Newsletter 4

Newsletter – Issue number 4
March 2008



Points of interest




Dear friend and client,


I would like to advise that my Home Clinic is moving to Albany Creek on the 17th March 2008. This is a dream come true. As we know, family always comes first and this is true for me too. Now that my boys are independent, I can direct my attention to this project, which has been close to my heart. What about Ken, my husband will you say? Ken is very supportive of this project and an integral part of it. He ensures that all mechanical, technical, quizzical and whimsical running hiccups are ironed out. I could not do it witHe is my support team.


The clinic is located at:


Suite 5, 7 Albany Forest Drive, Albany Creek


It is tucked into the building and the entrance is from the side into a breezeway leading to the clinic’s entrance door. Hopefully the signs will be in place shortly to show you the way in from the car park.


The opening of the clinic was originally 1st March and this date was published in The Village Pump and The Westerner. Due to unforeseen technical alterations to the building the opening date is now 17th March. I apologise for any inconvenience that this may have caused.


I also would like to introduce Kory Saw. Kory will be working with me at the clinic as remedial massage therapist. Kory obtained a diploma in remedial massage from Port Macquarie TAFE in 2004. Since then Kory has been working in that capacity with an osteopath, within a gym and day spa environment. We work with the same principles of establishing body relaxation and working from superficial to deep using the remedial therapy techniques on a as needs basis. We have the same outlook on treatment goals. I am so happy to introduce him to you and I am quite certain that you will be as thrilled as I am to welcome him; we will become a formidable team.


This is not all, as I have some more news for you. Travel socks and everyday support stockings for people standing or sitting long hours are in stock at the Albany Creek Clinic – and I also have the advantage to advise that these products are phlebologically correct, meaning that they have a correct compression gradient. No waiting, no delay, try them and wear them.


Substantial news for lymphoedema:  THE BANDAGES HAVE ARRIVED last Wednesday!!! I now have ample stock at the AC clinic.


Wishing you good health, love, laughter and lollies




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Evidence of massage benefit for low back pain


There is some evidence to show the overall benefit of massage in the “Cochrane Review” of massage for low back pain that claims:


“New, high quality trials show that massage gives some relief from back pain that has continued for many weeks or months – and the benefit may continue at least a year after the course of massage is over. There is a trend showing that the greatest benefit came with massage from trained massage therapists who had many years of experience.”


“Massage is beneficial for patients with subacute and chronic non-specific low-back pain in terms of improving symptoms and function. Massage therapy may save money in health care provider visits, pain medication and cost of back care services. The effects of massage are improved if combined with exercise and education”.


The application of ice for an acute low back injury can also slow the inflammation and swelling by constricting the blood vessels. The ice also provides some pain relief as it numbs the area and slows the nerve impulse interrupting the pain-spasm reaction. To alternate cold and warm treatment is also beneficial because the heat on the contrary dilates the blood vessels bringing nutrients into the area to help in the healing process. The ice treatment is most effective if it is applied as soon as possible after the injury occurs. Please apply caution when using this type of therapy and visit our website to read more about its application 

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Snippets about massage therapy


  • Australian Unity is now available for Remedial Massage Therapy


  • Massage is safe!

The number of injury cases caused by massage therapy is too small to be statically meaningful in estimating the risk from massage.

Grant KE. Massage safety; injuries reported in Medline as related to the practice of therapeutic massage – 1965 to 2003


  • Massage therapy seems to be beneficial in the treatment of osteoarthritis of the knee.

(Pearlman AI, Sabina A, Williams A-L, Njike VY, Katz DL


Abstract from the Touch Research Institute



METHODS: 262 patients who had persistent back pain received Traditional Chinese Medical acupuncture, therapeutic massage, or self-care educational materials for up to 10  massage or acupuncture visits over 10 weeks. RESULTS: At 10 weeks, massage was superior to self-care on the symptom scale and the disability scale. Massage was also superior to acupuncture on the disability scale. The massage group used the least medications and had the lowest costs of subsequent care.


