Monthly archives: November 2019


Trochanteric Bursitis

 Hip or Buttock Pain?

Trochanteric Bursitis


Valued Health Osteopathy

3/658 Centre Rd, Bentleigh East, 3165


What is Trochanteric Bursitis?


Diagnosed with Trochanteric Bursitis? – Make an appointment today!


Have you started to take advantage of the better weather by getting outside and moving? Most of the time getting out and moving is great for our bodies, however, sometimes (e.g. after a winter slump) the movement can be a bit of a shock for us and cause extra stress or strain to different parts of our bodies. It’s okay though, we are here to help you move, grow and thrive through life!


One condition that might occur is something called Greater Trochanter Pain Syndrome (GTPS, otherwise known as Trochanteric Bursitis). The pain is primarily caused by tendinopathy of the gluteus medius, gluteus minimus or the surrounding bursae (3). It’s estimated to affect between 10-25% of the general population and is most common in our 40’s to 60’s (5). GTPS may be caused by trauma, repetitive high-intensitiy use of the hip and buttock muscles (recent return to exercise anyone?) and may be predisposed by dysfunction of the surrounding joints or muscles (that’s where we can help!)


GTPS is characterised by persistent pain in the lateral hip or buttock (and may radiate down the outside of your leg) which is exacerbated by lying on the affected side, prolonged standing, driving, climbing stairs, running or other high impact activities (5).
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What is tendinopathy? It is a clinical syndrome most commonly resulting from repetitive motion or overuse of a tendon resulting in pathology of that tendon causing pain, swelling and impairment of function (4). It may be inflammatory in the early stages and progress to a degenerative process if it becomes chronic.
What is a bursae? Bursae are a pretty great inventions by the body. They are small sacs lined by synovium that produce synovial fluid to help lubricate and cushion areas of friction between tissues e.g. bone and muscle, tendons, ligaments and skin (1). There are many bursa throughout our bodies working hard and helping us out daily, but occasionally they get inflamed and we suffer from a condition called bursitis. When the bursa becomes inflamed, it swells and can’t do its job as well and causes pain (2). This can happen in many places, but is common in the shoulder, hip, knee and ankle.
What can we do about GTPS? Your Osteopath will take a thorough history and complete an extensive examination to determine exactly what the cause of your pain and dysfunction is. Once they have determined the cause, they may:
  • Mobilise the restricted joints that might be contributing to the dysfunction (e.g. your lower back, hip, knee, ankle/foot)
  • Address the tight/weak muscles that may be causing pain, dysfunction and compression
  • Provide you with some strengthening exercises if they have identified any weaknesses and provide you with certain mobility exercises
  • Advise you how to modify the exercise you are already doing, to help prevent the injury from re-occurring
  • If you aren’t responding to Osteopathic Treatment as expected, your Osteopath may advise you to follow up with your GP for further imaging of the area, or further medical intervention if clinically indicated or for a referral to a specialist.

If you have any questions or you would like to make an appointment and see if Osteopathy may help you, do not hesitate to contact one of our team at Valued Health Osteopathy on (03) 9570 9061. We look forward to hearing from you!


If there is anything in your way of achieving these goals that you think our Osteopaths may be able to help you with, please contact the clinic speak to one of our Osteopaths at Valued Health Osteopathy in Bentleigh East about your treatment and rehabilitation options. Call or book online today.


(03) 9570 9061

www.valuedhealth.com.au


Hip pain, Greater Trochanteric Pain Syndrome, Trochanteric Bursitis, Osteopath Melbourne, Shoulder pain, Osteopath Cheltenham, Osteopath Moorabbin, Osteopath Brighton, Osteopath Oakleigh, Osteopath Ormond, Osteopath McKinnon, Shoulder Injury, Osteopath, Osteopath Bentleigh East, Osteopath East Bentleigh, Osteopath Bentleigh, Osteopath Oakleigh, Osteopath Oakleigh South, Osteopath Brighton, Osteopath Ormond, Osteopath Moorabbin, Osteopath Mckinnon, Rotator cuff, Rotator cuff tear, Impingement syndrome, Frozen shoulder, Bursitis, Adhesive capsulitis, Impingement syndrome, Supraspinatus tear, shoulder rehab, shoulder rehabilitation, AC joint.

