Opinion

ADHD and osteopathy/manual therapy – what can be done

Lately I’ve had a few people asking me my opinion as a health professional (osteopath) about ADHD and osteopathy.

First off research – well in regards to research about Osteopathy and ADHD there is a study released in 2014:

Effect of Osteopathic Manipulative Therapy in the Attentive Performance of Children With Attention-Deficit/Hyperactivity Disorder

This is research done with a relatively small group in Italy (28 children aged 5-15) and divided into two groups – one who received conventional care, and one who received conventional care and Osteopathic manual therapy.  Those who had the manual therapy did have improvements in outcomes testing for Biancardi-Stroppa Modified Bell Cancellation Test.  This is a test that looks at the ability of a child to find certain shapes and ignore background or distracting information.

Overall the research suggested further study would be a good idea – increasing the number of children involved in the study.  It it also noted that this research is performed in Italy, and while treatment may be of a similar nature, I could not verify if the techniques used would of been similar to that in Australia.

So research is very limited in its opinion of osteopathy in Australia and how it can help with ADHD.  With the AHPRA regulations for Osteopaths in Australia that means it is not allowable to advertise that Osteopathy can help with ADHD.

However People/children with ADHD get tight and sore muscles much the same as anybody else and that is something that osteopathy may be helpful for.  Having fallen down off a trampoline, or tripped while running, or any other number of injuries can result in muscular sprains and strains that may benefit from the attention of an osteopath (such as Luke at Good Health Osteopathy in Diamond Creek).

Other considerations:

Other things to consider can be other factors which may affect ADHD.

  1. Diet and Gut Microbiome: There are pretty definitive links between Autism Spectrum and Changes to Gut Microbiome (balance of different bacteria’s inside the digestive tract), and as of yet it has not been shown in those with ADHD.  What is known however, that those with ADHD are almost 3 times more likely to suffer from constipation, and those born via C-section have slightly increased likelyhood of having ADHD later on in life.  Both of those would likely indicate an increased chance of having gut dysbiosis.
  2. Retained ‘primitive reflexes’:  There is a neonatal/baby reflex known as the galant reflex that you will see in babies usually up to about 6 months.  This is a reflex believed to help with birth and to help establish hip mobility and crawling patterns.  At times this reflex can be retained until later on into childhood and even adulthood.  This study found higher levels of retained reflex in children with ADHD, and other research has linked this retained reflex to higher levels of children bed wetting over the age of 5.

For those wanting to be more proactive in managing an individual with ADHD there are exercise and advice that could be given to potentially help with the above two points.

Dr. Luke Richter (Osteopath) and Angie Richter (Massage)
329-347 Diamond Creek Road, Diamond Creek 3089
0434001370
 
Providing massage and osteopathic treatment for those in Diamond Creek, Greensborough, Eltham, Hurstbridge and surrounding suburbs.

 

Opinion

Should I use a foam roller

I’ve been getting more people ask if they should use a foam roller and given the growing popularity, I thought it worthwhile discussing weather you might need one or not.

First off. Foam rolling is a form of releasing muscles that people have been doing for thousands of years. It essentially works out to being quite similar to if you get a massage, osteopathic treatment or other form of muscular release.  The fancy term for it is a myofascial release.  This means you are releasing the muscles and fascia (a type of connective tissue).  You are also influencing the circulatory and nervous systems.

The technical side of things: there are 4 types of mechanoreceptors in fascia – Golgi, Pacini, Ruffini and Interstitial.  Golgi receptors typically respond most to strong stretch, pacini to rapid changes in pressures and vibration, Ruffini to sustained pressure and lateral stretch and Interstitial which are stimulated by both rapid changes to pressure and sustained pressure.  It is the stimulation of these receptors with foam rolling that will release and relax the muscle

  1. Do I need a Foam Roller

No, Definitely not.  Though a foam roller may make it easier for you to achieve your goals, the ultimate goal is pressure and movement on the muscles in a controlled and consistent way.  Some people may use golf or tennis balls to achieve the same goals.  I’ve had clients come in to see me as an osteopath in Diamond creek who haven’t wanted to buy a foam roller and instead used a wooden rolling pin from their kitchen.  One individual who was limited in movement and had a walking stick as a mobility aid used the walking stick while sitting down and watching TV.  Use your imagination (and common sense) if you want to get started but don’t want to buy a foam roller.

What i will say though, is that a medium density foam roller can be very good for certain areas of the body where you don’t want as much pressure.  The firm rollers with spikes/knobs can be much to sore for many.

