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Cranbourne Family Chiropractic Blog
Cranbourne Family Chiropractic is looking for an Exercise Physiologist
Cranbourne Family Chiropractic is looking for an Exercise Physiologist to join our team. We are a busy, multi-disciplinary health centre located in Cranbourne. We are also affiliated with Casey Race Aquatic Centre. Please call Andrew or Linda on 59984554 to arrange an interview.
Posted by Dr. Andrew Arnold on 18th February, 2012 | Comments | Trackbacks | Permalink
Tags: Exercise Physiologist
Dr Andrew's up for the Tough Mudder event
Dr. Andrew and 6 other likely lads have formed a team in this years Tough Mudder event in Philip Island. No amount of training can really prepare for such an insane challenge. 15km's, 28 obstacles, lots of mud. Check it out: www.toughmudder.com
Posted by Dr Andrew Arnold on 18th February, 2012 | Comments | Trackbacks | Permalink
Tags: Andrew Arnold, Tough Mudder
Mattresses now available
- Do you sleep well?
- How many hours a night?
- How old is your bed?
- How old is your pillow?
- Do you sleep on your stomach?
Did you know...
...if you divide your age by 3, this is how many years you have spent in bed (ie. if 30 years old have spent 10 years of your life in bed).
...most of us generally need to sleep 8 hours a night. This does not include sleeping in your lounge chair or on the couch.
...sleeping on your tummy significantly twists your spine and neck.
...placing a pillow under your legs when sleeping on your back or between your legs if sleeping on your side places less pressure on lower back.
...your pillow needs to be the right fit for you.
...you should replace your mattress every 5-7yrs., 10 yrs at the outside.
For these reasons and many more, Cranbourne Family Chiropractic is now partners with Regal Mattresses, Cranbourne.
This means we can confidently refer to the store manager, Marilyn, who will show you our preferred range of mattresses.
These come with a 30day full money back guarantee and a 15 year full workmanship guarantee. If this range does not suit you will be shown other options.
Either way you will be looked after all the way.
For more information please talk to our reception or your Chiropractor. We will arrange a FREE Sleep Consultation and a demonstration in house, of the actual mattress.
Posted by Dr. Andrew Arnold on 12th February, 2012 | Comments | Trackbacks | Permalink
Tags: Regal Mattresses, Bedding, Mattresses
The Secret Language of your Body
Learn to heal yourself and release negative beliefs which keep you imprisoned. Let go of destructive patterns and emotions such as resentment, fear, depression, anger, failure, jealousy and hopelessness. Connect to the wisdom of your body, learn to use your intuition, open your heart and experience joy, compassion, clarity, relaxation and love. Discover the innate intelligence of your body and how to use it to create amazing transformations. Exert from The Secret Language of your Body by Inna Segal.
Posted by Dr Andrew Arnold on 12th February, 2012 | Comments | Trackbacks | Permalink
Tags: Inna Segal, Book review
KIDS FOOT ORTHOTICS $50 OFF > ENDS MAR 31
Gain Every Advantage!
Did you Know?
By Age 2, it is normal for kids to have flat feet, walk pidgeon toed and stand with bowed legs.
By Age 4, it is normal for kids to develop the foot arches, walk toe out and stand with knock knees.
By Age 7, it is normal for kids to have all three foot arches developed and the postural alignment of an adult.
Book a foot scan assessment today to see where your child is at!
Foot scans are free with a regular consultation. Simply ask your Chiropractor. Or, $25 if outside a regular consultation.
Orthotics are covered by most private health funds.
This months special: Kids Orthotics $199 normally $249. Ends Mar 31 2012
Posted by DR ANDREW ARNOLD on 8th February, 2012 | Comments | Trackbacks | Permalink
Tags: ORTHOTICS, KIDS, FEET, $50 OFF
MARCUS BIRD COACHING TIPS
Hi everyone,
Today I would like to share another concept regarding stress and where we might get blocked with moving forward. I have seen the same information in different formats over the years however this version seemed especially pertinent after the holiday season with passion and drama featuring highly during many of my clients’ family get togethers! The concept could be used to work out where you are at in your various relationships either business or personal. You can then choose to make changes if required!
