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Tuesday 9am - 5pm Friday 9am - 5pm

https://rinske-msk-specialist.splose.com/booking, https://www.physiofirst.org.uk/find-physio.html, https://www.csp.org.u

Rinske MSK Specialist, The Orchard Barn, Station Road, Stallingborough, Grimsby (2026)

10/05/2026

‘The effect cold / cold water swimming can have on gripping’ (my hand in the video)….a snippet inside into my physio-mind.

Here you can see (ignore the dog 🤣) my right thumb, thenar (the bulky thumb muscle) having some temporary, post-cold-water swim, pincer grip loss.

The pincer grip improves when my hand warms up, suggesting a cold-induced issue i.e….
- neurovascular sensitivity,
- opposition motor-control deficit,
- neuromuscular conduction,
- performance loss,
- vascular cold sensitivity,
- mild median and / or ulnar motor thenar vulnerability.
(welcome to medicine, where we have lots of ways, words & combinations to explain things).

As a physio I look for ‘puzzle pieces’ and patterns (yep, as those who have seen me know - my initial assessment will feel like interrogation & a question-onslaught 🙄).

Lots of issues aren’t a problem if they ‘standalone’, hence my puzzling questions during an assessment….let me give you an example of my physio-mind 😊

PC (present complaint);
Temporary loss of pincer grip, right > left.
Slight reduction in right thenar bulk, only noticed a few weeks ago.
No pain, no tingling or numbness.
Function & power recovers, mild flattering of the thenar remains.
No neck, thoracic, shoulder, arm issue.
HPC (history of present complaint);
Unsure when it started but noticed it more over the last few months (might be longer), gradual in onset, right worse than left.
AGGS (what aggravates);
Only noticed after cold water swimming, unsure about exact water temperature time in water ratio.
EASE (what eases!);
Natural warming up of hands, maybe wearing a glove, time.
24HR - no time pattern, what more than when.
SLEEP - not affected.
WORK - not affected.

My plan is to understand and keep an eye on ‘my pattern’ (not AI, Google or other people - MY pattern) as I have mentioned before, every person, every patient is different & unique ….. which is what makes this job so amazing & interesting!

- test gripping strength weekly (hand / pincer / warm hand / cold hand) with a grip strength dynamometer.
- swim with gloves, or one glove to reduce the cold effect, but not avoid altogether.
- more consistent & conscious strengthening of general & pincer & key grip (yep, do the stuff I ask my patients to do)….just do it, like a habit 💪🏽

Do I stop!
No no no no NO!
Modify, and add task / functional specific things for me.
And learn, learn, learn from it so I can be a better clinician & support from my patients.

I am very aware that I have seen many patients with devastating neurological conditions, in whom this would be an early sign and in whom the grip doesn’t recover (one unforgettable patient used pliers to compensate for his pincer grip loss, I so much admired his grit).

Rinske van der Weij
Advanced MSK Specialist / Physiotherapist
HCPC Reg PH51845 / CSP Reg 059125

Tuesdays / Fridays - private, self-refer / self-pay at Orchard Barn Health, Stallingborough, DN41 8AJ.
Directly bookable via this link https://rinske-msk-specialist.splose.com/online-booking/f2f16030-9f07-40aa-8c7f-8078389443fc
Or message me on 07790901075….also message me when abroad, rather than booking via the link.

Mondays / Wednesdays / Thursdays - NHS for The North Thoresby Practice patients only, based at the Holton site, bookable via the NTP reception team.

04/05/2026

By Request…
THE ROTATOR CUFF (and the uni-flashback-trauma of having to draw and remember them).

When I was at university in the early 90’s, Amsterdam…..physiotherapy students pretty much walked around in their underwear for 5 years (it was all normal back then, also no mobile phones to get photographic evidence 😉)…..

Anatomy lessons and home learning was old-fashioned ‘draw, colour, cut & paste (no internet or computers that could function beyond losing all your work if the floppy-disc flopped).
One of the things we had to do for practice and exams, was draw anatomical structures on each-other (this is where you started hoping to be matched with a muscle boy, or a skinny girl - as those bodies made finding muscles & tendons so much easier!).
Still…….NOBODY wanted to be given The Rotator Cuff to draw (seems all so easy now, 35 years later….I am no longer fearful of The Cuff).

