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…

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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…

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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…

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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…

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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,…

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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…

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Running Injury – Asking better questions – Socratic Method

By Damien Howell

As a clinician and as a participant in internet discussion forums related to running injuries I have the opportunity to observe and respond to questions. The questions asked by individuals…

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Conflict Between Evidence Based Medicine – Patient Centered Based Medicine Why it is important

By Damien Howell

Evidence based medicine is the integration of best research evidence, with clinical expertise, and patient values. Evidence based medicine, a process of turning clinical problems into questions and then systematically…

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Efficient Physical Therapy: One Therapists’ Opinion

By Damien Howell

“The stupidest question, is the question that has not been asked, or there are no stupid questions” Albert Einstein. A search of the internet using the term” speedy home repair”…

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