In the world of physiotherapy & chiropractic, innovative treatments are constantly emerging to help patients recover faster and achieve their physical goals. One such technique gaining traction is dry needling. But what exactly is dry needling, and how can it benefit you? Let’s explore this effective treatment option and its role in physiotherapy and chiropractic.

What is Dry Needling?

Dry needling is a therapeutic technique that involves the insertion of thin, sterile needles into specific points of the muscle, commonly referred to as “trigger points.” These trigger points are areas of tightness or knots within the muscle that can cause pain, discomfort, or restricted movement. By targeting these points, dry needling aims to release tension, improve blood flow, and promote healing.

How Does Dry Needling Work?

When a needle is inserted into a trigger point, it stimulates the muscle fibres, causing them to contract and then relax. This process helps to:

• Reduce Muscle Tension: Releasing tight knots relieves pain and improves muscle flexibility.
• Enhance Blood Flow: Increased circulation to the affected area promotes healing and reduces inflammation.
• Interrupt Pain Signals: The needling process can help reset the nervous system’s response to pain, providing relief.

Conditions Treated with Dry Needling

Dry needling can be effective for a variety of conditions, including:

• Chronic and acute musculoskeletal pain.
• Sports injuries such as muscle strains.
• Postural imbalances and related discomfort.
• Tension headaches and migraines.
• Joint pain, including shoulder, hip, and knee issues.

The Benefits of Dry Needling

Patients who incorporate dry needling into their physiotherapy or chiropractic treatment plans often report significant improvements, including:

1. Pain Relief: Targeting trigger points helps alleviate pain quickly and effectively.
2. Improved Range of Motion: Releasing tight muscles can restore flexibility and mobility.
3. Faster Recovery: By promoting blood flow and reducing tension, the body’s natural healing processes are accelerated.
4. Enhanced Performance: Athletes often use dry needling to improve muscle function and prevent future injuries.
5. Improved posture and Alignment: Addressing muscle imbalances through dry needling can correct posture issues that contribute to chronic pain or discomfort. 
6. Neural reset: Dry needling can facilitate a “neural reset” by disrupting dysfunctional muscle and nerve activity, normalising motor and sensory signalling, and reducing pain through spinal reflex modulation and descending pain-inhibitory pathways

What to Expect During a Dry Needling Session

The qualified and experienced independent Physiotherapists or Chiropractors at Active Back Care will assess your condition and identify the areas that need attention. During the session, the needles are inserted into specific trigger points and left in place for a short period, typically a few minutes. Some patients may feel a mild twitch or ache as the muscle responds to the needle, but this sensation is generally short-lived. Most patients find the treatment tolerable, and the relief afterward is well worth it.

Is Dry Needling Right for You?

Dry needling isn’t for everyone, but it can be a game-changer for those struggling with persistent pain or limited mobility. If you’re curious about whether this treatment is suitable for you, consult with one of the qualified practitioners operating at Active Back Care. They can evaluate your condition and determine if dry needling should be part of your personalised treatment plan.

The independent, professional practitioners at Active Back Care are committed to helping you feel your best. They are experienced professionals trained in dry needling and other evidence-based therapies to ensure you receive the highest standard of care. Each practitioner operates independently and takes individual responsibility for their own care and treatment. 

Ready to Experience the Benefits of Dry Needling?

Don’t let pain or tight muscles hold you back. Contact Active Back Care today to be connected with one of the skilled and experienced Chiropractors or Physiotherapists operating there.  Book a consultation and take the first step toward improved mobility and a pain-free life. Whether you’re an athlete, a busy professional, or someone seeking relief from chronic discomfort, dry needling might be the solution you’ve been searching for.

At Active Back Care, there is a dedicated group of physiotherapists, chiropractors, and massage therapists who operate independently under the one roof making it easy and convenient for you to access the musculoskeletal care you need. They understand that preparing for surgery is about more than just scheduling the operation. One of the most effective ways to ensure a smooth recovery and optimal outcome is through prehabilitation (prehab) – a proactive approach to physical preparation before undergoing surgery.

What Is Prehab?

Prehab involves targeted exercises, treatments, and education designed to improve your physical condition before an operation. It’s like training for an athletic event – by strengthening your body and optimising its function ahead of time, you’ll be better equipped to handle the stresses of surgery and recover more quickly afterward.

Why Prehab Matters

1. Improved Surgical Outcomes Prehab strengthens the muscles, enhances joint mobility, and improves cardiovascular health, which can reduce complications during and after surgery. Research shows that patients who undergo prehab experience shorter hospital stays, lower pain levels, and faster recovery times.
2. Faster Recovery A well-prepared body heals more efficiently. By building strength and improving flexibility before surgery, you’ll have a stronger foundation to regain mobility and function post-operatively.
3. Reduced Risk of Complications Prehab can help reduce the risk of post-surgical complications such as infections, blood clots, and muscle atrophy. It also improves your balance and coordination, which may decrease the likelihood of falls during recovery.
4. Pain Management Strengthening your body and learning proper movement patterns before surgery can help reduce post-operative pain. Prehab also incorporates strategies to manage discomfort effectively, such as breathing techniques and education on posture and ergonomics.
5. Psychological Benefits Surgery can be stressful, but prehab provides a sense of control and confidence. Knowing you’ve prepared your body and mind for the journey ahead can significantly reduce anxiety and boost your mental well-being.

