Arthritis, a chronic condition marked by joint pain, inflammation, and stiffness, affects millions of Australians and significantly impacts their quality of life. With over 100 different types of arthritis—including osteoarthritis, rheumatoid arthritis, and psoriatic arthritis—no two cases are exactly alike. While medications, surgery, and lifestyle changes play a role in managing symptoms, physiotherapy stands out as one of the most effective, non-invasive treatments available.

Located in Melbourne’s northeastern suburbs, Excel Body and Health is a leading physiotherapy clinic known for helping people manage arthritis through evidence-based treatments. By offering tailored, progressive care grounded in clinical research, the clinic helps patients improve joint mobility, reduce pain, and enhance long-term physical wellbeing.

Understanding Arthritis and Its Impact on the Body

Arthritis isn’t simply a by-product of ageing. Although more common in older adults, it can affect people of all ages, including children. The condition primarily targets the joints—especially the knees, hips, hands, and spine—causing swelling, stiffness, and reduced range of motion.

Over time, arthritis can lead to joint deformities, muscular imbalances, and changes in gait or posture. These secondary issues not only contribute to ongoing discomfort but can also trigger further health complications such as reduced cardiovascular fitness, anxiety, and even depression.

While pain management and joint preservation are often the focus of initial medical treatments, many patients find themselves seeking long-term, sustainable solutions. This is where physiotherapy can make a significant difference.

How Physiotherapy Helps Manage Arthritis

Physiotherapists are uniquely trained to assess musculoskeletal conditions and design strategies that improve joint function and reduce pain. By understanding how arthritis presents in each individual, they can create customised treatment plans that align with a person’s goals, limitations, and lifestyle.

Here’s how physiotherapy contributes to better joint health for arthritis sufferers:

1. Pain Reduction and Inflammation Control

One of the primary benefits of physiotherapy is its ability to reduce chronic pain. Techniques such as soft tissue mobilisation, dry needling, ultrasound therapy, and hydrotherapy can all target inflammation and relieve tension around arthritic joints.

These interventions are drug-free and can serve as a complementary treatment alongside prescribed medications, minimising the need for increased dosages or reliance on painkillers.

2. Improved Range of Motion

Stiffness is a hallmark symptom of arthritis. Physiotherapists use targeted stretching routines and joint mobilisation to help loosen tight areas and promote flexibility. Over time, patients notice greater ease in everyday movements like walking, climbing stairs, or getting in and out of bed.

Maintaining a healthy range of motion is critical to preventing further joint deterioration, making early intervention with physiotherapy essential.

3. Strengthening Supporting Muscles

Joints rely on surrounding muscles for support and function. When arthritis leads to disuse or inactivity, these muscles weaken, placing more strain on the affected joint. Physiotherapy strengthens these muscles through progressive resistance training and functional exercises, restoring balance and preventing compensation injuries.

Even small gains in strength can drastically reduce pressure on the joints and slow the progression of joint damage.

4. Postural and Gait Correction

Arthritis often alters the way people move. Subtle changes in gait, posture, or balance can exacerbate symptoms and create a cycle of dysfunction. Physiotherapists evaluate these changes and introduce corrective techniques and exercises to restore proper mechanics.

Assistive devices such as braces, orthotics, or walking aids may also be recommended, especially in more advanced cases.

5. Education and Long-Term Self-Management

Physiotherapy doesn’t stop in the clinic. One of its major strengths lies in patient education. Individuals are taught how to protect their joints during daily activities, manage flare-ups, and adopt exercise routines that can be done at home.

With proper guidance, patients become empowered to take control of their condition, reducing their dependency on constant medical intervention.

A Look at the Physiotherapy Approach

Physiotherapy clinics have played a key role in delivering arthritis care tailored to the needs of the local community. Clinics adopt a multidisciplinary approach that combines hands-on therapy with modern rehabilitation technology and lifestyle education.

Their programs are built on a foundation of patient-centred care, ensuring that treatment plans are as unique as the people they serve. Whether managing early-stage osteoarthritis or addressing complications from long-standing rheumatoid arthritis, physio Ivanhoe focuses on restoring confidence, strength, and independence.

Specialised Physiotherapy Techniques for Arthritis

Different physiotherapy modalities are used depending on the type of arthritis, the joint affected, and the severity of the symptoms. Common techniques include:

1. Manual Therapy

Manual therapy involves the hands-on manipulation of muscles, joints, and soft tissues. It’s particularly effective for breaking down scar tissue, improving joint mobility, and reducing muscle tightness.

For people with osteoarthritis in the spine or knees, manual therapy can provide immediate relief and promote better alignment.

2. Hydrotherapy

Exercising in warm water reduces the load on joints while allowing full-body movement. Hydrotherapy sessions can improve circulation, build endurance, and ease joint stiffness in a soothing, controlled environment.

This technique is especially useful for those with severe joint pain or balance issues that limit their ability to exercise on land.

3. Exercise Therapy

A well-designed exercise program is at the core of any arthritis management plan. Physiotherapists prescribe exercises that are gentle, joint-friendly, and focused on building strength, flexibility, and endurance.

Over time, regular exercise leads to increased energy, better sleep, improved joint lubrication, and reduced fatigue—factors that all influence quality of life.

4. Dry Needling and TENS Therapy

Some patients respond well to dry needling, a technique that targets trigger points in muscles to reduce pain and spasms. Similarly, TENS (Transcutaneous Electrical Nerve Stimulation) uses low-voltage currents to interrupt pain signals and promote natural healing.

These techniques can be incorporated into broader treatment plans for greater overall effectiveness.

Addressing Arthritis in Different Life Stages

Arthritis affects people of all ages. From juvenile idiopathic arthritis in children to degenerative arthritis in seniors, physiotherapy must be tailored according to developmental stage, lifestyle, and specific challenges.

Children and Teens

In younger patients, physiotherapy often focuses on maintaining participation in physical activities and preventing deformities. Stretching, posture correction, and fun, engaging exercises help children stay active while managing pain.

