If your knee pain is caused by a problem in your back, you need to rehabilitate the "mugger" as well as treat the "victim"
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ISM 3: Driver Theory and Regional Interdependence

This is the third post in my series about Diane Lee’s Integrated Systems Model (ISM). I’ve previously explained how I discovered Diane and her work, and how it works in line with published literature. This week, it’s time to talk about regional interdependence, which is essentially the theory of...

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Victory's therapists use Diane Lee's Integrated Systems Model (ISM) to analyse the underlying cause of your injury
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ISM 1: Introducing Diane Lee’s Integrated Systems Model

Last year, I created a blog series about the Sarah Key Method, in which I talked about the way the Queen’s physiotherapist, Sarah, has developed her own theories about what happens in your spine when you get back pain. I’m the only therapist in central London who is fully...

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Physio Nell Mead went to watch surgery with specialist shoulder surgeon Susan Alexander
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Watching arthroscopic shoulder surgery with Susan Alexander

Last week, I spent an afternoon in theatre with one of my favourite surgeons, shoulder specialist Susan Alexander. I had referred one of my patients to her, after his MRI scan showed up some abnormalities. Based on that, she had felt that he needed surgery: a subacromial decompression, with...

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An x-ray showing femoracetabular impingement, circled in red
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What is femoroacetabular impingement (FAI)?

In my last post, I talked about how I managed to tear my hip cartilage while playing tennis; and I mentioned that a common cause of cartilage tears is femoroacetabular impingement, or FAI. Although the concept of hip impingement was first recorded in 1936, it wasn’t until the early 2000s...

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An x-ray of a hip
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I tore my hip labrum playing tennis

With tongue in cheek, I firmly believe that, as a physio, I should be exempt from being injured like a normal person. After all, I spend my life fixing other people’s injuries, so surely karma should be on my side - or so my irrational brain tells me. In practice,...

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A therapist lies on her front, one ankle slightly raised and hands resting on glutes
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How to avoid hamstring injuries

This week, senior Victory physio Sophie Apps (a specialist in treating lower limb injuries) tells us all about hamstring injuries. Where and what are my hamstrings? The start "ham" derives from the Old English word ‘ham’ or ‘hom’ which is the back of the crease of the knee, from a Germanic...

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A therapist demonstrates a glutes exercise on a step in our dedicated gym in our Moorgate physiotherapy clinic
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Lazy Bum Epidemic: Move

Over the past few weeks, I’ve been writing about the phenomenon of gluteal imbalance, which we’ve dubbed the Lazy Bum Epidemic.  In How Skeletal Muscles Work, I wrote about the three different types of skeletal muscle: prime movers, local stabilisers and global stabilisers – how they function when everything’s fine, and...

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A therapist demonstrates a foam roller exercise for opening up the chest
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Foam roller: your new best friend

Foam rolling is a great way to do ‘self maintenance’ of your body, whether it is after sport, or trying to undo the ‘city posture.’ It helps to keep the myofascia (muscles and fascia) relaxed and happy, and prevents them from getting tight which can increase your risk of...

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Nikki Oxford demonstrates visceral manipulation therapy on a patient at our London clinic
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What is Visceral Manipulation?

Last week, we welcomed new physiotherapist Nikki Oxford to Victory, and talked a little about what she's been doing up to now, and a little about her favourite skills and techniques.  We've received quite a few questions about one of her techniques, Visceral Manipulation - so here's Nikki to...

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