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Operation Unity SA Challenge EP Presentation

How a Dietitian Helps
How a Dietitian Helps

Our own Jamal ISSAH, Clinical Exercise Physiologist recently spoke at Operation Unity AMTG Life Style Challenge Dinner held at See Differently (RSB) earlier this month.

Operation Unity is a small group of Veterans, First Responders and our family members who have set out to give a a helping hand to members of the Australian Defence Force, Veteran and First Responder communities and families who are I need of assistance.

Jamal presented a well organised and very informative session for our special evening with information for people of all ages and health status. He presented information and statistics demonstrating the benefits of exercise physiology and movement to general health, blood pressure to mention just a few topics.

“Jamal is a credit to My Physio My Health, he has worked with me one on one with my injuries and physical condition for about 3 months and there have been definite benefits. Every session is at least slightly different and catering for any mild or severe condition I may have on the day. I recommend him to veterans!" Bill BATES

Our Woodville Clinic has Moved

How a Dietitian Helps

My Physio My Health Woodville is excited to announce that we have taken over from Physio One Woodville and have moved to a new location at 765 Port Rd, Woodville.

We look forward to welcoming both new and existing patients to the clinic and continuing to provide them with the highest standard of physiotherapy, remedial massage, exercise physiology and dietitian services.

We are also proud to announce that My Physio My Health Woodville is now a preferred health insurance fund provider for BUPA and Health Partners, while remaining preferred providers for HCF, NIB, Westfund.

If you have any questions or would like to schedule an appointment, please don't hesitate to contact our friendly Woodville Reception team on (08) 7081 9855 or book online.

How a Dietitian Helps
How a Dietitian Helps
How a Dietitian Helps

Year in Review 2022

How a Dietitian Helps

What a year it has been for us at My Physio My Health!

This year we added two new clinics, Kilkenny in July and Prospect in November. In 2023 we are excited to be taking over from Physio One Woodville, a physiotherapy practice and fitness studio on Port Road. Watch this space in the New Year!

We have continued our community sponsorships with Athelstone Cricket Club and Hope Valley Junior Football Club and partnerships with Multiple Solutions, Resthaven and ProMed.

Most importantly we’ve been able to help thousands of patients achieve their highest possible function and improve their quality of life, whether that be through physiotherapy, nutrition, exercise physiology or remedial massage.

A sincere thank you to our entire staff for all for your hard work, loyalty and dedication in helping our clients reach their health goals.

We look forward to seeing everyone in the New Year for an exciting 2023!

How a Dietitian Helps
How a Dietitian Helps
How a Dietitian Helps

Managing Diabetes to Reduce Stigma

National Diabetes Awareness Month

Receiving a diabetes diagnosis can be difficult. Diabetes can affect the entire body and requires daily self-care to avoid complications. There is also a large amount of stigma associated with diabetes. This National Diabetes Awareness Month I want to shed some light on what diabetes is and how to manage it to reduce stigma around the condition.

Types of diabetes

Firstly, there is more than one type of diabetes, in fact there are three.

  • Type 1 diabetes commonly diagnosed in children but it can be diagnosed in adults too. Occurs when the pancreas (a gland) does not produce enough insulin to keep blood sugar levels stable. Onset is normally abrupt with obvious symptoms.
  • Type 2 diabetes differs from type to in that the onset is mush slower and use to only be seen in individuals over the age of 45 but this is changing. In type 2 diabetes the pancreas the does not produce enough insulin or the insulin it does produce is less sensitive to help manage blood sugar levels.
  • Gestational diabetes occurs during pregnancy. This type of diabetes normally is no longer an issue once the baby is born but for some women it can persist or be risk factor for later life development of Type 2 diabetes.

What causes diabetes?

