time to clean the rooms thoroughly. Your health is always our top priority.

We are taking all patients temperature on arrival and are happy to report that there has been nobody even close to having a fever enter our clinic.

Check our videos https://www.facebook.com/HarleyPlaceHealth/ or email us if you need any more tips, we are here to help!

If you are self isolating but still need help, we can arrange a Skype call so that you can tell us what is going on, we can figure out a plan of action for you, and advise you on exercises to do, whether to use heat or ice, pain relief advice and help get you out of pain as quickly as possible.

Stay safe and look after yourselves and each other.

Peter, Jerome and Chris

Stay safe and look after yourselves and each other.

Peter, Jerome and Chris
 

Looking after your health at a time like this takes on greater importance than ever, and we take your health very seriously. As such we will be staying open and operating normal business hours for you.

With the current concerns we would like to reassure you that we are following WHO and Australian Government updates daily with respect to minimising the spread of the virus.

We can all play a part in helping to minimise the spread of the Coronavirus. As such, we are taking every measure and appreciate your understanding and cooperation while we all work together to do so.

We understand that some patients are choosing to remain at home and reschedule existing appointments in an effort to align with social distancing. In this instance please ensure you notify us if you will be not be attending. Please contact us if you would like to explore the option of a skype consultation.

This is an evolving situation and we will keep you updated as things change. Our priority is to always ensure the health and safety of our amazing patients and team.

Some additional measures we are implementing effective immediately:

Understandably, our practitioners will no longer be greeting you with a handshake. A warm greeting and smile will still show you the love is there.

We will be regularly changing all linen between appointments, and using antiseptic wipes and santisers, as well as good old fashioned soap and hot water. This is to escalate our already stringent hygiene procedures.

Please remain calm and resilient in these difficult times. It is often the fear of the unknown that fuels anxiety contagion. We are all in this together and will be more resilient to the stress it brings if we keep the lines of communication open.

Modern humans have an inherited herd mentality, and its influence is being felt throughout society today. We simply want to feel safe and prepared. But this is not a time to be stupid and inconsiderate. Don’t think you’re the exception. Don’t do things that benefit you, at the expense of others.

The goal now is to flatten the curve.
⁃ To slow the spread of the virus until our hospitals can handle them.
⁃ To prevent the unnecessary spreading of the virus.
⁃ To prevent unnecessary overloading of medical professionals, emergency services, airlines, and other critical infrastructure, so that the people who actually need it can access it.

No one individual can accomplish this by themselves, but each of us, acting rightly, collectively, can make a big difference. Now is the time to offer compassion, support and gratitude for our communities and loved ones.

This too shall pass. In the meantime, above all, be kind — to each other and yourselves.

We are keeping up to date with the latest advice from the World Health Organization and will let you know more as soon as we do.

WE are here for you! ️

We wanted to talk you through some basic strategies you can employ to boost your immune function so that if it does get to you, its impact will be far less.

Immunity is strongly linked to the autonomic nervous system (stress response). When we are stressed and our sympathetic nervous system is in full swing (fight or flight mode), adrenaline and other stress hormones surge in our bodies and this can cause short term suppression of our immune system. 

This means our bodies are then less equipped to deal with opportunistic infections. It is also the reason long term stress is linked to chronic inflammatory diseases such as rheumatoid arthritis. 

We’ll break this down into the supplements you can take to boost your immune system, the habits you can employ to reduce your risk of infection, and the exercises you can do to have your body primed to stave off infection.

Supplements: Our neighbour and great friend Tania Flack sat down with us to discuss the best supplements for immune function:

Vitamin C – This 2017 study talks about which dose to use to get the best immune system boost https://www.sciencedaily.com/releases/2017/03/170330115246.htm

Vitamin D – Here is a link to a 2019 study explaining its role in boosting immune function https://www.sciencedaily.com/releases/2019/04/190417111440.htm)

Zinc – Here is a link to a study showing how it modulates infection https://www.sciencedaily.com/releases/2013/02/130207131344.htm)

ArmaForce (my personal favourite)

Olive Leaf Extract – to reduce severity of symptoms. Here is a 2019 study showing its effectiveness https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6412187/)

Habits:

Wash your hands. Here is a video showing great technique https://edition.cnn.com/2020/02/28/health/how-to-wash-hands-coronavirus-trnd/index.html. And here is an article with song suggestions https://edition.cnn.com/2020/02/28/health/how-to-wash-hands-coronavirus-trnd/index.html as they say you should wash your hands for as long as it takes to sing Happy Birthday Twice!

