June Newsletter 2017

This month’s success story is about a client who no matter what can brighten up the whole clinic with his humour!

Chronic pain is becoming more common, read up all about pain and the brain and how to help deal with it

Read up on all the news reguarly happening here at corehealth!

Winter is coming! Stay warm with our twist on the traditional casserole

Contents

corehealth Monthly Special
corehealth Inspiration
Regular Champions
Let’s Talk Health – Pain and the Brain
corehealth News
Recipe of the Month – Lamb and Artichoke Casserole

corehealth Monthly Special

For the month of June, attend an extra Pilates class or Exercise Physiology session a week for the whole month and recieve a FREE pair of socks! It’s cold and miserable so keep yourself warm and motivated!

For newsletter subscribers only. Make sure to mention this edition of the newsletter to redeem your offer. Talk to staff for any additional information.

corehealth Inspiration

“If we have no peace, it is because we have forgotten that we belong to each other.”

– Mother Teresa

corehealth Regular Champions

Client Story – John McMichael

Why did you first come to corehealth?
I was recommended by a specialist as a way of getting ready for retirement and to maintain a fit and healthy lifestyle.

What were your goals when you first came to corehealth?
I wanted to lose weight, gain flexibility, and regain the things that I had stopped doing like squatting and running. I feel like I’ve become a lot stronger in my legs and stomach and stuff like that. When I was 35 I stopped playing sport and until 45 I kept myself fit with projects on the home but after that I spent more and more time office-bound and by the time I was in my early 50s I tried to start walking again and when I got half way around the block my calves got so tight that I couldn’t walk.

Tell us a little bit about your background.
I studied Agriculture at Roseworthy college and worked on the land for about 4 or 5 years until I decided to come back to Adelaide and start working in civil construction and now I suppose I’ve been in civil construction for 30 years. I bought my own company about 10 years ago, which is probably a silly thing to do at 52 years of age but it’s been the best thing I ever did. We run a company that does brownfield and greenfield sub-divisions and council-type work, we have about 50 employees, it keeps me busy, especially sitting in the office a lot and not getting enough exercise.

What has your management here at core involved?
Well they started me off on the beginner program and worked me reasonably hard for the first 12 weeks. Then when I had my review assessment I had improved a lot, but I knew that anyway because I was just fitter in all departments. And then the next program was far more challenging; and as I found out the other day, if I can do one exercise well they either increase the repetitions or the weight. I was getting almost annoyed that I didn’t seem to be getting anywhere, the exercises seemed to be beating me each week, but I didn’t realise they were making it harder!

What is your favourite part of your sessions here?
Walking out the door! No I suppose all of it – each individual exercise I hate when I go to do it but they’re all part and parcel of the game. I like the boxing; it’s very physical! As I was saying before this is my opportunity to get even; the sadistic little monsters that train me get an enormous amount of pleasure from seeing the pain and agony that I suffer during sessions, so I keep coming so that they can have their 5 minutes of pleasure three times a week!

How are you feeling now compared to when you first started?
I’m feeling much fitter and I get less exhausted like when I go out in the garden, and at work. I’ve lost 6kg to date, it seems to stop at times but they tell me that I’m putting on muscle while also burning fat. In the last 2-3 weeks I’ve started dropping again. Overall I’m impressed with the progress that I’ve got and I realise it’s a slow process; it’s not going to happen over night.

Do you have any exciting plans coming up?
One of our friends wanted to do New York for their birthday and we stupidly agreed to go along with them. We’re going there for about a fortnight and spending a couple of days in Hong Kong on the way back. We’ll do Central Park, Ground Zero, Statue of Liberty, the United Nations – where Khrushchev banged his shoe on the table – you’d be too young to know that reference. We want to go to a Michelin star restaurant and we have tickets to the baseball.
– Written by Steph Folley

Let’s Talk Health – Pain and the Brain


Pain is a common experience most of us have suffered or are suffering from. Pain varies in severity and consistency and can sometimes be hard to understand.

