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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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Pain on Bottom of Heel: Too Much Big Toe Motion

By Damien Howell

Pain on the bottom of the heel (Plantar Heel Pain) is a complex problem with variable diagnoses and explanations. And with variable diagnoses there should be variations in treatment. Unfortunately, the common treatment recommendations do not recognize such variability. For example, the universal suggested treatment for plantar heel pain is calf stretching and stretching of…

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Aging Muscles & Tendons: Achilles/Calf Strain

By Damien Howell

As we age muscles and tendons will change. Calf muscles in older individuals are weaker, smaller, shorter, less stiff, and not as coordinated. Older athletes may experience greater incidence of injuries (Tauton 2003, McKean 2006). Two most common repetitive use injuries in older runners are Achilles tendonopathy and strained calf muscle (Marti 1988). A greater…

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Gait Analysis – Gait Training for Achilles Tendon Pain

By Damien Howell

The manner you walk or run can be one of the contributing factors to the development of Achilles tendon problems. If you are experiencing pain in the Achilles when walking or running working with your Physical Therapists and using slow motion video analysis the following model can provide a beginning point to solve the problem.…

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Strengthening Exercises for Intrinsic Foot Muscles

By Damien Howell

Exercises to strengthen the foot are frequently used to treat injuries to foot, ankle, knee, hip and low back.  Toe curl or toe scrunching exercises is not appropriate for strengthening the muscles intrinsic to the feet. Muscles about the foot and ankle are described as either extrinsic muscles or intrinsic muscles.  Extrinsic foot muscles have…

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Osteoarthritis – Bad News More Than Good News

By Damien Howell

Osteoarthritis occurs in a joint when there is more degeneration of the joint cartilage than regeneration of the joint cartilage. Cartilage is a soft tissue on the ends of bones.  Cartilage provides a smooth surface to allow free movement of joint, provides a cushioning, and for joint stability.  Cartilage tissue is poorly designed for repair…

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