menu trigger  menu trigger

  • A trusted source of information and support for over 50 years

    Back pain • Arthritis • Musculoskeletal conditions
    • 1800 263 265B.A.M. Helpline

    • READ OUR BLOG

    neck-pain.jpg
    Lisa Bywaters
    03/Mar/2022
    Health InformationMSK articles

    What a pain in the neck!

    Neck pain is a common problem many of us will experience at least once in our lives. The good news is that most cases of neck pain get better within a few days.

    So what is neck pain? What causes it, and how can you manage it and get on with life?

    Let’s start with a look at your spine

    It helps to know how your spine works to understand some of the potential causes of neck pain.

    Your spine (or backbone) is made up of bones called vertebrae, stacked on top of each other to form a loose ‘S’-shaped column.

    Your spinal cord transports messages to and from your brain and the rest of your body. It passes through a hole in each of the vertebrae, where it’s protected from damage. It runs through the length of your spinal column.

    Each vertebra is cushioned by spongy tissue called intervertebral discs. These discs act as shock absorbers. Vertebrae are joined together by small joints (facet joints), which allow the vertebrae to slide against each other, enabling you to twist and turn. Tough, flexible bands of soft tissue (ligaments) also hold the spine in position.

    Layers of muscle provide structural support and help you move. They’re joined to bone by strong tissue (tendons).

    Your spine is divided into five sections: 7 cervical or neck vertebrae, 12 thoracic vertebrae, 5 lumbar vertebrae, 5 fused vertebrae in your sacrum and 4 fused vertebrae in your tailbone (or coccyx) at the base of your spine.

    So what’s causing the pain?

    It’s important to know that most people with neck pain don’t have any significant damage to their spine. The pain they’re experiencing often comes from the soft tissues such as muscles and ligaments.

    Some common causes of neck pain are:

    • muscle strain or tension – caused by things such as poor posture for long periods (e.g. hunching over while using a computer/smartphone or while reading), poor neck support while sleeping, jerking or straining your neck during exercise or work activities, anxiety and stress.
    • cervical spondylosis – this arthritis of the neck is related to ageing. As you age, your intervertebral discs lose moisture and some of their cushioning effect. The space between your vertebrae becomes narrower, and your vertebrae may begin to rub together. Your body tries to repair this damage by creating bony growths (bone spurs). Most people with this condition don’t have any symptoms; however, when they do occur, the most common symptoms are neck pain and stiffness. Some people may experience other symptoms such as tingling or numbness in their arms and legs if bone spurs press against nerves. There can also be a narrowing of the spinal canal (stenosis).
    • other musculoskeletal conditions such as osteoarthritis, rheumatoid arthritis, fibromyalgia, osteoporosis.
    • herniated disc (also called a slipped or ruptured disc). This occurs when the tough outside layer of a disc tears or ruptures, and the soft jelly-like inside bulges out and presses on the nerves in your spine.
    • whiplash – this is a form of neck sprain caused when the neck is suddenly whipped backward and then forward. This stretches the neck muscles and ligaments more than normal, causing a sprain. Whiplash most commonly occurs following a car accident and may occur days after the accident.

    Symptoms

    The symptoms you experience will depend on what’s causing your neck pain but may include:

    • pain and/or stiffness in the neck and shoulders
    • pain when moving
    • difficulty turning your head
    • headache.

    In most cases, neck pain goes away in a few days. But if your pain doesn’t get better, or you develop other symptoms, you should see your doctor.

    Or you can answer a few questions in the neck pain and stiffness symptom checker by healthdirect to find out if you need medical care. Simply click on ‘N’ and select ‘neck pain and stiffness’.

    Seeing your doctor

    If you need to see your doctor because of your neck pain, you can expect a discussion about potential causes or triggers of your pain, whether you’ve had neck pain before, things that make your pain worse, things that make it better. Your doctor will also conduct a thorough physical exam.

    This discussion and examination by your doctor will decide whether more investigations (e.g. x-rays, CT or MRI scans) are appropriate for you. However, these tests are generally unhelpful to find a cause of the pain unless there’s an obvious injury or problem (e.g. following an accident or fall). It‘s also important to know that many investigations show ‘changes’ to your spine that represent the normal passage of time, not damage to your spine.

    Often it’s not possible to find a cause for neck pain. However, it’s good to know that you can still treat it effectively without knowing the cause.

    For more information about questions to ask your doctor before getting any test, treatment or procedure, visit the Choosing Wisely Australia website.

    Dealing with neck pain

    Most cases of neck pain will get better within a few days without you needing to see your doctor. During this time, try to keep active and carry on with your normal activities as much as possible.

    The following may help relieve your symptoms and speed up your recovery:

    Use heat or cold – they can help relieve pain and stiffness. Some people prefer heat (e.g. heat packs, heat rubs, warm shower, hot water bottle), others prefer cold (e.g. ice packs, a bag of frozen peas, cold gels). Always wrap them in a towel or cloth to help protect your skin from burns and tissue damage. Don’t use for longer than 10 to 15 minutes at a time, and wait for your skin temperature to return to normal before reapplying.

    Rest (temporarily) and then move. When you first develop neck pain, you might find it helps to rest your neck, but don’t rest it for too long. Too much rest can stiffen your neck muscles and make your pain last longer. Try gentle exercises and stretches to loosen the muscles and ligaments as soon as possible. If in doubt, talk with your doctor.

    Sleep on a low, firm pillow – too many pillows will cause your neck to bend unnaturally, and pillows that are too soft won’t provide your neck with adequate support.

    Be aware of your posture – poor posture for extended periods, for example, bent over your smartphone, can cause neck pain or worsen existing pain. This puts stress on your neck muscles and makes them work harder than they need to. So whether you’re standing or sitting, make a conscious effort to be aware of your posture and adjust it if necessary, or do some gentle stretches.

    Massage your pain away – massage can help you deal with your physical pain, and it also helps relieve stress and muscle tension. You can give yourself a massage, see a qualified therapist or ask a family member or friend to give you a gentle massage.

    Take time to relax – try some relaxation exercises (e.g. mindfulness, visualisation, progressive muscle relaxation) to help reduce muscle tension in your neck and shoulders.

    Try an anti-inflammatory or analgesic cream or gel – they may provide temporary pain relief. Talk with your doctor or pharmacist for advice.

    Use medication for temporary pain relief – always follow the instructions and talk to your doctor about alternatives if you find they don’t help.