Adults

For working-age adults, physiotherapy supports mobility in both daily life and the workplace. Treatment may focus on ergonomics, stress reduction, and exercise programs that fit into a busy schedule.

Seniors

Older adults may require physiotherapy for multiple conditions alongside arthritis, including osteoporosis, balance issues, or post-surgical rehabilitation. Fall prevention, joint protection, and maintaining independence become the focus at this stage.

The Role of Physiotherapy in Preventing Joint Replacement Surgery

One of the most valuable roles of physiotherapy is delaying or preventing the need for joint replacement surgeries. While some cases of advanced arthritis require surgical intervention, many patients are able to postpone these procedures—or avoid them entirely—through consistent physiotherapy.

Prehabilitation (pre-surgical rehabilitation) is also a growing field in physiotherapy. Preparing the body before surgery has been shown to lead to faster recovery times, fewer complications, and better long-term outcomes.

Complementary Therapies That Support Physiotherapy

While physiotherapy plays a central role, it’s often enhanced by complementary therapies such as:

• Dietary counselling – Reducing inflammation through nutrition

• Occupational therapy – Modifying tasks and environments to reduce strain

• Massage therapy – Alleviating muscle tightness

• Psychological support – Addressing the mental health impact of chronic pain

Integrating these services can create a holistic management plan that addresses every aspect of a patient’s health.

When to Start Physiotherapy for Arthritis

The best time to start physiotherapy is as soon as arthritis is diagnosed. Early intervention leads to better results and prevents complications down the track.

However, it’s never too late to begin. Even those living with chronic, long-standing arthritis can benefit from a targeted physiotherapy program. Improvements in mobility, pain levels, and overall function are possible at any stage of the condition.

How to Choose the Right Physiotherapist

Not all physiotherapists have the same level of experience with arthritis. Patients should look for providers with specific training in musculoskeletal and rheumatological conditions. It’s also important to find a clinic that offers a supportive, empathetic environment and personalised care.

Referrals from general practitioners, rheumatologists, or friends and family can help guide the decision-making process. Reviews, clinic websites, and initial consultations are also valuable for assessing whether a physiotherapist is the right fit.

Building a Sustainable Future with Arthritis

Living with arthritis presents challenges, but it doesn’t have to mean living in constant pain or giving up the activities you enjoy. Physiotherapy offers a path toward improved joint function, better mobility, and renewed confidence.

By combining expert guidance with patient education, arthritis sufferers can enjoy a more active and fulfilling life. The journey to joint health is ongoing, but with the right support system—including experienced physiotherapists—managing arthritis becomes less about limitation and more about possibility.

Fungal nail infections, medically known as onychomycosis, affect a significant percentage of the global population. In Australia, the warm and often humid climate contributes to the prevalence of this stubborn condition, particularly among older adults and those with underlying health concerns. Traditional treatments such as topical creams and oral antifungal medications often have limited success rates or come with unwanted side effects. Fortunately, advancements in medical technology have introduced a non-invasive, painless, and effective alternative: the Erchonia® Lunula Laser.

This innovative laser therapy is transforming how podiatrists address fungal nail infections. It provides a drug-free solution that promotes the body’s natural healing processes and targets the root cause of fungal nail conditions. One such podiatrist in Crawley now offers this advanced treatment, delivering positive outcomes for patients seeking an efficient and safe resolution to their nail health concerns.

Understanding Fungal Nail Infections

Fungal nail infections typically begin as a discolouration or thickening of the nail, gradually spreading deeper and causing the nail to become brittle, distorted, and even detach from the nail bed. The condition is notoriously difficult to treat due to the hard keratin structure of the nail, which acts as a barrier, preventing medications from penetrating effectively.

Several risk factors contribute to the development of onychomycosis, including:

• Ageing, as older adults have slower-growing and more brittle nails

• Excessive sweating or working in moist environments

• Walking barefoot in communal areas such as gyms, swimming pools, and showers

• Compromised immune systems or chronic illnesses such as diabetes

Left untreated, fungal nail infections can spread to other nails or skin, leading to pain, discomfort, and further complications. Aesthetic concerns also drive many to seek out a fast and permanent solution.

What Is the Erchonia® Lunula Laser?

The Erchonia® Lunula Laser represents a breakthrough in laser therapy. It is a cold laser system designed specifically to treat fungal infections in toenails and fingernails. Unlike traditional laser systems that generate heat, the Lunula uses low-level laser light to stimulate the immune system and enhance circulation without causing any pain or damage to the surrounding tissue.

The device emits two laser wavelengths simultaneously:

• 635nm (red): This wavelength stimulates the body’s immune response and increases cellular energy production (ATP), helping to repair and regenerate damaged tissue.

• 405nm (violet): This wavelength has potent antifungal and antibacterial properties, targeting the pathogens responsible for the infection.

These wavelengths work synergistically to not only kill the fungus but also rejuvenate the nail and surrounding skin.

Benefits of the Lunula Laser Treatment

What sets the Lunula Laser apart from conventional treatments is its non-thermal, painless approach that requires no downtime or aftercare. Patients can walk into a clinic and resume normal activities immediately after the session.

Key benefits include:

• Painless Procedure: No burning sensation, unlike some high-powered lasers.

• No Anaesthesia or Medication: Safe for individuals who cannot tolerate oral antifungals or who prefer a drug-free option.

• Non-Invasive: No surgical intervention required.

• Improves Nail Appearance: Restores a healthy nail structure over time.

• Clinically Proven Results: Clinical studies have shown significant clearance of fungal infections in treated nails.

According to a peer-reviewed study published by PubMed, Lunula laser treatment led to mycological clearance in over 70% of cases, making it a reliable option for patients with varying degrees of infection.

How the Treatment Works

A typical Lunula Laser session lasts around 12 minutes per foot. The patient simply places the affected foot inside the device, which resembles a small box. The laser operates without the need for contact, cutting, or application of gels.

