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		<title>Low back pain: Causes, assessments &#038; treatments.</title>
		<link>http://healthyimpact.com.au/low-back-pain-types-assessments-treatments/</link>
		
		<dc:creator><![CDATA[Scott Baines Dip. RM, B. ExSci, MPhtySt.]]></dc:creator>
		<pubDate>Thu, 21 Mar 2024 00:25:59 +0000</pubDate>
				<category><![CDATA[Back Pain]]></category>
		<category><![CDATA[back pain]]></category>
		<category><![CDATA[low back pain]]></category>
		<category><![CDATA[lower back pain]]></category>
		<guid isPermaLink="false">https://healthyimpact.com.au/?p=1960</guid>

					<description><![CDATA[<p>Low back pain: Causes, types, assessments, and treatments. Low back pain (LBP) is the leading cause of disability worldwide. More than 540 million people are affected by activity-limiting low back pain at any one time. This pain is the leading cause of disability in people under the age of 45, the second most common cause [&#8230;]</p>
<p>The post <a rel="nofollow" href="http://healthyimpact.com.au/low-back-pain-types-assessments-treatments/">Low back pain: Causes, assessments &#038; treatments.</a> appeared first on <a rel="nofollow" href="http://healthyimpact.com.au">Healthy Impact Mobile Physiotherapy</a>.</p>
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					<h2 class="elementor-heading-title elementor-size-default">Low back pain: Causes, types, assessments, and treatments.</h2>				</div>
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									<p>Low back pain (LBP) is the leading cause of disability worldwide. More than 540 million people are affected by activity-limiting low back pain at any one time. This pain is the leading cause of disability in people under the age of 45, the second most common cause for visiting a doctor and job absence, the 5th most frequent cause of hospitalisation, and the 3rd most common cause of surgery. </p><p>Around 25% of Australians suffer from low back pain daily and 50% of Australians experienced this pain in the past month.</p><p>With 80% of the population reporting at least one episode of LBP in their lifetime. This highly prevalent and disabling ailment costs Australia $4.8billion each year in the management of low this condition. Back pain reduces Australia&#8217;s GDP by AU$3.2billion per annum and is the most common condition keeping older Australians (aged 45-64) out of the workforce.</p><p>The global burden from low back pain has doubled in the last 25 years, and the prevalence of the condition is expected to continue to increase with an aging and an increasingly sedentary population.</p>								</div>
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Improving the burden</h3>				</div>
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									<p>Monash University researcher, Professor Rachelle Buchbinder said: “The burden from low back pain has reached a tipping point where the condition is growing rapidly, is poorly understood and is being mismanaged medically – at cost both to the patient and to the healthcare system”.</p><p>In the final Lancet paper, Professor Buchbinder recommends an “urgent global call to action”. The call to action seeks:</p><ul><li>Coordinated international leadership to drive transformational change to stop fragmented and outdated models of care.</li><li>Development of evidence-based medical responses to low back pain, emphasising the concept of ‘positive health’ – the ability to adapt and self-manage.</li><li>Avoidance of harmful and useless medical treatments by funding only proven safe, effective and cost-effective. “Across the globe (there is) inappropriately high use of imaging, opioids, spinal injections and surgery. Doing more of the same will not reduce low back pain disability nor its long-term consequences.”</li><li>Public health campaigns to address the widespread misconceptions about the causes and prognosis and the effectiveness of treatments.</li><li>Funding to support research that tests promising solutions to the problem of low-value care and addresses fundamental gaps in our understanding of how to prevent and manage the condition.</li></ul>								</div>
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															<img fetchpriority="high" decoding="async" width="800" height="533" src="https://healthyimpact.com.au/wp-content/uploads/2024/03/lower-back-pain-article-image-of-a-man-with-lower-back-pain.jpg" class="attachment-large size-large wp-image-1963" alt="Low back pain article share image of a man with back pain" srcset="https://healthyimpact.com.au/wp-content/uploads/2024/03/lower-back-pain-article-image-of-a-man-with-lower-back-pain.jpg 960w, https://healthyimpact.com.au/wp-content/uploads/2024/03/lower-back-pain-article-image-of-a-man-with-lower-back-pain-300x200.jpg 300w, https://healthyimpact.com.au/wp-content/uploads/2024/03/lower-back-pain-article-image-of-a-man-with-lower-back-pain-768x512.jpg 768w" sizes="(max-width: 800px) 100vw, 800px" title="Low back pain: Causes, assessments &amp; treatments. 4">															</div>
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Types of low back pain</h3>				</div>
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									<ol>
 	<li>Acute back pain which lasts for a short duration, usually less than three months. It often occurs suddenly and is usually caused by injury or trauma to the back, such as muscle strain or sprain, herniated disc, or spinal fracture. Acute back pain can be severe but tends to improve with time as the underlying cause heals. Treatment for acute back pain often involves education, rest, gentle exercises, activity modification and short-term pain or anti-inflammatory medication.</li>
 	<li>Chronic back pain which persists for an extended period, typically longer than three months. It may develop gradually or result from unresolved or repeated acute back pain injuries. Chronic back pain is commonly caused by reduced muscle strength and joint stability to support natural body movement and to safeguard against external forces like lifting. Back pain can also be caused by degenerative conditions like arthritis, structural abnormalities, nerve damage, or ongoing stress on the spine.</li>
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Causes of low back pain</h3>				</div>
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									<ol><li>Muscle strain and ligament sprain (most common)<ul><li>Just like an ankle injury. Overuse or sudden awkward movements can lead to muscle strain or ligament sprain. This is caused by underlying muscle weakness/control or excessive force/load in which the body is unable to withstand during a single action or with repeated actions.</li></ul></li><li>Degenerative disc disease<ul><li>The gradual wear and tear of intervertebral discs over time, usually from injury(s) and lack of protective back strength, can result in reduced disc height and increased pressure on surrounding structures, causing chronic pain. Just like your knee, improving muscle strength can reduce pain, improve function and slow future degeneration.</li></ul></li><li>Herniated disc<ul><li>The displacement of the inner core of the intervertebral disc can irritate nearby nerves, triggering persistent low back pain for a few months. Approximately 95% of disc herniations in the lumbar area occur at L4-L5 or L5-S1. Over 85 to 90% of patients with an acute herniated disc experience relief of symptoms within 6 to 12 weeks without any treatments. Patients without radiating nerve pain down a leg, notice an improvement in even less time. The goal here is education, pain management and maintaining as much muscle strength and function without aggravation until symptoms reduce. Then a graded approach to restoring back strength and to prevent future reinjury.</li></ul></li><li>Specific pathological causes.<ul><li>This includes vertebral fractures, spondylarthritis, cancer of the spine, infections and foraminal or spinal stenosis. Medical management is appropriate for these conditions.</li></ul></li><li>Scoliosis<ul><li>Abnormal curvature of the spine can cause uneven pressure on the vertebrae, resulting in pain and sciatica. Finch therapy is an effective tool for reducing uneven pressure on the spinal vertebrae. In addition, improving posture by strengthening anti-gravity muscles is also an important focus of back pain treatment.</li></ul></li><li>Joint dysfunction.<ul><li>Increased trunk stiffness and decreased range of movement and the speed of lumbar movement are associated with LBP. Dysfunction in the sacroiliac joint or facet joints can contribute to trunk stiffness, low back pain and sciatica. Finch therapy is quick and effective at treating pelvic tilt, sacroiliac joint dysfunction, poor facet joint movement and functional leg length differences. This process improves pelvic and thoracic joint function often associated with reduced movement, movement variability and back pain.</li></ul></li><li>Lifestyle factors.<ul><li>Obesity, sedentary behaviours, repetitive actions, smoking, alcohol consumption, unhealthy diet, stress, anxiety, and inadequate sleep have all been moderately associated with low back pain. These behaviours increase stress and inflammation markers in the body and limit the body’s ability to heal itself. These behaviours are also linked with reduced physical activity, reduced muscle mass and movement function. This leaves the low back at risk of injury especially with additional or awkward loads or speed with movement.</li></ul></li></ol>								</div>
