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Avoiding Avoiding Postural Pain Postural Pain and Suffering at and Suffering at Work Work Michael Ridgway Michael Ridgway BPhty MPhty BPhty MPhty (Musculoskeletal) (Musculoskeletal) Principal Baroona Road Principal Baroona Road Physiotherapy, Milton Physiotherapy, Milton

Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

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Page 1: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Avoiding Postural Avoiding Postural Pain and Pain and

Suffering at Suffering at WorkWork

Michael RidgwayMichael Ridgway

BPhty MPhty (Musculoskeletal)BPhty MPhty (Musculoskeletal)

Principal Baroona Road Principal Baroona Road Physiotherapy, MiltonPhysiotherapy, Milton

Page 2: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Avoiding Postural Avoiding Postural Pain and Suffering Pain and Suffering

at Workat WorkThis Evening’s MenuThis Evening’s Menu

Introduction & objectivesIntroduction & objectives Summary of pain and injury at workSummary of pain and injury at work Implementing Changes Implementing Changes QuestionsQuestions

Page 3: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

IntroductionIntroduction Why am I here? Why am I here?

Michael’s Professional HistoryMichael’s Professional History

1995 General physiotherapy1995 General physiotherapy

2000 Musculoskeletal Masters2000 Musculoskeletal Masters

Practicing – pain solutionsPracticing – pain solutions

Injury Prevention - preferableInjury Prevention - preferable

Your body is one of your greatest assets Your body is one of your greatest assets

Page 4: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

ObjectivesObjectives

Increase your work productivityIncrease your work productivity

      Increase mental alertness and Increase mental alertness and concentration     concentration     

Decrease risk of suffering pain and Decrease risk of suffering pain and injuryinjury

1. Awareness1. Awareness

2. Making changes2. Making changes

3. New habits3. New habits

““A happy back is a happy barrister”A happy back is a happy barrister”

Page 5: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Avoiding Postural Avoiding Postural Pain and Suffering Pain and Suffering

at Workat WorkThis Evening’s MenuThis Evening’s Menu

Introduction & objectivesIntroduction & objectives

Summary of pain and injury at Summary of pain and injury at workwork

Implementing ChangesImplementing Changes QuestionsQuestions

Page 6: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Summary of pain and injury Summary of pain and injury at workat work

Page 7: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Summary of pain and injury Summary of pain and injury at workat work

- Statistics- Statistics

In a large Australian survey, In a large Australian survey, 42%42% of the population experienced low-of the population experienced low-

intensity intensity back painback pain and and low level low level disabilitydisability from this pain, in the from this pain, in the previous 6 months previous 6 months

Page 8: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Summary of pain and injury Summary of pain and injury at workat work

- Statistics- Statistics

This survey predicted This survey predicted 10.5%10.5% of the of the Australian adult population Australian adult population

experienced experienced high-intensity high-intensity back painback pain and perceived and perceived high high disabilitydisability form this pain (Walker, form this pain (Walker, 2004)2004)

Page 9: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Summary of pain and injury Summary of pain and injury at workat work

- Statistics- Statistics

Approximately Approximately 80%80% of us will suffer of us will suffer

significant significant low back painlow back pain at at some stage of our livessome stage of our lives

Page 10: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Break every 20 minutesBreak every 20 minutes

Stand and Arch Stand and Arch BackwardsBackwards

10 slow repetitions10 slow repetitions

Page 11: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Summary of pain and injury Summary of pain and injury at workat work

Ideal position is with 3 neutral curvesIdeal position is with 3 neutral curves

Page 12: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Summary of pain and injury Summary of pain and injury at workat work

RationaleRationaleWhy do we suffer so much?Why do we suffer so much?

Common sitting position and it’s effects on Common sitting position and it’s effects on the spine:the spine:

Page 13: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Summary of pain and injury Summary of pain and injury at workat work

Creep & Strain to LigamentsCreep & Strain to Ligaments Bend finger back once no problemBend finger back once no problem Bend finger back sustained – creep – Bend finger back sustained – creep –

strain - painstrain - painLength of Ligament under sustained low load

Time

Break Point

Page 14: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Summary of pain and injury Summary of pain and injury at workat work

‘‘Sitting up Straight’ is also commonly Sitting up Straight’ is also commonly poor positionpoor position

Page 15: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Summary of pain and injury Summary of pain and injury at workat work

Page 16: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Summary of pain and injury Summary of pain and injury at workat work

Page 17: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Summary of pain and injury Summary of pain and injury at workat work

Why the difficulty with sitting?Why the difficulty with sitting?

Sitting is a challenging taskSitting is a challenging task

Sitting well requires learning a Sitting well requires learning a technical skill technical skill

Sitting for long periods has similar Sitting for long periods has similar challenges to an athlete performing challenges to an athlete performing endurance sportendurance sport

Page 18: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Summary of pain and injury Summary of pain and injury at workat work

Don’t be fooledDon’t be fooled

Sustaining positions is very Sustaining positions is very challengingchallenging

Page 19: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Break every 20 Break every 20 minutesminutes

Shoulder backwards Shoulder backwards rollroll

10 slow repetitions10 slow repetitions

Page 20: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Avoiding Postural Avoiding Postural Pain and Suffering Pain and Suffering

at Workat WorkThis Evening’s MenuThis Evening’s Menu

Introduction & objectivesIntroduction & objectives Summary of pain and injury at workSummary of pain and injury at work

Implementing ChangesImplementing Changes QuestionsQuestions

Page 21: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Implementing Changes-Implementing Changes-4 Key Factors to a healthy 4 Key Factors to a healthy

backback1.1. Modify body position for Modify body position for

optimal neutral curvesoptimal neutral curves (Musculoskeletal Physiotherapist)(Musculoskeletal Physiotherapist)

2.2. Modify equipment set-upModify equipment set-up (Ergonomic Physiotherapist)(Ergonomic Physiotherapist)

3.3. Train your body for its Train your body for its challengeschallenges (Personal Trainer, Yoga, Pilates)(Personal Trainer, Yoga, Pilates)

4.4. Minimise stress levelsMinimise stress levels (Psychological (Psychological Strategies)Strategies)

Page 22: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Implementing Changes– 1. Implementing Changes– 1.

