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 Winter Darren Winter

Crural Fascia

Stecco et al (2009) found the crural fascia composed of three layers of parallel, collagen fibre bundles separated by a thin layer of loose connective tissue. Only a few elastic fibres were found…

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Psoas Major

The Psoas has fibrous attachments to the anterior aspect of L1-5 transverse processes and to the anteromedial aspect of L1-5 discs (except L5/S1) and vertebral bodies. 

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Saphenous Neuropathy: Soft Tissue Causes

Entrapment neuropathy of the saphenous nerve in the subsartorial (adductor) canal can account for:

  • Anteromedial thigh and shin symptoms.

  • Knee medial joint line pain.

  • Restless leg syndrome (Lewis 1991).

  • Medial tibial pain (Hemler et al 1991).

Upper region of the popliteal fascia (Satoh et al 2016). These authors found the popliteal fascia innervated by either the posterior femoral cutaneous or saphenous nerve.

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Iliolumbar Ligament

The iliolumbar ligament is generally documented as being split into anterior and posterior bands extending from the L5 transverse process to the ilium (Rucco et al 1996).

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Cranial Osteopathy

Cranial osteopathy is a gentle non-invasive technique aimed at areas of stress and tension around the head. For this reason it is typically associated as a treatment of choice for babies and infants but it is widely used on adults as well.

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Sacroiliac Joint

The sacroiliac joint is responsible for many different pain presentations. Clinical testing and the effects of joint manipulation has received mixed reviews…

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Obturator Neuropathy

Groin, medial thigh and knee symptoms can be attributed to an obturator neuropathy. Tipton (2008) describes symptoms of a ‘deep ache’ while Bradshaw et al (1997) and Brukner at al (1999) describes symptoms of a normal groin strain on exercise.

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Sciatica: it’s not just about the Piriformis

Sciatica is a common condition in the population. In the absence of active pathological findings in the lumbar spine deep gluteal space problems can cause a dynamic or non-dynamic compression of the sciatic nerve. Whilst Piriformis syndrome is typically associated with this and can be commonly described simply as a “tight Piriformis” the range of problems is more diverse and the pathology of deep gluteal problems as a whole more complex.

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Darren Winter Darren Winter

Fluid Flow in the Head: a New Model for Cranial Osteopathy

Osteopaths have been palpating movement at the cranium for over 100 years. Cranial osteopathy has gained much popularity as a treatment modality but emerging research may throw light on some of the clinical phenomena observed in practice.

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Entrapment Neuropathies Causing Low Back & Pelvic Pain

A common clinical presentation in patients with low back pain is pain around the region of the posterior superior iliac spine (PSIS) and buttocks. Amongst other conditions various local entrapment neuropathies in the soft tissue can account for these symptoms. Some of these entrapment neuropathies have been well documented and others due to observations on dissection could be a potential site of a double crush syndrome.

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One You: It’s Easier to Improve Your Health Than You Think

Being active has lots of benefits for your body. As well as lowering your risk of developing serious health problems, such as heart disease and type-2 diabetes in later life, being active helps keep your heart healthy, your muscles, bones and joints strong and can improve your balance.

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Darren Winter Darren Winter

Tinnitus

Tinnitus is the term for hearing sounds that come from inside your body, rather than from an outside source. It's often described as "ringing in the ears", although several sounds can be heard, including…

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Jaw (TMJ) pain: Symptoms & What Can be Done

Neck pain, headaches and migraines are a common cause of concern amongst many patients. These symptoms can be disabling as well as acutely painful and present to us often undiagnosed.

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Low Back Pain Tips

Before implementing any advice on low back pain you should first be assessed by an appropriate healthcare practitioner as not all advice is appropriate for all types of back pain.

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