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Assessment of Low Back Pain</h3>				</div>
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									<p>Accurate assessment is crucial for devising effective treatment plans. This involves a thorough examination, including:</p><ol><li>Clinical history<ul><li>Detailed information about the onset, duration, and nature of pain, as well as any exacerbating or alleviating factors.</li></ul></li><li>Physical examination<ul><li>Comprehensive musculoskeletal and neurological examinations to identify specific areas of dysfunction.</li></ul></li><li>Imaging<ul><li>Imaging is only necessary if symptoms are severe or not improving with time and physiotherapy. Your GP will determine if imaging is appropriate. X-rays, MRIs, or CT scans can provide a detailed view of the spine, helping to identify structural abnormalities.</li></ul></li><li>Functional assessment<ul><li>Evaluating the patient&#8217;s functional limitations and impact on daily activities provides insights into the causes and likely severity of LBP.</li></ul></li></ol>								</div>
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					<h3 class="elementor-heading-title elementor-size-default">Treatments for low back pain</h3>				</div>
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									<p>Exercise has consistently shown benefits in managing low back pain. Evidence indicates education and exercise is the first line treatment for back pain. Programs incorporating strengthening, flexibility, and aerobic exercises are effective.</p><ol><li>While medications can provide short-term relief, they are not typically recommended as standalone treatments for chronic low back pain due to potential side effects and risks of dependency. Nonsteroidal anti-inflammatory drugs (NSAIDs), acetaminophen, and muscle relaxants may be prescribed for acute exacerbations. However, their long-term efficacy is limited, and the focus should be on addressing underlying biomechanical and psychosocial factors.</li></ol><ol start="2"><li>Education and self-management strategies. Providing patients with education about their condition, recovery timeframes, outcome expectations, reassurance about the benign nature of most cases of low back pain, can be empowering. One of the most important treatments is teaching patients self-management strategies including, safe exercises, how to improve posture, how to manage sleep with back pain, proper movement and lifting techniques and how to stay active with back pain which often leads to faster recovery times. Education around how to gradually and independently introduce healthier behaviours can also be helpful.</li></ol><ol start="3"><li>Range of movement exercises and isometrics to improve circulation, reduce pain and minimise fear of movement.</li></ol><ol start="4"><li>Restore correct biomechanical function. The goal here is to reduce trunk stiffness and promote back freedom and variability of movement. Finch therapy is a quick and effective tool for reducing shearing forces on the spinal vertebrae. Finch follows a standardised physical assessment process that ensures it can quickly and effectively identify and treat pelvic tilt, sacroiliac joint dysfunction, poor facet joint movement, a functional leg length difference and any transverse costal joint dysfunctions. It is painless and provides long term improvements in trunk stiffness and helps rule out many causes of non-specific back pain that may be hindering the rehabilitation process.</li></ol><p style="padding-left: 40px;">Strengthening anti-gravity muscles improve posture and downward pressure on the body’s joints helping reduce tightness and pain. Physiotherapists often have a good eye for identifying poor motor or muscle control during movements. Poor muscle control of a joint or joint(s) is a common cause of back pain.</p><p style="padding-left: 40px;">A tailored program can help treat any identified motor control problems. It is essential to improving biomechanical function before adding load with a graded strength program to ensure any increase in back pain during rehabilitation is minimised.</p><ol start="5"><li>Manual therapy. Techniques such as spinal manipulation, mobilization, and massage therapy have been found to alleviate low back pain, particularly in acute back pain cases. Techniques like myofascial release and trigger point therapy can also help reduce muscle tension and pain.</li><li>Graded return to general exercise. Evidence indicates lots of different types of exercise have a positive effect on LBP. No one type seems to be superior. Exercises should focus on the human being not just the back. Exercise that people enjoy, is easy for them to do and does not irritate the back will often help and have a positive effect.</li></ol><ol start="7"><li>Graded strength program. Once the pain has reduced, our goal is now to gradually strengthen muscles, without irritating the back, to a level that at least matches the variable functional demands of daily living. This is to ensure you can return to activities that are meaningful to you with a significantly reduced risk of reinjury. This program should not only include strengthening back muscles but also include muscles of the adjacent areas like legs, hips, abdominals (core) and shoulders.</li></ol><ol start="8"><li>Psychosocial factors. Addressing psychological factors such as depression, anxiety, and fear-avoidance beliefs is crucial in managing low back pain. Interventions like mindfulness-based stress reduction (MBSR), acceptance and commitment therapy (ACT), and cognitive-behavioural therapy (CBT) have shown effectiveness in reducing pain intensity and improving function. Addressing social factors like access to a equipment to independently do home exercises, access to home or work via hill or stairs, issues with family and friends, living arrangements are all important factors to help improve treatment outcomes and self-management.</li></ol><ol start="9"><li>Surgical interventions. Usually only recommended in severe cases with indications of serious structural conditions or when physical therapy over a few months is not effective.</li></ol><p>The management of low back pain demands a multifaceted approach that addresses the diverse and interrelated factors contributing to this prevalent condition. Low back pain represents a significant burden on individuals, healthcare systems, and economies worldwide. With millions affected by activity-limiting pain and its associated disabilities, the urgency for effective management strategies is paramount. By adopting a multidisciplinary approach that integrates these treatments and focuses on patient-centred care, healthcare professionals can effectively manage low back pain, improve patient outcomes, and enhance overall quality of life.</p>								</div>
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															<img decoding="async" width="800" height="533" src="https://healthyimpact.com.au/wp-content/uploads/2024/03/lower-back-pain-article-image-of-a-man-stretching.jpg" class="attachment-large size-large wp-image-1961" alt="Low back pain article share image of a man doing stretching exercises." srcset="https://healthyimpact.com.au/wp-content/uploads/2024/03/lower-back-pain-article-image-of-a-man-stretching.jpg 960w, https://healthyimpact.com.au/wp-content/uploads/2024/03/lower-back-pain-article-image-of-a-man-stretching-300x200.jpg 300w, https://healthyimpact.com.au/wp-content/uploads/2024/03/lower-back-pain-article-image-of-a-man-stretching-768x512.jpg 768w" sizes="(max-width: 800px) 100vw, 800px" title="Low back pain: Causes, assessments &amp; treatments. 6">															</div>
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Reference list</h4>				</div>