The information below comes from Marcus Bird & Intrinsic Success P/L. www.intrinsicsuccess.com
Marcus calls this his ‘Energy Matrix’ and the Energy Matrix has two axis’.
If we imagine PASSION and DRAMA as a graph below.
0 PASSION +
DRAMA + DRAMA -
PASSION –
In quadrant 1 – what exists is high passion and high drama. We can see the potential for becoming particularly stuck, confused and burnt out is very high.
In quadrant 3 – what exists is high drama and low passion. When drama is high passion is defeated and we could become exhausted, feel victimized, and stress levels are high.
In quadrant 4 – what exists is low passion and low drama. It is not hard to recognize that feelings of defeat and depression might dominate in this space.
In quadrant 2 – what exists is high passion and low drama. This is the perfect space for creativity, abundance, breakthrough and MOVEMENT.
I encourage you all to look at how you can decrease drama and find your passion into 2012.
Posted by DR LINDA WILSON on 31st January, 2012 | Comments | Trackbacks | Permalink
Tags: ENERGY MATRIX, COACHING, MARCUS BIRD
YOU TUBE VIDEOS
COMING SOON. We will soon be offering short videos via YOU TUBE on a wide range of services and aspects of what we do. If wading thru written info is not your thing, a short 3 min video covering the main points might be the best way for you to get the information you need. STAY TUNED, Andrew
Posted by DR ANDREW ARNOLD on 31st January, 2012 | Comments | Trackbacks | Permalink
Tags: YOUTUBE, INFORMATION BLOGS
HEALTH WORKSHOPS COMING SOON
Health Workshops coming soon.
We will be offering FREE health workshops, every fortnight on a Wednesday 7-8pm. here at the clinic. A wide range of topics will be covered, from Introduction to Exercise, to managing specific complaints, to information relating to particular modalities offered at the clinic. Spaces will be limited so be sure to reserve you place early. Upcoming workshops will be posted on our website. Would love to see you there, Andrew
Posted by DR ANDREW ARNOLD on 31st January, 2012 | Comments | Trackbacks | Permalink
Tags: HEALTH WORKSHOPS
Paediatric Development
Paediatric Development
Podiatrists often confronted with paediatric patients whose problems a variation in the usual landmarks of development -- importance of understanding of normal development process.
Phases of growth:
Early embryo 0-2 weeks
Embryo 2-8 weeks
Foetus 8 weeks-birth
Infant Birth-2 years
Normal prenatal development of the lower limb:
Week
Changes
1
After fertilisation, zygote rapidly divides to become a morula, then become a blastocyst (implants in posterior aspect of uterine wall)
2
Aminiotic cavity forms
3
Organs begin to develop; neural plate closes to form neural tube
4
Limb buds appear
5
Foot plates appear; nerves to extremities develop
6
Limb perpendicular to torso
7
Lower limbs commence medial rotation towards 90°; feet in equinus and inversion; hallux 50° adducted; digital rays begin to appear with interdigital clefts; muscles appear; ossification points of femur and tibia appear
8
Distinction between thigh, leg and foot; ossification points of fibular appear; all basic organ development is complete
9
Osseous nuclei of metatarsals and phalanges appear; digits well developed; foot completely inverted
10
Dorsiflexion of foot begins
12
Arms and legs move independently of trunk; nails begin to form
16
Eversion of feet due to valgus torsion of talus and calcaneus commences
22
Toe nails lie in the dorsal position
32-34
Anterior transverse crease on sole of foot
36-38
Occasional creased on the anterior two thirds of foot
39-40
Sole covered with creases
Relationship of prenatal development to foot pathology:
* Arrest of development
* Clubfoot
* Metatarsus adductus
* Joined toes
Please revise and study your first year biomechanics notes on the evoluation of human gait
Relationship of evolutionary development and foot pathology:
Many of the changes that the foot is assumed to have gone through during phylogenetic development can be seen in the developing ontogenetic development.
