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Caffeine and exercise performance
Caffeine is the most widely consumed psychoactive substance in the world, and as many as 90% of the western world ingest it on a regular...


Patient review
A very kind review from a patient I help manage with their chronic lower back pain. Chronic lower back pain affects as many as one-third...


A review really does make your day
Any Osteopath will tell you, when you receive a success story from a patient, it really does make you smile. Our job is to help and guide...


'Hitting the wall' in marathon running
Many have heard about the phenomenon 'hitting the wall' in long distance running, and attribute it to a sudden slowing of pace, usually...


Sprain or strain?
Sprains and strains are terms that get utilised regularly to describe injuries, but do we know the difference? Sprains occur when a...


Achilles tendinopathy - which treatment is most effective?
Achilles tendinopathy is an overload injury, and can affect as many as 50% of the active population who run or play team sports....


Acute tennis injuries
Acute injuries in elite professional tennis players differ to those who recreationally play. Reasoning behind this is down to associated...


Is osteopathic treatment uncomfortable?
Whenever I meet a patient for the first time, I always ask if they know what to expect from the consultation, and occasionally they reply...


Red flags - what are they?
It would not be uncommon for patients to 'Google' their symptoms, and be faced with daunting suggestions that they have a serious...


Patello-femoral pain syndrome: is spinal manipulation favourable over local exercise therapy?
Patello-femoral pain syndrome (PFPS) is a chronic musculoskeletal condition characterised by pain behind the knee cap, usually worsened...


How are muscle strains categorised?
Muscle injuries account for up to 1/3 of all sports related injuries, and can lead to extended periods of time out of sport. It is...


The truth behind 'runner's high'.
Have you had that feeling of total relaxation after a good run? Chances are your body has released a large number of endocannabinoids...


Shoulder injuries in athletes who partake in overhead and throwing activities
Sports such as tennis, squash, swimming, cricket and volleyball all require the athlete to be able to perform overhead arm movements, but...


Does aggressive rehabilitation offer the best outcomes?
Musculoskeletal injuries, such as lower back and neck pain, can emanate from the skin, fascia, bursa, muscle, ligaments, tendons and...


Reducing your chances of injury
Injuries can hit when we're least expecting them, and can have a huge impact physically, emotionally and socially. Harbouring an injury...


Does running lead to knee osteoarthritis?
There have long been discussions as to whether habitual running leads to osteoarthritis of the knee. Some studies have taken place to...


Piriformis syndrome - fuelled by sedentary lifestyles
As a nation, we are sitting for longer periods than ever before. Particularly in today's current climate, we are working from home,...


Best practice guidelines for plantar heel pain
Plantar heel pain usually affects middle-aged and older adults who are sedentary, but also accounts for 8% of all running-related...


Degenerative meniscal tears and knee osteoarthritis
Meniscal tears are present in 60-90% of people with symptomatic knee osteoarthritis. Physical therapy and home-based exercise programmes...
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