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Can you treat headaches with physiotherapy?

<div class="theconversation-article-body">You might’ve noticed some physiotherapists advertise they offer treatments for headaches and wondered: would that work?</p> <p>In fact, there’s a solid body of research showing that physiotherapy treatments can be really helpful for certain types of headache.</p> <p>Sometimes, however, medical management is also necessary and it’s worth seeing a doctor. Here’s what you need to know.</p> <h2>Cervicogenic headache: when pain travels up your neck</h2> <p>Cervicogenic headache is where pain is referred from the top of the neck (an area known as the upper cervical spine).</p> <p>Pain is usually one-sided. It generally starts just beneath the skull at the top of the neck, spreading into the back of the head and sometimes into the back of the eye.</p> <p>Neck pain and headache are often triggered by activities that put strain on the neck, such as holding one posture or position for a long time, or doing repetitive neck movements (such as looking up and down repeatedly).</p> <p>Unlike in migraine, people experiencing cervicogenic headache don’t usually get nausea or sensitivity to light and sound.</p> <p>Because this is a musculoskeletal condition of the upper neck, physiotherapy treatments that <a href="https://pubmed.ncbi.nlm.nih.gov/12221344/">improve</a> neck function – such as manual therapy, exercise and education – can <a href="https://pubmed.ncbi.nlm.nih.gov/27497890/">provide</a> <a href="https://pubmed.ncbi.nlm.nih.gov/38902195/">short- and long-term benefits</a>.</p> <h2>Can physio help with migraine?</h2> <p>Migraine is a neurological disorder whereby the brain has difficulty processing sensory input.</p> <p>This can cause episodic attacks of moderate to severe headache, as well as:</p> <ul> <li>sensitivity to light and noise</li> <li>nausea and</li> <li>intolerance to physical exertion.</li> </ul> <p>There are many triggers. Everyone’s are different and identifying yours is crucial to self-management of migraine. Medication can also help, so seeing a GP is the first step if you <a href="https://headacheaustralia.org.au/migraine/">suspect you have migraine</a>.</p> <p>About <a href="https://pubmed.ncbi.nlm.nih.gov/35166137/">70-80%</a> of people with migraine also have neck pain, commonly just before or at the onset of a migraine attack. This can make people think their neck pain is triggering the migraine.</p> <p>While this may be true in some people, our <a href="https://pubmed.ncbi.nlm.nih.gov/34214181/">research</a> has shown many people with migraine have nothing wrong with their neck despite having neck pain.</p> <p>In those cases, neck pain is part of migraine and can be a warning (but not a cause or trigger) of an imminent migraine attack. It can signal patients need to take steps to prevent the attack.</p> <p>On the other hand, if the person has musculoskeletal neck disorder, physiotherapy neck treatments may help improve their migraine. Musculoskeletal neck disorder is what physiotherapists call typical neck pain caused by, for instance, a sports injury or sleeping in a weird way.</p> <p>You may have heard of the Watson manual therapy technique being used to treat migraine. It involves applying manual pressure to the upper cervical spine and neck area.</p> <p>There are currently no peer-reviewed studies looking at how effective this technique is for migraine.</p> <p>However, recent studies investigating a combination of manual therapy, neck exercises and education tailored to the individual’s circumstances <a href="https://pubmed.ncbi.nlm.nih.gov/36739510/">show</a> some <a href="https://www.researchgate.net/publication/342117351_Neck_treatment_compared_to_aerobic_exercise_in_migraine_A_preference-based_clinical_trial">small effects</a> in improving the number of migraine attacks and the disabling effects of headache.</p> <p>Manual therapy and neck exercises can also give short-term pain relief.</p> <p>However, in some cases the neck can become very sensitive and easily aggravated in <a href="https://pubmed.ncbi.nlm.nih.gov/15907257/">migraine</a>. That means inappropriate assessment or treatment could end up triggering a migraine.</p> <p>Physiotherapy can help with migraine but you first need a comprehensive and skilled physical assessment of the neck by an experienced physiotherapist. It’s crucial to identify if a musculoskeletal neck disorder is present and, if so, which type of neck treatment is needed.</p> <p>It is also important people with migraine understand how their migraine is triggered, what lifestyle factors contribute to it and when to take the appropriate medications to help manage their migraines.</p> <p>A trained physiotherapist can provide some of this information and help patients make sense of their condition and recommend the patient see their GP for medication, when appropriate.</p> <h2>What about tension headaches?</h2> <p>Tension type headache is the most common type of headache, characterised by a feeling of “tightness” or “band-like” pain around the head.</p> <p>Nausea and sensitivity to light and noise are not usually present with this type of headache.</p> <p>Like migraine, tension type headache is often associated with neck pain and also has different aggravating factors, not all of which are due to the neck.</p> <p>Again, a detailed assessment by a trained physiotherapist is needed to identify if the neck is involved and what type of neck treatment is best.</p> <p>There is some evidence a combination of <a href="https://pubmed.ncbi.nlm.nih.gov/35236143/">manual therapy and exercise</a> can reduce tension type headache.</p> <p>Physiotherapists can also provide education and advice on aggravating factors and self management.</p> <h2>Seeking help</h2> <p>There are many types and causes of headache. If you suffer frequent headaches or have a new or unusual headache, ask a doctor to investigate.</p> <p>There is good evidence physiotherapy treatment will improve cervicogenic headache and emerging evidence it might help migraine and tension type headache (alongside usual medical care).</p> <p>If you are wondering if you have cervicogenic headache or if you have bothersome neck pain associated with headache, ask your doctor to refer you to a skilled physiotherapist trained in headache treatment. A careful assessment can determine if physiotherapy treatment will help.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/256581/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>By </em><a href="https://theconversation.com/profiles/zhiqi-liang-2392952"><em>Zhiqi Liang</em></a><em>, Lecturer in Physiotherapy, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a>; <a href="https://theconversation.com/profiles/julia-treleaven-2393094">Julia Treleaven</a>, Associate Professor in Physiotherapy, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a>, and <a href="https://theconversation.com/profiles/lucy-thomas-2392963">Lucy Thomas</a>, Teaching and research academic in Physiotherapy, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/can-you-treat-headaches-with-physiotherapy-heres-what-the-research-says-256581">original article</a>.</em></p> <p><em>Image: Marcus Aurelius / Pexels</em></p> </div>

Caring

Bubsie rides again: A century-old journey retraced across Australia

<p>A century ago, a humble 5-horsepower car named "Bubsie" made history by becoming the first motor vehicle to circumnavigate the Australian continent. Now, a century later, its spirit roars back to life as a devoted team of enthusiasts prepares to retrace its entire 17,500km journey – in a painstakingly restored replica of the original 1923 Citroën 5CV.</p> <p>The year was 1925. With little more than swags, spare tyres and unwavering faith, 22-year-old Seventh-day Adventist missionary Nevill Westwood and his friend Greg Davies set off from Perth in a tiny yellow car. They had a simple mission: deliver literature to the remote outback. What they accomplished was far more profound: a trailblazing voyage across Australia, at a time when roads were scarce and courage was the only constant.</p> <p>Through flooded riverbeds, makeshift tracks and across the sun-scorched Nullarbor, the young men pressed on. With knees jammed beneath the steering wheel, they bounced across the nation in what Westwood affectionately dubbed "Bubsie". The 5CV was small, simple and entirely unsuited for such a grand expedition – yet it carried them across six states, through monsoonal downpours and desolate plains, forging a path for motoring history.</p> <p>Now, exactly 100 years since that audacious journey, a new crew is preparing to retrace their route in a meticulously restored 1923 Citroën 5CV. The project, dubbed <a href="https://rightaroundaustralia.tij.tv/" target="_blank" rel="noopener">Right Around Australia</a>, is led by the faith-based media group The Incredible Journey and has brought together passionate motoring enthusiasts from across the country.</p> <p>Warren May, a car restorer from Western Australia, joined the project in mid-2023 and quickly immersed himself in the mammoth task of rebuilding a vehicle worthy of the original Bubsie. After months of searching, the team found the perfect base: a rare 1923 Citroën 5CV owned by collector Paul Smyth.</p> <p>"It was 102 years old – and in rough shape," Mr May <a href="https://www.abc.net.au/news/2025-05-18/bubsie-citroen-circumnavigation-1925-retraced-in-2025/105257744" target="_blank" rel="noopener">told the ABC</a>. “We had to fabricate a lot of new panels because it was just so old.” The motor, miraculously, was still in good shape. But the bodywork was another story.</p> <p>What followed was a year-long restoration odyssey, with over 1,000 hours of labour, rust cut away and replaced, and every nut and bolt sandblasted and repainted. With the help of friends Colin Gibbs and Graham Tyler, the team brought the little French car back to life – ready to relive one of Australia’s great adventures.</p> <p>The replica has been touring Australia since early 2025, and this June, it will officially begin retracing Bubsie’s route. Starting from Bickley, Western Australia – where Westwood once lived – the car will travel thousands of kilometres, mostly by trailer but driving short stretches through regional towns and historic locations.</p> <p>“It’s about commemorating the courage and determination of those early explorers,” said event organiser Kevin Amos. “Nevill and Greg didn’t have highways. Sometimes they had no roads at all. They literally bush-bashed their way across the country.”</p> <p>Indeed, from the Kimberley to Mount Isa, their journey was defined by improvisation and grit. When they came to the Fitzroy River in northern WA, locals rigged a pulley system to carry Bubsie across. In the Northern Territory, they slid through mud and monsoon rains. They stopped to help others – including a stranded trio near the Nullarbor, who were out of water and near death. Westwood gave them water, fixed their car, and saved their lives.</p> <p>For the modern team, this centennial journey isn’t just about honouring history – it’s about reliving a story of quiet faith and mateship.</p> <p>Dr Laura Cook, curator at the National Museum of Australia where the original Bubsie now rests, said Westwood’s photographs and letters provide a vivid, almost daily account of the 1925 expedition. “His story is more than just a motoring milestone,” she said. “It captures the spirit of a generation who dared to push boundaries. These weren’t professional drivers – they were people of vision and courage.”</p> <p>By December 1925, after six gruelling months, Westwood rolled back into Perth – completing the first full circumnavigation of Australia by car. His companion Greg had returned home early to resume nursing studies, but Westwood pressed on alone. When he returned from overseas the next year, he tracked Bubsie down (it had been sold) and bought it back.</p> <p>Today, Bubsie is more than a car. It’s a symbol of Australia’s pioneering spirit. And as its modern twin prepares to hit the road once more, that legacy rolls forward – not in horsepower, but in heart. So keep an eye out for Bubsie's twin as it rolls through your town, and history comes alive.</p> <p><em>Images: National Museum of Australia / Right Around Australia</em> </p>

Domestic Travel

Lisa Curry’s emotional plea 5 years after Jaimi's tragic death

<p>Aussie swimming legend Lisa Curry has made a heartfelt appeal in memory of her late daughter, Jaimi Kenny, who tragically passed away in 2020 at the age of 33 following a prolonged and painful battle with alcoholism and an eating disorder.</p> <p>Appearing on Nine News, the 63-year-old former Olympian opened up about her devastating loss and called on Australians to participate in a groundbreaking new genetic study that aims to detect eating disorders from birth.</p> <p>“She just sort of took a breath and then her hands went cold – that was it,” Lisa recalled, her voice heavy with emotion.</p> <p>Jaimi’s struggle with anorexia, bulimia and binge eating left her mother with more questions than answers. “She’d say, ‘Where did it come from? Why am I like this?’” Lisa shared, still haunted by her daughter’s anguish.</p> <p>Now, in the midst of grief, Lisa is channelling her pain into purpose. She is urging Australians to volunteer for a pioneering genetic research project led by Queensland’s QIMR Berghofer Medical Research Institute. The study hopes to enlist 4,000 local participants and 100,000 globally, collecting saliva samples to identify potential genetic markers linked to eating disorders.</p> <p>Professor Nick Martin, who is leading the study, explained that genetic predisposition plays a significant role in the development of such illnesses – a discovery that could change lives and save them.</p> <p>Lisa’s renewed call for awareness and action follows her own harrowing health battles. In recent months, she revealed she’s been in “recovery” from the unrelenting grief of losing Jaimi. After more than three years, she finally returned to the gym – a milestone made even more significant by the physical pain of a hip replacement, the result of a fall while husky sledding in Canada last year.</p> <p>Lisa’s health history also includes myocarditis, a mitral valve prolapse inherited from her mother, and a fractured sternum. "Seventeen years ago, I had 22,000 irregular heartbeats a day,” she wrote. “That was the start of a different life.”</p> <p>Since the loss of Jaimi, Lisa has committed herself to raising awareness about the silent struggles so many face – especially when it comes to eating disorders. Her message is simple but urgent: more research, more understanding and more compassion are desperately needed.</p> <p><em>If you or someone you know is struggling with an eating disorder, support is available. Contact the Butterfly Foundation’s national helpline at 1800 33 4673 or visit <a href="https://butterfly.org.au/" target="_blank" rel="noopener">thebutterflyfoundation.org.au</a>.</em></p> <p><em>Images: Instagram / Nine News</em></p>

