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Articles Of The Week March 14, 2021

The one muscle that seems to consistently create great debate and excitement amongst the MSK professions is the psoas and we really need to start asking why? For some reason, it gets a lot of attention and a lot of the blame for so many problems. However, we really need to start looking at why one muscle could get blamed for so many things.

Psoas Obsession – Eric Purves

I haven’t seen much of this in my practice, so it’s definitely a topic I need to learn more about. Thankfully we have some great people putting content together so we can understand Hypermobility and how to help patients better.

Understanding Hypermobility – Matt Phillips & Bonnie Southgate

For some reason, we are always looking to ‘blame’ a certain thing for a person’s pain. While it’s true that patients like getting a diagnosis, it’s also important for us to realize there are many more factors that contribute to a successful treatment. We need to look past the biomechanical and also try taking a collaborative approach.

Joint Pain Treatment: Beyond the ‘Bio’ and ‘Silo’ – Nick Ng

This is just a REALLY creative and entertaining review of the organ systems in the human body, I applaud their creativity.

How To Learn The Organ Systems In Under Five Minutes – Fundamental Raps

There is many pseudoscience interventions being peddled within musculoskeletal therapy. Now, it’s even being used with animals! If you didn’t see it a zoo used kinesiology tape on an elephant, I’ll let you guess what the outcome was.

Nonsense For Elephants: The Houston Zoo Promotes Kinesiology Tape – Clay Jones

Articles Of The Week February 28, 2021

 

The Massage Collective is doing a great job spreading the word about evidence based practice and I was honoured to be on their podcast this week. We chat about many things evidence based with some extra attention on Graded Exposure.

Graded Exposure – The Massage Collective Podcast

As we know doing a really good assessment for your patients when they come in can play a huge role in building resiliency and a good therapeutic relationship. Check out Taylor Laviolette’s take on this.

Assessment – Taylor Laviolette & Conor Collins

We preach about self-efficacy a lot around here. While getting to the point of a person being able to self-manage their pain is important, they will also need some support along the way. This provides some great direction on how we as healthcare professionals can play a part in that support.

Supported Self-Management—From a Lived Experience Perspective – Keith Meldrum

A great chat from a couple of great practitioners talking highlighting the huge importance of therapists acquiring teaching skills, the relevance of the language and images we use, and how to embrace the biopsychosocial model.

Pain Education Skills – Matt Phillips & Mike Stewart

If you haven’t heard this podcast yet, it’s regularly full of gold material. This week they look at the clinicians role in the clinical encounter.

The Clinicians Role In The Clinical Encounter – Dr. Oliver Thompson & Dr. Karin Mohn Engebretsen

 

 

Articles of the Week February 21, 2021

Tony Gentilcore makes some great points about beliefs surrounding “bad” workouts and self-efficacy with one’s routines. We can likely translate these points very well when it comes to programming home exercise programs for clients as well.

Do Bad Workouts Exist? – Tony Gentilcore

We wrote a similar blog to this one a few weeks ago, but the content bears repeating. The words we say and the way we say it can have a major impact on the outcomes we have with our patients. Let’s start to change not only the narrative around what we do, but also what we say.

Words Matter – Eric Purves

We talk lots about patient safety, but our safety is just as important (if not more). So when I saw this shared by one of our friends I knew it was worth the share (well…also cause I’m a firefighter).

Oily Linens – Massage Therapy – Fire Safety – Megan Crozier

Pretty cool review of the receptors in our bodies and what they do.

Types Of Receptors – Dr. Matt & Dr. Mike

There is many a frustrating debate online, no matter what the topic is. This is a pretty cool little flow chart on how we could handle some of these discussions. While Taylor meant this for himself, it might be something I use as well.

On Discussions And Debate – Taylor James Laviolette

 

Articles of the Week – February 14, 2021

We’ve got some big news this week! We’ve launched a podcast! Together with Eric Purves we’ll endeavour to put out a new podcast every two weeks. Give this one a listen as we look into some research that shows how client, community, and clinician can influence a persons pain. Subscribe on one of your favourite podcast platforms!

Client, Community, and ClinicianJamie Johnston & Eric Purves

 

There’s lots of talk about education in this week’s articles. This one specifically shows us the importance of the conversations researchers or doctors have with patients when discussing nocebo effects.

