Dr Chris Norris PhD, MCSP is a physiotherapist with over 35 years' experience. He has an MSc in Exercise Science and a PhD in Backpain Rehabilitation, together with clinical qualifications in manual therapy, orthopaedic medicine, acupuncture, and medical education.
Chris is the author of 12 books on physiotherapy, exercise, and acupuncture and lectures widely in the UK and abroad. He is a visiting lecturer and external examiner to several universities at postgraduate level. He runs private clinics in Cheshire and Manchester and his postgraduate courses for therapists are on his website.
Manual therapy (MT) is a commonly used therapeutic technique, which may be applied to both joints and soft tissue. As we saw in the article ‘Clinically Effective Manual Therapy for the Hip’, MT has quantifiable effects on pain and movement, but its effects are likely to sit within a biopsychosocial rather than purely mechanistic model of healthcare. In this article we will use examples of MT on the knee to show how this technique may be used as a central part of a rehabilitation process. Register free below (or log in if you already have an account) to watch some of the videos included within the article, along with the key points and other related resources.
Manual therapy (MT) encompasses hands-on techniques for both joints and soft tissues. In this article we will focus on joint procedures and look briefly at how clinical effects may be achieved. Using the hip as an example we will examine several clinically effective MT techniques for this region. This will allow you to understand when and how to use joint-based MT and so to tailor a care package to the specific needs of your patients for the optimum results. Register free below (or log in if you already have an account) and you can access the article key points and other related resources.
This article discusses the incidence, presentation, anatomy and biomechanics of patellofemoral pain syndrome (PFPS) before delving deeper into patient examination, the practical application of patellar taping, the use of orthoses and exercise rehabilitation therapy. It is supported by a series of videos which can also be used as part of a patient education programme, as well as printable patient information leaflets.
Register or sign in to access two cutting edge videos on Tips and Tricks for Examination of Patellofemoral Pain Syndrome and Eccentric Strength Training for Patellofemoral Pain Syndrome as well as the key points for this article.
This article with accompanying videos and a client handout, has been written for practitioners, and discusses the issue of osteoarthritis of the knee, the role of exercise, its relationship with (or not) arthritis and progresses to physical therapy interventions including exercises which should be included as part of a strengthening and stretching plan. It is supported by videos which show manual therapy techniques that can be used as part of a treatment programme and additional videos that can be used as part of a patient education programme. Register free (or sign in) and we'll reveal a really clever way you can identify local opportunities for delivering osteoarthritis services.
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This article outlines the latest incidence statistics for chronic plantar heel pain, explains how the structure and function of the plantar fascia is affected by pathology, outlines a detailed differential diagnosis and then delves into an evidence-based exploration of passive treatment options, exercise therapy and late stage rehabilitation. We have also created an accompanying Heel Pain Content Marketing Kit which contains all the material you need to build awareness about Heel Pain and the how physical therapy can speed up the recovery process. Both the article and marketing kit are included as part of a full site subscription or can be purchased individually for those without a full site subscription. For more information register or login below.
A two page A4 leaflet that's been written for patients. It gives information on what chronic plantar heel pain feels like, what the therapist can do and what the patient can do. You can purchase it individually using the Purchase button below, or it's included in all our subscriptions. It's also brandable using our Branding Upgrade. For more information visit https://www.co-kinetic.com/pricing.
Dry needling is a technique similar to acupuncture that is used for the treatment of trigger points and muscle pain. This article describes its effects, dangers and technique as well as providing details of how to treat common trigger points.
Exercise therapy is frequently a keystone to treatment, and one of the original four pillars of the physiotherapy profession outlined in 1922, when the physiotherapy society was first granted a Royal Charter. Much has changed since that time, with various exercise types coming into and out of fashion. Yoga has been around for thousands of years, but over the last 10 years we have seen a rapid grown in yoga classes in the Western world with this type of exercise becoming the latest exercise fashion. In parallel with this growth has been an interest in the use of yoga as therapy, building yoga exercises into a structured rehabilitation programme. In this article we will look at this exercise form, and the evidence of its use in rehabilitation. We will also take a brief look at how yoga exercises are practised, and what modifications are required to bring this ancient exercise form into the fold of evidence-based practice.
Impingement accounts for up to 65% of all shoulder pain, and yet studies have been unable to determine the precise structure which is at fault. This article uses an evidence-based approach to guide clinical practice by looking at anatomy, pathology and function of the shoulder region. By understanding how to optimise shoulder function, treatment of several body regions can be combined to address impingement problems. A number of hands-on manual therapy techniques are described for the initial management of shoulder impingement problems.
Impingement accounts for up to 65% of all shoulder pain, and yet studies have been unable to determine the precise structure which is at fault. This article uses an evidence based approach to guide clinical practice by looking at anatomy, pathology and function of the shoulder region. By understanding how to optimise shoulder function, treatment of several body regions can be combined to address impingement problems. Rehabilitation is used to target compensatory movements and re-establish optimal shoulder function, and the practitioner is guided through a rehab programme which can be applied to patients immediately.