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									<p><strong>Abdel Shaheed, </strong>C., et al. (2019). <a href="https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2522397" target="_blank" rel="noopener">Efficacy, tolerability, and dose-dependent effects of opioid analgesics for low back pain: a systematic review and meta-analysis.</a> JAMA Internal Medicine, 179(8), 958-968.</p><p><strong>Al Qaraghli MI</strong>, De Jesus O. <a href="https://www.ncbi.nlm.nih.gov/books/NBK560878/" target="_blank" rel="noopener">Lumbar Disc Herniation</a>. [Updated 2023 Aug 23]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. </p><p><strong>American Academy of Orthopaedic Surgeons</strong>. (2020). <a href="https://orthoinfo.aaos.org/en/diseases--conditions/low-back-pain/" target="_blank" rel="noopener">Low Back Pain.</a></p><p><strong>American College of Physicians</strong>. (2017). <a href="https://www.acponline.org/acp-newsroom/american-college-of-physicians-releases-guideline-for-treating-nonradicular-low-back-pain-in-primary-care" target="_blank" rel="noopener">Clinical guidelines on low back pain: ACP releases guideline for treating nonradicular low back pain in primary care.</a> </p><p><strong>Buchbinder, R</strong>., van Tulder, M., Öberg, B., Costa, L. M., Woolf, A., Schoene, M., &#8230; &amp; Turner, J. A. (2018). <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)30488-4/abstract" target="_blank" rel="noopener">Low back pain: a call for action.</a> The Lancet, 391(10137), 2384-2388.</p><p><strong>Chou, R</strong>., et al. (2017). <a href="https://www.ncbi.nlm.nih.gov/books/NBK350276/" target="_blank" rel="noopener">Noninvasive Treatments for Low Back Pain.</a> Journal of the American Medical Association, 317(6), 619-624. doi:10.1001/jama.2016.2323</p><p><strong>Cormack, B</strong>., (2024). <a href="https://www.physio-network.com/blog/what-does-the-evidence-tell-us-is-the-best-exercise-for-back-pain/?psafe_param=1&amp;utm_source=google-ads&amp;utm_medium=cpc&amp;utm_campaign=&amp;utm_agid=&amp;utm_term=&amp;creative=&amp;device=c&amp;placement=&amp;gclid=Cj0KCQiA5rGuBhCnARIsAN11vgShzZZTnQ7HfjajGpCF6blIs9GA0YzVO9NBUZFIQlnq0-gcfk37o2gaAoVcEALw_wcB" target="_blank" rel="noopener"><em>What does the evidence tell us is the best exercise for back pain?</em></a> Physio Network </p><p><strong>Coulther, I. D</strong>., et al. (2019). <a href="https://pubmed.ncbi.nlm.nih.gov/29371112/" target="_blank" rel="noopener">Different doses, durations, and delivery methods of spinal manipulation and mobilization for low back pain: a systematic review and meta-analysis.</a> Spine Journal, 19(3), 394-412.</p><p><strong>Hoy, D</strong>., et al. (2012). <a href="https://pubmed.ncbi.nlm.nih.gov/24665116/" target="_blank" rel="noopener">The global burden of low back pain: estimates from the Global Burden of Disease 2010 study. Annals of the Rheumatic Diseases</a>, 73(6), 968–974. doi:10.1136/annrheumdis-2013-204428</p><p><strong>Kamper, S. J</strong>., et al. (2015). <a href="https://pubmed.ncbi.nlm.nih.gov/25694111/" target="_blank" rel="noopener">Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: Cochrane systematic review and meta-analysis.</a> British Medical Journal, 350, h444.</p><p><strong>Mayo Clinic</strong>. (2020). <a href="https://www.mayoclinic.org/diseases-conditions/back-pain/symptoms-causes/syc-20369906" target="_blank" rel="noopener">Back pain. </a></p><p><strong>Mashinchi S</strong>, Yousefzadeh-Chabok S, Dibavand M. <a href="https://irjns.org/browse.php?a_id=202&amp;slc_lang=en&amp;sid=1&amp;ftxt=1&amp;html=1" target="_blank" rel="noopener">Demographic Characteristics and Family History of Lumbar Problems in Patients with Lumbar Disc Degenerative Diseases Candidate for Surgery</a>. Iran J Neurosurg 2020; 6 (3) :121-132. <strong>Musculoskeletal Australia</strong>, (2020). <a href="https://msk.org.au/back-pain/" target="_blank" rel="noopener"><em>Understanding Back Pain. </em></a></p><p><strong>National Institute of Neurological Disorders and Stroke</strong>. (2019). <a href="https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Low-Back-Pain-Fact-Sheet" target="_blank" rel="noopener">Low Back Pain Fact Sheet.</a></p><p><strong>National Institute of Arthritis and Musculoskeletal and Skin Diseases</strong>. (2019). <a href="https://www.niams.nih.gov/health-topics/back-pain" target="_blank" rel="noopener">Back pain.</a></p><p><strong>Oesch, P</strong>., et al. (2014). A multidisciplinary network for patients with chronic low back pain: protocol for a randomised, controlled trial. BMC Musculoskeletal Disorders, 15(1), 431.</p><p><strong>O&#8217;Sullivan, P. B</strong>., et al. (2019). Exercise therapy for low back pain: a systematic review and meta-analysis. Journal of Science and Medicine in Sport, 22(6), 618-628.</p><p><strong>Panjabi, M. M</strong>. (2006). <a href="https://pubmed.ncbi.nlm.nih.gov/16047209/" target="_blank" rel="noopener">A hypothesis of chronic back pain: ligament subfailure injuries lead to muscle control dysfunction.</a> European Spine Journal, 15(5), 668–676. doi:10.1007/s00586-005-0954-y</p><p><strong>Veehof, M. M</strong>., et al. (2016). <a href="https://pubmed.ncbi.nlm.nih.gov/26818413/" target="_blank" rel="noopener">Mindfulness- and acceptance-based interventions for the treatment of chronic pain: a meta-analytic review.</a> Cognitive Behaviour Therapy, 45(1), 5-31.</p><p><strong>World Health Organisation</strong>, (2023).  <a href="https://www.who.int/news-room/fact-sheets/detail/low-back-pain" target="_blank" rel="noopener">Low back pain.</a></p>								</div>
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		<p>The post <a rel="nofollow" href="http://healthyimpact.com.au/low-back-pain-types-assessments-treatments/">Low back pain: Causes, assessments &#038; treatments.</a> appeared first on <a rel="nofollow" href="http://healthyimpact.com.au">Healthy Impact Mobile Physiotherapy</a>.</p>
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		<title>Sciatica – What causes Sciatica?</title>
		<link>http://healthyimpact.com.au/back-pain-sciatica-what-causes-sciatica/</link>
					<comments>http://healthyimpact.com.au/back-pain-sciatica-what-causes-sciatica/#respond</comments>
		
		<dc:creator><![CDATA[Scott Baines Dip. RM, B. ExSci, MPhtySt.]]></dc:creator>
		<pubDate>Fri, 09 Feb 2024 00:01:21 +0000</pubDate>
				<category><![CDATA[Sciatica]]></category>
		<category><![CDATA[nerve pain]]></category>
		<category><![CDATA[nerve pain relief]]></category>
		<category><![CDATA[sciatic]]></category>
		<category><![CDATA[sciatic pain]]></category>
		<category><![CDATA[sciatic pain relief]]></category>
		<category><![CDATA[sciatica]]></category>
		<category><![CDATA[sciatica pain]]></category>
		<category><![CDATA[sciatica pain relief]]></category>
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					<description><![CDATA[<p>What causes sciatica? Sciatica is the physical injury and/or chemical irritation of the sciatic nerve. Symptoms include lower back pain, buttock pain, with radiating pain, numbness, or weakness down the leg usually beyond the gluteal fold. Sciatica – The big picture The back is strong and is supported by many ligaments and muscles. Just like [&#8230;]</p>
<p>The post <a rel="nofollow" href="http://healthyimpact.com.au/back-pain-sciatica-what-causes-sciatica/">Sciatica – What causes Sciatica?</a> appeared first on <a rel="nofollow" href="http://healthyimpact.com.au">Healthy Impact Mobile Physiotherapy</a>.</p>
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					<h2 class="elementor-heading-title elementor-size-default">What causes sciatica?</h2>				</div>
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									<p>Sciatica is the physical injury and/or chemical irritation of the sciatic nerve. Symptoms include lower back pain, buttock pain, with radiating pain, numbness, or weakness down the leg usually beyond the gluteal fold.</p>								</div>
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Sciatica – The big picture</h3>				</div>
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									<p>The back is strong and is supported by many ligaments and muscles. Just like spraining an ankle, it is common for a back or nerve injury to be very uncomfortable and take a few weeks or months to get better.</p><p>Your GP will usually first recommend conservative physiotherapy as most people will respond well to physiotherapy treatment. Surgical intervention is only indicated for persistent sciatica not responding to physiotherapy treatment or if there is severe or deteriorating neurological symptoms.</p><p>Physiotherapy rehabilitation is often recommended by GPs and specialists prior to considering surgery. Completing conservative treatment whilst waiting for a consult with your specialist can often help speed up the process if surgery is deemed necessary.</p>								</div>