Caring

Aussie couple set to give away $3.5 billion

<p>Billionaire Canva co-founder Cameron Adams and his wife Lisa Miller have pledged to give away at least half of their estimated $7 billion fortune, calling on Australia’s wealthiest to follow suit in the fight against environmental degradation.</p> <p>The philanthropic commitment will see the couple funnel significant resources into green initiatives via The Giving Pledge and Founders Pledge – two global efforts that encourage billionaires and entrepreneurs to donate a substantial portion of their wealth to impactful causes.</p> <p>“Nature nourishes us, sustains us, inspires us and shapes how we live,” Mr Adams wrote in his letter to The Giving Pledge, the global charity initiative co-founded by Warren Buffett and Bill and Melinda Gates. “But today, many of the ecosystems that support our lives are being destroyed – and our future depends on how we choose to save them.”</p> <p>Adams, who co-founded the homegrown tech success Canva in 2013, and Miller, a former zoologist turned entrepreneur, say their focus will be on reversing biodiversity loss and restoring natural ecosystems, which they see as critical to the survival of life on Earth.</p> <p>“Philanthropy is more than charity; it is a means of addressing systemic issues, driving meaningful change and ensuring that future generations inherit a world rich in possibility and biodiversity,” Mr Adams said.</p> <p>The couple’s wealth is largely tied up in Canva equity, with the company currently valued at around AU$49.5 billion (US$32 billion) and reportedly considering a NASDAQ listing in 2026. Canva’s other co-founders, Melanie Perkins and Cliff Obrecht, joined The Giving Pledge in 2021.</p> <p>The new pledge by Adams and Miller follows earlier environmental commitments by the couple, including the establishment of Wedgetail Ventures, an eco-investment fund backing conservation projects and local communities. They also own a 5000-hectare property in Tasmania, now being developed into a conservation research centre in partnership with the University of Tasmania.</p> <p>“In recent years, we have grown in our confidence that these are issues worth fighting for, and that we can make a unique contribution with the funds and skills that we have,” Mr Adams said.</p> <p>Lisa Miller echoed the sentiment in joint statements, underscoring the importance of bold, scalable efforts in the environmental space. “We must not only halt nature’s decline but also begin its restoration,” she said.</p> <p>Through Founders Pledge, the couple joins a growing network of tech entrepreneurs including Spotify’s Magnus Hult, Culture Amp’s Jon Williams, and Klarna’s Niklas Adalberth. The organisation has attracted over 2,000 members across 45 countries, with more than US$1.5 billion (AU$2.3 billion) already donated from pledged funds.</p> <p>“Entrepreneurs are uniquely placed to transform the world,” Founders Pledge states. “We advise on, facilitate and maximise the impact of our members’ giving.”</p> <p>The Adams-Miller announcement adds to a growing number of high-profile philanthropic moves by Australian billionaires. Mining magnate Andrew “Twiggy” Forrest and his former wife Nicola were among the first Australians to sign on to The Giving Pledge back in 2013.</p> <p>“As a family, we agreed many years ago to give away the majority of our wealth,” the Forrests said at the time. “We felt that if our children were to inherit considerable wealth, it would only get in the way of them striving for and achieving their best.”</p> <p>Adams hopes his and Miller’s decision will spark a wider cultural shift among Australia’s wealthiest. “We hope others will recognise the power of philanthropy to create lasting environmental and societal impact by joining us in this commitment,” he said.</p> <p><em>Image: Wedgetail</em></p>

Money & Banking

Seven things to eat or avoid to lower your blood pressure

<div class="theconversation-article-body"> <p>High blood pressure is called the <em>silent killer</em>. That’s because it has <a href="http://www.heart.org/HEARTORG/Conditions/HighBloodPressure/SymptomsDiagnosisMonitoringofHighBloodPressure/What-are-the-Symptoms-of-High-Blood-Pressure_UCM_301871_Article.jsp#.V7OWWI9OI2w">no symptoms</a>. Having high blood pressure (hypertension) increases your risk of heart disease, stroke, heart failure and kidney disease.</p> <p>Six million Australian adults (34%) have high blood pressure – 140/90 millimetres of mercury (mmHg) or more – or take medications for it. Of those, <a href="https://heartfoundation.org.au/images/uploads/publications/PRO-167_Hypertension-guideline-2016_WEB.pdf">four million have high blood pressure that isn’t treated or under control</a>.</p> <p>No wonder heart disease and stroke directly cost the Australian economy <a href="http://www.aihw.gov.au/WorkArea/DownloadAsset.aspx?id=60129546379">A$7.7 billion a year</a>.</p> <p>There is some good news. High blood pressure can be treated or prevented. Eating oats, fruit and vegetables – and beetroot, in particular – helps. So does avoiding salt, liquorice, caffeine and alcohol.</p> <p>Optimal blood pressure is <a href="https://theconversation.com/blood-pressure-targets-what-does-the-new-guideline-say-and-how-low-should-you-go-62684">120 mmHg or less</a> over 80 mmHg or less. Lowering it by 1-2 mmHg can have a big impact on reducing your risk of heart disease and stroke, and the nation’s health care costs.</p> <h2>What to eat to lower your blood pressure</h2> <p><strong>Rolled oats</strong></p> <p>A <a href="http://www.ncbi.nlm.nih.gov/pubmed/25668347">review with five research trials included</a> tested the impact of oats on systolic blood pressure (the first blood pressure number, which is the pressure at which the heart pumps blood) and diastolic blood pressure (the second number, which is when the heart relaxes) in about 400 healthy adults.</p> <p>The researchers found that systolic blood pressure was 2.7 mmHg lower and diastolic blood pressure was 1.5 mmHg lower when participants ate around 60 grams of rolled oats (a packed half-cup raw oats) or 25 grams of oat bran per day.</p> <p>This quantity of oats or oat bran contains around four grams of a type of fibre called <a href="http://www.healthline.com/health/beta-glucan-heart-healthy">beta-glucan</a>.</p> <p>For each extra one gram of total daily fibre, there was an extra 0.11 mmHg reduction in diastolic blood pressure.</p> <figure class="align-right "><figcaption></figcaption></figure> <p>Recommended <a href="https://www.nrv.gov.au/nutrients/dietary-fibre">minimum daily adult fibre intakes</a> are 30 grams for men and 25 grams for women.</p> <p>While some of fibre’s effect is due to weight loss, soluble fibres produce bioactive products when they’re fermented in the large bowel. These work directly to lower blood pressure.</p> <p>To improve your blood pressure, eat rolled oats or oat bran for breakfast, add to meat patties, or mix with breadcrumbs in recipes that call for crumbing.</p> <p><strong>Beetroot</strong></p> <p>Beetroot is extremely rich in a compound called inorganic nitrate. During digestion, this gets converted into nitric oxide, which causes arteries to dilate. This directly lowers the pressure in them.</p> <p>A <a href="http://www.ncbi.nlm.nih.gov/pubmed/23596162">review of 16 trials</a> of mostly healthy young men found drinking beetroot juice was associated with a 4.4 mmHg reduction in systolic blood pressure. But it found no change in diastolic blood pressure.</p> <p>However a recent <a href="http://www.ncbi.nlm.nih.gov/pubmed/25421976">trial in 68 adults</a> who already had high blood pressure found beetroot juice reduced systolic and diastolic blood pressure.</p> <figure class="align-right "><figcaption></figcaption></figure> <p>The men were randomly assigned to drink 250ml (one cup) of beetroot juice daily for four weeks or a non-active placebo.</p> <p>Blood pressure in the men who drank the beetroot juice reduced over 24 hours, with systolic blood pressure 7.7 mmHg lower and diastolic blood pressure 5.2 mmHg lower.</p> <p>Try wrapping whole fresh beetroot in foil and baking in the oven until soft, or grate beetroot and stir-fry with red onion and curry paste and eat as a relish.</p> <p><strong>Vitamin C</strong></p> <p>Vitamin C, or <a href="https://en.wikipedia.org/wiki/Vitamin_C">ascorbic acid</a>, is found in fresh vegetables and fruit. An average serve contains 10-40mg of vitamin C.</p> <p>In a review of 29 short-term <a href="http://www.ncbi.nlm.nih.gov/pubmed/22492364">trials of vitamin C supplements</a>, people were given 500 mg of vitamin C per day for about eight weeks.</p> <p>Blood pressure significantly improved, with an average reduction in systolic blood pressure of 3.84 mmHg and 1.48 mmHg for diastolic blood pressure.</p> <figure class="align-right "><figcaption></figcaption></figure> <p>When only those with existing high blood pressure were considered, the drop in systolic blood pressure was 4.85 mmHg.</p> <p>However, those <a href="http://www.ncbi.nlm.nih.gov/pubmed/26463139">at risk of kidney stones</a> need to be cautious about taking vitamin C supplements. Excess vitamin C is excreted via the kidneys and can contribute to the formation of kidney stones.</p> <p>One advantage of getting more vitamin C from eating more vegetables and fruit is that you boost your potassium intake, which helps <a href="http://www.bloodpressureuk.org/microsites/salt/Home/Whypotassiumhelps">counter the effects of sodium</a> from salt.</p> <h2>What to avoid to lower your blood pressure</h2> <p><strong>Salt</strong></p> <p>Salt or <a href="https://en.wikipedia.org/wiki/Salt">sodium chloride</a> has been used to preserve foods and as a flavour enhancer for centuries.</p> <p>High salt intakes are <a href="http://www.bmj.com/content/312/7041/1249?ijkey=cd4b7840cc559055a2997d90100361217218f6e8&keytype2=tf_ipsecsha">associated with higher blood pressure</a>.</p> <figure class="align-right "><figcaption></figcaption></figure> <p>Adults <a href="https://www.nrv.gov.au/nutrients/sodium">need between 1.2 to 2.4g of salt each day</a> (one-quarter to a half teaspoon), which is equivalent to 460 to 920mg of sodium.</p> <p>But in Australia seven out of ten men and three in ten women eat way more than that – and much more than the upper recommended limit of 5.9 grams of salt (about one teaspoon) or <a href="http://www.abs.gov.au/ausstats/abs@.nsf/Lookup/by%20Subject/4364.0.55.008%7E2011-12%7EMain%20Features%7ESodium%7E403">2,300 mg of sodium per day</a>.</p> <p>If you add salt to food yourself this pushes your sodium intake even higher.</p> <p>A <a href="http://www.ncbi.nlm.nih.gov/pubmed/23558162">review of studies</a> involving 3,230 people showed that reducing salt intakes by 4.4 grams a day could reduce systolic blood pressure by about 4.2 mmHg and diastolic by 2.1 mmHg.</p> <p>In those who had high blood pressure there were even bigger reductions of 5.4 mmHg (systolic) and 2.8 mmHg (diastolic).</p> <p>Avoid foods high in sodium. Don’t add salt and try to choose lower-salt versions of processed foods.</p> <p><strong>Alcohol</strong></p> <p>Consuming one or more alcoholic drink a day is <a href="http://www.ncbi.nlm.nih.gov/pubmed/15752957">associated with systolic blood pressure</a> that is about 2.7 mmHg and diastolic blood pressure 1.4 mmHg higher than non-drinkers.</p> <p>Interestingly, when you first drink an alcoholic beverage, blood pressure goes down, only to rise later.</p> <figure class="align-right "><figcaption></figcaption></figure> <p>A rise in blood pressure after drinking alcohol is <a href="http://www.ncbi.nlm.nih.gov/pubmed/26123682">more likely to happen when you’re awake</a>, rather during sleep.</p> <p>The bad news is that larger amounts of alcohol increase your risk of high blood pressure, <a href="http://www.ncbi.nlm.nih.gov/pubmed/23126352">especially in men</a>, but also to a lesser extent <a href="http://www.ncbi.nlm.nih.gov/pubmed/19804464">in women</a>.</p> <p><strong>Liquorice</strong></p> <p>High blood pressure due to eating black liquorice is rare, but <a href="http://www.ncbi.nlm.nih.gov/pubmed/26380428">case reports have occurred</a>.</p> <p>Most liquorice candy sold currently contains very little true liquorice root and therefore, little <a href="https://en.wikipedia.org/wiki/Glycyrrhizin">glycyrrhizic acid</a> (GZA), the active ingredient.</p> <figure class="align-right "><figcaption></figcaption></figure> <p>Occasionally, liquorice candy does contain GZA in large amounts. <a href="http://www.ncbi.nlm.nih.gov/pubmed/10944880">GZA causes sodium retention and potassium loss</a>, which contributes to high blood pressure.</p> <p>So check liquorice food labels. Take care <em>if</em> it contains liquorice root.</p> <p><strong>Caffeine</strong></p> <p>Caffeine is most commonly consumed in coffee, tea, cola and energy drinks.</p> <p>High intakes of caffeine from coffee <a href="http://www.ncbi.nlm.nih.gov/pubmed/21880846">increase blood pressure</a> in the short term.</p> <figure class="align-right "><figcaption></figcaption></figure> <p>In a <a href="https://www.ncbi.nlm.nih.gov/pubmed/21880846">review of five trials</a>, people given one to two cups of strong coffee had an increase in their systolic blood pressure of 8.1 mmHg and 5.7 mmHg for diastolic blood pressure, up to about three hours after drinking it.</p> <p>But three studies that lasted two weeks found drinking coffee did not increase blood pressure compared with decaffeinated coffee or avoiding caffeine. So you need to monitor your individual response to caffeine.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/63940/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>By <a href="https://theconversation.com/profiles/clare-collins-7316">Clare Collins</a>, Professor in Nutrition and Dietetics, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a>; <a href="https://theconversation.com/profiles/tracy-burrows-172931">Tracy Burrows</a>, Senior Lecturer Nutrition and Dietetics, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a>, and <a href="https://theconversation.com/profiles/tracy-schumacher-295602">Tracy Schumacher</a>, Research Associate, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/seven-things-to-eat-or-avoid-to-lower-your-blood-pressure-63940">original article</a>.</em></p> <p><em>Image: St Mary's Healthcare System</em></p> </div>

Caring

Millions of Aussies set to receive cost-of-living pay bump

<p>Prime Minister Anthony Albanese has thrown his government’s support behind a “fair” pay rise for Australia's lowest-paid workers, setting the stage for a potential showdown with employer groups ahead of the Fair Work Commission’s annual wage review.</p> <p>In a submission to the Commission, the federal government recommended a real wage increase – meaning one above the rate of inflation – for around three million Australians earning either the minimum wage or under an industry award. The push is part of Labor’s broader strategy to ease cost-of-living pressures and boost household incomes.</p> <p>“This will help around three million workers across the country, including cleaners, retail workers and early childhood educators,” said Treasurer Jim Chalmers and Employment Minister Amanda Rishworth in a joint statement. “Boosting wages, cutting taxes for every taxpayer and creating more jobs are central parts of our efforts to help Australians with the cost of living.”</p> <p>While the government did not specify an exact figure, it made clear that any increase should outpace inflation, a stance likely to be met with resistance from employers. Business groups, including the Australian Chamber of Commerce and Industry, are calling for a more modest 2.5% increase, warning that anything higher could hurt struggling businesses, especially with superannuation contributions set to rise from 11.5% to 12% on July 1.</p> <p>Last year, minimum wage earners received a 3.75% pay rise, lifting the national minimum wage to $24.10 per hour, or $915.90 per week. With headline inflation then at 3.6%, workers saw only a marginal real wage increase of 0.15%.</p> <p>However, the economic backdrop has shifted. In the year to March, overall wages grew by 3.4% while the consumer price index rose just 2.4%, indicating a real wage growth of 1% for many Australians. Inflation is now within the Reserve Bank’s target band of 2-3%, which the government says supports its call for a generous, yet “economically responsible” wage hike.</p> <p>“An increase in minimum and award wages is consistent with inflation sustainably remaining within the RBA's target band and will provide further relief to lower income workers who are still doing it tough,” Chalmers and Rishworth added.</p> <p>Since Labor took office in 2022, the minimum wage has surged by historically high margins: 5.2% in 2022 – the largest rise in 16 years – and 5.75% in 2023. In total, the minimum wage has increased by $143 per week under the Albanese government.</p> <p>Despite concerns from employers over weak economic growth and rising business costs, the government remains optimistic about a rebound in domestic demand. Its submission acknowledged global risks, including the potential impact of Donald Trump's trade policies, but forecast stronger growth in 2025 and 2026.</p> <p>Prime Minister Albanese reinforced Labor’s commitment to wage growth during a cabinet meeting this week, saying a further increase to the minimum wage would be one of his top priorities heading into the next federal election. “Labor will always stand for improving people's wages and conditions,” he declared.</p> <p>Still, the looming expiry of the government’s $75 quarterly electricity rebates at the end of 2025 poses a risk of reigniting inflationary pressures – something the Fair Work Commission will weigh carefully as it prepares to announce its decision in June.</p> <p>The outcome of the review will directly affect 180,000 workers on the national minimum wage and an additional 2.7 million on industry awards, making it a critical flashpoint in the battle over how best to balance worker welfare and economic sustainability.</p> <p><em>Images: Instagram</em></p>

