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Women’s One-Sided Worries

By Damien Howell

Over the years, I’ve noticed that my female patients experience unilateral hip and/or knee pain (pain on one side of the body) more often than my male patients do. This predisposition has been observed by others as well Lateral hip pain is typically called bursitis, piriformis syndrome, or gluteal tendinopathy. Studies have shown the incidence…

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Orthopedic Surgery vs Orthopedic Medicine: Considerations Regarding Elective Surgery

By Damien Howell

There is a difference between someone who practices orthopedic surgery and someone who practices orthopedic medicine. Orthopedic surgeons are interested in surgical treatment of musculoskeletal problems. Orthopedic medicine practitioners are interested in non-surgical treatment of musculoskeletal problems. Dr. James Cyriax, author of “Textbook of Orthopaedic Medicine,” emphasized this difference. While some orthopedic problems improve with…

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Shoes too big for foot contributes to injury

By Damien Howell

A majority of all people are in shoes that are incorrect shoe size according to Fawn Evenson director of the Footwear Industries of America. There are two potential errors when selecting what size shoes to wear. Either the shoe will be too small for the foot or too large for the foot. In my experience…

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Cuing to Alter Gait Deviation of Too Long a Step

By Damien Howell

Cuing to Alter Gait Deviation of Too Long a Step Mathematics helps explain walking or running faster. Step length X steps per minute = speed. In order to move faster there are 3 opportunities take longer steps or strides, increase the steps/minute (cadence), or do both longer steps and a faster cadence. Taking longer steps/stride…

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Shoe Soles: Stiff Rocker Bottom Sole versus Flexible Sole “Barefoot”

By Damien Howell

There are many things to consider when selecting shoes, including comfort, injury and energy expenditure. Arnie Davis a Certified Pedorthotist has coined the term shoes with rocker bottom soles are the proverbial “aspirin” for chronic foot problems. A rocker sole shoe is recommended to help manage a number of painful injuries including: low back pain;…

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Knee Pain Wringing Out – Gait Deviation

By Damien Howell

Knee pain can develop because of a “wringing out”.  I am not referring to banging a bell ring, but the counter-rotation motion that can occur at the knee joint.  The knee joint consisting of the thigh and lower leg moves on three different planes of motion. The knee can flex and extend. The knee can…

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Back Pain Dilemma – Keep on Walking

By Damien Howell

Walking is commonly recommended by many medical professional associations for management of back pain. Walking is purported to be beneficial counteracting the potential deleterious effects of bed rest, maintaining functional abilities, stimulating use of spinal core muscles, keeping the general benefits of aerobic exercise, and providing pain reduction effects. Pain Walking can provide relief to…

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Deviant Gait – Compensation

By Damien Howell

  Compensation is necessary when there is injury or a necessity of making up for something unwelcome or unpleasant. Compensation can be perceived as a negative or positive situation. With injury the dichotomy is will there be recovery or compensation?  Salamanders are fascinating animals that are capable of regenerating lost limbs, as well as other…

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Body Proportions – Musculoskeletal Pain – Sports Performance

By Damien Howell

  The importance of knowing how tall we are is somewhat obvious. What is less obvious is the importance of knowing the proportionality of our vertical height. The ideal proportionality of a human body’s stature was defined by Leonardo da Vinci. The drawing of the “Vitruvian Man” or “drawing of proportions of man” is the…

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