Archive | clinical insights

sharing with patients and visitors to the site insights and ways of thinking about often complex clinical issue and concepts

Phenomenological experience of injury

The lived or phenomenological experience of injury provokes a spectrum of perceptions, emotions and thoughts. Injury is a strong phenomenological experience because it is affectively charged with perceived threat to the material coherence of the organism – injury is a provocative  ‘primordial fluctuation’ – a startling salience in what for the most part is a uneventful transparent embodiment. […]

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Becoming a Supple Leopard

  Body image, meat, kinship and the primal are all expressions of a yearning for some sort authentic pre-modern human existence. The commingling of these desires has been expertly melded into palaeolithic fuelled Cross-Fit with the promise of an empowered ancestral human experience. Movements need manifestos and Dr. Kelly Starrett has offered the global Cross-Fit community […]

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Low back pain

My encounters with patients, colleagues and conventional medical practitioners is punctuated by fragmented and web-generated info-bytes, self-assessment and DIY interventions. By necessity much of my effort in consultations and professional interactions is to understand peoples causal and diagnostic narratives. These can range from accurate and coherent to dangerously erroneous. Patient and practitioner desperation around both a […]

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myofascial tools balls

myofascial tools

Myofascial tools are proliferating, marketed with testimonials promising emancipation from the hands of manual therapists. Many manual therapists will struggle to match the precision and cost-effectiveness of a high density foam ball. I sense no threat to the rich scope of osteopathic practice and for years have incorporated them in practice for years. Effective use and therapeutic […]

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Nasal and Sinus Irrigation

Nasal & sinus irrigation

Nasal & sinus irrigation (jala neti) is easier and arguably as important for some people as brushing teeth. Nasal & sinus irrigation is used to treat and manage: allergies – dust mites, pollen post-nasal drip due to chronic sinusitis or as a result of upper respiratory tract infection industrial and recreational dust and particulate exposure […]

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minimal musculoskeletal self care?

minimal musculoskeletal self care I was recently asked by a patient what might the project of minimal musculoskeletal self care look like? This question was rather timely as we had been giving it a lot of thought in relation to our MESHWORK project. The answer to this question is distinct from issues of hypertrophy, performance […]

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Acute Repetitive lumbar syndrome: insight into a subtype of mechanical back pain

Insight into a subtype of mechanical back pain A recent article published in JBMT is the culmination of at least 12 years of research into the underlying mechanisms of acute repetitive lumbar syndrome. This article is of enormous clinical significance and will alter treatment and management of this type of injury. The basic interplay is simple:  repetitive […]

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asana is not yoga

The misunderstandings about what yoga is and the pursuit of Western ideas of the body inscribed within asana is a cause for concern and call for analysis and evaluation. The tendency amongst many students who practice asana to pursue deeper and more difficult forms is antithetic to yoga and often leads to injury. The most […]

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space – the place where physiology happens

In dysfunction and disease physiological space is altered. Pathological processes and tissue change associated with disease alter spatial relationships. Whether it is a muscle tear, degenerative joint disease, tendon inflammation and fibrosis – space is altered. Osteopathic treatment is often directed towards improving spatial relationships between and within tissues entangled by dysfunction or disease. Physiological […]

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What is in a name?

After 10 years of softtissue osteopathy & yoga we have renamed ourselves. The removal of the term ‘yoga’ is a considered response to its cultural degradation, unregulated dilution, commercialisation and mistaken identification with a collection of bodily shapes. Our name change reflects evolution in our clinical and practical approach. ‘Movement rehabilitation’ states our treatment intention […]

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