Insight Osteopathy Podcast

Today on Insight osteopathy we have the pleasure of hearing from Dr Rosalba Courtney. Rosalba has been driven by curiosity. Early in her career she wanted to discover why some patients weren’t responding to treatment. Searching for that missing link launched her career into the world breathing therapy. To answer her own questions, Rosalba undertook a PhD on the topic of breathing, and has published works in text books and scientific literature. Through her research and clinical experience, Rosalba has developed her own assessment and therapy protocols. She is passionate about sharing the healing potential of breathing with her patients and other health professionals. With 35 years experience as an osteopath, Rosalba’s clinical knowledge is an invaluable resource for us. On today’s episode Rosalba discusses; Her career journey as an osteopath, naturopath, Chinese medicine practitioner and breathing therapist How she discovered breathing as a missing link in some patient’s healing journey Development of dysfunctional breathing (DB) model and assessment tools through a pHD How Rosalba considers and integrates the respiratory circulatory model of osteopathy What is DB and how it effects our healing capacity? What are the primary and secondary functions of breathing? Why does one develop DB? The Impact of DB on pain and core strength Signs that DB could be playing a fundamental role Assessment of breathing function Dysfunctional diaphragm: assessment, repercussions and manual therapy Dysfunctional breathing and asthma Some simple breathing interventions Breathing considerations with the paediatric patient The launch of her integrative breathing therapy course Please see Rosalba’s website for some great resources and further information on her training programs. rosalbacourtney.com See omnystudio.com/listener for privacy information.

Today’s episode is focused on hypermobility. Our guest is a physiotherapist living and working with hypermobility. Sharon Hennessey is the principal physiotherapist and founder of Not Just Bendy Hypermobility services, a clinic dedicated to providing evidence based and focused therapy for patients with connective tissue disorders. Sharon and her team are based in Tarragindi Brisbane and operate out of the Physiotec building. Sharon has a passion for working with patients with hypermobile spectrum disorder and hypermobile Ehlers-Danlos syndrome, and approaches these often complicated cases with the goal of creating individual programs to improve function and quality of life. Sharon discusses; Diagnostic criteria and classification of hypermobility The Beighton score The link between hypermobility and persistent pain Common clinical presentations Sharon’s theory on why pain is a commonly associated with hypermobility Assessment tools How to create focus in complex cases Functional goal setting to guide rehab Duration and reviews of rehab programs Utilisation of the Physitrak app The role of visceral therapy in the management of co-morbidities such as gastroparesis and endometriosis Referral to osteopaths The theory behind dysautonomia and manifestations such as postural orthostatic tachycardia and hypotension, anxiety, gastroparesis Educational resources for clinicians Strategies for empowering our hypermobile patients Safety considerations with craniocervical instability Resources: For more information on Sharon Hennessey and her clinic Not Just Bendy Hypermobility Services please see their website. Click on the link tab for a comprehensive list of resources. https://notjustbendy.com The Ehlers-Danlos Society https://www.ehlers-danlos.com The Hypermobility Happy Hour podcast https://www.hypermobilityhappyhour.com Today’s sponsor Proudly sponsored by PPMP, Australia’s Leading Practice Management Solution Experts! PPMP is used by the allied health and medical industry, small and large, to improve the operational efficiency of their clinics. PPMP is proudly Australian owned and operated and is jam packed with feature rich options Need to work remotely? With our cloud solution you can access PPMP anywhere you have a computer and internet connection, or would you prefer an on on-premise solution we offer this also Pick either solution to suit your own individual needs. PPMP Integrates with Hicaps, Tyro and Whitecoat for health fund claiming and Pos for on the spot claiming and payments. Other 3rd party payment options, to keep that revenue flowing, are Medicare Online, QLD Workcover and TAC. We are continually adding other options to this list. Future plans are NDIS and other Worksafe claiming. PPMP also has a fully functioning SMS integration. Including client replies and reporting. SMS to your clients their appointments, over-due accounts and other marketing options such as birthday promotions. If you prefer emailing promotions, we offer an integration for Mailchimp to really make those emails pop and grab your client’s attention. Other features include electronic notes, account/receipting system, secure messaging, diary management, online bookings, reporting system, exercise program integration, paperless environment and much much more. If you would like to see a demo of PPMP you can request a call back from a PPMP expert by going to www.ppmp.com.au or call us on 1300 784 908 that number again 1300 784 908. Mention this podcast to receive 3 months free SMS and your first 3 months free after purchase. *conditions may apply. *conditions for free offers -must purchase a desktop version and sign up for 24 months -cloud version with a minimum subscription for 12 months See omnystudio.com/listener for privacy information.

