 WHAT IS BURSITIS? Bursitis is caused by inflammation of a bursa. A bursa is a small fluid-filled sac that acts as a cushion and helps to reduce friction and help with joint movement between bone and soft tissue (muscles, tendons and skin). The bursa can become irritated or inflamed due to overuse or when there is an injury to a joint. The bursa fills with excess fluid causing pain and decreased movement to the injured area. Common sites for bursitis include the shoulder, elbow, hip, knee and heel. SYMPTOMS - Pain local to the area - Swelling - Pain increases with movement - Limited movement - Area can be red and warm - Increased pain at night CAUSES - Injury to an area - Repeated pressure and overuse – poor technique - Underlying pathology such as rheumatoid arthritis, gout and diabetes - Being overweight and increase risk of bursitis in the hip and knee. TREATMENT THAT YOUR CHIROPRACTOR CAN HELP YOU WITH - Initial treatment prior to seeing your Chiropractor, is rest, ice and local pain analgesics and NSAID medication. - With the Chiropractor, the aim is to relieve symptoms while healing takes place by focusing on: - - Soft tissue work around the area - Mobilisations - Adjustments - Dry needling - Rehab program which includes exercises and stretches - Advice on technique of activity that maybe cause the bursitis - Practice good postures - Thorough warm up prior to activity If you believe you have bursitis in an area. I highly recommend visiting a health professional. If you are local to the Loftus area, Health Associates would be more than happy to help you.  OUR LATEST BLOG FROM OUR CHIROPRACTOR JOSH HALLINAN
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 WHAT IS IT? Plantar Fasciitis is one of the most common heel complaints. The plantar fascia is a thick, weblike connective tissue that connects your heel to the front of your foot. It acts as a shock absorber and supports the arch of your foot, helping you walk. The Plantar Fascia can become inflammed, damaged and/or micro tears to the planter fascia ligament can occur, causing this pain and stiffness at the bottom of your foot or heel. The causes of plantar fasciitis are unclear although risk factors include:
SYMPTOMS
TREATMENT
If you suffer from Plantar Fasciitis or general foot pain, we at Health Associates highly recommend visiting our health professionals (Chiropractor, and/or Podiatry). If you are local to the Loftus area, Health Associates would be more than happy to help you with these issues and answer any questions you may have.  https://www.medibank.com.au/health-directory/plantar-fasciitis/ https://www.healthline.com/health/plantar-fasciitis  Our latest Blog from our Chiropractor Josh Hallinan Availability
FINDING THE WHY Hallux Abducto Valgus is the fancy name for Bunions. Unfortunately, there is nothing fancy about bunions, neither the feel nor the look. A lot of people assume there is nothing that can be done to resolve a bunion other than letting a surgeon take a scalpel to it. Many other misconceptions regarding bunions include the cause, early signs and symptoms, treatment and prognosis. Bunions can be begin to present in early childhood, early adulthood or later in life. It all depends on why. The ‘why’ is very important in determining the prognosis and appropriate treatment. Not everyone’s bunions are the same and not everyone will be or should be receiving the same treatment. There are lots of different causes of bunion, which is why whoever you consult with about them should always be taking a thorough history and assessment. They should know you and your lower limbs well. There are many different causes of bunions which can include, to name just a few common ones: - Genetic predisposition - Footwear - Foot function and mechanics - Foot posture - Lower limb function - Muscular imbalances Conservative treatment options should ALWAYS be considered first. Bunions are commonly the presenting symptom of a cause that can be addressed without surgery. Here at Health Associates our Podiatrists can help identify the causative factors contributing to your bunions. Our Podiatrist Anneliese suggests cracking down on them early, as early prevention is key to either slowing down or stopping the progression of Hallux Abducto Valgus.   ANNELIESE BALL
PODIATRIST Anneliese is at Health Associates as a Podiatrist working Monday and fortnightly Saturday. She holds both a Bachelor of Psychology and Podiatry. As a podiatrist she combines her proficient knowledge of human mechanics and ability to connect and engage with her patients to deliver outstanding clinical outcomes and an exceptional customer experience. Anneliese loves health and fitness and enjoys encouraging her patients to maximise their health. For appointments call 9542 3330 or book online today.  Do your feet ache? Are your arches sore? Maybe the pain comes and goes or maybe it can last all day long.
