Ever gone to see a medical practitioner and frustratingly had your symptoms go away when you get there? Feel like you’re making it up? Find out why this happens!!! #physiotherapy #medicine #doctor #physio #healthpractitioner #pain #disease #pathology #examination #therapeuticaliance #tokyo #roppongi #gym #clinic #practice #osteopathy #chiropractic #backpain #neckpain #kneepain #shoulderpain #anklepain #wristpain #sciatica

Most individuals, be they athletes or general population patients, understand that exercise is the most important factor in the rehabilitation of most musculoskeletal disorders. However, different types of exercises serve different purposes in the rehabilitation process, and we as health care providers (myself included) often fail to fully explain these purposes. Within our model, we talk about different types of load that can contribute to an injury and that need to be addre

Back pain and chest pain are common ailments that many people experience at some point in their lives. While these two issues may seem unrelated, there is growing interest in understanding the potential connection between them. In this blog post, we will explore the question: Does back pain cause chest pain? Let's delve into the complexities of the human body to unravel the possible links between these discomforts. The Anatomy Connection: To comprehend the potential correlati

Pain during the night can be a problem with a number of different conditions. As sleep is one of our most important recovery modalities,...

The LIFTMOR for men trial The incidence of osteoporosis (defined as bone mineral density T score greater than -2.5) is thought to be over 200 million people globally. This condition, as well as osteopenia (defined as bone mineral density between -1 and -2.5) are thought to be a much greater problem in females than males. And while rates of these conditions are higher in women, morbidity and mortality rates associated with fractures that often occur conditions are actually hig

#fysiofriday #physiotherapy #rehabilitation #kneepain #illiotibialband #ITB #ITBS #ITBFS #physio #physicaltherapy #backpain #neckpain #sciatica #headaches #shoulderpain #frozenshoulder

How much do you know about pain? Research shows that when we have a better understanding of pain we can optimise our rehabilitation outcomes. Try taking this quick quiz to test your pain knowledge. If you are interested in learning more check out our free 7-day pain education course. Follow the link below to sign up. https://forms.gle/qRb6nCjHWvAQyQqq7 #physiotherapy #osteopathy #chiropractic #backpain #neckpain #shoulderpain #kneepain #anklepain #armpain #chronicpain #rehabi

MANUAL THERAPY: WHAT IS IT ACTUALLY DOING? This post explores some of the mechanism behind the affects of manual therapy #fysiofriday #physiotherapy #rehabilitation #kneepain #illiotibialband #ITB #ITBS #ITBFS #physio #physicaltherapy #backpain #neckpain #sciatica #headaches #manualtherapy

The essence of musculoskeletal rehabilitation is taking a patient from where they currently are (often a state of pain, functional impairment, an inability to do the things that are important to them, a lack of confidence in their ability to perform their regular activities or a lack of understanding around the cause of their issues) to where they need to be. As famous Canadian biomechanist says “test the capacity, identify the goal, train the gap”. Therefore, in order for a

The ITB (illiotibial band) is a long, thick band of connective tissue that runs from muscles in the hip and pelvis and attaches to a number of bony landmarks around the outside of the knee The ITB has an important stabilising role at the pelvis and hip, and contributes to maintaining side-to-side control when standing on one leg Both ends of the ITB can become overloaded and start to cause pain, however this is more common at the knee end of the structure. Common causes of pa

On this episode of the injury edition, Sam discusses the assessment and treatment approach for common neck pain conditions. https://www.youtube.com/watch?v=fyjwnXQI4XE #tokyoliving   #tokyo   #tokyolife   #lifestyle   #health   #fitness   #wellness   #podcast   #injury   #pain   #rehabilitation   #load   #rehab   #backpain   #lowbackpain   #lowerbackpain   #sciatica   #discherniation

The final injury we will discuss in this series is concussion. A concussion is a type of traumatic brain injury (TBI) that causes a temporary disturbance in the function of the brain, and leads to symptoms such as dizziness/balance issues, headache, nausea, confusion, memory loss, grogginess and even psychological symptoms such as depression, anger, frustration, etc. Those in contact with a concussed individual may note delayed response time, memory loss in inconsistency, a d

Less commonly seen in winter sports are injuries to the neck. Similar to lower back injuries, acute onset of pain in the neck may follow a long day of unaccustomed activity, an odd or unexpected movement, or even a night’s sleep on a different sleeping surface. As with lower back injuries, provided there are no neural signs such as weakness or numbness in the hands or arms, then these problems can be managed conservatively and should settle in a number of weeks.  High-velocit

As with any sports, there is the risk of acute muscle strains with skiing and snowboarding.  Some of the common sights of muscle injury are:  The hamstring: often when a ski becomes stuck and the body is flung forwards, placing excessive stress on the back of the thigh. The quadriceps: often caused by a fall when the knees are bent under and the body bent back, placing the front of the thigh under excessive stretch. The adductors: the two skis move away from each other causin

Our last post discussed rotator cuff injuries. Due to the violent nature of skiing and snowboarding related falls, it is also not uncommon for us to see dislocations of the shoulder. A shoulder dislocation is where the head of the humerus (top of the arm bone), moves out of the normal confines of the shoulder joint socket (glenoid). The most common direction of dislocation is anterior (to the front), and the typical mechanism of injury is a combination of outwards rotation wi

We have previously discussed clavicle fractures and injuries to the AC joint. We also commonly see injuries to the rotator occur with skiing and snowboarding.  The rotator cuff is a group of 4 muscles, the tendons of which intertwine with the capsule of the shoulder and help provide stability to the joint. Because they lie close to the joint they are effective as stabilizing muscles, but are quite small in comparison to other muscles in the region, and as such are vulnerable

Lower back pain is the most common complaint we deal with in orthopedic practice, and while it isn’t the most common winter sports injury, it is still possible to injure this area on the slopes.  Lower back pain may come on due to overuse, especially at the start of the season, when we are getting used to an unaccustomed activity again. Or symptoms may start following an acute injury, usually a hard or slightly awkward landing, or a rapid change of direction movement that the

We mentioned in the last post how twisting movements involving ski poles may cause injury to the wrist. Given the positioning of the thumb with these implements, it is also a common area of injury. The most common injury we see in this region is a tear of the ulnar collateral ligament (UCL). So common is this injury that it is colloquially known as “skier’s thumb” (also “gamekeeper’s thumb in hockey). The ligament lies at the articulation between the thumb and the hand, and d

Concussion, also known as a traumatic brain injury (or TBI) is functional disturbance of the brain, typically caused by direct or indirect trauma. As with any injury, concussion needs to be assessed and treated in the correct manner to optimise recovery and avoid long-term disabilities. The acute evaluation involves questioning (using a specific tool such as the sport concussion assessment tool (SCAT)), to ascertain if the person has suffered a concussion. Acute symptoms of a

Another area that may be affected during a fall is the hand and wrist. This is usually the result of a fall onto an outstretched hand, or a falling mechanism involving twisting the hand and wrist around the ski pole. There are a number of different injuries that may occur to this region, but the two most common ones are a fracture of the scaphoid and an injury to the Triangular Fibrocartilage Complex (TFCC). A scaphoid fracture will result in pain on the thumb side of the wri