Today we navigate through the complexities of the human pain experience with Dr. Alison Sim. Alison shares her journey from the world of osteopathy into pain science. We discuss the challenges we face as osteopaths in dealing with persistent pain patients. Alison shares some of the strategies that can be implemented to empower our patients and facilitate their journey and some important indicators we can look out for in practice to flag patients at higher risk of developing persistent pain. Alison discusses; Her current role as part of multi-disciplinary pain clinic. How her approach to explaining pain science has changed and is tailored to individual patient and their journey. Some helpful pain education resources. Shifting the focus from a biomechanical model of persistent pain. The importance of listening, understanding and validating. Challenges of being in practice and navigating imaging, reassurance and diagnosis. Indicators for acute to persistent pain transition. Self management strategies. Indicators and process of referral to a pain clinic. Exercise and osteopathy for acute and persistent neuropathic pain. More information on Alison, her work, seminars and book: Pain Heroes, can be found on the beyond mechanical pain website https://www.beyondmechanicalpain.com Today’s episode is proudly sponsored by PPMP, Australia’s Leading Practice Management Solution Experts! PPMP is used by the allied health and medical industry, small and large, to improve the operational efficiency of their clinics. PPMP is proudly Australian owned and operated and is jam packed with feature rich options Need to work remotely? With our cloud solution you can access PPMP anywhere you have a computer and internet connection, or would you prefer an on on-premise solution we offer this also Pick either solution to suit your own individual needs. PPMP Integrates with Hicaps, Tyro and Whitecoat for health fund claiming and Pos for on the spot claiming and payments. Other 3rd party payment options, to keep that revenue flowing, are Medicare Online, QLD Workcover and TAC. We are continually adding other options to this list. Future plans are NDIS and other Worksafe claiming. PPMP also has a fully functioning SMS integration. Including client replies and reporting. SMS to your clients their appointments, over-due accounts and other marketing options such as birthday promotions. If you prefer emailing promotions, we offer an integration for Mailchimp to really make those emails pop and grab your client’s attention. Other features include electronic notes, account/receipting system, secure messaging, diary management, online bookings, reporting system, exercise program integration, paperless environment and much much more. If you would like to see a demo of PPMP you can request a call back from a PPMP expert by going to www.ppmp.com.au or call us on 1300 784 908 that number again 1300 784 908. Mention this podcast to receive 3 months free SMS and your first 3 months free after purchase. *conditions for free offers: must purchase a desktop version and sign up for 24 months, cloud version with a minimum subscription for 12 months Resources More information on Alison, her work, seminars and book: Pain Heroes, can be found on the beyond mechanical pain website https://www.beyondmechanicalpain.com https://www.tamethebeast.org https://www.noigroup.com/product/painful-yarn/ https://www.painrevolution.org https://www.mycuppajo.com https://evidenceinmotion.com/pain-reframed-podcast/ https://bodylogic.physio/podcast/trailer/See omnystudio.com/listener for privacy information.