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															<img loading="lazy" decoding="async" width="800" height="533" src="https://healthyimpact.com.au/wp-content/uploads/2021/05/sciatica-article-image-a-woman-with-back-pain-going-upstairs.jpg" class="attachment-large size-large wp-image-1660" alt="Sciatica article image of a woman with back pain going upstairs" srcset="https://healthyimpact.com.au/wp-content/uploads/2021/05/sciatica-article-image-a-woman-with-back-pain-going-upstairs.jpg 960w, https://healthyimpact.com.au/wp-content/uploads/2021/05/sciatica-article-image-a-woman-with-back-pain-going-upstairs-300x200.jpg 300w, https://healthyimpact.com.au/wp-content/uploads/2021/05/sciatica-article-image-a-woman-with-back-pain-going-upstairs-768x512.jpg 768w" sizes="(max-width: 800px) 100vw, 800px" title="Sciatica – What causes Sciatica? 11">															</div>
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Major causes of sciatica</h3>				</div>
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									<p>Mechanical. A physical injury or compression of the sciatic nerve. This can be caused by</p><ol><li>A bulging or herniated disc. Degeneration or a disc injury can lead to compression of nerve roots and sciatica.</li><li>Degenerative disc disease. Deterioration of disc height (with age) or disc integrity (crack or tear) leads to compression of nerve roots and sciatica.</li><li>Osteoarthritis of the lower spin Changes in structure of the vertebrae obstructing the nerve pathways and compressing the sciatic nerve.</li><li>Spinal fracture. Displacement of the vertebrae causing compression of the sciatic nerve.</li><li>Spinal stenosis. Narrowing of the central spinal canal exerting pressure on the spinal column triggering symptoms down both legs.</li><li>Foraminal stenosis. Narrowing of the vertebral bony tunnel in which the sciatic nerve exists the central spinal column, triggering symptoms down one leg.</li><li>When one vertebra slips out of place away from the other vertebrae. This can trigger symptoms in one or both legs.</li><li>Acute sciatic nerve injury (the most common cause). When sudden force results in injury to local vertebrae, disc, ligaments, tendon or muscle.   </li><li>Piriformis syndrome. In about 70% of the population the sciatic nerve passes through or close to the piriformis muscle in the buttock. This muscle can compress and injure the sciatic neve causing referral pain symptoms down one leg.</li></ol><p> </p><p>Chemical irritation. Caused by inflammation from an acute or chronic injury. An inflamed sciatic nerve can be very uncomfortable. This is usually caused by additional strain being placed on the spine or the adjacent vertebrae, disc, ligament, tendon and muscles resulting in an acute lower back injury.</p><p>Inflammation can be caused by;</p><ol><li>Systemic conditions. Like ankylosing spondylitis, psoriatic arthritis, enteropathic arthropathy, juvenile idiopathic arthritis, and reactive arthritis.</li><li>Reduced physical activity. Reduced core and back muscle strength results in reduced capacity to provide stability and to protect your back from injury with normal daily movement activities.</li><li>Repeated acute back injuries or chronic back pain. Inhibits strength and normal muscle function. A history of chronic back or sciatic pain will result in reduced back strength to stabilise and protect your lower back joints and your sciatic nerve from a future acute injury with daily movements and lifting.</li><li>Muscle imbalances. One sided (left or right) muscle weaknesses in your body will increase the shearing force on your spine and adjacent ligaments and muscles, increasing the risk of injuring your lower back and irritating your sciatic nerve.</li><li>Repetitive strain injuries. Repeated loads daily can more frequent injuries. This can lead to reduced core and back muscle strength. This results in the inability to protect and stabilise back joints with your usual daily activities.</li><li>Lifestyle factors. Including excess weight, diet, smoking, and excessive alcohol consumption.</li></ol>								</div>
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															<img loading="lazy" decoding="async" width="800" height="533" src="https://healthyimpact.com.au/wp-content/uploads/2021/05/sciatica-article-image-a-man-bent-over-with-back-pain.jpg" class="attachment-large size-large wp-image-1661" alt="Sciatica article image of a man bent over with back pain" srcset="https://healthyimpact.com.au/wp-content/uploads/2021/05/sciatica-article-image-a-man-bent-over-with-back-pain.jpg 960w, https://healthyimpact.com.au/wp-content/uploads/2021/05/sciatica-article-image-a-man-bent-over-with-back-pain-300x200.jpg 300w, https://healthyimpact.com.au/wp-content/uploads/2021/05/sciatica-article-image-a-man-bent-over-with-back-pain-768x512.jpg 768w" sizes="(max-width: 800px) 100vw, 800px" title="Sciatica – What causes Sciatica? 12">															</div>
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Common symptoms of sciatica?</h3>				</div>
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									<ol>
<li>Back or hip pain that usually radiates down your leg, usually one leg only, past your gluteal fold. Patients often describe it as burning or electrical shocks down their leg. Radiating pain is often made worse by coughing, sneezing, bending forward or lifting your legs/knees upward and laying on your back.</li>
<li>Tingling or “pins and needles” known as paraesthesia. This feels like when you sit for too long or sit cross-legged and your leg falls asleep. When you can’t feel sensations on the skin along the nerve pathways around your back or down your leg.</li>
<li>Muscle weakness in one leg. A more severe symptom. This means the nerve signals to your muscles are having trouble reaching their destinations in your back or legs affecting your ability to walk normally.</li>
<li>Weakness in both legs, urinary incontinence, bladder retention, faecal incontinence or saddle and/or genital sensory disturbance (inability to feel anything in the body areas that would sit on a saddle). A very severe symptom. It means signals that control your bladder and bowels aren’t reaching their destinations. Please see your GP urgently or attend your local hospital Emergency Department as soon as possible.</li>
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Risk factors for sciatica?</h3>				</div>
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									<ol><li>Those aged 20 to 50 are most likely to have herniated a disc. Osteoarthritis of the spine and degenerative disc disease is more common with age. Most of us have some degenerative changes and old spinal injuries, 69% of us will have a bulging disc, osteoarthritis, or disc degeneration by 60 years of age.</li><li>Being overweight increases stress on the spine and the risk to injuring your back.</li><li>Jobs that require repetitive or twisting movements, carrying heavy loads, or exposure to vibration (forklifts, hand tools).</li><li>Prolonged sitting. People who sit a lot are more likely to develop herniated discs than active people are.</li><li>Changes in the way the body uses blood sugar, increases the risk of nerve damage.</li></ol>								</div>
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How is sciatica assessed?</h3>				</div>
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									<p>Accurate assessment is paramount for developing effective treatment plans. A thorough examination includes:</p><ul><li>Patient history. Gathering information about the patient&#8217;s medical history, lifestyle, and any previous injuries provides valuable insights.</li><li>Physical examination. Assessing the patient&#8217;s range of motion, muscle strength, altered sensation, and neutral reflexes helps identify specific areas of concern.</li><li>Neurological tests. Conducting tests like the straight leg raise and neurodynamic tests can help determine the extent of nerve involvement.</li><li>Diagnostic imaging. Scans are not normally recommended unless your GP determines a clinical reason. They will base their decision on your current presentation, your mechanism of injury, your medical history or if your symptoms are not improving within expected timeframes with physiotherapy. X-ray, MRI, or CT scans are useful to help your medical team rule out any serious conditions like fractures, tumours, cysts or other growths, herniated discs, and spinal or foraminal stenosis.</li></ul>								</div>
