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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


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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

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

What happens in the Treatment Room?

What to expect at your first Osteopathic appointment!


Make an appointment today – Book online!


Have you seen an Osteopath before?

Have you been thinking about booking yourself in for an Osteopathic treatment, but you’re a bit unsure about what actually happens in the room? This blog is here to give you an idea of what to expect at your first Osteopathic Consultation.


Do I need a referral to see an Osteopath?

Whilst patients are often referred to Osteopaths for treatment by a wide range of healthcare providers, Osteopaths are primary care practitioners and you can make an appointment to see them without a referral.


What do I bring to a treatment?

You may bring along any relevant scans or medical reports that you have to your appointment.


What do I wear? 

We can work around most items of clothing, but for your comfort, try to wear some loose/stretchy clothing so that its easy for you to move around on the treatment table. You may also be asked to undress to your underwear for treatment or examination, so wear what makes you comfortable in that situation. Alternatively you can bring a change of clothes to change into or your Osteopath will provide you with a gown. Your comfort is of the upmost importance to us, so if you would like to bring a friend or family member along with you to your treatment, feel free. Also, children must have an adult accompany them to a treatment.


When you arrive:

  1. Try to arrive a few minutes early to your initial consultation, as there are a few forms you will need to fill out before treatment starts
  2. When your Osteopath takes you through to the treatment room, they will ask you some questions about your medical history in general, and more specifically about why you’re coming in for treatment. As Osteopaths view the body as a whole, they will often ask questions that may not seem directly related to the symptoms you’re presenting with on that day. However it is important for them to gain an understanding of how your body is functioning overall so that they can properly address your complaint.

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Once your Osteopath has taken a thorough history, they will then conduct a full Osteopathic Examination to further ascertain what the cause of your symptoms are. They may look at:

  1. Your posture (what position you’re body is in whilst you are sitting/standing/lying down)
  2. Your range of motion (how well you move or don’t move). They can do this by asking you to do particular movements, but they may also assess this passively where the Osteopath moves your body around for you
  3. What muscles are tight and/or weak
  4. Orthopaedic and/or neurological tests and diagnostic tests.
  5. As mentioned above, because Osteopathy takes a holistic approach to treatment, your Osteopath may examine other parts of your body as well as the area of the body that is troubling you.

After your Osteopath has taken your history and performed a thorough examination, if clinically indicated, your Osteopath will provide a treatment to address the cause of your symptoms. This may involve techniques such as: Soft tissue massage, Counter-strain, Myofascial release, Muscle energy techniques (stretching), Articulation, High velocity low amplitude manipulation, Balanced ligamentous tension and Dry needling


Your Osteopath may also advise you on:

What you can expect to feel like after a treatment,

Some relevant stretches, mobility drills and strengthening exercises for your condition and

Ergonomic advice to help you better manage your complaint between appointments.


If you have any further questions, feel free to call our clinic on (03) 9570 9061 and speak to one of our lovely receptionists or Osteopaths.


Call or book online today.

(03) 9570 9061

valuedhealth.com.au


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


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

Headaches & what you need to know!

Headaches & Osteopathy | Find out how we can help!


Make an appointment today – Book online!


Do you suffer from headaches? If you answered YES, you need to read this! 


‘The use of manual therapy appears to be the most common non-medical treatment utilised for the management of common recurrent headaches’ (1).


Headaches can be caused by a number of reasons, for example: 

Tension/stress

Poor posture

Eye strain

Medications

Hormones

Sinus infections

Certain foods/alcohol

Headaches can also originate from you neck, and that’s where your Osteopath may be able to help!


When you see your Osteopath, they will first take a thorough history and ask you some questions about your headaches to better understand what is causing them. The reason behind this is to help rule out any other causes of headaches that might mean that manual therapy is not indicated, and that you need a referral to a doctor or another healthcare practitioner.


Possible questions that your Osteopath may ask: 

When did your headaches start?

How often do you experience them?

Do you know what makes them better or worse?

Do you experience any other associated signs or symptoms with the headaches, such as nausea, dizziness, visual changes, numbness or tingling?


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If clinically indicated, your Osteopath may then do an assessment of your posture, your active and passive range of motion, the hypertonicity (tightness) of the musculature of your head, neck and upper back and they might perform several special tests (such as orthopeadic/neurological tests) to determine what structures might be contributing to your headache.


