<![CDATA[Pain Assist]]>https://www.painassist.com.au/blogRSS for NodeSat, 13 Aug 2022 14:33:53 GMT<![CDATA[Missed danger 'another' cause of low back pain!]]>https://www.painassist.com.au/post/missed-danger-cause-of-low-back-pain623150ac03aeec166144e357Wed, 16 Mar 2022 02:55:36 GMTGeorge HardasOf the many causes of low back pain can be the danger of an 'Abdominal Aortic Aneurysm'. In basic terms this is when damage is caused the wall of the descending abdominal aorta as it abuts the lower section of the spine. Over time the aneurysm erodes the bone of the vertebrae as well as irritating associated innervated structures mimicking low back pain or even pain in the lower limb-leg. Further the aneurysm may burst causing internal abdominal bleeding and death. Unfortunately this condition can be missed even with scans......it needs meticulous diagnosis.

The white arrows below indicate 'Abdominal Aortic Aneurysm'

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<![CDATA[We now offer contactless health insurance claims]]>https://www.painassist.com.au/post/we-now-offer-contactless-health-insurance-claims615fb90997a2920016919b13Fri, 08 Oct 2021 04:31:28 GMTGeorge Hardas

We now offer contactless health insurance claims. These claims are completed with an Apple Watch or iPhone and can be completed for patients who are members with nib, Bupa, Medibank, GU Health, and HBF.

This makes making your claim even more simple than before!

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<![CDATA[How Chiropractic treatment saved a patient from surgery]]>https://www.painassist.com.au/post/how-chiropractic-treatment-saved-a-patient-from-surgery614d575c36ecad0016a76fd7Fri, 24 Sep 2021 04:45:17 GMTGeorge Hardas

When it comes to severe lower back pain sometimes surgery is an option, however, chiropractic treatment can in some cases be the key to solving this kind of pain and therefore can save patients from needing to undergo lengthy and expensive surgeries. In the below case, Dr George Hardas Consultant Chiropractor was able to do just that through his treatment for a patient who had been recommended surgery.

Patient Presentation

The patient presented was a 40 year old male who came to me with acute lower back pain, he was referred to a Neurosurgeon

MRI showed at L5/S1 there is a left paracentral broadbased extrusion. Bilateral moderate to severe foraminal narrowing is seen, with possible right sided nerve root contact and left contact/impingement. There is impingement of the descending left S1 nerve root with posterior displacement.

Medical profile

  • Medications
    • 200mg Palexia
    • 300mg Lyrica
    • 20mg Amitriptyline
    • 15mg Mobic
  • Lumbo-pelvic
    • 30° (L) leg
    • Extension – No abnormalities detected
    • Compression/Distraction – Not applicable
  • Ambulation – Antalgic
  • L4/S1 Ambulation – S1 no abnormalities detected and L4 no abnormalities detected
  • Adam’s – No abnormalities detected
  • Cough/Valsalva – No abnormalities detected
  • Slump Test (L) – Positive (L)
  • Numerical Pain Rating Score – 9/10

Neurosurgeon opinion

Advised the patient to have surgery and so the patient came to us for a second opinion

Presented with a history of left sided radicular pain which was controlled with analgesia and injection. Six months ago he had a reoccurrence of symptoms with pain now down the leg in the same distribution, in the back of the calf and is in agony. The pain is rated 9/10 on VAS and associated with numbness at the back of the calf. The patient has taken annual leave at work and I am unable to work in his current state. The pain is worse on sitting.

Impression: Left L5 radiculopathy with severe disability and weakness

Management Plan – A discussion regarding the natural history of disc prolapsed and that generally they do get better over time. Surgical management is considered when there are worsening symptoms accompanied by severe disability and/or neurological deficit. The goal of surgery is to shave it off and this has an 80%+ chance of improving his symptoms. The procedure wad describe in detail and the surgical video was shown. The risks include but are not limited to infection, bleeding, nerve root injury, dural tear, CSF leak, instability, recurrence of the disc (5%), DVT, PE, pneumonia, anesthetic risks, cardiac risks, stroke, death and other non specified risks. The patient had several insightful questions which were all answered to his satisfaction and consent obtained.

Second opinion from Dr George Hardas Consultant Chiropractor

The patient pursued chiropractic treatment to avoid surgery and came to Dr George Hardas Consultant Chiropractor and presented his condition. Dr Hardas has completed 6 levels of tertiary qualifications as well as 10 years of clinical research of the spine. This gave him the knowledge and ability to treat the patient, who as a result made a full recovery and completely avoided surgery.

The outcome for this patient was a full recovery of his presenting signs and symptoms by Dr George Hardas Consultant Chiropractor and a pain rating score of 0/10.