2. How much pressure should i use

How much pressure do you like with a massage?  As i mentioned before foam rolling will affect the nervous system, if your body feels under attack (like the first time you roll out the outside of your leg/ITB’s) it will likely tighten up and you won’t get as much benefit.  You will also increase the chance of pulling up quite tender afterwards.

If you feel like using it on the floor with your body weight is too much pressure, try doing it against a wall, or if you have a willing helper, lie down and get them to move the foam roller over you.

3. How long should I do it for

Typically I recommend doing each region or muscle group for approximately 30-60 seconds.  However if you have a spot that is especially tight/knotted, or you are trying to achieve specific goals with that region, you can roll for about 2-3 minutes.

4. Can I use my foam roller for other things

Aside from using it to have roller fights with your friends, there are a few alternative uses for it (depending on size, density etc).

  • Lying the roller on the floor and standing on it, can be a great way to work on your proprioception and balance.  This of course won’t work for the cheaper rollers with a hollow core (trust me they break).
  • As mentioned, you can get a family member or friend to roll out your muscles for you. This is particularly helpful in hard to roll places such as your lats (latissimus dorsi is your main arm abductor, and can be rolled out on the outside/back of your rib cage).

If unsure you can talk to a trusted health professional such as an osteopath, or other professionals who have an interest in these types of things like a massage therapist (Angie at Good Health Osteopathy Diamond Creek is excellent), personal trainer or physiotherapist etc.

 

Good Health Osteopathy Diamond Creek
Dr. Luke Richter (Osteopath) and Angie Richter (Massage)
329-347 Diamond Creek Road, Diamond Creek 3089
0434001370
 
Providing massage and osteopathic treatment for those in Diamond Creek, Greensborough, Eltham, Hurstbridge and surrounding suburbs.

 

Video introduction

Introduction Video for Osteopath and Massage Diamond Creek

New Video on youtube check it out (https://www.youtube.com/watch?v=zq_tmDEcVes)

If you don’t wan to watch it feel free to read the transcribed version below

 

Hi, My name is Luke From Good Health Osteopathy in Diamond Creek. Good Health Osteopathy is a family run business currently made up of myself and my lovely wife angie.  I am an osteopath who graduated in 2008. I initially spent my first few years working up in Brisbane which is where I am originally from. My wife is a massage therapist who does deep tissue, sports and relaxation massage.  We work here to empower change. We do this by doing our best to identify the cause of any pain or injury that presents to us.  From there we can suggest stretches, exercises or changes at home so that you as a patient have more control over your health and well being.  We look forward to seeing you here, feel free to ring to make an appointment or book online at www.goodhealthosteo.com

 

Good Health Osteopathy Diamond Creek
Dr. Luke Richter (Osteopath) and Angie Richter (Massage)
329-347 Diamond Creek Road, Diamond Creek 3089
0434001370
 
Providing massage and osteopathic treatment for those in Diamond Creek, Greensborough, Eltham, Hurstbridge and surrounding suburbs.
Uncategorized

Osteopathy Bulk Billed EPC referrals – Good Health Osteopathy Diamond Creek

I’m often asked if osteopathy can be covered through Medicare. In a tight economy, finding money to take care of your body can be tough, especially if it’s an ongoing problem/condition. For many years now, Medicare has had a system in place to help subsidise treatments with allied health professionals, such as osteopaths, dietitians, psychologist, podiatrist and more. In its early stages it was called Enhanced Primary Care, but is currently known as Chronic Disease Management (CDM).  The full information can be found on the Medicare web site, but the basis of it is, that those eligible can have up to 5 treatments per year which Medicare helps pay for.  In times gone by, those with CDM plans would have to visit the local branch in Greensborough, but now these can be bulk billed.

Who is eligible?

Eligible people are those who have a “chronic condition” which can be helped with allied health treatment. It is generally considered to be part of a team approach (more than 3 practitioners – typically your GP and two others). Chronic is generally defined at being present for more than 6 months.

This can be for musculo-skeletal pain: for example ongoing issues with headaches, low back pain or joint pain, or alternatively can be for problems arising from chronic disease such as heart disease or diabetes.

What do I have to do?

A Chronic Disease management plan is put in place by your GP, and it is up to their discretion as to what sort of treatment might be best for you. This is no reason however, that you cannot talk to your GP and suggest to them what you feel might work best. The referral for 5 treatments can be all for one therapy such as osteopathy, or may be split to have 3 visits with one therapy and 2 with another, depending on what your chronic condition might be.