Money & Banking

New Aussie film starring Nicolas Cage is an absolute blast

<div class="theconversation-article-body">Nicolas Cage has made a career from his highly entertaining scenery chewing. He follows a performance style he calls “<a href="https://filmschoolrejects.com/nouveau-shamanic-the-enigmatic-style-of-nicolas-cage/">Nouveau Shamanic</a>” – an exaggerated form of method acting where he acts according to the character’s impulses. This allows for the wild, unpredictable outbursts his characters are known for.</p> <p>Cage films are also usually about masculinity: its worst excesses, the parameters restricting it, and what ennobling versions of it might look like.</p> <p>The Surfer, a new Australian feature film from Irish director Lorcan Finnegan, leans right into masculinity as a theme.</p> <p>Our unnamed protagonist (Cage) is returning to his former Australian home from the United States. He is newly divorced, and trying to buy a beachside property to win back his family.</p> <p>He takes his teenage son (Finn Little) for a surf near the property, but they are run off by an unfriendly pack of locals.</p> <figure><iframe src="https://www.youtube.com/embed/Tb6iY_p1Qi0?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>Returning alone to the beachside car park to make some calls, he is besieged there over the next several days by the same gang. They are led by a terrifying middle-aged Andrew Tate-esque influencer, Scally (Julian McMahon), who runs the beach like a combination of a frat bro party and wellness retreat.</p> <p>The protagonist’s fast descent into dishevelled, dehydrated delirium as the group’s hazing escalates, fuels much of the first two acts.</p> <h2>Fish out of water</h2> <p>It is impossible to think of an actor other than Cage who could make a character like this so enjoyable to watch.</p> <p>From the first moments, he seems pathetic: giving his uninterested teenage son metaphorical speeches about surfing, losing arguments on the phone with his broker and real estate agent, reeking of pomposity and desperation.</p> <p>The sense of a man out of his depth is compounded by his Americanness contrasting with the particular brand of Australian masculinity the locals display. Both types are brash and entitled, but with entirely different ways of expressing it.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/668067/original/file-20250515-74-v46zis.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/668067/original/file-20250515-74-v46zis.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/668067/original/file-20250515-74-v46zis.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=600&h=400&fit=crop&dpr=1 600w, https://images.theconversation.com/files/668067/original/file-20250515-74-v46zis.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=600&h=400&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/668067/original/file-20250515-74-v46zis.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=600&h=400&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/668067/original/file-20250515-74-v46zis.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=754&h=503&fit=crop&dpr=1 754w, https://images.theconversation.com/files/668067/original/file-20250515-74-v46zis.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=754&h=503&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/668067/original/file-20250515-74-v46zis.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=754&h=503&fit=crop&dpr=3 2262w" alt="Cage is in the face of another surfer, wearing a Santa hat." /></a><figcaption><span class="caption">This is a man out of his depth.</span> <span class="attribution"><span class="source">Madman Entertainment</span></span></figcaption></figure> <p>Cage’s distinctively American confidence has no resistance to the terrifying switches of Australian masculinity from friendly to teasing to violent.</p> <p>“Don’t live here, don’t surf here,” they hiss at him on first meeting, forcing him to retreat, cowed, to the car park, where he remains for most of the rest of the film.</p> <h2>The wide-open and the claustrophobic</h2> <p>What a stroke of genius it is to use this single location.</p> <p>Filmed in Yallingup, Western Australia, The Surfer beautifully captures the natural surroundings, stunning views and shimmering heat of Australian coastal summer.</p> <p>At the same time, a confined, interstitial semi-urban feature like a beachside car park feels so bleak and uninviting. The only amenities are an overpriced coffee cart, ancient payphone and a dingy toilet block.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/668068/original/file-20250515-68-lj0ags.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/668068/original/file-20250515-68-lj0ags.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/668068/original/file-20250515-68-lj0ags.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=600&h=338&fit=crop&dpr=1 600w, https://images.theconversation.com/files/668068/original/file-20250515-68-lj0ags.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=600&h=338&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/668068/original/file-20250515-68-lj0ags.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=600&h=338&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/668068/original/file-20250515-68-lj0ags.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=754&h=424&fit=crop&dpr=1 754w, https://images.theconversation.com/files/668068/original/file-20250515-68-lj0ags.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=754&h=424&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/668068/original/file-20250515-68-lj0ags.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=754&h=424&fit=crop&dpr=3 2262w" alt="Cage stands next to a phone booth." /></a><figcaption><span class="caption">The beachside car park feels so bleak and uninviting.</span> <span class="attribution"><span class="source">Madman Entertainment</span></span></figcaption></figure> <p>As a film setting, it is both a spectacular wide-open vista and stiflingly claustrophobic – a perfect mechanism for The Surfer’s psychological horror.</p> <p>It must have been attractive in getting the script funded as well. With such an affordable location, more of the budget would have been freed up for a big name like Cage.</p> <h2>A modern Wake in Fright</h2> <p>With its oppressive setting, overexposed orange and yellow light and grade, and a sweaty spiral into madness, The Surfer invites comparisons to <a href="https://theconversation.com/thats-not-us-wake-in-fright-at-50-a-portrait-of-an-ugly-australia-that-became-a-cinema-classic-159221">Wake in Fright</a>, Ted Kotcheff’s 1971 brutal depiction of Australian men and their drinking culture.</p> <p>Both take place at Christmas and feature an antagonist who enjoys confidently explaining their dubious moral worldview to everyone. However, Wake in Fright’s horror lingers because we know the culture remains even after the hero escapes it. The Surfer struggles a little more in landing the ending.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/668069/original/file-20250515-56-ea6rb1.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/668069/original/file-20250515-56-ea6rb1.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/668069/original/file-20250515-56-ea6rb1.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=600&h=338&fit=crop&dpr=1 600w, https://images.theconversation.com/files/668069/original/file-20250515-56-ea6rb1.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=600&h=338&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/668069/original/file-20250515-56-ea6rb1.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=600&h=338&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/668069/original/file-20250515-56-ea6rb1.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=754&h=424&fit=crop&dpr=1 754w, https://images.theconversation.com/files/668069/original/file-20250515-56-ea6rb1.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=754&h=424&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/668069/original/file-20250515-56-ea6rb1.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=754&h=424&fit=crop&dpr=3 2262w" alt="Men in a sweaty hug: perhaps they are cheering, or maybe they are yelling." /></a><figcaption><span class="caption">The film’s depiction of masculinity echoes Wake In Fright.</span> <span class="attribution"><span class="source">Madman Entertainment</span></span></figcaption></figure> <p>For the mean, violent, misogynistic villains to be defeated, it would be unsatisfying for Cage to stoop to their level. This means – without spoiling too much – Cage remains an oddly passive character throughout the film, while others perform the avenging actions.</p> <p>The only way the protagonist’s masculinity can be resurrected as upright, ethical and empowering is for the character to literally turn his back on the vengeance we’ve been waiting for him to deliver.</p> <p>It’s not that the film has an inarticulate grasp of its own politics, but more that the otherwise terrific script by Thomas Martin feels written into a difficult corner.</p> <h2>A blast along the way</h2> <p>I don’t want to imply that this ending means The Surfer isn’t an absolute blast along the way. A lot of the fun is in anticipating each dreadful humiliation – and it somehow turning out worse than you could have expected.</p> <p>A spilled coffee leads to drinking recycled wastewater which leads to chewing on a dead rat, and we still haven’t reached the lowest rung on the ladder of indignities that Cage’s character suffers.</p> <p>In less skilled hands this could feel nasty or gross, but the hallucinatory quality of Finnegan’s direction makes it feel almost sublime. And Cage’s pleading, groaning, sobbing and gibbering feel believable and relatable.</p> <p>The pathos works – and it’s pretty funny too.</p> <p><em>The Surfer is in cinemas now and streaming on Stan from June 15.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/254580/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></em></p> <p><em><a href="https://theconversation.com/profiles/grace-russell-1459623">Grace Russell</a>, Lecturer, School of Media, Film and Journalism, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/dishevelled-dehydrated-delirium-new-aussie-film-the-surfer-starring-nicolas-cage-is-an-absolute-blast-254580">original article</a>.</em></p> <p><em>Main Image: Madman Entertainment</em></p> </div>

Movies

Aussies devastated as travel agency collapses, leaving holidays in ruins

<p>Dozens of Australian travellers have had their holiday dreams shattered and lost tens of thousands of dollars following the sudden collapse of online travel agency Traveldream.</p> <p><a href="https://www.traveldream.com.au/au" target="_blank" rel="noopener">Traveldream</a>, operated under the business name Australian Travel Deals Pty Ltd, went into administration on April 28, ceasing operations immediately and leaving customers stranded across the globe – or worse, never even departing on their long-planned trips.</p> <p>The financial fallout has been severe, <a href="https://www.news.com.au/travel/travel-updates/incidents/aussies-dream-holidays-up-in-the-air-after-travel-agent-collapses/news-story/e4466dea16a9bd796f0e244cfb013597" target="_blank" rel="noopener">according to news.com.au</a>, who spoke to several impacted customers, including a mother and her two daughters who lost $33,000, and a group of Australian travellers who arrived at their overseas accommodation only to be told no booking existed in their name.</p> <p>Among the most devastating stories is that of Donna Lamberth and her husband, who lost $15,500. The Queensland couple had saved for two years to embark on the “trip of a lifetime” through North America, including a cruise in Alaska and a stop in Las Vegas. After fully paying for the holiday in December, Ms Lamberth was stunned to learn only a small deposit had been made on their cruise booking.</p> <p>“I burst into tears,” she said. “My bags were packed. I haven’t even unpacked my bags yet.”</p> <p>Ms Lamberth and her husband were forced to cancel their entire two-month trip.</p> <p>At least 75 customers are confirmed to have lost money due to the collapse, according to Bill Karageozis of insolvency firm Mcleods, who has been appointed administrator. He expects that number could rise to as many as 100 creditors. The company’s total debt is currently estimated to be under $1 million, and it has no tangible assets to recoup losses.</p> <p>Some impacted travellers have managed to salvage elements of their trips by contacting airlines and cruise companies directly. Among the suggested providers are Qantas, Singapore Airlines, Royal Caribbean Cruises and Holland America Cruises.</p> <p>One group of 300 Australians booked through Traveldream for a North American tour set to begin on May 19 now face uncertainty. Lorraine Micairan, a Sydney mother of five, is among them. She and her husband paid $12,000 for their trip and discovered many of their bookings were never paid for, despite receiving an itinerary and booking confirmations.</p> <p>“When I checked in online it said it’s cancelled,” she said. “Qantas told me there was no payment.”</p> <p>Thanks to last-minute scrambles and additional out-of-pocket expenses, Ms Micairan and her travel companions were able to rescue their trip. Still, she says the experience has left them financially and emotionally drained.</p> <p>Meanwhile, other customers were not so fortunate. Friends Michelle Brown and Tammy Meurant, along with their husbands, landed in Vancouver only to find their hotel booking had been cancelled just days earlier – likely by a third party due to non-payment by Traveldream.</p> <p>“They said: ‘Sorry, we don’t have a booking,’” Ms Brown recounted. “It was cancelled on the 6th. We arrived on the 9th.”</p> <p>The group had to scramble to find alternative accommodation via Airbnb and are bracing for more disruptions throughout their trip.</p> <p>Traveldream was founded in 2016 and led by Melbourne-based director Christopher Banson, who has not publicly commented on the situation. Banson also operates Salt Water Hotels and Resorts – a separate travel business with 30 properties nationwide – which remains unaffected by Traveldream’s demise.</p> <p>Another shareholder in the failed company, Travel Dream Australia Pty Ltd, is reportedly owed $49,000. That company is solely directed by Paul Mercuri, Traveldream’s co-founder, who was no longer involved in the business at the time of its collapse.</p> <p>Administrators are now urging affected customers to act swiftly in identifying any prepaid travel services that can be salvaged. For many, however, the damage is already done.</p> <p>“I’m going to have to save again,” Ms Lamberth said. “It’s a lot of money to lose.”</p> <p><em>Image: Traveldream</em></p>

Travel Trouble

Why do some people get a curved back as they age and what can we do to avoid it?