Sore, painful feet is a very common problem for people of all ages. The source of your pain can be one or many things and getting to the root cause is critical for a speedy recovery. When our feet suffer, it can impact our life in so many other ways. You may not be able to enjoy the activities you once enjoyed, you might lose confidence with what you can or can't do. Sometimes people delay getting their foot pain checked and attended too early. This can unfortunately lead to other consequences that could have been easily avoided. When you see a podiatrist at Health Associates they will effectively assess and diagnose what is causing your foot pain and provide you with the most effective way to relieve your pain and suffering. From plantar fasciitis, bunions, corns, bursitis or heel spurs a podiatrist can help ensure you get the best advice and outcome possible. If you do have pain here are some tips to help you before your appointment with a podiatrist:
At Health Associates we have some fantastic service offerings for our community including:
Experience the differences a podiatrist can do for you and your foot pain. Get your feet in great condition and step into life with ease and confidence. For appointments call 9542 3330 or book online today.  In the first 6 years of life, our leg bones undergo a series of rotational changes. Sometimes it’s hard for both parents and the child to keep up! In toeing is a common pediatric podiatry concern, otherwise referred to as a ‘Pigeon-Toed’. Usually observed in a child’s first 2-3 years of walking and during early to middle primary school ages. It is seen mostly in children when they walk or run with one or both feet turning in. Although it is a gait variation, it is not typically considered abnormal. “Abnormal” depends on factors including age, lower limb function and if pain is involved. Most intoeing cases tend to present as asymptomatic (no symptoms), however some severe cases can cause issues with tripping, stability and balance. In toeing often comes from 1 of 3 places, the hip, leg or foot. Some common causes include: Metatarsus adductus * This is when the foot is curved inwards from the middle of the foot to the toes. * It can resemble a mild clubfoot deformity – but this is a separate problem. * If treatment is necessary, it normally involves casts or special corrective shoes between 6-9 months of age. Internal tibial torsion * This is when the tibia (shin bone) has an internal twist and turns inwards. * It is very common in infancy and childhood. * Tibial torsion normally improves in children with growth up to 12 years of age. Internal Femoral Anteversion (torsion) * This when the femur (thigh bone) turns inwards between the hip and knee joints. * It normally corrects in children by age 10. * Children with this condition often sit in the ‘W’ position, which should always be avoided Podiatry treatment options can vary from addressing posture abnormalities, stretching and strengthening to orthotics and gait plates. First and foremost a thorough assessment is always necessary to ensure appropriate treatment and the best possible outcome. Let’s take care of those little feet so they can grow into the big healthy feet they deserve to be!  Anneliese Ball
Podiatrist Anneliese is at Health Associates as a Podiatrist working Monday and fortnightly Saturday. She holds both a Bachelor of Psychology and Podiatry. As a podiatrist she combines her proficient knowledge of human mechanics and ability to connect and engage with her patients to deliver outstanding clinical outcomes and an exceptional customer experience. Anneliese loves health and fitness and enjoys encouraging her patients to maximise their health.  The term “corn” is commonly used to describe what feels like a little stone in or under the foot and can look like barely anything at all! Or they man have a firm and dry appearance with a polished surface. They can also be found between the toes and be quite uncomfortable! Corns are referred to as either Heloma Durum, Heloma Molle, Heloma Neurovasculare or Heloma Miliare by a Podiatrist. Any type of corn is the result of excessive pressure to one focal point on the foot, for an extended period. Pressure can result from footwear, foot structure and/or foot mechanics. Depending on where the pressure is coming from, will determine the location of a corn. For example, if your new work shoes are just that tad too tight across your toes, you may find you’ve landed a “Buy one pair, get a corn between your toes free” in the process. Heloma Durum is the most common type of “corn”. Otherwise known as “hard corns". Heloma Durum’s are most commonly found on the sole of the foot and are a result of dysfunctional foot structure or foot biomechanics. If the foot isn’t working the way it’s meant to, the body (including the skin) will react in different ways.  Think of a corn as your bodies way of saying “Hey! Look at me! If you don’t start supporting my arch soon, this corn is going to be the least of your problems!” If the cause of a corn is not addressed the corn will grow and increase in pain. The bigger the corn gets, the more it pushes on the healthy structures surrounding it. This is what makes you say “OUCH” on every step! If a corn is not addressed, we find people also start walking in ways to avoid the pain, therefore putting pressure on other parts of the foot, even causing another corn. “Help!  It is important to investigate 1. Why is this corn hanging around? 2. What type of corn is it? 3. How can I remove it? 4. How can I make sure it doesn’t keep coming back? HOT TIP: I do not recommend corn pads due to the skin surrounding the corn becoming inflamed, macerated and painful. Corn pads may or may not resolve the issue and they certainly don’t address the cause. Luckily, there is a resolve for all types of corns, and the earlier you catch them the better. The best thing to do is talk it to your Podiatrist for a proper assessment. This may involve a full gait analysis, biomechanical and footwear assessment. Anneliese Ball