If you wish to be referred to a certain practitioner/therapy, you will need to know certain details to give to your GP.  Please be aware the decision for referral is ultimately up to your GP to decide.  For example, if you wanted to be referred to Good Health Osteopathy you would need these details:

Clinic name: Good Health Osteopathy

Practitioner name: Dr. Luke Richter (osteopath)

Provider number: 4110996Y

Address: 5B 329-347 Diamond Creek Road, Diamond Creek

Why ask to be referred to Good Health Osteopathy in Diamond Creek?

Under the Chronic Disease Management scheme, patients have to be referred to specific practitioner’s and Clinics. Depending on the clinic, you may be charged a gap between what Medicare covers, and what the clinic charges. For example if a consultation is typically $70, and Medicare covers $52.95, you will have a gap of $17.05.   At Good Health Osteopathy we bulk bill Chronic Disease Management referrals on the spot, so you aren’t out of pocket any money!

If you have any questions or concerns about this feel free to ring Good Health Osteopathy, or send a query thought the Contact page, and I will get back to you as soon as possible.

Dr. Luke Richter (osteopath)

Good Health Osteopathy

5B 329-347 Diamond Creek Road,

Diamond Creek

Good Health Osteopathy – Quality health care commonly servicing patients from Diamond Creek, Greensborough, Doreen, and Eltham

Uncategorized

End those Winter Blues – Start Exercising now

It’s getting towards the end of winter, and time to start thinking about coming out of hibernation. Not in the literal sense of course, most of us have still been working long days, taking children to school and sporting events and socialising with whatever energy is left.

What most of us don’t do through winter however, is maintain good exercise routines, stretch often and take care of ourselves physically. Rainy and cold days often provide a good excuse not to go out for that walk, and the dog is often just as happy to stay inside as you are.

Now that the days are beginning to get a little longer and there is light at the end of the proverbial tunnel is a great time to muster up some motivation to start back into exercise. Just a few tips before starting back into exercise though.

  1. Stretch before starting your new exercise

If you are thinking about starting exercise to prepare yourself for the coming summer and beach days, start to stretch NOW. By starting your stretching routine a week or two before your exercise routine you can help with a little flexibility and mobility. As an Osteopathy often seeing patients in South Morang, Doreen, Diamond Creek and Greensborough – I frequently need to suggest stretching programs. These aren’t special exercises that you can only learn when coming for an appointment, they are often the basics you’ve learnt in school. Stretching your legs for activities that require walking/running. Stretching shoulders for people who are stuck behind a desk etc.

  1. Start gradually/slowly

Most people have been struck with sudden motivation to exercise. Running is a great example: First you go out and buy new runners (or dust off the runners you’ve gotten from the last time you started running). Next perhaps you download a running app on your phone so you can track distance and time. Mentally you plot out your course and typically overestimate your fitness levels so will aim for a 3-5km round trip. On goes the shoes, out the front door and away you run. You might get to the end of the 500m – 1km before breathing like a wounded animal and having to stop running for a breather, before starting off again just before you fully regain your breathe.

If this is anything like you in the past, perhaps this year try to start a bit slower, walk for the distance you plan to jog, and slowly increasing your pace with some rest days in-between walks/jogs/runs.

Very frequently jumping head first into a challenging running program will result in injury, time off exercise and perhaps a need to visit your local Osteopath.

  1. Drink plenty of water and stay hydrated.

Winter and dehydration can often go together. Feeling cold in your body doesn’t often kick up the thirst drive like it does in the middle of summer and getting in the 1.5-2.5 Litres a day can be very challenging. Often when you are sedentary while working it may not be a major issue, however when you start exercising and sweating this mild dehydration can lead to increased aches and pains, headaches and poor recovery.

Exercising without adequate hydration is like running your car without oil. Don’t be that person!

If you want to discuss anything written feel free to contact Good Health Osteopathy Diamond Creek

Dr. Luke Richter (osteopath)

Good Health Osteopathy

5B 329-347 Diamond Creek Road,

Diamond Creek

Good Health Osteopathy – Quality health care commonly servicing patients from Diamond Creek, Greensborough, Doreen, and Eltham

Opinion

Waking up with a sore neck? ‘Tis the Season

Its that time of year again. Christmas parties, Christmas with the family, New years eve, holidays from work, and if you’re lucky -going away, be it on holidays, camping or visiting friends. The normal routine goes out the window, exercise gets cut back at the same time as a few more social drinks and some late nights.

Its great to relax and recharge your batteries, your body needs it. An unfortunate side effect of all these changes however can be waking up with a sore neck, or even some headaches. Its not surprising with such a big change to the routine.

What can you do about it?

Well, as an osteopath – one great thing you could do is get it treated! Having a qualified professional assess your posture, loosen off those tight muscles and joints and give you some exercises is a great way to take care of yourself. You often don’t realise how good you can feel until after you get some treatment. At Good Health Osteopathy, I am often seeing patients from Greensborough, Diamond Creek, Eltham and surround suburbs.