    Treating ongoing neck pain

    Sometimes neck pain lasts longer than a few days, and you may have ongoing neck pain. There are things you can do to manage this:

    • See your doctor if the pain is worse or if you have other symptoms in addition to your neck pain such as numbness, pins and needles, fever or any difficulty with your bladder or bowel.
    • See a physiotherapist or exercise physiologist – they can provide you with stretching and strengthening exercises to help relieve your neck pain and stiffness.
    • Injections – some people with persistent neck pain may benefit from a long-acting steroid injection into the affected area. Talk with your doctor about whether this is right for you.
    • Surgery – is rarely needed for neck pain. However, it may be required in cases where severe pain interferes with daily activities, or the spinal cord or nerves are affected.

    Contact our free national Help Line

    If you have questions about managing your pain, your musculoskeletal condition, treatment options, mental health issues, COVID-19, telehealth, or accessing services be sure to call our nurses. They’re available weekdays between 9am-5pm on 1800 263 265; email (helpline@msk.org.au) or via Messenger.

    More to explore

    CONTINUE READING
    food-labels.jpg
    Lisa Bywaters
    03/Mar/2022
    Health InformationMSK articles

    Understanding food labels

    Are you like me and automatically select the same items when buying groceries? That specific yoghurt, brand of orange juice, yummy cheese 😉?

    There’s nothing wrong with that. We’re creatures of habit and know what we like. Also, we often want to shop as quickly as possible and get it over with 😄.

    But every now and again, it’s a good idea to compare that yoghurt, orange juice, cheese or whatever, to other similar items available.

    The ingredients list and nutrition labels can help you do this. They pack a lot of useful info into a tiny space. By reading this information you can see if the product you buy really is the best or healthiest choice for you.

    For example, if you have high blood pressure, making sure the product you buy is low in salt is important. If you’re trying to lose weight, comparing the kilojoules, fats and sugars in different brands of foods will help you make a better choice. Or if you have an allergy or intolerance to an ingredient or food additive, you can avoid buying a product that contains that item.

    In Australia, all manufactured food must provide nutrition and safety information on their labels.

    This includes:

    • the name of the product and an accurate description of what it is
    • the brand’s name
    • an ingredients list (in order from largest to smallest by weight)
    • nutritional information (e.g. energy, fat, protein, sugars and salt)
    • use-by or best-before date
    • manufacturer details
    • weight
    • food allergy information
    • list of food additives
    • directions for use and storage
    • country in which the food was produced.

    Obviously you’re not going to take the time to look at every one of these items every time you shop! But it’s helpful to look at the ingredients list and nutrition panel when looking at new products, and occasionally compare your trusty favourite with other similar items.

    Ingredients list

    All ingredients must be listed in order by weight, from largest to smallest. They also need to show the percentage of the key ingredient if it’s mentioned in the description. For example, a tomato pasta sauce may say 80% tomatoes, peanut butter 90% peanuts, raspberry yoghurt 10% raspberries etc. Other brands may have more or less tomatoes, peanuts or raspberries, so knowing the percentage is useful when comparing products.

    Sometimes what’s known as compound ingredients are used in foods. They’re ingredients that are themselves made up of two or more ingredients. For example, in some food items (e.g. Tim Tams 🤤), milk chocolate is used. So all of the ingredients in milk chocolate – sugar, milk solids, cocoa butter, cocoa mass, vegetable oil, flavour – must be listed in the ingredient list, along with the other ingredients. However, if a compound ingredient makes up less than 5% of the final food, it doesn’t need to be listed unless it’s an additive or allergen.

    Nutrition information panels

    These panels provide the nutrient details, as well as serving sizes and number of servings per package. Some labels also display % daily intake. This helps you choose foods that are lower in fat, sugar and salt.

    The nutrients listed are:

    • energy (kilojoules or calories)
    • protein
    • fat
    • saturated fat
    • carbohydrate
    • sugars – includes added and natural sugars (e.g. fructose in fruit)
    • sodium (salt).

    Some nutrition panels may include other nutrients such as fibre, potassium, calcium or iron. For example, a manufacturer may add calcium to the panel if they state on their yoghurt packaging that it’s a good source of calcium.

    Nutrients are displayed in a standard format showing the average amount per serve and per 100g (or 100mL if liquid).

    This means you can look at the 100g column on two different brands of cheeses and compare the nutrients, helping you make the healthiest choice.

    This diagram from Eatforhealth.gov.au provides a simple visualisation of what to look for in a nutrition panel.

    As far as serving size, this is the average serving according to the manufacturer. For example, a packet of crispbread lists the servings per packet as approximately 18, and the serving size as 7g (1 piece). If you eat more or less than the suggested serving size, you’ll need to factor in the difference in the energy, fat, sugar etc that you’re consuming.

    Health star ratings

    You may have seen these on the packages of some foods. They bring together all of the info from the nutrition panel, and give the food a rating out of 5, with 5 being the healthiest. These are a guide to help you very quickly compare similar products.

    Nutrition claims

    Remember the milk ad from many years ago, when a man asks for milk at a corner store? The lady behind the counter rattles off the following: ‘Low fat, no fat, full cream, high calcium, high protein, soy, light, skim, omega-3, high calcium with vitamin d and folate or extra dollop?’ They’re just some of the nutrition claims that we see on the packaging of many food products. Like reduced fat, baked not fried, light/lite, salt reduced, all-natural, no added sugar etc. They can make it hard to understand which is the best, healthiest product for you.

    Nutrition Australia (QLD) has a great article that can help you understand some of the more commonly used claims on packaging. Check out Reading food labels like a pro.

    Understanding food labels can be a little tricky at first, but with a bit of practice (and a magnifying glass 😄) you’ll soon be able to decipher what it all means and make healthy food choices. And it’s important to remember that you don’t eat separate pieces of food in isolation. They’re all part of your daily/weekly meal plan. That means there’s room for the sometimes foods we all enjoy, as long as you consume them in moderation, and you’re aware of what’s in them.

    Finally – remember there’s always help available. If you want to know more about choosing healthy food or need advice on diet in general, talk with your doctor and/or a dietitian.

    Contact our free national Help Line

    If you have questions about managing your pain, your musculoskeletal condition, treatment options, mental health issues, COVID-19, telehealth, or accessing services be sure to call our nurses. They’re available weekdays between 9am-5pm on 1800 263 265; email (helpline@msk.org.au) or via Messenger.

