Category: Clinical Reasoning

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Is Early Physical Therapy Safe After a Rotator Cuff Repair?

Physical therapy is vital after a rotator cuff repair and continues to be common in an outpatient setting. Unfortunately, there’s no true consensus on when…

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Have the butt muscles of the world gone silent?

From my extremely unscientific observation it appears that 67-74% of my patients have been told their glutes are inhibited and don’t work properly. It seems…

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The REAL Truth About Pain Science & Body Mechanics: A Response to Criticism

Joel Seedman, a personal trainer, recently wrote an article called the The Truth about Pain Science and Biomechanics, which presents a lengthy attack on “pain…

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Rapid response to a systematic review on spinal manipulative therapy for chronic low back pain

A systematic review (1) on the benefits and harms of spinal manipulative therapy (SMT) for chronic low back pain (CLBP) was published in the British…

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Red Flags in Clinical Practice

“…something serious in the woodshed…” (Cyriax 1982) As clinicians, we deal with diagnostic uncertainty every day and we seek to minimise the risk of missing…

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Clinical Reasoning In Manual Therapy

Touch is an important part of human interaction. Pain is an unpleasant human experience. Touch conveys meaning that words often cannot. Pain is often hard,…

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Reasoning Dosage for Persistent Pain: An update.

We’ve all seen that familiar face pulled by people living with persistent pain who are being asked to exercise for the first time. Exercise can…

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Load Management in the Workplace

Load Training load has been defined as the cumulative amount of stress (physiological, psychological, or mechanical) placed on an individual from a single or multiple…

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Why we need to stop blaming the Transversus Abdominis for back pain

The idea of targeting interventions towards the deep core musculature such as the Transverse Abdominis (TvA) and Multifidus began back in the 90’s with work…

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