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Archive | clinical insights

Phenomenological experience of injury

Phenomenological experience of injury The lived or phenomenological experience of injury provokes a spectrum of perceptions, emotions and thoughts. Injury is a strong phenomenological experience because it is affectively charged with perceived threat to the material coherence of the organism – injury is a provocative  ‘primordial fluctuation’ – a startling salience in what for the most part […]

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Becoming a Supple Leopard

  Body image, meat, kinship and the primal are all expressions of a yearning for some sort authentic pre-modern human existence. The commingling of these desires has been expertly melded into palaeolithic fuelled Cross-Fit with the promise of an empowered ancestral human experience. Movements need manifestos and Dr. Kelly Starrett has offered the global Cross-Fit community […]

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Low back pain

My encounters with patients, colleagues and conventional medical practitioners is punctuated by fragmented and web-generated info-bytes, self-assessment and DIY interventions. By necessity much of my effort in consultations and professional interactions is to understand peoples causal and diagnostic narratives. These can range from accurate and coherent to dangerously erroneous. Patient and practitioner desperation around both a […]

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Nasal & sinus irrigation

Nasal & sinus irrigation (jala neti) is easier and arguably as important for some people as brushing teeth. Nasal & sinus irrigation is used to treat and manage: allergies – dust mites, pollen post-nasal drip due to chronic sinusitis or as a result of upper respiratory tract infection industrial and recreational dust and particulate exposure […]

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Acute Repetitive lumbar syndrome: insight into a subtype of mechanical back pain

Insight into a subtype of mechanical back pain A recent article published in JBMT is the culmination of at least 12 years of research into the underlying mechanisms of acute repetitive lumbar syndrome. This article is of enormous clinical significance and will alter treatment and management of this type of injury. The basic interplay is simple:  repetitive […]

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asana is not yoga

The misunderstandings about what yoga is and the pursuit of Western ideas of the body inscribed within asana is a cause for concern and call for analysis and evaluation. The tendency amongst many students who practice asana to pursue deeper and more difficult forms is antithetic to yoga and often leads to injury. The most […]

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space – the place where physiology happens

In dysfunction and disease physiological space is altered. Pathological processes and tissue change associated with disease alter spatial relationships. Whether it is a muscle tear, degenerative joint disease, tendon inflammation and fibrosis – space is altered. Osteopathic treatment is often directed towards improving spatial relationships between and within tissues entangled by dysfunction or disease. Physiological […]

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western movement culture

Western movement consist mainly of sport and as such can generally be characterised as performative, linear, competitive, high-impact, repetitive and injurious. The fitness industry is generally dedicated to producing a particular image of wellness through the overdevelopment of imbalanced musculature. Our culture lacks the equivalent of tai chi or yoga that cultivate awareness, sensitivity, functional […]

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Reflecting on the fashion of fascia

The ‘neuromyofascial unit’ is an osteopathic idea that has informed our diagnostic and treatment approach for at least 70 years. In the last 20 years there has been an exponential increase in research and publication relating to fascia. This research has deepened our understanding of fascia and supported the emergence and legitimacy of therapeutic systems […]

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Adolescent growth pressures

I recently treated an adolescent patient who I had not seen for a couple of years. She came towards the practice noticeably taller and stooped. She appeared emotionally heavy, lacking the brightness and spark of the cheeky kid I had previously treated for sport related strains. On this occasion she had independently sought treatment for […]

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