You do not need a referral to see one of our friendly Osteopaths at Valued Health Osteopathy. We have a very good relationship with many surrounding doctors, other health practitioners and personal trainers in the local community of Bentleigh East , Bentleigh, Ormond, McKinnon, Oakleigh, Carnegie, Caulfield, Moorabbin, Murrumbeena, Brighton, Clayton and Clarinda.


Valued Health Osteopathy offers:

Osteopathy

Clinical Pilates

Exercise Rehabilitation

Strength & Conditioning


Valued Health Osteopathy is open 6 days a week with early morning and evening appointments. Move better with Osteopathy!


Valued Health Osteopathy is located at 3/658 Centre Road, Bentleigh East, Melbourne, Victoria, 3165.


Valued Health OsteopathyOsteopathy Australia


Osteopath Bentleigh East, Osteopath Bentleigh, Osteopath Ormond, Osteopath McKinnon, Osteopath Moorabbin, Osteopath Murrumbeena, Osteopath Oakleigh, Osteopath Carnegie, Osteopath Caulfield, Osteopath Clayton, Osteopath Brighton and Osteopath Cheltenham, Osteopath Dingley, Osteopath Beaumaris, Osteopath Melbourne.
References:
  1. Clunie  GPR,Ralston  SH, 24 – Rheumatology and bone disease, Davidson’s Principles and Practice of Medicine (Twenty-Third Edition), edited by Ralston  Stuart H  MD  FRCP  FMedSci  FRSE  FFPM(Hon),Penman  Ian D  BSc(Hons)  MD  FRCPE,Strachan  Mark WJ  BSc(Hons)  MD  FRCPE,Hobson  Richard P  LLM  PhD  MRCP(UK)  FRCPath, 2018, Pages 981-1060, ISBN 978-0-7020-7028-0, http://dx.doi.org/10.1016/B978-0-7020-7028-0.00024-X.
  2. https://www.arthritis-health.com/types/bursitis/what-bursa
  3. Gupta  Neeraj, Chapter 52 – Treatment of Bursitis, Tendinitis, and Trigger Points, Roberts and Hedges’ Clinical Procedures in Emergency Medicine and Acute Care (Seventh Edition), edited by Roberts  James R.  MD  FACEP  FAAEM  FACMT,Custalow  Catherine B.  MD  PhD,Thomsen  Todd W.  MD, 2019, Pages 1071-1104.e3, ISBN 978-0-323-35478-3, http://dx.doi.org/10.1016/B978-0-323-35478-3.00052-X. (https://www.clinicalkey.com.au/#!/content/3-s2.0-B978032335478300052X)
  4. Rothmier  Justin D.,Harmon  Kimberly G.,O’Kane  John W., 29 – Sports Medicine, Textbook of Family Medicine (Ninth Edition), edited by Rakel  Robert E.  MD,Rakel  David P.  MD, 2016, Pages 622-647.e5, ISBN 978-0-323-23990-5, http://dx.doi.org/10.1016/B978-0-323-23990-5.00029-0. (https://www.clinicalkey.com.au/#!/content/3-s2.0-B9780323239905000290)
  5. Alqadi  Rasha B.  M.D., Trochanteric Pain Syndrome (Trochanteric Bursitis), Ferri’s Clinical Advisor 2020, edited by Ferri  Fred F.  M.D.  F.A.C.P., 2020, Pages 1405.e4-1405.e5, ISBN 978-0-323-67254-2, http://dx.doi.org/10.1016/B978-0-323-67254-2.00907-4. (https://www.clinicalkey.com.au/#!/content/3-s2.0-B9780323672542009074)
  6. (https://www.clinicalkey.com.au/#!/content/3-s2.0-B978070207028000024X)
  7. Gupta  Neeraj, Chapter 52 – Treatment of Bursitis, Tendinitis, and Trigger Points, Roberts and Hedges’ Clinical Procedures in Emergency Medicine and Acute Care (Seventh Edition), edited by Roberts  James R.  MD  FACEP  FAAEM  FACMT,Custalow  Catherine B.  MD  PhD,Thomsen  Todd W.  MD, 2019, Pages 1071-1104.e3, ISBN 978-0-323-35478-3, http://dx.doi.org/10.1016/B978-0-323-35478-3.00052-X.
  8. https://www.arthritis-health.com/types/bursitis/what-bursa
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Why you should take the Stairs!