Recapitulation:
'During embryological development, an organism passes through stages which resemble the structural form of several ancestral types of the species as it evolved' (Haekel's Law)
* evident in the early stages of development of the human embryo and foetus
* possible explanation for the existence of structural anomalies in the lower limb
Tax (1982) suggests that our technological environment has evolved more rapidly that the structure and function of the foot. The hard unyielding surfaces that we walk on put the contoured foot at a functional disadvantage as it is not designed for use on a hard flat surface -- the foot has to pronate excessively to reach the ground.
Post natal development
1 month:
Spontaneous motor activity generalised; holds head up slightly when prone and can rotate head to either side; poor supine head control; beginning to notice surroundings; follow objects to midline; rounded back (flexed) when sitting; holds hands tightly clasped; reciprocal kicking when supine
2 months:
Motor activity generalised; smiles and coos socially; follows objects past midline; raises head and chest when prone – can hold position.
3 months:
Follows well with eyes; may wave at toy; beginning to regard hands – can hold hands in front of face; Good control of head when prone and looking around – can follow an object; Head control improved when in sitting position; Moro’s reflex disappearing; Smiles – coos in a more sustained fashion; kicking when supine
4 months:
Beginning to reach for toys symmetrically; Regards toys and may pull them to mouth; removes cloth from face; control of head good when sitting – looks around; plays with hands; laughs; rolls from prone to supine
6 months:
Reaches with either hand and begins to transfer objects; elevates trunk with elbow extension; rolls over; may sit briefly when placed in sitting position; laughs and plays with examiner; rolls from supine to prone and back; can bring feet to mouth
8 months:
Sits alone and unsupported – can raise self to sitting; beginning to creep reciprocally; vocalises with infantile rhythms and polysyllabic vowel sounds; regards self in mirror
10 months:
Crawls reciprocally; pulls up on rail; may begin to cruise with external support; uses thumb and index finger in opposition; may say ‘mama’ or ‘dada’; feeds self biscuits and holds own bottle.
12 months:
Walks with support; stands alone; places cube in cup; tries to build tower of two cubes; may have two words in addition to ‘mama’ or ‘dada’; begins to feed self with fingers
15 months:
Walks alone; creeps upstairs; 4 to 5 word vocabulary; pats picture; drinks from a cup; beginning to feed self with a spoon; makes wants known by pointing or vocalising
18 months:
Walks well; sits on a chair; throws a ball; climbs on furniture; stacks 3 – 4 cubes; 10 word vocabulary; begins to identify pictures; pulls toys on string; may be toilet trained during day
2 years:
Runs well; negotiates steps one at a time; jump off low step; uses pronouns and 3 word sentences; feeds self with a spoon; refers to self by name; toilet trained during day; can kick ball forward and throw ball overhand
2.5 years:
Can jump of step with one foot landing; can mount a tricycle; undresses self partially; attempts to put on socks; draws horizontal or vertical lines but does not cross them; refers to self as ‘I’; knows full name; helps to put things away
3 years:
Alternates feet going up stairs; jumps off step with two feet landing; pedals tricycle; builds tower of cubes; names drawings; uses plurals and obeys propositional commands; feeds self well; buttons clothes and puts on shoes
4 years:
Runs and climbs well; walks downstairs alternating feet; hops on one foot; throws a ball overhead; attempts to catch a ball or kick it in the air; pedals tricycle rapidly; draws a man with head, trunk and arms or legs; counts 3 objects; names one or more colours
5 years:
Skips, alternating feet; draws man; copies a square, cross, and a circle; dresses and undresses without assistance; knows the name of 4 or more colours; counts to 10 or higher
6 years:
Draws a man with hands and clothes; repeats 4 digits; knows morning and afternoon; knows left from right
Gait Milestones
10 – 11 months:
Jerky hip and knee motions; centre of gravity moves out of the base; increased time of knee extension
12 months:
Accelerates body by circumducting the legs
15 months:
Wide base of support; lacks arm swing (flexed arms); external femoral position, knees face externally; catches up with their centre of gravity; limited control over velocity; abducted, flat foot; full foot strike.
