凱羅的隨堂筆記 Chiro's notes

A huge thanks to the for having me at such an awesome event! I’m so grateful for the opportunity to help more people.

”Exercise really isn‘t hard—you just need to be willing to start.“ That’s the number one mindset I’ve always tried to share as a personal trainer. I totally get why it’s so easy to resist working out. It can feel exhausting, getting sweaty is annoying, and honestly, lying in bed scrolling is just so much easier.

I hope this event helped everyone rediscover the real benefits of moving your body. Hopefully, the ”train anywhere“ warm-ups and basic movements we went through will help you take that first step and make building a fitness habit a breeze!

Thanks to everyone who came out, and I‘ll see you at the next one! ☺️☺️

Must I do rehab? Can‘t I just get treated? 🤔

Many people think once the pain is gone, the problem is fixed. But here is the truth: Treatment is just the preparation for your active rehab.

💡 The Difference:

🔹 Passive Treatment: Reduces pain, restores joint mobility, and relaxes tight tissues.
🔹 Active Rehab: Retrains your body’s movement patterns and strengthens weak muscles.

⚖️ The Muscle Tug-of-War

Most chronic aches (excluding trauma) come from poor posture or overuse. Muscles work in pairs. When balanced, you feel great. But when one side is too tight, and the other is too weak, your body compensates—and that is where the pain starts!

🐢 Example: Upper Crossed Syndrome (Tech Neck / Rounded Shoulders)

❌ The Tight Side: Chest and upper neck muscles (pulling your shoulders forward).
❌ The Weak Side: Mid-back and deep neck flexors (failing to pull you upright).

Treatment unties the knot. Rehab builds the strength to keep it untied. 💪

Reference:Chaudhuri S, Chawla J, Phadke V. Physiotherapeutic Interventions for Upper Cross Syndrome: A Systematic Review and Meta-Analysis. Cureus. 2023 Sep 18;15(9):e45471 . doi: 10.7759/cureus.45471.

Image: made by Google Germini

Say Goodbye to Pain: Start by Finding the ”culprit“

📍 Patients often ask me: ”It’s clearly my knee that hurts, so why are you treating my lower back?“

The location of your pain is often just the victim. The true root of the problem (the culprit) is usually hiding somewhere you haven‘t noticed.

1️⃣ What is ”Compensation“?
When a specific joint in your body gets stuck or becomes weak and can no longer perform its ”factory settings“ (original function), neighbouring joints are forced to step in. They have to support the movement and work beyond their intended capacity.

•➡️The helping joint gets overworked, leading to injury and pain.

2️⃣ The Truth About Knee Pain
Knee pain often occurs because the lumbar spine or hip joints lack mobility. Because these areas are stiff, the knee is forced to absorb extra twisting forces and pressure.
• Knee Pain ⮕ The Result (The Victim)
• Tight Lower Back ⮕ The Cause (The culprit)

3️⃣ A Complete Treatment Strategy
Through posture analysis and movement assessment, we track down the source of this chain reaction. By treating the real ”cause,“ we prevent the pain from repetitive injury, achieving a cure that addresses both the symptoms and the root cause.

Why am I feeling muscle soreness after the adjustment?
Is that normal?

Answer: Yes, it’s pretty normal

🌿 Post-Treatment Recovery Guide

In the 24 to 72 hours following your treatment, you may experience some muscle soreness, similar to the feeling after an intense workout or a deep massage.

Please don’t worry—this is a typical sign of recovery.

This indicates that your soft tissues are undergoing a“healthy inflammatory response” and a self-repair process as your body adapts to its new balance.

💡 When should you contact the therapist? Please keep an eye out for these abnormal signs:

Duration: The soreness persists for more than 3 days without improvement.

Severity: You experience sharp or acute discomfort, either immediately or after returning home.

Why am I feeling muscle soreness after the adjustment? Is that normal?

Answer: Yes, that's pretty normal

🌿 Post-Treatment Recovery Guide

In the 24 to 72 hours following your treatment, you may experience some muscle soreness, similar to the feeling after an intense workout or a deep massage. Please don’t worry—this is a typical sign of recovery.

