Bill: Well there may be specific social occasions where it’s appropriate where you might have disgraced yourself, but normally speaking, no. And if you think about solitary confinement for punishment in prisons, that’s actually not a humanitarian thing to do, so it’s not a healthy thing to totally isolate yourself. You want to add something there, Steve?
Steve: Yeah we’ve found through these lockdown – lockdown 1 and lockdown 2 – that a lot of our clients who do live alone actually need a little bit of inspiration to get moving, and when you are isolated, it can be very easy to just not do those exercises that we all know we should be doing. We all know we should eat better, move more, sleep more. But times we have a little bit of accountability, and at mhealth, we’re here to support our clients as best we can and not to feel isolated. Unless you go to that party that Bill was mentioning.
Steve:Good question. Pilates is an excellent exercise regime that will help keep you moving. It focuses on stability, balance, strength, and flexibility which are all the most important things that we need to keep us healthy physically but also, it will help us mentally. Bill, did you want to add anything to that?
Bill: Well also, it’s tailored specifically to people as well as certainly tailored to your needs. Joseph Pilates, who it’s named after, he formed Pilates based on three or four original movements. He was a very sync young man and he tailored that specific program which it’s grown out of to help people help themselves so it’s an excellent form of work during isolation.
Steve: And at mhealth, we’re also specialised in Clinical Pilates so you can easily find one of our physios, have a chat with them, and we can tailor the program to your needs specifically, as Bill mentioned.
Bill: This is a question that I get asked a lot, Steve. Whether old back injuries come back to haunt you. The answer, well, sometimes they do. If you haven’t done the work after the injury to restore your body back to what it should be. However, if you’ve got some structural damage there, that might be something that you are stuck with. But nine times out of ten, I find that people are just weak where they’ve been injured twenty years ago.
Example, the people who have had a fall whilst they have been skiing at the snow.Or they slipped down the stairs 14 years ago and say that’s when my leg or my hip pain began. What do you think? Should they be sore 14 years later if they just bruised an area?
Steve: Not if they just bruised an area. But it also depends on how old they were at that time, how severe the injury which is kind of what you’re saying. And I think the biggest thing is have they done the work to restore their full health. And if they haven’t, then there’s a good chance that it will come back. And if they’ve done a little bit of work, but then their lifestyles leads to a particular position or loading — you know, someone who sits on a desk all day.
Whilst they may have restored their back ten years ago, by sitting all day and neglecting their health, there’s a good chance that their back’s more predisposed to re-injury of that spot or a spot around that area. Bottom line is we should all be looking at our bodies, day in day out, week in week out, year on year on. So, twenty years later the only injury you have is a new one.
Bill: Can physiotherapists crack backs like chiropractors? A lot have questioned it, but the short answer is yes. So, physiotherapists are generally known as manipulative physiotherapists.
But the term manipulation, adjustment, cracking, cavitation, grade five mobilisation – they all describe the same thing. So, physiotherapists can adjust backs just like chiropractors if they have received the appropriate instruction then they can do that.
Steve: Does Myotherapy work? Short answer is — YES.
Steve: But, there’s a longer answer.
Bill: If you’re issue is related to soft tissue or muscle problems, that’s the myotherapy field of expertise. And so, myotherapists are tertiary-qualified clinicians who are very good at actually seeking out what the cause is. If it’s soft tissue and their techniques will certainly assist with that. What would a good myotherapist do if it’s not soft tissue that’s driving the pain, Steve?
Steve: If it wasn’t something that was soft tissue, I would refer them to an appropriate health care professional.
Bill: How strong should an older person be? Well, they need to be strong enough to move their own body through gravity. To take the extreme example, if you can’t lift your own body weight out of a bed or out of a chair, well, essentially, you’ll be stuck in a nursing home having people assist you to do that.
To come forward a little bit, if you can’t walk 5 kilometers in 60 minutes, then you’re beginning to struggle. And then pretty soon, you’ll find you can’t actually cross the lights in time before they change from green to red because you’re walking so slow. So, all the people need to work more diligently to maintain their fitness. What do you think, Steve?
