Cassandra Chiesa from Helping Hands – Hand, Wrist and Arm Clinic and Bree discuss the typical sporting injuries they see at the clinic. They also touch on how these injuries can be treated.
Dear Dr Adele, my child has eczema. What are the treatment options?
Eczema is a common skin condition and can be very disabling for some children. It makes the skin intensely itchy, dry and inflamed, especially during a flare. In general, frequently applied moisturisers are the mainstay in managing it. .
Flares should be recognised and treated early and are treated with steroid creams or antibiotics if infection is present. In some children an allergic trigger can be identified and avoided, but this is not always possible. Fortunately, eczema can improve with age in most children. Overall, a consistent and diligent daily skin routine will improve the skin’s integrity and reduce severity of symptoms.
Read more expert advice from Townsville Paediatrics here.
Chronic pain is defined as a persistent pain that lasts for more than three months. There are many types, including nerve pain and pain from bones, muscles and joints. It can be anything from mild to severe, but anyone who has experienced it will be able to tell you how frustrating it can be to deal with.
It can be caused by a variety of conditions such as arthritis, fibromyalgia, inflammatory bowel disease, endometriosis, ehlers-danlos syndrome, degenerative diseases or cancer. Some of the most common types of chronic pain include headaches, neurogenic pain (caused by nerve damage) or psychogenic pain (pain that isn’t caused by disease, injury or nerve damage).
Chronic pain can also happen after having surgery. Because it’s so inhibiting, it can mess with your everyday life and may lead to depression.
There are many different ways you can attempt to handle your chronic pain. You can try planning your days differently, learning to relax, going for walks, trying acupuncture, using heated wheat bags, looking into physical therapy and speaking to your doctor about what options may suit you. Trying lifestyle remedies such as tai chi, yoga, massage, meditation and pet therapy may help, too.
Over the counter pain relievers may help too, such as ibuprofen or panadol. Your doctor may also be able to prescribe you stronger pain relievers, such as those containing codeine or morphine.
Sometimes, all you can do is relax the best you can and wait for the pain to lessen or pass. At the end of the day, it’s important to remember that every body is different and responds differently to these methods. If you’re unsure, consult your doctor to ensure that these methods are safe for you.
There are also DNA tests like the myDNA test which is available at Calanna Wholehealth stores. These can give you and your GP valuable insight into what pain medications work best for your genetic profile.
Urinary incontinence. Also known as “one of the many unexpected side effects of giving birth where we mums can’t even jump on a trampoline without our bladders leaking” (okay, so this isn’t the “medical” description, but it should be).
Incontinence is actually described as any accidental or involuntary loss of urine from the bladder. It is incredibly common (45 per cent of mums experience it after giving birth), even though most of us don’t bring it up in every day conversation.
What did you do today? Oh, you know, we went grocery shopping, I took the baby to swimming lessons, I peed myself during a sneeze…
While it’s normal for your body, your bladder and your bowels to need some time to recover after giving birth, incontinence can continue to give you grief if it’s not correctly addressed.
So what can you do to stop this wee issue in its tracks?
Tighten those muscles, ladies!
Your pelvic floor may have taken a beating but it’s never too late to bring it back to life. Make it a habit to tighten your pelvic floor muscles. Hold the contraction and relax it, several times a day.
Consider shorts for the short term
There are exercise shorts and underwear that can also aid in bladder leakage while out and about. Check out ModiBodi and EVB.
There are a number of non-surgical treatments available. Who should you call? A physiotherapist is a good option but you can also contact your doctor to determine the best path for you to take.
An OBGYN may be able to assist with incontinence after childbirth. Get in touch with the team at Dr Elizabeth Jackson’s clinic to enquire.
Want to try physiotherapy? It may just help you out a great deal. Get in touch with the team at ProActive Physiotherapy to enquire.
I’m looking for a vet for my new pet. What should I be looking for?
Congratulations on your new family member. Choosing a vet for your pet is a big decision to make. You need to look for a clinic that not only meets your pet’s needs but caters for your needs too. Most people choose their nearest vet and whilst location is an important consideration, driving a few extra kilometers may be worth it to get the best care for your pet.
Facilities, veterinary expertise and the services offered do vary between clinics. For example, some clinics may have extensive diagnostic equipment which can result in faster diagnosis and treatment for your pet. Some clinics may be available 24/7, whilst others may be open for just a short time.
So what should you be considering when looking for a vet?
The clinic opening hours need to meet your needs. Do they open evenings and weekends? Do they charge extra for this service? Are house calls available?
Finding a veterinary clinic that provides emergency services is important as accidents do happen. Using a veterinarian that provides after hour care means that they have immediate access to your pet’s medical records which can lead to faster diagnosis and treatment in an emergency.
We all want calm, stress-free vet visits so making sure your pet is happy with the vet you choose is extremely important. It’s a good idea to visit the vet with your pet for a weight check and observe how the staff interact with the animals in their care. Are they approachable? Did they greet my pet? Did they seem knowledgeable and caring? Was my pet relaxed and calm?
Finding a clinic that is well equipped to provide diagnostic, medical and surgical care in house is essential and can result in quicker diagnosis and treatment for your pet.
Practices that employ qualified staff and invest in ongoing staff training are committed to providing high standards and are kept up to date with the latest techniques and treatments available.
The cheapest vet isn’t always the best vet. Look for a clinic that it committed to providing a high standard of care. Do they always put your pet on intravenous fluids during surgery or is this an added extra? Do they use modern anaesthetics to ensure your pet has a comfortable recovery or do they use the cheaper option? Does your pet go home after desexing with take home pain relief as a standard or is this just an option?
The best vet always has your pet’s best interests at heart and will offer you the gold standard in veterinary care.
Difficult financial situations can arise in an instant so having access to payment plans should the need arise is essential.
Not all veterinary clinics offer the same services. For example, some clinics will provide extra pet related services such as Puppy preschool, weight loss clinics, grooming services etc. Consider what other services your pet may need in their lifetime.
Whilst location isn’t the most important factor when choosing a veterinarian, the clinic you choose needs to be located close enough to you to access quickly in an urgent or emergency situation. Off road parking is also safer for your pet.
Personal recommendations are valuable. Ask your friends, relatives and local rescues which vet they use and recommend. Check out their online reviews and see what others think.
As your child’s baby teeth start to fall out it can appear as though there will never be enough room for all those adult teeth. In many children further growth of the jaw bones can compensate for this and the child will ‘grow into’ their adult teeth. However, in a lot of cases the final teeth positions are not ideal from a functional or cosmetic perspective.
Whether a child will benefit from braces depends on the size and shapes of the teeth, the size and position of the jaws and many other factors. Most often, the goal of orthodontic treatment is functional (to improve the bite), cosmetic (to improve the smile), or both. Having a dentist regularly check your child’s teeth and jaw development will allow you to understand if, or when, orthodontic treatment will be required.