BACKchat

BC 24: Russell Mottram – The ins and outs of the TMJ/Jaw.

Dr Russell Mottram is a chiropractor and member of the American Academy of Craniofacial Pain (Aust). Russell is a sessional lecturer at RMIT for Cranio-mandibular disorders. He is a co-author of a chapter in Multi-disciplinary textbook “Headache, Orofacial Pain and Bruxism” published by Elsevier 2010. He is a current Principal of TMJcare, in both Melbourne and Ocean Grove. This is a referral-based practice working with Jaw, Head, Face Pain and Dysfunction.
What is the “TMJ” vs what is TMD?
Many patients get a lot of headaches. How do I know if my headaches are caused by jaw problems?
My jaw clicks when I eat and talk. What causes that? Is it serious? Will it get worse if I don’t do anything about it?
Who is the best type of practitioner to see about my jaw problem?
My dentist says that I grind my teeth at night. Is that likely to cause a jaw joint problem and how can I prevent it?
What is a typical screen that Russell does with the TMJ?
Could orthodontics be helpful for my jaw problem?
What are the ways you, as a Chiropractor, would treat my Jaw problem?
Dr Russell Mottram has much experience in the treatment of Jaw, Head and Face pain and dysfunction. If you require an accurate assessment and the best in treatment and advice about management of your TMJ condition, please check TMJcare.com.au. Russell works with a multidisciplinary team including dentists that also have vast experience in the dental management of TMJ disorder.
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BC 23: David De La Harpe (Orthopaedic Surgeon) – When is back surgery the right option?

David’s BIOG:
David de la Harpe
BappSc BSc MBBS MS FRACS
David is the only Orthopaedic Surgeon in Australia who is also a qualified Chiropractor. He graduated with honours in Obstetrics, Psychiatry and Paediatrics from the University of Melbourne Medical School. He was awarded the Stirling Prize for Clinical Surgery in his final year. His intern training was based at the Royal Melbourne Hospital and registrar training at Royal Melbourne, Royal Children’s Austin, Box Hill, Ballarat, Dandenong, Alfred and Geelong Hospitals. He qualified for Fellowship of the Royal Australasian College of Surgeons in 1999.In 1999 he undertook a Spinal Fellowship at Queens Medical Centre, Nottingham England.David specializes in spinal surgery including keyhole microdiscectomy. He currently operates at Epworth Hospital, Richmond.
What is the typical day to day running as a surgeon? How much time are you consulting and how much time are you in surgery?
What are the red flags for the health practitioner to refer to a spinal surgeon. On the contrary, what are the indicators when NOT to perform surgery?
What is a reasonable timeframe that conservative care be explored before a surgical opinion?
A delay in the surgery depends on what key aspect with a patient?
What are common surgical procedures – Discectomy Vs Disc replacement?
What is a disc, facet joint and spondylolisthesis? When is disc fusion performed?
What are the indicators of facet joint blocks?
What and when is manipulation under anesthetic performed?
What’s the difference between the spinal and surgeon and neurosurgeon?
NB We apologise about the echo on Paul’s voice. The best was done to edit this but no more could be done. We have made a decision to still release the podcast because the content is otherwise very valuable to our BACKchat listeners.
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BC 22: Varsha Bhikha (Physiotherapist) – Urinary Incontinence – overcoming the stigma associated with this condition

Varsha’s BIOG :
Musculoskeletal physiotherapist who completed a bachelor degree at Monash University in 2013 and  is currently completing post graduate studies in pelvic floor physiotherapy at the University of Melbourne
Work at Back In Motion, Wantirna South, where main focus is women’s health and pre and post-pregnancy related issues
What is Urinary incontinence? What is the difference between stress and urge incontinence?
Who is at risk of incontinence?
What are the signs/type of urine leakage?
What are the pelvic floor muscles and what is the assessment of the pelvic floor assessment ?
  What can physiotherapy do for incontinence?
What tips can you give to prevent incontinence?
How do people get in touch with a pelvic floor physiotherapist? What study does a pelvic floor physiotherapist do?
Varsha is a Physiotherapist from the Back In Motion Health Group –Wantirna South – and with her keen interest in Clinical Pilates and  Women’s Health can be contacted via the http://www.backinmotion.com.au/practice /wantirnasouth.
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BC 21: Dr Terence Heng (General Practitioner/Chiropractor) – Natural or pharmaceutical – when to use what when dealing with neuromusculoskeletal pain?