Alternatively, there are some things you can be doing at home:

  • Getting good quality sleep. Its been said that time is a great healer, well typically so is sleep!
  • Drinking plenty of water. Everyone is different to how much water they ‘need’ to function, but typically most will admit to not drinking enough. You wouldn’t run your car without oil, so why would you expect your body to perform well without water.
  • Heat – getting some warmth into your neck can feel great – some with hot showers, others with heat wheat bags they may have at home.
  • Don’t forget the front of your neck. One of the biggest things I see is that people will poke and loosen up their shoulders, but not consider the muscles in the front of the neck. If you aren’t certain what to do, it is best discussing it with a qualified practitioner before you start poking in the front of your neck, there are some pretty important nerves and arteries in the area.

Book Online now!

Dr. Luke Richter (Osteopath)

Good Health Osteopathy

5B 329-347 Diamond Creek Rd, Diamond Creek

Commonly servicing: Diamond Creek, Greensborough, Eltham, Hurstbridge

Uncategorized

Why is my low back not getting better?

With the relatively limited public awareness of Osteopathy in Australia i’ve often had patients (from various areas such as Diamond Creek, Greensborough, Hurstbridge etc) coming in to try Osteopathy after they have tried other modalities with limited success.  Commonly I’ve heard of too many stories of patients being dissatisfied with their current healing (not just low backs but a range of conditions) and have come to me to try Osteopathy to see how they can better manage an injury. Often, dissatisfaction comes from short treatment times, no real diagnosis and no real idea on what the injury is or how to fix it.

Over the years i’ve seen a lot of different conditions in a range of different age groups. Treating babies to the elderly the one thing that stands out is that everybody is different. Some respond best to direct trigger point therapy and manipulation, some stretching, some indirect and craniosacral therapies. My choice of techniques is dependent on my clinical experience, reasoning and patient preference. Another part of what makes everyone different is that everyone recovers from an injury /condition at differing rates.

Every injury is different. What takes one person two days to recover may take another person months. Some injuries like low back disc injuries and sciatic pains can take some months to recover whilst others may never fully recover fully.

Some factors in recovery are controllable, such as:

  • compliance to appropriate stretches or exercises
  • ability to minimise aggravation at work or home
  • getting sufficient treatment to enable recovery
  • a persons perception of their pain (psychological)

Some factors at not

  • the bodies ability to heal (physiological)
  • the degree of damage to the body

When thinking about why an injury isn’t healing it is important to look at those controllable factors. Getting the right diagnosis, the right treatment, the right education, and the right exercises to take control of an injury and enable full recovery is vital. These require a thorough history, assessment and for somebody to completely understand your pain. Here at Good Health Osteopathy we try to achieve that for each and every patient.

 

Dr. Luke Richter (Osteopath)

Good Health Osteopathy

5B 329-347 Diamond Creek Rd, Diamond Creek

Commonly servicing: Diamond Creek, Greensborough, Eltham, Hurstbridge

Opinion

What should I tell my Osteopath?

I’ve noticed over the years that many patients have layers of information they will share with me as their treating osteopath.  These layers come in many different forms.  Sometimes I get told the basics but nothing more due to a lack of trust, or a feeling that it may be boring, or that it is unrelated to my patients current problem.  Sometimes they don’t mention it because they’ve asked their General Practitioner (GP) and not gotten an answer so have just given up on getting it fixed.

I personally believe that more information is better.  The more I get told, the more likely I am to be able to help with any given problem.

For example:

Recently I’ve had a patient with ongoing back pain which had been helped with previous treatment but never 100% fixed.  I admit that I had seen her a few times myself with similar results.  One treatment It was revealed that this patient had a bloating sensation for as long as the back pain had lasted.  Using that information I was able to ease the tension through the abdomen with visceral techniques and now this patient is better.  No more back pain, no more bloating.

I admit it doesn’t always work out that way, bloating and most abdominal symptoms can be as a result of allergies, intolerances and conditions that aren’t fixable by hands-on work.  But sometimes they are caused by tightness in the structures of the stomach and are relieved with treatment.  This is just an example, there are many things i see on a weekly basis that patients are suprised I can assist with.

Osteopaths are put through 5 years of university training which includes a great deal of anatomy, physiology, pathology, clinical diagnosis and much more.  You are often able to spend more time with your osteopath than you are with your General Practitioner.  Please feel free to mention any concerns you may have even if you don’t feel it relates to your headache/back pain/knee pain.  You might not get the answer you need every time but I have found in the past I can often explain and help patients better understand what is going on in their bodies.

