Join

Tom W.

Image for the badge Activation.
Activation earned for a 1-day streak!
Image for the badge Control.
Control earned for a 7-day streak!
All
145 posts
205 comments

Replied on Scapular Protraction & Retraction Mobility

04 Nov 07:06

Hi Marshall, thank you for the suggestion. I will go back and add a note like this to the exercises captions.

Reply

Posted

03 Nov 15:00

Image from Tom W.'s post

Here is a great article on gluteal tendinopathy that refutes some of the common myths. I thought you might enjoy reading it as it has many practical takeaways.

https://www.sciencedirect.com/science/article/pii/S2468781225000013

Replied on 👋 Welcome to the Rehab Science Community!

03 Nov 09:44

Evan!! So glad to have you hear! Thank you for supporting my new membership/app. If you ever need help with a particular injury/pain issue, you know who to contact!

Reply

Replied on Thoracic Mobility

02 Nov 07:58

Hi Linda, Your other comment is under the prone reach exercise in this program.

Reply

Replied on Prone Reach

01 Nov 14:01

Hi Linda, While the infrasternal angle can vary from one person to another, this isn't something we can permanently change with exercise. The cartilaginous connections between the lower ribs and the sternum allow for movement, especially during breathing, but exercise will not permanently alter the resting posture of this region or the associated angle. This is something we see fairly often in the posture and exercise research. The infrasternal angle will naturally increase during inhalation and there are some theories that the angle may increase when the external obliques are weak or inactive. It may be that having your patients/clients engage their external obliques can help prevent the infrasternal angle from increasing during spinal rotation exercises and/or movements. 

Reply

Posted

31 Oct 11:42

Happy Halloween, everyone! I hope you have a great weekend!
2

Replied on Hi all, here is a recent study on low...

30 Oct 17:54

You’re welcome, Jacqui! I’m glad you enjoyed the article.

Reply

Posted

30 Oct 15:51

Image from Tom W.'s post

Hi all, here is a recent study on low back pain and imaging that I thought you might find relevant to your own practices. I have included a link to the full-text study below my summary.

A recent qualitative study published in Musculoskeletal Science & Practice (Lullo G. et al., 2025) explored why patients with non‑specific chronic low back pain (cLBP) often request imaging even when it is not clinically indicated. Three primary themes emerged: (1) a strong desire to “know the cause” of their pain despite recognizing its multifactorial nature; (2) the perception that imaging is necessary when conservative treatments fail; and (3) imaging producing mixed outcomes—some feel reassured, others experience increased anxiety or misleading interpretations. The authors stress the importance of practitioner‑led patient education about the limitations of imaging and the value of movement‑based care.

Clinical Takeaways for Practitioners:

  1. Avoid imaging for low back pain unless red flags are present—use history and exam to triage.

  2. Explicitly discuss incidental findings with patients to prevent structural‑deficit thinking and unnecessary interventions.

  3. Emphasize movement, load progression, and functional recovery to shift focus away from imaging and toward active rehabilitation.

    https://www.sciencedirect.com/science/article/pii/S246878122500164X?via%3Dihub=&utm_campaign=%5BE%5D%20Roundup%20%20%7C%20October%202025%20FREE%20%2801K8ABCC8S1R354Z18GED6T3EX%29&utm_medium=email&utm_source=klaviyo&_kx=PWY1roWpjvRu82bkdyNGJeFd9lL0zBwBvPcQsLMSNxXwRh-VOqRFCNvS2j3Z9gKQ.TVa3AR
2

Commented on Newb question. Why are some videos u...

30 Oct 15:38

Hi Michael, Which videos are showing up as unavailable? This shouldn't be the case, so I need to fix the issue. Thank you for subscribing to my app!

Reply

Replied on Meniscus Injury

28 Oct 10:05

Hi Caroline, I'm alway hesitant to tell patients to undergo meniscus debridements (clean outs) as the meniscus is such an important shock absorber and we have research showing that when portions of the meniscus are removed people develop knee osteoarthritis more quickly. I would say the decision really boils down to how much pain your client is having and how much her symptoms are interfering with her daily tasks. If her pain is manageable and she can function okay, I would recommend that she goes the conservative route and performs rehab exercises focused on improving neuromuscular control and joint stability for the next 8-12 weeks. Then, you can reassess with her from there. If pain is severe and she can't function well right now, then a meniscus debridement may be the best option. The exercises in this program are the ones we use before and after meniscus surgery, so they should help with her rehab. Let me know if you have any other questions!

Reply