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Exercise…Heads we win, tails we don’t lose much.

So exercise can be beneficial, but also potential detrimental if excessive and inappropriate.. Generally, however, exercise is beneficial and for the vast majority of issues, even the most challenging cases.   The problem: People with…
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Returning to work…life…play

Return to Work Clinical Practice Guidelines: Published October 2021 (Hot off the press!)   Data from 2018 from the US Bureau of Labor Statistics (BLS)identified more than 2.8 million nonfatal workplace injuries and illnesses, with more…

Back Pain for Athletes… and Workers

Did you know? Back pain affects everyone! 3 Up to 9 in every 10 Olympic athletes experience LBP in their lifetime; at any 1 time, up to 2 in every 3 athletes might be experiencing LBP.   Low back pain (LBP) is common in the general and…

When is Abnormal Normal? MRI and normal aging

When is abnormal normal? Reframing MRI abnormalities as a normal part of ageing Adam G Culvenor , Marcella Ferraz Pazzinatto, Joshua J Heerey British Journal of Sports Medicine, July 2021 Sports and exercise medicine clinicians…

Preventing anterior knee pain

Anterior Knee Pain can be prevented: Knee straps Running on softer surfaces Gradual progressive loading of exercise Foot Orthotics Read full article here: https://tinyurl.com/Knee-Pain-Prevention  

Anterior Knee Pain Treatment Guidelines

Have you ever wondered how we try to synthesize information to provide the best care? One of the best ways is to follow "Clinical Practice Guidelines" which rates what works and what doesn't... Check the Anterior knee pain guide here:…
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Shockwave Thearapy (ESWT) for Lower Extremity

Learn more about Shockwave Therapy (ESWT)  Full article link below: with this study from the American Journal of Physical Medicine and Rehabilitation. Extracorporeal shock wave therapy (ESWT) is widely used in clinical practice for managing…
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Plantar Heel Pain Research

Research  (Plantar Heel Pain) - Full article link below. We wanted to share with you a powerful synthesis of top quality research. This paper appeared recently in the British Medical Journal. Plantar heel pain (PHP), which affects 4%–7.0%…
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Research on Quality MSK Care – Key Points

What does best practice care for musculoskeletal pain look like? Eleven consistent recommendations from high-quality clinical practice guidelines: systematic review.  O'Sullivan et al, BJSM 2020 The challenges:   1. Overuse of…

Preventing golf injuries

Golf Injuries are more common than you think! While golf is considered a low-impact sport, golf injuries are common and often due to overuse or poor mechanics. The areas injured, in order of most to least frequent, are the lower back, elbow,…