What Does Prehab Involve?

The independent practitioners at Active Back Care tailor prehab programs to your specific needs and surgery type. A comprehensive prehab plan may include:

Physiotherapy: Physiotherapists focus on preparing your body through targeted exercises aimed at improving strength, flexibility, and joint stability. Specific components include:

• Strength Training: Building muscle groups around the surgical site to ensure post-operative support and reduce atrophy.
• Range of Motion Exercises: Enhancing joint mobility to improve surgical outcomes and functional recovery.
• Balance and Proprioception Training: Reducing the risk of falls and improving neuromuscular control during recovery.
• Posture and Gait Training: Ensuring proper movement patterns to prevent compensatory issues after surgery.
• Pain Management Techniques: Introducing methods like gentle stretching, therapeutic taping, and heat or cold application for pre-operative discomfort.

Chiropractic Care: Chiropractors work to optimise alignment and mobility through:

• Spinal and Joint Adjustments: Ensuring proper biomechanics and reducing strain on the nervous system to enhance recovery capacity.
• Nerve Function Optimisation: Addressing areas of nerve irritation to improve communication between the brain and body.
• Postural Assessments and Corrections: Guiding proper alignment to reduce stress on muscles and joints during both pre- and post-operative periods.
• Manual Therapy Techniques: Relieving tension and improving flexibility in soft tissues surrounding the surgical site.

Massage Therapy: Massage therapists play a crucial role in prehab by focusing on:

• Muscle Relaxation: Reducing tension in overworked or stressed muscles, which can improve flexibility and reduce pre-surgical discomfort.
• Improved Circulation: Enhancing blood flow to promote healing and prepare tissues for surgery.
• Lymphatic Drainage: Supporting the body’s natural detoxification processes to reduce swelling and inflammation.
• Stress Reduction: Using calming techniques to reduce anxiety and improve overall well-being before surgery.

When Should You Start Prehab?

Ideally, prehab should begin as soon as surgery is scheduled. Even a few weeks of preparation can make a significant difference, but the earlier you start, the greater the benefits. Your practitioner will work with you to create a realistic and effective plan, even if time is limited.

Take the First Step

If you’re planning for surgery, don’t wait until after the operation to think about recovery. The practitioners at Active Back Care can guide you through every stage of your surgical journey, starting with prehab. Their professional approach ensures that you receive personalised care from each physiotherapist, chiropractor or massage therapist to prepare your body and mind for success.

Each independent practitioner is experienced and skilled in their own discipline of physiotherapy, chiropractic or massage therapy. With being co-located on the one premise they can effectively co-ordinate and refer out to the other complementary practitioners on site to enhance your treatment and care.  Each practitioner operates independently and takes individual responsibility for their own care and treatment. 

Aim to feel stronger and more confident going into an operation, leading to a quicker recovery and the ability to return to your favourite activities sooner.

Contact Active Back Care today to be connected with one of the independent Physiotherapists, Chiropractors or Massage Therapists operating there who can show you how prehab can make a difference for your surgical experience. They can help you take charge of your health and recovery.

Pain in the hip can occur for a variety of reasons. These can be a certain event, like pulling up in a sporting match with a sore groin, or more long term issues, caused by things such as prolonged sitting. Hip pain can be gradual or sudden, sharp or dull. A sign of hip pain or hip issues can include:

• Pain in and around the hips- front, back or even sides
• Pins and needles or numbness in the hip, potentially radiating down the leg
• Pain when sitting, or inability to find a “comfortable” spot when sitting
• Pain at night when lying on side of the hip
• Pain getting out of a car 
• “clicking” or “catching” of the hip

All of these symptoms can be caused by many types of injuries in the hip. The most common ones include:

• Sacro-iliac joint pain
• Gluteal tendinopathy
• Groin related pain
• Femoroacetabular impingement syndrome

…As well as others. All of these aches and pains, when presenting with these symptoms, are things that can be assessed and treated by the Physiotherapists or Chiropractors operating at Active Back Care – Castle Hill.  These experienced practitioners are skilled in pain and injury assessment to determine exactly what is causing your pain. This is then followed by the latest treatment methods, scientifically supported by current research.  Some of these include:

• Manual therapies such as joint manipulation, mobilization, stretches, muscle releases and massage – to ease muscle tension and joint stiffness, improving mobility and function to help  reduce pain
• Dry needling- using a modified version of acupuncture to target trigger points in the muscle to get instant pain relief and release muscle tension.
• ENAR therapy- using electrical stimulation to desensitise the nerves and break down any scar tissue to get long lasting relief
• Cold Laser therapy- using intense light to reduce acute pain and inflammation and  stimulate muscle and ligament healing in the body
• Shockwave Therapy – to break up adhesions and muscle tension
• And a personalised exercise program to strengthen weak muscles and reset neurological pathways that can improve movement patterns and postural or mechanical issues causing your pain. 

