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Upper Limb Deep Vein Thrombosis

A few months ago I had patient with a suspected Deep Vein Thrombosis, but unusually of the upper limb. As this is a very rare occurrence and as I have only ever come across this potentially serious complication once before, I thought it would be a good idea to write this case up and and…

Hazard Phase

The ‘Hazard Phase’

I saw this graph on Twitter a month or so back, I'm sorry I cant remember who was the original source, but it did make me laugh, because you know… its soooooo true. Anyway I then saw it doing the rounds again today and so I had another look at it, and it still made…

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A pain in the butt… A guest blog by Dr Chris Littlewood

I regularly hear therapists using the diagnosis of ‘Piriformis Syndrome’ to explain to patients their stubborn buttock and sciatic like pains. However, as usual I question this diagnosis, I question its true prevalence, I question the ability of therapists to diagnose it clinically and I really question those who think it needs to be treated…

Critical thinking head

Critical Thinking… Take 2

I have written about critical thinking before but despite ‘thinking’ I had improved in this skill, I still find myself being accused of failing as a critical thinker, of building straw man arguments and falling foul of other logical fallacies when I critique stuff, usually manual therapy. I know that I have made plenty of…

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A change in perception…

Regular readers to this blog will know that there is no love lost between me and manual therapy. We have had our disagreements, we have had our arguments, and we have had our falling outs. We don’t like each other, and to be honest, we are best kept apart. But yet again I find myself…

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How long is this gonna take…?

We live in a fast moving world. Where speed and efficiency are highly regarded and often used as a measure of success. Where time saving devices and innovations are all around us. If we do have to wait for something we tend look for quicker alternatives. For example, if we have to wait more than…

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The Shoulder: Complex doesn’t mean Complicated

As you may know I am a big fan of simplifying our explanations, assessment and management of what we do as therapists. But many mistake the idea of simplifying as 'dumbing down' or being lazy or not using our training and knowledge. I argue that this could not be further from the truth. As Steve…