Make holistic health care your priority

About Vital Health's Physiotherapy and Allied Health services in Kingaroy :) HEALTH is a priority for many people within the South Burnett region, but especially for Vital Health. Darling Downs Centre Coordinator Amie Southern believes their broad range of health services all work together to deliver a holistic approach to the client's needs. People in the South Burnett have the access to physiotherapy, exercise physiology, dietetics, occupational therapy, speech pathology and much more. "Our team members aim to deliver their services in an approach that empowers clients to want to make their health a priority,” Ms Southern said. "It is important that different conditions, injuries or issues all have different requirements for contact, though the Vital Health team can tailor a treatment plan for your lifestyle and budget. "Our team members are also knowledgeable on what funding options are available and will work closely with your GP or specialist to ensure the best outcome for you.” For those needing physiotherapy, Ms Southern is very proud to have their live-in full-time physiotherapist Diego Diehl on board at Vital Health's Kingaroy office. "Diego has worked internationally and has owned his own allied health practice before moving to Australia and is a very experienced professional who Vital Health is proud to have as part of our Team,” she said. "The Kingaroy community should feel at ease in having access to such an exceptional individual practising within this field.” When it comes to some general health tips for keeping healthy, Ms Southern wants people to know that it is important to consider your health and well-being holistically. "The best advice we can offer is to take the first step in the right direction by booking for a consult to discuss your goals with one of our professionals or requesting a referral from your GP,” she said.

Acute Low Back Pain – Physiotherapy Benefits and Flare-Ups’ Risk Factors Though `staying as active as possible` is one of the most common advice that recent practice guidelines offer to people suffering from low back pain, patients can have different beliefs about activities that may or may not flare-up their symptoms. (1) In 2018 (2) a study followed-up patients with acute back pain and found different activities and factors interfering on patient’s symptoms: • Prolonged sitting (over 6 hours) was the only activity significantly associated with flare-ups of symptoms. Contrary to common patient’s beliefs, lifting, repeated lifting, prolonged standing, running/jogging and non-contact sports were not associated with increased risks of worsening the symptoms; • Stress and depression were correlated with augmented risks of flare-ups; • People undergoing physiotherapy treatments had reduced chances of flare-ups. According to a systematic review of 2019 (3), the early intervention of a physiotherapist in patients with acute low back pain may reduce the costs of treatment, the subsequent health services utilization, the use of opioids and spinal injections and the number of surgical procedures, improving health care efficiency. References: 1. Costa N et al. What Triggers an LBP Flare? A Content Analysis of Individuals Perspectives. Pain Medicine, 0(0), 2019, 1–8. 2. Suri P et al. Do Physical Activities Trigger Flare-ups During an Acute Low Back Pain Episode? A Longitudinal Case-Crossover Feasibility Study. Spine (Phila Pa 1976). 2018;43:427-433. 3. Arnold E et al. The Effect of Timing of Physical Therapy for Acute Low Back Pain on Health Services Utilization: A Systematic Review. Arch Phys Med Rehabil. 2019 Jan 24 [Epub ahead of print]. Diego Diehl, PT, MCMT, APAM Senior Physiotherapist 25 Alford St, Kingaroy QLD 4610 07 4162-7272

Migraine? Physiotherapy and Acupuncture are Effective Options! Acupuncture has shown again its efficacy on the prevention of migraine, on a systematic review published in 2019, assessing almost 5.000 patients’ treatment results. (1) Patients treated with acupuncture had similar to superior effects on preventing migraine than patients receiving the standard prophylactic medication, with fewer side effects and with a reduced treatment drop out. Physiotherapy techniques (e.g. like muscle treatments, joint mobilization/manipulation, amongst others) (2) and aerobic exercises (3) have shown positive results modulating migraines as well. References: 1. Linde K et al. Acupuncture for the prevention of episodic migraine (Review). Res Nurs Health. 2019; 42: 87– 88. 2. Wells RE et al. Complementary and Integrative Medicine for Episodic Migraine: an Update of Evidence from the Last 3 Years. Curr Pain Headache Rep. 2019,23:10. 3. Lemmens J et al. The effect of aerobic exercise on the number of migraine days, duration and pain intensity in migraine: a systematic literature review and meta-analysis. J Headache Pain. 2019,20:16. Diego Diehl, PT, MCMT, APAM Senior Physiotherapist 25 Alford St, Kingaroy QLD 4610 07 4162-7272

Photos from Diego Diehl - Physiotherapist, Kingaroy's post

Neck and Back Pain: Direct Access to your Physiotherapist Can Reduce Treatment’s Costs Neck and back pain are frequent conditions that may affect people’s lives significantly – they are amongst the top 4 conditions leading to disability, not only in Australia but all over the world.1 A recent research (February 2018) published in the USA showed that patients who directly accessed Physiotherapy services had the same benefits than the ones that went first to a GP and after got a referral, but with a significant reduction on treatment costs.2 These results can be related to the quicker initiation of physiotherapy and the common adoption of active treatment strategies – frequently advised by physiotherapists, as well as with a reduction on requests for imaging and advanced treatments, often unnecessary.2,3 Physiotherapists are well resourced primary care providers, and in musculoskeletal settings have been held responsible for the initial assessment and referral to the most effective treatment in partnership with other healthcare providers, presenting high-efficiency and safety on their assessments and treatments proposed.4-6 The latest Clinical Practice Guidelines for Back7 and Neck8 Pain promote patient’s management by physiotherapists and their broader spectrum of assessment and treatments, like manual therapy and spinal manipulation, acupuncture and dry needling, exercises and patient education/reassurance, amongst others. References: 1. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015;386(9995):743-800. 2. Denninger TR et al. The Influence of Patient Choice of First Provider on Costs and Outcomes: Analysis from a Physical Therapy Patient Registry. J Orthop Sports Phys Ther.2018;46:63-71. 3. Childs JD et al. Implications of early and guideline adherent physical therapy for low back pain on utilization and costs. BMC Health Services Research (2015) 15:150. 4. Moore JH et al. Clinical diagnostic accuracy and magnetic resonance imaging of patients referred by physical therapists, orthopaedic surgeons, and no northopaedic providers. J Orthop Sports Phys Ther. 2005;35:67-71. 5. Deyle GD. Direct access physical therapy and diagnostic responsibility: the risk-to-benefit ratio. J Orthop Sports Phys Ther.2006;36:632-4. 6. François Desmeules et al. Validation of an advanced practice physiotherapy model of care in an orthopaedic outpatient clinic. BMC Musculoskel Disord. 2013,14:162. 7. Qaseem A et al. Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians. Ann Intern Med. 2017 Feb 14. [Epub ahead of print]. 8. Blanpied PR et al. Neck Pain: Revision 2017. J Orthop Sports Phys Ther. 2017;47(7):A1-A83. Other social media: http://www.diegodiehl.com.br https://www.facebook.com/dr.diegodiehl http://br.linkedin.com/in/drdiegodiehl https://twitter.com/dr_diegodiehl https://www.youtube.com/channel/UCVJJkVERhV8ywk8vh9-crCg https://plus.google.com/+DiegodiehlBr https://www.instagram.com/diegodiehlfisioterapeuta/ Diego Diehl, Physiotherapist, MCMT APA & BMAS member Kingaroy – QLD – Australia

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