Our role as osteopaths reaches far beyond just treating the physical structure. Our principles are what set us apart from other manual medicine modalities. We are in a privileged position as osteopaths as we can have a positive impact on a patient's life experience outside of the treatment room. Today's guest in the CEO of the Bluearth foundation, a not for profit organisation dedicated to delivering school programs that do just that, improving a young person's quality and experience of life. Peter Parker has found passion outside of the clinic in his work with an organisation whose fundamental values align with our own osteopathic principles. Peter shares with us: His beliefs on the art and philosophy of osteopathy The work of the Bluearth foundation in Australian schools The four pillars of physical literacy The loss of fundamental movement skills in our youth and the inactivity crisis in Australia How we can encourage the principles of physical literacy with our patients and create empowerment The importance of movement, community and collaboration for a full and healthy life His hopes for the future of our great profession I hope you are as inspired by Peter as I am and advocate for the implementation of the Bluearth Foundation’s school programs. Peter’s clinics are located in Heidelberg and Blackburn in Melbourne. https://www.theosteopaths.com.au/cgi-sys/suspendedpage.cgi For more information on the Bluearth Foundation please see their website https://www.bluearth.orgSee omnystudio.com/listener for privacy information.

Pelvic pain is an incredibly broad topic and something we encounter daily in practice. Today we are focusing on pelvic pain in females, particularly nerve or neuropathic pain. The time we spend with our patients, and the trusting relationship we build, allows us to ask the questions needed to identify the early signs and symptoms. Persistent pelvic nerve pain can be debilitating and have an adverse impact on a woman’s daily life and activity. As osteopaths, we can play a role in preventing this by flagging women at risk, knowing the appropriate questions to ask in our history, and what referral options are available. Today’s guest is osteopath and educator Dr. Liz Howard. Liz is part of the team at the Women’s Health and Research Institute of Australia. Liz is a passionate osteopath that has dedicated her career to looking after women, educating patients and practitioners and furthering our knowledge into women’s health through research. Liz discusses: Common signs, symptoms and causes of pelvic nerve pain. Why early diagnosis and management is important. What women are at risk for developing pelvic nerve pain. Risk factors for persistent pain. The role an osteopath can play: manual therapy, education, inter-disciplinary team, referral. Pharmacologic interventions. Diagnostic procedures and when to refer. Facilitating education and self management. Bower Bird CPD Liz’s started Bower Bird CPD in 2018. They aim to provide an evolving range of relevant and evidence based CPD courses. Please see their website for further details and courses. https://www.bowerbirdcpd.com/courses/ The Women’s Health and Research Institute of Australia https://www.whria.com.au The Neuro Orthopaedic Institute (NOI) Australasia https://www.noigroup.com See omnystudio.com/listener for privacy information.

On today’s episode Heath Williams and I explore a common presentation we see in practice: Recurrent pain/tightness/stiffness across the upper traps and neck. Patients often have relief following treatment, but it builds up again. How can we promote self efficacy and get longer lasting results? What are the underlying factors playing a role? Is it weakness of the upper traps? What role can desk ergonomics play? Is it weakness of the cuff or cervical stabilisers leading to overload of other muscles? With a background in osteopathy, strength and conditioning, ergonomics and OHS, Heath gives us his perspective on this presentation. We discuss: Heath’s approach to examination. Considerations when prescribing exercises and movement strategies. How to best engage the patient in interventions. Biopsychosocial considerations. Ergonomic contributing factors and actionable tips we can implement with patients. Standing desks and working from home ergonomics. Heath’s practice Principle Four Osteopathy offers: Osteopathy Strength and conditioning Ergonomic workplace assessments Workshops and online education Shockwave therapy Telehealth appointments https://principlefourosteopathy.com.au See omnystudio.com/listener for privacy information.

