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Our 6-Week Mindfulness Program

If you live with chronic pain, illness or a stress-related medical condition, you may be interested in learning skills that will help you to help yourself. Our 6-Week Mindfulness Program offers you instruction in mindfulness meditation, mindful eating and a range of strategies to manage stress and physical symptoms.

Instructor Daniel Cerny

Find out more about Daniel here http://www.wellnesswithdaniel.com.au/about-danie

This 6-week program is designed to complement your medical care.

After the program you will have:

  •  Effective ways to manage stress, pain and illness

 

  •  A better understanding of how to eat well and mindfully to promote wellbeing

 

  • The skills to practically apply mindfulness to daily life situations

 

  • Learnt how to mindfully respond to an active mind lost in worries and fear

 

  • Lasting decrease in negative thinking patterns, anxiety, depression and irritability

 

  • Lasting decrease in physical symptoms of a range of chronic health problems (including chronic pain)

 

This Mindfulness Program is appropriate for individuals with a variety of medical conditions such as:

 

        Anxiety                                                                                                   Cancer

        Fatigue                                                                                                    Headache

        Insomnia                                                                                                 Neurological disorders

        Arthritis                                                                                                  Chronic pain

        Fibromyalgia                                                                                         Heart disease

        Multiple sclerosis                                                                                 Rheumatological conditions

        Back pain                                                                                               Cumulative trauma 

       Gastrointestinal distress                                                                    Disorder    

       Muscle disorders                                                                                  Hypertension     

 

 

Click here for our Mindfulness Program flyer 

Learn more about studies on the effectiveness of mindfulness

Click here for an article in the Journal of the American Medical Association (JAMA)

 

Nerve Conduction Study and EMG Test

What is a Nerve Conduction Strudy?

While reviewing a patient’s medical history and conducting a neurological consultation, the neurologist may determine that it is necessary to perform a Nerve Conduction Study (NCS). The procedure involves stimulating one or more nerves, with the help of metal electrodes placed on the skin, to measure and record nerve responses. The study provides valuable feedback regarding the number of nerve fibres present and the integrity of the myelin to conduct the nerve impulse. Depending upon the nerve, it can be either a motor nerve or sensory nerve conduction. The characteristics such as speed of the impulse, shape, wavelength and height of the nerve signal help the neurologist to diagnose whether the nerve is functional or defective.

A NCS is helpful in diagnosing conditions like carpal tunnel syndrome, muscle disorders, neuropathies, radiculopathy (nerve root damage), motor neuron diseases and disorders of neuromuscular junction, such as myasthenia gravis.

What is an EMG (Electromyography) Test?

An electromyography (EMG) test is another diagnostic tool that our neurologists use that may be administered along with the nerve conduction study to measure the electrical activity of the patient’s muscles at rest and while contracting.

An EMG is routinely used to confirm or rule out abnormalities such as a lack of muscle response to electrical activity or even complete absence of contractions. Any inadequacy in nerve or muscle function can be easily detected with an EMG test. Apart from being used for diagnostic purposes, electromyography is also used to monitor our patient’s progress from prescribed treatments that are designed to improve muscular conditions.

Injection Treatment Treatment for Chronic Migraines

Since April 2014 Injection treatment for Chronic Migarine sufferers is on PBS for eligible patient.

It is estimated that more than 10% of the Australian population suffer from migraine headaches resulting in lost time at work and enjoyment of extracurricular activities. A migraine is more than just a typical headache. It is an intense pounding and throbbing pain that steals one’s energy and ability to function during the duration of an episode which can last for one day or longer.

While most conventional treatments involve taking medications that provide relief during the onset or aura of the acute symptoms, Antiwrinkle injections has been found to work as a preventive treatment for chronic migraine sufferers.

How does Antiwrinkle injection treatment work?

A migraine episode is triggered when the trigeminal nerve is stimulated, which releases neurotransmitters that cause painful inflammation of blood vessels of the brain. This inflammation causes symptoms like severe headache, nausea, vomiting and sensitivity to light and sound. It works by blocking the release of those neuro-transmitters that carry the pain signals through nerve impulses.

How is it administered?

Antiwrinkle injection is given in the form of low volume injections. These injections are administered by a trained Neurologist. It is injected across several specific head/neck muscle areas. The entire out-patient procedure takes around 15 minutes and the patient can resume their normal activities immediately following treatment. The recommended re-treatment schedule is every 12 weeks.

Are there any side effects of injection treatment for chronic headaches?

Temporary side effects such as muscle weakness, dropping of eyelids, neck pain, muscle pain, mild pain at the injection site and dry mouth have been reported by some patients. These side effects usually go away within few days without the need for any additional medication.