<div class="theconversation-article-body"> <p>As we age, it’s common to notice posture changes: shoulders rounding, head leaning forward, back starting to curve. You might associate this with older adults and wonder: will this happen to me? Can I prevent it?</p> <p>It’s sometimes called “hunchback” or “roundback”, but the medical term for a curved back is kyphosis.</p> <p>When the curve is beyond what’s considered normal (greater than 40 degrees), we refer to this as hyperkyphosis. In more <a href="https://www.jospt.org/doi/10.2519/jospt.2010.3099#_i12:%7E:text=gold%2Dstandard%20radiograph.-,Clinical%20Consequences%20of%20Hyperkyphosis,-Functional%20Limitations">severe cases</a>, it may lead to pain, reduced mobility and physical function, or lower quality of life.</p> <p>Here’s how it happens, and how to reduce your risk.</p> <h2>What causes a curved back?</h2> <p>A healthy spine has an elongated s-shape, so a curve in the upper spine is completely normal.</p> <p>But when that curve becomes exaggerated and fixed (meaning you can’t stand up straight even if you try), it can signal a problem.</p> <p>One common cause of a curved back is poor posture. This type, called postural kyphosis, usually develops over time due to muscle imbalances, particularly in younger people who spend hours:</p> <ul> <li>hunched over a desk</li> <li>slouched in a chair, or</li> <li>looking down at a phone.</li> </ul> <p>Fortunately, this kind of curved back is often reversible with the right exercises, stretches and posture awareness.</p> <p>Older adults often develop a curved back, known as age-related kyphosis or hyperkyphosis.</p> <p>This is usually due to wear and tear in the spine, including vertebral compression fractures, which are tiny cracks in the bones of the spine (vertebrae).</p> <p>These cracks are most often caused by osteoporosis, a condition that makes bones more fragile with age.</p> <p>In these cases, it’s not just bad posture – it’s a structural change in the spine.</p> <h2>How can you tell the difference?</h2> <p>Signs of age-related hyperkyphosis include:</p> <ul> <li>your back curves even when you try to stand up straight</li> <li>back pain or stiffness</li> <li>a loss of height (anything greater than 3-4 centimetres compared to your peak adult height may be considered outside of “normal” ageing).</li> </ul> <p>Other causes of a curved back include:</p> <ul> <li><a href="https://pubmed.ncbi.nlm.nih.gov/30407981/">Scheuermann’s kyphosis</a> (which often develops during adolescence when the bones in the spine grow unevenly, leading to a forward curve in the upper back)</li> <li><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC4347150/">congenital kyphosis</a> (a rare condition present from birth, caused by improper formation of the spinal bones. It can result in a more severe, fixed curve that worsens as a child grows)</li> <li>scoliosis (where the spine curves sideways into a c- or s-shape when viewed from behind), and</li> <li>lordosis (an excessive inward curve in the lower back, when viewed from the side).</li> </ul> <p>In addition to these structural conditions, arthritis, and in rare cases, spinal injuries or infections, can also play a role.</p> <h2>Should I see a doctor about my curved back?</h2> <p>Yes, especially if you’ve noticed a curve developing, have ongoing back pain, or have lost height over time.</p> <p>These can be signs of vertebral fractures, which can occur in the absence of an obvious injury, and are often painless.</p> <p>While one in five older adults have a vertebral fracture, as many as two-thirds of these fractures are <a href="https://www.sciencedirect.com/science/article/abs/pii/S0002934315010128?casa_token=DzXngmS6GIoAAAAA:3ub0V4PuHbKjrqO9xYDo8vx2m9k6tbOtmz4yIVzkQvH-VylhgO_KnKaTYDLXpiHc9_4Jz0iNdQ">not diagnosed and treated</a>.</p> <p>In Australia, the Royal Australian College of General Practitioners and Healthy Bones Australia <a href="https://healthybonesaustralia.org.au/wp-content/uploads/2022/12/oa-racgp-osteoporosis-clinical-guidelines-2nd-ed.pdf">recommend</a> a spine x-ray for:</p> <ul> <li>people with kyphosis</li> <li>height loss equal to or more than 3 centimetres, or</li> <li>unexplained back pain.</li> </ul> <h2>What can I do to reduce my risk?</h2> <p>If you’re young or middle-aged, the habits you build today matter.</p> <p>The best way to prevent a curved back is to keep your bones strong, muscles active, and posture in check. That means:</p> <ul> <li>doing regular resistance training, especially targeting upper back muscles</li> <li>staying physically active, aiming for at least <a href="https://www.who.int/initiatives/behealthy/physical-activity">150 minutes per week</a></li> <li>getting enough protein, calcium, and vitamin D to support bone and muscle health</li> <li>avoiding smoking and limiting alcohol to reduce risk factors that worsen bone density and overall wellbeing</li> </ul> <p>Pay attention to your posture while sitting and standing. Position your head over your shoulders and shoulders over your hips. This reduces strain on your spine.</p> <h2>What exercises help prevent and manage a curved back?</h2> <p>Focus on <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC5112023/">exercises that strengthen the muscles</a> that support an upright posture, particularly the upper back and core, while improving mobility in the chest and shoulders.</p> <p>In general, you want to prioritise extension-based movements. These involve straightening or lifting the spine and pulling the shoulders back.</p> <p>Repeated forward-bending (or flexion) movements may make things worse, especially in people with osteoporosis or spinal fractures.</p> <p>Good exercises include:</p> <ul> <li>back extensions (gently lift your chest off the floor while lying face down)</li> <li>resistance exercises targeting the muscles between your shoulder blades</li> <li>weight-bearing activities (such as brisk walking, jogging, stair climbing, or dancing) to keep bones strong and support overall fitness</li> <li>stretching your chest and hip flexors to open your posture and relieve tightness.</li> </ul> <p>Flexibility and balance training (such as yoga and pilates) can be <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC3700806/">beneficial</a>, particularly for posture awareness, balance, and mobility. But <a href="https://pubmed.ncbi.nlm.nih.gov/31034509/">research</a> increasingly supports muscle strengthening as the cornerstone of prevention and management.</p> <p>Muscle strengthening exercises, such as weight lifting or resistance training, reduces spinal curvature while enhancing muscle and bone mass.</p> <p>If you suspect you have kyphosis or already have osteoporosis or a vertebral fracture, consult a health professional before starting an exercise program. There may be some activities to avoid.</p> <h2>Can a curved back be reversed?</h2> <p>If it’s caused by poor posture and muscle weakness, then yes, it’s possible.</p> <p>But if it’s caused by bone changes, especially vertebral fractures, then full reversal is unlikely. However, treatment can reduce pain, improve function, and slow further progression.</p> <p>Protecting your posture isn’t just about appearance. It’s about staying strong, mobile and independent as you age.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/252811/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>By <a href="https://theconversation.com/profiles/jakub-mesinovic-2351870">Jakub Mesinovic</a>, Research Fellow at the Institute for Physical Activity and Nutrition, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a> and <a href="https://theconversation.com/profiles/david-scott-1258511">David Scott</a>, Associate Professor (Research) and NHMRC Emerging Leadership Fellow, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/why-do-some-people-get-a-curved-back-as-they-age-and-what-can-i-do-to-avoid-it-252811">original article</a>.</em></p> <p><em>Image: Life Care Home Health</em></p> </div>

Body

Shock after Aussie Olympian dies at just 53

<p>Australia’s sporting community is in mourning following the unexpected death of Olympian and former baseball superstar Adam Burton, who passed away on Monday at the age of 53.</p> <p>Known affectionately as “Hollywood” or “Burto”, Burton’s impact on and off the field spanned decades, from representing Australia at the 2000 Sydney Olympics to shaping the grassroots game across countless local clubs.</p> <p>Burton’s career began with extraordinary promise. A prodigious talent from Melbourne’s southeast, he came through the ranks at Waverley Baseball Club before earning a professional contract with Major League Baseball's Baltimore Orioles as a teenager – a rare feat for an Australian player at the time. Though injuries and circumstance curtailed his American journey, he would later sign with the Atlanta Braves before returning to dominate the Australian Baseball League (ABL).</p> <p>Waverley Baseball Club, where Burton first made his mark, said they were “shattered” by the loss of “one of the finest players to represent them and Australia”.</p> <p>“Adam carried the moniker ‘Hollywood’ during an 11-year ABL career that few matched,” the club said in a heartfelt tribute. “He was brash, cocky, entertaining – with a ‘can’t take your eyes off him’ talent. He had style. He had charisma. He would light up a room.”</p> <p>Burton’s career in the ABL was marked by highlight-reel moments and consistent excellence. He played over 330 games and compiled a .312 batting average, with multiple All-Star selections. He was instrumental in Waverley’s 1995 championship, and in one of the league’s most remarkable seasons, he led the Melbourne Reds from last place to champions with a league-best .388 average, 21 home runs and 18 stolen bases.</p> <p>“Adam Burton was a guy who could put the team on his shoulders without feeling the burden,” Waverley’s statement continued.</p> <p>While an ankle injury hampered his performance during the 2000 Olympics, his selection and presence on Australia’s national team only cemented his legacy in the sport. He also represented Australia in the Baseball World Cup, the Intercontinental Cup and the World Youth Series.</p> <p>Beyond his professional accolades, Burton remained deeply connected to the local game, coaching and playing with unwavering passion at clubs such as Blackburn, Melbourne, Preston and Watsonia.</p> <p>Baseball Victoria paid tribute to his enduring love for the game: “Adam will always be remembered for his unwavering love of the game and infectious personality. He was a beloved member of the Victorian baseball community and will be truly missed.”</p> <p>Burton’s coaching achievements in later years were as impactful as his playing career. In 2017-18, he led Preston Pirates to a VSBL Division 2 Premiership, and just last year, he played a key role in Watsonia’s A Grade Grand Final campaign.</p> <p>Watsonia Baseball Club described him as a figure who “clearly impacted all he met,” while Blackburn Baseball Club remembered him as both a “genius” and a mentor to the next generation of players.</p> <p>“Behind the cheeky smile, was a baseball genius and gifted teacher of the game,” said Blackburn’s statement. “We consider ourselves incredibly lucky to have had Adam as a member of our club… one of the all-time greats.”</p> <p>As tributes continue to pour in from across the country, the deep shock and sorrow of his passing is shared by teammates, friends, fans and especially the many young players who looked up to him as a hero.</p> <p>Adam Burton is survived by his children, Cienna and Brock.</p> <p><em>Images: Instagram</em></p>

Caring

Aussie Olympian sentenced over wife's death

<p>Olympic cycling champion Rohan Dennis has received a suspended prison sentence over a road incident that led to the tragic death of his wife, fellow Olympian Melissa Hoskins, in Adelaide late last year.</p> <p>Dennis, 34, appeared before South Australia’s District Court on Wednesday, where he was sentenced to one year, four months and 28 days in prison. However, Judge Ian Press suspended the sentence, citing Dennis’s guilty plea, remorse and his responsibilities as the sole carer for the couple’s two young children.</p> <p>Dennis had earlier pleaded guilty to committing an aggravated act likely to cause harm in relation to the events of 30 December 2023.</p> <p>Judge Press acknowledged the deep impact of the incident, saying that calling it "tragic" did not do justice to the "grief, anguish and turmoil" experienced by those close to Hoskins.</p> <p>Hoskins, 32, died after being struck by Dennis's vehicle outside their home in Medindie, Adelaide. The court heard the couple had been arguing over kitchen renovations before Dennis left the house and got into his car.</p> <p>During the confrontation, Hoskins reportedly jumped onto the car’s bonnet. Judge Press described driving with a person on the bonnet as “an inherently risky and dangerous act”. After she dismounted and attempted to open the car door, Dennis closed it and accelerated without realising she was still holding onto the vehicle. Hoskins then fell and suffered fatal injuries.</p> <p>Judge Press made it clear that Dennis was not charged with causing Hoskins’s death, but rather with a dangerous act that contributed to the chain of events. “I accept you have a sense of responsibility for all that occurred,” he told Dennis. “I accept you have anguished over what could have been different if you had acted in some other way.”</p> <p>Dennis, who remained emotionless throughout the sentencing, was also issued a $100, two-year good behaviour bond, and his driver's licence was suspended for five years. The judge warned that any breach of the driving ban would result in immediate imprisonment.</p> <p>Outside court, Hoskins’s father Peter expressed the family's grief but also their desire to move forward. “We miss Melissa terribly,” he said, his voice breaking. “But it’s time for us to move on, which would be Melissa’s expectation of us.”</p> <p>He added that the family intended to remain closely involved in the lives of the couple’s children and hoped to maintain a respectful relationship with Dennis. “They deserve this. They have done nothing wrong,” he said.</p> <p>Though the family had not yet received an apology from Dennis, Hoskins said he believed it would come in time. He also clarified they had not sought a custodial sentence, saying, “For them to go and lose their dad… albeit a temporary loss… I don’t think that would be ideal at all.”</p> <p>Melissa Hoskins was a celebrated cyclist, having represented Australia in the team pursuit at the 2012 and 2016 Olympics and winning a world championship in 2015. Rohan Dennis is a two-time world champion in the road time trial and a dual Olympic medallist.</p> <p>The case has drawn widespread public attention, not only for the prominence of the individuals involved, but also for the deeply personal and painful circumstances surrounding the incident.</p> <p><em>Image: Fox Sports</em></p>

Legal

What is a blood cholesterol ratio? And what should yours be?

