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Date of Newsletter:2017/4/9
Category: Foot & Ankle
This is second article in a series discussing pain on the bottom of the heel. It describes how to self-assess whether plantar heel pain is related to too much impact when striking the ground, identified activities to avoid or minimize, and interventions to resolve the pain.
Date of Newsletter:2017/06/18
Category: Running
This article is directed at runners, identifying a movement fault of heel whip which may be a contributing factor in the development of repetitive use injuries. Heel whip may be a factor in the development of plantar heel pain, medial tibia stress syndrome, tibia stress fractures, patella femoral arthralgia, iliotibial band syndrome, and hip tendinopathy. Signs of this movement fault are identified, things that should be avoided, and things that should be done to address this movement fault.
Date of Newsletter:2017/05/08
Category: Running
Gait training can change walking/running form, and it may result in being able to walk/run farther, faster, and remain injury free.
Date of Newsletter:2017/03/19
Category: Repetitive Use Injur
This article discusses the biomechanics of how the foot strikes the ground creating shock, potentially contributing to repetitive use injuries. Suggestions are made to alter cadence and to walk/run quietly in effort to diminish shock to lower extremity. This information can help address, heel, knee, hip, and back pain.
Date of Newsletter:2017.2.5
Category: Foot & Ankle
Not all pain on the bottom of the heel is the same, and not all pain on the bottom of the heel is plantar fasciitis. There are variable diagnoses of plantar heel pain; therefore there are variations in treatment. This article describes how to self-assess whether plantar heel pain is related to having too much big toe motion, identifies activities to avoid, and interventions.
Date of Newsletter:2016/12/9
Category: Hip & Knee
If you are experiencing pain on the side of the hip it may be gluteal tendon pain and not bursitis. This article provides advice on what habitual postures and positions contribute to gluteal tendon pain, and the importance of not using stretching exercises to manage the problem.
Date of Newsletter:2016/09/30
Category: Other
Some concepts endure, and some do not. Some ideas become classic and some do not. In medicine popularity is should not be the only factor in determining whether the new concept or idea will withstand the test of time. I do believe that a concept’s endurance depends on several factors: Is it based on sound theory? Is quality evidence available to support the concept? Is the evidence based on objective data? Is the concept clinically significant and does it solve an important problem?
Date of Newsletter:2016/09/06
Category: Foot & Ankle
Not all heel pain should be treated with stretching exercise. Focused strengthening exercises for muscles intrinsic to foot should be considered.
Date of Newsletter:2016/08/28
Category: Treatment
It is important when possible that healthcare be a balance between evidence based and patient centered medicine.
Date of Newsletter:2016/08/23
Category: Treatment
Using the idea of nice to have versus need to have this article discusses how to shop for effective and efficient Physical Therapy services
Date of Newsletter:2016/08/23
Category: Other
Discusses the question of whether a particular joint noise or sound is pathological or normal.
Date of Newsletter:2016/08/19
Category: Other
Discussed attributes which have positive effect on dealing with chronic medical conditions.
Date of Newsletter:2016/07/22
Category: Treatment
If you have misfortune of needing elective Orthopedic Surgery this short article describes who to get maximum benefit from Post Surgical Rehab Protocol.
Date of Newsletter:2011/11/19
Category: Treatment
This articles discusses expectations of a patient, patient satisfaction and treatment outcomes are related in a very complex manner. Whether you have an over use injury as a result of recreation sports, a traumatic injury, or chronic musculoskeletal disease process like rheumatoid arthritis awareness of the interaction of your expectations, satisfaction with treatment provided, and the actual objective outcomes of treatment/intervention is important.
Date of Newsletter:2011/11/19
Category: Treatment
This article discusses the concept of the treatment guru, how your healthcare provider maybe percieved as the best thing since sliced bread, but you may not be getting postive outcomes from treatment.
Date of Newsletter:2011/08/07
Category: Hip & Knee
This is an example of managing a repetitive use injury by identifying the excessive amount of asymmetrical repetitive activity which correlated with the injury. Once the offending alignment/movement was identified strategies were developed to modify the repetitive asymmetrical activity. Remedial exercises were developed to restore normal alignment and movement, and conscious modification of walking/running form was used. Gas pedal knee was alleviated in a very short time period.
Date of Newsletter:2011/07/11
Category:
This article discusses how proportionality of our body stature can influnce sports performance, risk of injury, and management of repetitive use injury
Date of Newsletter:2011/03/06
Category: Hip & Knee
This article discusses concept of muscle “stretch weakness” or “length associated muscle weakness”, as it applies to hip muscles. It identifies positions or postures to avoid, and how this is helpful in managing hip, knee, heel, and foot repetitive use injuries.
