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Case Study: Rounded Deadlifts to Fix Yoav's Back
Case study on a powerlifter with back pain Yoav is one of our brilliant trainers and also a former competitive powerlifter. To see the video version, check out the link below: https://www.instagram.com/reel/DGO9WbNzkYa/?utm_source=ig_web_copy_link&igsh=MzRlODBiNWFlZA== Yoav started complaining of lower back pain after bumping back up his training. His symptoms were worse the morning after performing deadlifts and bench press. After gaining a full history, the first part of ou


Add 10 years to your life!
The Impact of Activity Levels on Longevity #activity #exercicse #longevity #training #strengthtraining #cardio


Overtraining Doesn't Apply to Me
Check out the video version here: https://www.instagram.com/reel/DFq2-0Xzg_A/?igsh=MXRyOXFsdHRubGVmbg== I did a post on overtraining a couple of weeks ago but this was something that came up recently. I think this is probably true with a lot of middle-aged weekend warriors or people who are coming from a relatively low base and building up their volume and intensity of exercise. There is the notion that because I'm not highly trained I'm not exercising at an intensity level t


Do things really hurt more when it's cold?
If you're in Tokyo, or many other places in the northern hemisphere, you're probably cold! And if you have parts of your body that hurt sometimes, you might be finding that they're hurting more!! We often get asked in the clinic if increased pain with cold weather is a real thing, and it is! Although there is no definitive mechanism as to why this occurs, we have several plausible hypotheses #pain #winter #cold #tokyo #physiotherapy #physicaltherapy #physio


Back Pain with Driving?
Are you one of those people who experience back when driving? Sometimes this is just due to prolonged sitting, often in a less-than-ideal carseat. A lumbar roll or lumbar jacket can help with this. However in some cases it is the way in which we use the leg that puts extra pressure on the lower back. A simple change to our technique can make a big difference here. Give this a go and let us know if it helps: https://www.instagram.com/reel/DFG8PI_Tvfh/?utm_source=ig_web_copy_l


Goal Setting Tips for Success in 2025
It's that time of the year! Most of us have something in mind that we want to achieve this year, whether it be health, fitness, work, business, family, etc💪. Most people are aware of creating SMART goals. Here are a few more tips that can increase your chances of success👊. If you have health and fitness goals that you would like to achieve this year we are always here to help😀. #goalsetting #goals #success #health #fitness


Lower back pain with sitting, forward bending, putting on shoes, squatting?
To see visual descriptions of the movements and exercises, check out our latest instagram post: https://www.instagram.com/p/DEifvY-zz51/?img_index=1 Many cases of lower back pain are direction specific, meaning the pain will be worse with spinal movement in a certain direction😩. Forward bending, as well as 🪑 or putting on 👟, are what we call an flexion-based tasks. Flexion refers to the forward bending movement of the spine. If you experience pain with forward bending, try


Ski Injury Prevention Tips
WINTER IS UPON US! And that means many of you will be gearing up for a few fun-filled months on the slopes. We are here to help if you do hurt yourself, but we would rather you didn’t! Here are a few basic injury prevention tips: 1. Build up gradually. Most people will have 8-9 months off from skiing or snowboarding. Where possible try to build up your volume gradually. This may be easier to do if you are planning on going to the mountains regularly. Plan your longer trips de


Training for Bone Health
Osteoporosis and Osteopenia effect a last percentage of people over 50. The latest research shows that high intensity exercise can help reduce bone mass loss and improve functional outcomes in those dealing with these conditions. #osteoporosis #osteopenia #bonehealth #menopause #strengthtraining #highintensityexercise #physio #physiotherapy #physicaltherapy #tokyo


9 Tips for Pain-Free Holiday Travel
Travel can be tough on the body, but these 9 tips will help you stay comfortable and pain-free: 1️⃣ Move often: Stand, stretch, or take a short walk during flights to prevent stiffness and circulatory issues. 2️⃣ Do calf raises: Simple and effective for maintaining good circulation and avoiding clots. 3️⃣ Skip heavy workouts: Avoid intense strength sessions before flying to minimize post-exercise soreness. 4️⃣ Try cardio instead: A hard cardio workout can help you feel ti


Movement Snacks - Volume 2
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 second volume we introduce 3 basic lower back movement snacks: Seated Pelvic Tilts Standing Back Extensions Seated Back Flexions For the video version please check out our instagram page: https://www.instagram.com/reel/DDbanuH


Are you overtraining?
Working ourselves into an overtrained state can serious hamper our long-term goals.


Back pain with golf, tennis, and other rotational sports?
Lower back pain with rotational sports may indicate a lack of rotational mobility in adjacent segments and a lack of rotational stability through the trunk. As such, a rehab program for back pain in people participating in these sports should focus on optimising these characteristics. Check out the videos for the exercises in the link below: https://www.instagram.com/p/DC2df2HTBb7/?igsh=bHBkNGk0cHQ5OXQ3 It is sometimes useful to prime the hips for rotational movement by using


Movement Snacks Volume 3 - lower body
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 third volume we introduce 3 basic lower body movement snacks: - Seated hamstring stretch - Seated buttock stretch - Standing hip flexor stretch Check out this video clip for details: https://www.instagram.com/reel/DCkstZ-o1hn/


Non-Surgical Management of Acute Meniscus Tears
What is the meniscus? The meniscus is a rubbery ring of cartilage that sits between the thigh and shin bones in the knee joint and helps provide cushioning as well as contribute to stability of the knee with rotational movements. Injury to the meniscus is common, and may occur acutely (e.g. due to an awkward twisting movement) or due to overuse following years of stress to the knee joint. Traditional Management of Meniscus Injuries These injuries have traditionally been manag


Clinical insights with Sam: No Pain ≠ All Better
Check out the video version on our IG page! https://www.instagram.com/reel/DCAyE7gI0OM/?utm_source=ig_web_copy_link&igsh=MzRlODBiNWFlZA== Most people when they present to a physiotherapist or rehab professional do so because they are addressing pain and are looking for a resolution to this pain. Based on this goal if someone's pain has resolved then it would appear that their goal has been reached and the issue has resolved Why we see recurrence of some injuries however, come


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


Win a Ticket in the Tokyo Marathon Lottery?
Start Preparing Now!!! #MarathonTraining #RunPrep #MarathonJourney #RaceReady #RunningGoals #RunStrong #MarathonMindset #TrainHard #LongDistanceRunner #MilesToGo #RunMotivation #MarathonPrep #RaceDayReady #EnduranceTraining #RunCommunity #PaceYourself #RoadToMarathon #RunnersOfInstagram #TrainSmart #FinishLine #physiotherapy #physicaltherapy #physio #tokyo #tokyomarathon


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
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