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In movement and in pain, your outcome is inseparable to your expectations. Expectations determine the sorts of things that you will try, and they alter your pain system ...
Running uphill needs a different technique to flat running. There are two key differences.
First, you will take shorter strides. You want most of your power to come from pushing down and back. This works best when you put your foot down underneath you or just in front of your body.
Second, you will naturally land more towards a forefoot strike. The slope of the hill makes this happen, you don’t need to change your foot angle.
Pain
Chronic pain is incredibly common, but chronic injury is not. That would be like having a cut that never heals, which is incredibly uncommon! Unfortunately we do not have a common and well-understood model for explaining ongoing pain, and so most people who have ongoing pain feel like they have a long term injury. This means that they avoid load, and we know that load is one of the most important determinants of recovery. Avoidance becomes a kind of positive feedback loop. It can be a strong contributor to chronic pain.
If you want personal advice for a home movement plan, or to get a clear diagnosis and treatment plan, learn about our Tele Physio service, arrange a visit at the park, or come to the clinic.
Learn to tell if you have chronic pain, and the best ways to recover from pain.
Telehealth physio services available in Adelaide. Get the best treatment for chronic pain, wherever you are.
Having completed a 100 sample clinical trial of our Recovery Coach Telehealth program last year, we know that Telehealth physiotherapy is effective. The average person reduced pain by 20% and improved their chosen functional scores by an incredibly 91% in the first six weeks.
In movement and in pain, your outcome is inseparable to your expectations. Expectations determine the sorts of things that you will try, and they alter your pain system ...
I am thrilled to announce that I will be participating in Pain Revolution, a ride from Melbourne to Adelaide this April where a group of researchers and clinicians are journeying through country towns by bike, promoting better outcomes for people with long-term pain.
There is really strong evidence that perceived threat can turn-up the pain system.
People with long-term pain have all sorts of threat associated with their injury. Pain itself can be threatening – it can interfere with work, sport, family life, and hobbies. Movement can be threatening because it sometimes makes pain worse. Of course movement can make pain better too.
If you have read the previous posts in this series you will have an appreciation for the complexity of pain. It is not a simple cause and effect, 'stub-your-toe-and-it-hurts' phenomenon. Instead, pain is an intricate protective mechanism. It is generated by your brain to look after you, and will protect you from real or perceived danger. And because of this, pain can exist with or without tissue injury. This is really significant. Just because it hurts, doesn't mean there is injury. Injury is not required or sufficient to cause pain.
Pain is an elaborate protective mechanism. It captures attention, and changes behaviour. And of course, it hurts.
Here is the current, accepted definition of pain. 'An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage (IASP 1994)'. It's a mouthful. But it makes clear that pain can occur with or without tissue damage, i.e. actual or perceived tissue damage.
Cycling
I am thrilled to announce that I will be participating in Pain Revolution, a ride from Melbourne to Adelaide this April where a group of researchers and clinicians are journeying through country towns by bike, promoting better outcomes for people with long-term pain.
Resting deprives the body of valuable stimulation. For almost all musculoskeletal injuries, excessive resting prolongs recovery time and appears to contribute to the development of long-term pain.
Running
Poles can be a winner when used well. Borrow before you buy. Learn when and how to use them. Have a bit of fun with it.
The plantar fascia does lots of useful stuff. Know that the plantar fascia is strong and capable. When you have heel pain, structuring your load is key. Smartly increasing your load and activity is the way to get back to your prime.
A regular strength routine helps build more robust movement systems. It creates changes throughout your body, including: improved nervous system functioning and muscle/tendon biology. This means that you can adapt better to variations in load, which might be more hill running, increasing kilometres or adding speed work. This all helps to improve your running efficiency and performance.
Running uphill needs a different technique to flat running. There are two key differences.
First, you will take shorter strides. You want most of your power to come from pushing down and back. This works best when you put your foot down underneath you or just in front of your body.
Second, you will naturally land more towards a forefoot strike. The slope of the hill makes this happen, you don’t need to change your foot angle.
Welcome. This is a guide on the main techniques for efficient and faster downhill running.
In the climate of complicated options and strong opinions, the answer may lie in simplicity. Find footwear that fits and is comfortable. Then be confident in your decision. Spend your energy on strategies that are more likely to yield the result you want. More on this later.
Resting deprives the body of valuable stimulation. For almost all musculoskeletal injuries, excessive resting prolongs recovery time and appears to contribute to the development of long-term pain.
Running is freedom. I can run anywhere. I feel light and loose when I run. Time slows down and my mind feels clear. Running on a frosty night under a full moon with steaming warm skin makes a fond memory of New Zealand. It is rhythmic, almost hypnotic. Running is something just for me. Or shared with a friend. With a smart approach, it can be perpetual, non-stop for horizon after horizon.
Foot strike in running is talked about a lot. Whether a person first hits the ground with their heel, mid-foot or forefoot. Lesser consideration is given to the rotation of the leg and how this influences the position of the foot on the ground. In other words, does the foot face straight ahead, toes turned in or toes turned out?
Climbing
General
Chronic pain is incredibly common, but chronic injury is not. That would be like having a cut that never heals, which is incredibly uncommon! Unfortunately we do not have a common and well-understood model for explaining ongoing pain, and so most people who have ongoing pain feel like they have a long term injury. This means that they avoid load, and we know that load is one of the most important determinants of recovery. Avoidance becomes a kind of positive feedback loop. It can be a strong contributor to chronic pain.
If you want personal advice for a home movement plan, or to get a clear diagnosis and treatment plan, learn about our Tele Physio service, arrange a visit at the park, or come to the clinic.
Learn to tell if you have chronic pain, and the best ways to recover from pain.
Telehealth physio services available in Adelaide. Get the best treatment for chronic pain, wherever you are.
Having completed a 100 sample clinical trial of our Recovery Coach Telehealth program last year, we know that Telehealth physiotherapy is effective. The average person reduced pain by 20% and improved their chosen functional scores by an incredibly 91% in the first six weeks.
It’s two years now. Two years on Gilles St, in the caffeine district of Fawn coffee, within a minute’s walk of the Himeji Gardens. Our north facing light box has survived its inception, and has grown into a thriving practice with a global reach.
There’s a little trick we sometimes play that is quite weak. We introduce it by saying that your brain cannot possibly pay attention to all of the sensory information coming at it, and we may use the metaphor of a cocktail party. At a cocktail party there are lots of voices, but hopefully you are focused on the one voice of the person you are speaking to. You inhibit (i.e. don’t listen to) the many voices, and clearly hear the one.
Form Physiotherapy is almost one year old.
To celebrate this we decided to survey all of our clients and 1) measure the impact we had in our first year, and 2) seek ideas to make our practice even better.
We are thrilled to announce that almost 70% of our patients answered this survey. A big thanks to all those who participated! This is a snap shot of our first year.
The standing desk was a particularly smart idea. Better health, and better productivity. Win-win.
Sitting is a public health concern. Research clearly shows that regular sitting increases your risk of chronic disease with a similar magnitude to cigarette smoking. Daily exercise is likely to offset this, but many people fall short of daily exercise quotas.
Climbing builds exceptional strength through the arms and fingers.
If you increase your climbing load (actual climbing or training) your finger muscles will adapt. They will become stronger and more suited to climbing. You will find yourself moving more easily. As you become stronger your climbing muscles may become tighter.