2 years:
Arms by side although lack co-ordination; flat foot, fails to supinate; hips still externally rotated
3 years:
Internal hip position; decreased base of gait; increased arm co-ordination reciprocal arm swing; tibial valgum; some foot slap although resupination occurs
5 – 6 years:
Heel to toe gait with active propulsion; knees in frontal plane
Online resources:
ePodiatry's resources on paediatric development
Check these resources from the Centers for Disease Control:
Preschoolers (3-5 years old):
http://www.cdc.gov/ncbddd/child/preschoolers.htm
Toddlers (2-3 years old):
http://www.cdc.gov/ncbddd/child/toddlers2.htm
Toddlers (1-2 years old):
http://www.cdc.gov/ncbddd/child/toddlers1.htm
Infants (0-1 year old):
http://www.cdc.gov/ncbddd/child/infants.htm
Assessment of Children
(Please read and study the relevant section of the course manual)
Working with children:
First impressions are important. Fear may be the predominant emotion. Children are often quick to “sense” an atmosphere and the reactions of those in it.
Practical tips:
• Sit close to child
• Listen carefully (avoid temptation for abrupt interruptions)
• Maintain good eye contact (conveys understanding and caring)
• Children may not understand discussion between Podiatrist and parent
• Avoid jargon
• Have toys available
• Avoid patronising language
• Show concern and care for the child
• The introduction in the waiting room should be addressed to both parent and child
• On the way to the consulting room – simple enquires, such as the child missing school or mode of transport to the clinic ? show an interest in the child – make it personal
• Examine small child on parents lap
• Examine by making it a ‘game’
• Attention spans are short in children ? make examination specific and quick; may help to interview parents while child is playing
• Not wearing a white coat may also help put children at ease (‘dress the part’ – look like everyone else as children will relate better – improves ‘approachability’)
History taking
Extra attention needs to be taken with regards to the following, when indicated, when taking a history from the parents/caregiver/child (the relevance of these questions and the need to ask them should be explained to the parents):
• birth history (normal pregnancy; medications during pregnancy; adverse events during pregnancy; delivery problems)
• problems in siblings; any family traits
• age at which developmental milestones achieved
• immunisation history
• achievement at school
• childhood behaviours of relevance to presenting complaint (eg nail biting, bedwetting, constipation, nervousness, speech problems, hyperactivity)
• history of childhood illnesses (eg measles, chicken pox, hospitalisations etc)
Be aware that parents can differ from the child in their interpretation of the signs and symptoms of the child.
Neurological Assessment of Child
Gross motor abilities:
Standing posture:
Adult posture is not developed until 10-11 years; <7 years have a protruding abdomen; <8-9 years scapulae winged; <10-11 years lumbar lordosis is exaggerated
Walking forward along a straight:
>5 years - place heel immediately in front of toe of opposite foot; >7 years and up to 9 years - some deviations from straight line would be normal; note any persistent deviation to one side
Walking on toes:
Can do >3 years; >4 years can run on toes
Walking on heel:
Can do >3 years
Jumping:
Ask child to keep feet together and jump 20 times along the floor; note arm movement; is balance maintained; do feet move together in time and space; note symmetry.
At 2 years a child begins to jump, usually with one foot leading; at 3 years jumps with two feet together; by 5 years should be more rhythmical and efficient with assistive upper limb movements.
Hopping:
At 3 years some children can hop and generally on the preferred leg; by 4 years, 5 to 8 hops is normal; by 5 years, 9 to 10 is normal; by 6 years can hop on the spot; by 7 to 8 years can hop on either leg
Running:
At 18 months, stiff, flat footed, little knee movement, arms held up; by 2 years – more flexibility at knees and ankle but little spring; by 2 to 3 years – true running with a period when both feet are off the ground, longer stride and heel usually contacts the ground first; by 3 – 5 years – extended airborne phase, smooth progression with less vertical movement; knees bend; reciprocal arm movement; by 5 years – body leans forward, arms swing in straight line with elbow bent.
