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Vastus Medialis Obliquus (VMO) Exercises

There remains controversy over whether the vastus medialis can be divided in to vastus medialis longus and vastus medialis obliquus (VMO) (Smith et al 2008). Nonetheless in rehabilitation we frequently attempt to bias our strengthening exercises towards the medial portion of the quadriceps over...

Hand Position And Over Active Upper Trapezius

When teaching exercises to patients the priority is often the patient’s key dysfunctional areas. In other cases spinal alignment and inner unit activation are top priorities. Further we can all be guilty of giving too many extrinsic cues to patients and we may want to focus on just one area of cueing too avoid confusing...

The Lazy Man’s Guide To Improving Mobility

Fitting in time for all the training to reach your health and performance goals can be demanding. Here are some of the tips I’ve used myself to improve my own and my clients mobility and strength...

9 Key Principles I Learned From Guy Voyer

Firstly let me state that Guy is not big on principles. In fact, when I asked him for key principles to help understand his approach, he asked if I knew who Descartes was and suggested I was too Cartesian. He did not know how right he was, as I start every review I do so by writing down Descartes’...

Calcium Dumping Syndrome

Calcium dumping syndrome is a traditional naturopathic concept and not recognised medically (Plaskett 2008). In naturopathy the condition is linked with arthritis, spondylitis, gallstones, renal stones and arterial atheroma. Naturopaths state that as a result of calcium dumping syndrome the symptoms of calcium deficiency...

The Complexities of Movement Specific Diagnosis in the Spine

Shirley Sahrmann’s (2002) movement diagnosis approach is undoubtedly one of the most clinically useful I have studied. She states that the patient’s directional susceptibility to movement or the path of least resistance is the direction the patient is most likely to get injured in. For example a patient with an increased lumbar...

Assess, Treat, Re-assess: Applying The Clinical Audit Process

The clinical audit process is the process of applying a test or multiple tests with a patient. Then applying an intervention or combination of interventions and then re-assessing the original test or tests. This process can be conducted over a period of minutes or months. It is an incredibly useful methodology giving you feedback...

Low Back Pain, Modic Changes and Bacterial Infections

Modic changes are edema in the vertebral body, which can only be detected on magnetic resonance imaging (MRI) and are closely associated with low back pain. There is growing evidence their formation may be related to bacterial infection. Herniated discs may be susceptible to bacterial infection and these infections...

Ankle Pain and……the Neck! (Part 1)

A couple of weeks ago a patient was referred to me with sinus tarsi syndrome. The sinus tarsi is a small boney canal under the talus, the bone below your two shin bones. Sinus tarsi syndrome is considered by some to be an inaccurate diagnosis in that it can be further refined (Frey et al 1999). For example the term ‘sinus tarsi syndrome’ is diagnosed...

Virtus Clinic Enters The Blogosphere!

Welcome to the Virtus Clinic Blog! Here you will find blogs about exercise, diet, clinical approaches, motivation and much more! If you want to discuss anything mentioned here or find out more about Virtus check out our website at www.virtusclinic.com or Like the ‘Virtus Clinic Hedge End’ facebook page!

Ankle Pain and the Neck Part 2

Part 1 discussed why a patient’s sinus tarsi syndrome may have been due to cumulative trauma, driven by over pronation. Then how the patient’s anteriorly rotated pelvis on the same side may have been causing this over pronation. This part will discuss how the upper cervical spine can influence the pelvis and thus the feet...

How are your lower abdominals? Part 2: Gut Health

In part 1 we discussed the importance of body fat to flattening your lower abdominals. In this part we will discuss the importance of gut health to flat abdominals. As the abdominals lie on top of large parts of intestinal tract a blockage, swelling or inflammation within the intestinal tract will cause an expansion in the intestine...
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  • About
    • About Kieran
    • Testimonials
    • Blog
    • For Health Professionals
    • The Low Back Pain Research Update
  • Services
    • Physiotherapy
    • Nutritional Therapy
  • What I Treat
    • Chronic Pain
    • Ankylosing Spondylitis
    • Fibromyalgia
    • Hypermobility Ehlers-Danlos Syndromes (hEDS)
    • Chronic Fatigue
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