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Moreton All Body CareNews
By Georgie Vinton Information , , , , , , , ,

Accessing Allied Health services through Medicare

People with Chronic Medical Conditions and Complex Care needs can access Medicare Rebated Allied Health Services under a Chronic Disease Management Plan (CDM) (previously known as an Enhanced Primary Care Plan (EPC)).

A Medicare rebate is available for a maximum of five services per patient each calendar year. Additional services are not possible in any circumstances.

The patient will have to pay the difference between the fee charged and the Medicare rebate. Fees will vary between practices and Allied Health providers.

Patients must have a GP Management Plan and Team Care Arrangements prepared by their GP, or be residents of a residential aged care facility who are managed under a multidisciplinary care plan.

Referrals to allied health providers must be from GPs.

Allied health providers must report back to the referring GP.

A chronic medical condition is one that has been (or is likely to be) present for six months or longer, for example, asthma, cancer, cardiovascular disease, diabetes, musculoskeletal conditions and stroke. There is no list of eligible conditions. However, the CDM items are designed for patients who require a structured approach and to enable GPs to plan and coordinate the care of patients with complex conditions requiring ongoing care from a multidisciplinary team.

Patients have complex care needs if they need ongoing care from a multidisciplinary team consisting of their GP and at least two other health or care providers.

If you feel that you may be eligible for services under a CDM/EPC we recommend you discuss your needs with your GP.

You are entitled to choose who you are referred to for any services allocated under a CDM/EPC and can ask to be referred to any provider who accepts CDM/EPC’s.

If you are unsure about how to access these services please don’t hesitate to contact us and we will be able to provide you with further information.

By Georgie Vinton Physiotherapy , , , , , , , , , , , , , , ,

What does a Physiotherapist actually do?

Ever wondered what a physiotherapist actually does? Physiotherapists are professionals trained at assessing, diagnosing and treating a range of conditions and injuries to all areas of the body with the overall goal to improve function and reduce pain levels. At Moreton All Body Care we not only see people with sporting injuries and sore backs but also patients with repetitive strain injuries, neck pain or headaches, patients requiring rehabilitation after surgery or general muscular/arthritic/bursitis aches and pain. These can include workcover related, third party claims (e.g. motor vehicle accidents) and department of veteran affairs (DVA) patients.

During a standard 30min consult, physiotherapist’s conduct a range of special tests to determine the cause and contributing factors to your symptoms. Based on this they are able to advise you on the best treatment approach and provide manual therapy if appropriate. Follow up appointments are generally required to review your injury, and to progress your treatment and exercises as you get better. If this is the case the physio will discuss this with you. A medical certificate can be written if you require time off work or sport.

Treatment techniques commonly used include:
– Joint mobilisations to reduce stiffness and help restore any deficit to your range of motion. If your joints aren’t moving freely they become irritated and can be a cause of pain or place more load on surrounding structures which causes dysfunction. For example, your spine is made up of multiple levels (vertebrae) and if there is a stiff link it will change the way you move. Gentle manipulations can move and stretch the stiff area to get your joints moving again.
– Soft tissue techniques such as massage or trigger point release is an effective way of accelerating the body’s healing and recovery process by bringing more blood flow and oxygen to the area. It can relax tight or overworked muscles that are creating excessive stress on your joints.
– Prescription of individualised strengthening exercises to be performed at home to quicken your recovery.
– Stretches to lengthen tight muscles, stretch joints and/or help with posture correction.
– Pilates program development to improve strength, stability and flexibility. This can be matwork or reformer based.
– Dry needling (similar to acupuncture) of myofascial tissue. Points are stimulated to create local, spinal segmental or supraspinal pain modulating effects.
– Taping to restrict joint movement and minimise further structural damage to ligaments or muscles. Also used to improve biomechanics to address movement dysfunctions contributing to pain
– Education regarding your condition, appropriate rest required, activity modifications and load management strategies to minimise any further exacerbation of your condition. They are able to provide guidance as to whether scans (e.g. ultrasound, xrays, MRI) are required.

All treatment techniques are accommodated to your specific needs. It is never too early or late after an injury or onset of your pain to seek assistance by a physiotherapist. A referral by a GP is NOT required.

By Georgie Vinton Uncategorized , , , ,

Benefits of 3D Orthotics Scanning

  • No messy plaster required to get your foot mould.
  • Full customisation of the orthotic controlled by the Podiatrist, in clinic. Design software allows the Podiatrist to view the finished orthotic prior to it being sent for milling.
  • 3D Capture of your foot detailing all of it’s contours and arches. This is then available for future comparisons of any changes to your feet.
  • Image overlay allows for markings of any troublesome foot issues such as corns and fibromas.
  • Can be used in conjunction with In-Shoe Pressure Monitoring to ensure correct loading/unloading of structures is obtained.
  • Fast turn-around. From initial scan to fitting of your orthotics we can have your orthotics ready to go within 7 days.

 

 

By Tom Cho Physiotherapy

Cervicogenic Headaches

Headaches Are a Pain in the Neck!

Headaches are, unfortunately, something that affects many of us, and some of us even daily! So it’s important to understand what type of headache you might suffer from, and if there are steps you can take to be able to prevent it. There are three main types of headache disorders: migraine, tension type headaches (TTH) and cervicogenic headaches (CGH). CGHs account for up to 20% of all headache disorders and often present as moderate to severe pain that starts in the neck and can last from four hours to a few weeks.

People who suffer from CGHs will often have a variety of symptoms such as:
• Pain and stiffness in the neck that is aggravated with movement.
• Tenderness in the neck – often associated with referral pain.
• Decreased movement at the affected
• Headaches that are one-sided and feel that they start in the neck.
• Pain in areas such as the temples, around the ears, behind the eyes and the back of the head.
• Nausea, poor concentration and irritability.

CGHs are considered a secondary type headache, meaning that the cause of the headache originates from some place other than in the head. In the case of CGH, the culprit is the upper cervical spine (the top three bones in your neck). Pain is often felt behind the eyes, in the temple region or at the back of the head. Although it sounds strange that the cause of the headache and where you feel the headache are in different places, it makes a lot of sense when you consider the anatomy behind it. The roots of the nerves connecting to the upper cervical spine share a sensory processing centre in the brain with the trigeminal nerve, which is responsible for carrying information from your brain to your jaw and face, and vice versa. Due to the shared processing centre, pain is felt in the head when it is originally coming from the neck.

So what can cause CGH? Injury or dysfunction of the upper cervical spine can occur due to a range of different conditions. Some of these include osteoarthritis, whiplash, sleeping in awkward positions or poor posture.

The good news is that many research articles support physiotherapy interventions as a successful treatment option for managing CGH. Treatment is often aimed at improving range of motion at the affected vertebrae, decreasing muscular stiffness, and decreasing pain. Techniques that may be used by your physiotherapist include joint mobilisations, soft tissue massage, stretching, muscular strengthening and retraining, dry needling and other exercises.

Your physiotherapist will perform a detailed assessment comprised of an interview and physical examination to determine the cause of the headache. Physiotherapy treatment will usually include a component of manual therapy (hands on treatment) as well as prescribed exercises.

If you do suffer from headaches, you don’t need to suffer alone! Say goodbye to nuisance headaches and come on in for a visit to see what physiotherapy can do for you to sort out your pain in the neck.