Jony Sena

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5 INDICATORS OF POSSIBLE BONE STRESS INJURY👀 via Brad Beer's Instagram _ 👉🏻When it comes to running various papers agree that the annual incidence of BSI is in the vicinity of 20% _ 👉🏻The aetiology of a bone stress injury can include biomechanical factors that load bone and the biological capacity of the bone to absorb the load 🏃 _ ☝🏻These are 5 indicators that an athlete may have incurred a bone stress injury: _ 1️⃣ Prior history of bone stress injury (BSI) . There exists an elevated risk of BSI if there has been a prior BSI (Wright et al, 2015). 10-12% of runners who have a history of BSI sustained a second BSI within 2yrs (Bennell et al 1996, Kelsey et al 2007) ** excuse the snapped bone image -not meant to be alarmist! ♻️ . 2️⃣ Aching pain . Often times pathological bone stress may commence with an mild diffuse ache that occurs after a specific amount of activity. At the more advanced pathology stage which involved an inflammatory response night pain m...

Get ready for a powerful origin story with Dr. Dave Tilley of Shift Movement Science . Dave, one of Erson's original group of online mentees has since gone on to be one of the major voices in rehab and gymnastics social media, as well as being the first outside PT hire at Champion PT and Sports Performance in Boston. What lead up to his success? Was it only hard work? Or too much hard work? After listening, if you know anyone or yourself are going through something similar, please reach out to Dave on social media or his site! Untold Physio Stories is sponsored by EDGE Health and Tech Solutions - we level up your website with full SEO optimization, turn it into a referral generating machine and do full G Suite and Telehealth integrations Modern Manual Therapy Insiders - over 650 Exclusive videos, Research Reviews, Webinars, Online Discussion - learn easy to apply Clinical Practice Patterns, integrate Pain Science with Manual Therapy and Patient Education Also, be sure to...

Lateral Ankle Sprains: Injury & Treatments INJURY GRADES GRADE I (mild): Ligament fibre stretch, no rupture. Minor swelling. Palpatory tenderness. Minor functional loss. No increased instability. GRADE II (moderate): Partial ligament tear. Moderate pain. Swelling and palpatory tenderness. Mild instability. Moderate functional disability. GRADE III (severe): Complete tear of ligament and joint capsule. Severe bruising, swelling, pain. Significant loss of function. Increased instability. Unable to bear weight. ✅✅ TREATMENT: Non-operative measures for Grades I–III have good to excellent outcomes. ✅ Treatment is based on the 3 phases of biological ligament healing: Inflammatory Proliferation Remodelling. 🔥🔥 INFLAMMATORY: 🔥 Avoid swelling and ongoing injury.  🔥 POLICE 4-5 days: Protect Optimal loading Ice Compression Elevation 🔥 NSAIDs decreases pain without adverse events. 🔥 Manual therapy has minimal benefits. 🔥 ...

💪🏼Achilles Tendon Strength ⤵️ ⠀ 💥If the goal is to produce more force vertically, jump higher and land in a more organized fashion, then step 1 is to build a monster Achilles tendon. Reposted with permission from  @Matthew Ibrahim  ⠀ 🧠Strength and durability can be layered onto the Achilles tendon in both a direct and indirect fashion. Direct examples are when you are trying to load that area in a solo mission. Indirect examples are when you load that area along with other areas of your body (i.e., knees) being loaded simultaneously. ⠀ 👣Either way, let's start getting your Achilles strong, durable and resilient to the stressors and demands being placed on it in sports that include high volumes of jumping, landing, cutting and the like. ⠀ 🎯Direct Loading: ⠀ 1. KB Seated 1-Leg Heel Raise Iso ⠀ 2. SSB Hatfield Elevated Standing Heel Raise w/ 3s Eccentric ⠀ 🎯Indirect Loading: ⠀ 1. DB Heels-Up Split Squat ⠀ 2. DB Floating Heel FFE Split Squat Want to learn in p...