It is not recommended for  individuals with existing neuromuscular disorders and heart conditions; or for women that are pregnant or nursing.

 

Injection Treatment for Movement Disorders

Injectable Toxin Treatment for Movement Disorders

The underlying cause of all movement disorders is an error in the neuromuscular pathways, leading to an excessive stimulation of muscles. Muscles are always tense and in a state of constant contraction, whereas they should be relaxed and unflexed. Constant tension causes pain and disability.

Movement disorders occur in certain neurological diseases when different parts of the body exhibit either excessive, uncontrolled and abnormal movements, or shortage of movement. Shortage of movement in these cases is not due to paralysis or weakness of muscles. The underlying cause of movement disorders is pathology in the brain cells associated with movement. The brain cell pathology can cause hyperkinesia (excessive and involuntary muscle movement) or hypokinesia (lack of purposeful movement).

Injectable toxin is a complex protein used to provide sustained relief to patients in various movement disorders. Once injected inside the nerve cells, it acts at the junction of nerves and muscles to block the release of acetylcholine (the chemical messenger responsible for contraction of muscles). This reduces its concentration at the neuromuscular junction and thus, causes the muscles at the site of injection, to relax. This provides relief from various symptoms of dystonia and spasticity.

Common types of movement disorders that are treated with injectable toxin include cervical dystonia, blepharospasm, writer’s cramp, various tremors and tics, spasticity, facial spasm.

 Dystonia is a condition in which there are involuntary and sustained muscle contractions causing abnormal postures or abnormal positioning of body parts. This causes limitation of motion, pain and disability. Blepharospasm is twitching and abnormal contraction of eyelids. In severe cases, it may cause functional blindness due to the patients’ inability to open their eyes. Writer’s cramp is a spasm of the muscles of hand and symptoms include loss of coordination, cramps, trembling and pain while performing simple daily tasks. Spasticity refers to spasm of muscles because of stroke, multiple sclerosis, brain injury and some other brain disorders. Facial spasm causes twitching and spasm of facial muscles.

 Of the seven types of toxin, only type A  and type B are used therapeutically. Only type A is available in Australia.  It is selectively injected into specific muscles, where it causes temporary mild weakness. The amount of weakness caused can be regulated by varying the amount of toxin. Maximum effect occurs 4 to 5 weeks after the injection and the effect of  injection lasts for about 3 to 5 months. Although patient starts noticing some improvement within few days.

Side effects of this therapy are generally mild and self limiting and include pain or discomfort at the site of injection. Allergic reactions comprising of rashes, wheezing and breathing trouble may also occur.

Injection therapy is a highly effective and safe treatment option for relief of symptoms and improvement of quality of life in patients of movement disorders. It is not recommended for individuals with existing neuromuscular disorders and heart conditions; or for women that are pregnant or nursing.

 

Nerve Conduction Study and EMG Test

What is a Nerve Conduction Study (NCS)?

A Nerve Conduction Study (NCS) measures the size and speed of the electrically conducted impulses of nerves that are suspected to be problematic. The procedure involves stimulating one or more nerves with the help of metal electrodes placed on the skin that measure and record the responses generated by the stimulated nerves. The NCS test will provide valuable feedback regarding the number of nerve fibres present and the integrity of the myelin to conduct the nerve impulse. Depending upon the nerve, it can be either a motor nerve or sensory nerve conduction. The characteristics such as speed of the impulse, shape, wavelength and height of nerve signal help the neurologist to diagnose whether the nerve is functional or defective.

A NCS is helpful in diagnosing conditions like carpal tunnel syndrome, muscle disorders, neuropathies, radiculopathy (nerve root damage), motor neuron diseases and disorders of neuromuscular junction, such as myasthenia gravis.

As the test involves passing a current through the nerves, you will feel as being zapped. It is similar to but more tolerable then touching an electric fence! Hardly anyone has issues during the test. You can always ask your electrophysiologist to stop if you are not comfortable.

The test usually takes 30 minutes.

What is an EMG (Electromyography) Test?

Electromyography (EMG) is a diagnostic tool that measures the electrical activity within muscles. It assesses the electrical activity of the patient’s muscles at rest and while contracting.

An EMG is routinely used to confirm or rule out abnormalities such as a lack of muscle response to electrical activity or even complete absence of contractions. Any inadequacy in nerve or muscle function can be easily detected with an EMG. Apart from being used for diagnostic purposes, electromyography is also used to check patient progress from treatments that are prescribed to improve muscular conditions.

During  EMG a disposable fine needle is inserted into the targeted muscle. You might feel a slight prick or pain which is usually bearable. Please let the electromyographer know if it is too uncomfortable.

The test usually takes 30 minutes.