Soap and water are better than hand santiser but definitely use hand sanitiser if that is all you have access to.

Try to reduce how often you touch your face. This is one of the best ways to reduce the spread of infection. I find it hard to never touch my face, but I can easily reduce how often I do it by 50%, and am aiming for more.

Exercises from an Osteopathic Approach:

I am going to talk about 2 articles which showed how Osteopathic treatment can help fight infections of this nature, and the lessons you can learn to prime your body to fight off infection.

The first study looked at how osteopaths do lymphatic drainage techniques to improve immune system function, specifically focusing on pneumonia https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3437985/.

The second looked at the mortality statistics during the Spanish Flu Pandemic of 1918-19 where an estimated 40 million people died. In the US Osteopaths work in hospitals and according to data of people treated by Osteos during that time the effectiveness of treatment was huge.

In people treated by an Osteopath, only 0.25% died.

In people not treated by an Osteopath, 5-6% died. That’s a 20-25 times higher death rate.

What does that mean for you? The treatment involved work on upper back, chest, ribs and neck to improve breathing, reduce pressure on lungs, improve blood flow in the area, and stimulate the immune system by improving lymphatic drainage.

  • So you should do some foam rolling to increase mobility in your upper back.
  • Stretch your chest and neck and shoulders. 
  • Get up from your desk and move more to improve your circulation. Ideally get out in the sunlight to get some natural Vitamin D.
  • Drink lots of water to keep your system well hydrated.
  • Get plenty of sleep, as sleep has been shown to affect immune function in a huge way. Going from 8 hours to 7 hours a night can increase your risk of catching a cold by 3 times. Going to 6 hours increases your risk SIXFOLD!

The working year is now well underway and people are back spending long hours in front of computer screens. 

One of the common conditions we see is something called Upper Cross Syndrome, and yes, even this early in the year we are already having people coming in for osteopathic treatment for this.

This “syndrome” refers to a particular configuration of overlapping overactive and underactive muscle groups in the neck, chest, and shoulders – a bit like ‘slouching’. 

Typically, poor posture causes the syndrome, including the forward head posture, overuse of upper shoulder muscles, shortening of the chest (pec) muscles and weakening of mid back muscles. One of the aggravating causes is from sitting in front of computers for long periods of time.

The list of symptoms that this will lead to ranges from headaches and neck pain to jaw pain and pain thru the shoulders, upper back and ribs, numbness and tingling in the fingers and decreased range of movement

The big tip for you during you working day is to get up from your desk at regular intervals and do a few simple stretches thru you upper back and neck and squeeze you shoulder blades down and together, have a quick walk around – get that cup of tea or glass of water, before sitting back down 

Click on this link https://www.medicalnewstoday.com/articles/318897.php#prevention for a bit more information about this and what you can do to help. 

Management of your body is the key to injury prevention. Call us for an appointment here at Harley Place Health to help out. Our team are here across the week from Monday to Saturday.



Wow, that’s a pretty big call. When I first saw this study I thought it sounded a bit ridiculous. Just being excessively slumped is associated with dying earlier? Sounded a bit dramatic. Then I read the study, and a few other studies on this topic.

Slumping forward is one of those things that tends to happen as we age. I’m sure you have seen older people walking along, looking down towards the ground as their back arches forward.

As we age our backs become stiffer, the discs become a little dehydrated and can shrink, and this is compounded by things like arthritis and osteoporosis which will really exaggerate the slump.

So how does that cause us to die earlier?

Researchers tracked around 1500 people for a few years and measured all sorts of parameters. They found that people who are more slumped than others performed worse in a number of physical tests, all of which have been linked to longevity. Things like

1. Risk of falling

2. Ability to get out of a chair

3. Grip Strength

4. Ability to walk with ease (ie is walking difficult for them?)

They concluded that “hyperkyphotic (excessively slumped) posture was specifically associated with an increased rate of death due to atherosclerosis”. Maybe being slumped compresses the ribs and affects heart and lung function somehow?

