Gait deviations are considered risk factors and/or causative drivers for musculoskeletal pain syndromes. There is a growing body of research showing a relationship between gait deviations and musculoskeletal pain syndromes injuries: shin pain (here, & here,) ; patella-femoral arthralgia (here); IT band syndrome; Achilles pain; plantar heel pain (here, & here). There is growing consensus…

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The COVID 19 pandemic crisis has many challenges for the standard everyday health care and medicine. The pandemic resulted in a sudden increase of telehealth services. There are reports there has been an 18% increase in the number of healthcare providers providing telehealth services in response because of the pandemic. Healthcare providers and patients are…

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High body mass index (BMI) is significant factor in low back pain, osteoarthritis; hip osteoarthritis; knee osteoarthritis, plantar heel pain. Weight loss intervention for pain reduction Decreasing body weight is an effective intervention to decrease musculoskeletal pain. Research by Stephen Messier at Wake Forest U, looking at individuals with painful osteoarthritis of the knee who…

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The common reframe from the old spiritual song “dem bones” is the “toe bone is connected to foot bone”. In the medical community this concept of mechanical connectiveness is referred to as “regional interdependence”. Regional interdependence is seemingly unrelated impairments in remote anatomical regions of the body may contribute to and be associated with a…

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Excessive inward rotation of the hip joint can be a contributing factor to development of repetitive use injuries of: Lateral hip pain (gluteal muscle tendinopathy) Buttock pain (piriformis syndrome) Anterior knee pain (patella femoral arthralgia) Lateral knee pain (IT band syndrome Shin pain (posterior tibial tendinopathy) Plantar heel pain This video first illustrates the gait…

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As we amass more birthdays and get older we tend to walk/run slower, take shorter steps, and fewer per minute. Why do we seem to have less spring in our step the older we get? Kids move fast and crash elderly move slow and crash. One factor is kids have good ankle power elderly have…

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When oriented normally, the pelvis appears level and symmetrical. But in individuals with a lateral pelvic tilt (also called pelvic obliquity), one side of the pelvis appears lower than the other side. Lateral pelvic tilt can both cause and compensation to avoid musculoskeletal pain. It can be a contributing factor to jaw pain, headaches, shoulder,…

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Empathy is more than compassion and caring. Empathy is putting oneself in another person’s shoes and actually feeling what that person feels. Recently, I experienced a flare of rheumatoid arthritis with significant disabling hip pain. Deep in misery, I searched for the positive side of my suffering. I thought: “This means I will have more…

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The Iliotibial (IT) Band is a tendon on the lateral aspect of the hip/thigh/knee. It is a large, wide, thick tendon. A tendon is a structure that attaches muscle to bone. IT band syndrome is a typical injury occurring in runners. A commonly recommended treatment for IT band syndrome is stretching exercise. Searching Google for…

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Over the years, I’ve noticed that my female patients experience unilateral hip and/or knee pain (pain on one side of the body) more often than my male patients do. This predisposition has been observed by others as well Lateral hip pain is typically called bursitis, piriformis syndrome, or gluteal tendinopathy. Studies have shown the incidence…

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