Dr Terence Heng is a GP and chiropractor practising in the Eastern Suburbs of Melbourne. He is involved in AHPRA panel boards, GP registrar examinations, GP supervisor and medical student teaching. Special interests in musculoskeletal medicine, skin cancer and urgent care medicine. Other portfolio includes surgical assisting in a variety of specialties including orthopaedics and general surgery and Locum Emergency Department doctor for small country hospitals.
The navigation of Terence going from Chiropractic to his medical degree
What are the differences between neuropathic pain vs musculoskeletal pain.
What are the natural vs pharmaceutical options and some different classes of drugs?
When do you decide that maybe a natural option maybe used ahead of a pharmaceutical option?
What about drug – nutrient interactions?
What are common pitfalls in prescribing medication?
What are the red flags a patient is doctor shopping?
What are the long-term issues with opioid prescription?
Will I end up getting addicted to my pain medication?
Dr Heng discussing collaboration of chiropractic
The psychology of Dr Heng discussing how he copes with back-to-back, heart sinking, stressful consultations.
Are there any interventional methods that, from a medical perspective, lie between pharmaceuticals and surgery that are provided?
How do I come off / stop my pain medication?
Three Take Home Messages
Vermont Health Care and Nunawading Clinic are linked practices that work together and serve the community 7 days a week. We have doctors with a variety of interests. Please check vermonthealthcare.com.au and nunawadingclinic.com.au respectively.
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BC 20: Mr Sasha Roshan (Foot Orthopedic Surgeon) – Heel Pain -Conservative or Cut?

Sasha’s Biog :
Sasha completed his schooling and medical studies in Melbourne, graduating with honours prior to undertaking his specialty training in orthopaedic surgery in NSW. Upon completion of his orthopaedic training Sasha then undertook dedicated fellowships in foot and ankle surgery in both Australia and France followed by a fellowship in hip and knee reconstruction in Canada. Sasha is currently practicing in Melbourne with both private and public appointments and has a special interest in lower limb reconstructive surgery.
1. When is a specialist a Mr or a Dr. What is a Fellowship?
2. Before surgery, what informed consent and preparation does a patient have to be aware of? The list is comprehensive.
3. What is the risk: benefit ratio when talking surgery?
4. What are the main causes of heel pain?
5. Are there any red flags to watch out for?
6. What tests should patients have for investigation of their heel pain?
7. What is plantar fasciitis and what are the characteristic features of it?
8. How is plantar fasciitis treated?
9. What are the traps?  What about if conservative treatment fails?
10. What are the surgical options for plantar fasciitis?
11. What about more recent treatment modalities? (such as PRP)
12. What are the treatment options for some of the other causes of heel pain? Eg heel spur
13. What is the latest position statement of stem cell therapy just released, in the last week, by the Australian College of Sports Physicians.
14. Three take home messages.
Sasha’s orthopaedic practice is based in East Melbourne however both his consulting and operating activities do extend out to the eastern and western suburbs of Melbourne. His extensive fellowship training allows him to assess and manage all lower limb conditions including acute injuries as well as chronic conditions and deformity correction.For contact details and further information please visit sasharoshan.com.au
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BC 19: RACHEL LANE: AGED CARE – WHO CARES?

RACHEL’S BIOG :
Rachel is the Principal of Aged Care Gurus and co-author of a number books including the very popular “Aged Care, Who Cares?” with Noel Whittaker. Rachel oversees a national network of financial advisers dedicated to providing quality advice to older Australians and their families. Rachel has been working in financial services for 17 years and specialising in retirement and aged care for more than a decade. She holds a Masters in Financial Planning.
1. When does and individual or family need to start thinking about their home environment and planning for the twilight years?
2. What is ACAS or ACAT in assessing the home? Why this assessment is important earlier than later?
3. Discussion of the various levels of assistance from a few modifications to ones home, right through to high care nursing home.
4. Receiving aged care doesn’t mean you are in a nursing home.
5. The three types of Power of Attorney – medical, financial and guardianship.
6. The difficulty for the elderly in letting the reigns go – either a trusted advisor advocates for you (someone you know) or the courts might (someone you don’t know), when you can’t make decisions for yourself.
7. Two times of retirement communities – retirement village or land lease community. What’s the difference?
8. Aged care facilities are not homogenous. Eg dementia patients – Diversional and Behavioural therapy vs medications management.
9. Traps in transition from the family home to aged care
To find out more about Rachel’s services and her book “Aged Care, Who Cares” you can go to http://www.agedcaregurus.com.au/
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BC 18: GLENN WILLIAMS: Life Vs Work Balance – Its your choice.