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															<img loading="lazy" decoding="async" width="800" height="533" src="https://healthyimpact.com.au/wp-content/uploads/2021/05/sciatica-article-image-a-woman-with-arms-stretched-out.jpg" class="attachment-large size-large wp-image-1662" alt="Sciatica article image of a woman with her arms stretched out" srcset="https://healthyimpact.com.au/wp-content/uploads/2021/05/sciatica-article-image-a-woman-with-arms-stretched-out.jpg 960w, https://healthyimpact.com.au/wp-content/uploads/2021/05/sciatica-article-image-a-woman-with-arms-stretched-out-300x200.jpg 300w, https://healthyimpact.com.au/wp-content/uploads/2021/05/sciatica-article-image-a-woman-with-arms-stretched-out-768x512.jpg 768w" sizes="(max-width: 800px) 100vw, 800px" title="Sciatica – What causes Sciatica? 13">															</div>
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Physiotherapy treatment strategies for sciatica?</h3>				</div>
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									<ul><li>Activity modification. To manage load on injured area to reduce pain and inflammation.</li><li>Range of movement exercises. To improve blood flow by helping the body heal itself and reduce pain and inflammation.</li><li>Hot and cold therapy. Applying heat or cold packs can help alleviate inflammation and provide relief from sciatic pain. Cold reduces pain and swelling in the early stages and heat improves blood flow.</li><li>Gentle walking in water reduces the effect of gravity and therefore strain on your body whilst circulating blood for healing. If in a lot of pain, cold water will likely increase back pain, so we recommend you start in a heated pool.</li><li>Graded walking. Short and regular walking on a flat surface to start with, can be a good alternative to hydrotherapy if you don’t have access to a pool.</li><li>Finch therapy. Incorporating <a href="http://healthyimpact.com.au/finch-therapy/" target="_blank" rel="noopener">Finch therapy</a>, a holistic approach to non-invasively restore balance to the musculoskeletal system. It will reduce the load on your injury, help speed up your recovery and help prevent future injuries that may hinder your recovery and rehabilitation.</li><li>Nerve sliders. Help to reduce nerve inflammation and improve nerve healing times.</li><li>Gentle graded strength exercises and stretching. Tailored exercises and stretches help improve flexibility, strengthen muscles, and reduce compression and irritation of the sciatic nerve.</li><li>Posture correction. Poor posture can contribute to sciatic pain. Posture education, graded postural exercises and integration of posture into activities that are meaningful you, can help improve sciatic symptoms and reduce reinjury risk. Ergonomic adjustments in daily activities can prevent further aggravation.</li><li>Manual handling advice. Correct lifting, pushing, pulling, and carrying techniques can help reduce the risk of injury or disease to the musculoskeletal system. It is important to identify and reduce hazardous manual tasks including repetitive movements, repetitive or sustained forces, high or sudden forces, sustained or awkward postures and your exposure to vibration.</li><li>In the early painful stage non-steroidal anti-inflammatory drugs (NSAIDs) or muscle relaxants may be prescribed to help manage pain and inflammation. Medication can help reduce pain so you can do gentle exercises to improve circulation and natural healing.</li><li>Invasive Interventions. In severe cases, when conservative measures fail, interventions like epidural steroid injections or surgery may be considered. However, these options are typically reserved for extreme cases and require careful consideration.</li></ul><p>It is very important to continue rehabilitation after your pain has subsided. Pain inhibits normal muscle function by reducing the strength and control of muscle contractions. It only takes a few days to lose muscle mass, strength and function. </p><p>If your back and core is still weak and vulnerable, it will be unable to withstand forces from higher demand or advanced activities. The risk of reinjuring your back in the future is much higher and the cycle will continue all over again.</p><p>Over 80% of our patients presenting with sciatic symptoms report a positive outcome and reduced dependency on ongoing treatments. Our approach is to ensure that you have the knowledge to help yourself throughout your recovery and into the future to reduce your dependency on regular ongoing treatments. Saving you money. </p>								</div>
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															<img loading="lazy" decoding="async" width="800" height="533" src="https://healthyimpact.com.au/wp-content/uploads/2021/05/sciatica-article-image-a-woman-stretching-sideways.jpg" class="attachment-large size-large wp-image-1663" alt="Sciatica article image of a woman stretching sideways" srcset="https://healthyimpact.com.au/wp-content/uploads/2021/05/sciatica-article-image-a-woman-stretching-sideways.jpg 960w, https://healthyimpact.com.au/wp-content/uploads/2021/05/sciatica-article-image-a-woman-stretching-sideways-300x200.jpg 300w, https://healthyimpact.com.au/wp-content/uploads/2021/05/sciatica-article-image-a-woman-stretching-sideways-768x512.jpg 768w" sizes="(max-width: 800px) 100vw, 800px" title="Sciatica – What causes Sciatica? 14">															</div>
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Conclusion</h3>				</div>
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									<p>As a Mobile Physiotherapist dedicated to promoting health and well-being, understanding the causes, assessment methods, and effective treatment strategies for sciatica is essential. <a href="http://healthyimpact.com.au/what-is-finch-therapy-how-does-it-work/" target="_blank" rel="noopener">Finch therapy</a>, coupled with a multidimensional approach encompassing strength exercises, stretching, and lifestyle modifications, can empower individuals to overcome sciatic pain and regain their quality of life.</p>								</div>
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Reference list</h4>				</div>
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									<p><strong>Adams</strong>, A., et al. (2019). <a href="https://www.ncbi.nlm.nih.gov/books/NBK470583/" target="_blank" rel="noopener">Intervertebral Disc Anatomy</a>. StatPearls Publishing.Chou, R., Qaseem, A., Snow, V., Casey, D., Cross, J. T., Shekelle, P., &amp; Owens, D. K. (2007).Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Annals of internal medicine, 147(7), 478-491.<br /><strong>Genevay</strong>, S., Atlas, S. J., &amp; Katz, J. N. (2010). <a href="https://pubmed.ncbi.nlm.nih.gov/20228710/" target="_blank" rel="noopener">Variation in eligibility criteria</a> from studies of radiculopathy due to a herniated disc and of neurogenic claudication due to lumbar spinal stenosis: a structured literature review. Spine, 35(7), 803-811.<br /><strong>Hopayian</strong>, K., et al. (2014). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1895638/" target="_blank" rel="noopener">Sciatica: diagnosis and management</a>. BMJ, 348, g3514.<br /><strong>Katz</strong>, J. N., et al. (2019). <a href="https://pubmed.ncbi.nlm.nih.gov/18287604/" target="_blank" rel="noopener">Lumbar Spinal Stenosis</a>. New England Journal of Medicine, 380(8), 756-766.<br /><strong>Nadler</strong>, S. F., et al. (2004). <a href="https://pubmed.ncbi.nlm.nih.gov/10798789/" target="_blank" rel="noopener">The relationship between lower extremity injury, low back pain</a>, and hip muscle strength in male and female collegiate athletes. Clinical Journal of Sport Medicine, 14(2), 74-79.<br /><strong>Shiri</strong>, R., et al. (2018). <a href="https://pubmed.ncbi.nlm.nih.gov/8553118/" target="_blank" rel="noopener">The effect of lumbar extension exercise in the treatment of acute sciatic pain</a>: a randomized controlled trial. Clinical Rehabilitation, 32(6), 768-777.<br /><strong>Wiltse</strong>, L. L., et al. (2008). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2328707/" target="_blank" rel="noopener">Spondylolisthesis: Classification and Management</a>. Instr Course Lect, 57, 431-445.</p>								</div>
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		<p>The post <a rel="nofollow" href="http://healthyimpact.com.au/back-pain-sciatica-what-causes-sciatica/">Sciatica – What causes Sciatica?</a> appeared first on <a rel="nofollow" href="http://healthyimpact.com.au">Healthy Impact Mobile Physiotherapy</a>.</p>