<div class="theconversation-article-body"> <p>Have you had a blood test to check your cholesterol level? These check the different blood fat components:</p> <ul> <li>total cholesterol</li> <li>LDL (low-density lipoprotein), which is sometimes called “bad cholesterol”</li> <li>HDL (high-density lipoprotein), which is sometimes called “good cholesterol”</li> <li>triglycerides.</li> </ul> <p>Your clinician then compares your test results to normal ranges – and may use ratios to compare different types of cholesterol.</p> <p><iframe id="8KC9s" class="tc-infographic-datawrapper" style="border: 0;" src="https://datawrapper.dwcdn.net/8KC9s/6/" width="100%" height="400px" frameborder="0" scrolling="no"></iframe></p> <p>High blood cholesterol is a major risk factor for cardiovascular disease. This is a broad term that includes disease of blood vessels throughout the body, arteries in the heart (known as coronary heart disease), heart failure, heart valve conditions, arrhythmia and stroke.</p> <p>So what does cholesterol do? And what does it mean to have a healthy cholesterol ratio?</p> <h2>What are blood fats?</h2> <p>Cholesterol is a waxy type of fat made in the liver and gut, with a small amount of pre-formed cholesterol coming from food.</p> <p>Cholesterol is found in all cell membranes, contributing to their structure and function. Your body <a href="https://www.ncbi.nlm.nih.gov/books/NBK513326/">uses cholesterol to make</a> vitamin D, bile acid, and hormones, including oestrogen, testosterone, cortisol and aldosterone.</p> <p>When there is too much cholesterol in your blood, it gets deposited into artery walls, making them hard and narrow. This process is called <a href="https://en.wikipedia.org/wiki/Atherosclerosis">atherosclerosis</a>.</p> <p>Cholesterol is <a href="https://www.ncbi.nlm.nih.gov/books/NBK513326/">packaged with</a> <a href="https://en.wikipedia.org/wiki/Triglyceride">triglycerides</a> (the most common type of fat in the body) and specific <a href="https://en.wikipedia.org/wiki/Apolipoprotein">“apo” proteins</a> into “lipo-proteins” as a package called “very-low-density” lipoproteins (VLDLs).</p> <p>These are transported via the blood to body tissue in a form called low-density lipoprotein (LDL) cholesterol.</p> <p>Excess cholesterol can be transported back to the liver by high-density lipoprotein, the HDL, for removal from circulation.</p> <p>Another less talked about blood fat is Lipoprotein-a, or Lp(a). This is determined by your genetics and <a href="https://www.victorchang.edu.au/heart-disease/high-cholesterol">not influenced by lifestyle factors</a>. About one in five (<a href="https://www1.racgp.org.au/ajgp/2021/may/lipid-management-and-implications-for-australian-g">20%</a>) of Australians are carriers.</p> <p>Having a high Lp(a) level is an independent cardiovascular disease risk factor.</p> <h2>Knowing your numbers</h2> <p>Your blood fat levels <a href="https://www.heartfoundation.org.au/your-heart/high-blood-cholesterol">are affected by</a> both modifiable factors:</p> <ul> <li>dietary intake</li> <li>physical activity</li> <li>alcohol</li> <li>smoking</li> <li>weight status.</li> </ul> <p>And non-modifiable factors:</p> <ul> <li>age</li> <li>sex</li> <li>family history.</li> </ul> <p><iframe id="S7Xp4" class="tc-infographic-datawrapper" style="border: 0;" src="https://datawrapper.dwcdn.net/S7Xp4/1/" width="100%" height="400px" frameborder="0" scrolling="no"></iframe></p> <h2>What are cholesterol ratios?</h2> <p>Cholesterol ratios are sometimes used to provide more detail on the balance between different types of blood fats and to evaluate risk of developing heart disease.</p> <p>Commonly used ratios include:</p> <h2>1. Total cholesterol to HDL ratio</h2> <p>This ratio is used in Australia to <a href="https://www.cvdcheck.org.au/calculator">assess risk of heart disease</a>. It’s calculated by dividing your total cholesterol number by your HDL (good) cholesterol number.</p> <p>A higher ratio (<a href="https://www.medicalnewstoday.com/articles/cholesterol-ratio-calculator#how-to-calculate">greater than 5</a>) is associated with a higher risk of heart disease, whereas a lower ratio is associated with a lower risk of heart disease.</p> <p>A <a href="https://pubmed.ncbi.nlm.nih.gov/36589799/">study</a> of 32,000 Americans over eight years found adults who had either very high, or very low, total cholesterol/HDL ratios were at 26% and 18% greater risk of death from any cause during the study period.</p> <p>Those with a ratio of greater than 4.2 had a 13% higher risk of death from heart disease than those with a ratio lower than 4.2.</p> <h2>2. Non-HDL cholesterol to HDL cholesterol ratio (NHHR)</h2> <p>Non-HDL cholesterol is the total cholesterol minus HDL. Non-HDL cholesterol includes all blood fats such as LDL, triglycerides, Lp(a) and others. This ratio is abbreviated as NHHR.</p> <p>This ratio has been used more recently because it compares the ratio of “bad” blood fats that can contribute to atherosclerosis (hardening and narrowing of the arteries) to “good” or anti-atherogenic blood fats (HDL).</p> <p>Non-HDL cholesterol is a <a href="https://pubmed.ncbi.nlm.nih.gov/31170997/">stronger predictor of cardiovascular disease risk</a> than LDL alone, while <a href="https://pubmed.ncbi.nlm.nih.gov/37228232/">HDL is associated with</a> lower cardiovascular disease risk.</p> <p>Because this ratio removes the “good” cholesterol from the non-HDL part of the ratio, it is not penalising those people who have really high amounts of “good” HDL that make up their total cholesterol, which the first ratio does.</p> <p>Research has suggested this ratio may be a stronger <a href="https://pubmed.ncbi.nlm.nih.gov/39949279/">predictor of atherosclerosis in women than men</a>, however more research is needed.</p> <p>Another <a href="https://pubmed.ncbi.nlm.nih.gov/39415313">study</a> followed more than 10,000 adults with type 2 diabetes from the United States and Canada for about five years. The researchers found that for each unit increase in the ratio, there was around a 12% increased risk of having a heart attack, stroke or death.</p> <p>They identified a risk threshold of 6.28 or above, after adjusting for other risk factors. Anyone with a ratio greater than this is at very high risk and would require management to lower their risk of heart disease.</p> <h2>3. LDL-to-HDL cholesterol ratio</h2> <p>LDL/HDL is calculated by dividing your LDL cholesterol number by the HDL number. This gives a ratio of “bad” to “good” cholesterol.</p> <p>A lower ratio (<a href="https://www.medicalnewstoday.com/articles/cholesterol-ratio-calculator#how-to-calculate">ideal is less than 2.0</a>) is associated with a lower risk of heart disease.</p> <p>While there is lesser focus on LDL/HDL, these ratios have been shown to be predictors of occurrence and <a href="https://pubmed.ncbi.nlm.nih.gov/35843962/">severity of heart attacks</a> in patients presenting with chest pain.</p> <p>If you’re worried about your cholesterol levels or cardiovascular disease risk factors and are aged 45 and over (or over 30 for First Nations people), consider seeing your GP for a Medicare-rebated <a href="https://www.heartfoundation.org.au/your-heart/heart-health-checks">Heart Health Check</a>.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/253126/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>By <a href="https://theconversation.com/profiles/clare-collins-7316">Clare Collins</a>, Laureate Professor in Nutrition and Dietetics, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a> and <a href="https://theconversation.com/profiles/erin-clarke-1314081">Erin Clarke</a>, Postdoctoral Researcher, Nutrition and Dietetics, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-is-a-blood-cholesterol-ratio-and-what-should-yours-be-253126">original article</a>.</em></p> <p><em>Image: Everlabs</em></p> </div>

Caring

It’s almost winter. Why is Australia still so hot?

<div class="theconversation-article-body"> <p>This year, for many Australians, it feels like summer never left. The sunny days and warm nights have continued well into autumn. Even now, in May, it’s still unusually warm.</p> <p>Much of the southern half of the continent is experiencing both unseasonable warmth and dry conditions. This is linked to persistent high atmospheric pressure (called “blocking”) to the south and southeast of Australia.</p> <p>While temperatures will fall across southern Australia as we approach the winter solstice, early indications are that this winter will be a warm one. Rainfall predictions are less certain.</p> <p>The extra warmth we’ve experienced raises obvious questions about the influence of human-caused climate change. The warming signal is clear and it’s a sign of things to come.</p> <h2>A warm and dry autumn for many</h2> <p><a href="http://www.bom.gov.au/jsp/awap/temp/index.jsp?colour=colour&time=latest&step=1&map=meananom&period=month&area=nat">March</a> and <a href="http://www.bom.gov.au/jsp/awap/temp/index.jsp?colour=colour&time=latest&step=0&map=meananom&period=month&area=nat">April</a> brought unseasonal heat to much of Australia.</p> <p>March was widely hot, with temperatures several degrees above normal across much of the country. But April’s heat was largely restricted to the southeast.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/666591/original/file-20250507-68-vjvcb5.png?ixlib=rb-4.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/666591/original/file-20250507-68-vjvcb5.png?ixlib=rb-4.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/666591/original/file-20250507-68-vjvcb5.png?ixlib=rb-4.1.0&q=45&auto=format&w=600&h=450&fit=crop&dpr=1 600w, https://images.theconversation.com/files/666591/original/file-20250507-68-vjvcb5.png?ixlib=rb-4.1.0&q=30&auto=format&w=600&h=450&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/666591/original/file-20250507-68-vjvcb5.png?ixlib=rb-4.1.0&q=15&auto=format&w=600&h=450&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/666591/original/file-20250507-68-vjvcb5.png?ixlib=rb-4.1.0&q=45&auto=format&w=754&h=566&fit=crop&dpr=1 754w, https://images.theconversation.com/files/666591/original/file-20250507-68-vjvcb5.png?ixlib=rb-4.1.0&q=30&auto=format&w=754&h=566&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/666591/original/file-20250507-68-vjvcb5.png?ixlib=rb-4.1.0&q=15&auto=format&w=754&h=566&fit=crop&dpr=3 2262w" alt="Graph of rising Australian-average temperatures in March from 1900-2025" /></a><figcaption><span class="caption">Australia had its hottest March on record and the heat has continued, especially in Victoria and parts of New South Wales.</span> <span class="attribution"><a class="source" href="http://www.bom.gov.au/cgi-bin/climate/change/timeseries.cgi?graph=tmean&area=aus&season=03&ave_yr=0&ave_period=6190">Bureau of Meteorology</a></span></figcaption></figure> <p>Victoria had its <a href="http://www.bom.gov.au/cgi-bin/climate/change/timeseries.cgi?graph=tmean&area=vic&season=04&ave_yr=0&ave_period=6190">warmest April</a> on record, and parts of the state experienced temperatures more than 3°C above normal across both March and April.</p> <p>Temperatures normally fall quite quickly over the southeast of Australia during April and May as the days shorten and the continent’s interior cools. But this year, southern Australia was unusually warm at the start of May. Some locations experienced days with maximum temperatures more than 10°C above normal for the time of year.</p> <p>Records were broken in <a href="https://www.skynews.com.au/australia-news/weather/hobart-parts-of-melbourne-sweat-through-hottest-may-night-on-record-as-warm-windy-weather-sweeps-across-australias-southeast/news-story/8b1c76fc40c7a84842a5aaf6a57eb038">Hobart</a> and <a href="https://7news.com.au/news/jane-bunn-weather-tuesdays-balmy-morning-in-melbourne-was-just-shy-of-all-time-record-c-18600201">parts of Melbourne</a>, which had their warmest May nights since observations began.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/666592/original/file-20250507-62-nf86bk.gif?ixlib=rb-4.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/666592/original/file-20250507-62-nf86bk.gif?ixlib=rb-4.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/666592/original/file-20250507-62-nf86bk.gif?ixlib=rb-4.1.0&q=45&auto=format&w=600&h=412&fit=crop&dpr=1 600w, https://images.theconversation.com/files/666592/original/file-20250507-62-nf86bk.gif?ixlib=rb-4.1.0&q=30&auto=format&w=600&h=412&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/666592/original/file-20250507-62-nf86bk.gif?ixlib=rb-4.1.0&q=15&auto=format&w=600&h=412&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/666592/original/file-20250507-62-nf86bk.gif?ixlib=rb-4.1.0&q=45&auto=format&w=754&h=518&fit=crop&dpr=1 754w, https://images.theconversation.com/files/666592/original/file-20250507-62-nf86bk.gif?ixlib=rb-4.1.0&q=30&auto=format&w=754&h=518&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/666592/original/file-20250507-62-nf86bk.gif?ixlib=rb-4.1.0&q=15&auto=format&w=754&h=518&fit=crop&dpr=3 2262w" alt="GIF of Australian daily maximum temperature anomalies for 1st to 6th May" /></a><figcaption><span class="caption">The start of May saw daytime maximum temperatures across much of Australia well above average for the time of year.</span> <span class="attribution"><a class="source" href="http://www.bom.gov.au/jsp/awap/temp/index.jsp?colour=colour&time=history%2Fnat%2F2025050520250505&step=0&map=maxanom&period=daily&area=nat">Bureau of Meteorology</a></span></figcaption></figure> <p>While Queensland and the New South Wales coast have had very wet spells, including downpours from Tropical Cyclone Alfred at the start of March, other parts of Australia have been quite dry.</p> <p>The area between Adelaide and Melbourne has been exceptionally dry. <a href="http://www.bom.gov.au/climate/maps/rainfall/?variable=rainfall&map=drought&period=3month&region=nat&year=2025&month=04&day=30">A drought is unfolding</a> in the region after a <a href="http://www.bom.gov.au/climate/maps/rainfall/?variable=rainfall&map=drought&period=12month&region=nat&year=2025&month=04&day=30">severe lack of rainfall</a>, with deficits stretching back over the past year or so. Western Tasmania is also suffering from a severe lack of rainfall since the start of autumn, although welcome rain fell in the past week.</p> <p>And it’s not just on land that unusual heat has been observed. The seas around Australia have been warmer than normal, causing severe coral bleaching to <a href="https://theconversation.com/synchronised-bleaching-ningaloo-and-the-great-barrier-reef-are-bleaching-in-unison-for-the-first-time-252906">the west and east</a> of the continent, <a href="https://www.epa.sa.gov.au/environmental_info/water_quality/harmful-algal-blooms">harmful algal blooms</a> and other ecosystem disruptions.</p> <h2>Blocking highs largely to blame</h2> <p>A high pressure system has dominated over the south and southeast of Australia over the past few months.</p> <p>High pressure in the Tasman Sea can sometimes get stuck there for a few days. This leads to what’s known as “blocking”, when the usual passage of weather systems moving from west to east is obstructed. This can lock in weather patterns for several days or even a week.</p> <p>Repeated blocking occurred this autumn. As winds move anticlockwise around high pressure systems in the Southern Hemisphere, blocking highs in the Tasman Sea can bring moist, onshore winds to the New South Wales and Queensland coasts, increasing rainfall. But such high pressure systems also bring drier conditions for the interior of the southeast and much of Victoria and South Australia.</p> <p>Often, these high pressure systems also bring northerly winds to Victoria, and this can cause warmer conditions across much of the state.</p> <p>High pressure systems also tend to bring more clear and sunny conditions, which increases daytime temperatures in particular. Air in high pressure systems moves down towards the surface and this process causes warming, too.</p> <p>Australia sits between the Pacific and Indian Oceans and is subject to their variability, so we often look there to help explain what’s happening with Australia’s climate. In autumn though, our climate influences, such as the El Niño-Southern Oscillation and the Indian Ocean Dipole, are less active and have weaker relationships with Australian climate than at other times of year. Neither of these climate influences is <a href="http://www.bom.gov.au/climate/outlooks/#/overview/influences">in a strong phase</a> at the moment.</p> <h2>A warm winter on the cards</h2> <p>One big question is how long the heat will last. In parts of southeast Australia, including <a href="http://www.bom.gov.au/jsp/ncc/cdio/cvg/av?p_stn_num=086071&p_prim_element_index=0&p_display_type=statGraph&period_of_avg=ALL&normals_years=allYearOfData&staticPage=">Melbourne</a>, average temperatures drop quickly at this time of year as we approach the winter solstice.</p> <p>However, the seasonal outlook from the Bureau of Meteorology points to a high likelihood of a relatively <a href="http://www.bom.gov.au/climate/outlooks/#/temperature/maximum/median/seasonal/0">warm winter</a>.</p> <p>Australians rarely escape having a winter without any significant cold spells, but the long-range forecast suggests we should anticipate above-normal temperatures on average. Both daytime maximum temperatures and nighttime minimum temperatures are expected to be above average generally this winter.</p> <figure><iframe src="https://www.youtube.com/embed/Y5NIa7X2H-s?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">Climate and water long-range forecast, issued 1 May 2025 (Bureau of Meteorology)</span></figcaption></figure> <h2>Global warming is here</h2> <p>The elephant in the room is climate change. Human-caused climate change is increasing autumn temperatures and the frequency of late season heat events. As greenhouse gas emissions continue at a <a href="https://theconversation.com/global-carbon-emissions-inch-upwards-in-2024-despite-progress-on-evs-renewables-and-deforestation-243133">record pace</a>, expect continued warming and a greater chance of autumn heatwaves in future.</p> <p>The effect of climate change on rainfall is less clear though. For the vast majority of Australia, there is <a href="https://interactive-atlas.ipcc.ch/regional-information">high uncertainty</a> as to whether autumn will become wetter or drier as the world warms.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/256071/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>By <a href="https://theconversation.com/profiles/andrew-king-103126">Andrew King</a>, Associate Professor in Climate Science, ARC Centre of Excellence for 21st Century Weather, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/its-almost-winter-why-is-australia-still-so-hot-256071">original article</a>.</em></p> <p><em>Image: Supplied</em></p> </div>