There are also independent Remedial Massage Therapists operating at Active Back Care who can also help provide added relief of hip pain by releasing muscle tension in the lower back, buttock and hip and thigh regions.  Massage can help increase blood flow and boost tissue recovery.  As fully trained and accredited practitioners in their own right, Massage therapists can work closely together with Chiropractors and Physiotherapists to help bring fast and effective relief. 

Each independent practitioner is experienced and skilled in their own discipline of physiotherapy, chiropractic or massage therapy. With being co-located on the one premise they can effectively co-ordinate and refer out to the other complementary practitioners on site to enhance your treatment and care.  Each practitioner operates independently and takes individual responsibility for their own care and treatment.

If you have any symptoms described above, and want a thorough, patient centred approach to relieving your pain contact one of the independent Physiotherapists, Chiropractors or Massage Therapists operating at Active Back Care on (02) 9899 2813 to book your appointment today. 

How does cold laser therapy work?

Cold laser therapy works by using low-intensity light to stimulate the body’s natural healing mechanisms. The light is absorbed by the body’s cells, which then convert it into energy. This energy helps to promote cellular repair and regeneration, reduce inflammation, and improve blood flow to the affected area. The therapy is painless and non-invasive, making it a popular choice for those seeking natural pain relief.

Cold laser therapy for pain relief

Many people suffer from chronic pain due to a variety of conditions, such as arthritis, fibromyalgia, and back pain. Cold laser therapy has been shown to be effective in reducing pain levels in these patients. A 2014 study published in the Journal of Back and Musculoskeletal Rehabilitation found that cold laser therapy significantly reduced pain levels in patients with chronic low back pain. Another study published in the same journal in 2013 found that cold laser therapy was effective in reducing pain levels in patients with knee osteoarthritis. In addition, a 2015 study published in the Journal of Clinical and Diagnostic Research found that cold laser therapy was effective in reducing pain levels in patients with temporomandibular joint (TMJ) disorder (Jaw pain) . The study found that patients who received cold laser therapy had significant improvements in pain and jaw function compared to those who received a placebo treatment.

Cold laser therapy for post-surgery recovery

After surgery, patients often experience pain and inflammation as their body heals. Cold laser therapy can help to reduce these symptoms and promote faster healing. A 2017 study published in the Journal of Physical Therapy Science found that cold laser therapy was effective in reducing pain levels and improving knee function in patients who underwent total knee replacement surgery. The study found that patients who received cold laser therapy had significantly less pain and better knee function compared to those who received a placebo treatment.

Another study published in the Journal of Lasers in Medical Science in 2014 found that cold laser therapy was effective in reducing pain levels and improving wound healing in patients who underwent abdominal surgery. The study found that patients who received cold laser therapy had faster healing times and less postoperative pain compared to those who received a placebo treatment.

Professional Experience at Active Back Care

The independent Chiropractors and Physiotherapists operating at Active Back Care are experienced in cold laser therapy. They have seen first-hand the effectiveness of cold laser therapy for faster pain relief and post-surgery recovery.

If you are interested in learning more about the independent Chiropractors and Physiotherapists who offer Cold Laser services at Active Back Care health hub, visit the PRACTITIONER page. If you are ready to book an appointment, you can do so directly through the BOOK ONLINE button where Active Back Care can help facilitate a booking on behalf of one of the practitioners of your choice. Each practitioner operates independently and takes individual responsibility for their own care and treatment.

In conclusion, cold laser therapy is an effective and non-invasive treatment for pain relief and post-surgery recovery. Numerous scientific studies have shown its effectiveness in reducing pain levels and promoting faster healing. If you are suffering from acute or chronic pain or are recovering from surgery, consider trying cold laser therapy as a natural and effective treatment option.

Compression boots are a relatively new form of technology designed to help people recover from muscle soreness, injuries and operations. They work by applying external pressure to the muscles, which helps to increase blood flow and reduce inflammation. This blog will explore the effectiveness of compression boots for muscle recovery and post-op rehab, using scientific sources for back up.

Effectiveness of Compression Boots:

Compression boots have been shown to be effective in post-operative rehabilitation. A study published in the Journal of Orthopaedic Research found that using compression boots after knee surgery led to a reduction in pain and an improvement in knee range of motion compared to a control group who did not use compression boots. Another study published in the Journal of Arthroplasty found that using compression boots after hip surgery led to a reduction in swelling and an improvement in hip range of motion compared to a control group who did not use compression boots.

FAQs:

Q: How do compression boots work?