In this episode, Andrew talks about a recent and ongoing episode of low back pain. He ends up discovering a solution that very few of us as PTs and movement/rehab professionals would prescribe in such a dosage. Have you ever prescribed something similar? Untold Physio Stories is sponsored by EDGE Health and Tech Solutions - we level up your website with full SEO optimization, turn it into a referral generating machine and do full G Suite and Telehealth integrations - find out more at  https://edgehealthandtech.com Modern Manual Therapy Insiders - over 650 Exclusive videos, Research Reviews, Webinars, Online Discussion - learn easy to apply Clinical Practice Patterns, integrate Pain Science with Manual Therapy and Patient Education - Join now at  https://insiders.modernmanualtherapy.com Also, be sure to check out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual -  https://edgemobsys.com/bestsellers Ke...

Inherently, Relational Frame Theory (RFT) is an extremely complex theory to explain in a short form. Hayes himself struggles with it and even the best written introduction to RFT from Niklas Törneke has proven difficult to consolidate in a single post. At its most basic level, RFT is the most empirically studied theory of human language and cognition. While it may be overwhelming at first, I encourage reading my previous post here , to learn about contextualism prior to, or after you read this post. Furthermore, I encourage readers to learn the importance of RFT being built on a functional contextualistic perspective, the basis of ACT and other therapies, and that this is fundamentally different than descriptive contextualism , the basis of narrative medicine (please read more here ). Törneke does an impressive job of condensing this into 237 pages that are quite easy to read, even for someone who does not have a formal background in behavioral psychology. I would encour...

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🎯4 “minimalist” exercises to improve lower body strength and resilience. ⠀ reposted with permission from ✊🏼Collaboration: @thefitnessmaverick + @matthewibrahim_ ⠀ Knee Focus: ⠀ 1. Deadstop Skater Squats – Skater Squats build single leg strength and stability. Structurally they suit many better than trying to perform single-leg squats using the “Pistol” technique. Try with bodyweight alone, although a light weight held in front acts as counterbalance and allows more depth. ⠀ 2. DB Split Squat w/ 5s Ecc – Load this one up as heavy as you can tolerate knowing that the 5-second eccentric (lowering) phase is going to be a good challenge for your knee strength and durability. The added full leg pump is just a nice bonus. ⠀ Hip Focus: ⠀ 1. Double-Banded Pull-Throughs - Since load remains close to your hips this Pull-Through technique allows for a back-friendly way to get some activation through your glutes and hamstrings. Double-banding is a more comfortable way to achieve this than ho...

It is well known now through high level evidence that seeing a physical therapist is the correct approach to managing Cervicogenic Dizziness.  In fact, it can be said with confidence that Manual Therapy, such as joint mobilization/manipulation and soft tissue mobilization/manipulation to the cervical spine, is the best way to treat symptoms associated Cervicogenic Dizziness. Manual Therapy approaches for Cervicogenic Dizziness Yaseen et al 2018  (a systematic review)  reiterated  the results from  Reid et al 2005  (a previous systematic review) and even bumped up the “level” of evidence to Level 2.  Having consistent results over a decade and even “higher evidence” through greater methodological studies is very solid research approach in the musculoskeletal field. One of the reasons the level of evidence was bumped up from the systematic reviews in 2005 to 2018 was due to Susan Reid’s work on use of passive joint mobilization (Maitland) and S...

🧱Core Strength & Stability⤵️ reposted with permission from Matthew Ibrahim's Instagram - ⠀ Is it okay to flex your spine, extend your spine, rotate your spine and/or side bend with your spine? ⠀ Yes. One more time for the people in the back: yes! ⠀ On the surface, nothing is inherently wrong or bad with doing these things. ⠀ However, let's set the stage first and foremost by building a strong and durable core by focusing on core strength and stability. That's the key for long-term core and low back health. ⠀ This is where all of the "anti" core exercises come into play: ⠀ • Anti-extension • Anti-side bend (lateral flexion) • Anti-flexion • Anti-rotation ⠀ By training the core in this fashion first, you're allowing these muscles to do their primary job: stabilize the spine. Building strength in the core through this avenue is a surefire way to forge spinal resilience. ⠀ 🎯Anti-Extension Core Exercise: ⠀ - Ab Wheel Tall Kneel Roll-Out ⠀ 🎯Anti-Side B...