This is the most common adjustive and effective technique used by chiropractors around the world. However, sometimes patients who enquire looking for a different chiropractic technique may not seek diversified adjustments.
Terminal Point Technique (TPT or Drop-Piece)
TPT uses drop piece sections on adjusting couches or tables to facilitate adjustments. Other techniques that use TPT include Thompson, Peirce-Stillwagon and Toggle recoil.
This differs from chiropractic in that it is more concerned with circulation, cardio-vascular circulation, respiratory movement (circulation) and cerebrospinal fluid circulation. Therefore, osteopaths are more likely to employ massage and soft tissue techniques, cranial adjustments, lymphatic drainage etc. However, there will be a large overlap between osteopathy and holistic chiropractic.
This chiropractic technique is a gentle low force technique that utilises specific procedures to detect spinal joint dysfunction, analyse leg length inequality, detect body mechanic problems and check overall spinal balance. The Activator is a unique hand held instrument which delivers a controlled, light and fast thrust without causing undue strain.
A specific therapy for soft tissue dysfunctions, such as muscle, tendon, ligament, joint capsule, fascia or nerve involvement conditions. Dry needling uses filament needles to create small lesions in specific areas of soft tissues to normalise soft tissue disturbances without the involvement of any pharmacological substances or processes.Majority of clinical pain is myofascial in origin.
Research states that 85% of back pain and 54.6% of chronic headaches and neck pain are myofascial pain in origin. Myofascial pain can be characterised by trigger points, muscle spasm, muscle tension and muscle deficiency. Significant tissue inflammation, tissue contractures, tissue adhesions and poor circulation occurs resulting in pain syndromes. Dry needling breaks up these soft tissue disturbances and promotes healing of tissue with pain relief as a positive result. Whether it is muscle damage by overuse from daily life, trauma or sporting activity, dry needling can be used for any soft tissue dysfunctions.
A newer therapeutic strategy is a separate science of chiropractic rehabilitation. A revolution has occurred in the past 15 years in the field of chronic pain and many chiropractors have been at the forefront in creating new management approaches and collecting research evidence to support the new theories. A radical rethink has occurred about the way we manage the neurological, mechanical and behavioural aspects of chronic pain. Science has driven new developments in exercise science, soft tissue injury and manual therapies, and the behaviour of pain and suffering.
Under rehabilitative care, as the patient, you take an active role in solving your chronic problem. This involves us helping you to understand how muscles , joints and tissues work together to provide flexibility and stability. You will be assessed for postural imbalances and core stability. Rehabilitative exercises are one component of the overall strategy aimed at improving strength, flexibility, co-ordination, balance and aerobic fitness. This approach prevents future problems and actually improves longevity and quality of life.
In most cases, exercise forms an integral part of recovery. The combination of specific stretches, stabilisation and strengthening exercises, in conjunction with chiropractic care and appropriate soft tissue techniques produces excellent results.
Occupational and workers compensation injuries are well managed at Health plus Chiropractic. We are ideally placed in caring for patients with work-related injuries for a number of substantial reasons which include Anthony’s early experience in chiropractic practices that specialised in these injuries, our broad skills in rehabilitation and soft-tissue injuries, an experienced administrative system that is proactive in dealing with insurers, WorkCover and employers, all of our chiropractors have been trained and accredited in soft-tissue injury management by WorkCover NSW; a high quality standard of professional communication with medical practitioners and others involved with injury management, provision of pre-employment health/medical screening and assessment for major companies, and finally our approach is the most-up to date and evidence based available. Our interest in this area means we don’t fall for the myth that workers must only receive the treatment recommended by the company doctor or that a referral is essential prior to receiving treatment. If you have a work-related injury, do arrange to see us to find out how much we can help you recover.
Massage Therapy Techniques
Remedial massage is a style of treatment used to address a specific issue of the musculoskeletal system. Your therapist will discuss how the issue came about, symptoms you are experiencing, and your goals for the treatment. Your posture may be examined and your therapist may check muscle flexibility and strength to determine what muscles and structures are involved.
A range of massage techniques are applied to effectively address the problem area, these may include deep tissue massage, trigger point therapy, myofascial release, lymphatic drainage, and swedish massage. You and your therapist will work together to reach the treatment goal (increase movement, decrease pain, release muscle knots etc.) and exercise therapy, stretching and lifestyle changes may also be suggested. We recommend 1 hour for the first consultation, and consecutive treatments can be 1/2 an hour, 1 hour or 1 1/2 hours depending on the required treatment.
Myofascial release targets the layers surrounding the muscle. Similar to a soft tissue release technique but with a more gentle pressure applied to the restricted fascia and tissues. The massage therapist will apply a gentle stretch using their hands with mild pressure. This will help the fascia ‘unwind’ itself. The gentle traction applied to the restricted fascia will result in an increased blood flow to the area thus eliminating pain and the body’s ability for self correction to restoring the body’s performance.
