Author Archive: Mark Gibson

Mark is a Specialist Musculoskeletal Physiotherapist who consults at both Insight Physiotherapy and Pain Options, in Perth, Western Australia.

He specialises in the assessment and management of persistent/chronic musculoskeletal pain.

In addition to his clinical role he maintains regular involvement in education of the profession having held a Teaching Fellow position at the University of Western Australia for 10 years and regularly presenting at courses and seminars through the Australian Physiotherapy Association and private education sector.

Mark is also a Facilitator for the Australian College of Physiotherapists Specialisation Training Program and a Branch Councillor on the Western Australian Branch of the Australian Physiotherapy Association.

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Move on please….it is nearly 2017!

Move on please….it is nearly 2017!

Last post for the year. My apologies for the low number of posts this year. 2016 has been a busy year for a number of reasons, most of them positive! To finish off I am going to deal with my “favourite” topic that continues to relate to this view that “core stability” training is an absolutely […]

By December 31, 2016 4 Comments Read More →
Some Question Marks Over Orthopaedic Surgery

Some Question Marks Over Orthopaedic Surgery

  Let me start this blog post by stating that I am not a surgeon. You can tell by the type of car I drive…… The purpose of this blog post is not to run down orthopaedic surgery or our surgical colleagues as many of them do wonderful work. I also know some fantastic evidence […]

Blaming Pathology or Lack of Pathology

Blaming Pathology or Lack of Pathology

I have blogged a number of times about how there is generally a very poor correlation between the “pathology” we see on scans and pain. The lower back being the most commonly cited example but there are many other examples (see here, here and here)  and over time the list appears to be getting longer. […]

Changing Pain vs Smoke and Mirrors?

Changing Pain vs Smoke and Mirrors?

One of the common things I see in clinical practice is therapists making patients adjust postures or movement patterns to see if it changes pain. Now i think that this is a very worthwhile way to approach patients. I do it all of the time. There is however a common error that I think we […]

By February 13, 2016 9 Comments Read More →
Musings from 2015

Musings from 2015

Wow the year has flown by quickly. I have to say that I feel disappointed that I haven’t posted much this year. My apologies for not doing so. I have great admiration for the physiotherapy bloggers out there who post such regular, well written posts. To wrap up the year I thought I might reflect/muse […]

By December 26, 2015 3 Comments Read More →
Mechanical vs Non-Mechanical Pain

Mechanical vs Non-Mechanical Pain

I wrote a while back about posting in relation to the “Inverted Pyramid”. The inverted pyramid principle is aimed at keeping what we do simple. I think as a profession we have a tendency to overcomplicate many things and “fluff” around doing and focusing on things that in some cases are of very little importance. Instead […]

By September 20, 2015 3 Comments Read More →
Recommended Reading – Pain Classification – July 2015

Recommended Reading – Pain Classification – July 2015

Sorry for the lack of posts, I am busy with some updates of university lectures. As you can imagine I am a bit OCD about presenting up to date information in my lectures. Given the time constraints at the moment I thought I might post the occasional article I come across in my lecturing preparations […]

The Inverted Pyramid

The Inverted Pyramid

This concept is one that was introduced to me back in my postgraduate study days at the University of Western Australia. It recently came to mind again and is something that I find very useful. I plan to introduce it to this blog for the next few posts. Depending on how well it is received […]

Core Stability – Research Update – May 2015

Core Stability – Research Update – May 2015

I have posted previously regarding the “Core Stability Problem“. One of the first articles I reviewed this year in relation to this topic was: An update of stabilisation exercises for low back pain: a systematic review with meta-analysis by Smith et al (2014). I think this systematic review quite clearly demonstrates where we are now at with the “Core Stability” and the “Stabilisation” approach. Key conclusions by the authors […]

Some More Great Questions to Ask Your Patients

Some More Great Questions to Ask Your Patients

As a follow up to my last post I thought I might suggest another couple of questions that are worth asking your patients. Once again, these are not questions that I have devised myself, but rather have been suggested by me to other clinicians. I find them exceptionally useful in my clinical practice. 1. Do […]

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