March 2019 – Explaining Pain

Explaining Pain
by Catherine Macrae

‘All Pain experiences are a normal response to what your brain thinks is a threat’

The construction of the pain experience in the brain relies on many sensory cues. There are danger sensors throughout the body (Nociceptors), that when excited to a critical level, pass a message on to the spinal cord. Here excitory chemicals are released, which in turn can lead a message to be sent to the brain. The brain relies on credible evidence to process and decide if and what response is required.

Pain is not always produced. Sometimes the brain concludes that other behaviours such as movement are more appropriate to avoid threat or injury.

THE AMOUNT OF PAIN YOU EXPERIENCE DOES NOT ACCURATELY RELATE TO TISSUE HEALTH
Pain is only a protector. The unpleasant feelings produced by the brain are designed to change your behaviour, to allow for your tissues to heal or to avoid perceived threat.

SOMETIMES PAIN IS NOT HELPFUL especially when it persists. All tissues will heal, and the majority of pain will be gone within 3 months. However when Pain becomes persistent, the nociceptors are conditioned to become more sensitive to stimuli.

WE LEARN PAIN and become better at producing it. With Persistent pain thoughts and beliefs become more involved and can contribute to the problem.

RETRAINING THE PAIN SYSTEM:Accept that ‘Retraining the brain is complex’
We cannot easily ‘switch off’ the brain.Using Pain as your guide is also not always helpful. This can lead to drastic limitations of activity and meaning in life.

HOW CAN WE HELP?
Through education and helping you to understand your pain better, the research proves that it can help you cope, and shift unhelpful attitudes and beliefs about your pain.
We can also support you in moving more than you are or believe you are currently capable of through pacing and graded exposure techniques.

Read more about Pain from Lorimer Moseley, one of the world’s leading Pain Scientists at:
https://www.tamethebeast.org/

Our team at Motion Health is available for any further questions

January 2019 Newsletter – Benefits of Exercise Physiology

Benefits of Exercise Physiology

In Australia close to 60% of people do not meet physical activity guidelines. This has played a major factor in the increased rates of obesity, metabolic disease and numerous other conditions. Along with the preventative aspect of exercise, research has shown that exercise is just as effective or more effective than common medications that you might be already taking.

Exercise has been shown to reduce the risk of type 2 diabetes by almost 60%. This can help keep your blood sugar levels lower and more stable throughout the day. When compared to common medications exercise can actually be more effective – reducing not only the chance of you requiring medication but also your reliance on current medication.

Likewise, exercise has been shown to decrease the amount of fatal heart attacks by up to 50%, improve the breathing of those with lung disease by 70% as well as all the extra benefits of an active & healthier lifestyle.

Like any medication, the correct dose is required not only make the intervention safe but to obtain optimal outcomes. This includes things like the intensity, type, frequency and duration of the exercise. Exercise should be prescribed in a way that considers precautions, medication effects and the condition itself. This is where the role of an Accredited Exercise Physiologist comes in.

Accredited Exercise Physiologists (AEP’s) specialise in clinical exercise prescription and the delivery of exercise and lifestyle medication programs for people who are at risk of, or living with chronic disease. An EP consultation can help guide the way you exercise during a class or at home, ensuring the correct exercise dose and volume or can assist you in managing many common conditions.

Some of the conditions our AEP’s can help treat and/or manage are:

  • Obesity
  • Diabetes
    • – Including the 8 week program under Medicare
  • Impaired glucose tolerance
  • Asthma
  • Hypertension
  • Pre and post surgery
  • Osteoporosis
  • Lower back pain
  • Depression
  • Postural imbalance
  • Cerebral Palsy
  • Arthritis
  • COPD
  • Fibromyalgia
  • Falls and poor balance
  • Cancer
  • Occupational Injury
  • Multiple sclerosis
  • Cardiovascular disease
  • Stroke

If you think you or someone you know might benefit from Exercise Physiology, please contact us on 03 9825 2697 for further information.

July Newsletter – National Diabetes Week 8 -14th July

diabetes week

Did you know that exercise not only reduces your risk of diabetes by up to 60% but also plays a vital role in the management of the condition?

Type 1 Diabetes Mellitus – T1DM
In T1DM the body is unable to produce insulin due to compromised cells in the pancreas. This results in elevated blood glucose levels (BGL), as the body without insulin is unable to absorb and use the glucose for energy.

