These articles are an educational resource for healthcare professionals only. They are not meant as a patient resource or to inform about diagnosis or treatment options for any particular individual or condition. For healthcare articles and exercises patients can click on ‘Patient Resources’ in the menu.

Darren Chandler Darren Chandler

Interoception

Interoception is the conscious and non-conscious sensing, interpreting, integrating and regulation of internal bodily signals. It regulates homeostasis through the visceral, immune, and autonomic systems, using nociceptive, chemosensory and thermoregulatory information (Bohlen et al 2021). For example, it regulates, temperature, pain, immune, hormonal, and cardiovascular activities, touch, hunger and thirst (Di Lernia et al 2016).

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Darren Chandler Darren Chandler

Pain Catastrophising

Catastrophisers are highly stressed and anxious of an uncertain, uncontrollable future. Dwelling on their predictions that the worst will happen causes catastrophisers to define setbacks, not as a productive learning experience, but as catastrophic “if I fail this exam I’ll never get a job and end up miserable for the rest of my life”.

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Darren Winter Darren Winter

Dorsal Scapular Neuropathy

Periscapular pain is a common clinical presentation. Amongst other causes an entrapment neuropathy of the dorsal scapular nerve can cause these symptoms. These conditions can be treat with conservative treatment.

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Darren Winter Darren Winter

Thoracolumbar Joint Syndrome

It has been reported that 15% to 25% of pain in patients with pain in the posterior iliac crest area results from injury of the posterior ramus of the T12 thoracic nerve due to fracture or degenerative changes and this pain is often confused with back pain originating in the sacral region.

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Darren Winter Darren Winter

Thoracic Nerve Entrapment

The dorsal ramus passes through the narrow space between the bony structures and adjacent fibrous tissue (Ishizuka 2012) to innervate the joints, muscles and skin of the back…

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Darren Winter Darren Winter

Happiness & Positivity

Given the choice most people would say winning the lottery would improve their happiness but a year later these people adapt and return to previous levels of happiness (Delamothe et al 2005).

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Darren Winter Darren Winter

Ideomotion & Fascial Unwinding

Minasny (2009) found fascial unwinding to involve two aspects:

Passively moving the patient in response to sensations of movement.

Inducing involuntary movement by using an initiation or induction technique.

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Darren Winter Darren Winter

Emotional Intelligence

Emotion not only affects the way people think and act but also determines judgement and information processing (Gong et al 2019).

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Darren Winter Darren Winter

Burnout

Having an awareness of the process of burnout, as well as working patterns, environmental and personality traits that predispose to burnout, will, it is hoped, if taken in context, inform the individual how to benefit from making positive changes…

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Darren Winter Darren Winter

Anatomy & mechanics of the ribs & Diaphragm

Ribs 2-9: are typical ribs. They articulate via inferior and superior costal facets connecting to the bodies of two adjacent vertebrae; the vertebra of the same number and the vertebra above…

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Darren Winter Darren Winter

Proximal Hamstring-Sacrotuberous Ligament

Perez-Bellmunt et al (2015) found the proximal attachment of the hamstrings to be anchored in place (along with the sacrotuberous ligament) by a retinaculum attached to each side of the ischial tuberosity…

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Darren Winter Darren Winter

Dorsal Ramus: Anatomy & Clinical Presentation

Saito et al (2013) described the L2 spinal nerve and ventral rami as a 'continuous stem' . This is opposed to the dorsal rami that was described as a 'branch of the spinal nerve'. These authors did not specify if this was unique to L2.

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Darren Winter Darren Winter

Myofascia of the Knee

The iliotibial band is merely a lateral expansion of the fascia lata and made up of three layers: superficial, middle and deep…

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