Why does my knee hurt when I run?

Why do my knees hurt? Running injuries

The success of the London 2012 Olympics has had a huge impact upon society including the greater participation in sporting activities. This is a truly vital legacy and we must seek to pervade this healthy mindset to all corners of the country and across all the age ranges to optimise the benefits. Those seeking immediate […]

Joint Hypermobility Syndrome (JHS) Part 2: What can we do?

Joint hypermobility syndrome | JHS | Treatment and training for hypermobility

Joint hypermobility syndrome (JHS) is commonly seen in my clinics, either as a feature observed or as a problem in itself – see previous blog. Commonly people desecribe pain, poor spatial awareness (so-called clumsiness), flat-footedness, problems with walking and controlling movement. What can we do about these problems? Firstly, understanding the neuroscience of movement and […]

Manual therapy, pain and the immune system

Pain relief

As a physiotherapist I frequently use my hands to treat the joints and tissues. It comes with the territory, everyone expects hands-on therapy and it does helps to reduce tension and pain. Most likely, the pain relief from joint mobilisation is due to descending mechanisms that include those that are powered by serotonin and noradrenaline […]

Central sensitisation is more common than you may think

Clifford Woolf recently said this about central sensitisation: Nociceptor inputs can trigger a prolonged but reversible increase in the excitability and synaptic efficacy of neurons in central nociceptive pathways, the phenomenon of central sensitization. Central sensitization manifests as pain hypersensitivity, particularly dynamic tactile allodynia, secondary punctate or pressure hyperalgesia, aftersensations, and enhanced temporal summation. It […]

Contemporary understanding of factors in joint pain

Osteoarthritis and pain

Recent research has identified biological reasons for joint pain in arthritis: Interleukin-6, a pro-inflammatory cytokine released both locally at the joint and in the spinal cord, consequently plays a role in the widespread nature of the pain via its role in central sensitisation. Sprouting of sensory and sympathetic fibres at the joint may well have […]