Dr. Luke Richter (osteopath)

Good Health Osteopathy

5B 329 – 347 Diamond Creek Road

Diamond Creek

Opinion

Osteopathic Maintenance treatment in Greensborough, Eltham and surrounds

I often tell patients that the human body is an amazing machine.  It really is when you start to consider how we manage to co-ordinate all of our muscles together to be able to get out of bed in the morning (most days), how we extract energy from the food we eat, how we can usually convince our bodies with determination, training and perseverance to do almost anything we need it to do.  No one is bulletproof though, and no machine can do everything without fail.

If you treat your body like a machine, you begin to realise that all machines will need a service from time to time.  Take your car for example.  Theoretically we all service our cars about twice a year.  It needs to have the oil changed, and to have everything checked over to try and prevent any serious mechanical malfunction.  A maintenance treatment is much the same- a general check up before you get seriously injured.  Much like a car service, it doesn’t guarantee you’ll never have a problem.  But in my opinion, it does reduce the risk.

If you are anything like me, sometimes that car doesn’t get serviced exactly every six months.  What happens if you are overdue for your maintenance service.  Typically nothing, but if you keep missing them, you increase the risk of a major problem.  Our bodies even have warning lights, much like our cars.  Pain.  When you start to feel pain, its your bodies way of telling you that there is a problem that needs to be resolved.  Sometimes you can resolve it yourself, with stretching and exercises.  But sometimes it needs the help of a therapist, such as an osteopath to help keep things moving well.

To keep flogging the car analogy, if you were to decide to take your typical commuter car that you drive from St. Helena, Eltham, Diamond Creek etc to the city each day and take it out to race on a track on weekends, you would need to service your car more frequently.   Much the same with your body, if you decide to start running, going to the gym or generally increasing the physical demands on your body – there is going to be a higher demand for maintenance treatment to minimise the risk of injury.

Every body is different, so there is not set period of time for maintenance treatment.  Some people come in every six months, while others have a history of past injuries and might need some work every six weeks or so.  It comes down to the individual.

If you want to discuss anything written feel free to contact Good Health Osteopathy Diamond Creek

Dr. Luke Richter (osteopath)

Good Health Osteopathy

5B 329-347 Diamond Creek Road,

Diamond Creek

Good Health Osteopathy – Quality health care commonly servicing patients from Diamond Creek, Greensborough, Eltham, St. Helena, Yarrambat.

Opinion

Travelling and stretching

As an Osteopath, I am quite fond of giving my patients stretches and exercises to do in order to better manage their back/neck/knee/relevant region of the body.

I sometimes find I have patients returning after an absence of treatment (anywhere between weeks and years) saying that their problem has ‘returned’.  Sometimes I get told it just came back, or sometimes it can be because of a trip away or ‘sleeping funny’.

At this time I tend to ask, “have you been doing your stretches?” to which the typical response is I did them for a few weeks and then I forgot.  From my patients my own personal experience, I can understand it is difficult to continue doing any form of stretches or exercises on an ongoing basis.

Life gets busy, Routines change, people forget.

My personal belief is to do the best that you can.  Now for some people, people more motivated to me who get more relief from their stretching – the best they can is stretching daily.  I applaud them and encourage as many people as possible to stretch daily.  For me and many other people, its about stretching when you can and using whatever memory aid you can to remind yourself.  For some its every time they sit at a computer, or every time they watch TV, or wash the dishes.  For me its lying in bed at night, if I move and I feel stiff – I stretch as much as I can manage.  Its usually about twice a week.

The other thing I see frequently is that patients sometimes believe if they’ve stopped stretching for a few weeks there is ‘no point’ to starting again and things have gotten tight already.  My number one tip about stretching is that

If you know you are going to be stressed, travelling or loading up an injured area – stretch daily for 3 days before and 2-3 days afterwards.

 

My logic is that this will help relax the muscles so that when you inevitably ‘sleep funny’ or overload your body the nice stretches you’ve been doing to lead up to the trauma will minimise your chances of injury!

Recently I had a trip to Tasmania  – slept on a very uncomfortable pillow and bed, and woke up with a pinch in my neck.  I truly believe that my stretching before and after this is what caused this pinch to be a minor discomfort and not a big injury.  That and keeping fit and healthy which is a topic for another day.

If you don’t know any stretches for your injury, perhaps its time for a treatment to manage your pain better and get some stretches while your at it

Dr. Luke Richter (osteopath)

Good Health Osteopathy

5B 329-347 Diamond Creek Road,

Diamond Creek