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<![CDATA[Spine-Randomized Trial]]>https://www.painassist.com.au/post/spine-randomized-trial61333a352db80d0016e31280Sat, 04 Sep 2021 09:19:53 GMTGeorge Hardas]]><![CDATA[Carpal Tunnel]]>https://www.painassist.com.au/post/carpal-tunnel602c40a0b82b4b0017161dfaFri, 26 Feb 2021 08:50:01 GMTGeorge

Carpal tunnel syndrome is a form of neuropathic pain related to the criteria of the International Association for the Study of Pain (IASP) which defines it as initiated or caused by a primary lesion or dysfunction of the nervous system.

Neuropathic pain is based on the symptoms (spontaneous or evoked pain, paraesthesia) and signs ( mechanical allodynia, thermal hyperalgesia) which may relate more closely to mechanisms and therefore be more helpful in identifying appropriate treatment. Patients with neuropathic pain typically describe pain of two types: (i) Constant burning pain (ii) intermittent shooting or electric pain. In addition positive symptoms of paraesthesia, numbness and dysesthesia such as itching, crawling and tingling are highly suggestive of neuropathic pain. Results of neurological examination indicate negative signs of sensory, motor and reflex testing. The pain typically occurs adjacent to a region of sensory disturbance and may begin in weeks, months or years following initial insult to the nervous system (1)..

Carpal tunnel syndrome (CTS) is a common peripheral neuropathy, our aim is to review the current literature on carpal tunnel syndrome, its signs and symptoms, diagnosis, differential diagnosis and treatment options, in this case the presentation to our clinic and the outcome of Chiropractic therapy.

In addressing the symptoms and history of the condition of CTS, as clinicians we need to address the age, sex and period of onset. Also needing to clarify the duration and intensity of the condition of which we use the Numerical Rating Scale (NRS) (2). The patient is asked to describe and show where their symptoms are felt. Other setbacks / characteristics would be to assess the ability to hold objects, also would they develop numbness in the hand whilst holding objects.

Other symptoms as does the condition interrupt their sleep pattern (3) would they wake and need to “shake” their hand in attempt to alleviate their symptoms, this would be disrupting their sleep pattern, leading to feeling fatigued during the day. As chronic pain is frequently associated with depression and sleep disturbance (4). Do these symptoms occur on a daily basis, does this affect their quality of life. Do they live at home alone, being in a capacity to look after themselves. Have they used splinting / immobilisation techniques, what are their outcomes, should all be documented.

Noting also of previous assessments / treatment consisting of consultation with a hand surgeon, confirmation of the condition by way of nerve conduction and electromyography, showing any neurophysiological evidence of median neuropathy.

Surgery has the following results/outcomes (5):

  • Surgical release of the carpal tunnel
  • Would need up to 6 weeks of incapacity with the use of the hand, with a 90-93% success rate.
  • Given the choice of a less invasive procedure of cortisone injection into the sheath of the wrist.
  • Given 7-10% outcome of not being cured, with possible detrimental injury to the median nerve and associated flexor tendons
  • There is a 1/100 chance of suffering an infection.
  • A 1/500 chance of abnormal reaction to surgery which may cause pain swelling and stiffness in the whole arm and last 6 months or more and sometimes leave permanent effects.

Previous and current medical history is important as conditions such as diabetes can cause patients to succumb to peripheral neuropathies such as CTS as well as previous trauma such as fractures of the hand / wrist. Are they a social drinker or smoker, as this can be detrimental to tissue healing. Their main interests of recreation, sport, hobbies, does the condition prevent them from pursuing these activities. General well being and presentation assessing whether they are anxious, depressed, are they co-operative with history taking and want help with her condition. Assessing the status of their family relationships or if it is a compensation case / litigation all need to be considered as this can be a hindrance to positive outcomes. Consideration of the type of employment can have some impact, for example if their work is physical this could affect treatment outcomes.

In forming a pain formulation of the case (6) a barrier to recovery is accepting what procedures are available and their outcomes, having current underlying conditions such as cardiac, are elderly or pregnant can make them a non-candidate for any interventional procedures. Feelings of helplessness in terms of what to do with their condition, prolonging a positive outcome, further perpetuating the existing condition leading to fatigue and feelings of depression.

It is important to explain to the patient the treatment offered at our clinic and what procedures are involved to make it effective so that the patient has a shared understanding of our procedures, that it being non-invasive. Giving a specified time-frame, for two reasons (i) it gives the patient an idea of how Chiropractic treatment works (ii) If the desired outcome is not achieved then treatment would cease, so expectations are met.

