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The Sports Physio

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Langenthal
The Sports Physio

Simple, honest, evidence-based advice for all things pain, injury, rehab, strength, and recovery...

12/04/2026

😌RELAX😌

A new trial just published looked at whether people with chronic non-specific low back pain did better with Pilates when told to keep the abdomen contracted or relaxed.

The result?

Keeping the abdomen relaxed led to a slightly better improvement in disability, while pain, function, and global improvement were basically unclear or similar between groups.

So once again, the sacred commandment of
“brace your core” takes another punch to the throat.

To be clear, this doesn’t prove abdominal bracing is evil.

It just shows that in this setting all the obsessive cueing about deep stabilisers and core activation doesn’t add anything particularly special.

That fits with what many of us have been saying for years.

A lot of rehab helps not because of perfect muscle sequencing, magical motor control, or some 90s stability fantasy…

But because people move more, gain confidence, and stop treating their spine like IKEA furniture.

Pilates can help low back pain.

But the idea that it only works properly if people are constantly clenching their abs like they’re being punched in the stomach is daft.

11/04/2026

❌FUNCTIONAL PATTERNS❌

I’d be very concerned if I was associated with someone who thinks women are weak, degenerate, atrophied, and misbehaved

And that any men who put up with them are simps

If this is the person you look up to and celebrate you need to take a very long hard look at yourself

Avoid this cult and this misogynistic sociopath!

09/04/2026

🤩SPECIAL TESTS🤩

I’ve seen a lot of young physios posting videos recently of them demonstrating orthopaedic special tests that they’ve been taught and told they diagnose specific pathologies!

THEY DONT… ❌❌❌

All these tests named after long dead American Orthopaedic Surgeons tell you is… if that specific position hurts

They don’t tell you WHY it hurts!

But that’s not to say they’re completely useless.

These tests can help identify provocative movements, gauge irritability, and give you something to monitor or modify in rehab.

But tests are not magic and there’s nothing special about them!

07/04/2026

🤔HANGING🤔

Another day, another physio reel chatting complete and utter sh*te about simple rehab ideas!

Hanging can help some people with shoulder issues. I’ve got no issue with that. I even recommend it at times!

But there’s FA evidence it reshapes the acromion. And why and how would it?

Often our rehab works for simple boring reasons.

Not made up fancy bo****ks.

05/04/2026

🏃‍♂️MOVEMENT MODELS🏋️‍♂️

There are lots of models trying to explain how we best learn movement.

Some treat the brain like it stores and replays movement plans.

Others break learning into neat little stages.

Others say movement is shaped by the person, the task, and the environment, and learned through exploration and adaptation.

And honestly, I think that last one probably fits real life better.

But every model, has its strengths and limits.

The issue is not which model is best or sounds smartest.

It’s whether it actually helps you coach, rehab, or learn better without disappearing up your own arse.

Sometimes simple is better, other times complexity and uncertainty is essential!

And if you as a coach, trainer, physio, rehab specialist are only using one method… you’re an idiot!

04/04/2026

😖PAIN SCALES😖

Pain scales in healthcare are far too generic and vague.

So I thought I’d make one a bit more clinically meaningful… to me!

And for those wondering, I can confirm this scale is evidence-informed, trauma-tested, and painfully peer reviewed by my recent life experiences!

03/04/2026

🤨TRIBES🤨

Some physios collect methods like nerds collect Pokémon cards.

And before some of you start clutching your certificates and hyperventilating into your lumbar rolls and balloons this isn’t about me saying don’t learn from different people.

That’s encouraged. Sensible even.

This is about saying don’t study a method and then become it.

The moment a therapist starts stapling a branded system onto the end of their name like it’s a knighthood, I know they have stopped thinking for themselves, and handed over their clinical reasoning to whichever guru sold them the certification.

Because once your identity gets wrapped up in a method, you stop asking:

“Is this actually true?”

And you start asking:

“How do I make everything fit the thing I’ve paid thousands to believe?”

That’s when critical thinking quietly slips out the back door.

Good clinicians should be guided by evidence, reason, uncertainty, and the person in front of them.

Not guru worship, jargon, and a certificate you bought on a weekend course in Swindon or Des Moine

02/04/2026

🔥VISCERAL PAIN🔥

This topic feels very personal now after my recent episode of congenital kidney failure and surgery

Not only has it given me a new perspective on what 10/10 pain is

But its been a good reminder that not all back pain is actually coming from the back

Sometimes it’s your organs waving a very serious red flag.

Most back pain is musculoskeletal. But not all of it is. And knowing the difference matters.

Because getting that wrong isn’t just clinically lazy and it can be dangerous.

The post breaks down some visceral causes of low back pain and the features that help separate them from the usual mechanical stuff. Hope it helps!

Adresse

Langenthal

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