Diabetes is an autoimmune condition where the body’s immune system attacks its own cells decreasing them in number therefore reducing the amount insulin or sensitivity of insulin produced. For type 1 diabetes it is unknown what the cause is nor can it be prevented. In type 2 diabetes there is a strong genetic component that plays a role in developing the condition. There are also behavioural factors that may put you as an increased risk such as activity levels, smoking status, alcohol intake, stress levels as well as eating patterns and behaviours. In gestational diabetes, the hormones from the placenta can block the actions of insulin reducing its sensitivity. This doesn’t occur for all women and their pregnancies but for some like those who have had gestational diabetes previously, are over the age of 40 and have a family history of diabetes are at a higher risk. The bottom line here is that it is never anyone’s fault that they have diabetes.

Manageable but not curable

Unfortunately, there has yet to be a cure for diabetes but it is manageable and should be managed appropriately to participate in your best quality of life. Managing diabetes can decrease risk of secondary complications such as blindness, numbness, amputations and kidney disease to name a few. Managing your diabetes can involve managing other health conditions and environmental factors such as hypertension or high cholesterol, smoking status and alcohol intake or stress and physical activity levels. It can also include managing the quality and amount of carbohydrate foods you have within your diet to control and stabilise blood sugar levels. Although we discuss managing other aspects of your health to manage your diabetes, managing your blood sugar levels is one of the most important things to take care when you have diabetes so taking medication as prescribed, participating in physical activity, reduce stress and illness as well as checking in frequently with a dietitian to discuss eating patterns and behaviours can help to maintain blood glucose levels. If you would like to get started on managing your diabetes today call or book online for an appointment with Jess to see how she can help you start your diabetes management.

Written by Jess Koznedelev

Jess has a great passion for all things food, especially the joy it can bring people. Her big passion areas include Health At Every Size®, eating disorders & paediatric nutrition.

As accredited practicing dietitian, Jess provides an evidence-based, individualised approach to help you make sustainable health behaviour changes that are long lasting. Book a Dietetics Consultation today.

How can a dietitian help

How a Dietitian Helps

How a Dietitian Helps

Food is the one thing about us that makes all so very unique. No two eating patterns are the same because of our likes, dislikes, choices, affordability, accessibility, and cultural influences. It can bring us joy, bring people together and keep us energised but it can also be very confusing, distressing and painful.

In my time as a dietitian, I have found that food is one of the most personal things about us but also something that everyone has an opinion on. This makes it hard to know what is right, share experiences and sometimes enjoy food in the best possible way.

A dietitian can help enjoying food and eating easier. They help to navigate the pages and pages of nutritional advice out there and use personalised nutrition advice to help you optimise your life and health. Accredited Practising Dietitians are the gold standard of nutritional information in Australia. They know the best and newest ways to help you manage your conditions, foods and behaviours to create and promote positive wellbeing. They understand how nutrition affects the body ad they use this knowledge plus your personalised experience with food to help treat you. Due to this, they are also the only nutrition credential recognised by Medicare, the Department of Veterans' Affairs, and many private health funds.

The conditions a dietitian can help with are:

  • Diabetes – carbohydrate awareness, counting, label reading and switches
  • Heart disease – high cholesterol, hypertension
  • Food allergies and intolerances – lactose intolerance, coeliac disease, IBS
  • Gastrointestinal diseases – Chron’s disease, coeliac disease, IBS
  • Malnutrition
  • Fussy eating and feeding difficulties
  • Eating disorders or disordered eating
  • General nutrition information
  • Renal disease
  • Life stage nutrition – planning pregnancies, pregnancy, paediatric nutrition, menopause and ageing.

The first session with a dietitian is always the scariest because of food being so personal. There is a fear of being judged or ridiculed but what you need to know is that discussing food and your concerns with a dietitian is a safe space where you will not be judged, told off, ridiculed or belittled. You don’t need to be a perfect eater because nothing about nutrition is perfect, there is no magic foods or perfect diets and every day, we are still learning something new. When you have your first session with a dietitian it is all about you, you tell us your back story, why you need our help, what you biggest struggles and fears are and we, the dietitians listen. We ask questions here and there to get more information and not because we are judging you but because the more, we know about you the better we can help you.