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		<title>Medicare funded Physiotherapy</title>
		<link>http://healthyimpact.com.au/medicare-funded-physiotherapy/</link>
					<comments>http://healthyimpact.com.au/medicare-funded-physiotherapy/#respond</comments>
		
		<dc:creator><![CDATA[Scott Baines Dip. RM, B. ExSci, MPhtySt.]]></dc:creator>
		<pubDate>Mon, 29 Jan 2024 07:03:12 +0000</pubDate>
				<category><![CDATA[Physio]]></category>
		<category><![CDATA[cdm]]></category>
		<category><![CDATA[enhanced primary care]]></category>
		<category><![CDATA[epc]]></category>
		<category><![CDATA[medicare funded physiotherapy]]></category>
		<guid isPermaLink="false">http://healthyimpact.com.au/?p=1521</guid>

					<description><![CDATA[<p>Medicare funded Physiotherapy rebates with a Chronic Disease Management (CDM) plan About Healthy Impact – Mobile Physiotherapy Healthy Impact is a pioneering force in healthcare dedicated to revolutionising patient care in our community. Our commitment to excellence, innovation, and holistic well-being sets us apart, and we invite you to explore the exciting possibilities we bring [&#8230;]</p>
<p>The post <a rel="nofollow" href="http://healthyimpact.com.au/medicare-funded-physiotherapy/">Medicare funded Physiotherapy</a> appeared first on <a rel="nofollow" href="http://healthyimpact.com.au">Healthy Impact Mobile Physiotherapy</a>.</p>
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										<content:encoded><![CDATA[		<div data-elementor-type="wp-post" data-elementor-id="1521" class="elementor elementor-1521" data-elementor-post-type="post">
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					<h2 class="elementor-heading-title elementor-size-default">Medicare funded Physiotherapy rebates with a Chronic Disease Management (CDM) plan</h2>				</div>
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About Healthy Impact – Mobile Physiotherapy
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									<p>Healthy Impact is a pioneering force in healthcare dedicated to revolutionising patient care in our community. Our commitment to excellence, innovation, and holistic well-being sets us apart, and we invite you to explore the exciting possibilities we bring to the table.</p><p>At Healthy Impact, we envision a healthcare landscape where every patient receives not just treatment but comprehensive care that addresses the root causes of health issues. Our patient-centred approach is designed to empower individuals on their journey to optimal health and well-being.</p><p>Healthy Impact provides a mobile Physiotherapy service offering the convenience of treatment in your own home for Sunshine Coast residents.</p><p>Our Physiotherapist has worked in the allied health sector running his own private practice for over 20 years. He has worked with thousands of patients with a history of chronic pain and has achieved effective results.</p><p>He has a passion for tailoring treatments to suit you in your home, has excellent patient rapport, is experienced with complex conditions and is driven to help you achieve your goals.</p><p>Our Physiotherapist is registered with The Australian Health Practitioner Regulation Agency (Ahpra). He is also a member of the Australian Physiotherapy Association (APA)</p>								</div>
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															<img loading="lazy" decoding="async" width="800" height="533" src="https://healthyimpact.com.au/wp-content/uploads/2024/01/medicare-funded-physiotherapy-article-image-of-physiotherapists-treating-a-patient.jpg" class="attachment-large size-large wp-image-1535" alt="Medicare Funded Physiotherapy article image of a man receiving treatment by physiotherapists" srcset="https://healthyimpact.com.au/wp-content/uploads/2024/01/medicare-funded-physiotherapy-article-image-of-physiotherapists-treating-a-patient.jpg 960w, https://healthyimpact.com.au/wp-content/uploads/2024/01/medicare-funded-physiotherapy-article-image-of-physiotherapists-treating-a-patient-300x200.jpg 300w, https://healthyimpact.com.au/wp-content/uploads/2024/01/medicare-funded-physiotherapy-article-image-of-physiotherapists-treating-a-patient-768x512.jpg 768w" sizes="(max-width: 800px) 100vw, 800px" title="Medicare funded Physiotherapy 17">															</div>
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Chronic Disease Management (CDM) plan</h3>				</div>
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									<p>A Chronic Disease Management (CDM) plan was previously known as an Enhanced Primary Care (EPC) plan.</p>								</div>
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What Medicare funded Physiotherapy rebates are available under a Chronic Disease Management (CDM) plan?</h3>				</div>
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									<p>Medicare Australia offers Chronic Disease Management (CDM) plans to help people with chronic diseases manage their health and stay healthy. A CDM plan is coordinated by a health professional such as your GP and provides access to a range of services including allied health services such as physiotherapy. If you have a chronic disease, terminal condition, or complex care needs Medicare can provide a rebate for some of the costs of your treatment.</p>								</div>
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					<h3 class="elementor-heading-title elementor-size-default">Am I eligible?</h3>				</div>
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									<p>Children and Adults are eligible. Your GP will work with you to determine if you meet the eligibility criteria and then develop a GP Management Plan with Team Care Arrangements (TCA). The GP needs to determine that the patient has;</p><ul><li>one or more chronic medical conditions that have been (or are likely to be) present for at least 6 months.</li><li>A terminal condition</li><li>complex care needs that require ongoing care from a multidisciplinary team consisting of their GP or medical practitioner, and at least 2 other health or care providers.</li></ul>								</div>
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					<h3 class="elementor-heading-title elementor-size-default">Do I need a referral?</h3>				</div>
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									<p>Yes, a patient must be referred to Healthy Impact by their GP or medical practitioner. Your GP and their administration staff can organise this for you.</p><p><u>Referral details:</u> Healthy Impact, Scott Baines, Physiotherapist, Sippy Downs. Your GP will also need my Medicare Provider number. Please message us on <a href="tel:0402221397">0402 221 397</a> or email <a href="mailto:healthyimpactqld@gmail.com">healthyimpactqld@gmail.com</a> and we will forward it to you.</p>								</div>
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															<img loading="lazy" decoding="async" width="800" height="533" src="https://healthyimpact.com.au/wp-content/uploads/2024/01/medicare-funded-physiotherapy-article-image-of-doctor-talking-with-patients.jpg" class="attachment-large size-large wp-image-1528" alt="Medicare Funded Physiotherapy article image of a happy woman receiving treatment by doctor" srcset="https://healthyimpact.com.au/wp-content/uploads/2024/01/medicare-funded-physiotherapy-article-image-of-doctor-talking-with-patients.jpg 960w, https://healthyimpact.com.au/wp-content/uploads/2024/01/medicare-funded-physiotherapy-article-image-of-doctor-talking-with-patients-300x200.jpg 300w, https://healthyimpact.com.au/wp-content/uploads/2024/01/medicare-funded-physiotherapy-article-image-of-doctor-talking-with-patients-768x512.jpg 768w" sizes="(max-width: 800px) 100vw, 800px" title="Medicare funded Physiotherapy 18">															</div>
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					<h3 class="elementor-heading-title elementor-size-default">Do you provide a report back to the GP?</h3>				</div>
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									<p>Yes, Under the CDM plan we must provide a written report back to the referring GP after the first and last service, or more often if necessary. Written reports include:</p><ul><li>any investigations, tests, and/or assessments carried out on the patient:</li><li>any treatment provided; and</li><li>recommendations for future management of the patient&#8217;s condition or problem.</li></ul><p> </p><p>We work closely with several GPs in the area with patients on CDM plans. We are happy to liaise with new GPs outside our current referral network. You can simply give our details to your GP for Healthy Impact Mobile Physiotherapy to be a part of your care team.</p>								</div>
