Spine, Shoulder and Knee Pain?

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Spine, Shoulder and Knee Pain?

• WAYNE GARD
• CHIROPRACTOR ? ACUPUNCTURIST ? NATUROPATH
• 1 Secant St Liverpool (Near Westfields)
• 96009593
• www.gardchiropracticclinic.com.au
• gardchiropractic_at_people.net.au

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Who Am I and Why Should You Listen To Me?

• Wayne Gard is a qualified Chiropractor,
  Naturopath, and Acupuncturist
• He has been serving Liverpool residents for 23
  years.
• Served as a Sports Chiropractor at the 2009 World
  Masters Games.
• Examiner and Tutor at Macquarie University
• He is a keen amateur athlete, enjoys swimming,
  running and bike riding.

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• This seminar is a brief look at Natural
  Treatments for Pain Relief.
• For those who want more detail a full copy of
  this presentation is available on my website.
• This website also contains an offer to a great
  book called The 7 Things Your Doctor Forgot To
  Tell You
• www.gardchiropracticclinic.com.au

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Spine,Knee,Shoulder Pain The Real Causes?
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What is Pain?

• Pain is an unpleasant sensory and emotional
  experience associated with actual or potential
  tissue damage, or described in terms of such
  damage
• Pain motivates us to withdraw from potentially
  damaging situations, protect a damaged body part
  while it heals, and avoid those situations in the
  future.It is initiated by stimulation of
  nociceptors in the peripheral nervous system, or
  by damage to or malfunction of the peripheral or
  central nervous systems.
• Most pain resolves promptly once the painful
  stimulus is removed and the body has healed, but
  sometimes pain persists despite removal of the
  stimulus and apparent healing of the body and
  sometimes pain arises in the absence of any
  detectable stimulus, damage or pathology.
• Most pain resolves promptly once the painful
  stimulus is removed and the body has healed, but
  sometimes pain persists despite removal of the
  stimulus and apparent healing of the body and
  sometimes pain arises in the absence of any
  detectable stimulus, damage or pathology.
• Pain is the most common reason for medical
  consultation in Australia

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The Pain Game

• Chiropractors
• Naturopaths
• Acupuncturists
• General Practitioners
• Orthopaedic Surgeons
• Neurosurgeons
• Neurologists
• Rheumatologists
• Pain Physicians
• Physiotherapists
• Massage Therapists
• Psychologists
• Psychiatrists
• Rehabilitation Physicians
• Dentists
• Etc etc Who do you see???
• It can be VERY DIFFICULT to find someone to help
  you.
• Most people go to their GP however many GPs
  have a poor knowledge of anything except drugs
  and surgery!

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Two Types of Tissues In Your Body1.The
Neuromusculoskeletal System NMS Nerves,
Muscles, and Bones The largest part of your
body 80 of your body2.Organ Systems
circulation, digestive, hormonal etc 20 of
your body

• Two Types of Pain
• 1. Nerve Pain This is where the nerves of your
  body are pinched, pressured, or irritated
• Two Types of Nerves - Motor and Sensory
• Motor nerves control muscle movement when
  irritated we get muscle imbalances too tight
  spasm, too loose weakness
• Sensory controls sensation tingling,
  numbness, burning
• 2. Tissue Pain this is where these tissues
  become injured or wear out.
• Two types of tissues - Soft and Hard Tissues
• Soft tissues muscles, ligaments, tendons, discs
  
• Hard tissues bones, joints, cartilages

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Descriptions of Pain
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Making a Diagnosis Source and Cause?

• Source of pain what tissue is the pain located
  in?
• Cause of pain why is that tissue in pain?
• No matter which health care practitioner you
  consult, and accurate Diagnosis of the Source and
  Cause of your pain is required.
• Problem Is you cant measure pain remember it
  is an unpleasant sensory and emotional
  experience
• There is No Blood Test or X-ray that measures
  pain!
• SO the fundamentals of a Diagnosis are
• - 1. Patient History listening to
  when, where, why the pain began
• - 2. Examination physically
  examining the patient in order to locate the
  source of the pain
• - 3. Imaging and Blood tests these
  are most valuable only to VERIFY the Examination.
  
• ALL 3 steps need to be used to arrive at a
  diagnosis.
• It is a very common mistake to assume that a
  positive test is the source of the pain?
• And of course it doesnt explain the cause of the
  pain!
• PROBLEM Most GPs are not well trained in
  Diagnosing Pain in the NMS system
• they are much better at Organ Pain
• -Most Specialists are only useful when there is
  major Tissue Breakdown less than 5 of
  patients!!!
• SO most of the time you need to look outside of
  the normal medical advise
• This can be very challenging to some people who
  rely heavily on their GP for ALL their health
  care needs!

