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Slings of outrageous mis-fortune…

Yes, I know, I’ve just butchered Shakespeares famous quote from Hamlet for the title of this blog, but I want to talk about some common misconceptions and ‘misfortune’ I see and hear around the use of arm slings after shoulder injury or surgery, and disccus how they may hinder more than they help. The arm…

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Shoulder decompression under more pressure…

Arthroscopic shoulder decompression surgery is a common operation. It is used for patients whose shoulder pain is believed to be caused by excessive compression of the rotator cuff and its bursa between the acromion and the humeral head. It is thought that by shaving the acromial arch and removing its coracoacromial ligament this reduces the…

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Less is More… More or Less

Have you ever felt you’re in the Bill Murray film ‘Groundhog Day’ waking up each morning doing the same things, saying the same things, having the same discussions and debates. I do, a lot. As you may know I often question and challenge the effectiveness and usefulness of many things us physios do, and I…

talking a good game

Talking a good game…

Every day on social media I see many different views and opinions on how we should be managing our patients. I see some saying how we need to apply various manual therapy treatments. I see others explaining how we need to find diverse and novel ways for our patients to move. And then I see…

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Do no harm! Do nothing!

The desire to help others is very strong in many therapists, that’s usually why they are therapists. But sometimes this desire to help and do something may actually be to the detriment of those they are trying to help, and without realising it therapists may be doing more harm than good for many of their…

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Does symptom modification need a procedure?

The term ‘symptom modification’ is now used to describe a lot of stuff we as therapists do to patients in an effort to get them to move with less pain, more comfortably, more confidently, more often, opening the so called ‘window of opportunity‘ that I have challenged recently. Now I will admit that I use some…