Adding observation of deceleration forces to diagnosis & treatment of movement system impairment syndromes & musculoskeletal pain syndromes

By Damien Howell

  Shirley Sahrmann and colleagues share an elegant clinical reasoning process model to diagnose and treat musculoskeletal pain syndromes and movement system problems. The movement system is physiological organ systems…

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Diagnostic imaging pros & cons – be careful what you ask for

By Damien Howell

There are many reasons to request a diagnostic image such as a radiograph (X-ray), MRI, sonogram (ultrasound), and CT scan. They are to diagnosis a pathology/trauma; determine treatment options; screen…

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New developments in joint replacement surgery & rehabilitation

By Damien Howell

The use of joint replacement surgery for hip and knee pain has evolved greatly since I started my Physical Therapy career many years ago. Younger individuals are having joint replacement…

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What do you do when Dr. Google isn’t cutting it?

By Damien Howell

Searching for information online for personal health and medical issues has become commonplace. Estimates are more than 1/3 of persons in the U.S. use the internet for information on their…

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Gait deviations clustering gait deviations – injury – new data

By Damien Howell

In a previous blog article, I discussed the question “Is there a gait deviation or cluster of gait deviations which is common across musculoskeletal pain syndromes?” The consensus is currently…

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Choice of feedback for learning new movements

By Damien Howell

A common practice when addressing painful musculoskeletal pain syndromes is the symptom modification procedure.  This procedure involves identifying the specific movement, posture, and/or activity that reproduces the patient’s symptoms. The…

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Downhill running – up does not equal down

By Damien Howell

Running uphill does not equal downhill running. The faster speed of running downhill does not equal the slower speed of running uphill. The rule of thumb expressed in Jack Daniels’…

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Puny Calf Muscles Syndrome

By Damien Howell

It is time to replace the common belief that stretching exercises should occur before exercise or sporting activity with a newer concept that strengthening exercises for the calf muscles should occur before exercise or sporting activities. During warm up for exercise & sporting activity make a conscious effort to walk with spring in your step. Reactivating & reversing puny calf muscles can prevent injury, increase athletic performance, forestall old person shuffle, & look better.

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Using slow-motion video for continuing education & professional development of healthcare provider

By Damien Howell

  A video image of movement can facilitate our innate skill of curiosity the need or desire to know and learn. Physical therapists are movement specialists who observe human movement,…

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