H O M E | spinal solution | Crows Nest

PUT YOUR HEALTH
IN SAFE PROFESSIONAL

HANDS

OUR

PRACTICE

PHILOSOPHY

Caring. Competent. Trust.

An Dau has more than 25 years of clinical experience caring for patients. Our practice has been here for 35 years in Crows Nest and is one of the longest running practices on the Lower North Shore.

An Dau graduated with a Masters degree in Chiropractic from Macquarie University in 1997 after attaining a BSc from the University of NSW. She has completed hundreds of hours of post graduate studies on nutrition and rehabilitation therapies. She has spent 14 years living and running her own practice in Scotland and has now settled back in Sydney with her family.

Our first priority is to get the diagnosis of your underlying problem right. Then we decide if chiropractic is an appropriate treatment approach for your type of problem. If so, we can then

discuss the treatment approaches available including the most evidenced-based treatments.

Our practice philosophy is to deliver safe, friendly, high quality care that respects patient preferences and values.

We service a large area including Crows Nest, North Sydney, Neutral Bay, Willoughby, St Leonards and Chatswood with excellent connections to public transport and free parking.

PHILOSOPHY

CHIROPRACTIC

The most common complaints that present to chiropractors are low back pain, sciatica, neck pain and headaches. Moderate to high quality research supports treatments often used by chiropractors for the management of these complaints (1,2,3,4).

Beyond these complaints we routinely diagnose and manage a range of other muscle and joint complaints related to the foot, knee, hip, shoulder, elbow or wrist.

As spine-care experts our plan will be to provide you with the best evidenced-based care available to reduce your pain and improve the long-term health of your spine and posture.

Our clinic facility is equipped with an on site x-ray machine, exercise and rehabilitation training room and scanning technology for foot orthotics when needed.

Having a health fund terminal onsite allows for quick and easy claiming for those who have additional cover under with there private health insurance.

References:

1. Chou R et al. Nonpharmacologic therapies for low back pain: a systematic review for an American College of Physicians Clinical Practice Guideline. Annals of Internal Medicine 2017; 166: 493-505.

2. Hoving JL et al. Manual therapy, physical therapy, or continued care by a general practitioner for patients with neck pain: a randomized, controlled trial. Annals of Internal Medicine 2002; 136: 713-22.

3. Gross et al. Manipulation and mobilisation for mechanical neck disorders. Cochrane Database Syst Rev 2004; 1.

4. Haas M et al. Dose-response and efficacy of spinal manipulation for care of cervicogenic headache: a dual-center randomized controlled trial. The Spine Journal 2018.

SPINAL DECOMPRESSION THERAPY

Spinal Decompression Therapy is a computer-aided technology that has revolutionized the treatment of chronic low back pain, disc bulges/degeneration, and neck pain.

Decompression Therapy (DT) is a non-invasive motorized traction therapy that stretches the spine gently, resulting in a change of force and position of the spine and in turn relieves the spinal discs and nerves of the pressure causing the pain in the first place.

This state of the art, fully automated, multi sensor unit is an effective alternative to surgery and offers long term pain relief.

It is effective in the treatment of:

Disc Bulges/Disc Herniation
Degenerative Disc Diseases
Sciatica
Stenosis
Some types of Degenerative Arthritis

DT stretches and relaxes the spine using accurate calculations in it's computer to generate just the right amount of tension to achieve optimal results.

The best part of Decompression Therapy:

Non-invasive
No medication needed
Fast and Effective. Most appointments take just 20 minutes.
Can be performed as a stand alone treatment, or combined with other modalities like Cold Laser and Chiropractic Adjustments.

Speak to us to find out more about this revolutionary new spinal treatment here at Spinal Solution in Crows Nest.

References:

1. Gudavalli MR, Cambron JA, McGregor M, et al. A randomized clinical trial and subgroup analysis to compare flexion-distraction with active exercise for chronic low back pain. Eur Spine J. 2016;25(4):1070-1082. doi:10.1007/s00586-015-3894-y

2. Macario A, Pergolizzi JV Jr. Systematic literature review of spinal decompression via motorized traction for chronic discogenic low back pain. Pain Pract. 2006;6(3):171-178. doi:10.1111/j.1533-2500.2006.00083.x

3. Gose EE, Naguszewski WK, Naguszewski RK. Vertebral axial decompression therapy for pain associated with herniated or degenerated discs or facet syndrome: an outcome study. Neurol Res. 1998;20(3):186-190. doi:10.1080/01616412.1998.11740845

4. Ramos G, Martin W. Effects of vertebral axial decompression on intradiscal pressure. J Neurosurg. 1994;81(3):350-353. doi:10.3171/jns.1994.81.3.0350

5. Gudavalli MR, Cox JM, Baker JA, Cramer GD, Patwardhan AG. Intervertebral disc pressure changes during a chiropractic procedure. J Manipulative Physiol Ther. 1995;18(9):610-614. doi:10.1016/0161-4754(95)80003-3

MASSAGE THERAPY

Our massage-therapy services are covered by most health funds skilled across a range of techniques depending on your needs and preferences. This can include relaxation, sports-massage and deep tissue.

