Month: November 2014

ART, Headaches and Myodural Bridges

Recent anatomical studies have found that the deep suboccipital (top of the neck) muscles are connected to the dura matter (the covering of the spinal cord) by ligaments. Pulling on a suboccipital muscle moves the dura matter, in cadavers. The

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Arthroscopic surgery for osteoarthritis of the knee?

In 2002, a study compared arthroscopic knee surgery to a “sham” or placebo surgery in 165 knee pain patients.  The placebo group did not have any tissue removed from the inside of the knee, but they had incisions which mimicked what the

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Screening for: Fractures, Malignancy, Cauda Equina,..

This post is for healthcare providers. What does the current research tell us about screening for common red flags?  Most of the recommended signs in the identification of the following 4 red flag presentations in lower back pain have high false positive

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Myth: Drink eight to ten glasses of water a day

If You Repeat Something Often Enough it Becomes the Truth! “The European Food Safety Authority recommends that women should drink about 1.6 litres of fluid and men should drink about 2.0 litres of fluid per day. That’s about eight glasses of

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Hamstring Exercises for Runners

90° raised hamstring bridge 30° raised glute bridge Nordic hamstring curls (eccentrics) NYTimes article layperson article on Nordic hamstring curls

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Is it a Plantaris or an Achilles Injury?


The plantaris muscle runs from the back of the outside of the knee to insert on the inside of the heel bone.  A recent study of 214 elite UK track athletes found 33 had plantaris injuries. Interestingly, a high number were on

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Frozen Shoulder and High Cholesterol Linked

A recent study, found a connection between frozen shoulder and high cholesterol / lipoproteins. They excluded patients with thyroid problems and/or diabetes, which are known to be associated with frozen shoulder.  Lazarus wrote a commentary on the article, in which he

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Hamstring Injuries and Nordic Hamstring Curls

This post is intended for patients, here is a similar version for therapists with big words added. Researchers have found that after the pain of a hamstring injury (HSI) is gone that does not mean all is ok: strength is

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Graded Exposure to Exercise is not a Panacea

Graded exposure to exercise is a newish buzzword, being promoted as a named approach to exercise by therapists, many of whom are interested in pain science.  The idea behind graded exposure is to exercise up to a level which is enough for adaptation (of the tissues involved) to occur,

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