Reflexes:
3 types of abnormal reflexes:
1) Asymmetry of response
2) Absence of response
3) Persistence of response
Deep tendon reflexes:
• Patellar and achilles
• Can be variable due to the corticospinal pathways not being fully developed
• Asymmetry is more important than degree of presence or exaggeration
Plantar response or Babinski’s sign/reflex:
Stroke plantar surface along outer border with blunt object – a positive response is spreading of the toes with hallux dorsiflexion
Normal from birth to age 6 years (sometimes up to 2 years)
After one year this reflex should not exist – response should be plantarflexion
If persists ? disorder of pyramidal system
Oral reflex:
Finger placed in infant’s mouth - should initiate sucking reflex
Grasp reflex:
Fingers should automatically grasp object placed in had – also foot should respond similarly.
Present up to about age 9 months.
Posted by Dr. Andrew Arnold on 29th January, 2012 | Comments | Trackbacks | Permalink
Tags: Development milestones, Paediatrics, Kids
DR ANDREW ARNOLD'S REJUVENATING FORMULA
ANDREW’S REJUVENATE FORMULA:
LITE MILK, SOY PREF.
GNC SOY 95 PROTEIN POWDER 1-2 SCOOPS
CORAL CALCIUM 1-2 TEASPOONS
FLAXSEED OIL: 1-2 TEASPOONS.
BIOGLAN CAL C POWDER: ½ TO 1 TEASPOON.
LACTOBACILIS CAPSULE: 1 EMPTIED INTO SHAKE.
1-2X PER DAY.
Posted by DR ANDREW ARNOLD on 17th January, 2012 | Comments (1) | Trackbacks | Permalink
Tags: NUTRITION
The Stress Response - a new understanding
Hello everyone. In our last newsletter I discussed the relationship between stress and ‘meaning’. For those who missed out a brief synopsis is that if you don’t add any significant meaning to the thoughts or experiences you are having at any given time you won’t feel stress. It is only when we add meaning to our thoughts that the body responds and we feel ‘stressed’.
In this email I will be talking about what actually goes on in the brain when we become stressed. Knowing this and recognizing it when you are actually stressed so you can do something about it are two different things but at least with a bit of knowledge we are better prepared to understand ourselves! So, what is happening in the brain when the stress cycle kicks in, and what can be done about it? Don’t worry; we are not going to have a biochemistry lesson so keep reading!
Simply put there are three sections of the brain. The Hindbrain, the Mid brain and the Frontal Lobe. If we look at the functions of these areas of the brain we get a real insight into stress and how to diffuse it.
The Frontal lobe is where all our logical processing happens. It functions best when we are not stressed. In fact when the stress response is in full swing, blood from this area of the brain is actually diverted to areas of the body involved in the flight or fight response such the large muscle groups of the body. This may be one reason why logic goes out the window when we are in life or death situations… that is if you are not and action hero from the movies….. they obviously have massive fontal lobes to stay so cool under pressure! This area of the brain is most utilized by primates who have higher cognitive functioning.
The Mid brain is a different animal entirely. You could say it is like the mammal of the brain, the ‘dog’ or ‘cat’ in that it is primed to be ever vigilant for danger and always aware of its surroundings. It is our ‘anxiety’ and hyper vigilance area and plays a huge role in the flight or fight response. Ever alert for danger this part of the brain is supplying us with the ‘flight’ route out of a situation.
The Hindbrain is like the snake or lizard section of out brain and is purely about survival. It is the ‘fight’ portion of the flight or fight response and in extreme situations will promote extreme responses to get us out of danger.
So what does all this mean? If you are not stressed your Frontal lobe or cognitive brain is capable of ‘thinking’ your way out of problems rationally and systematically. This is where we would all like to be when learning and applying new information or when we have to find tricky solutions to problems. This may also be why some people work best by putting aside complex problems. They rest and wake up the next day with a solution!
If you are anxious and on alert, like a dog or a cat you could calm yourself down with soothing physical contact such as massage or a hug! These ‘physical’ experiences speak directly to the part of the brain that is in charge of anxiety and gives it soothing signals to calm down. Once it is calm the Hindbrain also calms down.
When the hindbrain is in charge there is very little that can be done other than to move out of the way! Have you ever experienced a two year old having a tantrum and hurling themselves to the ground or lashing out. All parents know to let the worst of a tantrum pass before trying to sooth and rationalize with the child is the best approach!