Subsequent sessions vary from person to person. They may include nutrition education, nutrition activities, recipe developments, sensory challenges, or shopping and eating out guidance. The number of sessions and how often is also different from person to person. the common theme amongst the sessions though is support. You will always have support from your dietitian, they are you biggest cheerleader. So if this article has resonated with you book an appointment today.

Written by Jess Koznedelev

Jess has a great passion for all things food, especially the joy it can bring people. Her big passion areas include Health At Every Size®, eating disorders & paediatric nutrition.

As accredited practicing dietitian, Jess provides an evidence-based, individualised approach to help you make sustainable health behaviour changes that are long lasting. Book a Dietetics Consultation today.

PCOS

Polycystic Ovary Syndrome and Food

PCOS

This women’s health week, 5th – 11th of September, I want to shine the light on nutrition in reproductive health as 1 in 10 women of child bearing age, suffer from a condition known as Polycystic ovary syndrome (PCOS).

Polycystic what?

Polycystic ovary or ovarian syndrome (PCOS) is a common health problem that affect many women throughout Australia. PCOS is caused by an imbalance of reproductive hormones which causes problems to occur with a woman’s ovaries. The main role of the ovaries are to make and produce eggs ready for fertilization. In PCOS, high levels of androgen (commonly a male hormone), can cause issues with the development of these eggs and ovulation.

Symptoms of PCOS

Not every presentation of PCOS is the same just as not every body is the same but here are some common symptoms that may occur. If any of these symptoms related to you, make an appointment to see your doctor for further investigation. It may not be anything but better to be safe and take care of your reproductive health.

  • Irregular menstrual cycles causing cysts and infertility
  • Insulin insensitivity causing high blood sugar levels with no history of diabetes
  • Excess hair in places where men normally have hair (chin or face)
  • Acne (face, chest, upper back)
  • Thinning hair or hair loss
  • Weight gain
  • Darkening of skin
  • Skin tags (small excess flaps of skin normally in armpits or around neck)

Nutrition for PCOS

A common misconception when it comes to PCOS is that you should avoid Carbohydrates, WRONG! Here is the theory behind this myth:

  • In PCOS, the high levels of hormones not only affect the ovaries but can also affects insulin (another hormone) sensitivity.
  • PCOS decreases insulin sensitivity which can cause high blood sugar levels.
  • Normally, insulin is a hormone that is released to help your body bring sugars into your blood to give you energy.
  • When sensitivity of insulin is decrease, it means insulin doesn’t work as well so therefore the sugar in the blood stays there instead of being used by the body causing the high blood sugar levels.
  • Avoiding carbohydrates was once thought to help this scenario as carbohydrates (breads, pasta, fruit, cereal, rice etc.) when broken down create the sugars in our blood that the insulin is suppose to take up.
  • So therefore, the thought was, no carbs = no sugar in blood = no high blood sugar levels.

The theory is very black and white thinking though and nutrition is a very grey science. An example is that in this black and white theory, the liver was forgotten. One of the roles of the liver is to store excess sugar and in times when there is no sugar for energy (i.e. cutting out carbs) the liver’s role is to release its stored sugars to help give your body energy. So sugars are released and insulin is also released but in PCOS, the insulin still doesn’t work well so sugar levels in the blood remain high and therefore the problem is still there.

Take home message

Don’t cut out carbs to help your PCOS. Instead include Low GI carb foods such as multigrain breads, brown long grain rice, lentils or legumes and whole grain cereals to name a few. Low GI foods are digested slower therefore giving the insulin time to work better. If you’re looking for more detailed support, talking to an accredited practicing dietitian is always a great place to start. They can help you understand your condition better and individualise nutrition recommendations to suit your lifestyle. Book an appointment to day with Jess to start your journey.

Written by Jess Koznedelev

Jess has a great passion for all things food, especially the joy it can bring people. Her big passion areas include Health At Every Size®, eating disorders & paediatric nutrition.

As accredited practicing dietitian, Jess provides an evidence-based, individualised approach to help you make sustainable health behaviour changes that are long lasting. Book a Dietetics Consultation today.