The number of sessions required depends on the severity of the infection. Most patients require a course of four to six sessions over a period of several weeks. During the treatment process, improvements become gradually visible as the nail grows out. It’s important to understand that nail growth is slow, particularly for toenails, and full results may take several months to become evident.

Midway through the treatment journey, patients often start seeing a visible improvement. The nail becomes clearer at the base and begins growing out healthier tissue. For those who previously tried over-the-counter treatments with little success, this therapy often proves to be a turning point.

Safety and Suitability

The Erchonia® Lunula Laser is FDA-approved and TGA-listed, ensuring it meets stringent health and safety standards. It is suitable for almost all individuals, including:

• Diabetics

• Pregnant or breastfeeding women

• Individuals with liver issues who cannot take oral antifungals

• Children and older adults

Because it does not generate heat or use harsh chemicals, the risk of side effects is virtually non-existent. This makes it one of the most accessible treatments available for fungal nail infections.

Healthcare professionals, including many foot and ankle specialists, have praised its ability to treat persistent infections without harming healthy tissues or inducing discomfort during or after treatment.

Comparison With Other Treatments

While topical antifungal medications are readily available and inexpensive, they often struggle to penetrate the nail bed where the infection resides. Oral medications like terbinafine can be effective but are associated with potential side effects, including liver toxicity and drug interactions. In contrast, thermal lasers, although effective, can cause pain and require post-treatment care.

The Lunula Laser bypasses these limitations with a simple, painless protocol that does not interfere with the patient’s daily routine. It also minimises the risk of recurrence when combined with good hygiene and preventive measures.

Post-Treatment Care and Prevention

Though the Lunula Laser is highly effective, it’s important to support the treatment with appropriate aftercare to prevent reinfection. These include:

• Keeping feet dry and changing socks daily

• Avoiding walking barefoot in public places

• Disinfecting shoes and socks regularly

• Using antifungal sprays or powders as advised by a podiatrist

• Maintaining regular nail care, including trimming and filing

Follow-up visits may be recommended to monitor nail regrowth and ensure the infection has been completely eradicated.

Why Choose a Specialist for Treatment?

Seeking treatment from a qualified podiatrist ensures a comprehensive diagnosis and tailored treatment plan. Nail changes can be symptomatic of other conditions such as psoriasis, trauma, or lichen planus, so proper identification is essential.

If you’re looking for a podiatrist in Crawley, choosing one with access to the Erchonia Lunula Laser could significantly enhance your treatment outcomes. Clinics offering this service often have extensive experience in treating various nail disorders and will provide professional advice on managing and preventing recurrences.

Patient Outcomes and Testimonials

Many patients have reported high satisfaction rates with the Lunula Laser, praising its comfort, ease of use, and visible results. In clinical settings, more than 80% of patients experience clear nail growth within 12 months post-treatment.

Moreover, leading clinics around Australia and internationally are adopting this technology due to its success rate and patient-friendly design. The results are particularly noticeable among those who follow the full treatment protocol and take preventive steps post-treatment.

Conclusion

The Erchonia® Lunula Laser offers a revolutionary approach to treating fungal nail infections. Unlike conventional methods that often fall short or come with side effects, this cold laser therapy is painless, safe, and highly effective. Its ability to stimulate natural healing while targeting fungal pathogens makes it an ideal option for patients seeking lasting results without discomfort.

Whether dealing with a mild discolouration or a persistent infection, seeking professional care and considering advanced therapies like the Lunula Laser can significantly improve outcomes. With its rising popularity and proven track record, this technology is paving the way for a new standard in podiatric care.

For more insights into cutting-edge healthcare solutions, explore Harvard Health or visit your local podiatrist for a tailored consultation.

Shin splints, medically known as medial tibial stress syndrome, are a common and painful condition that affects athletes, runners, dancers, and even casual exercisers. This nagging pain down the front or inner side of the shinbone can be frustrating to manage, especially when it interferes with training or everyday activity. While rest and ice are the usual go-to treatments, emerging therapies like dry needling in podiatry have gained popularity for offering relief that goes beyond surface-level treatment.

But what exactly is dry needling, and can it really help with shin splints? To explore this question, we’ll look at how shin splints develop, what makes dry needling unique, and how a podiatrist’s insight can guide effective treatment.

Understanding Shin Splints

Shin splints occur when the muscles, tendons, and bone tissue around the shinbone (tibia) become inflamed due to repetitive stress. The condition is most commonly seen in:

• Runners who increase mileage too quickly

• Athletes who switch surfaces (e.g., grass to concrete)

• People with poor foot biomechanics or flat feet

• Individuals wearing worn-out or unsupportive footwear

• Dancers and high-impact sports enthusiasts

The pain can range from a dull ache to a sharp, stabbing sensation and usually worsens with activity and improves with rest. If ignored, shin splints can progress into more severe conditions such as stress fractures.

Traditionally, treatment includes:

• Rest and activity modification

• Ice and compression

• Anti-inflammatory medication

• Proper footwear and orthotics

• Physical therapy including stretching and strengthening exercises

However, in recent years, alternative therapies have gained traction for their ability to accelerate recovery and address the root cause of the issue—tight, overworked muscles and poor biomechanics.

What Is Dry Needling?

Dry needling is a therapeutic technique used by trained healthcare professionals, including some podiatrists, physiotherapists, and myotherapists. It involves inserting very thin, sterile needles directly into myofascial trigger points—tight bands of muscle or “knots”—to release tension and improve function.

Although it might sound similar to acupuncture, dry needling is based on Western anatomical and neurophysiological principles, not traditional Chinese medicine. The purpose is to elicit a twitch response or muscle contraction that leads to decreased muscle tension, improved blood flow, and pain relief.

When used by podiatrists, dry needling in podiatry focuses specifically on the muscles and tissues affecting lower limb biomechanics, particularly those contributing to overuse injuries like shin splints.