In the last email I mentioned massage, exercise, good nutrition, supportive friendships and lots of rest and relaxation as ways to care for our physical, mental and emotional health. I also mentioned a technique called ‘tapping’ which because of it’s physical nature speaks directly to those areas of the brain that are involved in the ‘stress response. It makes sense as we become more aware of how our brain works that we incorporate lots of these practices in out daily routines to maintain our health and wellbeing so we can function to our best ability. Good luck with your efforts at managing your stress!
Posted by Dr. Linda Wilson on 12th January, 2012 | Comments | Trackbacks | Permalink
Tags: Linda Wilson, tapping, EFT, Stress
Muscle recovery after exercise
MUSCLE RECOVERY
Whilst on the subject of talking about the benefits of drinking milk post workouts, it makes for a good opportunity to discuss other things you should consider post workout to make for a more efficient training routine and to encourage fast muscle gains.
Not many people think about it, but sleep is simply your best workout partner. Lack of sleep not only reduces your coordination and mental focus but also severely inhibits your muscle growth. This is because during sleep your body releases most of its growth hormones. Optimally, you should aim for 7-8 hours of sleep each night.
In fact, 90% of your growth hormones release occurs during the first 4 hours of sleep! You don’t get bigger during a workout but when you are resting. During this period your body feeds and nourishes your muscles so it’s mightily important you have an ample supply of muscle building and muscle repairing protein and nutrients.
Allow 48 hours rest per body part. You should be weight training 3-4 times a week at most. So if you could allow for 3 training workouts each week, it would be a good idea to focus 2 days doing upper body exercises and the other day dedicated to lower body. Obviously you can make adjustments to this routine, but it’s a solid starting point for beginners. Monday I would usually do upper body exercises, rest 2 days and do lower body exercises on the Wednesday, the on one of the remaining days of the week complete the upper body workout. Because you have two days of upper body exercises, you should train a different upper body part on the second day of the week.
Posted by Dr Andrew Arnold, Chiropractor on 10th January, 2012 | Comments | Trackbacks | Permalink
Tags: Andrew Arnold, Chiropractor, Cranbourne, Exercising, Recovery, Muscle
SLIPPED DISC
LUMBAR DISC INFLAMMATION:
Spinal discs have poor blood supply. They rely on the spinal joint movement to assist circulation. Circulation is vital for repair and maintenance of the disc.
If the movement is impaired, circulation deteriorates and the disc starts to degenerate and weaken. This can be likened to a worn car tyre. Over time the tyre looses air, splits and may eventually blow out.
The nerves are also effected. The damaged disc can irritate or even compress the disc. The nerve has its own circulation which in turn becomes reduced. The nerve will also degenerate over time.
This picture will produce a wide array of symptoms as the joint goes thru each stage. At times you may experience very acute sharp pain; at others the pain may be a dull ache, but your lower limbs may start to feel uncomfortable.
There maybe times the pain is quite minimal. This does not necessarily mean the disc is repaired or stable. If the nerve is damaged it may not register pain. Please keep this in mind.
Types of discs:
Disc tear:
Small crack or micro-tear of the outer cartilage material called the annulus.
Disc bulge:
The soft jelly-like material in the middle of the disc starts to push to one side causing the disc to swell.
Disc herniation:
This soft jelly-like material ruptures thru the annulus rings and may extend beyond the outer margins of the disc.
Disc Prolapse:
A fragment of disc starts to break away.
Disc Dessication:
The disc looses its fluidity and becomes rough, worn-down and worn-out.
Home care:
It is very important you try and keep as mobile as is possible. This means do not sit or stand too long, ie ~30mins. Use a hard backed chair with a lumbar support. Try to lean back a little. Use an ice pack if acute. Get Chiropractic care asap. Inflammation is an irritant to soft tissues and will soon add to further damage.
Posted by Dr. Andrew Arnold on 13th December, 2011 | Comments | Trackbacks | Permalink
Tags: arthritis, sciatica, back pain, chiropractic, Lumbar disc herniation, protruding disc, Slipped disc
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