Articles Of The Week September 20, 2020

Much of the United States, Canada, and even areas overseas are currently blanketed in forest fire smoke. Could this affect people’s pain? Here’s a study that looks at the effects of tobacco smoke on pain and rest.

Effects of smoking on patients with chronic pain: a propensity-weighted analysis on the Collaborative Health Outcomes Information Registry – James Khan et al.


Another mention to the constant fatigue that many of us are likely experiencing in these days and times. This article continues to go into depth about the varying causes of lower energy and provides more tips on how to combat it.

Why You Suffer from Constant Fatigue and How to Deal with It – Mark Pettit


We all know that pain benefits from exercise in the long term, but only some of us might be aware of the short-term analgesic effect from movement as well. An easy assumption is that this is all an endorphin effect, but are there other mechanisms at play?

Exercise Induced Analgesia –Todd Hargrove


If you’re looking through these articles, great! You’re a research-conscious practitioner. As such, it’s good to point out the occasional limitations of the research that you’re reading in order to fine-tune your perspective. This article, for instance, looks at the need to adjust our experimental groups for low back pain-clients in order to create better date.

A need of subgroups with the large group of people with (chronic) low back pain – Hester de Bandt


Research into the causes of autism are a hot topic that many of us may not want to touch, but it’s ok to look at the scientific research objectively. In particular, we stumbled upon this new relationship while researching into hypomobility syndromes.

Researchers have identified a relationship between Ehlers-Danlos Syndrome and autism – Emily L. Casanova


Articles Of The Week September 13, 2020

In a pandemic world, stress can leave us worn down and with less energy to carry on our day-to-day lives. This article looks at the syndrome, which some of us may have once called “adrenal fatigue” and analyzes the actual mechanism at play.

Do you have Stress Bod? The surprising science of feeling awful – and what to do about it. – Ryan Maciel et al.


Are you still blaming a weak tranverse abdominus or multifidus muscle for your patients’ low back pain? It may be time to take a new look at better interventions.

Why We Need To Stop Blaming Tranverse Abdominus For Back Pain – Brandon Mouatt


We have long-since agreed that DOMS (delayed onset muscle soreness) is likely the result of microdamage to muscle fibers during exercise. However, there’s a very interesting new theory that points out possible neuropathic origins instead.

Have We Looked in the Wrong Direction for More Than 100 Years? Delayed Onset Muscle Soreness Is, in Fact, Neural Microdamage Rather Than Muscle Damage – Balazs Sonkodi et al.


Many of us have treated frozen shoulder in patients and can probably agree that our understanding of the condition is still thin. Here’s one more interesting piece of the puzzle regarding a factor that may predispose to the condition – that being diabetes!

Frozen shoulder and diabetes: What’s the link? – Kelly Wild


Putting together exercise programs can be challenging; not because we don’t know enough, but often because it’s easy to overthink it! Here’s a great article with tips that can be applied to exercise-planning for anyone from elite athletes to elderly patients.

5 Strategies to Avoid Overthinking Strength and Conditioning Programs – Eric Cressey

Articles Of The Week September 6, 2020

As some communities look to get businesses and other activities going again, some are taking on huge efforts to sanitize and clean. However, are these efforts going to be the major thing that stops the spread of Covid-19? Interesting points made in this article.

“Hygiene Theater Is a Huge Waste of Time” – Derek Thompson

When we’re recommending homecare to one of our patients, one of the obstacles can be finding the time to actually do the homecare. This can be especially true with new parents. Now while I don’t necessarily agree with some of the comments about posture, this article does give some good advice on finding time to exercise for new moms.

“How To Focus On Fitness When You Just Don’t Have Time – Monday Workout Motivation For New Moms” – marsstarsbaby

Could something as simple as education actually alter the treatment of our patients dealing with persistent pain? While patient education is quite often one of the big recommendations when we look at the clinical guidelines of a certain pathology, this papers shows us that a simple pain education lecture to students altered how they treated patients.

“Research: Can a Pain Neuroscience Education Lecture Alter Treatment Choices for Chronic Pain?” – Adriann Louw

Don’t let the title of this one fool you, your core isn’t weak. Fortunately, this article dispels the myth of a weak core and it’s correlation to back pain.

