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Lower Back Pain with Walking (or running)
Many cases of lower back pain are direction specific, meaning the pain will be worse with spinal movement in a certain direction. Check out this post for videos and explanations: https://www.instagram.com/p/DBcc256z2vl/?utm_source=ig_web_copy_link Locomotion is what we call an extension-based task. Extension refers to the back bending movement of the spine. If you experience pain with back bending, try repeated forward bending movements and see if this helps. If so try to rep


Break up your working day with some "Movement Snacks!"
Are you like most of the population and sit all day? Do you have a bit of discomfort? Adding in some "movement snacks" throughout the course of the day can help mix up the loads on your spine and make huge difference in terms of sitting comfort. In this first volume we introduce 4 basic upper body movement snacks: https://www.instagram.com/reel/DBKl1wtoA-D/?utm_source=ig_web_copy_link&igsh=MzRlODBiNWFlZA== 1) Chin tucks 2) Band pull aparts 3) Banded shrugs 4) Upper back exten


Should you take out the metal after surgery - Japanese vs. western approach
So you've been unlucky enough to injury yourself and have surgery. Hopefully you've undergone a full rehabilitation program and have regained your functional capacity. However, if your surgery has involved internal fixation (metal screws/plates) then a discussion may be had about whether or not these should remain in the body. In my 20 years of working with post-surgical patients in Japan, this has been one interesting point of contrast between the western and Japanese approa


What does it mean for something to be tight or stiff?
This is still one of the most misunderstood concepts when it comes to pain and rehab. For a lot of people, the sensation of tightness or stiffness is conceptually quite separate from what people consider pain, something that's not necessarily harmful, and something that might need to be stretched in order to relieve sensation. As opposed to pain, which may require a different process of management. In reality pain and stiffness are often the same response, just on different e


The “green prescription”: Physiotherapy for Metabolic Conditions.
Whilst many think of physiotherapy interventions being primarily effective for musculoskeletal conditions (muscle tears, joint sprains, spinal pain etc.), exercise therapy has been shown to be effective in the management of metabolic conditions such as diabetes, heart disease, hypertension, high BMI, and mental health conditions such as depression and anxiety. Whilst most individuals understand the importance of exercise in these conditions, going it alone and trying to self
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