Archives: March 2011

Neuroanatomical Acupuncture for Stress Fractures - A case study

Categories: physiotherapy
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Published on: March 31, 2020

Audience: Therapists and Patients interested in knowing one theory of how neuroanatomical acupuncture (dryneedling) works. 

 

A caveat:  Everything in this post id debatable.  I think that considering the prevalence of acupuncture’s usage it is not well validated and many basic studies need to be done.  That being said I think the post below summarizes one theory of acupuncture.  Do with that what you may.

 

Source of Information: The following article is completely stolen with permission from a friend, Dr. Andreo Spina at http://functionalanatomyblog.com/.  Dr Spina is a chiropractor and sports injury specialist.  For therapists looking for continuing education and looking to expand their anatomy, palpation and soft tissue treatment skills Dr Spina’s courses are and excellent introduction or great alternative to other courses you may have taken in the past.  I have worked with a lot of his instructors (some were students of mine but I learned more from them) in the past and they are dedicated to scientific rigor. (more…)

Shoulder Pathology - a diagnostic algorithm and summary of dysfunction

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Published on: March 28, 2020

Audience: more for me but anyone interested in the shoulder can read it.

Purpose: quick reference card for thinking about a functional shoulder diagnosis

The algorithm below is from Ann Cools work:

(more…)

Shoulder Impingement Rehabilitation Part Two - Training the Rotator Cuff

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Published on: March 28, 2020

Subscapularis Exercise

Audience: Primarily my Patients in Toronto but other Physiotherapists, ATs, Chiropractors and Strength and Conditioning Pros may like this

Purpose: Review the literature for safe and effective exercises for shoulder rehabilitation of the Rotator Cuff - primarily for the treatment of the finding of shoulder impingement

Sources: Initially, this was going to be a larger review.  However, I have just focused on the main points from the work of Mike Reinold who published a great review in JOSPT (2008), Mike can be read at  (www.mikereinold.com).  A recent review by Rafael Escamilla (Sports Medicine 2009) is also an excellent resource. (more…)

Barefoot, forefoot strike and heel strike - a biomechanics summary

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Published on: March 19, 2020

Audience: Runners and therapists

Purpose: To summarize the biomechanics of running strike pattern and shod conditions

I feel like in the blogosphere and the popular running media that there is a love affair with all things barefoot.  Barefoot running is associated with forefoot striking and there appears to be changes in the biomechanics associated with alteration in running form when compared with heel striking.  However, the research gets presented as if it is very neat in tidy when in fact it is quite murky.  This post is a work in progress.  It attempts to summarize some of the work comparing barefoot running with shod running and the work that compares forefoot striking and rearfoot striking while running in shoes.  I hope that I have conveyed that the results are quite conflicting.  Hence, what a pain it was to try to summarize this work.

This post will be updated consistently. Please view it as a work in progress. (more…)

The SI joint - a cause of low back pain

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Published on: March 5, 2020

Audience: Patients

Purpose: Info sheet for patients to learn why the SI joint can be a pain in the butt.

The sacroiliac joint (SI joint) occurs where the bottom of your spine meets your hip bones.  You have two of them and they must bear all of the stress that goes from your upper body through your lower body and vice versa.

SI joint pain can be felt in the lower part of your back, into your buttock, down your thigh and even into the shin.  People will often feel their leg give out and will feel a catch when walking.  It is often confused with Sciatica. This pain can occur from simple picking up a pencil.  Last pain in the area of the SI joint can even come from inches above the joint in the area called the T-L junction. (more…)

What is injury treatment? The judicious use of stress.

Categories: physiotherapy
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Published on: March 5, 2020

Audience: Patients

 

What is this about:  Injury Treatment

 

Injuries can be treated a number of ways and many different ways are often successful. But if I am asked to be very simple about what treatment is I start with one basic assumption.  THE BODY ADAPTS TO STRESS.  (more…)

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