However the response would be slower and they would have to be patient and allow the programme of treatment to progress as prescribed, consisting of two sessions per week for four weeks which needed to be followed, this would gain their confidence and hence to participate as the aim is to improve the condition and subsequently their quality of life, this would be assessed by:

i) Pain levels, are they lessening, as the treatment is progressing, currently using NRS.

ii) Functional improvement, sleep without being woken up in numbness and pain.

iii) Holding objects pain free and confidently, for example holding the phone without developing numbness and being able to do their hobbies and recreational activities.

iv) Treatment is meeting the financial cost, cost-benefit efficacy as compared to surgery which involves the use of theatre, surgeon, anaesthetist, nursing staff which is a more expensive option.

In a majority of CTS patients the recommended management options are (8) conservative treatment which include behaviour modifications, medications, including anti-inflammatory drugs and analgesics, immobilisation via splinting or bracing, physical and occupational therapy, oral corticosteroids and ultrasound. There are indications that local injections with corticosteroids are less effective in the long term than surgical interventions. The surgical option, open or endoscopic carpal tunnel surgery entails greater risks of complications.

If you suffer from Carpal Tunnel Syndrome, contact Dr George Hardas at Spinal Care in Sydney, and arrange a consultation to assist with pain management and treatment.

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<![CDATA[Hip Pain]]>https://www.painassist.com.au/post/hip-pain602c3d9d4354fe0034b9b573Tue, 16 Feb 2021 13:30:00 GMTGeorge

Hip Pain is a common complaint, particularly for elderly people, and can be caused by a wide variety of issues.

Problems with the Hip Joint itself can cause pain on the inside of your hip or groin region, while general hip pain on the outside of your hip, upper thigh or surrounding areas is often due to problems with muscles, tendons, ligaments and other soft tissues that surround the hip joint.

There are a number of causes for hip pain, which could include Arthritis, Pinched nerves, Injuries, or more severe issues such as Cancer. Osteoarthritis (degeneration of the joint cartilage surfaces) is also common.

However ensuring you see a specialist such as Dr George Hardas at Spinal Care will assist in pain management as well as remedy the issue, and also see if there is a greater underlying issue causing it.

Dr Hardas was fortunate to attend a seminar presented by Dr John O’Donnell Orthopaedic surgeon specialising in hip arthroscopies, who is one of the early pioneers in this field and is one of a handful of high volume hip arthroscopists in the world having performed over 4000 hip arthroscopies.

Osteoarthritis (degeneration of the joint cartilage surfaces) is common.

Other causes of hip pain include

  • Acetabular labral tears
  • Femoral acetabular impingement
  • Loose bodies
  • Synovial chondromatosis
  • Gluteus medius tendonitis/tears/enthesopathy
  • Trochanteric bursitis
  • Piriformis syndrome
  • Tendon snapping syndromes
  • Synovitis
  • Ligamentum teres tears

If you suffer from Hip Pain, it is advised not to delay seeing a specialist about the problem. Dr Hardas is located in Sydney, and can assist in finding a solution and pain relief for Hip Pain sufferers.

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<![CDATA[Knee and Joint Pain Relief]]>https://www.painassist.com.au/post/knee-and-joint-pain-relief602b9c2ab82b4b001715b25dTue, 16 Feb 2021 10:26:17 GMTGeorgeFormed by the lower end of the femur, upper end of the tibia and the patella or knee cap, the knee is one of the largest joints in the human body, and special cartilaginous tissues known as menisci are placed between the two articular ends of the joint, which act as a kind of cushion to absorb shock during movement.

Several muscles and ligaments are attached to the bones of the knee joint to assist in maintaining the normal motion of the joint.

An injury to the knee can result in knee pain, which can impact the quality of life and restrict your movement. Regardless of your age, is a common condition that affects individuals of all age groups, particularly if you are active.

Knee Pain Relief NSW

Some common knee pain causes can include:

  • Knee ligament injuries
  • Dislocated kneecap
  • Knee bursitis
  • Gout
  • Arthritis
  • Baker’s cyst

Diagnosing knee conditions should never be left untreated to avoid further issues at a later age, and should always be evaluated by your doctor or a local specialist such as Dr Hardas in Sydney.

Specialised diagnosis including X-rays, MRI scan, ultrasound and CT scans can assist in finding the underlying problem, or if it is infection-related, blood tests may be required.

Depending on the cause, treatment options can be simply a matter of rest, with ice or heat application, possibly non-steroid anti-inflammatory medication, or physical therapy.

More serious knee pain treatment may involve a knee arthroscopy, which is a surgical procedure to examine the internal structure of the joint.

It is recommended if you are experiencing any inability to walk, problems bending the knee or even redness and swelling that you should contact Spinal Care for an immediate consultation.

Call Now

(02) 9553 9944

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<![CDATA[Carpal Tunnel Syndrome]]>https://www.painassist.com.au/post/carpal-tunnel-syndrome5fd36df882212700172f0b51Wed, 04 Nov 2020 13:41:59 GMTGeorge HardasWhat is Carpal Tunnel?

