Dry Needling

Dry Needling

Dry Needling for the Treatment of Tension-Type, Cervicogenic, or Migraine Headaches.

 

Do you suffer from TTH (Tension-Type Headaches)? Our Remedial Massage Therapists at Gold Coast Physio & Sports Health may be able to help you.

Dry needling, also known as trigger point dry needling and intramuscular stimulation, is a technique used by various healthcare practitioners. It is used to treat dysfunction of skeletal muscle and connective tissue, minimize pain, and improve or regulate structural or functional damage.

The synthesis of results in a Systematic Review and Meta-Analysis by Dr. Jan Dommerholt and his peers, published on PubMed by Oxford University Press on behalf of the American Physical Therapy Association, showed that dry needling could significantly improve headache frequency, health-related quality of life, trigger point tenderness, and cervical range of motion in TTH and CGH.

Book a consultation with one of our Remedial Massage Therapists to see if this approach is suitable for you and receive a personalized action plan to suit your specific needs. Book online www.mygcphysio.com.au or call us on 07 5500 6470

Problems with Squatting?

Problems with squatting??

Did you know that not everyone’s squat position will look the same? Some people will have a nice deep squat position and some people will never be able to squat below parallel. Many people blame their flexibility and say they need to stretch more, however this is not always the case. For some people now matter how much they stretch they will never be able to achieve a deep squat position because of their individual anatomy.

There are many factors that will affect the type of squat that will be best for you. Firstly your ankle range of motion will play a part in how deep you can squat. If your ankles are stiff and your knees are unable to shift forward over your toes then your bottom will have to shift backwards instead of dropping down. This means your squat position will not be as deep. You can stretch your ankles to help with this range of motion, or if you prop your heels on a small plate then this will mean you don’t need as much range of motion from the ankle and will allow your bottom to drop down further.

The ratio of your limb length will also effect your squat position. If you have relatively short femurs compared to your tibias then you will be able to drop straight down into a good position. If your femurs are long then your bottom will shift backwards and torso forwards to keep your center of gravity over your base of support. Again if you prop your heels up on a small plate this will help you achieve a deeper more upright position. This is one of those issues that will obviously not change no matter how much you stretch. So rather than trying to change your body to achieve a deeper squat, accommodate the squat position to your anatomy.

Hip range of motion plays a big role in what your squat will look like. Everyone’s hips are different. Some people’s sockets face more forward, other more to the side. Some people’s sockets are deeper and some are quite shallow. The neck and head of the femur will also be different. Some people may have extra bony growth around the neck of the femur which will limit how far the hip can flex. Also the angle of the neck of the femur will effect how the hip joint moves. This is why some people will feel more comfortable with a narrow foot position, and others will need to have a much wider foot position.

Squat depth will always be limited for those who have a deep hip socket or extra bony growth around the hip joint. This is because as the hip flexes it will hit a bony end point. Trying to push range of motion for these people can lead to irritation of the hip joint, pinching of the joint capsule or tearing of the labrum (cartilage inside the joint). For this reason people with this type of anatomy should always limit their squat depth. The best way to do this is to squat down to a box or bench. Again propping the heels up on a small plate will allow the torso to stay more upright resulting in less hip flexion. The bar position can also effect how much the hip has to flex. Holding the bar in a low position (across the posterior deltoid) will cause the torso to lean further forward causing more flexion at the hip. However if you hold the bar  in a high position (on top of the upper traps) or even in a front rack position (across the front of the shoulders) this will keep the torso more upright resulting in less hip flexion.

There are some people who’s hips aren’t limited by a bony block, rather just muscle tightness or connective tissue stiffness of the joint capsule. This means there is potential to increase range of motion by stretching the hip joint. However, generally for these people their tissues have a higher percentage of collagen and a lower percentage of elastin making them “stiffer” and less stretchy than others. If this is you, then you will need to be extremely diligent with stretching to notice a difference in your mobility. Also stretching before you train combined with a good warm up will be important to help you get into a more optimal position while squatting.

Another common issue with squatting is known as a “butt wink”. This is when the tailbone tucks under in the bottom position causing flexion at the lumber spine. This is actually quite dangerous as lumbar flexion while having a weight across the shoulders puts a lot of pressure on the intervertebral discs and increasing potential for a disc injury. There are a number of reasons why people may have a butt wink. It could be because the hip has reached its end range of flexion, so to get deeper into the squat the spine will flex. If this is the case then the squat depth should be limited due to the risk of injury in this position. The other reason this can be happening is weakness in the muscles that keep the back in a nice upright position. If this is the case then specific exercises may be needed to strengthen the muscles that keep the back straight.

