Hamstring problems: what’s the cause?

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Why are ‘hamstring problems’ so common? They are a huge burden in the sports industry, but can also afflict the rest of us – both the ‘weekend warrior’ and ‘couch potato’ alike. Various ‘diagnoses’ are attributed to an array of … Read More

‘Butt clenching’ and ‘tail tucking’ and its link to back pain

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‘Butt clenching’ and ‘tail tucking’ are generally habitual motor responses resulting from an instruction to tighten the gluts or squeeze the butt as part of an exercise programme. Or, for others it’s simply an adaptive posture. The problem is that … Read More

A different take on tendinopathies: What can qualitative clinical evidence tell us in the case of lower limb tendinopathies?

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I’d like to share further insights gleaned from clinical practice, informed by the evidence – and offer a bit of paradigm shift in the way we approach and manage tendinopathies. Here is a précis of my presentation at the recent … Read More

Looking at ‘neutral spine’

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The spine is an integrated movement system, changes in one part of the spine affect the rest of the spine.   The spine consists of four physiological curves that determine the functionality of the spine and myo-fascial system – two … Read More

How healthy is your breathing pattern?

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Breathing is critical to activating the deep inner unit or ‘core’. This exercise is about observing your own breath, recognising your pattern of breathing and how this affects your spinal health. By understanding your own breathing patterns you will be … Read More

Sitting posture: what’s usual? – what’s ideal?

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In ‘ideal’ sitting, the lumbo-pelvic spine is in the ‘neutral’ lordotic curve – the entire spine is supported upright against gravity in its natural curves. Unfortunately this is not usual. Sitting with ‘poise’ is a fast dying habit – and … Read More

Do stretches and strengthening exercises perpetuate our client’s problem?

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As physical therapists the profession has largely moved away from hands-on treatment and are handing out exercises as though our clients are kids in a lolly store. But, could the exercises prescribed be contributing to their problem? Most musculoskeletal problems are … Read More

How ‘therapeutic’ are the exercises that you prescribe for your clients with musculoskeletal pain?

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It’s interesting to reflect on why so many people are suffering from back pain and other ‘injuries’ these days. It’s not just the elite athletes, but also the ‘weekend warriors’, those trying to be fit and trim at the gym … Read More

Stability versus core – why are clinicians not seeing results?

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No one concept has been so misunderstood confused and abused as that of ‘core control’. Fixing and bracing does not equate with movement control, nor does activation of transversus abdominus alone. I am continually perplexed by the number of clients … Read More

Sports injuries and tendinopathies around the pelvis and hip should be easy to fix – why are they causing such a problem?

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Differentiating between the numerous pain syndromes that commonly occur around the pelvis and hip and arriving at a sound diagnosis can be a tricky. Misdiagnosis is common. Increasingly apparent are the sporting ‘injuries’ and so called ‘over-use syndromes’- gluteal and … Read More

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