Type 2 Diabetes Mellitus – T2DM
T2DM is often known as lifestyle diabetes, and is a permanent health condition that occurs as a result of sustained elevated blood glucose (sugar) levels. Over time the body becomes increasingly glucose intolerant as the body is not able to produce sufficient amounts of insulin to regulate blood glucose levels.

Some things to know about diabetes:

Excess weight and sedentary lifestyle are two of the main risk factors for T2DM. Over 80% of people diagnosed are considered to be overweight or obese.

Abdominal weight dramatically increases your risk of diabetes. Weight held around the midsection is a major risk factor and can impact on the function of your vital organs. The highest risk occurs when waist circumference is over 94cm for males and 88cm for females.

Diabetes can lead to complications and further chronic conditions. Both type 1 and 2 diabetes increases one’s risk of developing further complications and/or conditions. This can be reduced with correctly prescribed exercise.

Lifestyle modification can be just as effective as medication. Studies show that diet and exercise interventions can work just as well as some common medications. It is also important to note that while taking medication, exercise is still required to manage BGLs.

Accredited Exercise Physiologists (AEP) are expertly trained to help manage diabetes. AEPs are the peak allied health professional to prescribe exercise for diabetes and other chronic conditions. An AEP will be able to tailor an individual management plan, by completing a thorough assessment, including medical history, medications, and necessary GP correspondence.

At Motion Health we have Exercise Physiologist’s who can help you mange your diabetes, whether through 1:1 sessions, group classes or as part of our type 2 diabetes management group. You may even be eligible for a Medicare rebate or rebate through your private health.

April Newsletter – Exercise & Cancer

exercise and cancer

The Role of Exercise in Cancer Treatment

Cancer is a term that describes a disease in which abnormal cells multiply in an uncontrolled manner. There are many forms of cancer though the most common types include prostate cancer, bowel cancer (colon and rectal cancers), breast cancer, melanoma of the skin, and lung cancer. Most people would know of someone in their community that has some form of cancer, be it a family member, a friend, work colleague or you personally are affected.

Although there have been advances in cancer treatment over the years, treatment-related side effects are still common and may persist for long-term survivors. Common side effects of treatment include fatigue, pain, impaired immune function, non-optimal changes in body weight and composition, worsened bone health, fluid build-up that causes swelling in various body parts (lymphoedema), and gastrointestinal (bowel) changes. All of these side effects can greatly impact on quality of life and activities of daily living. This can also impact loved ones or carers of those with cancer and further the burden.

Exercise plays a vital role in both the prevention and treatment of cancer. Exercise can assist to improve aerobic capacity, increase strength, improve bone density and body composition as well as have benefits of psychological status. An appropriately qualified health professional such as an Accredited Exercise Physiologist can assist in designing and implementing an exercise program that is appropriate for the stage of cancer treatment that a patient is at (i.e. during and post-treatment).

Recently, the Clinical Oncology Society of Australia received media attention when they released a position statement on exercise in cancer care. The main recommendations that came from this position statement were the following:

“Exercise to be embedded as part of standard practice in cancer care and to be viewed as an adjunct therapy that helps counteract the adverse effects of cancer and its treatment”

“All members of the multidisciplinary cancer team to promote physical activity and recommend people with cancer adhere to exercise guidelines”

“Best practice cancer care to include referral to an accredited exercise physiologist and/or physiotherapist with experience in cancer care”

At Motion Health, we have a team of Accredited Exercise Physiologists that are passionate about giving you quality exercise services and care. If you know someone with cancer that would like to improve their quality of life and physical capacity then contact reception at Motion Health to organise an appointment.

February Newsletter – Private Health Insurance Reforms

private health insurance reforms

Pilates Rebates

You may remember the government announcement late last year regarding a reform package for the Private Health Insurance sector.

Commencing April 2019, private health insurance will no longer cover natural therapies, including aromatherapy, Bowen therapy, Buteyko, Feldenkrais, herbalism, homeopathy, iridology, kinesiology, naturopathy, Pilates, reflexology, Rolfing, shiatsu, tai chi and yoga.

However the APA (the Australian Physiotherapy Association) have advised that members should not be unduly concerned about the removal of Pilates from the list of rebateable natural therapies. Any physiotherapist delivering a one-on-one or group consultation on any patient(s), whether it be classed as Pilates or something else, is unaffected by the PHI reform package. Their patients’ ability to claim for the service will be unaffected. The same will apply to accredited Exercise Physiologists.

The APA understands that physiotherapists who incorporate Pilates treatment into their overall management of patients do so with a full understanding and assessment of the patient’s condition, and with ongoing reassessments and modifications to the patient’s treatment as required.
Physiotherapist-instructed Pilates is one part of a wider range of treatment options utilised by our members in these instances, and is in line with the best practice, evidence based contemporary care that physiotherapists employ.