    More to explore

    CONTINUE READING
    resilience.jpg
    Lisa Bywaters
    10/Feb/2022
    Health InformationMSK articles

    Building resilience

    It’s hard to believe that we’ll soon be into our 3rd year of this pandemic 😷. We’ve made sourdough bread, gotten ‘used’ to masks, embraced jigsaws and telehealth, changed the way we work, go to school and socialise. We’ve missed out on many important events – big and small – as our world changed so dramatically.

    It’s been really hard, and it’s taken a toll on our physical, mental and emotional health.

    One aspect of ourselves that has suffered is our resilience. Resilience is our ability to cope and adapt to changes and challenges that the world throws at us. As this pandemic continues, we’re constantly tired, anxious, and stressed, with no end in sight. And this is really testing our resilience. Add to this a chronic, painful musculoskeletal condition, and everything seems amplified 😫.

    For example, this morning, I was driving to the chemist to buy more masks. Someone cut me off in traffic. In the past, I would’ve muttered to myself and continued on my way. But today, I flashed my lights, tooted my horn and yelled. I yelled! Madness 😣. And at that moment, I realised that the only person negatively impacted by the situation was me. The other driver was long gone, but I could feel my heart pumping and the adrenaline coursing through my veins. It’s clear that my resilience is at an all-time low at the moment. I’ve known this for some time but haven’t done anything about it. But it’s now time.

    So if you’re like me and know that your resilience isn’t what it used to be, and that you’re not handling stress and challenges as well as you once did, what can you do about it? How can you rebuild your resilience in a world that’s still so topsy-turvy, and you have no idea what’s around the corner?

    Accept that you’ll have to face change, stress and challenges. Our lives are messy. And nothing is ever smooth sailing. However, by accepting that change is always happening – both good and bad – you can mentally prepare yourself for it. You can learn from how you’ve reacted in the past and how situations have affected you. You can use this information to prepare for future events and challenges. But the first step is to accept that things will happen. Change is constant. You can choose to deal with it in a positive, proactive way, or you can choose to let it negatively affect you. Acceptance isn’t always easy and will take time and reflection, but it is possible. And if you need help, it’s available. Read our article on support for mental and emotional wellbeing for more info about the types of professionals who can help you.

    Make time for your people and your relationships. It’s tempting when you’re feeling low, in pain or like you just can’t take any more drama, to disconnect from others. However, when you’re on your own, it’s easy for your mind to get stuck on a merry-go-round of negative thoughts. They go round and round as you think about different ways you could have handled past events or as you worry about the unknown future. Staying in touch with the people who care for you can distract you from this rumination and help you focus on what’s actually happening in the world around you. They can also be a supportive ear and listen as you explain what’s affecting you and how you’re dealing (or not) with these things. They can also be a valuable source of advice if you choose to ask for it.

    Write it down. Putting pen to paper and writing down the things that are causing you stress, or to feel anxious or powerless, is a useful strategy to help you see the nuances of the problem. Take the time to think about all sides of the issue and how it affects you. You can then process it more clearly, allowing you to do some critical thinking and problem-solving. Read this article, ‘5 ways journaling can build your resilience’ for more info about journaling.

    Keep up your self-care. Again, it’s easy to let things slide when we’re not feeling on top of things. You may stop exercising, go to bed later or sleep in more often, eat comfort foods that give you a quick rush but don’t give you the nutrition you need, or rely on alcohol and other drugs to pick you up. But these behaviours will negatively affect your physical and mental health if you don’t get on top of them. So it’s important that you make a conscious commitment to continue your self-care, especially because your resilience is low. Because self-care practices such as sticking to a daily routine, eating a healthy diet, exercising regularly, getting good quality sleep and getting out into nature, will make you feel healthier and more able to cope with life’s challenges. They’ll also help you deal with pain and other symptoms of your musculoskeletal condition.

    Focus on what you can control, no matter how small. You can’t control what’s happening with the pandemic, apart from following the health advice you receive from the government and your healthcare team. This lack of control can sometimes make you feel powerless. But you can control things closer to you, like how often you access social media or how much ‘doomscrolling’ you’re doing. You can choose to give your mental health a break from negative news and socials. You’re giving yourself power – over your actions and the effect they have on you – which will help build your resilience.

    Think about how you can positively deal with challenges you’re currently dealing with. For example, if you’re working from home and feel isolated from your colleagues and the world in general, how can you manage this? Or, if you’re feeling financial stress because you’re not getting as much work as you once did, what options are available to help you? By problem-solving and coming up with a range of potential solutions, you can start to feel more in control. And if it all seems to overwhelming, you can always break big challenges down into smaller actions. If we look at the financial stress example, the first step might be to read our information on financial support. The next step might be to list who you need to contact to get help – e.g. your bank, utility companies etc. The third step might be to contact them, and so on. The point is, by breaking it down, and moving through a series of steps, you’re dealing with whatever issue or obstacle is causing you stress. You’re taking control of the situation.

    Think of the things that make you happy or grateful. Every day, before getting out of bed or before you go to sleep, think of three things that make you feel happy or grateful. It can be anything you like – the sound of your child laughing, the sight of dogs playing in the park, the scent of freshly mown lawn, the warmth of your partner’s hand as you go for an evening stroll etc. Taking time to think of these things will make you feel more optimistic because there’s so much good around us. We just have to take the time to be aware of it.

    Learn from the past. What things have helped you through a hard time in the past? Can you use that strategy/behaviour/resource now? It’s important to remember that you’ve gotten through tough times before, and you will again. It can just be a little hard to see that when you’re still going through it. But as they say, this too shall pass.

    Get help. Sometimes you can try really hard, but you just can’t seem to get on top of things by yourself. That’s ok. We’re living through very difficult times, and we all need help from time to time. Talk to trusted family or friends about how you’re feeling. They can help you work through many of the above strategies if you’re struggling. Or it may be time to speak with a mental health professional to get some support that’s specifically tailored to you and your own specific circumstances.

    We’ve all been rocked by these extraordinary times, and many of us are finding it difficult to find our footing again. We feel out of control and powerless by so much of what’s going on around us. However, by building our resilience, we’re more able to cope with these challenges and feelings and bounce back more quickly. It takes time and commitment to build your resilience, but it can be done. One step at a time.

    Contact our free national Help Line

    If you have questions about managing your pain, your musculoskeletal condition, treatment options, mental health issues, COVID-19, telehealth, or accessing services be sure to call our nurses. They’re available weekdays between 9am-5pm on 1800 263 265; email (helpline@msk.org.au) or via Messenger.