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					<h3 class="elementor-heading-title elementor-size-default">What Medicare funded Physiotherapy rebates am I entitled to under a CDM?</h3>				</div>
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									<p>Up to 5 Medicare funded Physiotherapy rebates of $58.30 per session each calendar year (as of Jan 2024). The number allied health sessions allocated for Physiotherapy funded sessions will be determined by your GP after discussing your needs with you.</p>								</div>
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					<h3 class="elementor-heading-title elementor-size-default">What if I do not use all my Medicare funded Physiotherapy rebates in that calendar year?</h3>				</div>
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									<p>You can simply use them next calendar year without the need for a new referral. However, these will count towards the maximum of 5 allied health services for the calendar year. At the end of your CDM plan your GP with discuss with you your progress and if appropriate develop a new plan for your ongoing care.</p>								</div>
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					<h3 class="elementor-heading-title elementor-size-default">How do we charge for CDM plans?</h3>				</div>
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									<p>Unfortunately, we are not able to offer bulk-billed appointments.</p><p>Physiotherapy sessions are paid for upfront, see our Physiotherapy fees. Patients are required to provide Medicare card details, date of birth, and the bank account they wish Medicare to process the CDM rebate too.</p><p>Due to privacy and security Medicare does not permit access to their systems, so we need your details to process the rebate for you. With your consent, we will process your Medicare funded Physiotherapy rebate electronically to your nominated bank account. This takes less than 24-48 hours. Once processed we will email you an invoice with the Medicare statement attached.  This makes the process quick and easy for you.</p>								</div>
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					<h3 class="elementor-heading-title elementor-size-default">Can I claim on my Private Health as well?</h3>				</div>
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									<p>No. You will need to decide if you use a Medicare CDM plan or your private health insurance extras cover to pay for these Physiotherapy services. Medicare states that “patients cannot use their private health insurance general treatment cover to &#8216;top up&#8217; the Medicare rebate paid for the services.”</p>								</div>
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					<h3 class="elementor-heading-title elementor-size-default">What if I am not eligible for a CDM plan?</h3>				</div>
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									<p>Healthy Impact Mobile Physiotherapy also accepts private health fund rebates (via <a href="https://www.tyrohealth.com/" target="_blank" rel="noopener">Medipass</a>), <a href="https://www.dva.gov.au/" target="_blank" rel="noopener">DVA</a>, <a href="https://www.ndis.gov.au/" target="_blank" rel="noopener">NDIS</a>, <a href="https://www.worksafe.qld.gov.au/" target="_blank" rel="noopener">Workcover QLD</a>, and <a href="https://www.myagedcare.gov.au/" target="_blank" rel="noopener">Aged Care Package</a> patients like <a href="https://www.comlinkaustralia.com.au/" target="_blank" rel="noopener">Comlink</a>.</p>								</div>
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					<h3 class="elementor-heading-title elementor-size-default">How do I book a CDM plan appointment?</h3>				</div>
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									<p>Call or message Scott on <a href="tel:0402221397">0402 221 397</a> or send us an email to <a href="mailto:healthyimpactqld@gmail.com">healthyimpactqld@gmail.com</a>.</p>								</div>
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					<h3 class="elementor-heading-title elementor-size-default">If you still have questions?</h3>				</div>
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									<p>If you have any questions about <a href="https://www.servicesaustralia.gov.au/chronic-disease-gp-management-plans-and-team-care-arrangements" target="_blank" rel="noopener">Medicare Australia&#8217;s Chronic Disease Management Plans</a>, please call or message us on 0402 221 397 or send us an email to <a href="mailto:healthyimpactqld@gmail.com">healthyimpactqld@gmail.com</a>. You may also find helpful information about Healthy Impact Mobile Physio in other places on our site. Either use the menu you will find on top of every page or visit our <a href="http://healthyimpact.com.au/site-map/" target="_blank" rel="noopener">website site map</a> to find everything.</p>								</div>
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									<p><span style="font-size: 12.0pt; line-height: 115%; font-family: 'Aptos',sans-serif; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: Aptos; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; mso-bidi-font-family: 'Times New Roman'; mso-bidi-theme-font: minor-bidi; mso-ansi-language: EN-AU; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;"><strong>Ahpra &amp; National Boards</strong> (2023). <a href="https://www.ahpra.gov.au/Registration/Registers-of-Practitioners.aspx" target="_blank" rel="noopener">Register of practitioners</a>.</span><br /><span style="font-size: 12.0pt; line-height: 115%; font-family: 'Aptos',sans-serif; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: Aptos; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; mso-bidi-font-family: 'Times New Roman'; mso-bidi-theme-font: minor-bidi; mso-ansi-language: EN-AU; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;"><strong>Australian Physiotherapy Association</strong> (2024). <a href="https://australian.physio/" target="_blank" rel="noopener">See website</a>.</span><br /><span style="font-size: 12.0pt; line-height: 115%; font-family: 'Aptos',sans-serif; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: Aptos; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; mso-bidi-font-family: 'Times New Roman'; mso-bidi-theme-font: minor-bidi; mso-ansi-language: EN-AU; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;"><strong>Australian Government Department of Health and Aged Care</strong> (2022).  Medicare Benefits Schedule (MBS) online. Medicare Benefits Schedule &#8211; <a href="https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&amp;q=10960" target="_blank" rel="noopener">Item 10960</a>. </span><br /><span style="font-size: 12.0pt; line-height: 115%; font-family: 'Aptos',sans-serif; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: Aptos; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; mso-bidi-font-family: 'Times New Roman'; mso-bidi-theme-font: minor-bidi; mso-ansi-language: EN-AU; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;"><strong>Services Australia</strong> (2024). <a href="https://www.servicesaustralia.gov.au/chronic-disease-individual-allied-health-services-medicare-items" target="_blank" rel="noopener">Chronic disease individual allied health services Medicare </a></span></p>								</div>
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		<p>The post <a rel="nofollow" href="http://healthyimpact.com.au/medicare-funded-physiotherapy/">Medicare funded Physiotherapy</a> appeared first on <a rel="nofollow" href="http://healthyimpact.com.au">Healthy Impact Mobile Physiotherapy</a>.</p>
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		<title>What is Finch therapy? How does it work?</title>
		<link>http://healthyimpact.com.au/what-is-finch-therapy-how-does-it-work/</link>
					<comments>http://healthyimpact.com.au/what-is-finch-therapy-how-does-it-work/#respond</comments>
		
		<dc:creator><![CDATA[Scott Baines Dip. RM, B. ExSci, MPhtySt.]]></dc:creator>
		<pubDate>Tue, 05 Dec 2023 08:19:22 +0000</pubDate>
				<category><![CDATA[Finch Therapy]]></category>
		<category><![CDATA[finch therapy]]></category>
		<guid isPermaLink="false">http://healthyimpact.com.au/?p=1363</guid>

					<description><![CDATA[<p>What is Finch therapy and how it works Finch therapy is a highly effective and simple corrective exercise program that restores balance to the whole musculoskeletal system. It provides long-term outcomes, saving you time and money. No need for regular ongoing treatments with other allied health professionals. Finch therapy is a highly effective treatment for [&#8230;]</p>
