Mel Juergens 5 quick questions
Written by Sean Cooney
Our dietitian Mel and I sat down to have a conversation about the early influx of GP and non GP referred patients that we tend to see in the months of January and February. Here’s some key take away points.
You say that a lot of people come into your consults after having visited their GP’s for blood work in the earlier months of the year, what do you think is behind this trend?
People seem to have that “New Year, new me” feeling. They’re wanting to start the new year fresh and kick start their health with an understanding of where they currently sit.
Why do they come to see a dietitian and what conditions are you seeing mostly?
Weight loss is a big one. Many have tried and failed at multiple diet fads or they’re after a long term solution and not a fad. They want to do it the right way.
For some they can feel it’s their last resort coming to see a diet professional. There’s a lot of confusing information out there online and they’re, well, confused. Others have regrettably tried the fad diets and failed to stick to it which has wound up resulting in weight gain as we now know research shows can often happen.
What else do you see at this time of year?
People with diabetes and cholesterol issues. Ultimately at this time of year there are just a lot of people wanting to focus on their health and they have the time to act as they haven’t got too busy at work just yet. They are in a better position to make time for their health.
How have dietetic patients presented post COIVD?
During COVID there seemed to be a lot of people just surviving, not necessarily thriving. Now there seems to be a different attitude. The people that I am seeing now are wanting to work on their health and get great, long term outcomes from learning good habit and diet behaviours.
What would one expect when seeing you?
What most might find surprising is that we only spend 10-15 minutes talking about what you’re eating. 40 minutes or more are spent on truly understanding the person and their dietary choices. We look to understand their upbringing around food, their family history and a lot about their work and life now. Once knowing their history and all the factors that will impact on their diet and food choices we begin to forge a plan around what is realistic for the person and where is the best place to start.
What else?GP’s wanting to know more about how our dietetics department, with Mel and Ash, are helping with general and more speciality based diet clientele please get in contact. We are always happy to arrange a visit to our clinics, come and visit you or set up a time to get on the phone (as we know how busy you are!).
Medicare’s Chronic Disease Management
Foam RollersWhat is a Foam Roller? Foam rollers essential look like large noodles but they can quickly become your best friend. There are many types nowadays of all shapes and sizes. They get used to loosen up before a match or training session as well as serving as a great homework tool to do some physio or trainer prescribed home exercises around mobility and flexibility. When making your selection about which one to use I always recommend that you get one that is practical to fit in your home/ room / home gym (they can be quite large and bigger isn’t always better) and get one that feels comfortable and inviting to use – it shouldn’t be used as a tool of torture. You’ll see these commonly now in Pilates and physio studios as well as commercial gyms and sporting environment including institutes of sport. ________________________________________________________________ What are Foam Rollers used for? They work on releasing soft tissue, relieving muscle tightness and soreness and they can also be valuable in helping to break down soft tissue adhesions and scar tissue after injury. They can stimulate blood flow and are really valuable in promoting neural down regulation (this is often why they can be sore to first get on but then this soreness eases with a lasting effect of relief of the symptoms that made you get on the roller). Effectively, any intervention that we put the body through be it a strong sports massage, Chiro or Osteo manipulation, hot / cold pack, dry needling, etc needs to be analysed and accepted by the body. Jumping on foam roller puts a lot of pressure to the area where the brain may be holding some tense muscles or trying to protect it with a pain response. So as you consciously lie on the foam roller, the brain can start to accept that you don’t want those muscles so tense or so much protection of the area and it relaxes; and then you can feel relaxed. ________________________________________________________________ Things to be aware of: – Make sure you understand and are confident with how you intend to use the foam roller. Our Physiotherapists, Exercise Physiologists and Personal Trainers can help a lot here. – Don’t push through pain for too long. The whole point is to feel relief so if you’re still experiencing strong pain after say 1 minute, take it easy on yourself and ease up. – Be aware of any “no pain no gain” or “go hard” on the foam roller commentary. Use your common sense and you’ll be fine. At the end of the day it’s a foam roller so it should never pose as a threat or tool of torture unless you’re trying to use it incorrectly or your body need a lighter intervention to start with. __________________________________________________________________ A couple of common and popular Foam Roller exercises: The ITB (great for runners, field sports players and gym goers) Iliotibial band (ITB) is a band of fascia on the outside of your upper leg, when it is tight it can cause knee and hip pain. – Lie side on with the affected side on the foam roller, rest your upper body through your forearm. With your unaffected leg, place over affected side and place the full surface of your foot on the ground. Start with the foam roller just above your knee and roll back and forth slowly for 30 seconds to just below your hip bone. For further pressure, place unaffected leg on top of affected side. _________________________________________________________________ The Quadricep (similar to above demographic plus people who kick in their sport like martial arts, kick boxing, football and AFL): Tight quadriceps can pull on your patella and cause some compressive pain at the front of your knee (most commonly). – lie on your stomach with the roller placed under your thighs. Hold your body straight and rest your upper body through your forearms. Roll yourself back and forth slowly from just above your knee to just below your hip bone. For further pressure bend your knees. If you like these exercises and want some more or you want to get some advice on which foam roller would be best for you please do not hesitate to get in contact with us, we offer them in our clinics and the team are always happy to help!
Introducing Joel Bates
Why did you choose to pursue a career in physiotherapy?
So what does Joel like to get up to outside of the clinic?
Many of you will have seen over the past few weeks that we’ve moved into a new facility in North Sydney. To find out more about the move and the reasons behind it take a little look at this video.
A membership with the Healthfix Lifestyle Club offers a novel way of approaching your healthcare. It can be that you’re starting out and you don’t know what to do, or it could be that you’ve tried and failed many of the other approaches on offer in the current healthcare space. It also could be that you’re just looking for an awesome place to get your exercise fix, surrounded by a bunch of really cool members and integrated team
The membership gives you access to the entire integrated team in a supportive manner, so that you can chip away at improving your health and fitness, or maintaining your current levels, all with support of a knowledgeable health team and interacting with like-minded individuals.
Here’s how it works…
Our group training is set up to meet you where you most need it most, be it:
- Movement correction and activation work with our Pilates classes.
- Muscle and Strength Essentials – to work on your baseline of strength and beyond. Build your capacity to handle all of life’s demands!
- Foundations of Fitness – to get you to optimal fitness levels to either use HIIT style sessions for weight or get that additional conditioning to complement your strength.
- Athletic Performer – work on your agility, speed acquisition and power. All those high level attributes to have you performing at your best on the sporting field or in life.
Take a look at the current timetable and know that it evolves as our team evolves so that you’re always getting what you need. Class sizes are capped to 10 currently to ensure that you get what you need whilst also keeping everyone COVID safe.
If you are wanting some more information – please send an email to email@example.com or call 02 8065 0446 so we can arrange one of our Health Mentors – Mark, Bladen, JP or Sean to a