    More to explore

    CONTINUE READING
    thumbs.jpg
    Lisa Bywaters
    09/Feb/2022
    Health InformationMSK articles

    Osteoarthritis and your thumbs

    You don’t really notice your thumbs until something makes you take notice. You whack one with a hammer, jam it in a door, or you get arthritis.

    You then realise how often you use your thumbs every day 😖.

    Your thumbs are more flexible than the rest of your digits. They can rotate, flex and touch the tips of your fingers. This allows you to perform all sorts of simple and complex movements.

    So when something happens that impacts your thumb’s ability to move smoothly and painlessly, it gets your attention very quickly.

    Arthritis

    Many types of arthritis can affect your thumbs; however, osteoarthritis (OA) is the most common. OA occurs when the cartilage that covers the ends of the bones in a joint becomes brittle and breaks down. Healthy cartilage acts like a slippery cushion that absorbs shock and helps your joints move easily. When it breaks down, bone rubs against bone, causing pain and restricted movement. Your body tries to repair this damage by creating extra bone, called bone spurs. They may also cause pain and limited joint movement.

    Other conditions such as rheumatoid arthritis, psoriatic arthritis, gout and lupus can also affect your thumbs.

    This article will focus specifically on OA and thumbs.

    Who gets OA in the thumbs?

    You’re more likely to develop OA in your thumbs if you:

    • are female
    • over the age of 40
    • have had trauma or damage to the joints in your thumb
    • are obese
    • do work or activities that put stress on the thumb joints.

    Symptoms

    The symptoms of OA in the thumbs are:

    • pain
    • stiffness or limited movement of your thumb
    • joint swelling (inflammation)
    • grinding, rubbing or crunching sensation (crepitus)
    • loss of thumb strength.

    Diagnosis

    If you’re experiencing pain in your thumb that’s affecting your ability to do everyday activities, it’s important that you discuss this with your doctor. Getting a diagnosis as soon as possible means that treatment can start quickly. Early treatment will give you the best possible outcomes.

    Your doctor will:

    • take your medical history – this will include finding out about your symptoms, how long you’ve had them, what makes them better or worse
    • examine your thumb – this will include feeling for warmth, listening and feeling for grinding or crunching (crepitus), and moving your thumb through it’s range of movement.

    Your doctor may also request x-rays of your thumb to get a better look inside the joint and check for bone spurs.

    Treatment

    There’s no cure for thumb OA, but it can be managed effectively using self-care, splints, medications, and in some cases, surgery.

    Self-care

    • Exercise – as with all musculoskeletal conditions, exercise is one of the most important things you can do to manage your pain and keep your joints moving. A study published in the BMJ Open from researchers at The University of Sydney found that hand exercises, when used with pain relief, splints and education, increased hand function and decreased pain in people with thumb OA. In Appendix 2 of the article, you can access the exercises used in this study.  You can also see a hand therapist, a physiotherapist or an occupational therapist for exercises specifically tailored to you.
    • Heat and cold – cold packs/gels can help reduce inflammation, and heat packs/gels can loosen stiff muscles, both providing temporary pain relief.
    • Aids and equipment – such as jar openers, book holders, tap turners, button hook and zipper aids and easy-grip utensils can make tasks easier and more efficient by reducing the stress on your thumbs and eliminating tight grasps. You may need to speak with an occupational therapist about what equipment is best for you.
    • Avoid repetitive or repetitive activities that strain the thumb – e.g. hand sewing.

    Hand therapy
    A hand therapist is an occupational therapist or physiotherapist who has undergone advanced training to become experts in assessing, diagnosing, and treating upper limb problems (shoulder to hand). They can provide advice on joint protection and energy conservation (e.g. splints) as well as recommendations for adaptive devices/equipment to improve thumb and hand function. You can find a hand therapist via the Australian Hand Therapy Association website or talk with your doctor.

    Splints
    A splint can support your thumb, reduce your pain, protect your thumb while you do your everyday activities, and rest the joint. A hand therapist can give you advice on splints.

    Medications
    Your doctor may suggest medications such as analgesics (pain killers) and/or non-steroidal anti-inflammatory medications (NSAIDs) for temporary pain relief. Topical creams and gels are preferred over oral NSAIDs because less medication is absorbed into the bloodstream. Your doctor or pharmacist can advise you on the best medication to use for your specific health needs.

    Your doctor may recommend a cortisone injection into the joint if other strategies such as medications, the use of a splint, and self-care activities haven’t reduced your pain. These injections can reduce pain and inflammation for several weeks to months. However, you can only have a limited number of injections into the same joint in the space of a year.

    Surgery

    If conservative treatments haven’t helped and arthritis in your thumb is causing significant pain and distress and impacting your quality of life, surgery may be an option. A referral to a specialist hand surgeon is usually required. https://muscha.org/surgery/

    The most common types of surgery for thumb OA are:

    • Joint fusion (arthrodesis) – involves fusing two or more bones together. This essentially turns them into one bone and relieves pain because the joint no longer moves. However, you do lose flexibility in the thumb.
    • Osteotomy – involves cutting, shaping and repositioning bone to help correct joint alignment.
    • Trapeziectomy – involves removing one of the bones in your thumb joint (trapezium) to relieve pain.
    • Joint replacement (arthroplasty) – all or part of the affected joint is removed and replaced with an artificial implant.

    Osteoarthritis in the thumb can be a painful and distressing condition. But the good news is that there are many things you and your healthcare team can do to manage your pain and keep you doing the things you love to do. The important thing is that you seek treatment early and follow your treatment plan.

    Contact our free national Help Line

    If you have questions about managing your pain, your musculoskeletal condition, treatment options, mental health issues, COVID-19, telehealth, or accessing services be sure to call our nurses. They’re available weekdays between 9am-5pm on 1800 263 265; email (helpline@msk.org.au) or via Messenger.

    More to explore

    CONTINUE READING
    career.jpg
    Lisa Bywaters
    19/Jan/2022
    Health InformationMSK articles

    Is it time to change jobs?

    Working with a musculoskeletal condition can be a real struggle. Some people find that no matter how many accommodations or adjustments they make in their job, they can no longer perform their work duties to the required level. Or the job has become too taxing on their body, causing constant pain, fatigue and stress.

