Gait Analysis – Examination and Treatment of Shin Splints

By Damien Howell

The manner in which you walk or run can be a factor contributing to a repetitive use injury of the lower extremity. Pain in the lower leg, commonly called shin splints, occurs in response to a variety of activities including dancing, jumping rope, walking, and running. Novice runners and individuals with poor fitness level frequently…

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Recovering from lower leg, ankle, heel injury using treadmill

By Damien Howell

A basic concept for treating any repetitive use injury is rest and avoiding the activity; whether it is a running injury or elbow pain from opening too many beer bottles. However for many individuals a period of rest and avoiding the activity can disrupt an active life style, and sometimes adversely affect a career. Individuals…

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Are you a half ass? – stretch weakness of gluteal muscles contributing to heel, foot, shin, knee, hip pain

By Damien Howell

There is a growing body of evidence that many repetitive use injuries such as knee pain, shin pain, heel pain, and forefoot pain can be addressed by improving the strength of the gluteal muscles. The gluteal muscles consist of gluteus maximus, gluteus medius, gluteus minimus, piriformis, and smaller less recognized muscles are commonly called “bun…

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Runners Knee versus Gas Pedal Knee – IT band syndrome

By Damien Howell

A middle-aged male adventure racer who had been struggling with right knee pain for six months sought my assistance. Adventure racing involves competing over multiple days, ultra-distance walk/running combined with other activities such as mountain biking, swimming, kayaking, and rock climbing. His knee pain was focused to the anterior lateral aspect of the right knee.…

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Withstanding the Test of Time

By Damien Howell

Hearing a song on the radio that was released when I was a teenager often reminds me of a specific bygone year. For instance, … For some popular songs it is more difficult to recognize when the song was released because the song has played throughout the decades. Marvin Gaye’s “Let’s Get it On” is…

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Shock – Injury – Cadence – Quiet

By Damien Howell

How hard a walker or runner impacts the ground can be described with several biomechanical terms, including vertical impact loading rate, braking impulse force, and shock. Scientists have determined it is not the magnitude of force, but the rate at which the force is transmitted from the ground to the foot and leg that is…

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Second Opinion Physical Therapist

By Damien Howell

Getting and providing second opinions regarding medical care is a common practice.  Getting and providing second opinions from a physical therapist is a less common practice, but why? Decisions regarding healthcare can by very important. There are times and situations when getting a second opinion regarding healthcare advice are a prudent action.  Studies have shown…

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Active Therapies – Passive Therapies – Responsibility

By Damien Howell

Passive therapy is when something is done to you. Passive treatment implies lack of participation from the individual receiving the therapy intervention Examples of passive physical therapies include massage, manipulation, acupuncture, dry needling, traction, ultrasound, electrical nerve stimulation, laser, ice packs, and hot packs. Passive therapy always requires another person to apply the treatment. Passive…

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Attributes/Values When Dealing with Chronic Medical Conditions

By Damien Howell

If, I have seen farther than others, it is by standing upon the shoulders of giants Isaac Newton, 1676. I believe I have seen more, understood more, because I have figuratively been lifted on or climbed on the shoulders of mentors and role models. I have had opportunity to be exposed some remarkable Giants, role…

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