This indicates that your soft tissues are undergoing a “healthy inflammatory response” and a self-repair process as your body adapts to its new balance.

💡 When should you contact the therapist? Please keep an eye out for these abnormal signs:

Duration: The soreness persists for more than 3 days without improvement.

Severity: You experience sharp or acute discomfort, either immediately or after returning home.

🔍 Is Joint Cracking Sound Necessary for Therapeutic Efficacy?

The Answer is Big No.

Many patients believe a ”crack“ or ”pop“ means a bone has snapped back into place. This is a myth. The sound is not an indicator of how well the treatment worked.
________________________________________
💡 Why Does it Pop?
The sound is a biological reaction called cavitation, not bones moving.

• The Process: A quick movement changes pressure in the joint.

• The Result: Gas bubbles in the joint fluid collapse or burst.

• The Truth: It is the same principle as cracking your knuckles—it’s just air moving, not structural realignment.
________________________________________
✅ Real Indicators of Success
Professional care focuses on function, not sound. A treatment is successful if you see:

1. Improved Range of Motion: You can move further, smoother, and with less stiffness.

2. Reduced Pain: A noticeable drop in sharp pains or nerve discomfort.
________________________________________
🛡️ The Professional Process
A clinical approach prioritises data over noise through three steps:

• Step 1: Baseline Assessment: Measuring your movement and pain levels before the adjustment.

• Step 2: Precise Adjustment: Targeting specific areas of dysfunction.

• Step 3: Re-evaluation: Re-testing your movement after treatment to confirm real improvement.
________________________________________

Summary: Judge your recovery by how you move and feel, not by how loud the joint was.

👋 Hi everyone, I’m Kevin!

I’m currently in my final year of my Master of Chiropractic at Macquarie University and an intern at the Eastwood Chiropractic Clinic.

Prior to my clinical training, I have been an American Council on Exercise (ACE) Certified Personal Trainer for 10 years. 🏋️‍♂️

I combine a decade of fitness experience with clinical care to not just treat your pain, but help you understand your movement and rehab. If you’re in Sydney and dealing with pain or stiffness, come see me for a full assessment!

✅ I Can Help You With:

🏋️ Sports & Gym Injuries (With my PT background, I understand lifting mechanics!)

Muscle strains, sprains, and recurring injuries

Joint stiffness after exercise

Restricted movement or “stuck” joints

🦴 Neck & Back Pain

Lower back discomfort & lumbar pain

Neck stiffness (including “sleeping wrong”)

Upper back & thoracic pain

⚡️ Muscle Tension

Tight shoulders and Trapezius tightness

Headaches caused by tension

觸診準確率
今天來聊聊關於觸診的準確率，上學期的期中報告就是關於前十字韌帶撕裂的三種觸診的準確率，由於是練習，老師提供的數據不完全準確但是也側面反映出觸診的準確率實在慘不忍睹，誤診的機率很高，所以治療師都要輔以其他檢測儀器才能做出正確的診斷，諸如電腦斷層、超音波、X光及其他檢測工具等等，經驗及觸診只能幫助我們縮小病灶的範圍。

下次來聊聊這些檢測儀器及工具

Today, let's discuss the accuracy of palpation. In the midterm report last semester, I focused on the accuracy of three palpation methods for diagnosing anterior cruciate ligament tears. Since it was a practice exercise, the data provided by the teacher was not entirely accurate, but it still reflected the dismal accuracy of palpation. The probability of misdiagnosis is high, so healthcare professionals must complement palpation with other diagnostic tools such as computed tomography, ultrasound, X-rays, and other instruments. Experience and palpation can only help us narrow down the location of the lesion.

Reference:
1. Nolet, P. S., Yu, H., Côté, P., Meyer, A. L., Kristman, V. L., Sutton, D., ... & Lemeunier, N. (2021). Reliability and validity of manual palpation for the assessment of patients with low back pain: a systematic and critical review. Chiropractic & manual therapies, 29(1), 33.

2. Swain MS, Henschke N, Kamper SJ, Downie AS, Koes BW, Maher CG. Accuracy of clinical tests in the diagnosis of anterior cruciate ligament injury: a systematic review. Chiropr Man Therap. 2014 Aug 1;22:25. doi: 10.1186/s12998-014-0025-8.

