A team of international health experts has accused the medical fraternity of “mismanaging” back pain and providing “ineffective and harmful” treatments.

Slowly but surely the public is starting to hear the truth about back pain.

Medicine demands evidence based medicine.  And yet people keep getting medicines like panadol and anti inflammatories prescribed for their back pain when the evidence does just not support this.

Dr Rochelle Buchbinder, a very well known Rheumatogist in Melbourne has been part of a recent study published in Lancet Medical Journal, one of the worlds pre eminent journals.  She says “The burden from low back pain has reached a tipping point where the condition is growing rapidly, is poorly understood and is being mismanaged medically — at cost both to the patient and to the healthcare system,” she said.  We could not agree more.

They found there is an over-reliance on scans, surgeries and opioid prescriptions to treat a problem that could be more effectively addressed through self-management and less-invasive physical and psychological therapies.

Great article on ABC website, here it is.

Worryingly, this is all happening whilst opioid presciptions have increased massively, as have addiction and deaths from this.

Back pain needs treatment from people who have experience in back pain.  Osteopaths like those at City Osteopathy study for 5 years to understand and learn how to treat mechanical pain such as back pain.


Our experienced Melbourne osteopath Mike’s 5 tips for better low back care!

Top 5 Tips to Better Back Care

Dr Michael Santamaria, Melbourne Osteopath at City Osteopathy

Back pain, especially low back pain, is by far the most common complaint our Melbourne Osteopath’s see. Almost every Australian will experience some form of back pain in their lifetime. Many low back pain episodes are avoidable. There are simple habits you can adopt to reduce your risk of a flare-up and keep you out of our clinic!


  1. Reduce the amount of time you are seated.The more you sit, the less your core muscles are switched on and that means less back support. It also increases compressive load onto your low back. When this happens your joints and discs are asked to do a lot more of the work and often these strain as a result. So get up, walk around, walk at lunchtime or even better, get a Sit-Stand Desk that is electronically controlled.
  2. Strengthen your gluts.It’s not very osteopathic just to single out one muscle to save us all, but the gluteal muscles are just so important for pelvic and low back stability. Simple “bridges” or “clams” are so effective in strengthening your gluts. See exercises, the ‘clam’ is easier without a band and still effective but the band obviously increases the difficulty.

  1. Exercise.This is obvious, and it will vary for different people. But if you exercise, your core muscles are engaged and this is key to supporting your low back. Walking or gentle exercise such as swimming or bike riding are brilliant. Many patients do Pilates or Yoga, which is great, but many of us don’t have the money or the time to keep doing that, so just get out and walk for 20 minutes every night instead.
  2. Avoid heavy lifting.Another very obvious rule, but it is amazing how many people come into us saying, “I know I shouldn’t have done it, but I just needed to move that large pot plant/chest of drawers/box of wine out of the car…” Just get someone to help you. Get to know your neighbours, ask them to help out for 1 minute. Patients can end up getting months of treatment for one silly lifting injury.
  3. Drive less. Driving is one of the worst things for your back. Two reasons.  One you are sitting in a position that is unergonomic with your right leg outstretched and rotated on the accelerator. This puts traction stress onto your back whilst you are sitting.  And the vibration from the road puts pressure onto your low back and its discs whilst in a compromising position.  Ask someone that has had back pain, they all hate driving!

If you are looking for back pain help, come visit your Melbourne Osteopath at City Osteopathy, we are experienced, motivated and caring practitioners.

Welcome Dr Lyndon Clarke, our newest osteopathic team member

Welcome to our most recent Melbourne osteopath Lyndon who joins our CBD clinic at Swanston st after having spent a couple of years in Sydney working as an osteopath, and also in India as part of the SALT team who work in an orthopaedic hospital in Mumbai.

We are wrapped to bring Lyndon into our team, he is full of enthusiasm, has an inquiring mind and we love the way he thinks osteopathically and think you will also.

Lyndon is working 3 days in our clinic and you can see his availability via our online booking system.


Check out this Osteopaths elbow infection…..

One of our senior Melbourne Osteopaths at City Osteopathy noticed some elbow pain and swelling at 2pm on a Friday afternoon, and by Saturday was in emergency requiring IV antibiotics!  All this came on from a small cut on the elbow, which followed a similar issue in his knee only 3 weeks previous.  Photo was taken early days, it got heaps worse!

Moral of this story was the quick medical intervention, cellulitis can spread quickly and become a very serious medical issue.

Back pain an indicator of increased chance of early death, Australian study finds

A team of Australian researchers examined the health and death records of thousands of older sets of twins in Denmark. They found those who reported lower back pain had a significantly higher chance of dying sooner than others.  Could be a variety of reasons for this, but its certainly an interesting stat!  Certainly a good reason to come visit your melbourne osteopaths at City Osteopathy!!

Please read on….