MP Sports Physicians Covid Update

MP SPORTS PHYSICIANS COVID PLAN

Effective 15 February 2021

We would like to reassure you that the staff at M P Sports Physicians are committed to best supporting the needs of our patients and keeping everyone safe.

We will continue to operate as normal – our Covid plan is safe and strong.

Thank you again for your patience and support.

With the announcement of 5 day lockdown by the State Government our COVID 19 plan has been updated as follows:

NON-CLINICAL STAFF

Non clinical staff will wear face masks and at all times within the clinic, except when eating and drinking. Face masks may be disposable surgical masks or triple layered fabric masks if preferred. If fabric masks are used, they must be laundered daily.

Hand washing with soap will be performed at intervals throughout the work day and hand sanitiser will be used frequently.

All desk/ keyboard / telephone surfaces to be cleaned twice daily. At the end of the day, these surfaces should be sprayed down with Viraclean or Clinicol and covered with a paper towel over night.

A continued focus will be placed on cleaning surfaces in waiting room.

All verbal interactions with patients will take place behind Perspex screens (sneeze screens).

At all times, a distance of 1.5 metres will be maintained between staff. Where possible, tasks will be performed in a separate room.

If non clinical staff are required to self isolate, they will be paid their usual hours in sick leave. If no leave is available, they may choose to take unpaid leave or negotiate their options directly.

CLINICAL STAFF

Clinical staff will be expected to wear face masks for all patient interactions. Face masks must be changed after eating/ drinking. At a minimum, they should be changed every 4 hours.

Face Shields are not compulsory but may be worn at the clinician’s discretion.  Face shields should be sprayed with antiviral cleaner at the end of each day. Each staff member will have their own shield.

Keyboards in clinical rooms will be sprayed and covered overnight.

Clinicians will wipe down all surfaces with clinicol/ viraclean after each patient visit.

Due to difficulties with communication, it is not necessary to wear masks during telehealth consultations. In this case, the consultation must be conducted with the consulting room door closed and the mask replaced as soon as the consultation is over.

Plastic aprons will be provided to wear whilst consulting at the clinicians discretion. Surgical gowns will not be provided. All clothing should be washed after each day of wear.

Clinical staff should not enter the reception area unless absolutely necessary and are expected to spend the majority of their workday in their consulting room.

 

ALL STAFF

Will not attend work with respiratory or cold like symptoms or if a household member is being tested for COVID 19 until tests have returned as negative.

In the event of illness, staff MUST attend for COVID testing.

Clinicians may continue working remotely while awaiting test results and isolating in their own home.

Will have the COVID SAFE app on your phone and keep it close to your work area.

Will provide their own water bottles for drinking.

Will take care to avoid sharing mugs/utensils during the workday. At the end of the day, dishes will be cleaned and have recently boiled water poured over them before being left to airdry.

PATIENTS

All patients are strongly encouraged to utilise the option of telehealth wherever possible.

If a telehealth appointment is conducted and the Doctor deems is necessary for the patient to attend to complete the appointment, there is no additional charge for that attendance.

Patients should not attend the clinic if they have any cold or flu like symptoms.

ALL patients MUST wear a mask when attending the clinic.

No visitors or support people are permitted in the waiting room.

Frail patients who are unsafe to ambulate alone may have a support person help them into the waiting room. Clinical staff will look after them from that point. Support people will be contacted to come back in at the end of the appointment.

Children may attend with a maximum of one parent.

POSITIVE TESTS

In the event of a person testing positive who has been present in our clinic during their infection period, the clinic will be closed immediately for deep cleaning. All people deemed to have been contacts will immediately self-isolate and undergo COVID 19 testing. As stated above, clinical staff may continue working remotely in this case.

SUMMARY

These infection guidelines have been put in place to ensure the safety of our patients, staff and the wider community and we thank you for your efforts in helping us to control the spread of COVID 19.

WOMEN’S HEALTH

Did you know that after menopause, the lack of oestrogen in the female body makes our risk of medical illness similar to males?

Without the protective effects of oestrogen, our risk of hypertension and heart disease increases.
Not only that, but our bones start to lose density and strength as well.

The good news is that we can still improve our risk profile for these issues with lifestyle choices before and after menopause.

Weight bearing exercise and weight training protect our bones.

Cardiovascular fitness reduces blood pressure and heart disease risks.
A diet with adequate calcium and omega 3 fatty acids protects both bones and heart.

Putting it all together helps to maintain a healthy body weight, adequate bone and muscle mass and a positive, healthy future forecast.

Benefits of weight bearing exercise

Weight bearing exercise includes walking, running and jumping. Cycling and swimming are not considered weight bearing but do have multiple health benefits.
The big difference with weight bearing is the forces through the bones. The force of impact results in tiny mechanical electrical signals being sent in the bones. These signals tell the bone cells to produce more bone and to slow down bone breakdown.
Weight bearing exercise in adolescents has been shown to improve their adult bone density, therefore reducing their chance of osteoporosis.
In older adults, weight bearing exercise slows bone loss, helps to maintain a healthy bone mass and body weight and has even been shown to help with osteoarthritis management.
So, pull on your supportive sneakers and get out there….. just don’t go too hard too early. You need to give your bones time to adapt to the new stimulus. A slow increase over 3 months is best, but keep it consistent.

Life after COVID-19: The importance of a safe return to physical activity

Written by Alice McNamara, Jane Fitzpatrick and Jacob Jewson.

View the full article by clicking this link:https://www1.racgp.org.au/a…/coronavirus/life-after-covid-19

OUR NARRE WARREN ROOMS

Located at 65 Victor Crescent, Narre Warren.

