Phone: 804-647-9499 • Fax: 866-879-8591 | E-mail

Damien-Howell-Logo-2

Are you a half ass? – stretch weakness of gluteal muscles contributing to heel, foot, shin, knee, hip pain

By Damien Howell

There is a growing body of evidence that many repetitive use injuries such as knee pain, shin pain, heel pain, and forefoot pain can be addressed by improving the strength of the gluteal muscles. The gluteal muscles consist of gluteus maximus, gluteus medius, gluteus minimus, piriformis, and smaller less recognized muscles are commonly called “bun…

Read More

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 other activities such as mountain biking, swimming, kayaking, and rock climbing. His knee pain was focused to the anterior lateral aspect of the right…

Read More

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 is more difficult to recognize when the song was released because the song has played throughout the decades. Marvin Gaye’s “Let’s Get it On” is…

Read More

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 is not the magnitude of force, but the rate at which the force is transmitted from the ground to the foot and leg that is…

Read More

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 healthcare can by very important. There are times and situations when getting a second opinion regarding healthcare advice are a prudent action.  Studies have shown…

Read More

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…

Read More

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…

Read More

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…

Read More

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…

Read More