The reform package measures have been set with the understanding that there is a clear difference between physiotherapist-instructed Pilates programs and those used by other practitioners. As a result, physiotherapists utilising Pilates methods in their patient treatment plans will not be affected by these changes.

All of our staff here at Motion Health fall under the category of Accredited Physiotherapists and Exercise Physiologists.

November Newsletter – Exercise for Heart Health

heart health

EXERCISE FOR THE HEART

It can be daunting trying to understand what you should and shouldn’t do if you have some form of heart disease. Exercise often falls in this category with conflicting advice given on what is safe and appropriate.

Correctly prescribed exercise can be used in two ways: – to prevent the development of heart disease and to help treat and manage the disease and symptoms. Research indicates that correctly used exercise can be as effective as common medications in managing theses conditions. Heart disease is currently the leading cause of death in Australia, killing one person every 12 minutes.

Two of the most common forms of heart disease are:
Chronic Heart Failure (CHF) – occurring when the heart can no longer effectively pump blood to the lungs and rest of the body.
Coronary Heart Disease (CHD) – occurring when the blood flow through the coronary arteries, which supply the heart muscle with oxygen, is restricted.

Exercise is vital to manage the above conditions but also one of the best ways to help prevent them.
For example:
Regular exercise can help reduce the LDL (bad cholesterol) build up in your arteries and increase the HDL (good cholesterol) which works on top of this to further remove LDL deposits.
With as little as three minutes of appropriately prescribed exercise you can reduce your systolic (the upper value) blood pressure immediately, an exercise session can reduce your BP for up to 24 hours. Frequent exercise can provide a chronic effect of lowering your blood pressure. All of which reduce your risk of heart disease.
High blood pressure is one of the biggest risk factors for heart disease.

As your blood pressure increases above the normal range of 120/80mmhg your risk of CVD (Cardiovascular Disease) also increases. It is also important to remember that not only does your risk of CVD increase dramatically if you don’t meet physical activity guidelines but it also increases with more sedentary time.Current guidelines state that you should aim for 150minutes (2.5hours) of moderate intensity activity each week. That is exercise that makes you breathe harder and makes your heart beat faster, but still allows you to hold a conversation without getting short of breath.

Exercise can be made up of aerobic exercise or resistance training. Both work in different ways to help reduce your risk or treat your symptoms of heart disease.

If you have a chronic disease it is recommended that you consult an Accredited Exercise Physiologist before you commence exercise as they will being able to conduct the appropriate exercise testing and prescribe a program tailored to your functional capacity, physical limitations, and exercise and medical history.

If you don’t have a chronic condition but are interested in reducing your risk and improving your health it is important to remember that any exercise is better than none. Find something that you enjoy and feel comfortable doing. If you need advice on setting goals or a plan, or even a program prescribed for you; an Accredited Exercise Physiologist or Accredited Exercise Scientist are ideally trained to assist.

Exercise Physiology is an effective way to manage chronic disease and injury. At Motion Health we specialise in Exercise Physiology and will discuss a program that suits your lifestyle, age and fitness. We are open 6 days a week.

October Newsletter – Exercise for Bone Health

exercise for bone health

Bone forming cells decline after the age of 35 years. Low bone mass is of concern as it can increase the likelihood of bone fractures.

Low bone mass is diagnosed with a DEXA scan and is categorised into two categories:
– Osteopenia: a bone density score between -1.0 and -2.5
– Osteoporosis: a bone density score -2.5 or more..

Osteoporosis is a condition in which the bones become weak and can break from a minor fall, or in severe cases, a simple action like sneezing.

Women tend to lose bone density earlier in life than males and can experience a rapid decline of bone density after menopause because the effects of oestrogen withdrawal. Oestrogen deficiency at menopause alters the bone resorption and bone formation meaning that the bone loss exceeds the rate of bone building. Women can lose up to 20% of their bone density in the first 5 to 7 years following menopause. Men are not exempt from this condition with the rate of their bone resorption to formation ratio decreasing typically at 70 years of age

The most common risk factors include hereditary, estrogen deficiency, physical inactivity, low muscle mass/strength, smoking, alcohol, low calcium intake, low Vit D exposure and history of fractures. Low bone density can also be the result of medications (particularly steroid based medications) or other conditions (cystic fibrosis, rheumatoid arthritis, anorexia). Fractures resulting from Osteoporosis are most likely at the hip, spine and wrist, but any bone can be affected.

