Diabetes is a worldwide epidemic. According to the International Diabetes Federation, over 450 million people worldwide are living with diabetes, including 1 in 5 of those aged over 65. An estimated 1.7 million Australians are currently living with diabetes. The proportion of people living with type 2 diabetes has been steadily increasing in Australia and diabetes related complications (even though many are preventable) are a serious problem.
What is Type 2 diabetes?
People with diabetes have an abnormally high or low blood sugar level.
In Type 2 diabetes, the body either fails to produce enough insulin, or can’t use that insulin properly. Insulin is the hormone in our body that allows the sugars from the food we eat (glucose) in the blood stream to enter our body’s cells, where it is converted into energy.
What are the symptoms of diabetes?
Many people with type 2 diabetes display no symptoms.
Because type 2 diabetes tends to be diagnosed at a later age, some of the warning signs can be dismissed as a part of ‘getting older’. In some cases, by the time type 2 diabetes is diagnosed, the complications of diabetes may already be present.
Common symptoms include:
- Excessive thirst
- Passing more urine
- Feeling tired and lethargic
- Always feeling hungry
- Having cuts that heal slowly
- Itching, skin infections
- Blurred vision
- Gradually putting on weight
- Mood swings
- Feeling dizzy
- Leg cramps
If untreated or not properly controlled, diabetes can damage blood vessels, nerves and organs such as the kidneys, limbs or the eyes, leading to serious problems. However, with a healthy lifestyle and the right treatment people with diabetes can lead full and normal lives.
Who is at risk of developing type 2 diabetes?
People are at a higher risk of getting type 2 diabetes if they:
- have a family history of diabetes
- are over 55 years of age – the risk increases as we age
- are over 45 years of age and are overweight or have high blood-pressure
- are over 35 years of age and are from an Aboriginal or Torres Strait Islander background
- are a woman who has given birth to a child over 4.5 kgs (9 lbs), or had gestational diabetes when pregnant, or had a condition known as Polycystic Ovarian Syndrome.
While there is currently no cure for type 2 diabetes, the condition can be managed through a number of lifestyle modifications. Effectively managing diabetes is the best way to prevent diabetes-related complications.
How can physiotherapists help those with diabetes?
Exercise plays a key role in preventing or delaying the onset of Type 2 diabetes by improving blood sugar metabolism, reducing body fat, increasing muscle mass and improving cardiovascular fitness.
Physiotherapists can do more than assess, diagnose, treat, and manage musculoskeletal manifestations and complications of type 2 diabetes.
Physiotherapists play a key role in the design, delivery and implementation of exercise programs for the management of type 2 diabetes and can also counsel patients in physical conditioning and active, healthy living.
Exercise and a healthy diet are recommended both for prevention and for people already diagnosed. People with diabetes often have other medical problems or risk factors for ill health, such as heart disease, high blood pressure, a history of stroke or obesity. Physiotherapists are able to take into consideration these conditions and tailor a bespoke treatment plan to your needs.
For more information on how physiotherapy can support those with Diabetes, give us a call or send an email.
Why pre and post-surgery physiotherapy is the key to a full recovery
There’s no better way of putting it, major injuries suck. Especially those that require surgery. I’ve been there myself, as a sports physio on the Northern Beaches I’ve seen firsthand many injuries on the beach and on the sporting fields. I’ve had 7 operations including a full shoulder reconstruction and a hernia repair. I know that first you have the pain when you injure yourself. Then there’s the pain and lack of mobility leading up to surgery. Post-surgery it can feel like an eternity before your body is back to its optimal condition. You might even think your body is just a bit stiff from surgery and that it’s ready to get back to business as usual. You’d be wrong.
It’s easy to want to get straight back into the activities you were doing prior to your injury and for a lot of people this is where they can come unstuck (sometimes literally). Even though your brain might be telling you to go for it, your body is the one wearing the brunt of that decision. Old habits die hard and if your injury was caused by an improper technique or movement, the chances of you re-injuring the affected or surrounding area aren’t just high, but nearly guaranteed. This is where proper rehabilitation comes into its own.
They tried to make me go to prehab, I said yes, yes, yes.
Pre-surgical rehabilitation or prehab for short is the concept that’s going to get your body into the best shape it can be in before your surgery. Think of it as a 6 week bikini body challenge for your ACL. A well designed pre surgery strengthening regime can shave weeks of time and pain off your post-surgical recovery. In fact, surgeons agree that the physical shape your affected area is in is one of the strongest predictors of the chances of a fully successful recovery! It is likely that you have pain and weakness operating in tandem leading up to surgery, but you’re going to need every ounce of strength you’ve got to recover fully. In prehab your local physio will help you build strength and stability where you need it most to ensure you get the most out of your rehabilitation.
Surgeons understand the benefits of proper rehabilitation
There’s a reason surgeons recommend physiotherapy as the most essential component of the rehabilitation of your new or improved body part. While surgery corrects the structural issues caused by your injury, your body must relearn particular functions and movements to prevent another injury from occurring. Unless optimal motor control, joint motion, muscular strength and function is restored you might as well book yourself back in to go under the knife again already. For example walking, running or jumping around after knee surgery NEEDS TO BE RELEARNED! How did you end up here in the first place? Dodgy form. This is exactly the reason one some people experience the same surgery over and over again!