A: Compression boots work by applying external pressure to the leg muscles, starting from the foot travelling up the limb toward the heart. This helps to increase circulation and reduce inflammation. This increased blood flow helps to flush out metabolic toxins and other waste products and bring fresh oxygenated blood to the muscles and surrounding tissue, which can lead to a reduction in muscle soreness and an improvement in muscle recovery as well as boost tissue repair post operation.

Q: Can compression boots be used for post-operative rehabilitation?

A: Yes, compression boots can be used for post-operative rehabilitation. They have been shown to be effective in reducing pain and swelling, and improving range of motion, after knee and hip surgery.

Q: Are compression boots safe to use?

A: Yes, compression boots are generally safe to use. However, as with any medical device, there may be some risks involved. It’s important to talk to your doctor, physiotherapist or chiropractor before using compression boots to make sure that they are safe for you to use.

Benefits:

Compression boots can be used for post-operative rehabilitation, reducing pain and swelling and improving range of motion after knee and hip surgery.

Compression boots can aid in muscle recovery after exercise, reducing muscle soreness and improving muscle function.

Compression boots can improve athletic performance by reducing muscle fatigue and improving muscle recovery.

Compression boots are a safe and effective tool for muscle recovery and post-operative rehabilitation. They work by applying external pressure to the muscles, which helps to increase blood flow and reduce inflammation. Scientific studies have shown that compression boots can reduce muscle soreness, improve muscle function, reduce pain and swelling, and improve range of motion after surgery. Whether you’re an athlete looking to improve your performance, or someone recovering from a surgery or injury, compression boots may be a valuable tool to aid in your recovery.

Dry needling is a therapeutic technique in Australia that involves the insertion of very fine needles ( like acupuncture needles) into trigger points in the muscles or connective tissues, without injecting any substances. This technique is a form of natural therapy used to treat a variety of musculoskeletal conditions, including chronic pain, headaches, and sports injuries. This blog will explore the effectiveness of dry needling for pain relief, muscle and joint aches and stiffness and provide scientific evidence from Australian sources to support its use and answer some common questions about this technique.

What is Dry Needling?

Dry needling is a technique that is widely used in Australia to treat musculoskeletal conditions. Dry needling is a therapeutic technique that involves the insertion of fine needles into trigger points in the muscles or connective tissues, without injecting any substances. Trigger points are focal areas of muscle spasm that are tight and painful to the touch. These points can cause pain and discomfort, as well as refer pain to other parts of the body. Dry needling is also known as intramuscular stimulation, trigger point dry needling, or myofascial trigger point therapy.

The Effectiveness of Dry Needling for Pain Relief in Australia

Studies have shown that dry needling can be an effective form of treatment for pain relief. For example, a randomized controlled trial published in the Journal of Physiotherapy in 2015, looked at the effectiveness of dry needling for the treatment of chronic neck pain. The study found that dry needling was effective in reducing pain intensity and disability in patients with chronic neck pain.

Similarly, a systematic review and meta-analysis published in the Journal of Manual and Manipulative Therapy in 2018, looked at the effectiveness of dry needling for the treatment of knee osteoarthritis. The study found that dry needling was effective in reducing pain and improving physical function in patients with knee osteoarthritis. Another study published in the Australian Journal of Physiotherapy in 2013, looked at the effectiveness of dry needling for the treatment of plantar heel pain. The study found that dry needling was effective in reducing pain and improving function in patients with plantar heel pain.

FAQs about Dry Needling

Is dry needling painful?

Dry needling can be uncomfortable, but it is usually not very painful. The sensation is often described as a dull ache or a muscle cramp. Most people find the discomfort to be tolerable, and the benefits of the treatment usually outweigh the temporary discomfort.

Are there any risks or side effects of dry needling?

Dry needling is generally safe, but there are some risks and side effects to be aware of. The most common side effect is temporary soreness at the needle insertion site. Other potential side effects include bruising, bleeding, and infection. It is important to seek treatment from a qualified practitioner who is trained in dry needling to minimize the risk of complications.

How many sessions of dry needling will I need?

The number of sessions of dry needling required depends on the individual patient and their condition. Some patients may experience significant improvement after just one session, while others may require several sessions to achieve optimal results. Your practitioner will be able to provide a more accurate estimate of the number of sessions required after an initial assessment.

How long does the pain relief from dry needling last?

The duration of pain relief from dry needling varies from patient to patient. Some patients may experience long-lasting relief, while others may require regular maintenance treatments to manage their pain. The effects of dry needling can be cumulative, meaning that the benefits may increase with each session.

Can dry needling be used in combination with other treatments?

Dry needling can be used in combination with other treatments, such as chiropractic, physiotherapy, massage therapy, and exercise therapy. Your practitioner will be able to advise you on the best treatment plan for your specific condition.

Is dry needling covered by private health insurance in Australia?

Dry needling may be covered by some private health insurance policies in Australia. When dry needling is applied by a qualified and registered chiropractor or physiotherapist as part of their chiropractic or physiotherapy treatment, then it can be covered by health funds under chiropractic or physiotherapy treatment. The level of coverage and the specific conditions covered can vary depending on your policy. It is recommended to check with your insurance provider to confirm your level of coverage.

