• Big Changes and a New Website

    I am finally teaching again.  I have developed a new course that aims to help therapists, strength coaches, personal trainers and kinesiologists integrate pain science with biomechanics.  Its very easy to critique the typical biomechanical approach to treating and preventing injuries and I think it often leaves people feeling frustrated and confused.  Along with other […]

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  • Your cranky nerves: A primer for patients to understand pain

    Audience: Patients with any type of pain or injury Purpose: to learn a little about pain and convince you that pain is not in your head even though your brain plays a big role Why? Understanding pain helps decrease pain and helps us make better choices in the treatment of injury Some brief pain information tidbits you don't need a leg to feel pain in that leg (e.g. phantom limb pain) you always need a Brain to feel pain pain can become a habit - and like all habits lots of factors help keep it going Changes in how we feel pain can also come from changes in the brain and the nervous system tissue damage or degeneration does not have to lead to pain - but it certainly can

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  • human brain on a running machine

    Core stability and low back pain: How stability exercises might help. Part Two

    In part one of this post I very simple reviewed some of the ideas behind core stability and how I questioned their relevance to a patient's pain presentation.  In this follow up post I will briefly review how people with pain have different function than those without pain and give an opinion on how core 'stability" exercises may help with patients in pain in a manner that has nothing to do with stabilizing the spine.

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  • Core stability and pain: Is it time to stop using the word stability to explain pain?

    Purpose: To cherry pick a few research articles to suggest that even though our knowledge of core stability is very impressive its link to pain is poor. Nutshell summary: People in pain have spines that function differently than those not in pain.  Many treatments can influence pain.  The spine stability model of low back pain does not explain how people have pain and takes an overly mechanical view of the pain experience.  No test has ever shown that a spine is unstable or how "increasing stability" would lead to a decrease in pain.  Thinking that our spines need more stability or control may be the completely wrong path in explaining how people have pain or how our exercises help them.   Our treatment "corrections" occur not via one specific "corrective" mechanism (e.g. improving stability) but rather through global non-specific mechanisms that our better explained by our understanding of pain neuroscience.  Making the shift from believing that "stability" is the issue with pain can thus free up to choose completely different exercise programs.  Exercise and treatment prescription thus become simpler.  We have preliminary evidence to support this view with the clinical studies that show benefits with the various exercise conditioning programs that train different schools of thought on stability or the just as effective programs that completely ignore any concepts of stability.

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  • Hip Centricity: A pictorial of hip exercises

    Audience: Patients Purpose: I recommend a lot of  hip exercises and consider variety and novelty important for people in pain and for athletic injury rehabilitation.   This is just a catalog of pictures.  Please don't do them and don't consider these to be the be and end all for exercises.  Many other exercises can also be chosen to achieve your goals.  Below is a catalog of a number of exercises that you can use to train/stress your hips.

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Reconciling Biomechanics with Pain Science Course for Healthcare Professionals

Reconciling Biomechanics with Pain Science Course for Healthcare Professionals

Courses for therapists and fitness professionals to help reconceptualize and fit biomechanics within a biopsychosocial framework.

Running Science

Running Science

Great links to running injury courses, running mechanics and running injury treatment

Injury Management

Injury Management

Treatment in Toronto and useful resources

Toronto Running Analysis

Toronto Running Analysis

Biomechanical Running Analyses and Injury Prevention and Performance Programs

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