Carpal Tunnel Syndrome (CTS) is a common condition that can be classified as a ‘repetitive stress injury’ (RSI). This condition occurs when there is pressure on the median nerve, one of the major nerves to the hand. The carpal tunnel is a narrow passageway in the wrist which protects the median nerve and flexor tendons that bend the fingers and thumb. When the tunnel becomes narrowed or tissues surrounding the tunnel swell, this puts pressure on the median nerve which is pressure sensitive.

Causes

Most cases can be caused by a combination of factors. These factors being:

  1. Repetitive motion/hand use
  2. Hand and wrist position
  3. Heredity
  4. Pregnancy
  5. Health conditions: diabetes, alcoholism, Vitamin B12 deficiency, tumors, other

Symptoms

  1. Pain or tingling – may travel up forearm to shoulder
  2. Occasional shock-like pain/sensations that sprawling to thumb and index, middle, and/or ring fingers
  3. Numbness, burning, tingling, pain in thumb, index, middle or ring fingers
  4. Weakness and clumsiness in hand – difficult to perform fine movements such as buttoning a shirt
  5. Dropping things due to weakness, numbness or not being aware of where your hand is in space (proprioception)

Diagnosis

Physical examinations will be performed by our chiropractor, in conjunction with other examinations such as x-rays, ultrasounds or MRI scans, as well as nerve conduction tests.

Treatment

Our chiropractor may use include chiropractic care of the wrist, arm, and upper spine (as misalignment in the spine can and does contribute to symptoms of Carpal Tunnel Syndrome). The use of ultrasound therapy to help reduce edema of the median nerve sheath and surrounding soft tissues.

Case Report

We had a 62 year old woman come in presenting in both hands Carpal Tunnel Syndrome. She first noticed that her right hand was numb and undertook blood tests and ultrasounds of the right wrist. Upon assessment, her first 3 digits on the right hand were numb. Her doctor gave her a referral for nerve conduction test. Her right hand was given Phalen’s test and resulted in a positive result for Carpal Tunnel Syndrome. She began to notice the same symptoms in her left hand, but not as severe.

For her left hand, within 2 weeks her symptoms had totally ceased. Within 4 weeks of working with our chiropractor, she noticed a 75% improvement of her right hand digits. By 6 weeks, she had noticed a 90% improvement in her right hand.

#carpaltunnel #hand #pinsandneedles

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<![CDATA[Pain Clinic Discusses the Lesser-Known Benefits of Chiropractic Therapy]]>https://www.painassist.com.au/post/pain-clinic-discusses-the-lesser-known-benefits-of-chiropractic-therapy5f52f035df29520017028435Wed, 16 Sep 2020 08:44:05 GMTGeorge HardasUnity Spine & Joint, a renowned pain clinic in Mesa, Arizona, wanted to point out some of the lesser-known benefits of Chiropractic Therapy. They thought this was important to help people realize that chiropractic treatments truly do offer a significantly more well-rounded treatment experience than most people realise. This is also in keeping with this Mesa pain therapy center’s philosophy that a well-informed patient stands to not only gain the most from their chiropractic treatments but will also better do their part to keep themselves on their path to wellness.

The clinic’s lead doctor, Dr. Thomas Morgan, says, “Many people who schedule appointments with a chiropractor fully realise that with these treatments they stand a great chance that they will find some relief from the musculoskeletal problems that are bothering them. The most common of which are pains in such areas as the neck, shoulder, and upper and lower back. Being as experienced as I am in the field, I can also confidently tell you that there are many more potential benefits from chiropractic care than most patients realize. For those patients that are new to us, we will go over this information and more when you sit down with us for your free initial consultation.”

Dr. Morgan went on to discuss some of the lesser-known benefits that their patients can experience from getting chiropractic treatments done. He started by talking about how some chiropractic treatments can aid digestion. Many patients do not even realize that their vertebrae play an essential role in how food passes through their body. The clinic’s lead doctor went on to say that when vertebrae are misaligned, it can trigger the connecting nerves to begin sending off signals to the stomach to produce higher amounts of stomach acid. This often results in such unwanted physical conditions as gas, acid reflux, and heartburn. Another lesser-known chiropractic care benefit that Dr. Morgan mentioned is improved breathing. This again relates to their treatments promoting better nerve function in such areas as the thoracic and mid-cervical region. If corrections are not made in these areas people may not be breathing at their full capacity.

The clinic’s lead doctor also talked about how proper chiropractic care can help lower blood pressure. High blood pressure is something nobody wants to deal with because it is the root cause of so many bodily ailments; some of which can be very severe. Treatments that lower blood pressure involves the neck area and make use of what is called the ‘Atlas adjustment’ technique. This technique realigns certain groups of nerves found in the neck and when in their preferred alignment it has been this has the potential to lower blood pressure. Dr. Morgan went on to note that easier pregnancies and boosted Immune Systems are lesser-known benefits of chiropractic care.