Date of Newsletter:2011/01/30
Category: Other
This article discusses the outcome of a traumatic injury can be either a correction or a compensation, and strategies to maximize a positive outcome.
Date of Newsletter:2010/3/6
Category: Other
This article discusses the potential discord between evidence based and patient centered approach to medicine and how you as a patient can use this knowledge when seeking health care.
Date of Newsletter:2010/12/28
Category: Foot & Ankle
Discusses strategies to lower physical stress levels using treadmill, modification of running speed, stride length to facilitate training while recovering from lower leg, ankle, foot injury.
Date of Newsletter:2010/11/26
Category: Other
This article discusses recent research that shows use of “motion control shoes” can by uncomfortable and can contribute to injury.
Date of Newsletter:2010/10/23
Category: Other
This article discusses the importance of looking for the cause of repetitive use injury, that correlations does not imply causation, it is important to keep an open mind to consider the alternatives, and that treatment should be based on individualized evidence and careful thought processing.
Date of Newsletter:2010/08/28
Category: Repetitive Use Injur
This article discusses recent scientific article in which 29 healthcare professionals reviewed 326 articles in order to develop recommendations and interventions to prevent injury that are supported by good evidence, and which interventions are not supported by good evidence.
Date of Newsletter:2010/07/22
Category: Foot & Ankle
This article discusses using slow motion video gait analysis in order to identify 13 different movement faults which can contribute to the development of shin pain. Once a movement fault is identified problem solving can occur in order to determine which intervention is needed to resolve the pain
Date of Newsletter:2010/06/24
Category: Exercise
This article discusses biomechanical data available regarding use of elliptical exercise machines, types of injuries which can occur using elliptical exercise machines and types of injuries which the elliptical machine can be helpful in the rehabilitation process.
Date of Newsletter:2010/05/06
Category: Other
This article discusses concepts of referred pain and abnormal mechanics local and/or referred, and how this information can help solve difficult problems.
Date of Newsletter:2010/04/07
Category: Foot & Ankle
This article discusses surprising new evidence that using the shape of a wet foot print to guide shoe selection in order to prevent injury is not true.
Date of Newsletter:2009/8/9
Category: Other
The principal of the path of least resistance or least effort has applications to multiple fields and is particularly helpful in management of repetitive use injuries. This article discusses the advantages and disadvantages of following the path of least resistance.
Date of Newsletter:2009/11/21
Category: Exercise
In my experience most recreational athletes have a difficult time accepting the recommendation that the most appropriate treatment is to rest and protect the injury, they prefer to keep moving and “stretch it out”. My belief is “stretch it out” is not always the correct thing to do.
Date of Newsletter:2009/10/20
Category: Foot & Ankle
This article discusses recent research questioning the use of anti-inflammatory therapy and suggesting that manual Physical Therapy and exercise is an effective intervention for heel pain.
Date of Newsletter:2009/07/01
Category: Injury Prevention
This article discusses the importance of self analysis in the prevention of repetitive use injuries
Date of Newsletter:2009/03/25
Category: Repetitive Use Injur
This article discusses the concept of tissue source of symptoms versus cause of injury, and the importance of identifying consistent pattern of movements associated with pain complaint.
Date of Newsletter:2008/9/3
Category: Hip & Knee
Date of Newsletter:2008/4/07
Category: Running
Date of Newsletter:2008/3/20
Category: Hip & Knee
Date of Newsletter:2008/12/31
Category: Repetitive Use Injur
This article discusses how given a specific injury certain movement faults can be identified. This information can be helpful identifying possible causes of the injury and possible treatment interventions. Consciously modifying they manner of walking/running can be a powerful treatment.
Date of Newsletter:2008/10/06
Category: Foot & Ankle
This is a case example of how a faulty shoe contributed to a injury
Date of Newsletter:2008/09/03
Category: Treatment
This article discusses the importance of asking questions regarding side effects and adverse effects when making decisions about non-pharmalogical interventions.
Date of Newsletter:2008/08/11
Category: Foot & Ankle
This article discusses excessive possible treatment options for excess pronation including strengthening exercises, avoiding improper stretching exercises, core strengthening exercises, gait retraining and modification of running form to name just a few.
Date of Newsletter:2008/07/07
Category: Other
This article discusses the process of asking a better question in order to obtain better answers to solve repetitive use injury.
Date of Newsletter:2008/05/29
Category: Treatment
This article discusses how a common fault in car seats can contribute to the development of hamstring, buttock, back, and neck pain, and a method to correct this fault.
