Troy Walker on LinkedIn: Top 7 Things Chiropractors Need to Know About Back Mice (Episacral… (2024)

Troy Walker

Practicing Chiropractor; Health Research; Nutrition; Strength & Conditioning Coach

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Great blog piece by Tim Bertelsman, DC, CCSP, DACO discussing a relatively and subtly considered condition that might be causing some benign lower back pain - the episacral lipoma. Lipomas are benign fat-filled tumours, often asymptomatic (until they're touched) but they may just be creating some pain or pressure generation in certain anatomical locations. Appears a bit more commonly in people with obesity and females. #backpain #health #chiropractic

Top 7 Things Chiropractors Need to Know About Back Mice (Episacral Lipomas) — ChiroUp chiroup.com

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  • Troy Walker

    Practicing Chiropractor; Health Research; Nutrition; Strength & Conditioning Coach

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    Great podcast with Greg Lehman and Jordan Feigenbaum on technique and injury risk, on 'orthopaedic cost', bodyweight pertaining to BMI and osteoarthritis and when specificity of training might matter for pain management. Greg owns and runs #movementoptimism while Jordan owns and runs Barbell Medicine.https://lnkd.in/gDazqA9h

    Dr Jordan Feigenbaum of Barbell Medicine talks orthopaedic cost, getting healthy and specificity of training https://spotify.com

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  • Troy Walker

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    After having a listen to some great work by Dr Darren Morton in the recent Australasian Society of Lifestyle Medicine webinar over lunch, it was great to observe how important the 'common factors' are in psychology and mental health management for people.The common factors are those that aren't inherently specific or hard skill-based. They look at alliance, empathy, the therapist's innate style and the ability to adapt to cultures and other factors.These ranks much more importantly than did particular or 'specific factors' which include particular ingredients, adherence, treatment modalities used and technical competence.Paper from: https://lnkd.in/g43wunG8

    How important are the common factors in psychotherapy? An update ncbi.nlm.nih.gov
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  • Troy Walker

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    Glad to share this one Peter O'Sullivan, new clinical care standards for the management of knee osteoarthritis.Sadly, far, far too many people - be it patients or people in passing conversations - I've spoken with over the years in Australia have had unnecessary surgery, and I can pluralise the amount of complications (sometimes life-threatening) that have come with that surgery.

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  • Troy Walker

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    Quick, easy and practically useful.The SARC-F questionnaire is a basic five-item screener for helping assess for age-related muscle loss and falls risk.It takes 2 minutes, is very user-friendly and works across geographical places and with different cultures as well. On a personal level, the feedback from local Aboriginal Community on this has also been very favourable, and an easy way to ensure more thorough physical health assessment to prevent more sinister sequelae down the track. I start using it on those aged 50 years and older as a general rule but if there are any clinical signs suggestive of a reason to use it earlier than this, I will.Credit to the Clinical Oncology Society of Australia (COSA) for their accessible and open access PDF (attached below), making it more available for people across the country.#sarcopenia #fallsprevention #health #elderly #aboriginalhealth

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  • Troy Walker

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    Tackling the management of Achilles tendinopathy in practice?This new resource from one of the leading experts Peter Malliaras is terrific.24 minutes, short, sharp and succinct covering the basis of diagnosis and management for the busy clinician.I would highly recommend musculoskeletal professionals to check in out when they have a moment.https://lnkd.in/gqCQsxWT#tendinopathy #Achilles #health #activity #pain

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  • Troy Walker

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    Independent of what they look like, about the only thing that it's non-contentiously agreed upon universally is that all vegetables are good for us.And even still, there will be very select and particular circ*mstances that some types of vegetables may not be appropriate for a particular person (but the incidence of this when someone opts to introduce more into their diet is rare).So eat up, aim for 5 serves a day (1 serve = 75 grams) of whatever it is you like the most - and don't worry about what they look like...#vegetables #nutrition #health

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  • Troy Walker

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    Just 5%If you have some body weight to lose, only a small fraction of loss is required to see metabolic and cardiovascular benefits.If you lose only 5% of your initial starting body weight, this can significantly and clinically improve your cardiometabolic profile, your total cholesterol often comes down, as do triglycerides, blood glucose and systolic and diastolic blood pressure.Drastic changes aren't always necessary, just small and sustainable ones can help.

    • Troy Walker on LinkedIn: Top 7 Things Chiropractors Need to Know About Back Mice (Episacral… (18)

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  • Troy Walker

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    Case Conversations #2A younger middle-aged male consulted me a couple of days ago about a general query for his on-and-off history of lower back pain in our initial appointment. He asked an interesting and useful question: 'Be honest do I need chiropractic adjustments or treatments to improve my back pain I've come to ask as I'm getting mixed messages from multiple people I've spoken with.'After I'd taken his history to learn more about his case particularly, I then asked him if he has any questions for me before we commenced a physical exam and the above was what he'd asked.I responded with no, you don't need chiropractic treatment (be that adjustments/manipulations, mobilisations, soft tissue techniques and practitioner-assisted stretches) to help manage your pain, but it can be utilised as one possible way to help decrease your level of pain and as a result, increase your level of movement and function.I went further. I let him know that if he were to remain physically active and perform some stretching of his own at home (with some initial instructions and is then left to his own devices) that he'd likely get improvement as well.I went further again. I let him know that there is a natural phenomenon called natural history or the regression back towards the mean, whereby people tend to naturally resolve over time even if they did nothing, but that their general mindset plays a role in that recovery as do their lifestyle habits.Conclusion: The patient was thankfully very grateful for that discussion. He mentioned this because it gave him honesty and options, two things people as a client or patient should always be given. It's also a part of informed consent - whereby people not only give their permission for treatment, but they are aware of their treatment options, good, bad and indifferent.#awareness #health #assessment #casestudies#chiropractic #musculoskeletalcare #evidenceinformedpractice

    • Troy Walker on LinkedIn: Top 7 Things Chiropractors Need to Know About Back Mice (Episacral… (22)
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  • Troy Walker

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    Case Conversations #1 The mother of a late adolescent child presenting with knee pain after a landing sporting incident with legs outstretched on the antero-medial side mentioned she was surprised I looked at and assessed the knee itself. She was told by another health professional to expect that the chiropractor would only look at the low back spine and nothing else.I’d mentioned we assess the kinetic chain as a unit, which includes the problem area and surrounding joints (ankle and hip) as well as the low back spine given the nerve supply to the area comes from that level.We ruled out anything sinister, associated that we could reproduce the knee pain directly by passive and active hip movements with orthopaedic assessment (a FABER test revealed local knee pain only) and there was point tenderness over the proximal musculo-tendinous part of the adductor magnus and longus.The young patient responded well following a mixture of active and passive care on the involved structures mentioned above as well as take home exercises. Conclusion: The hip and low back spine can refer pain to the knee, particularly the anterior and medial part of the knee. Once red flags are ruled out, musculoskeletal chiropractic management can assist the person by addressing the related part of the spine and the kinetic chain attached. As a large bonus, the parent was able to be shown that a presumption about the profession wasn’t true and that the action itself spoke to what was actually true.#awareness #health #assessment #casestudy #chiropractic #musculoskeletalcare #evidenceinformedpractice

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