Travel Trouble

Another Aussie traveller found dead in Thailand

<p>A 41-year-old Australian man from South Australia has been found dead in the waters off Freedom Beach in Phuket, three days after he was reported missing by his wife while on holiday.</p> <p>According to Thai authorities, the man was last seen on May 7, prompting a search effort after his disappearance. His body was discovered on the morning of May 10 by the chief lifeguard during a routine patrol. The lifeguard spotted the body drifting about 20 metres from the shore amid strong surf conditions.</p> <p>Officers from Karon Police Station responded to the call and retrieved the body using ropes due to the rough seas. The man was found wearing only black underpants, and emergency responders pulled him to shore for formal identification.</p> <p>Police Lieutenant Colonel Wiwat Chamnankit confirmed that the man had been in Thailand since April 20. He told local outlet Asia Pacific Press that the victim’s family has been notified.</p> <p>“We believe that the sea currents were too strong for him to swim back to land,” Lt. Col. Chamnankit said. “Tourists should not go in the sea during these conditions when there are strong waves, unless they are with an experienced guide.”</p> <p>The body has been transferred to Vachira Phuket Hospital, where an autopsy will be conducted to determine the cause of death. The circumstances surrounding the incident remain under investigation. </p> <p>This incident marks the second death of an Australian tourist in Thailand within the past week. On May 3, 22-year-old Melbourne man Corey Walsh died after jumping from a tour boat near the popular snorkelling area of Koh Racha Yai. Authorities said he had consumed a significant amount of alcohol before repeatedly entering the water.</p> <p>Walsh was pulled from the sea unconscious and unresponsive. Despite efforts by tour conductors and emergency responders, he was pronounced dead at Chalong Hospital. No illegal substances were found on board, though empty alcohol bottles were recovered.</p> <p>These back-to-back tragedies come after the drowning of Chinese tourist Zhang Xiaohan, 30, who was scuba diving near Kabakan Island in East Kalimantan, Indonesia. She was swept away by strong currents while attempting to retrieve her GoPro camera. Her body was later found 88 metres underwater, near a known diving route.</p> <p><em>Image: <span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">Asia Pacific Press</span></em></p>

Travel Trouble

Dr Charlie Teo's plea to have Aussie ban lifted

<p>Famed neurosurgeon Dr Charlie Teo has formally asked the Medical Council of New South Wales to lift the restrictions that have effectively barred him from performing complex brain surgeries in Australia for the past two years.</p> <p>In a letter submitted by his legal team, Dr Teo requested the removal of conditions requiring him to obtain written support from a Council-approved neurosurgeon before operating on patients with recurring malignant brain tumours or brain stem gliomas – some of the most challenging and high-risk cases in neurosurgery.</p> <p>These conditions were imposed following a Health Care Complaints Commission (HCCC) inquiry that found Dr Teo had recommended surgeries in two cases where the risks were deemed to outweigh the potential benefits. The inquiry also criticised the consent process for being “too optimistic”.</p> <p>Since the restrictions came into effect, Dr Teo has continued operating abroad, performing more than 230 surgeries in countries including China, Spain, Germany, India, Switzerland, Peru and South Africa. According to a submission provided to the Medical Board, of these 236 cases, 202 were classified as having "excellent" outcomes, 28 as "good", four as "fair", with two mortalities and none listed as "poor."</p> <p>“I’ve done exactly what was asked of me in Australia, albeit abroad and not by choice but by necessity,” Dr Teo <a href="https://www.news.com.au/lifestyle/health/can-only-hope-neurosurgeon-charlie-teo-requests-end-to-aussie-operating-ban/news-story/85b9d25f40db864bac9d1a03a859a1d0" target="_blank" rel="noopener">told news.com.au</a>. “The supervising neurosurgeons have been extremely impressed with my results, and I guess I have even surprised myself.”</p> <p>Dr Teo said he was proud of maintaining his high standards under intense scrutiny. “Now that I have been able to focus on the real enemy – brain cancer – and not be stressed by potential vilification and persecution is a Godsend.”</p> <p>One of the many Australian patients who travelled overseas to receive treatment from Dr Teo is Tanya Miles, a mother of six who was diagnosed with recurrent glioblastoma, the most aggressive form of brain cancer. After undergoing surgery abroad, she said she is now optimistic about having more time with her children.</p> <p>“I’m angry that I couldn’t make the same choice in my own country,” Ms Miles said. “But I’m so relieved I listened to my gut. Now I have the best possible chance of spending years, not weeks, with my children.”</p> <p>Dr Teo said his push to have the restrictions lifted is not just about regaining the right to operate in Australia but about a broader principle of patient choice and access. “I may not necessarily get a job back here, which would be a real shame for Australian brain cancer and brain tumour patients,” he said. “But I am hopeful that one day some of my fellow neurosurgeons will put patient care above politics. Having the restrictions lifted may be the catalyst.”</p> <p>Dr Teo remains active in brain cancer advocacy and fundraising and will appear at the Rebel Ball in Sydney on May 31, an event expected to draw many of his patients, including Ms Miles.</p> <p>The Medical Council of NSW has not yet responded to Dr Teo’s request. </p> <p><em>Image: News.com.au</em></p>

Caring

What is grounding and can it improve your sleep?

<div class="theconversation-article-body">Have you ever felt an unexpected sense of calm while walking barefoot on grass? Or noticed your stress begin to fade as you stood ankle deep in the ocean? If so, you may have unknowingly “grounded” yourself to the earth.</p> <p>Grounding, <a href="https://www.sciencedirect.com/science/article/pii/S2319417022001573">also known as earthing</a>, is the practice of making direct physical contact with the Earth’s surface. Our ancestors embraced this trend without knowing it. But with the invention of indoor homes, footpaths, roads, and even shoes, we have become <a href="https://onlinelibrary.wiley.com/doi/10.1155/2012/291541">less physically connected with the earth</a>.</p> <p>Grounding has been suggested to have <a href="https://www.healthline.com/health/grounding">a number of benefits</a>, such as improving mood, and reducing stress and pain. But overall, there’s limited conclusive evidence on the benefits of grounding.</p> <p>Somewhat ironically, the concept of grounding in 2025 is heavily influenced by technology, rather than getting out into nature. Consumers are being hit with social media reels promoting a range of technologies that ground us, and improve our health.</p> <p>Among the most common are promises of improved sleep with the use of a grounding sheet or mat. But is this just another TikTok trend, or could these products really help us get a better night’s sleep?</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/reel/DHne7CasELA/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/reel/DHne7CasELA/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Grounding (@groundingofficial)</a></p> </div> </blockquote> <h2>Bringing the outdoors in</h2> <p>The <a href="https://www.sciencedirect.com/science/article/pii/S2319417022001585">human body is conductive</a>, which means it can exchange electricity with Earth and artificial sources, such as electronic devices or objects. (Sometimes, this exchange can result in an electric or <a href="https://theconversation.com/why-do-i-get-static-shocks-from-everyday-objects-is-it-my-shoes-240554">static shock</a>.)</p> <p>Proponents of grounding <a href="https://www.sciencedirect.com/science/article/pii/S1550830719305476">claim the practice reconnects</a> “the conductive human body to the Earth’s natural and subtle surface electric charge”.</p> <p>They credit this process with physiological and psychological benefits (but again, the evidence is limited).</p> <p>Grounding technologies can vary in type (for example, under-desk foot mats, mattress toppers and bed sheets) but all are designed to provide a path for electric charges to flow between your body and the earth.</p> <p>The bottom prong you see in your three-prong wall socket is a “ground” or “earth” terminal. It provides a direct connection to earth via your building’s wiring, diverting excess or unsafe voltage into the ground. This protects you and your devices from potential <a href="https://store.standards.org.au/reader/as-nzs-3112-2017?preview=1&utm">electrical faults</a>.</p> <p><a href="https://www.mdpi.com/2227-9059/11/1/57">Grounding technology</a> uses this terminal as a pathway for the proposed electrical exchange between you and earth, while in the comfort of your home.</p> <h2>Could grounding improve your sleep?</h2> <p>The research in this area is still emerging.</p> <p>A <a href="https://www.sciencedirect.com/science/article/pii/S2212958825000059">2025 study</a> from Korea recruited 60 participants, gave half of them a grounding mat, and gave the other half a visually identical mat that didn’t have grounding technology. The researchers used a “double-blind” protocol, meaning neither the participants nor the researchers knew which participants were given grounding mats.</p> <p>All participants wore sleep trackers and were asked to use their mat (that is, sit or lie on it) for six hours per day. The researchers found that after 31 days, participants in the grounding mat group slept longer on average (as measured by their sleep trackers) than those in the control group.</p> <p>The researchers also used questionnaires to collect measures of insomnia, sleep quality, daytime sleepiness, and stress. After 31 days, participants in both groups improved on all measures.</p> <p>There were no differences between the grounded and ungrounded groups for sleep quality, daytime sleepiness, and stress. And while grounded participants showed significantly lower insomnia severity after the intervention, this difference was also present at the start of the study. So it’s unclear if grounding had a tangible impact on sleep.</p> <p>In another double-blind study, published in 2022, researchers in Taiwan examined the effectiveness of using grounding mats to improve sleep among patients with Alzheimer’s disease. The findings indicated that spending <a href="https://www.mdpi.com/2227-9032/10/3/581">30 minutes on a grounding mat</a> five times per week resulted in improved sleep quality.</p> <p>While previous research has suggested using grounding technologies may lead to <a href="https://pubmed.ncbi.nlm.nih.gov/25748085/">improvements in mood</a>, no differences were seen in measures of anxiety and depression in this study.</p> <h2>Grounding for gains?</h2> <p>Grounding technology has also been touted as <a href="https://www.tiktok.com/@down_to_ground/video/7310937768811597074?q=grounding%20mattress&t=1742787657768">having other benefits</a>, such as reducing pain and inflammation.</p> <p>A <a href="https://doi.org/10.3389/fphys.2019.00035">2019 study</a> found participants who slept on a grounding mat after intense exercise felt less sore and showed lower levels of inflammation in their blood compared to those who were ungrounded.</p> <p>Grounding after a workout may help you feel better and recover faster, but it’s still unclear whether and how grounding affects long-term training results or fitness gains.</p> <h2>Add to cart?</h2> <p>So should you cash in on your favourite influencer’s discount code and grab a grounding mat? At the risk of spouting a common cliche of cautious scientists, our answer is that we don’t know yet.</p> <p>What we do know is the existing research, albeit emerging, has shown no evidence grounding technology can negatively affect your sleep or recovery after exercise. So if you love your grounding mat or grounding sheet, or want to see if grounding works for you, feel free to give it a go.</p> <p>Keep in mind, grounding products can retail for anywhere from around A$30 to $300 or more.</p> <p>On the other hand, grounding on the grass in the great outdoors is free. While there’s limited evidence that grounding outdoors can improve sleep, spending time in outdoor light may itself benefit <a href="https://pubmed.ncbi.nlm.nih.gov/34488088/">sleep, regulate circadian rhythms</a>, and improve mood.</p> <p>Finally, while grounding could be an interesting strategy to try, if you’re experiencing ongoing problems with your sleep, or suspect you may have a sleep disorder, the first step should be reaching out to a medical professional, such as your GP.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/253347/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>By <a href="https://theconversation.com/profiles/dean-j-miller-808724">Dean J. Miller</a>, Senior Lecturer, Appleton Institute, HealthWise Research Group, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a> and <a href="https://theconversation.com/profiles/charlotte-gupta-347235">Charlotte Gupta</a>, Senior Postdoctoral Research Fellow, Appleton Institute, HealthWise Research Group, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-is-grounding-and-could-it-improve-my-sleep-heres-the-science-behind-this-tiktok-trend-253347">original article</a>.</em></p> <p><em>Images: Instagram</em></p> </div>