How pre and post surgical rehabilitation helps you recover
- Improves range of motion and movement function of the injured area
- Sports physiotherapy focuses on strengthening the muscles surrounding the injury
- Reduces pain associated with lack of movement and the injury itself
- Helps you to relearn movements: this could be through teaching you to walk, run or jump with a different movement pattern to avoid the same injury
- Empowers you with the knowledge of how to keep your body in better shape
- Shortens the recovery time associated with your injury and surgery
Pre and post-surgery rehab isn’t sexy. It can be a long process that requires intensive hands on physiotherapy from an expert in rehabilitation techniques, functional training and is up to date with the latest in complementary forms of exercise equipment. Make sure you find yourself a local musculoskeletal physiotherapist with access to state of the art gym and functional training capabilities to give yourself the best chance of a full recovery.
The festive season is well and truly in full swing. The holidays have arrived, the decorations are hung, roasts are being roasted, backyard cricket pitches are receiving final preparations and Santa is double checking his naughty or nice list. But around Australia Physiotherapists and other health professionals are holding their collective breaths; for the Christmas break is a time when Aussies like to push their bodies to the limit. We’re not just talking about a tummy ache from too much Christmas pudding, or stepping on some brand new Lego either. Statistics show that hospital admissions increase by at least 10% during the Christmas period as more people engage in biking, swimming, surfing and trampolining with the old grog consumption related injuries skyrocketing too. My favourite medical acronym gets written on every second xray at this time of year: PAFO – “pissed and fell-over”! Preventing injuries and accidents is essential to getting the most enjoyment out of this holiday season and avoiding a nasty trip to the hospital or limping into your physiotherapist’s office in the New Year.
Rule number 1: DON’T GET SLACK WITH YOUR INJURY MANAGEMENT ROUTINE
We know it’s been a long year and you deserve some rest and relaxation, but if you have a regular routine of exercises or stretches to manage an ongoing condition, continue over the holiday period. Every January Northern Beaches physiotherapists see an increase in people with injury “flare-ups” due to taking a rest from their injury management routine.
Rule 2: Ease into your New Year resolutions
If you went to the gym twice in 2018, please don’t start 2019 with a 20km beach run unless you keep running directly into the waiting room of your Dee Why physio clinic! Some of the most common injuries physios see in January are New Year resolution related. There’s no reason to jump right into the deep end and risk yourself an injury. Physios recommend preparing your body with daily walks progressing in difficulty, ocean swimming and bodyweight exercises if you are just getting started.
On the flipside, if you regularly play sports and stop training over the Christmas holidays, it is natural for your body to lose some strength and physical conditioning. This can lead to a higher risk of sports related injuries if you return with full gusto straight away. Us musculoskeletal physiotherapists recommend easing your way back in after the break and focus on warming up effectively and stretching before returning to full work in order to avoid the sprains, strains and tears associated with too much too soon.
Rule 3: Be aware of your alcohol consumption
Not only is alcohol one of the leading causes of Boxing Day regret syndrome, it is also the prime reason many people suffer physical injury during the Christmas holidays. A 2018 study by Monash University analysed a number of Emergency rooms in Australia and New Zealand and identified that 9.5% of admissions to the ER came as a result of alcohol related shenanigans. It’s important to keep up water consumption with alcohol to avoid headaches and excessively painful hangovers. Alcohol, dehydration and excessive Aussie sun exposure is a quick trip to a very unpleasant couple of days. Cue the Australia Day memories from 2018. Many injuries are caused by accidents from people being overconfident on shiny new Xmas toys (not always their own). We know the trampoline looks fun, but if you haven’t backflipped in 20 years, it probably isn’t best to try after a few frothies.
Rule 4: Beware the holiday sports injuries
Don’t be afraid to run through a few stretches before bowling your first over of backyard cricket or kicking the first footy in the annual family football derby. The summer holidays are a great time for water and racquet based sports, but activities like swimming, surfing, tennis, and beach volleyball rely on the strength of the shoulder and are highly injurable without proper warming up or conditioning.
A common injury musculoskeletal physiotherapists see is ‘subacromial bursitis’ – causing severe pain when lifting or moving the arm, loss of strength which always takes a few weeks to return to painless function with the right guidance. Not the best start to the New Year. If your shoulder starts to hurt playing tennis or volleyball, try to stop overhead serving and keep your shots below parallel to the ground. Ice it up and restrict movement for the next few days if things get sore. If it’s still sore 3 days later you need to go and see someone.
….And the injuries due to inactivity
Believe it or not, musculoskeletal physiotherapists see an increase in lower back pain this time of year. People stop their gym routines and settle in for long movie marathons or sports binges on the couch for days on end in an attempt to decompress from the stress of a long year. Sitting in a slumped position for long periods of time puts increased pressure on our lower backs, putting you at increased risk of low back pain. Our bodies aren’t made to be sitting for too long! Get up and move about for at least two minutes every 20-30 minutes, if you’re driving long distances make sure to stop every two hours and walk around. Changing your posture regularly has been shown improve comfort and reduce the risk of musculoskeletal injuries.
Merry Christmas and Happy New Year from the Beaches Sports Physio team and remember that the best Christmas present you can get yourself and family is your health.