GROWING PAINS MAY MASK SERIOUS CONDITIONS, WARN NZ CHIROPRACTORS

Media Release
Date: 10th February 2015
The New Zealand Chiropractors Association warns parents to be cautious about dismissing their childrens complaints as growing pains and just a rite of passage, pointing out that the symptoms may indicate more serious conditions.
NZCA spokesman and chiropractor Dr Hayden Thomas says: `We should be really clear about this, kids should not have pain. It so often gets brushed off as just growing pains but we recognise that pain can be a sign of a real developmental or functional problem, and in some rare occasions a more serious disease process a clear signal that all is not well.
The NZCA warning follows reports in the UK media about a young woman diagnosed in her teens with growing pains who actually had an unusual early form of cervical cancer. It is also timely with the back-to-school burden that heavy backpacks and long periods of sitting can place on the developing spine and body. Parents of children under regular chiropractic care report a reduction in growing pains and improvement in function after chiropractic adjustments.1,2
Dr Thomas says: `Parents should consider taking their child to an NZCA member chiropractor for a check up to see if something is functionally or structurally amiss. Your chiropractor will adapt their techniques to suit the age and condition of the patient and may advise on other factors that can contribute to childhood pains such as hydration, proper muscular and skeletal development and nutritional deficiencies or stresses.
Chiropractors are primary care providers who are trained to recognise other disease processes and will refer to the most appropriate healthcare provider if they suspect something more serious may be occurring.
Growing pains are cramping, achy muscle leg pains that may start as early as age three or four and may reoccur aged 8-12. They often occur in the late afternoon or evenings and may cause children to wake up in the night. They are probably not linked to growth spurts and appear to be more common after intensive physical activity or sports. They can be experienced for months or even years but eventually subside.
Dr Thomas says: While it is unknown why growing pains occur, just because it may be common does not mean it is normal. Studies suggest that children who have growing pains may be more sensitive to pain, and more likely to have headaches and abdominal pain. Chiropractic care, along with home based interventions such as massaging the legs, stretching the leg muscles and placing a warm cloth or heating pad on the legs have all been shown to help.1,2,3
`We know that good posture is a key part of maintaining good spinal health, so we want to encourage New Zealanders to visit their chiropractor and make sure that everything is aligned and moving the way it should be. Your family chiropractor will be able to advise you on ways to improve your posture and ensure you have a healthier spine and a healthier spine is an important part of improved overall health and wellbeing.
Dr Hayden Thomas explains:  The NZCA recommends having every member of the family checked by an NZCA chiropractor because regular chiropractic care can help the spine and nervous system to function at an optimal level, regardless of the presence or absence of symptoms. Doing the three-minute set of simple exercises recommended by Straighten Up New Zealand (SUNZ) every day will help improve posture, stabilise core muscle groups, enhance health and prevent spinal disability. It is also important to encourage family members to stand or sit correctly and to take frequent breaks to walk around and stretch if they have been sitting down for a while. This will help to stop muscles getting tight and strained, joints from becoming restricted and nerves from becoming compressed, irritated or fatigued.

Straighten Up New Zealand is a simple, engaging spinal exercise programme, designed to promote spinal health. The Straighten Up campaign was originally developed in the US and is now being adopted by countries all over the world. The NZCA has developed a website to support the campaign. Remember that is always advisable to have any pain that is severe or not improving checked out promptly by your chiropractor.

For more information on the Straighten Up campaign, visit www.straightenup.org.nz. Further details on the New Zealand Chiropractors Association can be found at www.chiropractic.org.nz.

References:
1 http://icpa4kids.org/Wellness-Articles/growing-pains-and-chiropractic-care/How-Does-Chiropractic-Help.html
3 http://www.mayoclinic.org/diseases-conditions/growing-pains/basics/definition/con-20029782

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Two For One Return As Promising Start-ups Boost NZ Economy

MEDIA RELEASE
1st December 2014

The latest investment report from the New Zealand Venture Investment Fund (NZVIF) shows that the emergence of promising start up companies, backed by the local venture capital market, is boosting the country’s economy, says New Zealand Venture Capital Association (NZVCA) Executive Director Colin McKinnon.

Commenting on last week’s release of the NZVIF Investment Report, Colin McKinnon says: `The country’s venture capital industry can hold its head up high internationally in terms of the recent returns on investment. We are clearly tracking international trends with our potential for good returns.’

According to the NZVIF Investment Report venture capital funds invested during the years 2007 to 2012 show a current return on investment of $2.11 for every dollar invested.

Colin McKinnon explains: `New Zealand businesses are predominantly privately owned. With 80 per cent of their funding from private money this means that venture capital is a vital part of New Zealand capital markets. The NZVIF venture capital programme alone has been the catalyst for over a billion dollars being raised to fund start up and emerging companies in New Zealand. Some of those companies have progressed to achieve public listing.’

He points out: `The start-up and emerging company eco-system in New Zealand is clearly benefitting from the cornerstone investment provided NZVIF programmes and the momentum is encouraging. We know that investors include venture capital in their portfolios for diversification and the chance to be part of the emergence of these promising start-up companies. Growing strong businesses contributes significantly to the growth of the economy and venture capital funds bring expertise that enables companies to build commercial operations and eventually enter international markets.’

