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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Shin splints – shock absorption, stride length

By Damien Howell

The term shin splints refer to a painful condition that develops in the lower leg, usually along the tibia bone, in response to exercise or activity. Shin splints are a…

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Pain on Bottom of Heel: Faulty Shock Absorption

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,…

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