How Dry Needling May Help Shin Splints

Shin splints often involve tightness or dysfunction in specific muscles of the lower leg, including:

• Tibialis posterior

• Tibialis anterior

• Soleus

• Gastrocnemius

• Peroneal muscles

These muscles can develop trigger points from overuse, poor biomechanics, or compensation due to weakness elsewhere. Dry needling targets these specific problem areas to help:

• Reduce muscle tightness: By releasing tight fibres, dry needling can relieve tension in overloaded muscles, reducing the pulling and strain on the shinbone.

• Improve circulation and healing: Needling stimulates local blood flow, which helps reduce inflammation and accelerates the repair of microtrauma.

• Restore muscle function: When muscles are overly tight or inhibited, they can’t function optimally. Dry needling helps reset the neuromuscular pattern, encouraging more natural and efficient movement.

• Relieve referred pain: Trigger points can refer pain to other areas of the body. For example, dysfunction in the calf can radiate pain to the shin. Treating the source can significantly improve symptoms.

What to Expect During a Dry Needling Session

If a podiatrist determines that dry needling is appropriate for your shin splints, a session might go as follows:

• Assessment: Your foot posture, gait, and lower limb mechanics are analysed. The podiatrist identifies the muscles contributing to the problem.

• Needling procedure: Very fine needles are inserted into the identified trigger points. You may feel a twitch response or deep ache.

• Post-treatment soreness: It’s common to feel muscle soreness for 24–48 hours afterward, similar to delayed onset muscle soreness (DOMS).

• Complementary treatment: Dry needling is rarely used in isolation. You’ll likely be prescribed strengthening exercises, stretches, and advice on footwear or orthotics.

The Podiatrist’s Role in Shin Splint Management

A podiatrist is uniquely positioned to treat shin splints due to their detailed understanding of foot and lower limb biomechanics. Unlike a general practitioner or even some physiotherapists, a podiatrist can address both structural and muscular contributors to the condition.

Here’s how a podiatrist supports a comprehensive approach:

• Biomechanical assessment: Identifies foot abnormalities (e.g., flat feet or overpronation) that cause poor movement patterns.

• Gait analysis: Observes how you walk or run to detect issues that may be leading to stress on the tibia.

• Custom orthotics: Helps offload pressure from stressed areas and correct abnormal gait mechanics.

• Targeted muscle therapy: Including dry needling in podiatry, manual therapy, and taping techniques to support healing.

• Footwear recommendations: Advises on the best type of shoes for your foot type and activity level.

Midway through a treatment plan, your podiatrist will evaluate your response to dry needling and make necessary adjustments. Some people may only need one or two sessions, while others may benefit from a longer course integrated with other therapies.

Is Dry Needling Right for Everyone?

While many patients report rapid relief from dry needling, it’s not suitable for everyone. Contraindications include:

• Needle phobia

• Bleeding disorders or blood-thinning medication use

• Active infections or skin conditions at the site

• Pregnancy (in certain areas of the body)

Always consult a qualified practitioner who can determine if this technique is appropriate for your condition. It’s important that dry needling is used as part of a broader treatment plan rather than a stand-alone remedy.

Other Evidence-Based Treatments for Shin Splints

Although dry needling shows promise, it’s most effective when combined with other evidence-based treatments:

• Eccentric strengthening: Especially for the tibialis posterior and anterior to reduce muscle fatigue.

• Calf stretches and foam rolling: Helps reduce tightness in supporting muscle groups.

• Activity modification: Includes reducing training intensity or switching to lower-impact activities like swimming or cycling.

• Compression sleeves: May assist in improving circulation and reducing muscle vibration during exercise.

• Progressive return to activity: A gradual reintroduction of running or jumping helps prevent recurrence.

The best treatment for shin splints is always a tailored one—what works for one person might not work for another. That’s why professional guidance is essential.

Preventing Shin Splints in the Future

Once you’ve recovered, prevention becomes the next priority. Some helpful strategies include:

• Gradual training progression: Avoid sudden increases in distance, intensity, or frequency.

• Proper footwear: Replace old running shoes regularly and use models appropriate for your foot type.

• Strength and conditioning: Strengthen the hips, core, and legs to support proper form and reduce the load on the shins.

• Cross-training: Mix up your workouts with low-impact options to reduce repetitive strain.

• Running surface awareness: Softer surfaces like grass or trails reduce impact compared to concrete or asphalt.

Dry needling is a valuable tool in the management of shin splints, especially when applied with precision by an experienced podiatrist. It targets muscular dysfunction at its source, helping to relieve pain, restore movement, and speed up recovery. When integrated with a broader approach that includes biomechanical correction, footwear advice, and strengthening exercises, it can make a significant difference for athletes and active individuals alike.

So, can dry needling help with shin splints? The expert consensus says yes—but only when it’s part of a personalised, well-rounded treatment plan. If you’re dealing with persistent shin pain, consulting a podiatrist trained in dry needling might just be the next best step toward recovery.

Hearing loss is a common condition that affects millions of people worldwide, and its causes, progression, and impact can vary from person to person. One crucial question often arises: do both ears experience the same hearing loss? Understanding whether hearing loss affects both ears equally is important for diagnosis, treatment, and long-term management. In this article, we will explore the different factors that influence hearing loss, how it may impact each ear, and what this means for treatment options.

Types of Hearing Loss

Before delving into whether both ears experience the same hearing loss, it’s important to understand the different types of hearing loss. There are three primary categories:

1. Sensorineural Hearing Loss: This type is caused by damage to the inner ear (cochlea) or the auditory nerve. It is typically permanent and often age-related.
2. Conductive Hearing Loss: This occurs when sound waves are blocked from reaching the inner ear. It can be caused by ear infections, fluid in the ear, or a perforated eardrum. This type of hearing loss is often treatable with medical or surgical interventions.
3. Mixed Hearing Loss: This type combines both sensorineural and conductive hearing loss and can be more complex to treat.