Remedial massage compliments the treatments you receive with the chiropractor including when abnormal muscular tension is part of your underlying complaint.

A remedial massage before your chiropractic treatment can also have the beneficial effect of loosening your muscles, making your body more receptive to the treatments you'll receive with the chiropractor.

As a fully qualified massage therapists, Luke Fayman and Manny Elturk are committed to providing you a therapeutic experience that is both competent and professional, while tailoring the treatment to suit your specific needs.

Remedial massage is a therapeutic practice that has many physical, psychological and emotional benefits.

As a natural therapy, massage uniquely benefits the body in a holistic way, with various benefits tailored to suit your individual needs.

COLD LASER THERAPY

Cold Laser Therapy (or Low Level Laser Therapy) uses painless red light at specific frequencies to stimulate the engine of the cell, known as the mitochondria to produce more cellular fuel (called ATP).With more fuel, your body can optimise it's function- such as reducing inflammation and pain relief. We often combine it with dry needling or remedial massage to help reduce chronic pain , joint arthritis and more mobility.

Cold laser is painless and you should not feel any heat or pain with this type of therapy. Our Cold Laser machines are FDA approved for pain relief.

References:

1. Review of Literature on Low Level Laser Therapy benefits for nonpharmacological pain control in chronic pain and osteoarthritis.

https://pubmed.ncbi.nlm.nih.gov/28987080/

2. The use of Low Level Light Laser for musculoskeletal pain.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4743666/

SHOCKWAVE THERAPY

Shockwave therapy (also known as Extracorporeal Shock Wave Therapy (ESWT) ) is a non-invasive therapy that stimulates the body’s natural healing process. It can relieve and promote healing of injured tendons, ligaments and other soft tissues as well as difficult-to-heal ligament injuries. It accomplishes this by releasing growth factors in the injured tissue. Some degenerative tendinopathies have an associated build up of calcium in the tendon. Focused shockwaves can help break these deposits up.

The majority of patients who use this treatment have enjoyed the results. In clinical studies, about 91% of patients reported successful results, including a decrease of pain and increase mobility.

Does shockwave reduce inflammation?

Shockwave therapy can help reduce inflammation, swelling and pain. By decreasing the release of inflammatory mediators from cells in the treated area. The sound waves cause tiny vibrations in the tissue, which help to break up the inflammatory cells and promote healing.
What kind of sports injuries can be treated with shockwave therapy?

Foot pain: plantar fasciitis, and Achille’s tedinpoathies
Knee pain: patella tendinopathy
Leg pain: hamstring and calf injuries
Hip pain: recuts femoral and lateral hip pain with tedinpoathies
Elbow pain: tennis and golfer’s elbow
Shoulder pain: rotator cuff injuries

Is shockwave painful?
Most patients report some discomfort during the therapy, but most do not find it painful. Treatments closer to a bony area can feel more sensitive. As soon as the treatment is over the discomfort generally drops.
There maybe some slight swelling or bruising within 24 hours of the therapy, but this tends to subside pretty quickly.

References:

Wang CJ, Ko JY, Chan YS, Weng LH, Hsu SL. Extracorporeal shockwave for chronic patellar tendinopathy. Am J Sports Med. 2007 Jul;35(7):972-8. doi: 10.1177/0363546506298102. Epub 2007 Mar 23. PMID: 17389551.
Furia JP. Extracorporeal shock wave therapy for musculoskeletal conditions. Am Fam Physician. 2018 Jul 1;98(1):46-53. PMID: 29972716.
Lai WC, Wu YT, Chuang TY, et al. The Effectiveness of Extracorporeal Shock Wave Therapy on Chronic Achilles Tendinopathy: A Systematic Review. J Orthop Surg Res. 2018;13(1):45. Published 2018 Feb 26. doi:10.1186/s13018-018-0754-7
Rasmussen S, Christensen M, Mathiesen I, et al. Shockwave therapy for chronic Achilles tendinopathy: a double-blind, randomized clinical trial of efficacy. Acta Orthop. 2008 Dec;79(6):249-56. doi: 10.1080/17453670810016964. PMID: 19085473.
Gerdesmeyer L, Frey C, Vester J, et al. Radial extracorporeal shock wave therapy is safe and effective in the treatment of chronic recalcitrant plantar fasciitis: results of a confirmatory randomized placebo-controlled multicenter study. Am J Sports Med. 2008 Jul;36(7):1250-4. doi: 10.1177/0363546508314699. Epub 2008 May 9. PMID: 18467564.