Soft Tissue Release
This is a highly effective technique that has a powerful effect on muscles and connective tissue. This technique may be used in an area of muscle pain or tenderness or where there is restriction of movement. The massage therapist will apply a stretch with deep pressure using their fingers, thumbs, fist or elbows to a specific muscle group where there is restriction in the fascia. Commonly used in sports massage, this technique will help regain muscle length.
Trigger Point Therapy
A trigger point is a hyperirritable point found in a taut band of muscle. These trigger points (or tight knots) not only affect the muscles involved but also sends “referral pain” in the tissues supplied by nerves. Trigger points are formed due to muscle over use, cold, old injury or accident, poor posture and muscle imbalance. Trigger point therapy is a technique that involves applying pressure on the tender muscle tissue in order to relieve pain and dysfunction in other parts of the body.
The purpose of this technique is to re-educate the body into pain-free habits and to eliminate pain. A few treatments can reduce pain, swelling and stiffness of the neuromuscular pathways in the muscles. Increased range of motion and improvements in muscle co-ordination can be achieved along with reduced tension and flexibility. Trigger point techniques are usually incorporated to a massage and /or chiropractic treatment.
All serious athletes now rely on massage as an indispensable part of their training programs. A sports massage is a type of therapy geared toward active individuals, usually those who present with common strains resulting from strenuous exercises and movements.
Sports massage uses a combination of deep and light strokes using knuckles and fingers and sometimes elbows to loosen muscle adhesions and release trigger points (knots) in dysfunctional muscle tissue.
Sports massage assists in reducing the risk of injury, cools the body down after exertion and helps enhance the overall physical performance of an athlete by increasing overall motion and flexibility. Whether you are looking to keep an active lifestyle or reach your sporting potential, regular sports massage is vital to your success.
Our massage therapists at Health plus Chiropractic are trained in sports massage from their initial training and have followed this with specific experience in triathlons, football, tennis, basketball to name a few.
Lymphatic drainage is very gentle and slow massage that is used to improve movement and flow of lymphatic fluid around the body. It is often used to relieve swelling, and fluid retention and can be used after surgeries, injuries and accidents.
The massage works to move fluid towards the nodes of the lymphatic system, where the excess fluid is then moved into the blood stream, where it is then excreted. We recommend 1 hour – 1 1/2 hour treatments, and advise that you drink plenty of water before and after treatment and avoid alcohol after treatment.
Hot Stone Massage
The warmed stones are an extension of the therapist’s hands and help to soothe away muscle tension, increasing local circulation to the muscles bringing in fresh blood and nutrients to help heal and nourish the tissues.
Hot Stone Massage is recommended to all our clients, it can be the most relaxing and nurturing treatment you will experience and the stones can be used for deep tissue massage and trigger point therapy.
Applying the heat quickly warms the tissues helping to release muscles, knots and is recommended to clients that are experiencing severe muscle tension and pain.Our treatment recommendation would be 1 hour or a 1 1/2 hours for optimal results.
Nail surgery is a procedure performed to effectively treat an ingrown toenail that is causing pain, inflammation and infection. Surgery may be required when an ingrown toenail repeatedly gets infected, is continually painful, the patient is unable to wear shoes or the condition restricts work, sports or other activities.
The aim of performing a Partial Nail Avulsion is to permanently treat ingrown toenails. The procedure is performed under local anaesthetic and usually takes an hour. Once numb, a tight elastic ring called a tourniquet is applied to the toe to control bleeding. The offending portion of nail is then gently lifted and trimmed away, usually without the toe being cut or stitched. A chemical solution is applied to where the nail grows from, preventing nail regrowth.
Once the procedure is completed, the tourniquet is removed and a sterile dressing is applied. The patient is able to walk immediately afterwards. The sterile dressing is removed by your podiatrist the next day, after which the patient is required to change the dressing daily. Consultation with your podiatrist is required at 2 week intervals after the procedure until the toe is healed.
Heel pain is one of the most common conditions treated by podiatrists and can affect children as well as adults. Successful management of this condition involves a multifaceted approach. At Health plus Chiropractic, we believe that involving all aspects of treatment in order to produce the best possible outcome.
The three main areas which need to be addressed are:
Soft tissue – treatment may include stretching, strapping, dry needling,
Foot mobilisationBiomechanics – A full biomechanical assessment is carried out and orthotic management prescribed to correct any abnormal issues which may be contributing to the condition
Footwear – This is a major part of the treatment plan. Often inappropriate footwear can lead to heel pain and in many cases prevent it from getting better.
Your podiatrist will be able to properly advise you regarding footwear. Once the cause of the heel pain is determined, your podiatrist will be able to devise a customised treatment program addressing soft tissue, biomechanics and footwear.
Once we have identified the problem with your foot function and/or gait, orthotics may be appropriate to provide the necessary correction or improvements.