Asymmetrical Hearing Loss: The Difference Between Ears

In many cases, hearing loss does not affect both ears equally. Asymmetrical hearing loss refers to a condition where one ear experiences a greater degree of hearing loss than the other. This can occur for several reasons:

1. Different Causes in Each Ear

Hearing loss may be caused by different factors affecting each ear. For instance, one ear may be more prone to infections or injury, while the other remains unaffected. Noise exposure can also contribute to asymmetrical hearing loss, particularly if a person has been exposed to loud sounds or music more on one side.

2. Age-Related Hearing Loss (Presbycusis)

Age-related hearing loss generally affects both ears, but the extent of the damage can differ. As people age, the hair cells in the cochlea, responsible for transmitting sound signals to the brain, naturally degrade. However, it is not uncommon for one ear to experience more significant hearing loss than the other. Environmental factors, genetics, and lifestyle choices can all influence the rate at which this occurs in each ear.

3. Ear Infections or Injuries

Conductive hearing loss can result from infections or physical trauma. If an infection occurs in one ear, it may lead to temporary or permanent hearing loss in that ear. For example, otitis media (middle ear infection) is a common cause of hearing loss in children, often affecting only one ear.

4. Tinnitus and Cochlear Damage

Another factor that can lead to asymmetrical hearing loss is tinnitus, a ringing or buzzing sound in the ears. Tinnitus often accompanies sensorineural hearing loss and can affect one ear more than the other. Damage to the cochlea, possibly due to loud noise exposure, can also result in uneven hearing loss between the two ears.

The Impact of Asymmetrical Hearing Loss

Asymmetrical hearing loss can have significant effects on a person’s ability to hear and process sound. When one ear is more affected than the other, it can create difficulties in understanding speech, especially in noisy environments. The brain relies on both ears to locate sound sources and to differentiate between sounds. When one ear has a reduced capacity to hear, it can become harder to determine the direction of sound, a phenomenon known as binaural hearing.

People with asymmetrical hearing loss may also experience difficulty in hearing in certain situations, such as group conversations or when there is background noise. They might find it harder to concentrate, leading to increased fatigue, social withdrawal, or even feelings of isolation.

Diagnosing and Treating Asymmetrical Hearing Loss

When both ears do not experience the same level of hearing loss, a thorough diagnosis is essential to understand the underlying causes. A hearing test performed by an audiologist is the most reliable method of assessing the degree of hearing loss in each ear.

1. Audiogram

An audiogram is a test that measures the ability to hear various sounds at different frequencies and intensities. The results will indicate whether the hearing loss is symmetrical or asymmetrical, and whether it is caused by a conductive or sensorineural issue.

2. Medical and Surgical Interventions

For individuals with conductive hearing loss in one ear, medical treatments such as antibiotics for infections, surgery to repair a perforated eardrum, or a hearing aid may help restore hearing in that ear. For sensorineural hearing loss, treatment options may include hearing aids, cochlear implants, or other assistive listening devices.

If you’re seeking professional guidance and support, Melbourne Audiology Centre offers comprehensive hearing tests and tailored treatment plans to help manage hearing loss, ensuring that each ear receives the appropriate care and intervention.

3. Hearing Aids and Cochlear Implants

In cases where one ear has a greater degree of hearing loss, hearing aids or cochlear implants may be used to amplify sound in the affected ear, allowing for better hearing balance between both ears. These devices can significantly improve quality of life by restoring a sense of hearing in the affected ear, though they may not fully reverse the loss.

For personalised hearing solutions, the Templestowe Hearing Clinic offers expert advice on the best hearing aids and cochlear implants tailored to your needs, ensuring optimal outcomes for those with asymmetrical hearing loss.

Managing Asymmetrical Hearing Loss

While both ears may not experience the same level of hearing loss, there are several strategies to manage asymmetrical hearing loss effectively:

1. Using Hearing Aids in Both Ears: Even if one ear has more severe hearing loss, using hearing aids in both ears can help maintain balance in sound perception. This is known as binaural amplification.
2. Assistive Listening Devices: In certain cases, directional microphones or FM systems may be used to help improve hearing in noisy environments by focusing sound from a particular direction.
3. Coping Strategies: Developing strategies to cope with hearing loss, such as maintaining eye contact, lip-reading, or using visual cues, can improve communication in everyday situations.

Conclusion

The answer to whether both ears experience the same hearing loss is, in many cases, no. Asymmetrical hearing loss is a common occurrence and can be caused by various factors such as age, injury, infections, and exposure to noise. It is important to seek professional advice if you suspect hearing loss in one or both ears, as early diagnosis and intervention can significantly improve quality of life. With the right treatment, individuals with asymmetrical hearing loss can continue to enjoy a fulfilling life with proper hearing aids, cochlear implants, or other assistive devices.

If you’re experiencing hearing loss, it’s crucial to consult with a qualified audiologist or ENT specialist who can provide tailored advice and solutions to help manage your condition effectively.

Following significant weight loss, many individuals face a new challenge: excess skin that remains after shedding pounds. This surplus skin can lead to discomfort, restrict clothing choices, and hinder physical activities. Beyond aesthetic concerns, it can cause practical issues like skin irritation and infection due to trapped moisture. Addressing loose, sagging skin often requires a combination of non-invasive treatments such as radio frequency and surgical procedures like body lifts or abdominoplasty.

Here’s an exploration into the reasons behind excess skin and the surgical interventions aimed at enhancing both appearance and comfort post-weight loss.

Weight Loss

Loose skin can be a major challenge after significant weight loss. Many patients struggle with this issue as they attempt to enjoy the benefits of their healthy lifestyle changes by embracing the thinner, lighter body they deserve. Unfortunately, this excess skin prevents them from showing off their accomplishments and may cause discomfort.

Excess skin can make it challenging to wear clothing and may chafe and irritate the skin. Infections can also develop when perspiration gets trapped in the folds of loose skin. The lack of comfort can hinder the ability to exercise, which is essential to long-term success in weight management.