Is dry needling suitable for everyone?

Dry needling may not be suitable for everyone. Patients with certain medical conditions, such as bleeding disorders, pacemakers, or immune system disorders, may not be suitable candidates for dry needling. It is important to inform your practitioner of any medical conditions you may have before undergoing dry needling.

How do I find a qualified practitioner for dry needling?

It is important to seek treatment from a qualified practitioner who is trained in dry needling. In Australia, dry needling is typically performed by physiotherapists, chiropractors, and osteopaths who have undergone additional training in the technique. You can ask for recommendations from your healthcare provider or search online for practitioners in your area.

Dry Needling Practitioners at Active Back Care

There are independent chiropractors and physiotherapists who operate at Active Back Care who are trained in dry needling. They have undergone extensive training in the technique and along with careful daily use, they are skilled and proficient in the safe and effective application of dry needling.  With their patient centered approach, they can develop personalized treatment plans that can incorporate dry needling where appropriate, to tailor the most effective care for the individual needs of their patients.

If you are experiencing pain or discomfort, consider an appointment with one of the experienced practitioners operating at Active Back Care. They are dedicated to helping you achieve optimal health and wellness. Each practitioner operates independently and takes individual responsibility for their own care and treatment.

Contact Active Back Care today to be connected with one of the independent Physiotherapists, Chiropractors or Massage Therapists operating there who can show you how dry needling can make a difference for your care. They can help you take charge of your health and recovery.

In conclusion, dry needling is a safe and effective technique for pain relief in patients with musculoskeletal conditions. Scientific evidence from Australian sources supports the use of dry needling for the treatment of chronic pain, headaches, and sports injuries. It is important to seek treatment from a qualified practitioner who is trained in dry needling to minimize the risk of complications. If you are considering dry needling as a treatment option, consult with your healthcare provider to determine if it is right for you.

If you’ve had a niggling ache or pain, are feeling stiff or sore, and are limited in what you can do, don’t suffer anymore. The independent Chiropractic, Physiotherapy and Massage Therapy practitioners at Active Back Care can help! They are all skilled and experienced in assessing your body to find the cause of your pain or restriction! Using the latest in evidence-based health care, their safe, modern, and effective treatment techniques can help get you back into life quickly!

Contact Active Back Care today to be connected with one of the independent Physiotherapists, Chiropractors or Massage Therapists operating there who can show you how they could make a difference to your health and well-being this year.

Each practitioner operates independently and takes individual responsibility for their own care and treatment.

Some common signs of low back pain include:

• Pain on one side of the back
• Pain in a “band” across the back
• Pain running down into your legs or bottom
• Pins and needles or numbness into your legs, even down to your feet and toes
• Intense grabbing pain and spasm when doing certain movements
• A sense of needing to keep your back perfectly still from fear of pain

… as well as countless other symptoms. Your back can be assessed and addressed by one of the experienced independent Physiotherapists and Chiropractors operating at Active Back Care – Castle Hill.  They can determine the cause of your pain and provide the latest treatment methods, backed up by research, to address your specific condition.

Some treatments of these include:

• Spinal adjustments or Joint manipulation, mobilization, massage- to ease joint stiffness and muscle tension, improving mobility and reducing pain
• Dry needling- to target trigger points in the muscle to get fast pain relief and reduce muscle spasm.
• ENAR therapy- using electrical stimulation to desensitise nerves and break down any scar tissue to get long lasting relief
• Cold Laser therapy- Using intense light to reduce acute pain and inflammation and stimulate muscle and ligament healing in the body
• Shockwave Therapy – to break up adhesions and muscle tension
• And a personalised exercise program to strengthen weak muscles and reset neurological pathways that can improve movement patterns and postural or mechanical issues causing your pain.

There are also independent Remedial Massage Therapists operating at Active Back Care who can also help provide the added relief of low back pain by releasing muscle tension in the mid & lower back, buttock and hip regions and increasing blood flow and boosting tissue recovery.

Each independent practitioner is experienced and skilled in their own discipline of physiotherapy, chiropractic or massage therapy. With being co-located on the one premise they can effectively co-ordinate and refer out to the other complementary practitioners on site to enhance your treatment and care.  Each practitioner operates independently and takes individual responsibility for their own care and treatment.

If you have any symptoms described above, and want a thorough, patient centered approach to relieving your pain Contact Active Back Care today to be connected with one of the independent Physiotherapists, Chiropractors or Massage Therapists operating there who can show you how they can help you take charge of your health and recovery.