You can contact the qualified  Dr. George Hardas on 9553 9944 to book an appointment for any pain you are experiencing.

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<![CDATA[Do you know how to achieve a healthy sleep ?]]>https://www.painassist.com.au/post/do-you-know-how-to-achieve-a-healthy-sleep5fd36df9efcddf0017e984ebTue, 11 Aug 2020 16:43:53 GMTGeorge HardasDo you know how to achieve a healthy sleep ?

We know that sleep is important for our health and maybe we know how much we need but how many of us are aware of what influences the quality of our sleep in day to day life?

Sleep plays a vital role in maintaining overall health for babies, children and adults and is the most important factor when determining the human lifespan. It is averaged that a sleep time of between 7-9 hours increases lifespan.,Common causes of sleep disturbance:,Ways to improve sleep: ·         Stress·                     Sticking to a schedule, sleep and wake at the same times each night.·         Too much caffeine·                     Avoid eating too close to bedtime particularly spicy/fatty foods·         Tobacco and  Alcohol·         If hungry close to bedtime choose serotonin triggering foods such as; carbohydrates, Milk, tuna.·         Temperature too hot/cold·                     Avoid alcohol near bedtime·         Irregular awake hours/sleep pattern.·                     Avoid caffeine and nicotine·         Medications·                     Ensure adequate exercise although avoid too close to bedtime.·         New baby ·                     Keep sleep environment slightly cool·         Pain  and or Uncomfortable mattress·                     Only sleep at night, if your work schedule allows.·         Pets in the bed·                     Limited daytime naps to 20 minutes.·         Spouse snoring/other noises·                     Keep room quiet·         Too much light in the bedroom·                     Manage pain

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<![CDATA[Pregnancy.]]>https://www.painassist.com.au/post/pregnancy5f1a8f46ff70160017ebdf4eFri, 24 Jul 2020 07:48:17 GMTGeorge HardasDuring pregnancy the mother’s spine can be responsible for backache, sciatica, headaches, and the symptoms of carpal tunnel. Pregnancy is a time when the use of drugs is to be minimized, the Chiropractic approach is a logical way to help ease pain and discomfort, and promote the health and well being of the mother.

The stress of the extra weight of the unborn baby, and hormonal changes that make the pelvis suppler during the latter stages of pregnancy are common reasons that women feel sacroiliac pain (lower back and buttocks.)

This may further increase the susceptibility of the spinal joints and supporting muscles and ligaments to sprains and strains. Pregnancy may create new problems, or exacerbate existing problems which were previously compensated for.

Chiropractic can help during pregnancy by:

  • Correcting abnormal joint mechanics that lead to joint and nerve stress, thus reducing pain and improving function.
  • Maintaining joint function and spinal balance so the spine may adapt to the increased weight and altered posture.
  • Ensuring that the joints of the lower back and pelvis are moving freely to assist the birth process. Proper joint movement enhances pelvic opening.
  • Educating the expectant mother on correct posture, lifting and other lifestyle factors in order to reduce spinal stress.
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<![CDATA[The Nervous System.]]>https://www.painassist.com.au/post/the-nervous-system5f1a75c54119760017e27fb4Fri, 24 Jul 2020 06:22:25 GMTGeorge HardasChiropractic care places emphasis on the correct function of the spinal segments as well as the nervous systems and other tissues supplied by them such as organs.

The lumbar spine (L1 - L5) and sacral spine (S1 –S5) make up the lower region of your spine around and below the belt line and support the weight of the body to keep it upright. These spinal segments form the lumbosacral trunk (L3 – L5 and S2.) Each segment produces its own plexus (group of nerves.)

A plexus is a network of nerves that exit from the safety of these spinal segments. The lumbar plexus as well as the sacral plexus create the ‘sacral splanchic nerves.’

Sacral splanchnic nerves innervate (stimulate) the autonomic (involuntary) functions of abdominal and pelvic organs such as the small intestine, kidney, urinary bladder, scrotum and uterus.

Signs and symptoms of dysfunction include:

  • Bloating.
  • Swelling (legs/feet.)
  • Frequent urination.
  • Constipation.
  • Painful menstrual periods.
  • Nausea.
  • Weight loss.

Issues in the spinal segments that are not causing pain and are unknown to the patient may be discovered during an assessment. This may indicate that there is dysfunction of the corresponding nerves and the autonomic (involuntary) systems associated.

The image below shows organs innervated by the nervous system. Including:  eyes, salivery glands, heart, lungs, liver and gallblader, stomach, spleen, pancreas, small intestine, large intestine, rectum, adrenal medulla, kidney, urinary bladder, scrotum, penis, ovary, uterus.