Once your Osteopath has diagnosed the cause of your headaches and ensured it’s safe to do so, they may provide a treatment aimed at reducing your symptoms by treating the structures responsible for the headaches, improving your range of motion and reducing the tension in the surrounding musculature.


If needed, your Osteopath may also provide you with a self managed rehabilitation program (such as stretches, self mobilisation techniques and mobility & strengthening exercises) to further help improve your range of motion and strengthen the upper limb and head/neck to help address the root cause of your headaches. Your Osteopath may also provide you with some advice on your lifestyle and workplace ergonomics if they believe this to be a contributing factor to your headaches.


If you are experiencing headaches we may be able to help. 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

valuedhealth.com.au


Practitioners, Osteopath, Osteopath near me, Osteopath Bentleigh, Website Disclaimer, Osteopath Bentleigh, Osteopath Bentleigh East, Tennis Elbow, Elbow pain, Osteo Bentleigh, Osteo Bentleigh East, Osteopath Ormond, Osteo Ormond, Osteopath Oakleigh, Osteo Oakleigh, Osteopath Clarinda, Osteo Clarinda, Osteopath Moorabbin, Osteo Moorabbin, Back pain Osteopathy, Neck pain Osteopathy, Osteopath Centre Road, Osteopath Centre Rd, Osteo Centre Road, Osteopath Mckinnon, Osteopath Cheltenham

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


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

Reference:
  1. Magee, David J. (2002). ‘Chapter 3, Cervical spine’ in Orthopaedic physical Assessment. Philadelphia; Saunders, pp 148-223.
  2. Beithon J, Gallenberg M, Johnson K, Kildahl P, Krenik J, Liebow M, Linbo L, Myers C, Peterson S, Schmidt J, Swanson J. Institute for Clinical Systems Improvement. Diagnosis and Treatment of Headache. Updated January 2013.
  3. Moore, C. S., Sibbritt, D. W., & Adams, J. (2017). A critical review of manual therapy use for headache disorders: prevalence, profiles, motivations, communication and self-reported effectiveness. BMC neurology17(1), 61. doi:10.1186/s12883-017-0835-0

Soft Tissue Injuries – Peace & Love

Soft tissue injuries & how to manage them correctly!

Soft Tissue Injuries | Valued Health Osteopathy


Valued Health Osteopathy | Find out how we can help!

Osteopath Bentleigh | Osteopath Bentleigh East

3/658 Centre Rd, Bentleigh East, 3165

Make an appointment today – Book online!

Treatment & Management of Soft Tissue Injuries


Soft tissue injuries no longer need “RICE” but instead need “PEACE & LOVE”. The British Journal of Sports Medicine recently posted a blog on the development of a new acronym for the management of soft tissue injuries that addresses both immediate care as well as subsequent management.


For immediately after a soft tissue injury, let PEACE guide your approach. Once the first days have passed, soft tissue injuries need LOVE.


P for Protect – Unload or restrict movement for 1 to 3 days to avoid activities that increase pain.

E for Elevate – Elevate the injured limb higher than the heart to promote fluid flow.

A for Avoid anti-inflammatory modalities – Avoid taking anti-inflammatory medications and avoid icing as it may reduce tissue healing.

C for Compress – Compression with taping or bandages help reduces swelling.

E for Education – Education on the condition, load management and the benefits of an active approach to recovery will help avoid overtreatment.

&

L for Load – Loading and mechanical stress should be added early and normal activities as soon as your symptoms allow.

O for Optimism – Optimism enhances the likelihood of an optimal recovery as catastrophisation, depression and fear can represent barriers to recovery.

V for Vasularisation – Cardiovascular activity started a few days after injury boosts motivation and increases blood flow to the injured site.

E for Exercise – Exercises, with pain as a guide, helps to restore mobility, strength and proprioception after injury.


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Have you suffered a soft tissue injury? We may be able to help. 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

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 and Strength & Conditioning. Valued Health Osteopathy is open 6 days a week with early morning and evening appointments.


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


Valued Health Osteopathy | Osteopathy 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. See the article in full here https://blogs.bmj.com/bjsm/2019/04/26/soft-tissue-injuries-simply-need-peace-love/