Date of Newsletter:2008/04/07
Category: Treatment
This article discusses how to use video technology and Web 2.0 technology to learn to move better by seeing ideal movement and getting feedback as to whether your movement is ideal.
Date of Newsletter:2008/03/05
Category: Treatment
This article discusses iatrogenic problems, and If an injury is not getting better ask is the diagnosis correct; is the treatment correct; is the treatment insufficient; is the treatment too extreme; or is the problem not treatable. The article also outlines treatment for faulty running form
Date of Newsletter:2008/02/09
Category: Treatment
This are article provides a case study of how using slow motion video can be used to help modify faulty movement to treat an injury (heel pain).
Date of Newsletter:2008/01/07
Category: Exercise
This article compares using an ellipitical machine to treadmill, and which injuries using elliptical exercise machine would be harmful, helpful, and indifferent.
Date of Newsletter:2007/8/2
Category: Injury Prevention
Date of Newsletter:2007/6/1
Category: Treatment
Discusses concepts regarding effects of exercise on cartilage and osteoarthrtitis
Date of Newsletter:2007/12/05
Category: Foot & Ankle
Date of Newsletter:2007/11/06
Category: Injury Prevention
A large amount of products and services are proffered on the concept that the product or service will prevent a running injury. This article critically reviews the available evidence on this topic and identifies a simple strategy to help prevent injury.
Date of Newsletter:2007/10/3
Category: Other
Confucius said "Give a man a fish and he will eat for a day. Teach a man to fish and he will eat for liftime"
Date of Newsletter:2007/10/03
Category: Back
This scientific article provides evidence that active physical therapy treatments result in better clinical outcomes, at a lower cost when compared to passive physical therapy treatments.
Date of Newsletter:2007/10/01
Category: Treatment
Date of Newsletter:2007/07/11
Category: Foot & Ankle
This article describes positions and postures which stretch the plantar fasia, and discusses the pros and cons of the positions and postures.
Date of Newsletter:2007/07/01
Category: Treatment
This article describes how faulty movement can be a significant contributing factor to the development of injury, and how using slow motion video analysis can be a powerful treatment for an injury.
Date of Newsletter:2007/04/03
Category: Exercise
This article reviews the physiology and changes in material properties which occur in muscle tissue in response to stretching exercises. If you are using stretching exercises to increase your range of motion consider designing your program so that it increases your tolerance to the discomfort that occurs when stretching.
Date of Newsletter:2007/03/13
Category: Other
Date of Newsletter:2007/02/15
Category: Repetitive Use Injur
This article discusses symmetry of structure and motion, and how this affects repetitive use injuries. A review of research related to asymmetry when running, and treatment strategies to correct asymmetry are presented.
Date of Newsletter:2006/9/15
Category: Running
Date of Newsletter:2006/8/15
Category: Running
Date of Newsletter:2006/7/14
Category: Hip & Knee
Date of Newsletter:2006/3/24
Category: Other
Date of Newsletter:2006/12/20
Category: Repetitive Use Injur
Date of Newsletter:2006/11/15
Category: Exercise
Date of Newsletter:2006/11/03
Category: Repetitive Use Injur
The arthicle is a case study demonstrating a problem solving approach which the degree of use, condition or what is being used, and manner of use are examined to identify the potential causes of recurring hamstring strain.
Date of Newsletter:2006/09/09
Category: Foot & Ankle
Having different size feet caues problems when purchasing shoes. This article discusses the problems related to having different size feet and guidlines for choosing the right size shoes.
Date of Newsletter:2006/07/12
Category: Foot & Ankle
This article discusses causes and treatment of shin pain related to walking/running
Date of Newsletter:2006/06/12
Category: Hip & Knee
Date of Newsletter:2006/05/15
Category: Injury Prevention
There is possiblitiy that training for a road race can be complicated by a repetitive use injury. A potential strategy to decrease this risk of injury is a pre-partcipation examination. This describes what should be included in a pre-partcipation exam, and how it can assist in improving performance.
Date of Newsletter:2006/04/26
Category: Repetitive Use Injur
Searching for the reason that repetiive use injuries occur can be difficult and frustrating. This article discusses a system of identifying potential cause and outlines potential intervention strategy
Date of Newsletter:2006/04/10
Category: Injury Prevention
This article discusses the evidence and opinions regarding selecting running shoes and occurence of injury.
Date of Newsletter:2006/03/01
Category: Exercise
This article discusses conflicting evidence regarding core strength, and concepts regarding testing and training to improve core strength and stability.
