Bunions are arguably the foot and lower limb positional abnormality that is most often seen as a presenting complaint to podiatry clinics. Medically, bunions are referred to as a hallux abducto valgus deformity and are often characterised by a deviation of the big toe towards the other toes of the foot and the prominence of a lump at the metatarsophalangeal joint which eventually hardens over time. The condition is seen in both men and women, however women do make up a large majority of symptomatic bunion cases that require intervention. The condition itself often leads to restricted and/or painful range of motion of the big toe joint which is essential in the proper functioning of the feet during the gait cycle. By altering the halluces ability to flex upwards during the propulsion phase of gait, bunions can ultimately alter the method of propulsion and thus, the gait cycle itself. Bunions by themselves can be either symptomatic or asymptomatic but will generally also affect a person’s ability to find properly fitting footwear as well as affecting the cosmetic appearance of their feet.
There are many factors identified as causative in bunions, some within a person’s control others out of it. Research supports the idea that no single factor can be pinpointed as being a primary cause of bunions forming, but rather, a combination of factors may result in bunions forming. The following factors have been shown to contribute to the formation of bunions:
There are a number of treatments options available to assist in settling down existing bunion pain as well as preventing further complications. Some of these possible treatments involve:
Dr Anel Kapur delivers an outstanding clinical podiatric care to all clients. He has earnt himself an exceptional reputation among his clients for his attention to detail, gentle approach and depth of knowledge.
Dr Anel Kapur is available for appointments Monday and Saturday.
Bookings are available online or contact reception on 9542 3330
Health is more than how you look or what size you wear. It is more than a a performance or aesthetic pursuit. True health is the culmination of mind, body and spirit in harmony. This months client spotlight embodies not necessarily the perfect culmination of 'true health' but the intention and aspiration to create a harmonious and balanced life in what can be a demanding and hectic world.
If you ever want anything done then Ali is your girl. She is well known for her planning and organisation and it is highly likely she is one if not two steps ahead of the rest. Ali is a working mum with two gorgeous young children. Creating room in her life to nurture herself and prioritise her health as come with a lot of dedication and intention. Ali is not just satisfied 'surviving' Ali wants to 'thrive'. Her desire to be a positive energetic role model to her family, to nurture herself so she can meet all her obligations and to prioritize her health is what lead her to Health Associates. We can all learn a lot from Ali and that is why she is in the spotlight.
Name: Alessandra Gotch
Occupation: Environmental/town planner
What does health mean to you?
Being physically and mentally healthy, so that I can try and set a good example for my kids. Also so that when I'm older I'm still fit and healthy and can keep up with the kids!. I also mental health I think is just as important as being physically fit. As Guru Alana Bowles would say - "be kind to yourself".
How do you keep healthy?
By eating well and aiming for 90% home cooked meals. I suppose you could say that it is clean eating - although if my Nonna was here with us today she would laugh and say isn't that just cooking? Trying to be active wherever possible with the kids. I also think being healthy isn't just about keeping physically fit - mental health or total well being health is just as important. We love camping and regularly book weekends away - it is so relaxing and great to spend time away together as a family.
How you stay motivated?
By setting goals to look forward to such as booking regular holidays with our family. I think the key to staying motivated also is again learning from Alana that it's ok to take care of yourself and your family when times are tough as your goals will still be there. I have had to adjust my fitness goals over the past few months, but small changes I have made to diet and lifestyle can make a difference and contribute to my overall well being and health.
Why do you like coming to Health Associates?
The team are so friendly and in general AMAZING. I have seen Chris for injuries and also injury prevention, Alana for overall health and fitness goals and Carlie for remedial massage to help with injuries or generally to relax and help mentally unwind. I really believe the team at HA care about your overall well being and health and whatever your goal is will try their very best to achieve that. I also love that they are not just a traditional clinic. The side programs they run such as the Couch to 5kms (which I am participating in) is an awesome program that encourages people of all fitness levels to think about their health while having fun!
Advice for others wanting to improve their health?
Go see the HA team. They really care about your well being and offer a complete service. You can tell that they really care and will listen to whatever problems you are having or goals you want to achieve and offer realistic advice and support.
Did you know that Health Associates bulk bills for chiropractic and podiatry services under the chronic disease management plan?
What is the Chronic Disease Management Plan? (formally Enhanced Primary Care)
People with a chronic medical condition may be able to get Medicare benefits to cover allied health services that help manage their condition.
A chronic medical condition is one that has been, or is likely to be, present for at least 6 months. Anyone with a chronic or terminal medical condition can have a GP Management Plan in place.
A referral under the CDM plan can entitle you to up to 5 visits in a 12 month period.
Health Associates CDM Policy
From the 1st of May Health Associates new CDM policy will be effective for all new or renewed referrals.
At Health Associates we believe that high quality allied healthcare should be accessible for all facets of the community.
We provide bulk billed CDM plans when referred by your GP for pensioners and health care card holders. To be eligible for bulk billed services the patient must present with a current pensioner or health care card.
Seniors and concessions receive a 10% discount off services in the clinic. When visiting under a CDM this discount will be applied to the full amount then reduced by the medicare rebate. A gap payment will be payable.
All other referrals will be required to pay the full gap payment.
