“Deme Bones” – inter-limb deviation related to the musculoskeletal pain syndromes

By Damien Howell

“The toe bone is connected to the foot bone” is the common reframe from the old gospel song “Dem Bones.” The concept of mechanical connectedness or regional interdependence applied to…

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Should we discharge from Physical Therapy

By Damien Howell

Why is the terminology “discharged from Physical Therapy” used? I have not heard of anyone being “discharged from dentistry”. I have not heard of anyone being discharged from massage therapy.…

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Half Seat Lateral Wedge for Lateral Pelvic Tilt Sitting

By Damien Howell

Shoe lifts or lifts in the shoe are a common treatment for leg length discrepancy. Why are lifts not used for lateral pelvic tilt when sitting? In a previous blog…

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What is harder than learning? Unlearning

By Damien Howell

This image from Roger von Oech’s “A whack on the side of the head” 1983 has intrigued me for years. The idea that we get rid of ideas or concepts…

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How to better engage with healthcare provider using telehealth care

By Damien Howell

Telemedicine electronic medical record patient portals and email provide opportunities for improved communication between patients and healthcare professionals. As a patient: As a patient with a chronic condition rheumatoid arthritis,…

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On-line mentoring reflective learning

By Damien Howell

John Dewy wrote, “the experience alone does not necessarily lead to learning; it is the reflection that makes sense of the experience to us and hence makes the experience meaningful…

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Plantar fasciitis v tendinopathy words matter – stretching exercises are overrated

By Damien Howell

Why is the plantar region the only region of the body where the terminology of fasciitis is used? Fascial tissue is present throughout the body including the ankle, knee, hip,…

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Choices of interventions for musculoskeletal pain syndromes: decrease pain, improve impairment, resolve dysfunction

By Damien Howell

There are multiple and varied interventions that can tackle the contributing factors of pain, impairment, and dysfunction that occurs with musculoskeletal pain syndromes. Pain impairs an individual’s ability to function…

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Walk this way – Run this way

By Damien Howell

What way should we walk? What way should we run? Mel Brooks and Gene Wilder wrote the script for the movie “Young Frankenstein” in which the character Igor the hunchback…

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