Glenn Williams Biog:Glenn is the founder of nLIVEn, an executive and business coaching practice in Melbourne. He is dedicated to assisting CEOs and boards of directors take a more strategic approach to successfully navigating change – both in business and in life. Glenn has collaborated with a broad cross section of executives from a diverse array of industries, both locally and internationally. Together, they sought to understand and overcome the challenges executives face in managing and leading their enterprises, as well as their lives outside the office. From high-tech start-ups to mature public companies, from charities to Fortune 500 companies, Glenn found a common set of challenges prevail. To find out more about Glenn and his products and services, please visit to www.nliven.com.au.
Today Glenn will help us explore the topic of “Work vs Life – It’s your choice”
What is work life balance and why is it important?
Does work/life balance need to change depending on your stage of life?
What is the work/life balance sheet and how does it work? Are you part of the Feed me or Eat me, cycle?
Adapting to change is clearly vital for a successful and fulfilled life. How do we keep up – or more importantly – do will really need to?
There were 3Rs in school of reading,writing and arithmetic. What are the 3Rs framework of work-life balance: Responsibility, Resilience and Responsiveness.
Is the approach different if you’re a business owner or an employee? I suppose they might have different challenges in creating work life balance?
Quality Vs Quantity Time.
Goal setting and the 3 Rs.
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BC 17: WAYNE SCHWASS – THE IMPORTANCE OF AN AUTHENTIC MINDSET TO COMBAT CLINICAL DEPRESSION

Biography of Wayne Schwass Retired Elite AFL Athlete
Wayne played 282 games for the Kangaroos and Swans, spanning a fifteen year AFL career from 1988 to 2002. Wayne was a premiership player with the Kangaroos in 1996 and won two best and fairest for the Kangaroos in 1994 and 1995 and for the Swans in 1999. He was in the Team of the century for the Kangaroos and was an All Australian in 1999.
Wayne also suffered from clinical depression for most of his career. Wayne is candid, real, open book and articulate about what needs to be done to get through depression.
Some points discussed:
Overcoming the fallacy that men don’t cry is a badge of honour.
Working through denial and stigma associated with this condition.
The epiphany that changed Wayne’s life and helped help  get on the road to seek help. Wayne opened up which he says – “was one of the greatest things of his life.”
We have called this podcast – The importance of an authentic mindset. Wayne explains the role of being authentic here.
Three take home tips
Ask for help
Don’t live a lie
Be authentic
For more help with mental health, please contact:
Beyond Blue https://www.beyondblue.org.au and call 1300 22 46 36
Wayne has been very honest and transparent in this podcast. If this has created some deep emotions, Lifelines phone for immediate support is 13 11 14 in Australia.
For overseas listeners, please check your directory for an equivalent support number.
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BC 16 : DAMIAN KRISTOF : FOOD MYTHOLOGY part B

Dr Damian Kristof is Nutritionist, Naturopath and Chiropractor with over 20 years of clinical experience. He has extensive media experience with the TV – New Zealand’s Downsize me that premiered on Channel 7 Two in 2014. He is a health expert on the Melbourne’s top rating radio drive time show the Rush hour with James Brayshaw and Billy Brownless .Damian has been on over 400 podcasts with the Wellness Guys (and also as Co Founder)  and a 100 Not Out.
FOOD MYTHS
Are coffee and tea good for me?  The response to caffeine may depend on your liver. What about decaffeinated coffee?
Fish is supposed to be good for us – but what is the potential risk with contamination from  mercury levels
Do we eat too much meat ? Can the over consumption of meat be a cancer trigger ? Do we eat  too few  vegetables ?
What is the pros and cons of genetically modified foods?
 What’s the best way to cook?  The pros and cons of using the microwave.
Cooking in oil (or water) – what happens to oils when you heat them?
Butter vs Margarine. What is better than both?
To Paleo or not to Paleo?
Watch the scientists getting too involved in your food.
For more information about Damian, his events and all that he does. visit www.damiankristof.com. For more information on his incredibly nutritious breakfast and healthy snack foods Forage, visit www.foragecereal.com
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BC 15: DAMIAN KRISTOF: FOOD MYTHOLOGY