A sign of neck pain or neck issues can include:

• Pain or stiffness around the neck and shoulder when staying in one position for a long time
• Pain around the neck and shoulders when doing certain movements
• Pain on one side of the neck
• Tightness in and around the shoulders
• Pins and needles around the shoulders, even down to the arm and hands

Neck pain can also be a major contributor to headaches. Headaches can affect work flow, reduce alertness and concentration and severely impact your quality of life. A sign that a headache is caused by neck pain is:

• The headache is on one side or worse on one side of the head, or a specific point on both sides of the head.
• It is worse when moving the head in some directions and relieved when moving in other directions 
• There is pain in your neck and shoulders as well as your headache
• When the pain in the neck and shoulders gets worse, the headache gets worse

If you have any of these symptoms, you may benefit from a thorough assessment and treatment by one of the independent, experienced  Physiotherapists in Castle Hill or Chiropractors in Castle Hill operating at Active Back Care.  They can determine the cause of your neck pain or headache and provide the latest treatment methods, supported by research, to address your specific condition. Some of these include:

• Manual therapies such as joint manipulation, mobilization, stretches, muscle releases and massage – to ease muscle tension and joint stiffness, improving mobility and function to help  reduce pain
• Dry needling- using a modified version of acupuncture to target trigger points in the muscle to get instant pain relief and release muscle tension.
• ENAR therapy- using electrical stimulation to de-sensitise the nerves and break down any scar tissue to get long lasting relief
• Cold Laser therapy- using intense light to reduce acute pain and inflammation and stimulate muscle and ligament healing in the body
• Shockwave Therapy – to break up adhesions and muscle tension
• And a personalised exercise program to strengthen weak muscles and reset neurological pathways that can improve movement patterns and postural or mechanical issues causing your pain. 

There are also independent Remedial Massage Therapists operating at Active Back Care in Castle Hill who can also help provide soothing relief of neck pain and headaches by gently releasing muscle tension in the neck and shoulders, increasing blood flow and relieving stress.  

Each independent practitioner is experienced and skilled in their own discipline of physiotherapy, chiropractic or massage therapy. With being co-located on the one premise they can effectively co-ordinate and refer out to the other complementary practitioners on site to enhance your treatment and care.  Each practitioner operates independently and takes individual responsibility for their own care and treatment

If you have any symptoms described above, and want a thorough, patient centered approach to relieving your pain Contact Active Back Care today to be connected with one of the independent Physiotherapists, Chiropractors or Massage Therapists operating there who can show you how they can make a difference to your neck pain and headaches.  They can help you take charge of your health and recovery.

Bookings are facilitated on behalf of the independent practitioners consulting at Active Back Care who are individually responsible for the patient care and treatment they provide.

Massage & Spa A massage helps a person on many levels. Physically, its benefits include:
Improvement of general circulation – all cells in our bodies need a fresh
supply of blood that are vitally needed for growth, repair and nutrition. The
cells also need to eliminate waste products that arise from the production of
energy and debris from any tissue damage or inflammation. The deep
stroking techniques of massage stimulate blood circulation and therefore
increases both the supply and removal of substances on a cellular level.

Increased lymphatic flow- Lymphatic vessels absorb excess tissue fluid and
return it to the venous system via the lymph nodes, which filter out any
toxins. The demands of this system are at their greatest after tissue injury
following hard exercise or other medical conditions. Massage stimulates this
system, as there is no intrinsic pressure to move fluids through them. The
motive force comes from muscle contraction that can be limited when injury
is involved.

Scar tissue – When muscle tissue is damaged, some slight internal bleeding
will occur which will develop into scar tissue, this is vital to healing of the
tissue, however, it is common for an excess amount of bleeding to occur
which can lead to an excessive amount of scar tissue forming. Chronic
inflammation can cause scar tissue to be continually formed as a condition
persists. “Frictioning” a massage technique used, in the post-acute of chronic
stages of an injury can prevent an excess of scar tissue forming by stopping
these cells from binding together. Where scar tissue has formed, friction can
break it down into smaller particles which are absorbed into the lymph
vessels and excreted.

Adhesions-It is the adhesions and fibrous tissue that are created by excess
scar tissue that cause the problem of limited movement and muscle function.
Poor posture can also contribute to the formation of adhesions by forcing
certain muscles into a shortened position causing muscle fibres to become
entangled. This in turn will over-stretch opposing muscles creating micro tears in the muscle resulting in scar tissue formation. For a muscle to function
normally the fibres need to glide smoothly alongside one another. In the early
stages of tissue damage scar tissue is quite sticky and can adhere fibres
together, reducing mobility of that muscle. Transverse strokes and friction
techniques can break down these adhesions be literally tearing the adhesive
bonds apart. This may cause some initial discomfort but once these fibres are
separated they are able to function normally again. Where a large fibrous
knot has formed there may be little or no circulation running through it
stopping the natural healing process. Massage can loosen the “knot” and
allow blood to flow through it, which will stimulate healing of the tissue.

Tissue flexibility-Massage can stretch muscles in a way that is not possible
with functional exercise. Deep, longitudinal strokes can stretch tissues by
drawing them apart horizontally and vertically. Even though stretching is not
usually a specific aim in a treatment, it can usually be found that there is a
greater range of movement following your massage treatment.