One of the best things you can do for the upper back, to reduce this forward flexion, is FOAM ROLLING. Studies have shown that just a few minutes is enough to increase mobility in the upper back.
https://sanartewellness.com/products/doble-roller

Here are all the links to the studies cited above:

https://www.ncbi.nlm.nih.gov/m/pubmed/15450042/?fbclid=IwAR2LUJpIrPUG5280AHc3nUHDzWCtRBqFp5gRW_Y6_OsOQGfXhpYh-eShodw

https://www.ncbi.nlm.nih.gov/m/pubmed/15972617/?i=2&from=/15450042/related

https://www.ncbi.nlm.nih.gov/m/pubmed/17595423/?i=3&from=/15450042/related

https://www.ncbi.nlm.nih.gov/m/pubmed/16491290/?i=4&from=/15450042/related



When you experience sudden, sharp pain in your back, it can be pretty scary. How do you tell if something serious is going on, or if it’s something more straightforward?

Here is a link to a great article I just read which outlines in basic terms the key differences between back pain that is musculo-skeletal in nature (ie straightforward), and back pain that is coming from a more serious underlying condition. A lot of times when the pain is severe it can be extremely concerning, and this article helps explain a lot of what is going on.

Some key points:

People understandably assume that if their pain is very intense, then that means it is a really bad problem. In fact, pain intensity is a poor indicator of back pain ominousness.

Herniated discs aren’t actually that big a deal, most back pain goes away on its own (even “chronic” low back pain! especially if you’re Australian), and simple muscle knots can be shockingly intense without ever being dangerous.

If you are experiencing true numbness around the groin and buttocks and/or failure of bladder or bowel control, please consider it serious — do not wait to see if it goes away.

These symptoms indicate spinal cord injury or compression and require immediate attention.

The article also has a list of the more serious causes (cancer, infections, inflammatory arthritic conditions) and their features. The names of the conditions link to carefully chosen articles from good sources.

CLICK HERE TO READ THE ARTICLE.

Osteopaths are trained to differentiate between serious underlying pathology and normal musculoskeletal causes of back pain. They study for 5 years and are registered with AHPRA as Doctors in Australia. If you have back pain and want to ask us a question, email harleyplacehealth@gmail.com any time and we will be happy to have a chat to you.

I wanted to share this article from the Harvard Medical School website which outlines steps you can take to make sure your New Years Resolutions come true.

It’s a great idea to make resolutions, especially if they involve improving your health or taking better care of yourself. But making the resolution is only the beginning. Improving your health involves making regular efforts to eat well, exercise more, drink less etc.

It can be hard to instantly make these kinds of changes so this article gives some great advice to help you be successful.

Click here to read the link.

The 7 steps are:

1. Dream big.

2. Break big dreams into small-enough steps.

3. Understand why you shouldn’t make a change.

4. Commit yourself.

5. Give yourself a medal.

6. Learn from the past.

7. Give thanks for what you do.

At the bottom there is also a link to a free download for further information:
Get the Special Health Report, Simple Changes, Big Rewards: A practical, easy guide for healthy, happy living to learn how to incorporate simple changes into your life that can reap big rewards.

For those of you who are lucky enough to be jumping on a plane to head somewhere this holiday season, we wanted to outline a few tips and tricks to make your trip as pain free as possible.

Travelling is great, but it’s also easy to hurt yourself. Sitting on planes for long periods of times, lifting heavy bags, sleeping in weird beds, using a different pillows, and getting out of your normal exercise routine. All of these things can conspire to cause injury or pain and ruin your holiday.

Here are a few things to think about.

One of the most common times people get injured is right at the start of their trip. Lifting a bag into an overhead locker can do it – if your bag is heavy, or you are being squashed in the aisle by other passengers, or the space you are trying to fit the bag into is cramped. Any of these can make a relatively easy lift much more difficult. Take your time, look for the gap, or get some help if you think you need it.

When you land and are picking up your bags is another risky time. You may have been sitting for many hours on your flight, and be stiff as a result. You may be dehydrated. You will almost certainly be tired. These are risk factors. So when you get to the baggage carousel, be careful. The two worst things you can do when lifting are reach a long way, or bend and twist at the same time.

So get as close as you can to the carousel, and lift from front on. Don’t let other people cramp your style, and don’t rush to grab your bag and do it the wrong way. Take the extra minute to find a place you can lift safely from and do it properly, your back will thank you.