Date of Newsletter:2006/02/07
Category: Foot & Ankle
This article discusses the problems that a relatively high arch stiff foot can suffer,and general strategies to address this problem
Date of Newsletter:2006/01/18
Category: Repetitive Use Injur
Once a movement which, consistiently elicits the symptom, can be identified, a better understanding of the source of the problem is achieved. Whether the symptom is pain, weakness, or stiffness, the process of determing what movement or movements elicit the symptoms is the same.
Date of Newsletter:2005/8/10
Category: Other
Date of Newsletter:2005/5/10
Category: Running
Date of Newsletter:2005/3/21
Category: Running
Date of Newsletter:2005/2/15
Category: Treatment
Date of Newsletter:2005/12/05
Category: Repetitive Use Injur
This article discusses potential causes and interventions for Achilles Tendonitis/Tendonopathy.
Date of Newsletter:2005/10/19
Category: Repetitive Use Injur
Often the manner is which everyday habitual activities are preformed can contribute to the development of repetitive use injuries. If these everyday activities are not identified and modified the prognosis for recovery from recurring injury is poor. Often the best treatment recommendation is “Don’t Do That”.
Date of Newsletter:2005/10/18
Category: Repetitive Use Injur
This article clarifies misconceptions regarding diagnosis and treatment of injured tendons. The article discusses the appropriateness of non-steriodal anti-inflammatory medication, stretching exercise and rest in the management of tendon injuries.
Date of Newsletter:2005/09/27
Category: Foot & Ankle
A common diagnosis for heel pain is plantar fasciitis. It is important to recognize there are other tissues on the bottom of the heel which can get injured besides the plantar fascia. Damage to the fat pad on the bottom of the heel is a little recognized injury. This article discusses how to identify damage to the fat pad on the bottom of the heel and the appropriate treatment.
Date of Newsletter:2005/09/08
Category: Exercise
The rate at which the heart beats has a variety of uses including measurement of fitness level, adjusting training load, and monitoring for over training. This article discusses how to use sleeping heart rate to determine if training load is to stiff.
Date of Newsletter:2005/07/29
Category: Exercise
Bicycling one leg only drills have been proposed as being helpful for improving bicycling form and efficiency. One leg only bicycling can also be useful to tests for asymmetry of muscle endurance and for strengthening asymmetrical leg weakness.
Date of Newsletter:2005/07/29
Category: Exercise
This article summarizes the American College of Sports Medicine’s guidelines regarding resistance training for healthy adults.
Date of Newsletter:2005/07/03
Category: Treatment
Date of Newsletter:2005/05/29
Category: Exercise
The term stiffness often has a bad connotation. In reality, being stiff can have positive benefits. This article discusses the property of muscle/tendon stiffness, why it can be positive, and how to achieve increased stiffness.
Date of Newsletter:2005/05/18
Category: Repetitive Use Injur
This article discusses the challenge to the age old question, which often has no answer. It points out the importance of when trying to solve the problem of a repetitive use injury to make sure to look for the chicken if you see and egg, and to make sure you look for the egg if you see the chicken.
Date of Newsletter:2005/05/01
Category: Exercise
This article discusses physiologic process that occurs when the environmental temperature change occurs between spring and summer, and general strategies to facilitate this adaptation process.
Date of Newsletter:2005/03/08
Category: Injury Prevention
This article discusses adjusting training schedule to minimize consecutive days in order to minimize risk of injury.
Date of Newsletter:2005/01/07
Category: Exercise
The short dark days of winter pose a challenge for the exercise enthusiast who prefers to exercise out doors. This article discusses tactics and strategies to deal with the challenge of exercising safely outdoors in the dark.
Date of Newsletter:2004/9/15
Category: Hip & Knee
Date of Newsletter:2004/4/6
Category: Running
Date of Newsletter:2004/4/14
Category: Hip & Knee
Date of Newsletter:2004/3/5
Category: Hip & Knee
Date of Newsletter:2004/3/5
Category: Exercise
Date of Newsletter:2004/2/10
Category: Back
Date of Newsletter:2004/2/10
Category: Running
Date of Newsletter:2004/12/14
Category: Injury Prevention
Research has shown the most popular New Year’s resolution relate to diet and exercise.  Research has also shown as much as 30 percent of individuals will stop exercising because of sustaining an exercise-ending injury.  A proactive approach to prevent injury is to seek a musculoskeletal screening examination before beginning or upgrading your exercise program. This article includes a 7 question screening test to determine if you are at risk for developing an injury
Date of Newsletter:2004/12/07
Category: Foot & Ankle
There is a growing body of literature with anecdotal evidence, as well controlled scientific studies, advocating the benefits of barefoot walking/running. This article discusses this concept in relation to shoe inserts.