<p>The post <a rel="nofollow" href="http://healthyimpact.com.au/what-is-finch-therapy-how-does-it-work/">What is Finch therapy? How does it work?</a> appeared first on <a rel="nofollow" href="http://healthyimpact.com.au">Healthy Impact Mobile Physiotherapy</a>.</p>
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									<h2><strong>What is Finch therapy and how it works</strong></h2><p>Finch therapy is a highly effective and simple corrective exercise program that restores balance to the whole musculoskeletal system. It provides long-term outcomes, saving you time and money. No need for regular ongoing treatments with other allied health professionals. Finch therapy is a highly effective treatment for non-specific pain and tightness.</p><p>This means Finch therapy is a useful tool when injuries to joints, bones, ligaments, tendons, and muscles have been ruled out with a thorough Physiotherapy assessment. Often if you are not improving or require ongoing treatments for tightness and pain, Finch therapy can help identify the cause of your symptoms and fast-track your recovery.</p><p>It can be used in conjunction with other treatments as nothing you do will interfere with the Finch therapy process.</p><h3>Finch therapy:</h3><ul><li>Provides rapid relief from pain and joint stiffness</li><li>Is easy and simple, non-invasive &amp; painless</li><li>Is safe for the whole family</li><li>Saves you money. Only 3 sessions, if done as prescribed. Home exercises only required for 2 weeks with long-term outcomes.</li><li>Is highly effective. 70% of clients report feeling better long-term after 3-5 consults, improving your mental and emotional health.</li><li>Does not require Feedback. Great for people with multiple areas of pain and Non-Verbal clients.</li><li>Is done Fully Clothed</li><li>Is Tracked with a thorough Assessment process using validated outcome measures (Evidence-Based Practice).</li></ul><h3>Finch therapy is a highly effective tool in treating:</h3><ul><li>Sciatica and back pain</li><li>Shoulder and neck pain</li><li>Hip pain and bursitis</li><li>Migraines and headaches</li><li>Achilles and plantar fasciitis</li><li>Delayed onset muscle soreness (DOMS)</li><li>Poor posture</li></ul><h2>How Finch therapy works? The logic behind this approach.</h2><p>As a physical therapist, we work with the whole body, which includes joints, bones, ligaments, neural tissue, fascia, tendons, and muscles. Out of all these, the main tissue we can influence is the muscle.</p><p><span style="background-color: var( --e-global-color-2b11700 ); color: var( --e-global-color-d290974 );">How can we change the loading on joints, ligaments, neural tissue, tendons, fascia, and other muscles all at once and provide a long-term change that will last for months or even years? By changing the loading on kinetic or fascial chains within the body. By strengthening key muscles that directly impact and load these kinetic or fascial chains in the body.</span></p><p>What holds your body up against gravity? Your muscles, which are activated by electrical and chemical signals from your brain via your nerves. If a nerve pathway connected to a key postural muscle in your body is not activating correctly on one side of your body (left or right), then your bones will drop towards the ground because of the effect of gravity on your body. This will create a shearing force across your joints, ligaments, and neural tissue, and it will shorten some of your muscles while lengthening other muscles. This will likely result in reduced range of movement, tightness and often pain.</p><p>This explains why clients often present with tightness and pain in multiple areas and why traditional treatments often only provide short-term relief and why clients require regular visits to manage their symptoms.</p><h3>Correction without manipulation</h3><p>This can be easily corrected without manipulation, mobilisation, stretching, massage, or manual therapy techniques like acupuncture or needling. By strengthening these key muscles on the weaker side, it instantly improves the loading on your joints, ligaments, neural tissue, and restores muscles to their correct length. With a few easy home activation exercises targeted to these key muscles only on the weaker side for only 2 weeks, as assessed by a Finch therapist, we can ensure you a long-term outcome, lasting for months or years without regular ongoing treatment or exercises.</p><p>This reduces the number of allied health consultations, saving you time and money. Thousands of our clients have reported having ongoing weekly, fortnightly or monthly chiropractic, osteopathy, or various types of massage before trying Finch therapy.</p><p>After assessing and treating over 20,000 clients in the past 15 years, I have found that everyone has at least eight key muscle imbalances from 4 years of age and older, even if they have reported no tightness or pain. I believe we are born with them. Everyone has them unless they have been treated by a Finch therapist. Other allied health treatments only treat symptoms of non-specific tightness and pain and are unable to identify these muscle weaknesses as they are not trained in the Finch therapy assessment protocol.</p><p>For example, functional leg length differences are treatable in one session with one easy home exercise and it lasts for years without further treatment or exercises. Because we are strengthening the key muscle that causes it.</p><p><a href="http://healthyimpact.com.au/wp-content/uploads/2023/12/finch-therapy-article-image-1.jpg"><img loading="lazy" decoding="async" class="alignnone size-full wp-image-1361" src="http://healthyimpact.com.au/wp-content/uploads/2023/12/finch-therapy-article-image-1.jpg" alt="finch therapy article image 1" width="960" height="640" title="What is Finch therapy? How does it work? 20" srcset="http://healthyimpact.com.au/wp-content/uploads/2023/12/finch-therapy-article-image-1.jpg 960w, http://healthyimpact.com.au/wp-content/uploads/2023/12/finch-therapy-article-image-1-300x200.jpg 300w, http://healthyimpact.com.au/wp-content/uploads/2023/12/finch-therapy-article-image-1-768x512.jpg 768w" sizes="(max-width: 960px) 100vw, 960px" /></a></p><p>The assessment protocol has been standardised, so that the one-sided muscle weaknesses can be easily identified without you telling the treating practitioner your symptoms. You can even accurately assess clients who are non-verbal, that have multiple or complex pain history, or have a mental health history with ease. Validated clinical and patient-reported outcome measures are used to ensure treatment is delivering effective outcomes, ensuring Evidence-Based Practice.</p><p>Monitoring your progress is important to ensure you are improving and you are getting the most appropriate treatment. If you are not responding to treatment, it is important to identify other likely causes and refer you to the appropriate health professional in a timely manner, so you can get the right treatment as early as possible.</p><h3>Finch therapy can be used:</h3><ul><li>to directly identify and treat non-specific tightness or pain symptoms.</li><li>to improve overall musculoskeletal health and prevent acute injuries. Great for recreational and competitive athlete&#8217;s.</li><li>ss an adjunct in rehabilitation to restore correct musculoskeletal function and reduce the risk of complications throughout the rehabilitation recovery process.</li><li>to diagnose by elimination. Using clinical reasoning to help narrow down the likely source of the symptoms and ensure referral to the appropriate health professional is made in a timely manner.</li></ul><h3>Too good to be true</h3><p>It sounds too good to be true, I know. That is what I thought too when was first introduced to Finch therapy. But to this day, I find it to be an amazing tool and have helped thousands of people suffering from chronic pain. We always discuss openly with our clients the Pros and Cons of the therapy, and inform them the practitioner is trained, accredited, and has over 12 years of clinical experience in Finch therapy before asking for consent to use Finch therapy as part of their treatment.</p><h3>Who do we work with?</h3><p>We work with <a href="https://www.ndis.gov.au/" target="_blank" rel="noopener">NDIS</a>, Comlink, CTP Insurance, Enhanced Primary Care (EPC), Workcover and Private clients. If you would like to know how Finch therapy can specifically help you, please get in touch.</p><p>See more about <a href="http://healthyimpact.com.au/finch-therapy/">Finch Therapy</a></p>								</div>
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