Category: Clinical Reasoning

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Is it time to put a hold on isometrics?

Back in 2015, a new paper hit the headlines when it reported a HUGE reduction in tendon pain with the use of isometric exercises (Rio…

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Standing Posture, Hip Joint Loads & The Management of Hip Pain

In recent years, particularly in the social media sphere, there has been a lot of negative publicity directed towards management approaches for musculoskeletal pain that…

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Predictive Coding: Why Expectation Matters for Movement and Pain

Predictive coding is a fascinating model for perception that I have been studying lately. In some ways it is very common sense and intuitive, and…

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The 10 great running myths!

A little while ago, Competitor magazine ran an article entitled “The 10 Biggest Myths About Running” The full article can be read here, but I…

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A Review of Core Stability Training in Rehab: Facts, Fallacies and Future Directions

Over the last two decades one of the most popular forms of exercise in the health and fitness industry is core stability training. While the…

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Tissue Changes & Pain: Explaining their relevance

Structure is not Destiny…but it still might be important. We know that degenerative changes can exist on a spinal MRI and people can have no…

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When Are Specific Physical Interventions Needed To Treat Pain?

The Challenge The low back pain literature suggests that a specific intervention (e.g motor control exercises, targeted strengthening etc) are no more effective than general…

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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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