Pain is identified by sensors in our neural pathways that connect the affected area/body part to the brain, these are known nociceptors. Pain that has lasted for over 3 months can be considered as chronic pain. This chronic pain can be due to a number of factors, which include:

• Continued aggravation – this is when the sufferer continues to do activities that exacerbate the injury or painful area. It is important to work out what the cause of the injury/pain is and retrieve information about what increases the pain and aggravation.
• Central sensitisation – This is caused by an increased sensitivity of the neural pathway within the central nervous system, this hypersensitivity can affect how the person perceives pain. For example, more sensitive to things that should hurt, but also experience pain upon ordinary touch and pressure as well which should cause no pain. Another characteristic of central sensitisation is the pain takes longer to subside and ‘echoes’.
• Glia within our immune system – Glia cells support our central nervous system, however they are not a nerve cell. Glia cells are a part of our immune system and assist in maintaining homeostasis within the body. When certain areas of the nervous system are continually aggravated this can also cause an excitability of the glia that is surrounding the affected area. Furthermore, contributing in the hypersensitivity of the area, causing a dysregulation of glial functions in the central nervous system.

Suffering from chronic pain can be frustrating and have a drastic effect on how the sufferer lives their life and in severe cases can cause a decrease in mobility. A lot of chronic pain suffers avoid physical activity and exercise, this is called ‘fear avoidance’ which creates a fear of performing daily tasks so there is no aggravation of the pain. This may be the worst thing for the sufferer as strength and endurance will decrease and can create more problems.

However, with appropriate understanding of pain and treatment options suffers are able to manage their pain and even improve their quality of life. The following are a few helpful hints to assist in dealing with chronic pain

• Identifying Risks – it is important to work out the causes and triggers of the pain. What movements increase pain, decrease pain or do not affect the pain.
• Utilising Exercises that will assist in rehabilitation – After working out the risks, movement and rehabilitation of the area is of upmost importance. This will allow a quicker recovery time as well as help in maintaining strength and endurance of the overall body
• Learn that some pain is good pain – It can be hard to understand that having some pain is not always a bad thing, suffers need to establish when their pain is aggravated/worsened and therefore determine whether they are able to push through some of the pain without causing aggravation.
• See a Health Care Professional – seeing a specialist in the area can assist in a more beneficial recovery. Health care professionals can help establish a treatment plan that works for you and your daily routines.

References

https://www.painscience.com/articles/central-sensitization.php

https://www.ncbi.nlm.nih.gov/pubmed/23792284

– Written by Courtney Hutton

corehealth News

Long Weekend

Just a reminder that we are closed over the Queen’s Birthday Long weekend on Monday the 12th of June. Make sure that you remember to change your appointments for Monday ASAP before spots fill up!

Socks!

We have recently had not one but TWO new shipments of socks come in! Have you seen them yet? There are a range of different colours, patterns, sizes and thickness. We have so many socks that we couldn’t even fit them all on the wall!

Recipe of the Month

Lamb Chop and Artichoke Casserole

Try our Winter Warmer on a rainy day *best served with a glass of wine

Ingredients

2 tablespoons olive oil
6 lamb forequarter chops, trimmed
2 brown onions, halved, sliced
2 carrots, sliced
2 garlic cloves, crushed
1 teaspoon dried oregano
1/2 teaspoon dried rosemary
1 tablespoon plain flour
2 cups Massel beef stock
2 x 400g cans cherry tomatoes in juice
170g jar or tin marinated artichoke pieces, drained
400g can cannellini beans, drained, rinsed
2 tablespoons lemon juice
1/4 cup fresh flat-leaf parsley leaves, to serve
Steamed white rice, to serve

Method

Step 1. Preheat oven to 200C/180C fan-forced.

Step 2. Heat oil in a 10-cup-capacity flameproof baking dish over medium heat. Cook lamb chops, in batches, for 2 to 3 minutes each side or until browned all over. Transfer to a plate.

Step 3. Add onion and carrot to dish. Cook, stirring, for 5 minutes or until onion is softened. Add garlic, oregano and rosemary. Cook, stirring, for 1 minute or until fragrant. Add flour. Cook for 1 minute. Gradually add stock, stirring constantly, until smooth. Add tomato, artichoke, beans and lemon juice. Return chops to pan.

Step 4. Cover tightly with foil. Bake for 50 minutes. Remove foil. Bake for a further 20 minutes or until thickened slightly. Sprinkle with parsley and serve with rice.
– Suggested by Marissa Carter