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The Paradigm Shift that is the McKenzie Method (Part 1)

The Paradigm Shift that is the McKenzie Method (Part 1)

In this 4 part series, I will highlight the reasons why our current method of treating musculoskeletal pain is in need of a paradigm shift, defined as a fundamental change in approach or underlying assumptions, and propose the method that is well suited to fit this...

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You use these areas of your brain every time you’re in pain

You use these areas of your brain every time you’re in pain

We have always known that the brain is vital in the experience of pain. There may be no truer statement regarding this notion than “No Brain, No Pain”. While we know that the brain is involved in every pain experience, it remains our most mysterious organ. While there...

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I was told it’s my Sacroiliac Joint…

I was told it’s my Sacroiliac Joint…

Theories surrounding the anatomical tissue source (the culprit) of lower back pain has been debated among medical professionals for centuries, if not longer. One of these culprits, especially popular among chiropractors and osteopaths, has been the sacroiliac (SI)...

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I was told I have a Rotator Cuff Tear….

I was told I have a Rotator Cuff Tear….

Not me personally (or at least not that I know about), but this is something I occasionally hear from patients with shoulder pain. Typically these patients are over 60 and don’t have a traumatic incident that caused their shoulder pain (e.g. a fall on an outstretched...

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The Role of Imaging in Musculoskeletal Pain

The Role of Imaging in Musculoskeletal Pain

In today’s health care landscape, if you see your doctor for musculoskeletal pain, there is a good chance that you will receive an x-ray. There are certain instances where an x-ray is absolutely justified, for example if you have had a recent trauma or when you have...

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Treating Pain Based on a 400 Year Old Paradigm

Treating Pain Based on a 400 Year Old Paradigm

The way the majority of our healthcare system treats pain is based on a 400 year old paradigm from the French philosopher, mathematician, and scientist Rene Descartes, and is described in his classic picture of a man with his foot by a fire. According to Descartes, if...

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The Undetected Centralizer

The Undetected Centralizer

One of the more unfortunate and expensive situations in musculoskeletal medicine is that of the Undetected Centralizer. A centralizer refers to someone with whom spinal pain and referred symptoms down an extremity, for example sciatica, are able to have their pain...

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The Role of Bike Fit in the Treatment of Cycling Injuries

The Role of Bike Fit in the Treatment of Cycling Injuries

When we run, swim, and do most other sports and activities, we have a lot of variability in our freedom of movement. Cycling is a constrained sport, yet it is also somewhat dynamic. What I mean by this is when you are on the bike, you don’t have a lot of variability...

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Does Running Increase the Risk of Hip and Knee Arthritis?

Does Running Increase the Risk of Hip and Knee Arthritis?

While running has been shown to be extremely beneficial to overall health, including lowering the incidence of heart disease, relieving depression, increasing bone density, maintaining a healthy weight, and strengthening the immune system, it is also commonly thought...

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