Patients may seek chiropractic treatment to reduce symptoms of known dysfunctions such as those listed above as well as pain that may be presenting in other areas due to improper nerve function. If chiropractic treatment is not successful in resolving or relieving symptoms you may be referred to another health professional.

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<![CDATA[Seasonal pain.]]>https://www.painassist.com.au/post/seasonal-pain5f1a6c301cc0160017725f48Thu, 23 Jul 2020 14:00:00 GMTGeorge HardasThe cold often makes joints and muscles stiff, this can make it difficult to stretch them. The reason for this is that the muscles begin to tighten – reducing heat dissipation, in an attempt to keep the body warm, and therefore becoming inflexible as well as making the body more prone to injury. Pain can present and highten due to stiffness.

During the cooler seasons, many people find that they are more likely to experience health issues and pain which can prove tough to overcome during their everyday life.

People with existing joint issues can become affected by temperature changes, such as those that are affected by osteoarthritis.

Here at Spinal Care, as professional chiropractic specialists, we offer ways to reduce and prevent health concerns and maintain health during this period. Chiropractic care during cooler seasons can help prevent pain and stiffness in the body. We will work to make sure that the spine is alinged correctly and get the muscles and joints moving to promote general body health and alleviate stiffness and pain.

Dr George Hardas will be able to work with you in regards to your lifestyle so that you are able to maintain good spinal health at home and make positive changes in the following:

  • Regular exercise.
  • Maintaining good posture.
  • Leading a healthy lifestyle.
  • Proper lifting techniques.
  • Quitting smoking.
  • Proper sleep.
  • Mobile phone use.

A chiropractor’s work will ensure that the spine is healthy, thus supporting the nervous system, and then enhancing the immune system.

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<![CDATA[How sleep is affecting your weight.]]>https://www.painassist.com.au/post/how-sleep-is-affecting-your-weight5fd36dfa9c27f2001772d135Wed, 22 Jul 2020 17:19:39 GMTGeorge HardasSleep, obesity and weight loss.

Sleep plays a vital role in maintaining overall health and in particular being able to maintain a healthy weight and achieving weight loss. Sleep deprivation and or having irregular sleep patterns are major factors in the cause of obesity.

How does sleep affect weight?

When we sleep many functions take place including:

Growth hormone release:

  1. Growth hormone is responsible for controlling body fat and muscle.

Production of leptin hormone:

  1. Leptin helps the body recognise when it is full.

Cortisol release:  

  1. Cortisol is the stress hormone, this hormone level lowers when we sleep. When awake for extended periods this hormone can cause our bodies to crave high calorie foods.

A distruption in these hormonal functions can hinder a weightloss plan, make it difficult to maintain a healthy weight and eventually contribute to the cause of obesity.

A lack of sleep also causes lower daytime energy levels making it difficult to keep active.

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<![CDATA[Chiropractic care and the nervous system.]]>https://www.painassist.com.au/post/chiropractic-care-and-the-nervous-system5fd36dfa4343a30017c76b00Tue, 30 Jun 2020 15:57:41 GMTGeorge HardasChiropractic care places emphasis on the correct function of the spinal segments as well as the nervous systems and other tissues supplied by them such as organs.

The lumbar spine (L1 – L5) and sacral spine (S1 –S5) make up the lower region of your spine around and below the belt line and support the weight of the body to keep it upright. These spinal segments form the lumbosacral trunk (L3 – L5 and S2.) Each segment produces its own plexus (group of nerves.)

A plexus is a network of nerves that exit from the safety of these bony structures. The lumbar plexus as well as the sacral plexus create the ‘sacral splanchic nerves.’

Sacral splanchnic nerves innervate (stimulate) the autonomic (involuntary) functions of abdominal and pelvic organs such as the small intestine, kidney, urinary bladder, scrotum and uterus.

Signs and symptoms of dysfunction include:

  1. Frequent urination.
  2. Constipation.
  3. Painful menstrual periods.
  4. Nausea.
  5. Weight loss.
  6. Bloating.
  7. Swelling (legs/feet.)

Issues in the spinal segments that are not causing pain and are unknown to the patient may be discovered during an assessment. This may indicate that there is dysfunction of the corresponding nerves and the autonomic (involuntary) systems associated.

The below image shows organs innervated by the nervous system. Including:  eyes, salivery glands, heart, lungs, liver and gallblader, stomach, spleen, pancreas, small intestine, large intestine, rectum, adrenal medulla, kidney, urinary bladder, scrotum, penis, ovary, uterus.

Patients may seek chiropractic treatment to resolve known dysfunctions and symptoms such as those listed above as well as pain that is presenting in other areas due to improper nerve function. If chiropractic treatment is not successful in resolving or relieving symptoms you may be referred to another health professional.

