PROFESSIONAL SERVICES


A Few Helpful Notes

  • Ongoing, recurrent 'treatment' may not be an effective or the 'best' management strategy.
  • An overarching aim is to provide patients with the benefit of extensive clinical and academic musculoskeletal (MSK) expertise, empathy, and professionalism in a relaxed office practice environment where ample time is allowed to thoroughly review, investigate, and understand the clinical presentation, including any imaging or tests, and to conduct an appropriate clinical examination or to implement and/or recommend appropriate treatment.
  • A second opinion. From a consulting perspective, Dr McGrath is pleased to offer review or a second opinion regarding treatment undertaken or being considered. Evidence indicates that prolonged MSK treatment or 'over-servicing' are not associated with enhanced outcomes.
  • Best practice, not usual practice - there is no 'one-size-fits-all' approach, technique, exercise, or device. Care is specific, tailored, and managed in a consultative and collaborative manner. Evidence-informed and experience-informed care for MSK pain presentations remains a cornerstone of collaborative, patient-centred, patient-centric healthcare practice.
  • The key goals of pain relief and effective self-management, lead to functional restoration or adjustment, reduced pain-related distress, and reduced pain-related interference.
  • Recovery before rehabilitation - often inadequate recovery and premature rehabilitation aggravate and perpetuate pain and dysfunction or may even delay accurate diagnosis. This may turn an undiagnosed problem or a possibly resolving condition into a chronic presentation.
  • Specialised interest in a wide number of MSK conditions, in addition to Occupational Health MSK issues, informs your care. For example, non-specific low back pain and neck pain, pregnancy-related pelvic pain, 'sacroiliac joint pain,' discogenic back pain, period pain (dysmenorrhoea), and 'trochanteric' lateral hip pain; all these, including headache, age-related joint and muscle pain, shoulder-neck-arm pain, are common presentations.
  • Expert 'hands-on' diagnosis and practice may add considerable therapeutic value to routine 'physio', 'chiro', 'osteo', or 'massage' approaches or the more remote approaches of ultrasound, interferential, shock-wave therapy, acupuncture needling, and exercise.
  • Individual case review, examination, information, reassurance, and referral as requested for children. Dr McGrath does not usually treat neonates or babies.
  • After 30 years, Dr McGrath relinquished ACC provider work in 2022.

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