What is Cognitive Functional Therapy

My viewpoint of Cognitive Functional Therapy. Cognitive Functional Therapy (CFT) is the combination of bio-pyschosocial care (not bio-medical), cognitive behavioural therapy, motivational interviewing and exercise. It is a comprehensive and sound therapy model:) The model has been proposed and developed by Peter O’Sullivan. He created the model primarily for chronic low back pain but I see commonalities in the CFT approach with those of Jeremy Lewis, Adam Meakins, Greg Lehman, Bahram Jam, Sandy Hilton, and [...]

By | 2018-07-11T21:25:51+00:00 July 10th, 2018|Education, Physiotherapy|0 Comments

Sport Injuries: Lateral elbow pain

If you play competitive sports you have felt the inevitable pains that can come with too much activity. Often these pains are felt in your tendons. In this blog I will discuss how the latest researching is guiding our treatment of lateral elbow pain, while weaving in my own experience with this injury. Tendons transmit forces between muscle and bones. We don’t yet fully understand tendon pathology (the injury process), but research is providing greater [...]

By | 2018-06-07T02:31:37+00:00 June 7th, 2018|Education, Health questions answered|0 Comments

Sport Injuries: Low back pain.

Back pain inflicts western society more than any other disability. It is a huge burden on our system and sadly it is a largely manageable and preventable injury. Why has it become so out of control? There are appear to be numerous factors contributing to the ballooning costs (not in any order of importance). We assume a simple cause and effect but multiple factors are often at play. A bio-pyschosocial approach is more comprehensive and [...]

By | 2018-06-07T02:38:18+00:00 May 23rd, 2018|Education, Physiotherapy|0 Comments

Strength training: Six patterns to know

I see far too many people spend hard earned time in the gym on exercises that don't provide enough benefit. As long as you are healthy and have experience lifting weights consider sticking to these six patterns to give you the most out of your workout. Of course the best picked exercise don't matter if we don't adhere to plan, so make sure you create a plan that is realistic, enjoyable and flexible. If it doesn't [...]

By | 2018-06-07T02:39:01+00:00 May 15th, 2018|Education|0 Comments

Sport injuries: achilles pain

If you play competitive sports you have felt the inevitable pains that can come with too much activity. Often these pains are felt in our tendons. Tendons transmit forces between muscle and bones. We don’t yet fully understand tendon pathology (the injury process), but research is providing greater clarity. I believe the following three points are a good place to start: A tendon injury appears to be caused by a combination of high load and [...]

By | 2018-06-07T02:39:18+00:00 May 12th, 2018|Education|0 Comments

Why IMS, dry needling, or acupuncture are NOT the next big thing and what you can do instead.

I practice physiotherapy in Vancouver. When I started my career it felt like I couldn’t be a good therapist unless I did dry needling. Chan Gunn, of Gunn IMS, lives and works in Vancouver and has a strong hold on the PT community. I got my dry needling certification and used it for a few years - it seemed to work - but five years on I am glad to have thrown my needles away [...]

By | 2018-05-04T19:05:20+00:00 May 4th, 2018|Education, Physiotherapy|0 Comments

Sport injuries: Hamstring strain

Hamstring injuries - both muscle strains and tendon overload can benefit from load management, strengthening, and movement skill. In this video and post I discuss the benefits and implementation of a strengthening routine. In high speed sports like squash, soccer, and rugby, hamstring injuries are common place. The high velocity of sprinting, kicking, and lunging puts the hamstring unit under tremendous stress. If an athlete manages stress well the unit can become more resilient but [...]

By | 2018-06-07T02:39:53+00:00 February 26th, 2018|Education, Movement and health Videos|0 Comments

Squash Resilience

https://youtu.be/UEUTebpZSpM Wow...what a rally. As amateur squash players our rallies may not always get to two minutes, but this rally begs the questions - what do the best do to tolerate such gruelling points?  How do you become a more resilient amateur athlete?   First things first. Injuries typically occur, not because of overuse but under-training . The body was inadequately prepared for the sport. If you train smart and hard your body can handle a lot of [...]

By | 2018-06-13T20:05:17+00:00 September 23rd, 2017|Education, Physiotherapy|0 Comments

Change pain with deliberate practice

We all do it - clinicians, clients, athletes, and workers - we go through the motions. We move from one activity to the next with very little focus or purpose in our actions. To enhance performance or the healing process, we ought to do more. For many years we have understood that deliberate practice can exceed results of just "practicing".  We have learnt that a greater awareness in one's body can modify the pain experience. As [...]

By | 2017-09-21T16:11:17+00:00 September 21st, 2017|Education, Physiotherapy|0 Comments

What is the homunculus?

In my opinion and of many others (Reference), the brightest spot in the progression of physiotherapy is our  evolving knowledge of pain science (ie why things hurt). In this post I will try to explain the role of the homunculus. It is a recognizable term to most but beyond it being something to do with the brain I imagine things are little fuzzy:) It is important to physios because it broadens our understanding of pain. The [...]

By | 2018-02-26T23:11:11+00:00 August 30th, 2017|Education|0 Comments