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Back and Neck Pain
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• There are only 2 types of people those who have
  back pain and those who are going to get back
  pain ?
• The spine is the most complex structure in your
  body!
• Many brilliant people are researching the spine
  but it still remains a mystery!
• Over 90 of people will get spinal pain in their
  lives
• Why???
• There are many thoughts on this
• Genetics about 60 to 80 or spinal problems
  are passed down thru your genes
• Posture we live a very sedentary (non-moving)
  lifestyle. This places great strain on our body
  alignment. Your body likes to move!!!
• We use our spine in EVERY activity that we do
  it never rests even when you are sleeping your
  Spine is active! It needs to monitor the ONLY
  constant FORCE in our bodies GRAVITY!!!
• The spine is connected to your organs and brain
  SO any organ or brain problem causes spinal
  problems!
• Evolution many people believe that as we
  evolved from caveman into a more upright posture,
  that our spines have not yet evolved to cope with
  the physical demands?
• Not getting your alignment checked throughout
  your life imagine never brushing your teeth or
  going to the dentist what shape would your
  teeth be in?
• Stress is a pro-inflammatory.
• Poor diet is pro-inflammatory

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• Types of Spinal Pain
• Facet Joints
• Discs
• Nerves
• Muscles
• Ligaments and tendons
• Arthritis

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• Prevention of Spinal Pain
• The best Treatment of ALL Neuromusculoskeletal
  problems is Prevention waiting for pain is
  waiting too long!
• When should you start? First Injury for most of
  us Birth
• However for most of us this doesnt happen.
  Largely because we havent been educated to have
  spinal checkups from birth, for example like
  dental checkups

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• What else can you do?
• Proper Posture especially when sitting for long
  periods at a desk, driving
• Good workplace ergonomics
• Good back support when driving rolled towel
  lumbar support, head rest at correct height and
  lean very important in case of whiplash!
• Take regular breaks from poor posture 5 minutes
  every hour
• Dont smoke increase disc degeneration 40
• Reduce stomach obesity places strain on spine
• If you have a car accident even at low speeds
  get a chiropractic checkup
• Do some regular spinal exercises
• Check for stress posture at set of lights when
  driving deliberately lower shoulders, unclench
  jaw, slide butt back in seat, move spine a
  little, stretch neck muscles
• Stop if it hurts!

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Knee Pain
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• Knee Pain is the most common source of pain
  outside of the spine.
• Affects 5 or people children and adults,
  rising to 25 in people over 50yoa
• Knee surgery arthroscopy and replacement - is
  the most common joint procedure performed.
  However 40 of people still have pain AFTER their
  knee surgery!
• The knee is very easily injured due to
• the long levers of the legs transfer greater
  strain to the knees
• The knees are commonly misaligned via their
  connection to the pelvis
• Sedentary lifestyle too much sitting!
• Lack of exercise runners knee is a fallacy!
• Two types of knee injury Trauma and Overuse
• Trauma from sport, slips and falls
• Note trauma also causes misalignment which
  often remains after the painful tissue heals!
  Therefore creating future problems eg OA
• Overuse from poor alignment Genetic Cause!
• The most Common Overuse Injury Unbalanced
  Weight Bearing different weight carried on each
  leg!
• Unfortunately most people dont even know they
  have Unbalanced Weight Bearing until they get
  pain! Need to get checked earlier ideally from
  First Steps 2 yoa, but definitely by 20yoa!

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• Types of Knee Pain
• Cartilage
• Ligament ACL and MCL 80
• Muscles
• Tendons
• Arthritis

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• Preventing Knee Pain
• Exercise regularly especially bike riding
• Posture - Dont sit cross legged!
• Stretch your hips and knees daily
• Take 1500mg Glucosamine and 1200mg Chondroitin
  Daily
• Get into Fish Oil Supplements They have an anti
  inflammatory effect on joints, not to mention all
  the other wonderful benefits.
• Maintain a healthy weight for every 1kg of
  weight it places extra 4kg of strain on knees
• Stop if it hurts!

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Shoulder Pain
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• Shoulder pain is the next most common painful
  joint after the spine and knee
• The shoulder is different to the knee in that it
  is a highly flexible joint. In fact is is only
  held together by the Soft Tissues therefore it
  is very vulnerable to being injured.
• It is also an area where surgery is best avoided,
  as the results are often poor!
• A common current treatment is cortisone injection
  however recent research has suggested that this
  may lead to weakening of the shoulder long term
  and therefore more problems.
• What is the most common cause of shoulder pain?
• Poor Shoulder Rhythm is a sticking of the
  shoulder blade to the rib cage beneath. This can
  be caused by many everyday activities. These
  activities include traumatic events (e.g. fall on
  an outstretched arm, yanking of the arm),
  repetitive motions (e.g. throwing a ball,
  weightlifting, swimming) and chronic, improper
  postures (e.g. operating a computer, driving).
• When the shoulder blade is no longer
  participating in the team effort to move the arm,
  increased strain is placed on the other joints
  and muscles forcing them to become overworked,
  inflamed and painful
• Restoring the shoulder rhythm requires a combined
  approach that addresses both the joint mechanics
  AND the muscles that support joint function. This
  includes the spine especially the neck.

