Category Archives: physiotherapy

Where do you tie your shoe laces?

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Ok- I’m not looking for the trite answer of “on the top of my shoes”- I’m thinking specifically, and the reason I ask is because it can show a couple of interesting things, and also leads to some difficult to solve (if you havent been noticing) problems. Minor case study I had a fellrunner come in for ankle pain a while ago . It was just one ankle, on the lateral (outside) area. His training had not changed in the past few weeks- similar distance, ascent, training load etc, so none of the classic problems that precede something going “wrong”. … Continue reading →

Myth 1 – I shouldn’t lift weights

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I saw a patient with back pain the other day. Formerly a strong guy, rugby player, used to go to the gym etc. He still does gardening, but because of a previous injury many years ago, he had been warned off any type of heavy lifting, running or significant activity. He came to see me after carrying a 2 year old grandchild around a museum for half a day. So here’s a thing. A formerly strong and fit person who got back pain from carrying a kid around a museum- and in his day to day life, he doesn’t really … Continue reading →

Running injuries are Load management issues

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I see quite a few running injuries in clinic. They basically boil down to overload – either in the short term or long term. Short term overload/ trauma: Fall over and hit a rock, twist an ankle, tweak a knee – that tends to be a short term overload. You know you’ve done something specific to a particular thing because you remember the thing that happened. Trauma is a bit of a dramatic word to associate with it, but it is the one that we tend to use. Long term overload/ training error The other end of the scale is … Continue reading →

Therapy Live initial thoughts

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Yesterday (Friday) I was one of 20,000 delegates at the online Therapy Live CPD event for Physiotherapists hosted by Physio Matters. It was an excellent day with a large amount of information being disseminated to like minded folks. This is pretty much off the top of my head- it doesn’t detail every lecture I attended. I have also bought access to the rest of the lectures, which I look forward to listening to in my own time over the next couple of weeks. In all, it was an excellent event; Jack Chew, The Physio Matters team, and all the people … Continue reading →

Ok. So I’m really quite naive.

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Call me naive, but I entered Physiotherapy to help people get better. The main premise of every treatment is to get the person in front of me on a road to a better place physically and psychologically. I want to know how this patient can help progress themselves, give them ownership of their issues and give them the locus of control. They should not become reliant on me, and if possible, they shouldn’t really need to come back to see me. If they do, it is because they need their exercises progressing, (or indeed regressing), or because something else has … Continue reading →

Inevitable decline?

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I hit a “significant age” in 2019. This, along with the people I see in clinic on a weekly basis has made me think a bit…. If I gave you a list of things that in 20/30/40 years you might not be able to do – would you be scared? Well, here is a list of things that I’ve seen people not be able to do…. Sitting on the floor and then standing up. Standing up off a chair. Standing up off the toilet. Walking up the stairs. Walking down the stairs. Walking to the end of the road. Walking … Continue reading →