In short rather than getting frustrated about not being able to get “ass to grass” with your squat, understand why this might be the case. This will help you accept that you may never have a deep squat, and perhaps feel more comfortable with making adjustments like propping your heels or limiting depth. For some people squatting just isn’t the most effective movement pattern from them, and perhaps using other movements to develop leg strength will be a better option.

If you’ve been having issues with your squat and would like an assessment. Contact the clinic and book an appointment so we can identify your limitations and make adjustments as necessary – phone us on 07 5500 6470

What is a Healthy Snack?

Written by Rebecca Evans [B. Hlth Sci (Nut & Diet) (Hons.), APD, AN B App Sci (HMS) (Hons.)]

Generally a snack would ideally include a combination of the macro nutrients (I.e. Carbohydrates, protein and healthy fats).  As the word describes, a ‘snack’ should be a small meal that is used to minimise hunger (and ideally prevent over eating), keep your metabolism kicking, to help stabilise your blood sugar levels and to maintain your energy levels throughout the day.   So what are some guidelines for a good healthy snack?

It is recommended that the average healthy Australian adult should consume 8700 kilojoules (or about 2000 calories) per day.  So if we break this down, a meal for the average person would therefore contain between 300-500 calories (1260-2310kJ) and a snack should contain 100-200 calories (420-840kJ) of energy.  Eating infrequently throughout the day and allowing over 5 hours between meals has been correlated with poor food decisions, risk of developing chronic conditions such as type 2 diabetes, increased fat stores and decreased metabolism.

When choosing snacks it’s important to understand the general guidelines to the amount of energy you should be consuming per snack.  For instance….

For weight loss Choose 100 Cals/ 420kJ at each snack.

For weight maintenance Choose 200 Cals / 840kJ at each snack.

For weight gain Choose 300 or more Cals / 1260kJ at each snack.

Examples of snacks equal to 100 calories:

  • 1 large apple OR pear
  • 2 punnets of strawberries
  • 5 prunes
  • 1 small mango
  • 14  (20g) Almonds or Cashews
  • 4 (20g) brazil nuts
  • 2 tbs (20g) pepitas seeds or pinenuts
  • 1 x 200g Nestle Diet Yoghurt (All flavours)
  • 1 x 170g Dairy Farmers Thick & Creamy Light yoghurt (All yoghurt)
  • 1 x 200ml glass Light, Skim or Soy milk
  • 2 Vita wheats + 1 slice Bega Extra light cheese
  • 1 x 200ml Skinny Cappuccino or Latte
  • 1 x Be Natural Trail Bar (most flavours)
  • 1 x Weight watchers Apple crumble or Lemon Delight Bar
  • 13 x Sakata Wholegrain rice crackers
  • 30g Hummus + Carrot and Celery sticks
  • 1 slice Raisin Toast with a scrape of jam
  • 1 slice toast with tomato and herbs
  • 1 x Arnotts individual Tim Tam biscuit
  • 1 x Lindt Lindor Ball or 1 Cadbury Freedo Frog or 1 Milky way

Examples of snacks equal to 200 calories:

  • 1 slice wholemeal toast with margarine and peanut butter
  • ½ English breakfast muffin with 1 slice (20g) cheese
  • 1 sachet of instant porridge with 100ml low fat milk
  • Kids size low fat boost juice
  • 1 x Carmen’s muesli bar OR Carmen’s Muesli Round
  • 1 x Be Natural Nut Bar
  • 1 x 150g tub Yoplait Le Rice (most flavours)
  • 1 cup Plain Greek No Fat Yoghurt OR ½ cup Greek Style yoghurt
  • 200g Jalna Low Fat Yoghurt
  • 3 x small pikelets with spread

Enjoying a wide variety of foods on a weekly basis helps to achieve your bodies energy and nutrient requirements.  Keeping in mind that reducing/removing bad fats (Saturated and Trans fatty acids) from your diet but introducing good fats such as poly- and mono- unsaturated fats can  help to keep your body fighting fit and weight under control.

For more information about healthy snacking, or to give your meal plan the once over, book in to see one of our Accredited Sports Dietitians from Eat Smart Nutrition Consultants Gold Coast.  Amelia Webster is based at GCPSH Runaway Bay clinic on Friday afternoons and Rebecca Evans works from the Burleigh Heads clinic on Wednesday afternoons.  For more information about Amelia and Rebecca, head to Eat Smart Website.

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