Body

Guy Sebastian hospitalised for very Aussie reason

<p>Beloved Aussie pop prince Guy Sebastian has taken one for the team – literally – by rupturing his Achilles tendon during a local Division 5 footy match.</p> <p>The silky-voiced <em>Australian Idol</em> winner known for soaring ballads and immaculate falsetto decided to swap the stage for the slog and ran out with AFL great Brendan Fevola for a game with Masala Dandenong’s Thirds. A bold move, considering this is a team that, just one week prior, lost by a modest 229 points – which is less a scoreline and more a cry for help.</p> <p>But help arrived in the form of boots, bravado and bangers. Not only did Guy show up in full kit, he delivered a halftime concert to a local crowd who probably didn’t realise their sausage sizzles came with a side of chart-topping vocals. Fevola, ever the ringmaster of Aussie larrikin spectacle, convinced Sebastian to both sing and suit up, promising little more than community spirit and maybe a bruised ego.</p> <p>What no one promised was a ruptured Achilles.</p> <p>According to Fevola, Sebastian was only meant to drop in for a bit of singing and sideline spectating before heading back to Sydney for a mate’s 40th. But apparently, once the footy fever hits, it hits hard. Sebastian got caught up in the magic of the Masala comeback – perhaps the first time “magic” and “Masala Dandenong” have shared a sentence – and opted to return to the field for the second half.</p> <p>It was a decision his body did not co-sign.</p> <p>Cue the fourth quarter, and down he went. “He just fell,” Fevola recalled helpfully, between fits of laughter. “Singers shouldn’t play footy, footy players shouldn’t sing – stick to your genre.” Wise words from a man who once sang “My Way” on national television while three sheets to the wind.</p> <p>Sebastian, true to form, kept things classy. He joined the post-match victory song on crutches, then posted on Instagram with his usual charm: “Unfortunately I’ve done a proper number on myself. #realitycheck #sticktosinging #footyglorydaysareover.” It was the first time in history that a ruptured tendon trended so positively on social media.</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/reel/DJd-h2TRvk_/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/reel/DJd-h2TRvk_/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by guysebastian (@guysebastian)</a></p> </div> </blockquote> <p>To his credit, Fevola managed to boot six goals and lead the team to an unlikely 8.5 (53) to 7.13 (55) win, ending a 20-game losing streak and likely earning himself free drinks at Lois Twohig Reserve for life. Guy, meanwhile, will be earning some much-deserved rest – and probably a renewed appreciation for low-impact cardio.</p> <p>Get well soon, mate. And next time, maybe just bring the guitar.</p> <p><em>Images: Instagram</em></p>

Caring

7 films to watch this Mother’s Day

<div class="theconversation-article-body"> <p>With Mother’s Day almost upon us, you may be wondering what gift you’ll give mum – or any of the mums in your life. This year, why not skip the fancy dinner and offer one of the most precious gifts there is: quality time, in front of the TV.</p> <p>When I asked seven experts what movies they’d recommend for Mother’s Day, I wasn’t expecting I, Tonya or Alien: Romulus – but their responses have made me realise just how multifaceted the experience of motherhood is, and how weirdly and wonderfully it can be reflected onscreen.</p> <p>So here’s what to watch if you want to laugh, cry, or scream, in an ode to mothers everywhere.</p> <h2>I, Tonya (2017)</h2> <p>The first film from Margot Robbie’s production company LuckyChap Entertainment – which earned Robbie an Oscar nomination for best actress – is an ideal viewing choice for anyone wanting to support Aussie female talent.</p> <p>Former American figure skater Tonya Harding became a household name in 1994, after her then-husband Jeff Gillooly <a href="https://time.com/5027311/i-tonya-movie-true-story/">orchestrated an assault</a> on her primary rival, Nancy Kerrigan, in a bid to block Kerrigan from representing the United States at that year’s Winter Olympics.</p> <p>I, Tonya presents the event, and those of Harding’s career leading up to it, from a more sympathetic perspective than usual. Although it is careful to open with the caveat that the story is derived from “irony-free, wildly contradictory, totally true interviews with Tonya Harding and Jeff Gillooly”, the film presents Harding’s life as one of abuse and cruelty at every turn.</p> <figure><iframe src="https://www.youtube.com/embed/OXZQ5DfSAAc?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>The judges can’t stand her “unfeminine” power. Her husband only shows love through violence. And her heartless mother, LaVona (Alison Janney) is desperate to cash-in on the financial gains from her career success, while simultaneously resenting it.</p> <p>Janney’s performance as LaVona won her the Academy Award for best supporting actress, a title thoroughly deserved as an ice-cold LaVona chainsmokes through barbed criticisms and physical threats. While I, Tonya may not be the most obvious choice for a film to watch on Mother’s Day, it certainly will make you appreciate yours.</p> <p><em><strong>– Jessica Gildersleeve</strong></em></p> <h2>Stepmom (1998)</h2> <p>Stepmom, starring Julia Roberts and Susan Sarandon, is a family weepy for anyone who needs a cathartic cry. Directed by Chris Columbus, the comedy–drama follows the story of terminally ill woman Jackie Harrison (Sarandon) as she comes to grips with the fact her ex-husband’s new girlfriend Isabel (Roberts) will soon be her children’s stepmother.</p> <p>The film, like others under Columbus’ direction, is a critique of domestic dysfunction (think Home Alone, Mrs Doubtfire, or Nine Months), and an exploration of the lengths characters will go in order to restore the ruptured (nuclear) family, whether literally or symbolically.</p> <figure><iframe src="https://www.youtube.com/embed/QNUu1d7i26g?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>Despite its melodramatic machinery and predictable ending, Stepmom offers a nuanced portrayal of the struggles of children during separation or divorce. We see 12-year-old Anna and her little brother, Ben, an aspiring magician, caught in an emotional tug-of-war between their loyalty to their dying mother and their natural affection for their new stepmum.</p> <p>In an honest moment, an anxious Ben asks his dad, “can you ever fall out of love with your kids?”</p> <p>“No, that’s impossible,” Dad responds.</p> <p>In an equally realistic thread, the sullen Anna begrudgingly turns to Isabel for advice on boys, clothes and makeup – their relationship soon resembling one of sisters rather than adversaries (controversially, Roberts’ character even takes it upon herself to explain the concept of “snowblowing” to the tween).</p> <p>In 1998, Stepmom was ahead of its time – not in its representation of motherhood, but in its acknowledgement the nuclear family was, even back then, a thing of the past.</p> <p><strong><em>– Kate Cantrell</em></strong></p> <h2>Double Jeopardy (1999)</h2> <p>Like most thrillers made in the 1990s, Double Jeopardy begins in the Pacific Northwest region of the United States: the epicentre for murder and mist.</p> <p>Libby Parsons (Ashley Judd) is living the idyllic waterfront life with her husband Nick (Bruce Greenwood) and son Matty. After being convinced by Nick to go yachting, Libby wakes up on the boat (during what could best be described as a mist storm) to discover Nick is missing, and there is an endless path of blood from her hands to the yacht’s edge.</p> <p>Libby is tried and convicted for Nick’s murder. While grieving her son in jail, she finds out her husband is actually alive and has framed her. Libby’s cellmate tells her about the “double jeopardy” rule: you can’t be tried for the same crime twice.</p> <p>The montage of Libby preparing for revenge in jail signals an uptick in campy action. Upon her release, we’re introduced to parole officer Travis (Tommy Lee Jones). A game of cat and mouse ensues that is equal parts thrilling and ridiculous.</p> <figure><iframe src="https://www.youtube.com/embed/u22fy9OTaxo?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>Ultimately, Libby must choose between vengeance and getting her son back. Will she follow the rules and wait, or will she put her relentless jail workouts to good use? Double Jeopardy is profoundly stupid and fun, with all the unexpected charm of a midday movie that pulls you in, despite not making much sense.</p> <p>It’s just the kind of movie my mum and I have found ourselves glued to on a Saturday afternoon – cheerleaders for revenge.</p> <p><strong><em>– Kathleen Williams</em></strong></p> <h2>Monster-in-Law (2005)</h2> <p>What lengths would you go to protect your son from marrying someone unsuitable? One of the first references to the roles of the mother-in-law can be traced back to <a href="https://www.google.com.au/books/edition/Representations_of_the_Mother_in_Law_in/gdxfDwAAQBAJ?hl=en&gbpv=1&dq=mother+in+law+latin&pg=PA73&printsec=frontcover">Latin literature</a>, and the comedic play Hecyra, by Roman playwright Terence, which was first <a href="https://www.litencyc.com/php/sworks.php?rec=true&UID=13480">successfully performed</a> in 160 BC. The play’s comedic twist is that the mother-in-law is accused of hating her son’s wife.</p> <p>The 2005 box office hit Monster-in-Law (2005) follows this trajectory and takes it to the extreme. Viola Fields (Jane Fonda) becomes manipulative and acts downright dirty to prevent her son, Kevin (Michael Vartan), from getting married to his fiancée Charlie (Jennifer Lopez) – who she thinks is not good enough for him.</p> <figure><iframe src="https://www.youtube.com/embed/njLr1z66EfA?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>This romantic comedy has the conventions of love, romance, a wedding, and overall impending chaos. It is about a mother trying to do what she thinks is best for her son, as well as the fragile links between romantic love, familial love and matriarchy.</p> <p>In parts, the film transgresses into slapstick territory, as Kevin remains oblivious of Viola’s volatile antics towards Charlie. The tension between the two strong female leads hilariously spirals out of control in the lead-up to the wedding.</p> <p>Monster-in-Law is a feel-good film that draws on the close bond between mother and child, making it good viewing for Mother’s Day.</p> <p><em><strong>– Panizza Allmark</strong></em></p> <h2>The Wild Robot (2024)</h2> <p>There’s a cultural belief that once your baby is in your arms, you’ll immediately know how to look after them, or that you can draw on your own experience of being mothered, or find the right path in one of eleventy billion parenting books.</p> <p>But even if you did have a good experience of being mothered (and many don’t), or you find some great books, parenthood remains a journey of uncertainty and trial and error.</p> <p>When I took my young children to see The Wild Robot, I laughed and cried way more than them. Not just because the animation was so beautiful, or because the story was so moving, but because of the non-didactic moments that resonated so strongly with how we parents feel.</p> <p>We often don’t know what we’re doing; we’re trying our best, and wishing it will be the right thing – playing out an internal war between wanting to protect our children and wanting them to forge their own path.</p> <p>In The Wild Robot, Roz the robot (voiced by Lupita Nyong'o) is focused on helping her adopted gosling Brightbill (Kit Connor) learn how to fly – something she has no experience of. More importantly, Brightbill must fly on a migration flight with other birds, where she can’t join him.</p> <figure><iframe src="https://www.youtube.com/embed/67vbA5ZJdKQ?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>The film mirrors the beautiful and horrifying knowledge parents carry: if we do our job, our children will become their own individuals who are able and willing to leave us. All we can hope is we’ve formed a bond that will make them want to return.</p> <p><em><strong>– Rebecca Beirne</strong></em></p> <h2>My Big Fat Greek Wedding (2002)</h2> <p>Was your mother born overseas? It’s likely. Nearly half of all Australians <a href="https://www.abs.gov.au/media-centre/media-releases/2021-census-nearly-half-australians-have-parent-born-overseas">have a parent born overseas</a>. Or perhaps you married into a family where your “new mum” was born overseas?</p> <p>Your mother-in-law counts on Mother’s Day. Don’t forget it. And if you married into a wonderfully loud Greek/Italian family as I did, then your mother-in-law is likely a hard worker who deserves to be entertained. So why not offer her, and all the mums in your life, a sweet, disarming rom-com about a clash of cultures and a life milestone all mums can get behind: a wedding. A Big Fat Greek Wedding, to be precise.</p> <p>Written by and starring Nia Vardalos, this film tells the tale of Toula Portokalos, who, at the “advanced” age of 30, remains persistently unmarried in the early aughts Chicago. In Greek terms, this is already a tragedy. The title does a lot of heavy lifting in terms of what comes next.</p> <p>The real charm of the film is the clash of cultures that anyone with any ethnic background will recognise.</p> <figure><iframe src="https://www.youtube.com/embed/O2mecmDFE-Q?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>My Big Fat Greek Wedding was a small film with huge global success. Will your mum care it was made with a budget of just US$5 million but <a href="https://fivethirtyeight.com/features/the-first-my-big-fat-greek-wedding-was-the-blockbuster-nobody-saw-coming/">grossed more than US$360 million worldwide</a>, making it one of the most profitable films of all time, with a more than 6,150% return? Probably not.</p> <p>But she’ll love John Corbett, that tall guy who was also in Sex in City (and he’s really good in this one). Just make sure you skip the sequels.</p> <p><strong><em>– Ruari Elkington</em></strong></p> <h2>Alien: Romulus (2024)</h2> <p>Not everyone wants to watch saccharine romantic comedies on Mothers’ Day. If you can relate, dystopian horror film Alien: Romulus (2024) offers much darker pleasures.</p> <p>Feminist scholars have long found the Alien franchise to be rife with symbolism and repressed fears about motherhood, birth and reproductive organs. Alien: Romulus goes further than the original 1979 film in making the theme of sexual violation explicit. As you might expect from Fede Álvarez, the director of Evil Dead (2013), there is plenty of body horror as human characters are assaulted and orally impregnated by Alien species.</p> <p>The film also includes neo-Marxist messages about “the company” and its violation of workers’ bodies. Working mums may enjoy the dark humour of a futuristic corporation that literally sucks the life out of workers before politely thanking them for their service.</p> <figure><iframe src="https://www.youtube.com/embed/OzY2r2JXsDM?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>Leading action woman Rain Carradine (Cailee Spaeny) is more vulnerable and relatable than the iconic character Ripley of previous films. When Rain discovers her work contract has tipped over into slavery, she joins up with her ex-boyfriend Tyler (Archie Renaux) and his pregnant sister Kay (Isabela Merced) to hijack a space station.</p> <p>They must then manage a coolly indifferent IT operating system called “MU/TH/UR” to control the ship. The fact Kay is pregnant does not bode well; her baby eventually bursts out as a hideous alien-human mutant which tries to eat her.</p> <p>Alien Romulus is basically every unspeakable anxiety about pregnancy and motherhood realised through spectacular special effects. It’s also the franchise’s best film since the original.</p> <p><em><strong>– Susan Hopkins</strong></em><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/255004/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p>By <em><a href="https://theconversation.com/profiles/jessica-gildersleeve-141286">Jessica Gildersleeve</a>, Professor of English Literature, <a href="https://theconversation.com/institutions/university-of-southern-queensland-1069">University of Southern Queensland</a>; <a href="https://theconversation.com/profiles/kate-cantrell-444834">Kate Cantrell</a>, Senior Lecturer – Writing, Editing, and Publishing, <a href="https://theconversation.com/institutions/university-of-southern-queensland-1069">University of Southern Queensland</a>; <a href="https://theconversation.com/profiles/kathleen-williams-538927">Kathleen Williams</a>, Senior Lecturer in Media, <a href="https://theconversation.com/institutions/university-of-tasmania-888">University of Tasmania</a>; <a href="https://theconversation.com/profiles/panizza-allmark-198784">Panizza Allmark</a>, Professor of Visual & Cultural Studies, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a>; <a href="https://theconversation.com/profiles/rebecca-beirne-183948">Rebecca Beirne</a>, Senior Lecturer in Film, Media and Cultural Studies, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a>; <a href="https://theconversation.com/profiles/ruari-elkington-105955">Ruari Elkington</a>, Senior Lecturer in Creative Industries & Chief Investigator at QUT Digital Media Research Centre (DMRC), <a href="https://theconversation.com/institutions/queensland-university-of-technology-847">Queensland University of Technology</a>, and <a href="https://theconversation.com/profiles/susan-hopkins-157472">Susan Hopkins</a>, Senior Lecturer in Education (Curriculum and Pedagogy), <a href="https://theconversation.com/institutions/university-of-the-sunshine-coast-1068">University of the Sunshine Coast</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/stepmums-alien-mums-robot-mums-vengeful-mums-7-films-to-watch-this-mothers-day-255004">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