Today I am joined by women’s health physiotherapist Kym Veale. Kym is the director of Womankind Physiotherapy in Eltham and Yarrambat in Melbourne. She obtained her degree in Physiotherapy, as well as post graduate certificates in advanced pelvic floor rehabilitation, and exercise for women through the University of Melbourne. Kym is passionate about empowering and educating women through all stages of life. Today’s discussion focuses on urinary incontinence in women. This is something that will commonly come up in a case history or systems screen, and once ruled out as a red flag, is often left unaddressed. There is a common misconception that it is an inventible outcome of age or after having children. Part of our role is to educate our patients and know when and where to refer if it is not in our scope of practice. We cover: Common presentations to a women’s health physiotherapist. Urge and stress incontinence. Objective and subjective assessment. Pelvic floor dysfunction and rehabilitation. Effective cues for correct pelvic floor activation. The importance of a thorough and correct pelvic floor assessment to create individual pelvic floor rehab program. I hope you enjoy today’s episode and feel able to inform women that although urinary incontinence is common, it’s not normal, and there is help available. Please see the Womankind website for information on the services they offer. As well as clinical physiotherapy, they run pre and post natal and over 60’s clinical exercises classes and active birth skills work shops. womankindphysiotherapy.com Thank you to today’s episode sponsor Therapeutic Pillow Australia. An Australian family owned company dedicated to producing quality pillows, supports and comfort products to health professions. Please check out their website pillows.com.auSee omnystudio.com/listener for privacy information.

Dr. Marnie Norfolk is a leading Australian osteopath and educator, with post-graduate training in paediatric manual therapy and a busy Melbourne practice. Today she shares her journey into osteopathy, and based on her years of clinical experience, has some great advice for practitioners working with paediatric patients. In this episode, Marnie Norfolk and I explore working in the field of paediatric osteopathy, and discuss; How Marnie developed an interest in paediatrics, the importance of mentors, observations, co-treatment and further education. References and suggestions for further education in the paediatric field. Creating a family-friendly and safe clinic environment. Building networks, relationships and referrals. Some tips on how to manage language/communication barriers when taking a case history. The importance of your clinical examination in cases of limited patient communication. How to approach a challenging conversation with parents. Describing osteopathic treatment approaches to patients/parents. Predicting and describing post-treatment reactions in babies. Marnie discusses a challenging case presentation. Thank you Marnie for sharing your expertise with the osteopathic community. Marnie has recently opened her new clinic Your Body Osteopathy in Macleod, Melbourne. http://www.yourbodyosteopathy.com.au Thank you to today’s sponsor, Therapeutic Pillows Australia. An Australian owned family company producing Australia’s leading range of pillows, supports and comfort products. Their products are designed in collaboration with Australian health care practitioners and are available exclusively through health professionals nation wide. Help support a local Australian company that supports us and our profession, check them out at pillows.com.auSee omnystudio.com/listener for privacy information.

Diagnosed or suspected scoliosis is something we frequently encounter as osteopaths. It is important we are able to recognise a developing curvature in an adolescent/paediatric patient and know when are where to refer to help prevent curve progression and the need for surgical intervention. In this podcast, osteopath, ScoliCare practitioner, Discipline leader of RMIT Osteopathy, Dr. Azharuddin Fazalbhoy and I explore the diagnosis, non-surgical treatment and management of scoliosis. You’ll discover: How do we classify a scoliotic curve? What red flags do we look for in adolescent/paediatric patients? What is the age range of maximal progression and indications for a high risk of progression? What imagine should we refer for if we suspect scoliosis? Bracing and SEAS therapy interventions for non-surgical management of scoliosis. Osteopathic considerations when managing a patient with scoliosis; pain, exercise prescription, contra-indications and goals of manual therapy? Can we symmetry in osteopathic diagnosis? What are some biopsychosocial considerations? Where and when do we refer? If you would like information on the services offered at ScoliCare, would like to refer a patient or find their locations in Australia, please see their website scolicare.com Thank you to today’s episode sponsor Therapeutic Pillow Australia. An Australian family owned company dedicated to producing quality pillows, supports and comfort products to health professions. Please check out their website pillows.com.auSee omnystudio.com/listener for privacy information.

Welcome to the Insight Osteopathy podcastSee omnystudio.com/listener for privacy information.