Tony Miller Osteo

02/07/2023

Check out our latest Blog post 👉🏼 ‘Lumbar Disc Herniation Reabsorption: What does it mean and how common is it?’

🔗 https://gainphysicalhealth.com/lumbar-disc-herniation-reabsorption-what-does-it-mean-and-how-common-is-it/
📧 tony@gainphysicalhealth.com
📱 403-707-5425

In the centre of a lumbar disc sits the nucleus pulpous, a gelatinous type material. Surrounding it lies the annulus fibrosis which are layers of collagen fibres.

02/06/2023

Clinical Lumbar Instability is a functional loss of stability or control at a segmental level of the lower back. It can be a significant factor in low back pain with research suggesting it’s present in 13-33% of cases.

With this diagnosis, the spine does not "slip out of place", become "subluxed", "misaligned" or dislocate", rather, it’s a slight loss of control or unstable feeling within a range of motion.

✨Here’s how we can help:

👉🏼 Investigate:
Patient history is a key component of the assessment, some of the following symptoms may be described; catching type pain, a sensation of the back collapsing, a frequent need to self-manipulate (click/crack) the lower back, symptoms can alternate from side to side, frequent episodes of back spams, unexpected or minor moments provoking back pain

Clinical tests such as, prone instability test, prone extension tests, H test and I test are used to inform the diagnosis

👉🏼 Diagnose:
Rule out other causes of low back pain such as disc related, facet joint related and spondylolisthesis.

👉🏼 Treat:
Chronic Lumbar Instability typically responds well to progressive core stability exercises and load management strategies.

👉🏼 Exercise & Educate:
Advice on progressive exercise to increase joint control
Load management to enhance recovery
How to modify daily movement habits to optimize recovery

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12/16/2021

If you would like to understand how exercise can help your back become more resilient, book a call with Tony

https://www.backblueprint.com/register

12/07/2021

A review of 10 studies (549 participants) with painful hip osteoarthritis concluded that the effect of exercise:

* improves hip pain

* improves physical function

Exercise types used in the studies varied from aerobic, strength, functional and flexibility exercises, and all showed some level of improvement in pain and function. My advice is to find something that you enjoy, and then build up the activity in a sensible and progressive manner.

To book a consultation at Martinson Health go to https://martinsonhealth.janeapp.com/ or 📞 (780) 672-8559

Reference - Fransen, M., McConnell, S., Hernandez-Molina, G. and Reichenbach, S., 2014. Exercise for osteoarthritis of the hip. Cochrane Database of Systematic Reviews.

12/02/2021

When rehabilitating a gluteal tendinopathy, everyone tolerates and reacts to exercise differently, a little soreness during and after these exercises can be expected. However if the increased soreness lasts for 24-36+ hours the exercises were probably too demanding and need to be regressed e.g. different exercise, less intensity, less duration, less sets, less reps.

Appointments available at Martinson Health
Online booking: https://martinsonhealth.janeapp.com/
Or 📞 (780) 672-8559

Reference - Fransen, M., McConnell, S., Hernandez-Molina, G. and Reichenbach, S., 2014. Exercise for osteoarthritis of the hip. Cochrane Database of Systematic Reviews.

11/29/2021

How Can I Help? 🤔

Investigate:
1. Historic load to the hip, searching for patterns of sudden relative increase
2. Local testing of the hip and global biomechanics for possible factors which may contribute to the symptoms

Diagnose:
Rule out other causes of pain e.g. hip osteoarthritis, nerve root compression or referred pain from the lumbar spine

Treat:
1. Load management
2. Modification of daily movement habits e.g. sleeping on the non painful side with a thick pillow between the knees
3. Exercise therapy to stimulate the tissues without causing irritation
4. Low level laser therapy

Educate:
1. Load management: modification of daily movement habits (sitting, sleeping and standing postures)
2. Exercise: allow for adequate stimulation and recovery of greater trochanteric tissues
3. Teach: an understanding of how much and how frequently to perform exercise e.g. when to back off and when to push

Appointments available at Martinson Health
Online booking: https://martinsonhealth.janeapp.com/

11/18/2021

A review of 54 studies (3913 participants) with painful knee osteoarthritis concluded that the effect of exercise on knee osteoarthritis:

* improves knee pain
* improves quality of life
* improves physical function

The good news is that a wide range of exercise has shown to be beneficial, with the key factor being consistency, so choose something you enjoy and stick to it!

11/15/2021

11/13/2021

The problem does not solely lie in “load on the knee” we need load to keep the patellofemoral joint healthy. Problems occur when there is too much force, applied too frequently without adequate rest for the tissues to recover and adapt.

How Can I Help? 🤔
Investigate:
Historic load to the knee, searching for patterns of sudden relative increase.
Local testing of the knee and global biomechanics for possible factors which may contribute to the symptoms.

Diagnose:
Rule out other causes of pain, for example fat pad pain, patella tendon pain or referred pain from the hip joint.

Treat:
Treatment modalities include taping, joint mobilizations, soft tissue therapy, exercise therapy.

Educate:
Load management: modification of daily movement habits and exercise to allow for adequate stimulation and recovery.
Teach an understanding of how much and how frequently to perform exercise, to understand when to back off and when to push.

Martinson Health Martinson Health

06/07/2021

I often see people who, in fear of making their pain worse, reduce their daily movement or stop exercising all together. This can contribute to a downward spiral of increased disability, pain and fear of movement.

BUT exercise is known to have pain killing effects, the scientific term for this is ‘Exercise Induced Hypoalgesia’. Hypoalgesia = reduced sensitivity to pain causing stimuli.

In conditions such as knee and hip osteoarthritis, rheumatoid arthritis, whiplash and chronic low back pain, cardiovascular exercise and resistance exercise of muscle groups distant from the location of the pain have been shown to help give relief.

For example:
Cycling helped reduce chronic low back pain
Lower body resistance exercise decreased whiplash associated pain

This affect varies between individuals and different types of pain, with certain types of exercise increasing pain in some conditions. However, we can normally find a way to get you moving again, breaking that downward spiral of increased physical disability and pain.

If you have pain I encourage you to keep trying different exercise until you find a type that doesn’t provoke your symptoms, whether that’s going for a bike ride to help with your back ache or going for a walk to help your shoulder pain.

To book a consultation go to https://martinsonhealth.janeapp.com/
📞 (780) 672-8559