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The tragic hip. Managing hip pain with Science.

Hip pain be difficult to manage.  We use our hips all the time with motion. We sit on them. We lie on them.  They are even closely related to back pain and knee pain. Fortunately, we have research to the rescue. A large scale RCT study…
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Shockwave Research Updates

Shockwave Therapy is a relatively new tool on the block. It has been used in musculoskeletal medicine for years and the evidence is promising for use as a component of treatment. Check out the recent podcast below from the British Journal…
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Advice to athletes with Back Pain: Get active!

"Prolonged inactivity for an athlete with LBP can increase their injury risk, which ultimately results in further inactivity and potentially more pain. While ‘keep active’ might seem an odd recommendation for athletes with LBP, emphasising…
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Small steps, Strong shield: The benefits of Exercise to fight COVID

From the British Medical Journal: This is a ground breaking study to support the benefits of Exercise to prevent serious symptoms of COVID. (1) using objectively measured physical activity data to demonstrate a positive association between…
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Sometimes our joints just hurt, and its ok not to know why.

This article was written by Dr. Howard Luks, Orthopedic Surgeon and Sports Specialist Sometimes our joints just hurt, and it’s ok not to know why (howardluksmd.com) Please visit his website for more excellent research based information:   Do…
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Research on Quality MSK Care – Key Points

What does best practice care for musculoskeletal pain look like? Eleven consistent recommendations from high-quality clinical practice guidelines: systematic review.  O'Sullivan et al, BJSM 2020 The challenges:   1. Overuse of…
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Patellofemoral Syndrome. What the latest research tells us.

By Scott Simpson Saanich Physiotherapy + Sports Clinic Anterior knee pain has been shown to affect 1 in 4 of people in general population with increases in athletes (McConnell), likewise a study by Almedia, found that the problem affects 7-40%…
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Recommendations for Ankle and Foot Disorders

Table 2. Summary of Recommendations for Managing Ankle and Foot Disorders Ankle and Foot Disorder Treatment with Evidence Rating/Recommendation Level Recommended No Recommendation Not Recommended Achilles Tendinopathy Acetaminophen…
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Hip Pain?

Hip Strains The large bones that make up the hip joint also serve as anchors for several muscles. Some of these muscles move down the thigh to the knee.Other muscles move across the abdomen or the buttocks. When overuse or injury stretches…
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Upper Back and Neck Pain

Upper back and neck pain Firstly, I want to be clear as to the type of problem we are talking about. This is an aching pain and muscular tension in the upper back and neck which is not due to a specific injury. It is most common in office…