“Important Conversations” Are Needed to Explain the Nocebo EffectAnita Slomski

 

We are all taught to not chase pain and to avoid making assumptions purely based on palpation and tenderness. However, we have some emerging evidence that physical tenderness might be a more valid predictor for making return-to-activity decisions that we once though, once we learn how to quantify it.

Tenderness to palpation predicts return to sport following acute hamstring strain – Physio Network

 

Have you ever recommended that clients cease running in order to conserve the cartilage in their knees? Or are you on the other side, suggesting that it’s beneficial? Research is still working on a definite answer, but hopefully the current evidence can help you with an informed decision.

Why Don’t Runners’ Knees Fail More Often? – Alex Hutchinson

 

We understand there can be psychosocial factors associated with pain, however we have to be careful how we discuss this with our patients. While the title of this post lends itself to the idea that a doctor told someone their pain is all in their head, there’s much more to the pain education that is necessary and what was given.

My Doctor Told Me My Pain Was All in My Head. It Ended Up Saving Me. – Isobel Whitcomb

 

Mike Reinold provides us a good review of the literature regarding compression therapy and its effects on acute soreness and recovery following exercise.

Compression Therapy for Recovery – Mike Reinold

Articles of the Week – January 31, 2021

We’re not here to fear-monger. However, as manual therapist who spend some of the most time with patients among all of their healthcare practitioners, we need to be very aware of red flags with back pain and what they could mean. A good reminder of some of those basic questions that we learn in school and might be forgetting to ask.

When to Worry About Low Back Pain – Paul Ingraham

 

We’ve been hearing a lot of dialogue against the use of static stretching these days, but why? This article gives us a great explanation of the research method errors made in years past while reminding us of some of the evidence that does still support static stretching in certain circumstances.

To stretch or not to stretch before exercise: What you need to know about warm-ups – David George Behm

 

It’s been a tough year and I’m sure there are people coming in for treatment simply to experience human touch. Touch has a huge impact on our physical and mental well being, so this is an interesting read at how this pandemic has affected some.

Lost touch: how a year without hugs affects our mental health – Elanor Morgan

 

Talking DOMS again! A lengthy study to read, but one that suggests that post-exercise muscle soreness may have much less to do with muscle fiber microtrauma and more with neural microdamage. Hopefully, this new direction of research will begin to suggest different strategies for mitigating the pain.

Delayed Onset Muscle Soreness – Have We Looked in the Wrong Direction for More Than 100 Years?  – Sonkodi et al.

 

You have likely heard of exercise-induced analgesia, in which exercise creates a pain-dampening effect in the body. A very interesting study was done, however, that looked at the ability of suggestion to create a nocebo effect that directly counteracted this benefit.

Exercise Blocks Pain, But Only For Believers – Alex Hutchison

Articles of the Week Janurary 24, 2021

Even though modern research has shown there isn’t much correlation between posture and pain, it still seems to be something pushed in mainstream media. However, this article shows the other side and has some great advice we could share with patients.

A Scientist’s Guide To Life: How To Sit Correctly – Helen Pilcher

 

There’s not a ton of research out there on our wonderful profession. It seems most things we can look to revolves around “manual therapy”. Thankfully Richard has put a resource list together of systematic reviews we can refer to.

Systematic Reviews Of Massage Therapy – Richard Lebert

 

A short discussion about fibromyalgia that reminds us that the term is not a diagnosis, but rather a blanket term for symptoms. Based on this, consider how you want to use the term when speaking to clients and think about strategies to help them not self-identify with this “disease”.

Fibromyalgia is one of the hardest problems in all of medicine – Paul Ingraham

 

An intriguing article about the metaphors that we and our clients use for pain. Leaving the realms of the basic “sharp, dull, shooting, or stabbing”, there are important implications when clients come to us with other colourful and drawn-out descriptions that can help us in their treatment.

Why we need to get creative when it comes to talking about pain – Jasmine Hearn & Stella Bullo

 

Let’s talk DOMS, especially for those of you who work in sport settings. Here’s a look at the science of some of the popular management tools that claim to reduce or eliminate post-exercise muscle soreness and a reminder at the basics that should never be forgotten.

Feeling sore after exercise? Here’s what science suggests helps (and doesn’t) – Andrea Mosler