Podiatrist Anneliese is at Health Associates as a Podiatrist working Monday and fortnightly Saturday. She holds both a Bachelor of Psychology and Podiatry. As a podiatrist she combines her proficient knowledge of human mechanics and ability to connect and engage with her patients to deliver outstanding clinical outcomes and an exceptional customer experience. Anneliese loves health and fitness and enjoys encouraging her patients to maximise their health.  The term arthritis is loosely used to refer to many different types of crippling pain associated with the joints. Many people do not know what arthritis is, what affect it actually has on the body, what type they even have or how to minimise the pain affecting daily activities. There are very important large and small joints in the lower limb and feet. Considering our legs and feet are what take the complete load of our body weight and not to mention all the extra forces that come with work, sports and exercise, they can be prone to degeneration and erosion as time goes on. The main types of arthritis contributing to chronic pain in the feet and legs include: Osteoarthritis is considered a mechanical degenerative arthritis. Osteoarthritis is due to excessive “wear and tear” on the joints as a result of repetitive and or increased forces. Osteoarthritis can affect any joint, but most commonly treated by Podiatrists are the knees, ankles and big toe joints. The big toe joint may have lost some or all of it range of motion, which is detrimental to the gait cycle and can cause many other issues, even with the back. It is important to address stiffness and lack of range of motion in any joint with the appropriate treatment to slow down the process of degeneration and its sequential negative impacts elsewhere. Rheumatoid Arthritis and, or Psoriatic Arthritis is an inflammatory, auto immune, systemic disease that can affect many organs. It is more common in woman and usually comes on in your late thirties or early forties. Signs might be more evident when you are more stressed and your immune system is not coping. Many parts of the body can be affected including the skin, nails, vascular (circulation) and joints. Pitted or thickened toe nails, mild or severe joint deformity such a bunions, nodules on the feet such as the toes and or heels and joint swelling are all symptoms affecting the legs and feet that can be addressed by a Podiatrist. Gout, otherwise known as ‘the rich mans disease’ due to its association with high levels of Uric acid in the blood is achieved by a heavy diet rich in purine, e.g. red meat, fruit and alcohol etc. Gout can increase pressure and friction to the feet, causing secondary issues such as corns, callus and lesions. Gout can cause severe pain accompanied by red, hot, swollen joints.  Ankylosing Spondylitis is a systemic rheumatic disease where areas of the body become inflamed.  Dactylitis is inflammation of an entire digit and can be painful. Knowing which type of arthritis you have is crucial to being able to treat it effectively and appropriately. Not only can Podiatrists help identify issues resulting from your arthritis they can correctly treat it to reduce or eliminate discomfort, slow down the progression of the disease and help you get back to enjoying daily life. After a thorough physical examination involving a skin, nail and biomechanical assessment, Podiatrists can:
And much more.... Due to arthritis being a widespread condition affecting many parts of the body it is important that a multidisciplinary approach is employed. Your Podiatrist can always point you in the right direction to addressing other issues with the additional health professional you may not have considered. Podiatrists will leave you equipped with the right tools to take home in order to feel more confident and comfortable on your feet! Written by Anneliese Ball Podiatrist Health Associates  Anneliese Ball
Podiatrist Anneliese is at Health Associates as a Podiatrist working Monday and fortnightly Saturday. She holds both a Bachelor of Psychology and Podiatry. As a podiatrist she combines her proficient knowledge of human mechanics and ability to connect and engage with her patients to deliver outstanding clinical outcomes and an exceptional customer experience. Anneliese loves health and fitness and enjoys encouraging her patients to maximise their health.  If you swing your hips more than others, don’t like walking slow or hate standing in one position for too long because your body aches, you may have something uneven in the lower half of your body, this is known as leg length discrepancy (LLD). You might not know this but having unequal leg lengths is a common condition as it is estimated to affect 40-70% of the population and can occur in both children and adults. This should not come as much of surprise as we are all built differently, with different body types and structures. So, what is LLD and how can it be treated? THE TWO CLASSIFICATIONS OF LLD:
 CATEGORIES OF LLD:
SYMPTOMS OF A LEG LENGTH DISCREPANCY:
LEG LENGTH DISCREPANCY IS ASSOCIATED WITH MUSCULOSKELETAL DISORDERS INCLUDING:
METHODS OF DIAGNOSING A LIMB LENGTH DISCREPANCY:
 HOW CHIROPRACTORS CAN MANAGE YOUR LEG LENGTH DISCREPANCY:- The type of medical management depends on the severity of the discrepancy, the type of discrepancy and if the patient is symptomatic.