Non-invasive treatments, such as skin-tightening procedures like radio frequency, ultrasound, and needling, can help to tighten the skin for a smoother appearance. These methods are usually well-tolerated and provide gradual results. In some cases, surgical solutions are required to remove the redundant skin. This can include a lower body lift (also known as a panniculectomy) to remove the apron of extra skin that hangs below your belly button or a tummy tuck (abdominoplasty).

Patients who undergo a surgical procedure for excess skin should be at or near their ideal weight and have maintained a stable weight for several months before their surgery. Ideally, they will be non-smokers and free of any conditions that could affect healing.

Hormonal Changes

If you lose a lot of weight, especially after bariatric surgery, hormonal changes can cause sagging in certain areas of the body. In some cases, this is not a problem, but in other situations, it can be a reason to consider excess skin removal and/or body lift surgery.

One of the best ways to determine if you have loose skin is to perform a pinch test. If you can pinch more than an inch of fat, you likely have loose skin. The other type of fat, visceral fat, is dense and packed tightly around the organs and not easily pinched.

Excess skin can affect your confidence and make it difficult to wear certain types of clothing. It can also increase your risk of skin infections, skin rashes, and other health issues. A plastic surgeon like Associate Professor Dean White can perform one or more procedures that remove excess skin and tighten the remaining tissue to give you a sleeker, more toned appearance.

Some of these include a lower body lift (tummy tuck) to remove excess skin and fat from the stomach and buttocks; panniculectomy to remove an apron of excess skin on the stomach called a pannus that can hang down over the genitals and onto the thighs; arm lift (Brachioplasty) to tighten arms; breast lift (mastopexy) to firm up or reduce size; and neck lift (rhytidectomy) to improve sagging cheeks and a double chin.

Pregnancy

A woman’s body goes through a lot of changes during pregnancy. In some cases, the skin can stretch and lose its elasticity due to weight fluctuations and hormonal changes during this time. As a result, it may take some time for the skin to return to its pre-pregnancy tightness. In this case, a body lift can help to reduce excess skin in the arms, breasts, and torso.

Those who experience this condition often find that non-invasive treatments such as radio frequency, ultrasound, chemical peels, and needling can improve the skin’s elasticity and give it a more toned appearance. However, for those who are experiencing more severe sagging, surgical intervention is typically needed to achieve a more defined body contour.

A body lift is a procedure that removes excess fat and tightens the remaining skin to give it a more sculpted form. This is usually done in conjunction with liposuction to enhance results. It can be performed on the lower and upper body, including the abdomen, buttocks, and inner thighs. It can also be performed on the chest (abdominoplasty) to tighten loose muscles and remove an apron of excess skin (also known as panniculectomy).

Prospective patients for this surgery should be healthy enough to undergo a surgical procedure and be at or close to their ideal body weight. In addition, they must be willing to commit to wearing compression garments for a minimum of three weeks. Patients should also be prepared to avoid strenuous activities for the first six weeks after treatment to minimise swelling and promote faster recovery.

Ageing

Ageing affects the body in various ways, often resulting in loose or sagging skin, especially after significant weight loss. If you’ve lost a substantial amount of weight and are nearing your ideal body weight, you might consider cosmetic surgery to address these concerns.

Unlike temporary solutions, such as non-invasive treatments, cosmetic surgery like a body lift offers more enduring outcomes. However, it’s essential to note that maintaining results requires dedication to a healthy lifestyle, including proper diet and regular exercise, as weight regain can occur post-surgery.

A body lift procedure encompasses several techniques aimed at tightening and contouring the skin. Liposuction may be used to remove excess fat, enhancing the overall shape and helping to minimise visible incisions. These incisions are strategically placed in natural skin creases or areas easily concealed by clothing or hair, minimising noticeable scarring.

Included in a body lift can be a rhytidectomy, focusing on removing excess skin from the neck to rejuvenate its appearance. Often combined with a neck lift for comprehensive results, this addresses signs of ageing around the neck area. Additionally, procedures like a lower body lift or thigh lift are performed to reduce excess skin in specific areas, like the abdomen and inner thighs, respectively. These surgeries typically require several hours and necessitate hospital stay for monitoring.

In the context of ageing, these procedures aim not only to enhance physical appearance but also to restore a more youthful contour by addressing skin laxity and excess tissue that can result from natural ageing processes or significant weight fluctuations.

In conclusion, addressing excess skin after significant weight loss requires a tailored approach that may involve both non-invasive treatments and surgical procedures like body lifts. These interventions aim not only to improve aesthetic appearance but also to enhance comfort and quality of life. Whether considering a tummy tuck to remove excess skin or a comprehensive body lift for a more sculpted physique, individuals should consult with qualified professionals to explore their options and ensure they are well-prepared for the recovery process ahead. By choosing the right course of action, patients can achieve the smoother, toned look they desire, marking a positive milestone in their weight loss journey.

Podiatrists treat a wide range of muscle, bone and tendon conditions that affect the feet and ankles. They often consult with physiotherapists when they suspect a pathological gait pattern is caused by something higher up in the body such as the knee, hip or spine.

Having both health professionals in the same appointment allows for a comprehensive assessment of your condition from the start. This results in better treatment outcomes and reduced reliance on pain medications.

Physiotherapy

Podiatry and physiotherapy are two healthcare professions that play a crucial role in the management of musculoskeletal conditions. Both offer personalized assessments, diagnoses and treatments for a wide range of foot and ankle conditions as well as other broader musculoskeletal conditions such as back pain. However, they differ in terms of their scopes of practice, expertise, treatment approaches and referral requirements.

Physiotherapists at Toowoomba physiotherapy clinic are skilled in using manual therapy interventions to alleviate pain and improve muscle flexibility, strength, and mobility. They can also provide valuable education on proper body mechanics and injury prevention strategies.