“Your Core Is Weak” – Ellie Somers

We are pretty big advocates for movement and exercise around here but sometimes we have to acknowledge our bias and ask why? Well here are some of the reasons for and also some reasons against.

“Why Use Exercise” – Adam Meakins



Articles Of The Week August 16, 2020

You know how we feel about exercise around here, so we had to share this one as it is FULL of good advice regarding the good, the bad, and the ugly about exercise for patients (and I have to say my respect for her just increased one hundred fold since she used a hockey stick as a kid).

“Is Exercise The New Snake Oil? Or Just A Dirty Word?” – Bronnie Thompson

Mental health is extremely important for us to recognize in our patients. But, what about when it’s us who needs the help? While this article is directed toward personal trainers, it could be applicable to any of us who work with people and it has some great advice.

“Training Through the Struggle” – Chris Cooper

We quite often talk about the importance of “soft skills” when we’re communicating with patients. What about using some soft skills outside the clinic room to be successful in our business and our life? Here’s some great ones.

“25 Soft Skills You Need to Be Successful in Life” – Jeremy Diamond

Whether it’s a manual therapy conference, a pain conference, or something for sport we would all probably be better off collaborating with mental health professionals to enhance our practice. This is a great example of how a sport psychology doctor brought awareness around the psychosocial factors of return to sport for other sport med professionals.

“Why Should Sport Psychology Practitioners Attend Sports Medicine Conferences?” – Kelly Butterworth

This is both a podcast you can listen to, or just text to read, but either way when David Butler speaks, you should listen. Check out his thoughts on nerve root pain.

“Talking Nerve Root Pain With David Butler” – Tom Jesson

Articles Of The Week August 9, 2020

If you’ve been following this blog for any length of time, you know I love this guy. Here’s another great video on being a movement optimist when it comes to the low back and spinal flexion.

“Do You Need To Worry About Spine Flexion And Low Back Pain?” – Greg Lehman

Some new updates on helping people with persistent pain…however, patient centred care remains at the centre of our focus.

“Commonly Used Treatments For Chronic Pain Can Do More Harm Than Good And Should Not Be Used, Says NICE In Draft Guidance” – National Institute For Health And Care Excellence

When we look at some of the causes and issues around pain and specifically low back pain, things can seem fairly complicated. However, when we look at the modern research around this, it really doesn’t have to be.

“Simplifying The Treatment And Management For Low Back Pain– Eric Purves

Inevitably we’ve all had a patient come in asking for “deep tissue massage”. But, what is this really?, it can mean different things to different people. Well, this is a great description and a modern narrative we can use when discussing this with patients.

“What Is A Deep Tissue Massage? A Modern Narrative” – Heather Thuessen

Do you have patients who are regular gym-goers, or athletes who come in for treatment because they’re sore after a hard workout? Well, there may be a dangerous condition result if they push too hard.

“High-Intensity Workouts May Put Regular Gym Goers At Risk Of Rhabdomyolysis, A Rare But Dangerous Condition” – Christopher Gaffney


Articles Of The Week July 26, 2020

This is a great podcast from a pain researcher and an exercise physiologist so you can better understand central sensitization and pain. Great stuff!

“Central Sensitization And Pain” – Ben Cormack & Melissa Farmer

You know if there’s something regarding exercise and pain, we’re going to share it. This one I really like as it focuses not so much on a specific exercise, but physical activity, and the person in front of you.

“Exercise And Pain, An Opinion Piece” – Rhyesson Cornilla

I really like this one, as I have a disdain for insurance companies due to my former life before being an RMT. But, this shows us how to help those who have pain, yet no objectionable measure of pain to in turn satisfy said insurance companies.

“Secondary Gain, Really?” – Bronnie Lennox Thompson

We are constantly talking to patients recommending self-care. But, what are we doing for ourselves when it comes to self-care? Here’s some dynamite advice on how to do just that.

“How to Customize a Self-Care Plan That Works For You” – Aleksandra Slijepcevic

This pandemic has changed a lot of things. One of which is the way we provide first aid to people. For me at work, we’ve gone through massive changes in the way we do things at the Firehall. For those of us in sport, this outlines some changes we should take into account.

“Medical Care And First Aid: A Framework For Organised Non-Elite Sport During The COVID-19 Pandemic” – Steffan Griffin