One of the pioneers for the modern pain science/biopsychosocial movements in MSK care was Louis Gifford, a physiotherapist from Cornwall, UK. Unfortunately, he passed away from cancer in 2014. During his time he was responsible for challenging long held beliefs and traditions within the PT community. His relentless desire to read, learn, and teach has provided significant knowledge and inspiration…
This article was inspired by a paper written by Joel Bialosky et al in 2017. It is titled: Unravelling the mechanisms of MT: Modelling an Approach. A PDF of this article can be found for free online here. The definition of mechanism: “a system of parts working together in a machine; a piece of machinery” When one thinks of the human body and…
Disclaimer. This blog is not disputing your clinical outcomes! I need to emphasize that your specific clinical outcomes are not being disputed here. What I want to focus on is the reasoning. When treating the psoas, positive clinical outcomes are likely for very different reasons than “releasing” the psoas. Why spend time blogging about the psoas? My initial purpose…
The words you use matter. Being an evidence informed therapist is to be less wrong as much as possible. Everyone is going to make mistakes and that is expected. However, minimising the negative impact of mistakes should be the clinicians number one priority. The easiest way to do this is to adopt changes to the language used when communicating with…
Gluteal Amnesia, Sleepy Glutes, Lazy Butt Syndrome These are some common terms used to explain to clients why they are experiencing pain in their low back, sacral, hip or buttock area. Or why they present with a perceived excessive anterior pelvic tilt, ‘tight’ hamstrings, or difficulty performing certain physical tasks. This concept is based on the belief that the gluteal…
