There is a clash between knowing that biomechanics and structure are not 100% responsible (ie. a 1-to-1 relationship) for pain, and the fact that (from an Example I got from Mike Eisenhart) some one with a poorly moving C5-C6, (as best we can tell the difference and as valid as our hands may be) has a risk factor for future neck pains and problems.
No. Not causative, but a risk factor.
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Warning- an anecdotal post to 1) stimulate reflection on musculoskeletal pain and treatment. 2) Encourage experiment with ones own pain 3) Self reflection on resolution of my own knee pain with 1 exercise.
Oh that pesky knee pain. As I attempt to train for a year filled with fitness goals and by far the most long distance races in one year the all too familiar running partner relentlessly tags along, knee pain. Knee pain and I seem to ALWAYS meet up at the 3 mile mark for the past 3 months. Knee pain who skips the warm up and starts on strong on the right knee then soon after left knee, medial and lateral burning/stinging with a feeling of superficial fullness. What I would call a bursitis pain with a feeling of simply too much friction.
Being the therapist I am, and with a curiosity of pain, body, and exercise, I ask this. Continue reading →
My clinic serves a low socioeconomic area. Now, I am sure that there are any number of stranger work conditions, treating in a gang-controlled area, for example, but the conditions and problems of low socioeconomic status (SES) are a niche unto themselves.
Almost everything “straight ortho PT” gets thrown out. Low SES throws a wrench in the gears.
From our clinic perspective, it means lots of un-managed chronic conditions, high cancellation rate and difficulty with adherence to HEPs. Transportation to the clinic is a large issue because it has a cost (either money or time) to the patient that is often a deterrent to coming to appointments. People prefer not to wait for the bus in the cold. Continue reading →