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See, that’s what the app is perfect for.

Sounds perfect Wahhhh, I don’t wanna
visceralcerebra

19/01/2016: 
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Physio appointment done.
Continue all exercises. Add one more. Add weights back in. There with be a conversation at end of clinic with my pain management consultant, hopefully  X-ray as part of appointment on 8th Feb.
Next physio appointment is 5th Apr.
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Asked about my other pain management referrals. TENS should be end of January. Acupuncture should start at some point in March. Woooo. Full calendar. (I love the NHS)
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Actual appointment felt kind of unproductive, but the setting stuff up for next time I’m here, and looking at when the referrals are likely to be feels good and productive.

These pictures are from today, Apart from the one sitting on the floor a few days ago because the walls were not where they should have been. A combination of Less Than Three hours sleep because of pain, victory coffee, and pre-naptime and just now in front of my PC.

me personal hospital appointments physio physiotherapy nb nonbinary genderfluid this is what chronic illness looks like but you don't look sick victory coffee
in-fitness-in-health

Foods and life’s for past 2 days

No gym on Monday as my neck was playing up allllll day and honestly I had run out of things to train that didn’t hurt ahha, food was good and I just covered a load of life admin… Christmas, wrapping, watching Harry potter…. Lols

Tonight I had physio for the Ol neck and the guy basically pointed out how right my whole left hand side of my shoulder is, my peck is really tight and pulling it all together in a knot at the side of my neck, painful massage later and I feel ok… Not amazing but what I love about those guys is there is never any pressure to return, they give you a good once over and then tell you how to manage it and off you go so here’s hoping that gets better!

New dress…. Now currently sitting here writing this watching Harry Potter again… With a deep moisturising mask on my face because I am just a flaky mess.

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evolutioblog

4 Reasons your Shin Splints aren’t going away

Before we get to the reasons your still in pain after all this time. I’m going to tell you a story and question, at least the last 15-20 years of treatment for shin splints pain. In my view, over pronation is an old fashioned, poorly constructed theory for why shin splints develops. It causes tunnel vision and prevents us as practitioners and our patients from doing the necessary work to uncover the truth.

Shin splints is an old fashioned term like ‘blithering’ or ‘applesauce’. It broadly describes pain in the shin area. Which can be anything from excessive bone strain to bone stress to the fully developed stress fracture. Some people would even throw compartment syndrome into the mix, even though personally I would put this in a slightly different category. The most common, the stress syndrome a by-product of excessive bone strain over time, can develop on either inner (medial) or outer (lateral) aspects of the shin or tibia. Characterised by the stress laid out on the lower tibia from the constant yanking from muscle attachments along this wall.

Back a couple of years ago, when we were early to primary school, we were made to run around the oval non-stop until the bell would ring for the start of school. My parents, eager to get rid of me for as long as possible, would drop my off 30 minutes before school. I was a lean kid, so the little amount of muscle I had on my lower legs would cling to the bone like whiskey to a Scotsman.


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The combination of this in school shoes that weighed the same as me at the time, in addition to the growth I was going through, meant that my muscles already weak and strained had to work over a longer distance and under more duress. In addition, I was now sitting in school more, apart from a short game of pokemon on the lawn at morning tea. So this was the true concoction for bone stress, not the over pronation theory I was thrown by multiple practitioners.

Here’s the deal. Take the blue pill, and you can close this blog and continue on with your life and shins the way they are. Take the red pill, and I’ll show you the real reasons your shin splints aren’t improving with rest, ice, anti-inflammatories and those orthotics.


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1.      Your looking down the wrong Rabbit Hole

When you look down the rabbit hole. All you see is a pair of bright blue orthotics giving medial arch support. You switch them between shoes, work shoes, running shoes, golf shoes, tennis shoes, dancing shoes. After a while they become part of you. You believe you can’t sleep without them. I’m going to annoy a lot of people when I say this, but I believe orthotics are just an easy road the practitioner takes to fix a more complicated issue and a money making exercise.


2.      You’re not putting in the Time & Money to get the problem fixed.

Sometimes I’m fascinated that individuals will go a spend $2000 on getting their triumph serviced and fixed because they don’t want any issues getting to and from work. Yet tell people, they need to spend a few hundred to get their foot, ankle and leg fixed, so they can run and be active without pain and they hesitate.

I’ve seen 1000’s of clients over the years. I’m yet to see anyone who hasn’t improved if they put the work in, and listen to our instructions.

See a practitioner regularly early, follow their advice, don’t try and spread appointments out until they say so. Otherwise you’re delaying the rehabilitation and you’ll end up spending more in the long run.


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You believe the Over pronation hype

You use to have cool shoes to run in. Now you run in a shoe that looks like a toned down version of the titanic. It’s black or white, and sometimes when you put them on your partner walks 5m behind you.

Let’s be honest here. Your feet don’t one day start over pronating. You didn’t go to sleep with medial arches in your midfoot and wake up the next morning with flat feet.

You need to start out by utilising a practitioner with specific skill sets like those at Evolutio to find out what is working well within the 26 bones, 33 joints and 19 muscles in your foot. Improve this first then work up the leg, to improve deficiencies and compensation that has occurred as a result.

Pronation is actually necessary when you run believe it or not. The action causes force transfer through the foot, ankle and lower leg.

So don’t have tunnel vision. Open your eyes to what else could be causing your shin splints. If you come to us with your orthotics. Be careful, we might throw them under a bus.

Here’s another interesting story. Shin splints in the Military is an extremely common occurrence, especially with new and young soldiers.

I can guarantee that you can’t pronate in a military boot. In fact you can’t usually feel your toes in one. So if this is the case, wouldn’t it be more realistic that suddenly constantly pack marching, running, jumping and patrolling in a boot that weighs more than 3-4 x (when dry) a normal jogger would cause massive strain on weak and under developed lower leg muscle groups, therefore causing a version of bone stress? Rather than over pronation?


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You’re not seeing us at Evolutio

Enough said. We’re a friendly crew. Drop us an email at info@evolutio.com.au, or swing by our clinics in South Yarra or Kew and say gday. Soon we will be moving to our own facility in Richmond as we continue to grow.


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“Sooner or later you’re going to realise just as I did that there’s a difference between knowing the path and walking the path” – 
One of the dudes from the Matrix.

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Alex Drew is a Physiotherapist and Founder of Evolutio which is now located at  South Yarra in addition to Kew, Melbourne.

Evolutio specialises in Physiotherapy and Podiatry treatment  for high level Sporting athletes, CrossFit athletes, Powerlifters and Olympic Lifters. 

Evolutio will soon move to a new premises in Richmond, where it aims to take over the Sports Medicine market in Melbourne.

trail running strength training physiotherapy physio crossfit podiatry CrossFit Training injury prevention rehab strength & conditioning
bend-it-like-becky

Maternity vs. regular physio for bendies

Pros:
• They know far more about instability caused by lax ligaments than most physios or even doctors, because of the prevalence of PGP (Pelvic Girdle Pain) in pregnant women
• They can accurately demonstrate WHY instability causes pain
• They offer advice you can actually use rather than telling you to Suck It Up And Yoga
• They recognise that said suggestions may not work for everyone, and offer backup solutions just in case (acupuncture, hydrotherapy)
• They don’t see mobility aids as evidence of a slow descent into apathy and depression, but as - gasp!! - tools to help AID YOUR MOBILITY
• They giveth many fucks that you are in pain

Cons:
• You can’t be pregnant forever

hypermobilty syndrome hypermobility ehlers danlos syndrome physiotherapy spoonie pregnancy