    This can be a devastating blow, especially if it’s a job that you love. It can also be an extremely scary time as you contemplate a new future, with a different job.

    The good news is that there are resources and organisations to help you through this process.

    Job Outlook

    Job Outlook is a great website and a good place to start when contemplating your next career move. It has a range of very helpful tools including:

    • Skills match – this tool helps you find new jobs that use your existing skills. You simply add your previous jobs, including unpaid or volunteer work, and it’ll give you alternative jobs that use your skills.
    • Career quiz – this simple quiz gives you a range of work scenarios. You choose the ones that appeal to you the most. The quiz provides a range of career paths that may interest you based on your answers.
    • Explore careers – provides all the relevant information about different occupations including tasks associated with the job, salary, future growth, skills and knowledge required, and the work environment (including physical demands of the job).
    • Links to training courses, job vacancies and other useful resources.

    JobAccess

    JobAccess is the Australian Government’s one-stop shop for information and resources for people with disability, employers and service providers. The section for people with a disability has a wealth of resources, especially on the Available Support page including:

    Australian Job Search

    Australian Job Search is Australia’s largest free online jobs website. Lots of useful info and resources for job seekers.

    Job Jumpstart

    Job Jumpstart provides articles and tools to help you find jobs that suit your interests. Information is tailored to your stage of life:

    Department of Education, Skills and Employment

    The Australian Government, Department of Education, Skills and Employment, provides information and support to help you with training and learning new skills.

    • Career Transition Assistance – designed to help people over the age of 45 build their confidence and skills when it comes to finding a job, and becoming more competitive in their local labour market.
    • Help with the cost of training – find out if you’re eligible for free or subsidised training.
    • Skills and Training Incentive – for people aged 45-70 years of age, it provides up to $2,200 to jointly fund training to help you remain in the workforce longer.

    My Skills

    My Skills is the national directory of vocational education and training (VET) organisations and courses. It provides info on:

    Careers counsellors

    You can also get professional help making decisions about your career choice by talking to a careers counsellor. They provide information, advice and guidance to help you make realistic choices about work, including further training or upskilling. They can help you identify jobs that match your skills and interests, create a resume, provide info on where to look for jobs and more.

    Visit Career Development Association of Australia (CDAA) to find a private career counsellor who can help you work out your best career options. Note – these services aren’t free. The CDAA advises that ‘all members are in business, they charge a fee for the services they provide. You are encouraged to contact 2-3 members and discuss your needs to make an informed decision about who could help you best.’

    Contact our free national Help Line

    If you have questions about managing your pain, your musculoskeletal condition, treatment options, mental health issues, COVID-19, telehealth, or accessing services be sure to call our nurses. They’re available weekdays between 9am-5pm on 1800 263 265; email (helpline@msk.org.au) or via Messenger.

    CONTINUE READING
    doctor-appt.jpg
    Lisa Bywaters
    09/Dec/2021
    Health InformationMSK articles

    DontWaitMate: Managing your health during the pandemic

    Did you know that 52% of Australians are putting off their healthcare due to concerns about COVID-19? (1)

    This alarming figure has prompted the Continuity of Care Collaboration (CCC), a network of more than 35 peak bodies, industry and healthcare organisations, to create the #DontWaitMate campaign.

    The campaign aims to reassure people that attending their GP, dentist, pharmacist, allied health professionals, and specialists is safe. That it’s safe to get blood tests, skin tests, scans and all other pathology tests.

    It’s essential that anyone with chronic or complex health conditions, the elderly, vulnerable communities and people who are immunocompromised have continuity of care so that they’re able to live as well as possible. And that any changes in their health are picked up as soon as possible.

    #DontWaitMate campaign also urges anyone who’s been putting off their tests or has noticed urgent and/or new symptoms to pick up the phone and make an appointment today.

    Your health is the priority.

    CCC explains that there are measures to help you feel safe to access health care needs remotely, e.g. through telehealth, e-prescribing of medicines and home delivery of medicines. If you need to go to a clinic or hospital, personal protective equipment, regular cleaning, and distancing measures are all in place.(2)

    It’s all about keeping you safe while managing your ongoing healthcare.

    So Don’t Wait Mate. If you’re like me and have a pathology form stuck on the side of your fridge or a poo test in your bathroom drawer, go and get it, pick up the phone, and make that call. Don’t let them expire like I did ?. It just adds to the time you’re waiting to ensure everything’s ok.

    Or, if you’ve noticed some changes in your health or body that concern you, make an appointment with your doctor to discuss them.

    Because your health is too important to neglect.

    Contact our free national Help Line

    If you have questions about managing your pain, your musculoskeletal condition, treatment options, mental health issues, COVID-19, telehealth, or accessing services be sure to call our nurses. They’re available weekdays between 9am-5pm on 1800 263 265; email (helpline@msk.org.au) or via Messenger.

    Reference

    (1-2) Continuity of Care Collaboration
    https://continuityofcare.org/

    CONTINUE READING
    GP-plan.jpg
    Lisa Bywaters
    18/Nov/2021
    Health InformationMSK articles

    Chronic disease management

    Ever notice how much governments love acronyms?? Unfortunately, this article is full of them, but we’ll explain what they mean and try to clear up the murky area of chronic disease management (CDM) plans, formerly called Enhanced Primary Care (EPC) plans.

    Note: The primary sources for this article is the Australian Government, Department of Health’s chronic disease management resources. Unfortunately this information has not been updated since 2014. Please treat this as general information only, and discuss your specific needs with your GP.

    What are CDM plans?

    In a nutshell, these plans are a proactive way for you and your general practitioner (GP) to manage your chronic, complex or terminal medical condition/s. The Department of Health defines a chronic condition as ‘one that has been (or is likely to be) present for six months or longer’.

    Chronic musculoskeletal conditions fit under this definition.

    These plans are prepared by a GP to help eligible people manage their condition/s. The plans set goals to help people manage and hopefully improve their health and wellbeing.

    There are two types of CDM plans:

    • GP Management Plans (GPMP) and
    • Team Care Arrangements (TCAs).

    GP Management Plans (GPMP)

    A GPMP can help people with musculoskeletal conditions by providing an organised approach to their care. It’s a plan that you’ve worked out with your GP that:

    • identifies your health and care needs
    • sets out the services to be provided by your GP
    • lists any other health care and community services you may need
    • lists the actions you can take to help manage your condition.