For many years, orthotics tended to be very hard and bulky in footwear, but with modern manufacturing techniques and materials, we can design orthotics that are both effective and comfortable as well as being able to fit into most types of footwear.
Following your biomechanical assessment (which will include your video gait analysis as well as a host of muscle and joint measurements), a 3D Scan of your feet is obtained to ensure the best fit. That’s right! No more plaster casts!
Casting was our usual go to method of getting all the contours of your feet to transfer to an orthotic, but here at Mark Palmer Podiatry, we are now using 3D scanning technology. Our scanner uses a laser that rotates 360° around the foot, gathering over 30,000 data points. The result for you is an extremely accurate 3D model of your foot, taken quickly and will no mess or fuss!
Shockwave Therapy, also known as Extra Corporeal Shockwave Therapy (ECSWT), is new treatment options for those suffering from a range of soft tissue injuries including Plantarfasciitis and Achilles Tendonopathy (Tendonitis).
Shockwave was originally developed to treat kidney and gall stones. The machine produces a high-intensity sound wave which interacts with the tissues of the body. It is particularly useful in treating soft tissue injuries where major connective tissues attach to the bone.
Put simply, Shockwave Therapy stimulates the healing process in the body to begin. The repetitive pulses break up tissue that has become dense and tight due to chronic inflammation, it stimulates blood flow to the area so our natural healing and anti-inflammatory processes can occur, and for the first time, we can actually break up calcified tissue (heel spurs) without surgical intervention.
The treatment plan will generally take place over 4-6 visits, this will vary depending on the patient’s reaction to the treatment as well as how long the problem or symptom has been occurring. In the case of heel pain, for instance, shockwave therapy will be completed in conjunction with other treatments including massage and stretching, improved footwear habits and possibly orthotics if a biomechanical abnormality is contributing to the problem.
Not everyone is able to use ECSWT, so talk to the Podiatrist about whether it’s the right treatment for you!
Video Gait Analysis
A big part of Podiatry these days is gait assessment and analysis. This simply means watching the way someone walks and runs and identifying abnormalities in the way the joints and muscles interact, or problems with alignment of joints at certain points in each step.
Traditionally, a Podiatrist will observe someone walking up and down a hallway and then try to explain to that patient what they are seeing. Here at Mark Palmer Podiatry, we utilise video analysis software (the same as Channel 9 Sports) to allow not only finer, more exact analysis of the gait and movement, but more importantly, an opportunity for the patient to view the footage and understand what’s happening with their own bodies.
Gait analysis plays a huge role in our diagnosis and management of conditions as well as prescription of our orthotics. It allows us to view problems with the feet and ankles, but also the affect that has on the whole leg and hip mechanics. For this reason, we often have referrals from Physio’s and Chiropractors so we can assess how someone’s walking can be contributing to symptoms further up the body!
Strapping is a very important diagnostic and therapeutic technique used in podiatry daily. Strapping can be a very effective short term solution for help in obtaining better alignment and movement, reducing stress to the area, reducing pain, allowing for the area to start healing and also assist in diagnosing a more beneficial long term solution to the underlying cause (i.e. orthotic therapy).
Foot Mobilisation Technique
Foot mobilisation will gently and painlessly restore joint mobility, flexibility and fluidity. When combined with corrective exercises, foot mobilisation will stretch, strengthen and stabilise your body’s foundation so you can feel and function better. This can be used as an adjunctive therapy, usually as part of orthotic therapy, or on its own.
Superficial Dry Needling is an advanced skill and offers another effective way of eliminating trigger points in tight muscles. It is thought that Dry Needling stimulates certain sensors in the body which regulate pain signals. Dry Needling can also cause local chemical changes and result in an increase of blood flow in the trigger point area.
The benefits of trigger point release through dry needling include a decrease in the tightness and the pain associated with a particular muscle, allowing re-educating of the muscles into pain-free habits. Often immediate improvement is noted and after several treatments there is an increased range of motion, reduced tension and improved flexibility, circulation and co-ordination. This is mainly used to release the calf muscle in the treatment of heel pain.
Trigger Point Therapy
An important aspect of musculoskeletal pain and dysfunction is addressing all possible contributing factors, including the presence of joint or spinal dysfunction, postural imbalances, reduced co-ordination, poor posture and the effect of trigger points. An active trigger point is a hyperirritable spot in skeletal muscle that is associated with a tender and palpable nodule in a taut band of muscle.
These muscles often appear tight, weak, do not respond to just stretching and cause restricted joint ranges of motion. Once a trigger point is established it can become self perpetuating and persist for decades until it is adequately released. If the trigger point is not released it can lead to altered joint motion and be the cause of recurring pain.
There are some different approaches to the treatment of trigger points including ischaemic compression , specific soft tissue mobilisations, frictions and massage. Due to the hypersensitivity of the trigger point, pain levels will be initially quite high during manual therapy, but as the treatment progresses it eases off.