Levator Ani Avulsion explained

The pelvic floor muscles are a supportive basin of muscle attached to the pelvic bones by connective tissue to support the vagina, uterus, bladder and bowel. The main group of muscles providing this support is called the ‘levator’ muscles. There are also nerves that relax or squeeze these pelvic muscles as needed.

Between the levator muscles there is an opening that allows the urethra, vagina and back passage to exit the abdomen. This is called the ‘levator hiatus’.

What Happens to the Levator Ani During Childbirth?

During a vaginal birth, the baby needs to pass through the ‘levator hiatus’ in the pelvic floor, and the muscles, connective tissues and nerves can be damaged in the process. The levator muscles are stretched by 1.5 to more than 3 times their normal length as the baby passes through, depending on the size of both baby and pelvic floor muscle opening.In many women, these muscles return to normal but in 10-30% of women the muscles are overstretched or sometimes torn off the bone. This injury is called a ‘levator avulsion’

 

Risk factors associated with Levator ani avulsion:

  • Greater size of a baby
  • Prolonged second stage labour
  • Maternal age
  • Baby position
  • Forceps delivery

Symptoms:

  1.  Pelvic heaviness or pressure (Do you feel like your insides are falling out?). This is often worse at the end of the day or during/immediately after exercise.
  2.  Decreased sexual desire, arousal, or ability or orgasm
  3.  Limited sensory awareness
  4.  Vaginal wall laxity
  5.  Pelvic floor muscle weakness (may present as one sided weakness if the avulsion tear is unilateral)

Diagnosis :

Doctors and pelvic health / pregnancy physiotherapists who specialise in treating pelvic floor problems can detect injury through physical examination and/or pelvic ultrasound. A 4D pelvic floor ultrasound by a specially trained clinician is the best method for seeing pelvic floor structures.

 

Physiotherapy Treatment for Levator Ani Avulsion

  1.  A thorough pelvic exam to assess remaining muscle strength, length, endurance and motor control.
  2.  An assessment of your prolapse.
  3.  Real time feedback on the quality of your pelvic floor contraction to help improve function of your pelvic floor muscles, and support to your organs.
  4.  Determining if you may benefit from an external supportive device like a pessary.
  5.  Personally fit you for a pessary or refer you to a provider who can if they cannot.
  6.  Teach you pressure management strategies to reduce any unwanted stress on your tissues with daily activity or exercise.
  7.  Provide guidance on how to safely continue your desired exercise without further injury to your tissues.

To book an initial assessment with a Women's Health physio, please contact Reception.

Stroke Awareness

Decreasing the Risk of Stroke

Stroke Awareness

Stroke Awareness Week

From the 8-14th of August is National Stroke Awareness Week. Every year it is estimated that there are 38,600 stroke events a year, this is more than 100 every day. Of these stroke events 5.3% will not survive and 2.7& will be left with a permanent disability. So, what is a stroke and can you help to prevent it happening in yourself or a loved one.

What is a stroke?

A stroke occurs when a blood vessel supplying blood to the brain becomes blocked or ruptures. There are two types of strokes an ischaemic stroke, blocked blood vessel, and a haemorrhagic stroke, blood vessel ruptures and begins to bleed on the brain. A stroke can cause limited blood supply to the brain and therefore cause a decreased in essential nutrients reaching the brain, such as oxygen and sugars, as well. The decrease in these nutrients can cause part of the brain to die resulting in sudden impairments such as paralysis, speech problems and swallowing, vision and thinking difficulties.

Decreasing the Risk

Although you may not be able to tell when a stroke is coming on, there are things we can do to minimise the risk of a stroke occurring. One of the ways we can look at decreasing our risk of stroke is through making changes with our nutrition. Here are just some of the ways we can look at prevent strokes from occurring with foods:

Include a variety of foods at a variety of meals.
Making sure we include a variety of foods means we are including a variety if macro- and micronutrients. Fruits and vegetables will provide us with a range of fibre, vitamins and minerals. Grain foods provide us with carbohydrates for energy and fibre. Meat and its alternatives provide protein, iron, and zinc. Lastly dairy provides you with protein, carbohydrates and calcium. Keeping a balance is important to make sure we don’t miss out on something important.
Manage high blood pressure.
Having high blood pressure can be a risk factor for a stroke event occurring. To manage high blood pressure, we monitor salt intake as salt acts like a sponge soaking up water. The increase water in the blood increases the pressure of it on the blood vessel walls which can lead to ruptures or clots forming causing strokes. To reduce salt in the diet, look for salt reduced products when cooking or use herbs, spices or lemon/limes to flavour foods.
Manage high cholesterol.
Like high blood pressure, high cholesterol is a risk factor for a stroke occurring. High cholesterol cause damage to blood vessels that can result in narrowing of them. When blood vessels become narrow blood vessels can become blocked by clots or rupture causing strokes. Managing high cholesterol looks at the types of fat we are having in the diet. Fat is needed in our diet to help us absorb specific vitamins but also to protect our organs. The types of fat we want to include are our unsaturated fats so foods like olive oil, nuts, avocados, oily fish and margarines.

If you would like any additional information or help managing the conditions spoken about in this article, contact us today to book an appointment with Jess, our accredited practising dietitian.

Written by Jess Koznedelev

Jess has a great passion for all things food, especially the joy it can bring people. Her big passion areas include Health At Every Size®, eating disorders & paediatric nutrition.

As accredited practicing dietitian, Jess provides an evidence-based, individualised approach to help you make sustainable health behaviour changes that are long lasting. Book a Dietetics Consultation today.

Tradie Health Month

understanding recipes for nutrition

August is Tradies health month and our team at My Physio My Health would like to help raise awareness and promote tradie health to ensure good quality of life.

If you’re a tradie and you feel some aches here and there. Fret not as you are not alone, a 2019 Health survey revealed that 60% of tradies experience aches and pains as a result of their job. So if that sounds like you, we encourage you to read on to learn some useful tips from the Australian Physiotherapy Association (2022) and how we can help in reducing and preventing any pain or injury.

Some of the more common tradie injuries that we see are:

  • Neck and back pain due to these body parts being utilised a lot when performing labour intensive task
  • Shoulder pain due to repetitive reaching or overhead movements
  • Knee pain due to repetitive and prolonged bending to the ground , especially during cold weather
  • Ankle sprains as there is a lot of walking on or stepping over uneven grounds

So here’s the big question, what can tradies do about it and how can physios help when the niggles or aches come?

At my physio my Health, we believe in a multi-modal approach revolving around hands-on manual therapy, exercise therapy, advice and education, which we will run through below:

  • Hands-on manual therapy- including but not limited to massage, dry needling, joint mobilisation or manipulation, taping, trigger point therapy, Ultrasound, shockwave and many more.
  • Exercise Therapy with home strengthening or stretching programs, Pilates or hydrotherapy.
  • Advise and education-Most of the time, its good to identify the cause of the aches and niggles before it worsens. Therefore, your physio will ask you some questions to figure what might be causing the pain, whether it be wrong postures, tight or weak muscles that weren’t ready for the job, excessive loads or incorrect manual handling. Our physios will help you identify and rectify them.

Despite being careful and doing everything correctly, some of the niggles and injuries are hard to avoid sometimes and will unfortunately happen. Therefore, it’s best to see a physiotherapist early before an issue snowballs into something serious.

Reference: Tradies health - Choose physio | Australian Physiotherapy Association

My Physio My Health welcomes Kilkenny Physio Clinic

understanding recipes for nutrition

We are excited to announce a 5th My Physio My Health location in Kilkenny!

Kilkenny Physiotherapy Clinic has served Adelaide's Western suburbs for over 25 years and Luke Ryan, Principal clinician continues to work with us. We feel proud to have such an experienced senior person leading the team.

Luke has special interest in vertigo (BPPV) and has treated many patients with this condition in very few visits. Another senior physio at Kilkenny is Doris Buschenings who continues to work with us. Doris has special interest in knee OA and lymphoedema management.

My Physio My Health Kilkenny is a BUPA preferred practice.