If you feel like you’re someone with a shorter leg or have any other musculoskeletal issues, please visit your local health care professional. If you are a local to health associates do not hesitate to ask or book in, we would be more than happy to help. REFERENCES
 Joshua Hallinan Chiropractor Joshua is a very focused, dedicated and committed Practitioner. Growing up in Menai, he has been actively involved in AFL and Cricket and currently has a passion for Soccer and strength based training. He loves sport but more importantly, Joshua can see the major benefits of being active and moving regularly. Joshua's special interests are in sports injuries, musculoskeletal complaints and headaches. He enjoys helping relieve pain and alignments and supporting his patients to live optimally as well as instilling optimism and personal belief that moving well is important for a happy and health life. You know when you see Joshua you are in the hands of someone who continually strives to be ahead in his profession and will bring his expertise and skill to all of his patients. You'll find Josh has a friendly and enthusiastic personality, who is also very relaxed and down to earth to be with, leaving you feel comfortable and confident in his treatment and recommendations. Availability Tuesday 8am - 6pm Wednesday - 3pm - 7pm Friday - 3pm - 7pm  So you’ve reached that half way point. You find that flat spot with a killer view to sit down and enjoy. Getting that bag off your back feels so good and you know those goodies you packed for fuel are going to taste better than ever. This view, the H2O and “aaaa-mazing” home made beef jerky your friend has supplied you with, promising no adverse affects, would all be perfect if you weren’t also wishing to find a new pair of feet at the bottom of that bag... Whether you’re a competitive runner or humble walker on your own, with friends or with your family, here are some valuable HOT tips for hiking all year round! 
 Anneliese Ball Podiatrist Anneliese is at Health Associates as a Podiatrist working Monday and fortnightly Saturday. She holds both a Bachelor of Psychology and Podiatry. As a podiatrist she combines her proficient knowledge of human mechanics and ability to connect and engage with her patients to deliver outstanding clinical outcomes and an exceptional customer experience. Anneliese loves health and fitness and enjoys encouraging her patients to maximise their health.  Headaches in short are a continuous pain around the head, face or neck, they can occur in any part of the head, on both sides of the head or in just one location. They are one of the most common medical complaints and can have a disabling effect on a day to day basis like quality of sleep, mood and overall function of the body. PRIMARY VS SECONDARY HEADACHES Headaches are broadly categorised as either primary or secondary. A primary headache is when the headaches are not caused by another condition or disease. The two most common primary headaches are migraines and tension type headaches. A secondary headache is caused by problems elsewhere in the head or neck, or by a condition. The two most common secondary headaches are cervicogenic and medication overuse headaches. CONTRIBUTING FACTORS TO YOUR HEADACHE Tension type headaches, migraines and cervicogenic headaches like many pain issues we are challenged with, are what we call 'multi-factorial'. We as Chiropractors, like the bio - psycho - social construct when approaching patient care and this encapsulates headaches we see in the clinic every week very well. But what does this actually mean? Well in terms of headaches (and all pain) it means that lots of things contribute to the pain you are experiencing. One analogy could be the overflowing 'tea cup'. If we think of your headaches as the overfilling of a tea cup (stick with me here) then everything in your life tipped into the tea cup could be a contributor. Things such as: stress, dietary factors, sleep quality, exercise habits, hormones, genetics, medications, biomechanical skeletal factors and many more. Sometimes the triggers can be very hard to pin down because the thing that tips you over the edge can be different at different times and the last thing to make the cup overflow…… and then boof - headache.  DRUGS AND HEADACHES There is significant dissatisfaction with headache drug outcomes and the side effects that come with taking these drugs and headaches are the third most common reason for why people seek help from chiropractors. We are a drug free alternative for headache sufferers. HOW CAN WE HELP? So how can chiropractic care actually help with headaches? Assessment of posture, muscle tone, functional movement patterns and how the spine and extremities are moving while taking into account work, hobbies and other daily activities are important factors for the possible causes of the headache. After this, appropriate treatment, lifestyle changes and patient education is needed. Treatment can include:
Simple management plans that you can implement straight away include:
If you suffer from headaches on a regular basis or general neck pain, I highly recommend visiting a health professional. If you are local to the Loftus area, health associates would be more than happy to help you with these issues and take a holistic assessment and approach to taking control of your life.  Joshua Hallinan Chiropractor Availability Monday 8am - 6pm Wednesday - 8am - 6pm Saturday - 8am - 12pm |
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Call 9542 3330
99A Loftus Ave, Loftus NSW 2232 Hours Monday & Wednesday 8am - 6pm Saturday: 8am - 12pm Early morning or later evening available by appointment Our reception is available for walk-ins on Monday, Wednesday & Saturday. Or by telephone 7 days. |