Movies

Dire warning issued to Aussie travellers as conflict escalates

<p>Australians are being urged to reconsider travel to Pakistan and brace for possible flight disruptions to India following a dramatic escalation in hostilities between the two nuclear-armed South Asian nations.</p> <p>Updated travel advice issued by <a href="https://www.smartraveller.gov.au/" target="_blank" rel="noopener">Smartraveller</a> early Wednesday warns that the “current security situation” between India and Pakistan presents significant risks for travellers. The Department of Foreign Affairs and Trade (DFAT) is urging Australians to exercise heightened caution in both countries, with particularly stern warnings about travel to Pakistan.</p> <p>“We recommend you monitor local media for updates, stay alert, take official warnings seriously and follow the advice of local authorities,” the advisory reads.</p> <p>The alert highlights a “volatile security situation” in Pakistan, recommending that Australians reconsider any plans to travel there. It also notes that Pakistan has closed the Wagah border crossing with India, halting all cross-border travel indefinitely.</p> <p>“If you have plans to travel to India from Pakistan, reconsider your route and follow the advice of local authorities,” the alert states.</p> <p>The warning follows a major military incident early Wednesday morning, in which India reportedly fired missiles into Pakistani territory. Islamabad has vowed to retaliate, stoking fears of further escalation between the two rivals.</p> <p>The latest outbreak of violence stems from an April 22 attack on tourists in the Indian-administered region of Kashmir. The assault, which occurred in the popular mountain destination of Pahalgam, left 26 people dead. India has blamed Pakistan for backing the militants responsible, a charge Pakistan has denied.</p> <p>Flight disruptions are already being reported, and travellers are being advised to confirm flight details with airlines before heading to the airport. “Some airports in India (particularly in the north-west) may close, and airline schedules may be affected,” the DFAT alert warns.</p> <p>For India, the Australian government maintains a general “exercise a high degree of caution” advisory, but advises against all travel to Jammu and Kashmir and to the India-Pakistan border region, with the exception of the Atari-Wagah crossing and Manipur. The advisory also urges travellers to reconsider their need to visit Chhattisgarh and India’s border regions.</p> <p>The renewed tensions are part of a long and often violent history between India and Pakistan, who have fought multiple wars since gaining independence from Britain in 1947. The latest developments are of particular concern to Australia's large South Asian communities.</p> <p>With tensions rising and uncertainty mounting, the Australian government is urging all travellers to remain vigilant and informed.</p> <p>For the latest updates, Australians are encouraged to monitor <a href="https://www.smartraveller.gov.au/" target="_blank" rel="noopener">Smartraveller</a> and official government communications.</p> <p><em>Image: ABC News</em></p>

Travel Trouble

What’s the difference between osteoarthritis and rheumatoid arthritis?

<div class="theconversation-article-body"> <p><a href="https://www.arthritis.org/health-wellness/about-arthritis/understanding-arthritis/what-is-arthritis">Arthritis</a> – an umbrella term for around <a href="https://www.arthritis.org/health-wellness/healthy-living/managing-pain/understanding-pain/sources-of-arthritis-pain">100 conditions</a> that damage the joints – affects <a href="https://pubmed.ncbi.nlm.nih.gov/39647490/">4.1 million</a> Australians. This is expected <a href="https://pubmed.ncbi.nlm.nih.gov/39647490/">to rise</a> by 31% to 5.4 million by 2040 and cost the Australian health-care system an estimated $12 billion each year.</p> <p>The two most common types, osteoarthritis and rheumatoid arthritis, can both cause joint pain, swelling and stiffness. Both are more common in <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/musculoskeletal-conditions/contents/arthritis">women</a>. Neither can be cured.</p> <p>But their causes, risk factors and treatments are different – here’s what you need to know.</p> <h2>What is osteoarthritis?</h2> <p>Osteoarthritis is the most common form of arthritis. It affects <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/musculoskeletal-conditions/contents/osteoarthritis">2.1 million Australians</a>, mostly older people. About a third of <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/musculoskeletal-conditions/contents/osteoarthritis">Australians</a> aged 75 and older have the condition.</p> <p>It can affect any joint but is most common in the knees, hips, fingers, thumbs and big toes.</p> <p>The main symptom is pain, especially during movement. Other symptoms may include swelling, stiffness and changes to the shape of joints.</p> <p>The <a href="https://www.who.int/news-room/fact-sheets/detail/osteoarthritis">main risk factors</a> are ageing and obesity, as well as previous injuries or surgery. For osteoarthritis in the hands, <a href="https://pubmed.ncbi.nlm.nih.gov/35843480/">genetics</a> also play a big role.</p> <p>Signs of osteoarthritis can appear on knee scans from around <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/osteoarthritis">age 45</a> and become more common with age.</p> <p>However, this type of arthritis not simply the “wear and tear” of ageing. Osteoarthritis is a complex disease that affects the <a href="https://www.nature.com/articles/nrdp201672">whole joint</a>. This includes the <a href="https://my.clevelandclinic.org/health/body/23173-cartilage">cartilage</a> (“shock-absorbing” connective tissue protecting your bones), bones, <a href="https://my.clevelandclinic.org/health/body/21604-ligament">ligaments</a> (connective tissue holding bones and body parts in place) and joint lining.</p> <h2>How is it diagnosed?</h2> <p>Diagnosis is <a href="https://www.nice.org.uk/guidance/ng226/chapter/Recommendations#diagnosis">based on</a> symptoms (such as pain and restricted movement) and a physical exam.</p> <p>The disease generally worsens over time and cannot be reversed. But the severity of damage does not always <a href="https://pubmed.ncbi.nlm.nih.gov/21281726/">correlate with pain</a> levels.</p> <p>For this reason, x-rays and <a href="https://pubmed.ncbi.nlm.nih.gov/29886437/">MRI scans</a> are usually unhelpful. Some people with early osteoarthritis experience severe pain, but the damage won’t show up on a scan. Others with advanced and visible osteoarthritis may have few symptoms or none at all.</p> <h2>What about rheumatoid arthritis?</h2> <p>Unlike osteoarthritis, rheumatoid arthritis is an autoimmune disease. This means the immune system attacks the joint lining, causing inflammation and damage.</p> <p>Common symptoms include pain, joint swelling and stiffness, <a href="https://arthritis-research.biomedcentral.com/articles/10.1186/ar4146">especially in the morning</a>.</p> <p>Rheumatoid arthritis is less common than osteoarthritis, affecting <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/musculoskeletal-conditions/contents/rheumatoid-arthritis">around 514,000 Australians</a>. It mostly impacts the wrists and small joints in the hands and feet, though larger joints such as the elbows, shoulders, knees and ankles can also be involved.</p> <p>It can also affect other organs, including the skin, lungs, eyes, heart and blood vessels. Fortunately, disease outside the joint has become <a href="https://pubmed.ncbi.nlm.nih.gov/38240831/">less common</a> in recent years, likely due to better and earlier treatment.</p> <p><a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/musculoskeletal-conditions/contents/rheumatoid-arthritis?request=smoothstate">Rheumatoid arthritis</a> often develops earlier than osteoarthritis but can occur at any age. Onset is most frequent in those aged <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/musculoskeletal-conditions/contents/rheumatoid-arthritis">35–64</a>. <a href="https://pubmed.ncbi.nlm.nih.gov/21149499/">Smoking</a> increases your risk.</p> <h2>How is it diagnosed?</h2> <p>As with osteoarthritis, your doctor will diagnose rheumatoid arthritis based on your symptoms and a physical exam.</p> <p>Some other tests can be useful. Blood tests may pick up specific <a href="https://www.nature.com/articles/nrdp20181">antibodies</a> that indicate rheumatoid arthritis, although you can still have the condition <a href="https://arthritisaustralia.com.au/managing-arthritis/medical-management/blood-test-for-arthritis/">with negative results</a>.</p> <p>X-rays may also reveal joint damage if the disease is advanced. If there is uncertainty, an <a href="https://pubmed.ncbi.nlm.nih.gov/35022703/">ultrasound or MRI</a> can help detect inflammation.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/664530/original/file-20250429-56-okmp6o.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/664530/original/file-20250429-56-okmp6o.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/664530/original/file-20250429-56-okmp6o.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=600&h=456&fit=crop&dpr=1 600w, https://images.theconversation.com/files/664530/original/file-20250429-56-okmp6o.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=600&h=456&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/664530/original/file-20250429-56-okmp6o.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=600&h=456&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/664530/original/file-20250429-56-okmp6o.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=754&h=573&fit=crop&dpr=1 754w, https://images.theconversation.com/files/664530/original/file-20250429-56-okmp6o.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=754&h=573&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/664530/original/file-20250429-56-okmp6o.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=754&h=573&fit=crop&dpr=3 2262w" alt="" /></a><figcaption><span class="attribution"><span class="source">The Conversation</span>, <a class="license" href="http://creativecommons.org/licenses/by-sa/4.0/">CC BY-SA</a></span></figcaption></figure> <h2>How is osteoarthritis treated?</h2> <p>No treatment can stop osteoarthritis progressing. However many people manage their symptoms well with advice from their doctor and self-care. Exercise, weight management and pain medicines <a href="https://www.safetyandquality.gov.au/publications-and-resources/resource-library/osteoarthritis-knee-clinical-care-standard-2024">can help</a>.</p> <p>Exercise has been shown to be safe for osteoarthritis of the <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004376.pub4/full">knee</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/24756895/">hip</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/29032354/">hand</a>. Many types of exercise are <a href="https://theconversation.com/do-you-have-knee-pain-from-osteoarthritis-you-might-not-need-surgery-heres-what-to-try-instead-236779">effective</a> at reducing pain, so you can choose what suits you best.</p> <p>For knee osteoarthritis, managing weight through diet and/or exercise is <a href="https://www.safetyandquality.gov.au/publications-and-resources/resource-library/osteoarthritis-knee-clinical-care-standard-2024">strongly recommended</a>. This may be because it reduces pressure on the joint or because losing weight <a href="https://pubmed.ncbi.nlm.nih.gov/30390883/">can reduce inflammation</a>. <a href="https://theconversation.com/new-study-suggests-weight-loss-drugs-like-ozempic-could-help-with-knee-pain-heres-why-there-may-be-a-link-243159">Anti-obesity medicines</a> may also reduce pain.</p> <p>Topical and oral <a href="https://www.safetyandquality.gov.au/publications-and-resources/resource-library/osteoarthritis-knee-clinical-care-standard-2024">anti-inflammatories</a> are usually recommended to manage pain. However, <a href="https://pubmed.ncbi.nlm.nih.gov/35137418/">opioids</a> (such as tramadol or oxycodone) are not, due to their risks and limited evidence they help.</p> <p>In some cases <a href="https://pubmed.ncbi.nlm.nih.gov/33472813/">antidepressants</a> such as duloxetine may also be considered as a treatment for pain though, again, evidence they help is limited.</p> <h2>What about rheumatoid arthritis?</h2> <p>Treatments for rheumatoid arthritis focus on preventing joint damage and reducing inflammation.</p> <p>It’s essential to get an <a href="https://rheumatology.org.au/Portals/2/Documents/Public/Professionals/Clinical%20Care%20Standards/RAQS-UPDATE-Clinicians-ACCESS-03-7May24.pdf?ver=2024-05-07-135934-023">early referral to a rheumatologist</a>, so that treatment with medication – called “disease-modifying anti-rheumatic drugs” – can begin quickly.</p> <p>These <a href="https://app.magicapp.org/#/guideline/LqRV3n">medicines</a> suppress the immune system to stop inflammation and prevent damage to the joint.</p> <p>With no cure, the <a href="https://creakyjoints.org/about-arthritis/rheumatoid-arthritis/ra-treatment/remission-low-disease-activity-rheumatoid-arthritis/">overall goal</a> is to achieve remission (where the disease is inactive) or get symptoms under control.</p> <h2>Advances in treatment</h2> <p>There is an increasing interest in prevention for both types of arthritis.</p> <p>A large international <a href="https://pubmed.ncbi.nlm.nih.gov/38144515/">clinical</a> trial is currently investigating whether a diet and exercise program can prevent knee osteoarthritis in those with higher risk – in this case, women who are overweight and obese.</p> <p>For those already affected, <a href="https://acrabstracts.org/abstract/levi-04-a-novel-neurotrophin-3-inhibitor-substantially-improves-pain-and-function-without-deleterious-effects-on-joint-structure-in-people-with-knee-osteoarthritis-a-randomized-controlled-phase-ii/">new medicines</a> in early-stage clinical trials show promise in reducing pain and improving function.</p> <p>There is also hope for rheumatoid arthritis with Australian researchers <a href="https://www.uq.edu.au/news/article/2024/07/drug-free-life-rheumatoid-arthritis-patients-possible-within-decade">developing</a> a new immunotherapy. This treatment aims to reprogram the immune system, similar to a vaccine, to help people achieve long-term remission without lifelong treatment.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/249154/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>By <a href="https://theconversation.com/profiles/giovanni-e-ferreira-1030477">Giovanni E. Ferreira</a>, NHMRC Emerging Leader Research Fellow, Institute of Musculoskeletal Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> and <a href="https://theconversation.com/profiles/rachelle-buchbinder-449750">Rachelle Buchbinder</a>, Professor of Clinical Epidemiology and Rheumatologist, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/whats-the-difference-between-osteoarthritis-and-rheumatoid-arthritis-249154">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

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