    For example, if you have osteoarthritis in your knees that’s causing you lots of pain, and you’re no longer able to comfortably play tennis or go bushwalking, you and your doctor might decide that losing some weight will improve this situation. However, rather than just agreeing that weight loss is a good idea, a GPMP is an action plan that sets out your clear aims and objectives.

    Once this plan has been developed, you should receive a copy to take with you.

    Team Care Arrangements (TCAs)

    If you need help from other healthcare providers to achieve your goals, your GP may also suggest a TCA.

    TCA’s include 5 visits per calendar year to other health care providers. These 5 visits can be to one healthcare provider or spread between several providers.

    On the first of January you become eligible for 5 new visits. You’ll need to see your GP about this.

    You should also receive a copy of this plan.

    Eligibility

    This is one of the areas that’s a little complicated, so if you think you might be eligible, it’s best to speak with your GP directly. When you call to make an appointment, let the receptionist know that you’d like to discuss a chronic disease management plan. You’ll need a longer appointment for this.

    The Department of Health states that while there’s ‘no list of eligible conditions…these items are designed for patients who require a structured approach and to enable GPs to plan and coordinate the care of patients with complex conditions requiring ongoing care from a multidisciplinary care team. Your GP will determine whether a plan is appropriate for you’. (1)

    Costs

    Also a tricky area. If a healthcare provider (e.g. dietitian) accepts the Medicare benefit as full payment for the service, you’ll be bulk billed and there’ll be no out-of-pocket costs. However if they don’t, you’ll have to pay the difference between the fee charged and the Medicare rebate. This is often called the ‘gap’.

    When you’re making an appointment, be sure to ask what your out-of-pocket costs will be. If the cost isn’t something you can afford, discuss your options with your doctor.

    Reviewing your plan

    Your plan will need to be reviewed regularly. These reviews allow you to see how much progress you’ve made. If you’re meeting your goals – e.g. losing weight, increasing your fitness – that’s great. If you’re not getting there or having difficulties, a review will allow you to discuss this with your GP and work on solutions or adjust your goals.

    Help!

    It can seem overwhelming, but your GP and the practice nurse are there to support you on this journey.

    Contact our free national Help Line

    If you have questions about managing your pain, your musculoskeletal condition, treatment options, mental health issues, COVID-19, telehealth, or accessing services be sure to call our nurses. They’re available weekdays between 9am-5pm on 1800 263 265; email (helpline@msk.org.au) or via Messenger.

    More to explore

    Reference

    (1) Chronic Disease Management Patient Information, Australian Government, Department of Health, 2014.

    CONTINUE READING
    vaccine-syringe.jpg
    Lisa Bywaters
    28/Oct/2021
    Health InformationMSK articles

    COVID booster shots and 3rd doses – what’s the deal?

    22 February 2022 – This article was written in October 2021. In December 2021, the Australian Government approved and recommended booster shots for all eligible people aged 16 and over. You can find the latest advice on booster vaccines on the Department of Health website.

    There’s been a lot of talk in the media recently about boosters and third doses of the COVID-19 vaccines. And the nurses on our Help Line are certainly taking lots of calls about it! So we thought we’d answer some of your questions about this next step in the vaccination rollout.

    Honestly, most of us thought that once the majority of Australians were double vaxed, it was smooth sailing ahead. That everything was sorted. Job’s done. Time to ‘get on the beers’ and return to normality. 🍻

    But this virus is tricky, and we’re still learning so much about it. Including how to protect ourselves from it.

    Fortunately, we can look overseas for information. With Australia’s vaccine rollout months behind countries like the UK, US and Israel, we can learn a lot from their experiences and the data they’re collecting.

    We know that after two doses of the vaccines, healthy people have a greatly reduced risk of developing severe COVID or ending up in hospital. Which is fantastic news. Yay for vaccines!

    However, we’re seeing that some people with weakened immune systems (immunocompromised) have caught COVID, even though they’re fully vaccinated.

    Although we don’t know exactly why this happens, it appears that people who are immunocompromised have a varied response to the vaccine. They do gain immunity, but it’s generally not to the same extent as the general population. And how much immunity they gain depends on their underlying health condition and the medications they’re using.

    That’s why the Australian Technical Advisory Group on Immunisation (ATAGI) has recently recommended a 3rd dose of the vaccine to severely immunocompromised people so that they can reach a level of immunity that’s protective. You can check out their list of immunocompromising conditions and therapies here. The Australian Rheumatology Association has also updated their COVID-19 information to include information about third doses. And if you want to know if you need to get a 3rd dose – because the information can be a little confusing – talk with your GP or specialist about your situation.

    It’s worth pointing out that the use of additional doses to increase the vaccine’s effectiveness in immunocompromised people isn’t a new thing. It happens with other vaccines, for example, the annual flu shot to boost immunity to the influenza virus. Instead of one flu shot, some people require two.

    When it comes to the general population – again using overseas experiences and data – we’re seeing that about 6 months after the 2nd vax, the protection from the vaccines seems to be waning.

    A booster shot may be needed if immunity to the virus does start to decrease. The Therapeutic Goods Administration (TGA), in consultation with ATAGI, has assessed the Pfizer vaccine for safety and effectiveness as a booster. As of 27 October 2021, it was provisionally approved for use in those aged 18 and over. The first in line to get it will be those who received their vaccines firsts – way back in February 2021 – so that’s aged care residents, frontline health and quarantine workers. The government is waiting on further advice from ATAGI as to when the rest of the population will receive boosters.

    Booster shots may also be required in the future as we see different variants of the virus emerge. Again, as we see with the annual flu vaccination, it’s tweaked each year to keep up with changes to the influenza virus. This may be what happens with the COVID vaccine.

    At this stage, the Pfizer vaccine is the only one put forward as a booster. So what does that mean if you received a Moderna or AstraZeneca vaccine for your first two doses?

    We’re not sure. Several studies are investigating this very question. It’s possible that mixing different vaccines might broaden your protection. But the research is ongoing, and it’s just too early to say. So it’s a matter of ‘watch this space’.

    Finally, it’s essential to recognise that being vaccinated doesn’t stop people from getting COVID. But it significantly reduces the risk of severe disease and hospitalisation. That’s why we need to be vigilant and do all the COVID-safe things we’ve been doing since this whole thing started:

    • wash your hands
    • cover your coughs and sneezes
    • wear a mask (when required)
    • physical distance
    • check in
    • stay home when sick
    • get tested
    • and stay safe.