Cherkin, D.C., Eisenberg, D., Sherman, K.J., Barlow, W., Kaptchuk, T.J., Street, J. & Deyo, R.A. (2001). Randomized trial comparing traditional Chinese medical acupuncture, therapeutic massage, and self-care education for chronic low back pain

Archives of Internal Medicine, 161, 1081-8.

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What do we know about lipodema?


Lipodema is a fat metabolism imbalance where fat deposits occur mainly in the legs, thighs and buttocks. A person suffering from lipodema can have a slim upper body and be quite large from the waist down to the ankles. Generally, the feet are not affected. In some cases, lipodema can also spread to the torso and the arms.


A frequent side-effect of lipodema is a chronic blockage of the lymphatic system resulting in swollen, heavy and painful legs associated also with orange skin and cellulitis. Often early degenerative changes in the joints can occur, in particular in the knee due to the excess weight.


Lipodema is quite widely spread but generally is very poorly diagnosed and often confused with being overweight. It appears to affect more women than men, which leads to believe that a hormonal imbalance may be at the root of the problem It typically manifests at puberty and worsens after pregnancy or at the onset of the menopause. It is also believed to be genetic with a family history of weight problems, fluid retention and/or venous insufficiency. Unlike the fat associated with excess weight, lipodema cannot be exercised away, does not respond to diet, and there is no cure for it. This explains why most people feel confused, frustrated and alone in their quest for good health.


The good news is that compression therapy and manual lymphatic drainage massage can help decrease the pressure sensitivity, reduce and control both lipodema and lymphoedema. The biggest hurdle with this treatment is to convince patients and in particular young patients of the necessity of wearing compression stockings consistently. The sooner the condition is recognized, the sooner the management plan can be implemented. With an early diagnostic, the focus of the treatment is to alleviate the symptoms and control the condition. For an endurated lipodema, a more intensive treatment including daily manual lymphatic drainage, bandaging, exercise and a change in diet may be needed to obtain a reduction, which has to be maintained later on with compression stockings.



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What is chronic venous insufficiency?


Chronic venous insufficiency is a long term condition caused by a partial vein blockage or blood leakage around the valves of the veins. These valves push the flow of blood toward the heart, and when they are damaged, they allow the blood to pool in the legs and feet. Consequently blood clot and varicose veins are forming.



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Snippets about venous insufficiency



  • Light calf-length compression stockings are able to reduce or totally prevent evening oedema (swelling)and may therefore be recommended for people with a profession connected with long periods of sitting or standing


Sigvaris Bulletin 12: Partsch H, Winiger J. Lun B.

From Dermatol Surg 2004; 30: 737-43



  • Mild compression stockings reduce diurnal oedema and unpleasant feelings of the legs after a working day in healthy individuals.


Jonker MJ, de Boer EM, Ader HJ, Bezemer PD

Dermatology 2001; 203:294-98



  • Calf length stockings are sufficient for most patients with chronic venous insufficiency


Partsch H, Menzinger G, Borst-Krafek B, Groiss E

J Vasc Surg 2002; 36:948-52



  • Elastic compression stockings should be added to the treatment of Deep Vein Thrombosis (DVT) to prevent the development of post-thrombotic syndrome. It is also suggested that it is unethical to withhold compression stockings to a patient after DVT and that immediate compression and walking in the acute stage of DVT may further reduce the rate of post-thrombotic syndrome.


Partsch. H.

Evidence based compression therapy

Systematic review: ENG Chapter 9 Lit: 27/4



  • Compression therapy improves the quality of life of patients with chronic venous insufficiency, and should be included in the treatment covered by the Public National Health Insurance. .


Andreozzi GM, Cordova R, Scomparin MA, Martini R, D;Eri A, Andreozzi F:

Int Angiol 2005; 24:32-329


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Next issue: June 2008


JM Remedial Therapy & Lymphoedema Clinic

Newsletter – Issue number 4

March 2008



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