Our Narre Warren rooms are currently open Tuesdays, Wednesdays and Thursdays for appointments. If you’d like to book an appointment at our Narre Warren rooms, please call (03) 9770 2398

THORACIC SPINE PAIN

Unfortunately, as our reliance on technology increases, so does the incidence of thoracic spine pain and pain referred from the thoracic spine.

The basic issue is postural overload. More specifically, compression through the spine in prolonged flexion postures, lack of lower rib excursion in breathing and strength loss as a result of sedentary lifestyles.

Fortunately, most cases of thoracic pain will respond to manual intervention and strengthening, but it is important to be aware of the causative postures and try to avoid them. The thoracic spine is not as mobile as the neck or lower back, but is still designed to flex, extend, rotate and laterally flex. Unfortunately, much of our working life is spent in flexion and then slumping in exhaustion on the couch at the end of the day.Simple measures to help improve thoracic function include regular stretch breaks, incorporating extension, rotation and lateral flexion movements. Also- consider upper back strengthening to hold the spine more upright. This can often be done with an exercise band and a door handle, so it’s not too onerous.If pain persists, careful clinical examination is required to try to identify the source of the pain. The thoracic area is complex. There are facet joints, costovertebral joints, costotransverse joints, discs and numerous ligaments on both sides of each vertebra. Sometimes it can be difficult to say where the pain is starting. This is one occasion where bone scanning with SPECT CT can be helpful to identify the inflamed joint, but, be warned, scans are often negative.
If sensitisation is suspected, a trial of amitryptiline may help reduce pain. Occasionally injections are required. Rehabilitation of mobility and strength are ALWAYS imperative.If you would like to chat to one of our Doctors regarding this, please call (03) 9770 2398 to book an appointment.

Does your menstrual cycle affect your ability to exercise?

Does your menstrual cycle affect your ability to exercise? Or, are you interested in understanding it better? Dr Alice McNamara is currently doing her Sports Medicine Research into menstrual cycle tracking and elite female athletes. During the last few weeks, she has been involved presenting to the Victorian Institute of Sport Athletes and Coaches with their Sports Medicine team led by Dr Susan White.

A few summary points:
• Female athletes have a monthly indicator of health; their menstrual cycle.
• Everyone is different, and getting to know it can give you more control.
• If it affects your sport, it is likely that it can be managed better. We would love to help.
• And, we think 1 in 5 female athletes have seen a change in their menstrual cycle during COVID!

If you are interested in this topic and would like to discuss it further, please call (03) 9770 2398 to book an appointment with Dr Alice.

Pictures: Dr Alice competing.

#MPsportsphysicians #morningtonpeninsula #Mornington #Frankston#narrewarren #Berwick #sports #athlete #sportsphysician #Exercise 

 

IRON DEFICIENCY

Iron deficiency is much more common in athletes, particularly female athletes.

Menstrual blood loss is one factor, but we also use iron in muscle growth and repair.
This is not a problem if your dietary intake can keep up, but red meat is the best available source of iron and it can be hard to eat enough. Vegetable sources are harder to extract the iron from, putting vegetarians at more risk.
If your iron stores go low enough, you can end up anaemic. In general, athletes don’t get to this stage as they present with fatigue much earlier than that or are diagnosed on blood tests before symptoms start.
In the general population, iron stores of 20 – 30 are considered adequate. In athletes , we aim for 50 to account for the demands of training and everyday life.

 

SHOULDER IMPINGEMENT

Shoulder impingement can be divided into functional and structural.
The usual presentation of functional impingement is someone under 40 years of age. They will commonly be involved in overhead sports such as tennis, swimming, gymnastics of football.
They may have a history of instability of the shoulder or have generalised ligamentous laxity.
Essentially, impingement occurs when the humeral head translates too far anteriorly in overhead positions, placing strain on the upper rotator cuff and compressing the subacromial space. Sometimes, when the instability is more pronounces, biceps and subscapularis can be involved.
Treatment is conservative first. NSAIDs for pain relief and cuff and scapular stabiliser retraining.
Injections are rarely required and discouraged.
Structural impingement occurs on an older population and results from a narrowed subacromial space. This can be from swollen tendons, bursitis, AC joint osteophytes, glenohumeral arthritis or full thickness rotator cuff tear. In this group, it important to asses the integrity of the cuff with XRAY and ultrasound.
Anyone under 60 with a full thickness tear should be considered for surgery to avoid shoulder joint arthritis. Anyone with >50% thickness cuff tear can be monitored, but may need surgery. < 50% tears are usually monitored with 6-12 monthly ultrasound and rehabilitated.
Injections are often helpful to relieve pain, but muscle retraining remains important.
Decompression surgery my be required if all else fails.

 

Sports Medicine by Sport and Exercise Medicine Physicians

Mornington, Frankston, Narre Warren/Berwick

MY STRESS FRACTURE PAIN HAS GONE – CAN I RUN AGAIN?

Unfortunately, just because the pain has gone, it doesn’t mean that the bone is strong enough to run or resume sport.
Bone strengthens through load. After a stress fracture, it needs to be gradually reloaded to allow the force lines to strengthen and prevent further damage.
You can start some strengthening quite early and then progress to more dynamic loading, but just because the pain has gone at 2 weeks, it doesn’t mean you are fixed. You still have 4- 8 weeks to go!

Sports Medicine by Sport and Exercise Medicine Physicians

Mornington, Frankston, Narre Warren/Berwick