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• Preventing Shoulder Pain
• Strengthen your shoulders pushups, pressups,
  pressdowns
• Maintain muscle bulk in upper body especially
  women due to weight of breasts, and reluctance
  to do shoulder exercise for fear of getting too
  muscular
• Stretch shoulders 3 movements
• Avoid Stress Posture
• Dont forget to stretch your neck and upper back

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What About Pain Killing Medication?
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• Many people use drugs for pain relief both over
  the counter and prescription
• 74 of the population report having pain on a
  regular basis
• 52 of people use pain medications
• SO it is HUGE BUSINESS for the pharmaceutical
  companies
• PROBLEM IS? Drugs are only treating the Symptoms,
  not the Cause
• ALSO growing evidence that whilst the symptom
  is being treated that the underlying problem is
  getting worse!
• ANSWER use both the drug for short term relief
  and Natural Therapies (chiropractic, nutritional
  and herbal remedies, and exercise) to treat the
  cause.

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• Pain medications side effects account for a large
  number of people being admitted to hospital
• Common side effects and adverse reactions
• nausea
• vomiting
• drowsiness
• dry mouth
• miosis (contraction of the pupil)
• orthostatic hypotension (blood pressure lowers
  upon sudden standing)
• urinary retention
• constipation and/or faecal impaction
• Less common side effects and adverse reactions
• confusion
• hallucinations
• delirium
• hives
• itch
• hypothermia
• bradycardia (slow heart rate)
• tachycardia (rapid heart rate)

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• What are the Main Medications Used
• Analgesics Pain killers
• Narcotic morphine, codeine
• - are addictive, cause constipation
• Non-narcotic paracetamol
• cause liver and kidney disease
• Panadol one of the leading causes of child
  poisoning and death
• 2. Anti-inflammatories Nurofen, Voltaren,
  Mobic, Celebrex
• short term few days ok
• Longer are Killers cause stomach ulcers,
  gastric bleeding, strokes, heart attacks
• 3. Muscle relaxants Valium
• - are addictive
• 4. Anti-depressants
• reduce pain response, dull the brain
• Are addictive
• Anti-Convulsants
• Epilim used for epilepsy
• Nerve sedatives
• - Neurontin, Lyrica

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• Nutrtional and Herbal Pain Medications
• Glucosamine
• Fish Oil
• Magnesium
• Iron
• Green Lipped Mussels
• Turmeric
• Devils Claw
• Licorice
• St Johns Wort
• Withania
• Plus Others.

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The Solution?
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Your Spine Controls Your Body
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• Did you know that your Brain and Spine control
  every other part of the body?
• Nerve signals Brain gt Spine gt Organs gt Spine gt
  Brain.
• Its a never ending, constant process
• SO if your spine is misaligned then your body
  cant work properly!
• This includes controlling your Pain levels
• Your Spine is easily misaligned from birth
  trauma, falls, injuries, bumps, poor posture,
  incorrect sporting technique, car accidents etc.
• 60 of spinal disorders are genetic inherited
  from your family!
• Most spinal problems do not cause pain - waiting
  for pain is waiting too long!!!
• We only feel 10 of our misalignments.

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• It is a great idea to have your spine checked by
  a chiropractor.
• Chiropractors use X-rays, computer scanning, and
  physical examination to find nerve pressure
• Modern Chiropractic Care is safe, gentle and
  effective
• Chiropractic is suitable for all ages, from
  babies to elderly, including pregnant women
• The bad old days of chiropractic involved
  twisting and cracking the spine into alignment.
• However modern chiropractic is gentle and pain
  free.

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Posture Check
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Computer Spinal Scan
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Spinal X-Ray Analysis
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1. Health is a Sliding Scale

• Strength
• Flexibility
• Fitness
• Positive Mental Attitude
• Posture
• Immunity
• Digestion
• Sleep
• Pain Free
• Good Skin and Hair
• Fertility
• Energetic
• Ease of breathing
• NORMAL METABOLISM
• All tests normal

• Loss of Strength
• Loss of Flexibility
• Loss of Fitness
• Negative Mental Attitude
• Poor Posture
• Lowered Immunity
• Decreased Digestion
• Sleep Problems
• Frequent pain
• Skin hair problems
• Fertility problems
• Fatigue
• Poor breathing
• SLOWING METABOLISM
• Chiropractic/Naturopathic tests positive.
• Medical tests normal

• Arthritis
• Bulging Spinal Discs
• Pinched Nerves
• Depression Anxiety
• Cancer, Colds Flus
• Reflux. Ulcers, constipation
• Insomnia
• Pain
• Heart Disease
• Eczema, Psoriasis
• Infertility
• Asthma
• SLOW METABOLISM
• Chiropractic/Naturopathic/ Medical tests all
  positive

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• So What Do I Do Next?
• Understand that Pain is the end result of a
  process that has taken time
• Decide to get it Fixed
• Decide to put in the Time/Effort/Money to get it
  fixed
• Understand that Healing takes time it is
  realistic for tissues to take 6-12 months to heal

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• To make it easy for you I am offering a Free
  Initial Consultation and Assessment.
• Simply fill in the handout and we will contact
  you for an appointment time.
• If you wish to speak with me about a specific
  health concern or your suitability for treatment,
  please visit my website or phone me on 96009593

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