I take a massage ball when I travel in my carry-on luggage. I use it to massage my hamstrings, plantar fascia, and glutes to keep them loose. You can also use it when you get to your hotel room to release between your shoulder blades. A foam roller water bottle is also a good idea – you need a bottle to stay hydrated, and having a foam roller at the other end is a godsend after that 24 hour trip to the other side of the world.

The other key thing is to keep moving. I don’t sit a lot at airports. I’m about to be sitting for a long time, so I walk around, do a couple of little stretches, and drink lots of water before I board. That way if I do happen to get stuck drinking gin n tonics for a few hours watching B grade movies I’ve at least given myself a good headstart. Same in transit – walk the corridors of the transit airport, stretch, get the blood flowing. The more you move, the better you’ll feel at the other end.

Safe travels and if I don’t see you, have a fantastic holiday period, take some time to relax and recuperate, and my best wishes for a happy and health 2020!

At this time of year we always see a lot of people with injuries related to the sudden desire to quickly get in shape. Their exercise regime drifted a little over the winter months but with Summer approaching they need to get their bikini body back. Bravo I say! But, we need to temper that enthusiasm/desperation with a little common sense. If you’re trying to fit 6 months worth of training into the next 6 weeks you could overdo it and hurt yourself.

I think the most common times people get injured is when they start a new activity, or when they make a big change to the amount of exercise they are doing, even if it is something they have done before. To give you an example, if you’ve never included running in your fitness program but start doing so, that’s a time when your body is adjusting to the new stimulus and as such you’re prone to injury. Or if you usually run 5km three times a week but change to 10km five times a week, that’s also a time when you’re prone to injury.

It’s a fine line; you want to push yourself to get fitter, but if you push too hard you can hurt yourself. When you’re exercising, there inevitably comes a time when you will feel a bit of discomfort. When you reach that point you might wonder whether you can keep going and push through it, or if doing so could cause an injury. There is such a thing as ‘good pain’, which is the pain you feel during exercise but in the absence of an injury. Then there’s ‘bad pain’, which is the pain you feel when you have suffered an injury.

How do you tell the difference between good pain and bad pain? In other words, what are the signs that you may have injured yourself and you should stop your workout? Bad pain has the following characteristics:

• The pain you’re feeling is ‘sharp’

• The pain you’re feeling is ‘shooting’, or accompanied by numbness, tingling or pins and needles

• There was a sudden onset of pain

• The pain developed in association with something ‘popping’, ‘clicking’, ‘snapping’ or ‘giving way’ underneath you

What does good pain feel like? Think about when you climb a really tall set of stairs or a steep hill. As you start to breathe harder, you get less oxygen to your muscles. When that happens you start to develop lactic acid. At the beginning you feel almost nothing, then it becomes slightly uncomfortable, then if you’re able to keep going, it becomes really uncomfortable. So we would say that one point of differentiation from bad pain is that good pain has more of a gradual build-up.

The location of the pain is also a clue. Good pain will be generalised to a region, whereas bad pain is quite specific. For example, if you’re ‘feeling the burn’ in your quads from climbing stairs (good pain), then most likely the entire front of your leg will feel it, all the way from your knees to your hips. On the other hand, if you tear or strain your quadriceps (bad pain), the location of the pain will be a lot more specific – you’ll feel sharp pain right at the point of the tear and in a small area surrounding it.

I’m sure you’ve all watched something like the Olympic Games, where you can see prime examples of the two types of pain. For instance, in the 100m when someone tears their hamstring, they grab their leg as if they’ve been shot. They feel sharp, shooting pain that has a sudden onset, the leg gives way underneath them and they’re unable to continue.

Then you see someone in a longer-distance event with a grimace on their face as they push on and on. They’re definitely in pain, but the pain has built up gradually and doesn’t affect their ability to keep running (well, for a while at least). While this is not a nice feeling, this is the ‘good pain’ we’re talking about.

There’s a fine line between pushing yourself and hurting yourself. It just comes down to using a bit of common sense. Build up your training gradually. Warm up a little before going too hard. If something doesn’t feel right, you’re better off missing part of a session and being okay for your next session than trying to get a little bit more done and having to miss the rest of the week.

If you’re concerned that you may have hurt yourself, give us a call or send us an email and we can guide you on what to do next.