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<![CDATA[Chiropractic care for seasonal pain.]]>https://www.painassist.com.au/post/chiropractic-care-for-seasonal-pain5fd36dfbe1cb67001746f687Fri, 29 May 2020 17:29:05 GMTGeorge HardasChiropractic care for seasonal pain.

During the winter season, many people find that they become more susceptible to health issues and pain which can prove tough to overcome during their everyday life.

People with existing joint issues can become affected by temperature changes, such as those that are affected by osteoarthritis.

The cold often makes joints and muscles stiff, resulting in difficulty when it comes to stretching them. The reason for this is that the muscles begin to tighten – reducing heat dissipation, in an attempt to keep the body warm, and therefore becoming inflexible as well as making the body more prone to injury. Pain can increase or arise due to stiffness.

Here at Spinal Care, as professional chiropractic specialists, we offer ways to allow individuals a reduction and prevention in health concerns, as well as health maintenance during this period. Chiropractic care during winter can help prevent stiffness in the body as well as pain. We will work to adjust the body to ensure the spine is aligned in the correct way and get the muscles and joints moving therefore alleviating the stiffness and promoting a healthier body in general.

A chiropractor’s work will ensure that the spine is healthy, thus supporting the nervous system, and then enhancing the immune system.

Dr George Hardas will be able to work with you in regards to your lifestyle so that you are able to maintain good spinal health at home and make positive changes in the following:

  1. Regular exercise.
  2. Maintaining good posture.
  3. Leading a healthy lifestyle.
  4. Proper lifting techniques.
  5. Quitting smoking.
  6. Proper sleep.
  7. Mobile phone use.
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<![CDATA[Chiropractic care in pregnancy]]>https://www.painassist.com.au/post/chiropractic-care-in-pregnancy5fd36dfc3506d500174db526Tue, 28 Apr 2020 16:32:16 GMTGeorge HardasPREGNANCY

Approach:

Chiropractic has an important role to play in the care of women both during and after pregnancy. At a time when the use of drugs is to be minimized, the Chiropractic approach is a logical way to help ease pain and discomfort, and promote the health and well being of the mother.

Signs and symptoms:

During pregnancy the mother’s spine can be responsible for backache, sciatica, headaches, and the symptoms of carpal tunnel.

Causes:

It is particularly common that Sacroiliac joint pain, felt in the lower back and buttocks, is experienced during pregnancy due to the stress of the extra weight of the unborn baby, and hormonal changes that make the pelvis suppler during the latter stages of pregnancy.

This may further increase the susceptibility of the spinal joints and supporting muscles and ligaments to sprains and strains. Pregnancy may create new problems, or exacerbate existing problems which were previously compensated for.

Diagnosis and treatment

Chiropractic can help during pregnancy by:

  1. Correcting abnormal joint mechanics that lead to joint and nerve stress, thus reducing pain and improving function.
  2. Maintaining joint function and spinal balance so the spine may adapt to the increased weight and altered posture.
  3. Ensuring that the joints of the lower back and pelvis are moving freely to assist the birth process. Proper joint movement enhances pelvic opening.
  4. Educating the expectant mother on correct posture, lifting and other lifestyle factors in order to reduce spinal stress.
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<![CDATA[Injured Disc]]>https://www.painassist.com.au/post/injured-disc5fd36dfc05f4cc0017aa166fTue, 21 Apr 2020 16:48:31 GMTGeorge HardasWhat is a Bulging Disc?

A bulging disc injury is a common injury occurring in the spine. It can occur in your lumbar spine (lower back), thoracic spine (upper and mid-back) or your cervical spine (neck).

A bulging disc can commonly be referred to as a slipped disc or a protruding disc. However, when the disc bulge is significant enough for the disc nucleus to come out of the annulus, it is known as a herniated disc. Inflammation is associated with adverse symptoms related to the stimulation of nerve fibers that may lead to pain. In the case of acute inflammation, blood vessels dilate, blood flow increases and white blood cells swarm the injured area to promote healing.

A disc bulge (commonly referred to as slipped disc), can potentially press against or irritate the nerve where it exits from the spine. This nerve pinch can cause back pain, spasms, cramping, numbness, pins and needles, or pain in your arms or legs.

What Causes a Bulging Disc?

Three common causes are:

  1. Degeneration – Result of daily wear and tear on the spine
  2. Injury – Sudden jerking movements can put too much pressure on the disc, causing the herniated disc, more specifically, of the neck: whiplash type injuries, of the lower back: lifting of heavy objects.
  3. Combination of degeneration and injury – spinal disc weakened by degeneration can make it more prone to herniation.