Steve: Yeah, absolutely. From the age of thirty, thirty, our balance starts to decrease. That’s a fact. So really, you could argue we’re all getting old but from thirty we’re in an“old space” or starting the “old journey.” So if you’re not looking after yourself, balance-wise, you’re likely to fall. If you’re not looking after your body, your lower limb strength, like Bill said, can’t get out of a chair, can’t walk upstairs, can’t control yourself down a hill, you can’t get anywhere at a particular pace.
You don’t want to be that guy at the lights that you’re beeping — hopefully you’re not beeping cause you’re quite relaxed at the lights — but the person coming across the road, you’re beeping to the other cars, “Wait! That person hasn’t finished crossing the road yet.” You don’t want to be that person because it’ll affect everything else that you do. That’s why I think that it’s really important that old or older people can be as strong as they can be. And certainly Bill and I work with people where the person might be seventy but have a body of a forty-year-old. They might be eighty but they move like a sixty-year-old. That’s ‘cause they put the work in.
Know more about Clinical Pilates – a total body-conditioning program that helps to “re-program” the body.
Bill: So, the difference between remedial massage and myotherapist essentially is in Australia is a degree. A tertiary degree. So a remedial massage therapists and myotherapists stand all over the same treatment turf. They will work with soft tissue to help make someone well.
A good remedial massage therapist can be just as effective as a good myotherapist. Myotherapists will then go to bat and say that they have better clinical diagnostic skills. And certainly from the education that they have, I would agree with that in principle. But a good remedial massage therapist will pick that, those skills up on the job, over the years.
Kind of like working as a tradie, you tend to grow your skills after your apprenticeship has been done. So, remedial massage therapist, myotherapist… take your pick. Find a good clinician.
Bill: Myotherapy, what is it good for? Well, myotherapy — the “myo” part of the name refers to muscle and the therapy part refers to therapy. They work with soft tissue and basically assist with soft tissue back to normal function for persons. Well, anyone with a problem or injury could see a myotherapist for treatment. If the problem is bigger than soft tissue, good myotherapists usually have a great network of people around them like physiotherapists or osteopaths or chiropractors or general practitioners or even surgeons. So, good myotherapists should have the clinical skills and clinical knowledge to know if their skill set isn’t going to deal with the problem and refer on. But generally, it’s about soft tissue mobilization to help someone back to full function.
Steve: I was going to add is that if someone trains hard, elite athletes in particular, and really good in preventing muscles becoming injuries. Working on them, keeping them nice and loose and floppy for want of a better description, can help prevent injury in those muscles. And make sure they perform, optimally, so you don’t get tears and those sort of things…
Bill: Steve, you’re good with Greek and Latin, what does myotherapy mean?
Steve: Myotherapy — what does it mean? The world itself, “myo” comes from the latin word myo which means muscle. Therapy comes from the english word therapy. So, muscle, therapy. Rather than muscle therapy, it’s myotherapy.
Bill: Rolls off the tongue a bit better, doesn’t it?
Steve: It does.
Bill: So rather than being a muscle therapist, I’m a myotherapist?
Bill. Much better introduction on party day, I reckon.
Steve: I reckon. It would be creepy if you said you’re a muscle therapist.
Bill: In Australia, we have a public health system called Medicare. In the public hospital system, there are clinics that will cover podiatry. However, there’s usually a mini-week waiting period to get into those clinics. You can also then seek treatment in a private practice.
In a private practice there is a chronic disease management program or CDM program that general practitioners or medical doctors can refer to. Which will entitle you to five sessions of treatment within a calendar year. If you require more than that, then there is also private health care cover and you’ll be covered in the clinic for that.
If that’s an issue for you, I would suggest you ring your local Cheltenham podiatrist and ask exactly what they do cover and how that works for you.
Steve: And to complicate it a little bit further, CDM or Chronic Disease Management Program used to be called the Extended Primary Care program. So, if you’ve heard of EPC, that’s the same that Bill’s talking about — the CDM. That’s interchangeable. It’s not a separate or another program. We still get asked about that.
Bill: So get on the phone and see what applies to you.