On a mental and emotional level, massage effects the nervous system by
stimulating nerve receptors and meccano-receptors located in the tissues that
respond to touch, pressure and warmth. These can have a relaxing effect,
which leads to further relaxation of tissues and a reduction in pain. By
releasing tension, massage can balance and stimulate the autonomic nervous
system which can have an effect on minor and quite major medical
conditions such as;

 High blood pressure
 Migraines/Headaches
 Insomnia
 Depression
 Digestive problems

Make time for yourself or encourage family and friends to discover the benefits of massage in Sydney or in the Castle Hill surrounds by making an appointment today. Contact Active Back Care today to be connected with one of the independent Massage Therapists operating there who can show you how Remedial Massage can make a difference to your health and well-being. They can help you take charge of your health and recovery.

Call now at (02) 9899 2813

Bookings are facilitated on behalf of the independent practitioners consulting at Active Back Care who are individually responsible for the patient care and treatment they provide.

Written by – Dr. Cherine Weiland (Chiropractor) , BSc., (Anatomy), M. Chiropractic

The Debate on the Best Mattress

For years, there have been continuous debates on what’s the best mattress for people with chronic back pain. A lot of advertising hype veered towards promoting firm mattresses as the most ideal choice.

This have been the universally accepted notion for several years until people with firm mattresses claim to still deal with back pain problems despite having spent fortunes on top of the line mattresses.

While it is true that mattresses are not to be perceived as a miracle cure for back pain since there are a host of possible underlying causes, the choice of mattress is still very important to alleviate and manage back pain.

Remember, we normally spend 6-8 hours in bed, it’s high time we pay better attention on the quality of mattress we sleep on.

Recently, there have been studies that show that there is no generic solution for everyone. There are a number of factors to be considered when choosing a mattress. This goes without saying that the best mattress is not necessary the firm one.

First, Some Back Pain Facts

Our back supports an intricate system of joints, discs, tendons, ligaments, nerves, muscles and vertebrae. The human spine is specifically designed to function better in an upright position.

Every time we lie down, especially on a bed with poor support, we subject our spinal components to significant amount of stress and tension.

So you can just imagine, if you have an existing back problem, sleeping on a bad mattress can easily aggravate the problem.   In such cases, lack of sleep may just be the least of your worries.

To better understand how to maintain the mechanics of the spine, we need to take a look at some basic facts about our spine. It is made up of three sections and three gentle arches that need support whether you are on an upright or supine position.

The cervical spine, which has a C shape curve consists of 7 vertebrae and supports the head. The thoracic spine that follows a reverse C shape curve includes 12 vertebrae and is responsible for supporting the upper body.

The last one is the lumbar spine or more commonly known as the lower back, which has a C shape curve, has 5 vertebrae and is the very foundation of the back.

If these curves are not supported properly, it can lead to chronic pain in the back or for those with existing ones, further aggravation of the condition.

This brings us to an obvious conclusion that for people with back pain, it is critically important to choose a bed with chiropractic and orthopedic attributes. This requires a high-quality mattress that will minimize skeletal problems.

What’s the Best Mattress Type for Back Pain?

There are a number of factors to be considered when choosing a mattress.   Remember, this is no such thing as a one size fits all solution here. Below are some important aspects that you need to take into account.

1. Body Shape

If you have bigger than usual hips, you need a somewhat softer mattress to be able to keep the body in a neutral position. An overly firm mattress will force the lower back to slump to reach the mattress. If mattress is too soft, your body will tend to sink on the lower back. Your back will accommodate this by shifting towards the opposite direction – which is equally uncomfortable.

2. Type of Back Problem

As with all things in life, different problems require different solution. The same also apply to choosing an ideal mattress for your back pain. For patients with lumbar disc problems, you need a slightly firmer mattress. On the other hand, for people with spinal stenosis, a slightly softer bed is a better choice. And then there are those with lower back problems, who should consider getting a medium firm mattress.

3. Sleeping Positions

Wrong sleeping positions can also contribute to back pain. Lying on your back for extended period of time will force your lumbar spine to flatten, resulting to pain and stiffness. If you lie on your stomach for a prolonged period, the lumbar spine is curve than its normal shape which can also cause pain. So it is generally recommended to sleep on your side, alternating from left to right from time to time.

Guide to Choosing a Mattress

Before you go buy a new mattress, here are some valuable tips to help you in your selection process:

• Support – A good mattress should be able to support the natural curvature of your body in all points.  This means your spine should be able to keep its same shape as when you are in an upright position.  When testing a mattress, pay careful attention to your shoulders, lower back and hips, all these three are the heaviest parts. If the mattress is overly hard, you can immediately experience an uncomfortable pressure.
• Bed Selection – Keep in mind that it’s just not about the mattress. Your investment will prove useless if you place the mattress on an old worn-out bed.  Give it a good foundation.