Body positionBody position Practical Practical –strategies –strategies 00..

Practise Practise

this –this –

Start Start

relaxedrelaxed

Page 23: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Implementing Changes– 1. Implementing Changes– 1.

Body positionBody position Practical – Practical – Strategy 1.Strategy 1.

Roll Roll

Hips/Hips/

PelvisPelvis

ForwardForward

Page 24: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Implementing Changes– 1. Implementing Changes– 1.

Body positionBody position PracticalPractical –Strategy 2.–Strategy 2.

Roll Roll ShouldersShouldersUp & BackUp & BackHold with Hold with gentlegentleSqueeze in Squeeze in to centre to centre of spineof spine

Page 25: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Implementing Changes– 1. Implementing Changes– 1.

Body positionBody position PracticalPractical –Strategy 3.–Strategy 3.

GentlyGently

grow tall grow tall

andand

lengthen lengthen

back of back of

neckneck

Page 26: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Implementing Changes– 2. Implementing Changes– 2.

Equipment set-upEquipment set-up

Page 27: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Implementing Changes– 2. Implementing Changes– 2. Equipment set-upEquipment set-up

Page 28: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Implementing Changes– 2. Implementing Changes– 2. Equipment set-upEquipment set-up

Page 29: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Implementing Changes– 2. Implementing Changes– 2. Equipment set-upEquipment set-up

Page 30: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Implementing Changes– 2. Implementing Changes– 2. Equipment set-upEquipment set-up

Page 31: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Break every 20 Break every 20 minutesminutes

Arch over back of Arch over back of chairchair

10 slow repetitions10 slow repetitions

Page 32: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Implementing Changes– 2. Implementing Changes– 2. Equipment set-upEquipment set-up

Page 33: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Implementing Changes– 2. Implementing Changes– 2. Equipment set-upEquipment set-up

Page 34: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Implementing Changes– 2. Implementing Changes– 2. Equipment set-upEquipment set-up

Page 35: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Implementing Changes– Implementing Changes– 3. Train your body for its 3. Train your body for its

challengeschallenges A BRP-trusted Personal Training A BRP-trusted Personal Training

companycompany

Peak Physique Peak Physique

Teneriffe Teneriffe

Page 36: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Implementing Changes– Implementing Changes–

4. Minimise stress levels4. Minimise stress levels

Psychological StrategiesPsychological Strategies

Page 37: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Objectives – how did we Objectives – how did we go?go?

Increase your work productivityIncrease your work productivity

      Increase mental alertness and Increase mental alertness and concentration     concentration     

Decrease risk suffering pain and injuryDecrease risk suffering pain and injury

1. Awareness of the potential influence for your 1. Awareness of the potential influence for your bodybody

2. Making changes and see the results for yourself2. Making changes and see the results for yourself

3. Bonus – making these changes a habit3. Bonus – making these changes a habit

REFER TO CHECKLISTS PROVIDEDREFER TO CHECKLISTS PROVIDED

Page 38: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Baroona Road Baroona Road PhysiotherapistsPhysiotherapists

Michael Ridgway Michael Ridgway BPhty MPhtyBPhty MPhty

Cathy Doring Cathy Doring BPhty MPhtyBPhty MPhty

Jessica Hubbard Jessica Hubbard BPhtyBPhty

Pierre Buchholz Pierre Buchholz BPhtyBPhty

Luke Abnett Luke Abnett BPhtyBPhty

Brandon Lee Brandon Lee BPhtyBPhty

Please feel free to ask any questions:Please feel free to ask any questions:

[email protected]@baroonaroadphysiotherapy.com.aum.au

Page 39: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Baroona Road Baroona Road PhysiotherapyPhysiotherapy

Offer:Offer:

Attendants to this lecture and their Attendants to this lecture and their immediate family members - immediate family members -

Initial appointment at the cost of a StandardInitial appointment at the cost of a Standard

(saving up to $30 each person)(saving up to $30 each person)

Contact: Contact: [email protected]@baroonaroadphysiotherapy.com.aum.au

Valid Until: End September 2007Valid Until: End September 2007

Level 1, Centro MiltonLevel 1, Centro Milton

Page 40: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Break every Break every 20 minutes20 minutes

Stand and walk to Stand and walk to get a drink of waterget a drink of water

Page 41: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton

Avoiding Postural Avoiding Postural Pain and Suffering Pain and Suffering

at Workat WorkThis Evening’s MenuThis Evening’s Menu

Introduction & objectivesIntroduction & objectives Summary of pain and injury at workSummary of pain and injury at work Implementing ChangesImplementing Changes

QuestionsQuestions

Page 42: Avoiding Postural Pain and Suffering at Work Michael Ridgway BPhty MPhty (Musculoskeletal) Principal Baroona Road Physiotherapy, Milton