Damian’s Biog
Dr Damian Kristof is Nutritionist, Naturopath and Chiropractor with over 20 years of clinical experience. He has extensive media experience with the TV – New Zealand’s Downsize me that premiered on Channel 7 Two in 2014. He is a health expert on the Melbourne’s top rating radio drive time show the Rush Hour with James Brayshaw and Billy Brownless .Damian has contributed to over 400 podcasts with the Wellness Guys and a 100 Not Out.
 
FOOD MYTHS
Fats – What are they?  How did the low fat diet come about?  Are fats really bad from us?
Gluten free – Coeliacs vs gluten intolerant?  What is gluten and what foods have gluten in them. Is gluten free really dangerous? What is the research coming from Harvard University on gluten?
Protein powders – are they good for you?  Athletes?  Are some better than others? Whey Proteins – Yes /No.
Electrolyte drinks – Gatorade, etc – AFL footballers drink them while still on the field after a game?  Good marketing or good nutrition?
How much water do we really need? What formula prescription for water intake per day based on body weight?  Can you drink too much water?
For more information about Damian, his events and all that he does.  visitwww.damiankristof.com. For more information on his incredibly nutritious and yummy breakfast and healthy snack foods Forage, visit www.foragecereal.com
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BC 14 : Dr Richard Chambers – Mindfulness – How it influences everything we do

Biography of Dr Richard Chambers Clinical Psychologist,Mindfulness Consultantx
Dr Richard Chambers is a clinical psychologist and internationally-recognised expert in mindfulness. Richard works at Monash University, spearheading a university-wide mindfulness initiative which is a world first. He has been teaching and researching mindfulness for over 12 years and is actively involved in research studies at The University of Melbourne, Orygen Youth Health, LaTrobe University, Sydney University, UNSW and Charles Darwin University.
What is mindfulness and how does it effect our physical and mental wellbeing?
What are the consequences of  people spending  a lot of time in default mode?
The importance of pausing in a busy day,
How does being mindful help with our performance and productivity?
What is the connection between curiosity and mindfulness?
BACKchat podcast 01 – with Dr Paul Noone – was on the subject of neuroplasticity.  What is the relationship with mindfulness and neuroplasticity ?
Explaining how mindfulness connects with relationships – be it personal or business?
As today is a digital world,are there any apps that can help with mindfulness?
What are three action steps to maintain a healthy mindset?
Practical of a  Mindfulness – Caution – Do not listen to when driving.
Richard helped develop Smiling Mind, a free mindfulness app with 1 million downloads. He also collaborated in the creation of the popular Mindfulness for Wellbeing & Sustainable Performance free online course. He has published two books, Mindful Learning and Mindful Relationships and a number of journal articles.
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BC 13: Dr Tim Robards Exercise,Strength and Longevity

Biography of Dr. Tim Robards Chiropractor B.Sc(Ex.Sc) B.Med.Sc, M.Chiro
A successful Sydney Chiropractor, it was through his appearances on Channel TEN’s ratings winners The Bachelor and I’m A Celebrity Get Me Out Of Here that Tim was introduced to Australian and New Zealand audiences. It’s with this growing profile he’s committed to spreading a message of clean living with his newly launched program,The Robards Method.
The Bachelor Lowdown – Anthony answers Mimi’s (his daughter) questions about the Bachelor, Anna, Paparazzi.There are NO troubles in Paradise unlike what that “source said”. How Tim was selected on the show and the demands of his media profile.
2.Tim’s inspiration that led him into Chiropractic
3.Why people struggle with incorporating movement into their lifestyle
4.Tim’s philosophy on healthcare
5.How to motivate when you are not motivated to exercise
6.The best way to train for the best results
7.The biggest mistakes that Tim sees with his clients
8.The difference between The Robards Method  to other programs going around and how it links with Chiropractic
9.Tim’s personal impactful experience – when he was a teenager – that has helped him deal with the very busy lifestyle he leads today.
10.The Robards method is a functional movement, sustainable nutrition and mindfulness  program that has levels of progression from basic, intermediate to advanced levels, much like belts in karate. For more information , check www. therobardsmethod.com
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