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Developing Efficient Habits - using the Eisenhower Matrix

One of the commonest challenges mentioned by new grads is overwhelm , described as the sense of treading water and just about going under, in relation to demands on time. This is not unique to recent grads. Even experienced clinicians experience the buildup, but have learnt techniques to manage these crunch times. One such technique is the Eisenhower Matrix (EM). So why the name? Dwight D. Eisenhower was the 34th President of the United States from 1953 until 1961 but before becoming President, he served as a general in the United States Army, as the Allied Forces Supreme Commander during World War II and later NATO's first supreme commander. It can be assumed the guy experienced time pressu...
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232 Hits

Dry Needling & Dysmenorrhoea

If you have an interest in dry needling and acupuncture, it is worth utilising the auto email Table of Contents function from AIM (you can set it up here ). One of the articles that grabbed my eye in a recent eTOC list was the one reporting on dry needling of rectus abdominis to treat primary dysmenorrhoea. The viscero-somatic reflex is one of the topics that we examine in the Level 2 Spine & Lower Quadrant Course and this is a great example. As a bit of background, it would be worth having a look at an earlier 2014 study that used wet needling (lignocaine). The results were pretty amazing. Participants initial details were age, 22 ± 2.5 years and mean VAS pain scores 7.49 ± 1.16. After ...
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1429 Hits

Will you treat someone with back pain?

How did you explain to them what their 'non specific low back pain' diagnosis means. I understand the 'medical' reason for this term, but hey, when you just look at the words, it is so 'No-Brand-Vanilla'. How do I respond? A good question and I recently stumbled on what seemed a good analogy and will share it with you. Firstly however, I must stress that it is important to clarify they don't have a fracture, infection, inflammatory condition or tumor. This is an important part of our primary contact practitioner role. Back of the envelop calculations indicate, that if you see on average 3 new clients per day, and have 4 weeks holiday a year, you will be seeing on average 5 people a year that...
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1870 Hits

Spinal Exercises - Make use of this Amazing Research Tool

If you prescribe exercises for improving spinal mobility or strength you will find this abstract of interest, but before we get into it, you need to understand how these loads are measured. Usually due to burst lumbar fractures/tumors, participants have their VB and IVDs replaced, in this case with a vertebral body replacement e.g. Synex. Build into this replacement is a telemetry chip capable of collecting and exporting load data in vivo. This has enabled the researchers to capture load data for a huge range of ADLs and they provide all this data free. Awesome. Spinal loads during post-operative physiotherapeutic exercises Rohlmann A , Schwachmeyer V , Graichen F , Bergmann G . Abstract Aft...
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1672 Hits

Royal Commission into Physiotherapy?

While driving to work along lovely country roads each morning, I take the opportunity to catch up on what the rest of Australia has been doing. ABC radio national and ABC news are my favourites and it is hard not to shake the head each morning, after hearing the latest revelations from the banking royal commission. CommBank charging $120 million for no-services or charging services to dead people for 10 years ..... There seems to be a major disconnect between fund managers, financial service advisors and those other 'professionals' providing financial advice and their clients. What has happened to professional ethics in the financial profession? Looking in from outside, it seems they have co...
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1471 Hits

Research | What would you advise? | Beware Neurological Mousetraps

Research & Your Advice For the past 3 weeks I have been conducting a systematic scoping review for my PhD on the topic of "The relationship between sleep posture and waking spinal symptoms of pain, stiffness and bothersomeness". A scoping review is similar to a systematic review, except it is better suited for new areas of research and areas in which the aim is to identify gaps in our current knowledge base. What's amazing to me, is that as a clinician I have been doling out advice about corrective sleep postures for years and yet there is basically nothing with a research base, on which to construct this education. Hence the scoping review and my PhD. There is a reasonable body of evide...
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977 Hits

Responsibility to Improve - Yours or Your Clients?

At the start of our Strive & Thrive in Private Practice course , participants write down the three biggest challenges they are experiencing as a new and recent graduate. "Time Management" perennially features highly, but so does "feeling guilty" – recently expressed by Chloe in these words; "taking on the patients' problems personally and blaming myself for being the reason why they are not responding quickly enough" Let's look at this in two parts. Take the first part; "taking on the patients' problems personally and blaming myself" Now I see this statement as coming from a clinician with a big heart, who, however, is heading towards a train wreck. Why? As clinicians, most of us got int...
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966 Hits

Top 4 Benefits of dry NEEDling

I was recently asked what in my experience were the top 4 benefits of dry needling. Tough call, but when I reflect on the clients that have been assisted, it comes down to the following mix. Neurophysiological effects There are many aspects to this component. Here are three. Firstly , It is unlikely that we are actually having a direct effect on the muscle (if that is what you are needling). In the same way, that the muscle is unlikely to be the tissue at fault. Most likely the muscle is reacting to and protecting some other irritated tissue and as a result of unaccustomed static activity became symptomatic. We know trigger points have a build up in neural sensitising metabolites and lower p...
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793 Hits

Transitioning into Private Practice

Hey! The transition from student to private practice professional can be a real jolt, what with all the new and added expectations. Actually, it is often overwhelming. So, what makes being in private practice daunting for new and recent grads? To get the ball rolling, here is a quote from one of our Strive & Thrive in Private Practice participants; "When I first started I found it difficult to combine a meaningful assessment, whilst thinking to myself the direction I was going to take with the treatment and then being able to effectively communicate with the patient without seeming like I wasn't confident. I guess it was all pretty overwhelming" Understandable when university undergradua...
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589 Hits

Time Effectiveness - How to grow Yours!

With the commencement of our current cohort of students undertaking the Strive & Thrive Course in Private Practice, one of the biggest issues being raised repeatably is time, or more specifically the lack of it. Reality says we have 24 hours max, and for mental and physical well-being most of us need to sleep around 7.5 - 8.5 hours (+ extra hour if you are pregnant). We discuss many strategies on during the Strive & Thrive Course but as I see it, there are two sensible ways to immediately improve your efficiency. Maximise Productivity To do this you first need to determine when you are most effective mentally (lark or owl) and use that time for high demand activities. I am generally ...
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496 Hits

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