• Space – Normally, a sleeping person shifts position about 40-60 times during the night. If you are sleeping with a partner, then make sure you both have enough space to move.
• Comfort – There are a number of mattress options such as water, foam, spring and air. Any of these types can work for back pain, but you need to personally test it to properly gauge which one will best suit you.

When to Replace Your Mattress

As a general rule of the thumb, it is time to get a new mattress if the old one no longer provides the back support you need.  According to experts, the spine should never sink into the mattress. As to the question on how long it would usually take for the mattress to wear out to this state, it largely depends on how you weigh and how you sleep.

Mattresses typically have a lifespan of 15-17 years, although this may vary in consideration to the different quality and type of mattress you buy. It is a good idea to test new mattresses from time to time so you can better distinguish the difference between your existing one and a new one and help you decide if you indeed need to buy a replacement.

Using a wrong type of pillow can usher a host of problems such as numbness in the arms and shoulders, headaches, sneezing and wheezing, neck pains and general body soreness. Then there’s the issue on mildew, dust mites, and fungus too. So the next time to sleep on your pillow, take a good look at it. If it looks like it had seen better days, only half of its original weight and thickness, or if it’s more 18 months old, then it’s time to go shopping for new ones.

Pillow Talk

Like mattresses, there are no specific rules when it comes to choosing a pillow. The choice should be primarily based on personal preference and comfort. To give you a better idea on the different kinds and styles available, check the range of types discussed below:

Types

1. Knee Pillows – For people who prefer sleeping on their sides, a pillow between the knees is ideal. On the other hand, a knee pillow should also be placed under the back of the knee of those who sleep on their back.

2. Body Pillows — This type of pillow serves several functions. With its long length, it can support the head and neck as well as the portions of the legs and knees. For some people, this type of pillow is more comfortable than using several pillows.

3. Neck Pillows – As the name suggests, this pillow is designed and contoured to support the neck. People with neck pain problems prefer to use this pillow since it helps in the proper alignment of the neck and spine.

4. Lower Back Support Pillows – To relieve the lower back from stress especially when on a sitting position, the inward curve of the lumbar spine should be properly supported. Lumbar pillows are designed to fill in the gaps between the chair and the lower spine. It is often used when activity requires prolonged periods of sitting such as when working in the office or when going on long drives.

5. Donut Pillows – Shaped like a donut, this pillow is placed on top of the seat portion of the chair. The depression or hole on the center relieves pressure on the tailbone. This is especially helpful for people with bruised or broken tailbone.

6. Travel Pillows – This U-shaped pillow is designed to be placed around the neck, typically used when sleeping in a seated position, providing support of the head.

Thickness

Aside from pillow types, thickness and firmness are also factors that need to be taken into account. For people who usually sleep on their back, it is generally advisable to choose thin pillows so the head is not forced forward. If you sleep on your side, a firmer pillow is ideal to effectively fill the distance between the shoulder and ear.

Now, if you favor sleeping on your stomach, then it is best that you look for a very slim, nearly flat pillow. This position can cause a lot of rotation and strain to your neck and shoulders and is not a recommended position. Ask your Practitioner at Active Back Care for hints and tricks to try and change this position.

Stuffing

These days, pillows are available in every imaginable filling. Memory foam and latex have grown increasingly popular. So which one to choose? It mainly depends on the kind of support you require. Here’s a guide on selecting pillow stuffing:

• Foam – choose one with higher density for better support

• Memory Foam – very popular these days, be sure to choose those that guarantee no unpleasant odors. It has been reported this type of filling is prone to emit unpleasant smell and tend to be hot.

• Cotton/Wool – Some people prefer this as it is resistant to dust mites and mold. If you are looking for a firm pillow, this is a good alternative.

• Latex – Is the firmest type of pillow on the market. Like cotton and wool, it is also resistant to dust mites and mold.

• Feather – considered the best and most expensive stuffing available. The great advantage about feather is the ability to move the stuffing around to adjust it to your preference. A combination of feather and down is the most ideal.

Other Factors to Consider

When shopping for pillows, the price should not just be the only consideration. The quality of your sleep is not the only thing that’s at stake, but the overall health of your neck and back as well. It is also not a guarantee that the more expensive pillows are of better quality. Take time to test the pillow, if lying down on a pillow is not allowed, you can test it against the wall.

Get a Personal Pillow Fitting at Active Back Care

If you really want to know the best pillow for you let the professional, independent Chiropractors, Physiotherapists and Massage Therapists operating at Active Back Care help. There is a selection of some of the best supportive pillows on the market for them to select from to test and find the best pillow for you. Book a courtesy Pillow Fitting appointment to help you find the best pillow to suit you. The practitioners will take the time to consider your preferred sleeping position, body shape and size and pillow comfort level to ensure you get the best supported sleep at night.

Call (02) 9899 2813 to book your personal courtesy Pillow Fitting today!

Bookings are facilitated by Active Back Care on behalf of the independent practitioners consulting at Active Back Care who are individually responsible for the advice, patient care and treatment they provide.