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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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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 who are striving to solve repetitive use injuries are varied, in terms of type of questions and the degree of sophistication of the questions. Many…

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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 locating, appraising, and using contemporaneous research findings as the basis for clinical decisions. Population based outcome research has repeatedly documented that patients who do receive…

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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” will turn up large number of businesses. Using the search term “speedy Physical Therapy” will result in zero listings. When it comes to Physical Therapy…

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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 common problem for novice runners, dancers, field hockey, basketball, baseball and tennis players, and even walkers. Shin splints can be classified into different problems including: tendonitis,…

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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, the common treatment recommendations do not recognize such variability. Not all pain on the bottom of the heel is the same and not all pain…

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Heel Whip When Running

By Damien Howell

There is a growing body of evidence among healthcare professionals to suggest the way we run contributes to the risk of a repetitive use injury, and that gait retraining is an effective intervention for managing repetitive use injuries. There is less consensus and much debate on which movement faults are more important. Common movements that…

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