Clinician Blog

Pain trajectories, are they clinically applicable? – Physical Therapy Fitness Article

Pain trajectories, are they clinically applicable? I’m not one for numbers and statistics and I’m not an academic, but I do like a graph that tells us a story. My attention was captured recently on twitter by a recent @tpmpodcast with @thomas_jesson discussing radicular pain, radiculopathy and sciatica (here). In particular was a graph that Tom posted on Twitter demonstrating the mean trajectory of 4 clusters of the course of low-back-related leg pain intensity over a 12 month period (see…

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Can we case formulate exercise? – Physical Therapy Fitness Article

Can we case formulate exercise? I’ve pondered for quite some time if we can efficiently tailor exercise programs for people living with pain. Recent evidence (Hodges, 2019)and a consensus amongst peers, suggest that a hybrid approach to pain management programs is necessary. As proposed by Hodges, (2019) this would include stratification, identification of pain mechanism and subgrouping based on movement and/or psychology.  The multidimensional nature of chronic pain would certainly encourage those physiotherapists working in pain management to adopt a hybrid approach. The very…

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Heart rate formulas, how reliable are they? – Physical Therapy Fitness Article

Heart rate formulas, how reliable are they? I have been a bit of a runner for most of my life. Where I grew up in the Highlands of Scotland there was plenty of cross country running tracks to be explored. Of course that was mixed in with mountain biking, fly fishing, kayaking, sailing, football, hiking, rock-climbing… you get the picture. I have decided to run a year of events for a cancer charity. You may have seen the social media…

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Physiotherapy and The Marvel Effect – Physical Therapy Fitness Article

Physiotherapy and The Marvel Effect  “Heroes are made by the path they choose, not the powers they are graced with.” –Brodi Ashton / Iron Man(Attribution) Superheroes have fueled the imagination and inspired us. We are currently in the cinematic age and renaissance of superheroes. Since 2008, when the first Iron Man movie was released, Marvel have released no less than 23 superhero movies with another coming out this week (Spiderman), a further two for 2020, three for 2021 and three…

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