    Contact our free national Help Line

    If you have questions about managing your pain, your musculoskeletal condition, treatment options, mental health issues, COVID-19, telehealth, or accessing services be sure to call our nurses. They’re available weekdays between 9am-5pm on 1800 263 265; email (helpline@msk.org.au) or via Messenger.

    More to explore

    CONTINUE READING
    pain-management-blog.jpg
    Lisa Bywaters
    28/Oct/2021
    Health InformationMSK articles

    Support for managing persistent pain

    When you live with persistent or ongoing pain, it can sometimes feel like it’s taking over your life. And the usual things you do to manage your pain don’t seem to have the same effect.

    This can significantly impact your ability to do your daily tasks, work, be social, and be active. It can also affect your sleep quality, your emotions and mental health. This can then exacerbate your pain and become a vicious cycle.

    The good news is that there’s lots of support available to help you break this cycle.

    Breaking the pain cycle

    There is a range of different health professionals who can work with you to manage your persistent pain. You may see them on an ongoing basis, or you may visit them from time to time as needed.

    Your general practitioner (GP) is central to your care and will help you access other health professionals and services. Make sure you have a doctor who knows you, at a practice that can see you when you need to be seen. Having the same doctor, rather than moving from one doctor to another, means that your care will be consistent and organised. This will lead to the best possible outcomes for you.

    Physiotherapists (or physios) use a variety of techniques (e.g. exercise, massage, heat and cold) as well as education and advice to reduce pain to allow you to gradually increase your activity levels. They can also show you how to increase mobility, strength and functioning by developing an exercise program for you. Find a physio.

    Exercise physiologists can help you improve your health and fitness through clinical exercise programs tailored to your specific needs and support to live a healthy lifestyle. Find an Accredited EP.

    Occupational therapists (or OTs) help you learn better ways to do everyday activities such as bathing, dressing, working or driving. They can also provide information on aids and equipment to make daily activities easier. Find an OT.

    Psychologists, psychiatrists and other mental health professionals can help you work through your feelings, particularly if you’re feeling anxious or depressed. They can also assist you with goal setting, prioritising activities and coping strategies.

    Pharmacists can help you with information and advice about medications – both prescription and over-the-counter.

    Pain specialists are doctors who’ve undergone additional training to diagnose and treat pain. They come from a variety of different medical specialties such as psychiatry, anaesthetics and general practice. They often work with a team of other health professionals to treat all aspects of your pain, from the physical, to the mental and emotional aspects

    Pain management services and multidisciplinary pain clinics provide a holistic and coordinated approach to managing pain. Their programs are designed to specifically address the range of factors affecting your recovery, including:

    • physical factors
    • psychological issues, including your mood, stress or poor sleep
    • social factors including how you manage your activities at home and how you can return to work safely.

    You’ll learn from health professionals such as doctors, physiotherapists, psychologists, occupational therapists and nurses how to manage your pain more effectively with the least side effects.

    Talk with your doctor about whether a pain management program would be helpful for your situation. And check out the National Pain Services Directory by Pain Australia. It provides more information about the different types of pain services and a handy search function to find a service near you.

    Family and friends can be a great source of support and encouragement, so keep them involved. How much or how little you tell them about your pain issues is up to you, but just knowing they’re there if you need them can be a great source of comfort.

    Contact our free national Help Line

    If you have questions about managing your pain, your musculoskeletal condition, treatment options, mental health issues, COVID-19, telehealth, or accessing services be sure to call our nurses. They’re available weekdays between 9am-5pm on 1800 263 265; email (helpline@msk.org.au) or via Messenger.

    More to explore

    CONTINUE READING
    partners-hands.jpg
    Lisa Bywaters
    07/Oct/2021
    Health InformationMSK articles

    Nurturing relationships: Your partner or spouse

    The people in our lives bring so much colour and richness to our days. Our family and friends, work colleagues, local baristas, intimate partners, food deliverers, healthcare providers, neighbours, fellow gamers and dog walkers – all of the ordinary and intimate relationships we have are important and connect us to our world.

    Apart from the warm fuzzies we get from having these people around us, healthy relationships are good for our physical and mental health. They help us feel less stressed, reduce feelings of loneliness, distract us from pain, boost our immune system and make us feel happier and more optimistic. They’re practically a tonic for all that ails!

    And that’s why it’s so important that we nurture these relationships.

    This is the first of two articles exploring ways we can tend to our close relationships, to ensure they remain strong and supportive. We begin with the relationship with a partner, spouse, or significant friend.

    Physical vs emotional intimacy

    When we think about intimate or close relationships, we often think of physical acts of intimacy – holding hands, cuddling, kissing, hugging and having sex. They’re an essential element in our romantic relationships. But we also need emotional intimacy for deeper connections with those we have or hope to have a committed relationship with.

    Emotional intimacy involves each person opening up to the other, allowing their vulnerabilities to show, and sharing their deepest feelings and thoughts. To do this, each person needs to feel safe and supported to be themselves, ‘warts and all’. This level of intimacy takes time. And it requires open, honest communication and ongoing work.

    “Intimacy is the capacity to be rather weird with someone
    – and finding that that’s ok with them.” Alain de Botton

    Emotional intimacy occurs not only within committed, romantic relationships, it can also happen within platonic relationships, for example, with your bestie, BFF, a sibling, or with someone else you have a close bond.

    The following strategies are focused on nurturing romantic relationships, however most can be used for platonic relationships as well 😊.

    Strategies for nurturing your relationship

    Share your deep, inner thoughts, feelings, beliefs, fears, needs, pain and worries – not just the superficial stuff.
    To really develop that deep connection and understanding of each other, share the things that make you ‘you’. We’re all so different and have had different experiences, challenges, traumas, victories and lifestyles. This shapes who we are, and we tend to keep much of this to ourselves.

    However, sharing these things with your partner over time creates intimacy as your relationship grows and deepens. This has to be a two-way street. You both need to be open and honest about what matters to you, as you feel comfortable and safe to do so.

    “Never idealize others. They will never live up to your expectations.
    Don’t over-analyze your relationships. Stop playing games.
    A growing relationship can only be nurtured by genuineness.” Leo F. Buscaglia

    Share how much they mean to you.
    We all like to hear how much we mean to someone – especially when it’s out of the blue. Try not to become complacent with your relationship or take your partner for granted. Tell them how much you appreciate them and how much they bring to your life. Show them how much they mean to you – buy the book they’ve been wanting, prepare a picnic full of their favourite things, give them a hug, fold the laundry, place little love notes or tokens in unexpected places. Be creative and be honest 🧡.