Podiatrist Toowoomba is a medical professional who specializes in diagnosing, treating and preventing conditions related to the feet, ankles and lower legs. They use a variety of tools such as syringes to administer pain medications, nail splitters and nail anvils for ingrown toenails, scalpels and cryotherapy equipment to freeze off plantar warts.

A physiotherapist will assess the biomechanical function of the lower leg and hip muscles and the joints in your foot and ankle to identify the root cause of your pain and develop an appropriate treatment plan. They may recommend arch supports or orthotics, shoe advice and a programme of stretching exercises to help reduce the symptoms of shin splints. In addition, they can help you build up the muscles and ligaments in your foot and ankle by providing you with a program of progressive resistance exercises.

Podiatry

Podiatrists are trained to assess and treat a wide range of foot and ankle conditions. They can provide custom orthotic inserts to support the feet and lower limbs, redistribute pressure, enhance shock absorption, and correct imbalances that can contribute to injury.

In addition, podiatrists can help you develop a comprehensive exercise program that will increase the strength and flexibility of your feet and ankles to decrease the likelihood of future injuries. For example, if you have an abnormal walking pattern that leads to poor biomechanics of the foot and ankle, such as overpronation, a podiatrist can teach you exercises to prevent this from happening again.

Our co-founders, PhysioPod founders Lauren Earles and Luke Bertram have discovered that combining the expertise of both a physiotherapist and a podiatrist in one initial appointment achieves optimal outcomes. This is the concept behind the Collective Body Consult.

A physiotherapist and podiatrist are both highly specialised healthcare professionals that work together to improve musculoskeletal health and function in the feet and ankles. They have different areas of focus but are both important members of your healthcare team. Understanding their differing roles can help you decide which healthcare professional you should see when managing your musculoskeletal conditions.

Collaborative Care

The collaborative care model involves two healthcare professionals who specialize in different areas of the body working together. This allows each profession to share their expertise and treatment approaches without competing for patients. The two professions have a shared goal of improving patient outcomes. This approach to healthcare is becoming increasingly popular in the US and other countries. It also reflects current health policy encouraging “one-stop-shop” services that meet patient demand at the point of contact.

Podiatrists often refer to physical therapists for foot and ankle problems. This ensures that each professional provides a complete and comprehensive assessment of the problem. In addition, it eliminates the need for patients to receive a referral from their primary care physician.

Physiotherapists are trained to assess and treat the entire musculoskeletal system using a wide range of techniques including targeted exercises, stretches and manual techniques such as joint manipulation and dry needling. This enables them to identify whether the pain is caused by an imbalance of muscles or movement patterns in other parts of the body.

In a recent randomized clinical trial, participants were referred to either their podiatrist or to both their podiatrist and a physical therapist. The physical therapists followed up with patients as recommended by the podiatrist and sent progress notes to the podiatrist before each follow-up appointment. The results of this study showed that the uPOD+PT group had a faster response to treatment than the uPOD only group.

Preventive Care

Physiotherapists are trained to assess and treat the entire musculoskeletal system, including joints and the feet. They are also able to design preventive exercises and techniques to strengthen specific muscles, improve flexibility, and enhance mobility, reducing the risk of future injury. They often incorporate these strategies into their care plans for patients with foot and ankle injuries.

Unlike podiatrists, physiotherapists are able to identify and treat pathological gait patterns that are caused by musculoskeletal problems such as excessive load on one side of the body (hip hiking) during swing phase or an excessive heel strike in stance phase. They can then prescribe biomechanical devices such as functional orthotics to modify the angles of movement in the lower extremity which will reduce the load on certain tendons, bones and other structures.

During the study, participants with a primary diagnosis of plantar fasciitis will be randomized to receive usual podiatric care (uPOD) or uPOD+PT treatment. Participants in the uPOD group will receive care consistent with current practice guidelines for this condition, which includes foot taping/padding, home stretching exercise instructions, over-the-counter arch support and heel cup, shoe recommendations, oral anti-inflammatories and corticosteroid injections as necessary. Participants in the uPOD+PT treatment group will receive this care plus physical therapy. All participants will be followed for 6 months for the primary outcome measure of change in their FAAM activities-of-daily living score and secondary outcomes including NPRS and patient-reported success.

In the realm of healthcare, interdisciplinary collaboration is increasingly recognized as essential for comprehensive patient care. One such collaboration that is gaining traction is the integration of clinical psychology with podiatry services, particularly concerning patients’ mental health. While podiatrists primarily focus on diagnosing and treating foot and ankle conditions, they often encounter patients whose physical ailments are intertwined with psychological challenges. Recognizing this intersection, clinical psychologists are playing a pivotal role in enhancing podiatry services, ensuring that patients receive holistic care that addresses both their physical and mental well-being.

Understanding the Interconnection

The relationship between physical health and mental health is profound and reciprocal. Chronic foot conditions, such as diabetic neuropathy, arthritis, or chronic pain, can significantly impact an individual’s quality of life, mobility, and independence. These physical ailments often lead to psychological distress, including anxiety, depression, or even feelings of isolation and frustration.

Conversely, mental health issues can exacerbate physical symptoms, leading to a vicious cycle of pain and psychological distress. Patients may experience heightened stress levels, which can increase muscle tension, worsen pain perception, and impede healing processes. Additionally, mental health disorders may contribute to poor self-care habits, such as neglecting foot hygiene or failing to adhere to treatment plans, further compromising podiatric outcomes.