Mr McKinnon notes: `Globally venture capital returns are improving and in recent reports performing well compared with other asset classes. The global financial recession forced the local investment industry to learn a lot of lessons but there is now no doubt that the market has improved.’





ENDS

Contact:
Colin McKinnon, Executive Director,
New Zealand Private Equity & Venture Capital Association, New Zealand
+64 27 640 6406

ACCESS TO OBESITY SURGERY IN NEW ZEALAND HAMPERED BY LACK OF GPS’ UNDERSTANDING

ACCESS TO OBESITY SURGERY IN NEW ZEALAND HAMPERED BY LACK OF GPS’ UNDERSTANDING 

Media Release for OSSANZ


One of the most effective long-term forms of treatment for obesity is being denied to thousands of New Zealanders because of a lack of understanding among family doctors about the procedures available, as well as public and private reluctance to fund bariatric surgery, according to the Obesity Surgery Society of Australia and New Zealand (OSSANZ), which will be holding its annual scientific meeting in Wellington this week (November 20th -21st).

The uptake of bariatric surgery in New Zealand is one of the lowest in the world, with less than 900 procedures performed across the entire country last year, which means that around 0.03% of persons who are potentially eligible is having this treatment.

OSSANZ spokesman Dr Jon Morrow, a bariatric surgeon at Auckland’s Middlemore Hospital, says GPs’ lack of understanding about obesity surgery is as much to blame as poor funding for the poor access to bariatric surgery in New Zealand, in spite of the country ranking third in the world for obesity rates.

Dr Morrow explains: `GPs in New Zealand are generally against bariatric surgery even though the evidence is unequivocally in favour of its use. GPs generally tend to be quite traditional in their approach to weight loss, I reckon less than a quarter of GPs here will refer patients for surgery. Diet and exercise are important factors, but there is now a huge amount of data, which demonstrates that for up to 15 years after bariatric surgery people do lose weight and keep it off. Unfortunately in the face of this evidence GPs just continue to do what they have been doing. They see obese patients everyday and just don’t mention it to them because they find it impossible to broach the subject with them.’

Wendy Brown, OSSANZ President and Associate Professor in the Faculty of Medicine, Nursing and Health Sciences at Monash University, Melbourne, adds: `The theme of our annual meeting in Wellington is “working together for the good of our patients”.  We know that when diet and exercise intervention has failed for obese patients, bariatric surgery is an effective treatment with a good evidence base.  It is important that we educate GPs and the community on the role bariatric surgery may play in the treatment of obesity.

‘Surgery is currently one of the only options available that predictably provides substantial weight loss which is sustained when provided in an environment that supports lifestyle change. We hope that we can raise the awareness of this option for obese persons in New Zealand, and that the community can explore ways to improve access to this surgery.

‘However, bariatric surgery is not a magic bullet.  It requires a commitment from the patient to change their lifestyle and to actively participate in long-term follow-up.  Therefore, we need to involve GPs and other health professionals to support patients on this journey.  It is important we have a team approach in the management of this disease so that we can get the best outcomes for our patients.’
Dr Morrow adds: `Most of the surgery performed in New Zealand is gastric sleeve. This procedure involves removing around 80% of the stomach, leaving behind a small tube of stomach.  The part of the stomach that is removed is the area that produces hormones that increase hunger, and on top of this patients are physically not able to eat as much.   It is safe surgery, causes less severe nutritional deficiencies in the longer term, has few longer term complications and requires 2-4 follow up visits per year, making it well suited to our population who are often reluctant, or find it difficult to, attend follow-up appointments. Typically, by four years people lose around 60% of the extra weight that they are carrying. With this we see diseases related to obesity such as diabetes, high blood pressure and sleep apnoea improve or completely resolve.

`Yet even though the New Zealand ministry of health knows that there are huge health and economic benefits from bariatric surgery, public and private funding is limited.  Procedures cost between $18,000 and $20,000 privately, but the insurance companies will only pay a third of the cost up to a maximum of $8,000 even though it is in their economic interest to reduce the long-term economic effects of untreated obesity.’

According to the World Health Organization someone with a body mass index (BMI) of 30 or more is generally considered as obese. Obesity rates in New Zealand as a whole are just under 30% of the population, but among Maori the rates are over 48% and rise to 68% in Pacific islanders.

Now characterised as an epidemic, obesity in children and adults is associated with serious health risks that include hypertension, dyslipidemia, diabetes, fatty liver disease, obstructive sleep apnea, and psychosocial complications.

Professor Brown points out: `Obesity is a disease with far reaching consequences for health and well-being.  Weight loss has the potential to be one of the most powerful health interventions in our community.  Whilst prevention would be the ideal, preventative programmes just have not worked so far.  Diet and exercise programmes are only successful in the long term for 3% of patients.  It is not that obese people are just lazy and can’t be bothered; it is incredibly difficult to lose weight as your body defends your weight vigorously.  We believe it is time for New Zealand to look at ways to improve access to bariatric surgery.‘