Brett Rawlings - Spine Smart

Brett Rawlings - Spine Smart Brett Rawlings, director and senior clinician at Spine Smart. Spine Smart specialises in the assessment & treatment of back & neck problems.

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Specialising in treating back and neck issues, Spine Smart is focused on providing patients with effective pain relief and the tools to help prevent pain returning. This is achieved by applying Spine Smart’s unique, integrated approach. Spine Therapy
Spine Smart is not aligned to any one treatment method or philosophy other than providing the fastest possible and sustainable drug-free relief to back, neck and limb pain conditions. Methods of treatment employed include;
• The McKenzie Method
• Physiotherapy
• Myotherapy


Spine Wise
Spine Smart is committed to helping people enjoy pain free lifestyles without the necessity of regular clinic visits to treat recurring pain events. We achieve this through our therapy extension program known as Spine Wise. Spine Wise examines your daily lifestyle – scrutinising habitual movements, postures and activities until we have an assessment profile of the musculoskeletal pressures and specific movements preventing full biomechanical health being restored. We will show you what movements and activities need to be modified or reduced as well as giving you tools for ongoing strengthening of your spine. Spine Strong
Spine Strong involves a partnered plan where clinician and patient work together in the development of a stronger more resilient spine. It will typically involve an analytic spine and core assessment to identify the level of your current musculoskeletal health and which areas could potentially breakdown in future. From this diagnosis a personalised strength building plan will be developed with an appropriate level of monitoring to ensure systematic progress is being made.

03/06/2017

*There are many misconceptions associated with MDT, several of which are listed below:*

Are you familiar with the imaging guidelines for low back pain? I found the following article a little surprising.
06/10/2016

Are you familiar with the imaging guidelines for low back pain? I found the following article a little surprising.

Chiropractors have been shown to refer for lumbar radiography in clinical scenarios inconsistent with the current clinical guidelines for low back pain. It is unknown whether this is due to lack of adherence with known guidelines or a lack of awareness of relevant guidelines. Therefore, the aim of t...

18/09/2016

A BIG thanks to everyone who attended today’s seminar on low back pain and sciatica, it was wonderful to see so many of you there and asking fantastic questions! And also thank you AACMA for organising the event.

I hope you all enjoyed the lecture and feel you got at least one thing you can start using with your patients, possibly even tomorrow!

Please feel free to contact me should you have any questions regarding the material or the assessment and treatment of musculoskeletal problems affecting the low back or neck.

Thanks again,

Brett :)

This is well worth listening to if you’re considering surgery for pain, especially back pain. We should, however, be pre...
19/04/2016

This is well worth listening to if you’re considering surgery for pain, especially back pain. We should, however, be prepared to examine the evidence for all interventions, not only surgery.

Thanks to Jason Ward from Mechanical Care Forum and Professor Ian Harris.

in episode 113 I'm privileged to speak with Professor Ian Harris of Sydney, Australia. He's an orthopedic surgeon, a researcher and an author. Most recently he's authored Surgery: The Ultimate Placebo.

People who suffer from back pain are often told they shouldn’t lift and are strongly discouraged from pursuing activitie...
18/04/2016

People who suffer from back pain are often told they shouldn’t lift and are strongly discouraged from pursuing activities such as the deadlift, squat or the Olympic lifts.

Certainly, when you’re in the acute stage and still healing, a period of avoiding these activities may be necessary, however, lifting isn’t the issue, technique is.

I don’t profess to be an expert on Olympic lifting, squatting, or deadlifting, however, I do know that if your technique is correct and you gradually increase the load, there’s no reason why you shouldn’t reap the rewards provided by these wonderful exercises.

The footage of Tian Tao lifting 219kg is a beautiful example of technique. Pay particular attention to the position of his lumbar spine/low back and how he maintains a perfectly neutral spine.

http://www.allthingsgym.com/ Subscribe ►►► http://bit.ly/subatg Tian Tao 219 Clean & Jerk World Record Attempt Almaty 2014 World Weightlifting Championships ...

Nice to see an ergonomic intervention being evaluated within a specific subgroup of low back pain sufferers (pain made w...
17/04/2016

Nice to see an ergonomic intervention being evaluated within a specific subgroup of low back pain sufferers (pain made worse with prolonged sitting). Just another example demonstrating the importance of identifying the specific movements, activities, and postures that aggravate pain.

Fit the treatment to the patient, not the patient to the treatment.

http://www.ncbi.nlm.nih.gov/pubmed/23438303

If you're considering knee surgery, take look at this short video.
03/04/2016

If you're considering knee surgery, take look at this short video.

Arthroscopic partial meniscectomy is one of the most common orthopedic procedures, yet rigorous evidence of its efficacy is lacking.

09/03/2016

An interesting read for those applying evidence-based assessment and treatment. In addition to supporting the use of the cervical flexion-rotation test in the assessment of cervicogenic headache, it highlights the importance of passive testing or OP that gets patients to end range.
http://www.tandfonline.com/doi/abs/10.1179/2042618614Y.0000000085

(2015). The flexion–rotation test performed actively and passively: a comparison of range of motion in patients with cervicogenic headache. Journal of Manual & Manipulative Therapy: Vol. 23, No. 2, pp. 61-67.

I know it's old, but, it seems not much has changed. If you have lower back pain or sciatica, know someone who does, or ...
02/03/2016

I know it's old, but, it seems not much has changed.
If you have lower back pain or sciatica, know someone who does, or you treat people with these complaints, I'm sure you'll find this an eye-opening read. Just another endorsement for movement-based therapies like the McKenzie Method. If you have lower back pain or sciatica, do yourself a favor and find yourself a McKenzie Method therapist.
http://www.jabfm.org/content/22/1/62.long

Chronic back pain is among the most common patient complaints. Its prevalence and impact have spawned a rapidly expanding range of tests and treatments. Some of these have become widely used for indications that are not well validated, leading to uncertainty about efficacy and safety, increasing com…

11/02/2016

Review question: We reviewed the evidence that compares surgery versus non-surgical treatment for a condition called lumbar spinal stenosis. This condition occurs when the area surrounding the spinal cord and nerves becomes smaller. Background: People with lumbar spinal stenosis experience a range o…

Movement is medicine Just another example of how you can treat yourself. No need for regular treatment, just get moving!...
20/11/2015

Movement is medicine
Just another example of how you can treat yourself. No need for regular treatment, just get moving!
This study compared the effect of Tai Chi and physical therapy and found "Tai Chi and PT (physical therapy) led to similar improvements in pain and other outcomes".

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