Date of Newsletter:2004/11/17
Category: Hip & Knee
Date of Newsletter:2004/11/04
Category: Other
If mistakes are a good thing, that is, we learn and improve because of mistakes, this leads to an intellectual dilemma. This article discusses the dilemma of mistakes and how one can maximize the learning process.
Date of Newsletter:2004/10/3
Category: Other
Date of Newsletter:2004/10/20
Category: Foot & Ankle
Decribes the rationale, how to use, and where to purchase a Night Splint to treat Plantar Fasciitis
Date of Newsletter:2004/10/18
Category: Exercise
Date of Newsletter:2004/10/10
Category: Exercise
It is the opinion of many it is better to focus on improving our weakness rather than focus on improving strengthens. Whether you value striving to improve your weakness or your strength more you need to be able to distinquish your strengthens from your weakness. Strategies to clairfy you strengthens and weaknesses are discussed.
Date of Newsletter:2004/1/26
Category: Running
This article discusses historical anecdotal evidence regarding how much training is needed to complete a successful marathon.
Date of Newsletter:2004/09/27
Category: Exercise
Many of us spend a great deal of time exercising. Whatever our motive to participate in regular exercise, the question remains how can we improve our experience? This article reflects on how we can enhance the experience of regular exercise, including being in the right place at the right time; being ready or receptive to take advantage of experiences; looking to observe subtleties of experiences; having a system in place to gather data from experiences in order to observe patterns, seeing enough exposures to particular experiences to be able to observe patterns, look at data from experiences, and taking time to reflect and analyze experiences
Date of Newsletter:2004/08/30
Category: Exercise
Unfortunatly, the question of which is the best sequence for stretching and strengthening exercises has not be addressed with scientific studies, so we are left with opinion. This article discusses rationale for choosing the sequence of stretching vs strengthening exercises.
Date of Newsletter:2004/07/29
Category: Repetitive Use Injur
The article is a case study which demonstrates a problem solving approach which examines the degree of use, condition or what is being used, and the manner of the use in a systematic way in order to identify potential causes of a repetitive use injury in a triathlete with recurring lateral knee pain. By systematic evaluation and treatment it was determined that the manner of use, how she unclipped from her bike pedal contributed to her lateral knee pain.
Date of Newsletter:2004/06/04
Category: Back
This article describes a relatively common anatomical variation which results in increased risk of developing low back pain, and strategies to address this anatomical variation.
Date of Newsletter:2004/04/23
Category: Injury Prevention
There are well-established opinions regarding stretching exercises. Some of the opinions regarding stretching exercises have assumed mythical status. Mythical in the sense that the opinion is based more on legend rather than evidence. Mythical in the sense that the gods have said that if you want to prevent injury you must do stretching exercises. As one who enjoys the Socratic method of learning I believe we should ask what the evidence that stretching prevents injury is. Stretch what is short/tight, do not stretch what is long/lax.
Date of Newsletter:2004/04/23
Category: Foot & Ankle
This article questions whether Achilles stretching exercises are helpful for treatment of plantar fasciitis. Controversy continues regarding the recommendation to treat plantar fascitis with calf stretching or not. Until more research is available to resolve this controversy my recommendation is, if there is evidence the Achilles is short it should be stretched, if there is no evidence (limited range of motion at the ankle) the Achilles is short than it should not be stretched.
Date of Newsletter:2004/01/12
Category: Foot & Ankle
Recent research puts serious question the standard stretching exercises for plantar fasciitis (heel pain. The research leads to the conclusion to stretch what is short, do not stretch what is loose/long/lax, and perhaps do not stretch what is normal length.
Date of Newsletter:2003/12/07
Category: Back
This article discusses the controversy of whether flexion and/or extension exercises are indicated for low back pain.
Date of Newsletter:2003/12/05
Category: Exercise
Moderate amounts of regular exercise stimulates favorable response to the immune system and results in increased resistance to common cold and flu. However excessive amounts of exercise can increase risk of suffering an infection.
Date of Newsletter:2003/12/03
Category: Other
This article describes the process of asking questions in order to improve outcomes
Date of Newsletter:2003/11/2
Category: Exercise
Date of Newsletter:2003/11/11
Category: Running
Date of Newsletter:2003/10/29
Category: Injury Prevention
How to arrange your computer workstation to avoid pain in the neck and back
Date of Newsletter:2003-07/01
Category: Back
This article discusses how sitting and lopsided car seats can adversely affect the spine and contribute to back pain.
Date of Newsletter:2002/10/23
Category: Foot & Ankle
Discusses the purpose of shoe inserts, distinquishes between arch supports & orthotics, as well as, questions to consider when deciding whether shoe inserts are necessary or not.
 




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