Category: Clinical Reasoning

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Plantar Plate injury, assessment and management – by Nick Knight

The following blog is by Nick Knight and was featured on Tom Goom’s website, enjoy! Plantar plate injuries are easily missed and probably under diagnosed…

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Why should exercises be pain-free? Part 2: Pain & philosophy

MIND-BODY DUALISM The first part of this blog discussed how traditional thinking often attributes improvements to pain to changes tissues structure and function. This historical…

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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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