Lumbar Spine

First of all I will confess that I devoted several years of my physiotherapy career to learning and “mastering” spinal manipulative therapy (SMT). Early on in my 33 year career, I truly believed [...]

I like to classify patients with motor control impairments into two basic types: Tight Control Loose Control Tight Control: Too Much Stiffness, Not Enough Freedom Patients with tight control tend [...]

For the past 25 years, people have been obsessed with strengthening their “core” to fix or prevent low back pain. And I’ll admit it—25 years ago, fresh from Australia, I was fully on board the [...]

Imagine you’re driving and approach an intersection where you’ve encountered a red light. Your brain has learned that red lights mean “stop” because moving forward could lead to danger. [...]

It is insanity that despite the lack of evidence for its efficacy and the overwhelming evidence of the potential harms of opioids, still 40% of patients with low back or neck pain who visit their [...]

Did your mother ever tell you to sit up or stand up tall? Why? Was she a physio? We have the tendency to blame posture for many of our patients’ problems because posture is a really low hanging [...]

This systematic review supports the use of neural mobilizations / flossing. “… with large effects of pain and disability in people with LBP” – Neto et al 2016 My favourite neural mob exercise to [...]

This information based on a webinar by Dr. Jack Callaghan. For the past 10 years, prolonged sitting has been blamed to be the leading cause of obesity and death! However, this study looked at [...]

Since there are literally over a hundred physical examination techniques for the lumbar spine, I know that assessing a patient with low back pain (LBP) can be quite challenging. However, I want [...]

For decades, healthcare providers such as PTs have been advising people with low back pain (LBP) to sit up tall, not slouch, not twist, and to avoid excessive lumbar flexion. Sadly after decades [...]