There is strong evidence to prove that appropriate exercise training is vital in slowing the decline of bone density as well as reducing fracture risk in those diagnosed as Osteoporotic or Osteopenic. Regular aerobic, weight bearing, posture, balance and resistance training all play an important role in addressing different factors in treating low bone density and the associated fracture risk.

The National Osteoporosis Foundation recommends the following steps to optimise bone health and help reduce risk of Osteoporosis

1. Obtaining the appropriate age related amounts of calcium and Vitamin D a day
2. Engaging in regular weight bearing and muscle strengthening exercise training
3. Avoiding tobacco use and excessive alcohol intake
4. Becoming educated about bone health
5. Having a bone density examination and taking medication when recommended.

Current exercise guidelines state you should aim for 150minutes (2.5hours) of moderate intensity activity each week. That is exercise that makes you breathe harder and your heart beat faster, but still allow you to hold a conversation without getting short of breath. It is important to see the right professional to ensure you are exercising appropriately.

If you have been advised that you have low bone mineral density, it is recommended you consult an Accredited Exercise Physiologist before you commence exercise as they will be able to conduct the appropriate exercise testing and prescribe a program tailored to your functional capacity, physical limitations, and exercise and medical history.

If you don’t have any bone density concerns but are interested in reducing your risk and improving your health it is important to remember any exercise is better than none. Find something that you enjoy and feel comfortable doing. If you need advice on setting goals or a plan, or even a program prescribed for you, an Accredited Exercise Physiologist or Accredited Exercise Scientist are ideally trained to assist.

Exercise Physiology is an effective way to manage chronic disease and injury. At Motion Health we specialise in Exercise Physiology and will discuss a program that suits your lifestyle, age and fitness. We are open 6 days a week.

July Updates – Strength & Balance

strength and balance

Strength and Balance

Did you know that over the age of 65, one third of Australians fall each year? This can result in physical injury, loss of independence, and decreased confidence, not to mention a negative impact on overall health and well being.

At Motion Health, we offer a Strength & Balance group which aims to help people improve balance and exercise tolerance, reducing ongoing risk of falling.

Through exercise we are able to improve muscular strength, balance, confidence, walking speed and the ability to continue to complete daily activities.

The group is conducted by a qualified Exercise Physiologist in a small group setting. With no more than 6 per group, this is the perfect opportunity to enhance quality of life and meet new people.

If you or anyone you know would benefit from the class, please contact our friendly reception team on your next visit or call 03 9825 2697

Are you missing out on a life-changing Medicare service?

life changing medicare service

A new report has found that millions of Australians are missing out on a health service that could dramatically improve our lives, especially those of us who are living with chronic disease.

Independent advisory practice Deloitte Access Economics in conjunction with Exercise & Sports Science Australia released a research paper showing that only 1 per cent of patients eligible for free exercise physiology sessions are being referred.

These sessions are Medicare funded and provide support for clients with conditions such as cardiovascular disease, pre-diabetes, diabetes, osteoporosis, mental health problems, cancer, arthritis, pulmonary disease and more.

Exercise physiologists assess you movement capacity and prescribe appropriate exercise therapy, which the paper shows can improve people’s health, stave off more serious conditions and save the government thousands of dollars per patient.

ESSA Chief Executive Officer, Anita Hobson-Powell, said while almost 50 per cent of Australians are living with some form of chronic disease such as diabetes, depression and cardiovascular disease, and as many as 13 million Australians are at risk of chronic disease, very few were referred to an exercise physiologist.

“At present, eligible patients are entitled to access specialised exercise interventions from an accredited exercise physiologist that are subsidised by the Australian government through the Medicare Benefits Schedule annually. However, it is apparent these service offerings are being largely overlooked, which can be of detriment to patient care and the broader economy,” Ms Hobson-Powell said.

  • An accredited exercise physiologist can help you
  • overcome persisting pain caused by injury or overuse;
  • improve your heart health;
  • get back on your feet after a cardiac event;
  • control your diabetes;
  • prevent pre-diabetes from progressing to full diabetes;
  • improve your recovery following cancer treatment; and/or
  • improve your general health and wellbeing.

If you are suffering any long-term health issues, be sure to ask your doctor for a referral to an exercise physiologist to make the most of this potentially life-changing health service.

Were you aware of this service? Could it be of help to you? 

http://startsatsixty.com.au/health/are-you-missing-out-on-a-life-changing-medicare-service