    “Love is a two-way street constantly under construction.” Carroll Bryant

    Share, learn and explore sexual desires, so you both feel satisfied.
    This adds to your emotional connection. However, sometimes our condition, pain, anxiety and the madness of life in general can impact our desire to be physically intimate. Check out our blog on sex, intimacy and musculoskeletal conditions for tips to help you get your groove back.

    “Sex without love is merely healthy exercise.” Robert A. Heinlein

    Share time together outside of your day-to-day routine.
    Remember the excitement when you first met? The first thrilling time your hands brushed, when you couldn’t wait to see each other? Try to rekindle some of this excitement, so you get to be together as lovers, partners, and friends – not as mum/dad/worker. Make the time to check in with each other, even when it feels like the world is taking over. This can be really challenging – we’re all so busy. So you may need to schedule time for this (not sexy, but often necessary). And make sure you unplug from all technology and put your phone away. It’s worth the effort. Take this time as a loving couple to talk about your day, feelings, needs, hopes and dreams, and just connect.

    “A dream you dream alone is only a dream.
    A dream you dream together is reality.” John Lennon

    Share the difficulties, and where possible, work on solutions together.
    If you have problems or difficulties that relate to your condition, job, other people, etc., share them. Don’t keep them bottled up. Having someone to discuss your issues with can help bring clarity. Or at least help you feel your emotions are important and validated.

    If the problems relate to your relationship or home life, this can be tougher. Especially if you both have strong feelings about the matter. In this case, it’s really important to be respectful to each other, listen, and work together to come up with a solution. And be prepared to compromise so the solution feels fair to both of you. Remember, we’re all different, and we do and see things differently. This is a good thing (how boring would it be if everyone saw things the same way?), but it can sometimes be really frustrating. So if you become angry, take some time to breathe, reflect on the situation, and come back to it when you both feel calm.

    However, sometimes it can be hard to get past an issue, and you may need external help to resolve it. See the section below on managing conflict.

    “Nothing is perfect. Life is messy. Relationships are complex.
    Outcomes are uncertain. People are irrational.” Hugh Mackay

    Share the load.
    We like to think of ourselves as superhuman at times and try to do it all without asking for help. Even when it may be needed 😫. But this isn’t sustainable. We’ve all ended up in a heap doing this.

    Again, it comes down to open, honest communication. Someone who doesn’t have a musculoskeletal condition can’t fully understand what it’s like and how frustrating it is to be fine one day and thoroughly shagged the next. If there are things you’re struggling with – all the time or just occasionally – discuss these with your partner. Look for ways to share the load – with your partner, children, housemates, other family members, or even hire someone to do the chore/task.

    “Being deeply loved by someone gives you strength,
    while loving someone deeply gives you courage.” Lao-Tzu

    Share fun times.
    Make time for having fun, being silly and finding (and celebrating) the joy in life. This can be challenging when you live with pain, the uncertainty of living through a pandemic, work stress and household craziness. But it’s so rewarding. Watch a silly movie, dance in the back garden, share funny memes during your day, go skinny dipping after dark 😍. Laughter and shared fun create another level of intimacy, as well as a twinkle to the eye and a healthy glow to the skin (especially if the water is cold 😉).

    “We’re all a little weird. And life is a little weird.
    And when we find someone whose weirdness is compatible with ours,
    we join up with them and fall into mutually satisfying weirdness
    – and call it love – true love.” Robert Fulghum

    Have outside interests (and share yourself).
    In case you’re starting to feel nauseated by all the saccharine togetherness 🤢, it’s also essential that each person has independent interests. There are often things that make us really happy but are of no interest to our partner – think sports, book clubs, crafts, parent groups, community gardens, study groups, cooking classes, gaming etc. Instead of dragging your partner along, take that time for yourself. It helps you pursue the things that make you feel fulfilled, and you can share your experiences and happiness with your partner. When you both have these opportunities, life is more exciting and rewarding.

    “A great relationship is about two things:
    First, appreciating the similarities and second, respecting the differences.” Unknown

    When it isn’t always smooth sailing: managing conflict

    All of the suggestions we’ve provided require commitment, time and ongoing work. But sometimes, you can work and work hard, but arguments and conflicts still arise. Especially when you’re living with the stress of unpredictable health issues, COVID-19, family commitments and all the other complicated things adulthood brings with it.

    If you’re both committed to working through these issues, but feel like you can’t resolve them on your own, consider talking with someone you trust about it. This may be a close family friend or family member, or it may be a professional.

    Getting help
    Family Relationship Advice Line is an Australian Government service that helps families affected by relationship or separation issues. It can also refer callers to local services that provide assistance. Call 1800 050 321.

    Relationships Australia provides a range of counselling services delivered face-to-face and online. Find out more about the counselling services available on their website. Or call 1300 364 277.

    Ending a relationship
    If you’re not committed to resolving relationship issues and want to end it, read ‘Fourteen ways to break up better: How best to minimize the pain in a painful situation’.

    Abuse or violence
    Using power, abuse or violence against another person is never ok. If you need help, it’s available. For safety and support, call 1800 RESPECT (1800 737 732) for confidential information, counselling and support. They operate 24 hours, 7 days a week.

    Read the second instalment of this series: Nurturing relationships: Family and friends

    “Maybe you don’t need the whole world to love you.
    Maybe you just need one person.” Kermit the Frog

    Contact our free national Help Line

    If you have questions about managing your pain, your musculoskeletal condition, treatment options, mental health issues, COVID-19, telehealth, or accessing services be sure to call our nurses. They’re available weekdays between 9am-5pm on 1800 263 265; email (helpline@msk.org.au) or via Messenger.

    More to explore

    CONTINUE READING

    Newer Posts

    Older Posts


    TOP     Post about us on Facebook Post about us on X Post about us on Instagram Post about us on LinkedIn YouTube TikTok
    musculoskeletal health australia

    Musculoskeletal Health Australia (or MHA) is the consumer organisation working with, and advocating on behalf of, people with arthritis, osteoporosis, back pain, gout and over 150 other musculoskeletal conditions.

    Useful Links


    Key Conditions

    health direct australia

    Recent Posts

    Copyright by Musculoskeletal Health Australia 2025. All rights reserved

    ABN: 26 811 336 442ACN: 607 996 921