The Role of Clinical Psychologists

Clinical psychologists are uniquely positioned to address the psychological aspects of foot care comprehensively. By collaborating with podiatrists, they can provide tailored interventions that target both the physical and mental dimensions of patients’ health. Here’s how clinical psychologists enhance podiatry services:

1. Psychological Assessment: Clinical psychologists conduct thorough assessments to evaluate patients’ mental health status, identify underlying psychological factors contributing to their foot conditions, and assess their coping mechanisms and support systems.
2. Psychoeducation: Patients often benefit from psychoeducation sessions, where clinical psychologists provide information about the relationship between physical and mental health, pain management techniques, relaxation exercises, and strategies to improve self-care practices.
3. Cognitive-Behavioral Therapy (CBT): CBT is an evidence-based therapeutic approach that helps patients identify and modify maladaptive thoughts and behaviors contributing to their psychological distress. Clinical psychologists can integrate CBT techniques into treatment plans to address issues such as pain catastrophizing, fear avoidance, or negative self-talk.
4. Mindfulness and Stress Reduction: Mindfulness-based interventions can help patients cultivate present-moment awareness, reduce stress, and enhance pain management skills. Clinical psychologists may teach mindfulness techniques, such as mindfulness meditation or body scanning, to help patients cope with physical discomfort and emotional distress.
5. Collaborative Care Planning: Clinical psychologists collaborate closely with podiatrists to develop integrated care plans that address both physical and psychological needs. By working together, they ensure that treatment approaches are coordinated, complementary, and tailored to each patient’s unique circumstances.

Your feet are like health barometers, ready to give you valuable clues about your overall well-being. Pay attention to them and see your podiatrist if you experience any of the following warning signs.

Your podiatrist will start with a thorough medical history check followed by a physical examination of your feet and ankles. They may also order diagnostic tests such as X-rays and blood work.

1. Pain in Your Toes or Feet

Pain in your feet and toes is a common sign you should see a podiatrist. This pain may be caused by overuse of your foot and ankle or from an injury. It could also be a sign of a medical condition like arthritis, diabetes or a blood clot in the leg/foot.

Any pain that persists and doesn’t get better with home treatment or over-the-counter medication is a sign you need to visit a podiatrist. It is especially important to see a podiatrist if your pain is accompanied by other signs of infection, such as redness, warmth, tenderness and a high fever.

Swelling in your feet and toes is another serious warning sign. If your feet and toes are swollen and do not go down after being elevated, it could be due to an injury, blood clot, kidney issues or heart/circulation problems. It could also be a sign of an undiagnosed medical condition like psoriasis or cancer.

If you have diabetes, it’s important to see a podiatrist regularly for preventive care. Talaria Podiatrist of Thornbury can help keep your feet healthy and prevent diabetic neuropathy, in which the high levels of glucose damage nerves in the feet and legs. In addition, a podiatrist can spot discolored spots under your nails, which are often a sign of melanoma (cancer). It’s always better to be safe than sorry.

2. Swelling in Your Feet

While it’s common to experience occasional swelling in your feet and ankles after prolonged standing or walking, persistent or worsening swelling warrants attention. If you find yourself facing frequent or unrelieved swelling, it’s advisable to search for “podiatry near me” online with a lot of recommendations and select a podiatrist to address your concerns. Swelling in the ankles and feet can signal various health issues, such as blood clots, heart disease, or liver and kidney problems. Additionally, swollen feet may indicate Morton’s neuroma, a condition stemming from nerve compression in the foot. Don’t hesitate to seek professional guidance for proper diagnosis and treatment.

Your podiatrist will be able to provide you with foot health services like custom orthotics in Thornbury that will help reduce the pain and improve your ability to walk normally again. For example, your podiatrist may recommend that you wear different shoes or use padding to ease the pain in your feet and ankles. Your podiatrist can also treat foot deformities such as bunions, which form when the bones in the front part of the foot become displaced. A bunion can cause heel pain, affect your gait and make wearing shoes difficult or painful.

The best way to know when to see a podiatrist is to talk to your family doctor about your foot and ankle concerns. Your family doctor can provide you with a referral to see a podiatrist if necessary. In addition, your podiatrist can refer you to a specialist such as a cardiologist for your heart and circulation issues or a nephrologist for your kidney and liver problems.

3. Calluses or Corns on Your Feet

Corns and calluses are areas of hardened skin that develop when a certain area is rubbed or scraped. They may be painful and can bleed when cut. If they are painful or interfere with walking, a podiatrist can diagnose and treat them. They can also help you avoid getting them in the future.

A health care provider can usually diagnose corns and calluses by looking at them and asking about your feet, shoes, and physical activities. They may want to watch you walk or stand and may take X-rays of your feet. If the corn or callus hurts, bleeds easily, or becomes inflamed, seek medical care right away. This is especially important if you have diabetes or poor circulation, since an infected corn can lead to an ulcer.

You can usually prevent calluses and corns by avoiding the friction that causes them to form. Wearing shoes that fit and using pads can keep your feet healthy. Make sure to get your feet measured by a shoe store clerk before you buy new shoes, so that you can be assured of a good fit. If you develop a callus or corn, try soaking it in warm water for several minutes and then using a pumice stone to remove the thick skin. If the corn or callus bleeds when you cut it, see your doctor right away — this could indicate an infection.

4. Numbness in Your Feet

Having numb feet is more than just the foot and toes “falling asleep.” It can be a sign of serious medical conditions, such as diabetes and nutrient deficiencies. If numbness is sudden or prolonged, it’s important to visit a podiatrist for treatment before long-term damage is done.

Numbness in the feet is most commonly caused by reduced blood flow or pressure on nerves. This can be a result of injury, such as a fall or car accident. It can also be a symptom of a neuroma, a benign growth that occurs around a nerve, such as the peroneal nerve between the third and fourth toes (Morton’s Neuroma). Sometimes numbness is caused by poor posture or tight clothing or footwear that restricts blood flow to the feet and toes.

If you experience numbness that is not caused by an injury, it may be a sign of multiple sclerosis (MS), which can cause the loss of balance and sensation in the feet and toes. Numbness is often one of the earliest symptoms of MS and needs to be evaluated right away to prevent long-term problems. A foot doctor can prescribe medication to calm irritated nerves and help slow the progression of diabetic neuropathy. They can also recommend proper shoe gear, orthotics and physical therapy to increase circulation and prevent complications.