Tag: Rockingham

A scapula retraction

A scapula retraction

It is becoming a trend of mine to do a post in the last few hours of the year. Please ignore that this is my first post for 2017! I have had a run of shoulder patients over the last few months, a number of which have been having treatment with other providers, the vast […]

By December 31, 2017 0 Comments Read More →
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 6 Comments Read More →
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. […]

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 […]

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 […]

“Over-Imaging” the Lower Back

“Over-Imaging” the Lower Back

Not a very imaginative title I know! But hopefully my final post on Imaging for a little while. Apologies if it has become a of focus on this blog recently, but I think it is a critical issue in musculoskeletal medicine. I have outlined in previous posts that my interpretation of the research (systematic reviews) on […]

By February 20, 2015 7 Comments Read More →
The Core Stability Problem

The Core Stability Problem

When I refer to “Core Stability” I mean teaching patients isolated contractions of transverses abdominus and multifidus. This is then usually progressed (depending on the practitioner) to having the patient contracting these muscle in functional movement patterns. The end aim being reduction of pain and improvement in function. From my perspective the “core stability” direction started following […]

By November 2, 2014 4 Comments Read More →
In Pursuit of Pathology

In Pursuit of Pathology

I have recently attended a couple of seminars that have mentioned how newer and better MRI units will begin to be used in the attempt to identify pathology in patients with musculoskeletal pain. Now this sounds a fantastic and a worthwhile cause, especially if it enables us to identify symptomatic pathology in a patient population […]

By September 11, 2014 2 Comments Read More →