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Knee surgery - total knee replacement, arthroscopy, ACL - getting a good result

Knee Surgery – getting a good result

I don’t think it will surprise anyone who’s met me or read my blog that  in my opinion surgery is to be considered the last resort, the thing you do when you’ve tried everything else or things have got so bad there just isn’t another option. But if you are at that point then I think it’s important to get the BEST results possible. These points apply for all kind…

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Headaches and migraines come from physical causes

Advertising headaches and migraines

I don’t watch a lot of TV but I did happen to spot this advert for Nurofen. Now I’m pretty sure that a couple of nurofen isn’t going to make a huge difference if you have a migraine but what this advert does show is how the physical structures in the head and neck affect headaches. Tension headaches and migraines are both related to physical issues – tension in the…

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Dermatomes and nerve pain that doesn't get better at Bodyworks Clinic Marbella

Pain that doesn’t get better – how Dermatomes can help

I’ve written a few times now about nerve pain and how it confuses treatment. The problems with nerve pain are: Identifying it Finding the root cause And this is why you can be having the best tennis/golfers elbow treatment, the best carpal tunnel treatment, the best knee and leg pain treatment with no effect. Because it’s actually a problem with the nerve supplying that area not that area itself. The…

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predicting the future with gait analysis

Bunions – predicting the future

“I have a vision . . . . a vision of your future . . . . . it’s a pain free future . . . . . ” Yes, yes, I know, it’s an old joke that I can predict your future with gait analysis. The studies show that it can predict your outcome after hip replacement surgery and now it turns out that it can predict your injury…

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chronic knee pain and how to manage it

Chronic Pain – Part 3

In my first post about chronic pain I explained the difference between chronic pain and acute pain and how pain functions in the body. In my second post I talked about central sensitization and how this complicates treatment for patients with chronic pain – making them, quite literally, feel more pain, more easily with less stimulation. So now I want to put this in a real life context. Knee Surgery…

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Spinal nerves and sciatica

Sciatica . . . . in your arms?

Most of us are familiar with sciatica, when the discs in the lower spine (specifically L3) get compressed and start to press onto the sciatic nerve. This causes pain and tingling in the leg and buttock as well as leg weakness and pain into the foot. In fact sciatica is often used as a “catch all” term to describe all kinds of nerve issues coming from the lower back and…

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Taming the lion of chronic pain and central sensitization

Chronic Pain – Part 2

In my first article about chronic pain I started to explain a little about why chronic pain is different and needs to be treated differently. I talked about the science behind it and how pain works. Now let’s start to put that into context of how chronic pain affects you and how it makes you feel. One of the terms we often use when talking about chronic pain is “central…

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neck pain can cause a long list of symptoms

Neck pain . . and the rest of the symptoms

Neck pain, so much more than a pain in the neck! When I spoke about whiplash I mentioned some of the other conditions and symptoms which whiplash victims can also suffer from. And the reason why whiplash victims often end up with a whole laundry list of symptoms apparently unconnected to their neck? Every single nerve in the body travels through the neck. And every single action in the body,…

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Video Gait and Pressure Analysis

Gait Analysis and hip osteoarthritis

In the past I have jokingly referred to gait analysis as a way to predict the future. I can watch you walk, analyse your foot function and be pretty certain whether you will have hip, knee or ankle pain in the next decade. Foot function rarely alters, it gets worse but if you have high big toe impact at 18 the chances are you will continue to have high big…

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Whiplash injuries - more complicated than simply neck pain

Whiplash – how long does it last?

A few years ago I was involved in a car accident – another driver didn’t see the red light and rear ended me. I became part of a growing statistic – a whiplash victim. Immediate and Short Term Symptoms stiffness and tenderness in the neck and upper back headaches dizziness pain into shoulders and arms difficulty turning your head Early Treatment The quicker you start treatment, the better. Use an…

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