Daily Exercise & Heart Health


Valued Health Osteopathy

3/658 Centre Rd, Bentleigh East, 3165


Need help in achieving your exercise goals?


Make an appointment today – Book online!


We have all heard the that we should find the time for incidental exercise throughout our day, but how do we do this? And why is it so important?


The Australian Institute of Health and Welfare states that Cardiovascular Disease is the number one cause of death in Australia (1). The World Health Organisation does give us some good news however, as they expect that 80% of premature heart attacks and strokes are preventable.


  • Maintaining a healthy diet
  • Regular physical activity and
  • not using tobacco products are the keys to prevention.
  • As well as managing risk factors for heart disease and stroke such as high blood pressure, high cholesterol and high blood sugar or diabetes (2).

This recent article in the Sydney Morning Herald (3) speaks to Dr Belinda Paramenter, an exercise physiologist at UNSW. She states that the minimum amount of physical exercise we can do to improve heart health is 75 minutes of vigorous intensity exercise a week. If we break that down even further, that equates to about 11 minutes a day, which is very achievable for most of us.
She suggests “finding little ways of bringing high intensity or higher intensity exercise into your day and you don’t have to set aside half an hour or an hour … you don’t even have to do the 11 minutes at once”. That’s where taking the stairs instead of the lift or going for a brisk walk can come into play.
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And for those who don’t feel like high intensity exercise is achievable, we have you covered as well. Dr Paramenter suggests that 22 minutes a day of moderate intensity exercise “which means it’s somewhat hard to do and you’re a little bit out of breath but you can maintain a conversation” is also as beneficial.
Dr Paramenter (exercise physiologist) states some of the benefits of exercise for our heart include:
  • Increasing the strength of our heart and its capacity to pump more blood and provide oxygenation and nutrients to the rest of our body.
  • Improvements in muscle metabolism and insulin sensitivity
  • Improvements in blood glucose control and
  • we get a reduction in cholesterol.

We hope that this serves as a little reminder for us all to get moving every day. As the weather improves at this time of year, it’s easier for us to get motivated and work towards our aim of living more healthy and active lives.

If there is anything in your way of achieving these goals that you think our Osteopaths may be able to help you with, please contact the clinic speak to one of our Osteopaths at Valued Health Osteopathy in Bentleigh East about your treatment and rehabilitation options. Call or book online today.

(03) 9570 9061

www.valuedhealth.com.au


You do not need a referral to see one of our friendly Osteopaths at Valued Health Osteopathy. We have a very good relationship with many surrounding doctors, other health practitioners and personal trainers in the local community of Bentleigh East , Bentleigh, Ormond, McKinnon, Oakleigh, Carnegie, Caulfield, Moorabbin, Murrumbeena, Brighton, Clayton and Clarinda.


Valued Health Osteopathy offers:

Osteopathy

Clinical Pilates

Exercise Rehabilitation

Strength & Conditioning


Valued Health Osteopathy is open 6 days a week with early morning and evening appointments. Move better with Osteopathy!


Valued Health Osteopathy is located at 3/658 Centre Road, Bentleigh East, Melbourne, Victoria, 3165.


Valued Health OsteopathyOsteopathy Australia


Osteopath Bentleigh East, Osteopath Bentleigh, Osteopath Ormond, Osteopath McKinnon, Osteopath Moorabbin, Osteopath Murrumbeena, Osteopath Oakleigh, Osteopath Carnegie, Osteopath Caulfield, Osteopath Clayton, Osteopath Brighton and Osteopath Cheltenham, Osteopath Dingley, Osteopath Beaumaris, Osteopath Melbourne.

If you would like more information on exercise and heart health, please check out the links below. Reference:
  1. https://www.aihw.gov.au/reports/life-expectancy-death/deaths-in-australia/contents/leading-causes-of-death
  2. https://www.who.int/features/qa/27/en/
  3. https://www.smh.com.au/lifestyle/health-and-wellness/eleven-minutes-is-all-it-takes-to-seriously-boost-your-heart-health-20190729-p52bt6.html?fbclid=IwAR3iUXDB2Xs_PA79C6wihOhYeN_j-R1ixlk-Q2ZKKAKbjaVRkoxqbJNiq4A
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