搖擺背

搖擺背的靜態姿勢變化: 骨盆水平前移(重心向前)、過多的胸椎屈曲及腰椎前凸、髖關節處在伸展的位置、膝關節過度伸展，這些姿勢會導致腰椎承受更多的壓力進而造成傷害，通常搖擺背會發生在久坐和肥胖的人，一些先天髖關節發育不良和神經系統受傷導致一些肌群虛弱無力也會造成搖擺背

潛在的肌肉無力或延展(需鍛鍊)
• 一邊的髖曲肌
• 腹外斜肌
• 豎脊肌的上胸椎(T1-T4)及上腰椎(L1-L2)部分
• 下半部腹肌
• 頸曲肌
• 慣用側的臀中肌
• 腰大肌
• 肩胛穩定肌群(前鋸肌、中下斜方肌、菱形肌)

潛在的肌肉過度強壯或緊繃(需放鬆)
• 股二頭肌
• 髖伸肌(臀大肌)
• 上半部腹內斜肌
• 肋間內肌
• 慣用側的括筋膜張肌過強和髂脛束緊繃
• 腰椎束脊肌下半部

Swayback

Postural changes of sway back: The pelvis moves forward (centre of gravity shifts forward), excessive thoracic spine flexion and lumbar lordosis, hips in an extended position, and overextended knees. These postures can lead to increased stress on the lumbar spine, causing injury. Swayback typically occurs in people who sit for prolonged periods and those who are overweight. Congenital hip joint abnormalities and neurological injuries causing weakness in some muscle groups can also lead to a sway back.

Potential muscle weaknesses or areas needing exercise:

• One joint hip flexors
• External obliques
• Lower thoracic extensors
• Lower abdominals
• Neck flexors
• Where one leg is favoured, gluteus Medius(especially posterior fibres) on the favoured side
• Scapulae stabilisers (serratus anterior, lower and middle part of the trapezius and rhomboid muscles)

Potential muscle areas that are overly strong or tense and need relaxation:

• Hamstrings
• Hip extensors
• Upper fibres of internal obliques
• Internal intercostals
• Low back musculature is short but not strong (Erector spinae lumbar lower part)
• Where one leg is favoured, tensor fascia latae is strong, and the iliotibial band is tight on the favoured side

平背

平背是由上胸椎(T1-T4)和腰椎產生的綜合影響，是由過度屈曲的上胸椎和腰椎後凸所造的，而平背的人通常會伴隨肩頸痠痛和腰痛問題，由於腰椎後凸會導致骨盆後頃及髖關節過度伸展，進而會影響身體向前彎的柔軟度，平背的問題長好發於長期站立的生活模式，尤其是站立同時低頭的職業，如老師、廚師等等

潛在的肌肉無力或延展(需鍛鍊)
• 其中一邊的髖曲肌
• 腰椎伸肌
• 上胸椎及腰椎的穩定肌(多裂肌)
• 肩胛骨前引肌
• 前側肋間肌

潛在的肌肉過度強壯或緊繃(需放鬆)
• 股二頭肌
• 腹肌
• 髖伸肌
• 肩胛骨後收肌
• 胸椎束直肌

Flat back

Flat back syndrome is influenced by the thoracic spine (T1-T4) and lumbar spine. It is caused by excessive flexion of the thoracic and reduced lordosis of the lumbar spine. People with flat back often experience shoulder and neck pain, as well as lower back pain. The reduced lordosis of the lumbar spine leads to a backward tilt of the pelvis and excessive extension of the hip joint, which affects the body's forward bending flexibility. Flat back syndrome is commonly found in individuals who stand for prolonged periods, especially in professions that involve standing and looking down, such as teachers and chefs.

Potential muscle weaknesses or areas needing exercise:
• One side's hip flexor
• Lumbar extensors
• Stabilizing muscles of the thoracic and lumbar spine (multifidus)
• Scapular protractors
• Anterior intercostal muscles

Potential muscle areas that are overly strong or tense and need relaxation:
• Hamstrings
• Abdominal muscles
• Hip extensors
• Scapular retractors
• Thoracic erector spinae