Dr. Nadine Broer

Musculoskeletal Acupuncturist

Dr. Nadine Broer

  • Masters Acupuncture 2006
  • BHSc (Acu) 2002
  • Adv TCM Studies, China 2002
  • AHPRA: CMR0001725487
  • AACMA: 1741

Musculoskeletal Acupuncture

So, what is a musculoskeletal disorder (MSD)?

Injuries or pain in the human musculoskeletal system, including the joints, ligaments, muscles, nerves, tendons, and structures that support limbs, neck and back. MSDs can arise from a sudden exertion (e.g. lifting a heavy object), or they can arise from making the same motions repeatedly repetitive strain, or from repeated exposure to force, vibration, or awkward posture. MSDs can affect many different parts of the body including upper and lower back, neck, shoulders and extremities (arms, legs, feet, and hands). Examples of MSDs include carpal tunnel syndrome, epicondylitis, tendinitis, back pain, tension neck syndrome.

MSDs can arise from the interaction of physical factors with ergonomic, psychological, social, and occupational factors.

Utilise acupuncture and Traditional Chinese Medicine techniques to assist your body’s recovery from physical injury. Your individualised maintenance program will support you as you return to your daily activities.

Whether your pain began with sports, work, gardening, RSI or an accident we can work with you and your other health practitioners to get you back to doing what you love.

Special interest MSDs seen frequently at Nambour Chinese Medicine

1. Sciatica

Sciatica describes pain felt along the sciatic nerve, which runs from your lower back, down through the buttocks, hamstrings and into the lower leg. The sciatic nerve is the longest nerve in the body. The spinal sections it originates from include L4, L5 or S1.

Sciatica is commonly misdiagnosed, which can result in either slow or non-responsive treatment. Leg pain can have various sources. It can be a local leg injury or it may even be referred from your lower back. The main nerve that travels from your lower back to your leg is your sciatic nerve. Irritation or pinching of your sciatic nerve can cause severe leg pain known as sciatica.

Common Causes of Sciatica

  • Pressure on the sciatic nerve from a herniated disc usually causes sciatica.
  • Joint inflammation
  • Compression of the nerve from bony arthritic growths
  • A locked facet joint in the lower spine

Other Causes of Sciatica

  • piriformis syndrome
  • spinal stenosis
  • spondylolisthesis
  • sacroiliac dysfunction
  • spine degeneration

An injury that irritates or pinches your sciatic nerve can cause severe leg pain known as sciatica. You’re most likely to get sciatica when you’re 30 to 50 years old. It may happen due to the effects of general wear and tear (spondylosis), plus any sudden pressure on the discs that cushion the vertebrae of your lower (lumbar) spine, e.g. lifting, bending or sneezing.

What are Sciatica Symptoms?

Sciatica causes pain that usually begins in the lower back and spreads through the buttock, leg, calf and, occasionally, the foot. The pain can vary between dull, aching or burning sensations and sharp, shooting pains.

Sciatica can also cause tingling, numbness or muscle weakness in the affected leg. It is very important to seek medical attention in these situations as long-term nerve compression can permanently damage the nerve and its function. In these cases, your symptoms may become permanent.

One or more of the following sensations may occur because of Sciatica:

  • Pain in the rear or leg that is worse when sitting
  • Burning or tingling in the leg
  • Weakness, numbness or difficulty moving the leg or foot
  • A constant pain on one side of the rear calf
  • A shooting pain that makes it difficult to stand up.

Book a Muscoloskeletal Acupuncture Appointment to speak with Dr Nadine Broer and develop a management plan for long term lifestyle improvements.

2. Shoulder and Neck disorders

  • Subacromial bursitis
  • Rotator cuff tear
  • Frozen shoulder

Disorders of the neck are a common source of pain. The neck has a great deal of functionality but is also subject to a lot of stress. Sources of neck pain and related pain syndromes, such as pain that radiates down the arm commonly seen are:

  • Whiplash
  • Cervical herniated disc
  • Cervical spinal stenosis
  • Osteoarthritis

Homework

Sciatica

When you can:

  • Rest for the next couple of days (no exercise for 24hrs)
  • Apply our recommended liniment 3 times per day
  • Try to refrain from twisting, bending and lifting anything over 5kg
  • Once the 24hrs has passed and if able to do so start a gentle walking routine
  • Keep moving
  • Apply heat pack as often as you like
  • No vacuuming, sweeping or mopping
  • Listen to your body, it will give you warning signs. Pain happens for a reason (to keep you out of danger)
  • Get sufficient rest
  • After sitting for 30min walk for 2 min
  • When you need to lie down, lie on your side with a pillow between your legs (rather than on your back with your knees bent)

Neck Pain

Where able to do so:

  • Keep your neck warm with a scarf
  • After sitting for 30min walk for 2 min
  • Apply good desk ergonomics
  • Practice good posture – shoulders back, chin in
  • Neck isometrics with resistance
  • Apply our recommended liniment 3 times per day
  • Apply heat pack as often as you like
  • Listen to your body, it will give you warning signs. Pain happens for a reason (to keep you out of danger)
  • Get sufficient rest
  • Don’t sleep with the fan on or near an open window

Scarf

The importance of having a scarf handy at all times is paramount. Wind and Cold can penetrate the body through the neck and cause wry neck. Pop one in your hand bag or man bag for times when the temperature drops.

Liniment

I generally suggest that you apply the liniment I have prescribed to the area that is sore. I advise using up the liniment that you already have at home and restock with one of the liniments that is more specific to your condition from Nambour Chinese Medicine.

Wheat Bag

Heat can be applied to aches and pains as often as you would like. It has a soothing effect and aids in the healing process.

Ice

I don’t recommend ice packs. Even though ice can relieve pain, reduce swelling, bruising and heat, we need our body to go through these processes to heal optimally. 

Keep moving

Deep water running (DWR) provides non-weight bearing exercise for injured tissue and joints. The shallow end of a pool works well.

Diet

One of your most powerful tools to combat inflammation does not come from the pharmacy. By choosing the right anti-inflammatory foods you may be able to reduce your risk of illness. Consistently pick the wrong ones, and you could accelerate the inflammatory disease process.

Foods that cause inflammation (try to avoid or limit these as much as possible):

  • Refined carbohydrates, such as white bread and pastries
  • Hot chips and other fried foods
  • Soft drinks and other sugar-sweetened beverages
  • Red meat (burgers, steak) and processed meat (hot dogs, sausages)
  • Margarine, shortening and lard

Anti-inflammatory foods (an anti-inflammatory diet should include these foods):

  • Tomatoes
  • Olive oil
  • Green leafy vegetables (such as spinach, kale, and collards)
  • Nuts (like almonds and walnuts)
  • Fatty fish (like salmon, mackerel, tuna and sardines)
  • Fruits (such as strawberries, blueberries, cherries, goji berries, pineapple, papaya)
  • Honey
  • Coconut
  • Turmeric