Symptoms

A bulging disc injury is suspected when your back pain is aggravated by:

  1. Sitting
  2. Forward bending
  3. Coughing or sneezing
  4. Lifting
  5. Altered sensations in your lower or upper limbs such as pins and needles, numbness.

Sciatica, leg pain, pins and needles, numbness or weakness are commonly associated with more severe disc pathologies. Authors have noted some degree of inflammation and irritation of the nerve root must exist to lead to the objective signs and symptoms of sciatica.

Diagnosis

Dr  George Hardas, your university trained chiropractor may suspect a spinal disc injury based on the history of your injury and your symptom behavior. He will perform clinical tests to confirm a spinal disc injury and detect if you have any signs of nerve compression. The most accurate diagnostic tests to confirm the extent of your spinal disc injury are MRI and CT scans.

Treatment

Most minor and moderately bulging disc injuries are treated conservatively without the need for surgery. In order to allow the torn fibers of the annulus to heal and the disc bulge to resolve fully.

Please remember that scar tissue formation will take at least six weeks, so the longer that you avoid aggravating postures the better!

Unfortunately, bulging disc injuries are usually not a quick fix. Most bulging disc injuries do take several weeks to settle.

They will also remain weak and vulnerable for at least six weeks, sometimes longer. However, the good news is that most bulging disc injuries will not remain painful for that time period – but some do – and these tend to be the disc injuries that are poorly managed in the early phase.

Dr Hardas also uses a technique taught at the Pain Management Research Institute, RNSH called Cognitive Behavioral Therapy that helps suppress ongoing pain signals.

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<![CDATA[Treatment Technique]]>https://www.painassist.com.au/post/treatment-technique5fd36dfdee050c0017548023Fri, 14 Feb 2020 15:20:05 GMTGeorge HardasWhat is it?

The Activator Method is a revolutionary chiropractic technique that improves safety and comfort for chiropractic patients.  Rather than using traction mobilisation and/or manual manipulation, this method utilises a small device known as the “Activator Adjusting Instrument” to rehabilitate and improve function in joints and the joints/vertebrae of the spine. This technique has grown to be the most widely used “low force” chiropractic technique in the world by incorporating the latest advances in orthopaedic, neurological, and chiropractic examinations.

The Activator Adjusting mechanically assisted instrument is a hand-held spring-loaded device that is activated by compressing a handle on the shank of the instrument. It delivers a force to a rubber tip.

Advantages

The Activator has several advantages over other manual, older methods including:

  1. The small size of the tip enables a more specific target with lower amounts of force necessary, compared to traction mobilisation and manual manipulation.
  2. The exact force by the Activator can be reproduced each time as opposed to manual manipulation.
  3. Rotation of the spine is unnecessary.
  4. It does not involve twisting of the body
  5. There are no audible sounds from the joints (such as cracking).
  6. The force is delivered faster than manual manipulation: 0.1-5 milliseconds for the Activator compared to 30-150 milliseconds for manual manipulation
  7. Less force is necessary (5 Newtons) compared to manual manipulation which can reach up to 300 Newtons.

Research and Publications

Dr George Hardas has received extensive training in the Activator Technique by being trained both in Australia and the United States.  He has been using the technique for over 25 years, also undergoing a clinical trial with the orthopaedic department at St George Hospital.  His research has also been published in the journal ,“Spine”.

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<![CDATA[Whiplash]]>https://www.painassist.com.au/post/whiplash5fd36dfef6065a0017bbb72fFri, 07 Feb 2020 17:34:34 GMTGeorge HardasWhat causes whiplash?

Whiplash is an injury that affects the muscles and tendons as well as the articulating capsular ligaments and intervertebral discs of the neck following a sudden, accelerated movement of the neck both forwards and backwards.  It is commonly associated motor vehicle accidents, although anytime there is a sudden force against the neck whiplash can occur.

Symptoms

  1. Pain
  2. Stiffness
  3. Tenderness
  4. Limited range of motion
  5. Headaches
  6. Shoulder/arm pain, pins and needles, and numbness

Who does it affect?

Whiplash can affect anyone at any age.

How is it diagnosed?

Dr Hardas will begin with a patient history to determine existing conditions, how the neck injury came about, and ongoing signs and symptoms.  A physical examination of the neck including observation, palpation, and range of motion, will also be performed.  If there is suspected nerve damage he will then test reflexes, sensation and muscle power.  If there are potential neurological issues or fractures suspected, he may refer his patients for x-rays, MRIs, bone scans, or CT scans.

Treatment

Although treatment for whiplash will vary from patient to patient, some common treatment options that Dr Hardas specialises in include: specific spinal adjusting techniques according to Activator Methods, stimulation or relaxation of the muscles, stabilisation exercises, and advice on lifestyle or ergonomic changes.

Prognosis

With the proper treatment and pain management that we provide, patients can typically expect a full recovery.

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