Chronic Disease Management Fee Schedule
Initial Consultations - 45min
Full Fee $125 - $52.95 Gap payment $72.05
Sen/conc $112.50 - 52.95 Gap payment $59.55
Follow up consultations - 20min
Full Fee - $82 - $52.95 Gap payment $29.05
Sen/conc - $73.80 - $52.95 Gap payment $20.85
Initial Consultation - 45min
Full Fee $110 - $52.95 = Gap payment $57.05
Sen/conc $ 99 - $52.95 = Gap payment $46.05
Follow up consultation - 20min
Full Fee - $75 - $52.95 = Gap payment $22.05
Sen/conc - $67.50 - $52.95 = Gap payment $14.55
If you would like to make an appointment or learn more about our services please contact us on (02) 9542 3330.
Approximately 80% of people will experience back pain at least once in their lifetime. If you’re reading this, then chances are you are one of the 80%, or you know someone that has back pain. These days back pain seems almost unavoidable, and as a Chiropractor, treating low back pain is a daily occurrence. Low back pain can occur for a various number of different reasons but it goes without question that when it does occur it can cause a lot of discomfort and/or debilitation. Although low back pain can come in a variety of different forms and affect people in many different ways, there are common trends that I see in the clinic among patients. Back pain sufferers have certain lifestyle choices, daily habits, and movement patterns that they have in common which attribute to their back pain struggles.
Before you go diving face first into treatment options for low back pain, you may want to know some of the common causes so that you can equip yourself with a better understanding of what treatment options are available and what is the best solution for you. The majority of low back pain is of unknown etiology, meaning most patients do not suffer a serious injury or know of a recognizable trigger which caused their back pain. Most patients struggle to understand the ‘why’ behind their pain.
Most often than not, our lifestyle choices, the repetitive movements we put our bodies through, and the high loads we place on our spines over time is what leads to the insidious onset of back pain. Movements such as repetitive bending and lifting with improper technique is a big trigger of back pain. Bending and lifting increases the pressure on our spine by a whopping 200% (1), and when done repetitively and with incorrect technique, overtime it no longer becomes sustainable and it causes back pain. It just takes that one extra moment where you bend over to pick up your child for it to suddenly result in back pain and cause you symptoms.
The second commonality is a lack of movement and poor posture, particularly when seated. There is no doubt that we live in a society excessively dependent on technology, making prolonged sitting more common than ever before. You know the impact that prolonged sitting with no breaks has on your back, particularly if you have a desk job, and how it makes you feel. You have been told one thousand times before. You’ve heard multiple therapists, your friends, your family, just about everyone, except maybe your boss, beat this to the pulp. I, or anyone, cannot stress the importance of movement and what I like to call ‘postural breaks’ enough. Unsupported sitting increases the pressure on the spinal discs by 50% (1).
If your work involves sitting for eight hours per day, five days per week, you have accumulated forty hours of increased pressure on your spine. This is then followed by your car ride home (sitting), eating dinner (sitting), and watching TV (more sitting). Although there are many circumstances where sitting is unavoidable, there are certain techniques you can incorporate into your lifestyle to help alleviate some of this increased pressure from your spine, and keep your body moving and thriving. If a height adjustable standing desk is not an option for you, then make sure you are sitting on a chair with good lumbar support and think about your posture while you sit. Interrupt your sitting every 20-30 minutes by taking 30 seconds-1 minute to stretch your legs, reach your arms over head, stand up, or if you have the ability, then go for a short walk. When at home, try and minimize your sitting at home by going for a walk, change positions when watching TV, or do something else that doesn’t involve more sitting. You want to move, move, move to keep your spine moving and functioning well.
Dr Melanie Xabregas is an experienced and passionate chiropractor with a special interest in helping children experience optimal performance and longevity in dance and gymnastics. She brings a gentle, caring and friendly approach to her examination and treatment.
Available for consultations Tuesday & Friday between 2pm - 6pm
As a podiatrist, I see patients who present with a range of biomechanical problems and concerns however by far the most commonly occurring complaint people have is heel pain. Whenever there is any pain in the body, it is your bodies way of informing you that something potentially malicious is occurring that may require treatment of attention. Heel pain may be caused by a number of factors and as such can be treated in any number of way. This weeks blog will aim to bring some light to this common problem and how it can be corrected.
What are some causes of heel pain?
The heel is collectively a complicated structure which consists of:
Congratulations to the all our Health Associates Couch 2 5km participants. For 6 weeks our dedicated runners completed a comprehensive running program designed to not only help people run 5km but to help them run it strong. The program included 4 sessions from strength/hills, pilates, track and endurance. Participants were encouraged to attend at least 3 times per week.
At the beginning of the program our runners were put through a time trial to get a benchmark. Over the course of the 6 weeks we saw people improve their time by over 3 min. At the start of the program we had a few walkers and by the end everyone ran the whole way!!
Participants ranged from mums and dads, seniors and teenagers. A personal highlight would be two sisters Maddi and Ashley. One in primary school and the other in high school. The early mornings were very hard. Waking up at 5.30am to be at the track for a 6am start was very challenging but they did it and they were super stars. Maddi was so excited when she did a personal best in a school running event. She could see that her hard work was paying off.
What makes the Health Associates C25K unique is that it is a not-for-profit program designed to engage community members into safe and effective exercise. Our coaches range from former-professional athletes, allied health professionals and busy, working parents who get the challenge faced by so many. It is comprehensive offering a complete suite of training options to support you to perform at your best and to run injury free.
If you would like to join the next program registrations are now open. Click the link to find our more and register before it sells out!