The Rotator Cuff is made up out of FOUR muscles.
Not five…..the biceps is not part of the cuff!
- Supraspinatus = starts abduction.
- Infraspinatus = external rotation.
- Teres minor = external rotation.
- Subscapularis = internal rotation.

All the nerves are coming from the Brachial Plexus, which sits under the mid trapezius (between the neck and shoulder)….these were even more painful to draw, or describe in lessons!
- Supraspinatus & Infraspinatus are innervated by the suprascapular nerve.
- Teres minor is innervated by the axillary nerve.
- Subscapularis is innervated by the upper and lower subscapular nerves

The Rotator Cuff muscles are holding the ball of the upper arm (humeral head) centred in the socket (glenoid)….simply put - they create dynamic stability to support the big shoulder movements.
But they rely on so much more than pure power.

There are several factor as to why the Rotator Cuff muscles get injured;
- Small tendons + high repetitive load = overload risk. Like a tendon capacity demand mismatch.
- Poor load distribution, timing / motor control issue (deltoid dominates, cuff underperforms).
- Reduced circulation / vascularity, especially in supraspinatus.
- Normal Biology, age-related tendon changes = weaker, less tolerant tissue.
- Modern humans = lots of reaching, lifting, pushing, static rounded postures = not much structured conditioning.

There are also some Rotator Cuff fears and myths to mention;
- Again, the Biceps tendon is not part of the Rotator cuff.
- Tears are REALLY common (especially >40) they don’t have to be painful, often are asymptomatic and degenerative in nature.
- Calcifications are frequently seen bilaterally, happen over a longer time (not overnight) and do not have to be symptomatic.
- So imaging might not have much correlation to the symptoms, a clinical assessment with history and guided treatment is massively important….don’t just treat the picture!

One of the classic mechanisms of injury is;
REACHING BACK IN THE CAR, TRYING TO GRAB SOMETHING FROM BEHIND THE SEAT / FROM THE BACK SEAT.
In my physio head = longlever extension + rotation + load + zero preparation = BOOM!
Saying that…not all rotator cuff pain is actually the cuff. The pain can also be (a combination of) cervical or thoracic referred, neural irritation, central sensitisation.

So…..really important;
- Not everyone with a rotator cuff issue needs surgery.
- Not every tear needs fixing.
- Most patients need better load management, strength, and control combined - like good team work, or a well-balanced car.
- Closed chain + core + task-specific rehabilitation has to be seriously tried, and shoulder rehab requires full commitment from the patient as yes - homework is really tedious but so important!
- There are plenty of muscles to support the team, a cuff injury does not have to be for the rest of your life…..but you might remain committed to maintenance.

I would have all people (not just my patients) do incline planking (every day) on extended arms, working towards single arm work (closed chain).
What my physio mind is thinking and seeing (yes, my physio smile is hiding a million thoughts 😉).
- Co-contraction (cuff + scap stabilisers + trunk).
- Compression (humeral head centring).
- Low cognitive load (better motor learning early).
- Easy to do throughout the day, wherever, whenever (better compliance).
- Easy reboot of the whole Rot Cuff Team.

The problem I see over and over again….increasing load too early after injury and you’ll just reinforce messy patterns under fatigue = reoccurrence and downward spiral of injury / pain.
We loose power so quickly after injury or pain, most patients forget that pain inhibits power, add patients trying to rest their shoulder better = reoccurring or chronic pain.

Shoulder rehabilitation must go back to boring basics, train ‘timing’, train team work…..not by loading / lifting heavier or increasing reps.
So even the biggest bodybuilder might have to go back to incline planking, doing work that is so ‘below’ the load they are used to.
But once you are injured, you drop below baseline and it became all about timing, stabilising, smaller movements, boring baby-steps.

Just think back when your shoulder might feeling worse when you’re tired, rushed, stressed or reaching awkwardly…..
That is more of a timing failure and not sudden weakness.
That is poor proximal control, resulting in delayed cuff activation.
That is the breathing pattern & rib position alters the scapular movement.
Basically, your shoulder sits on your ribcage, if you’re holding your breath, the whole system stiffens and your timing goes off.

If you made it this far (one day, a shorty will happen 🤣).
Just have a try with these different movements and really try to FEEL what happens.
1. Take a deep breath in and hold, now lift your arm overhead while holding breath (tighter feel).
2. Now repeat, but with slow exhale / breathing out whilst lifting your arm overhead (easier feel).
3. Slump, round your thoracic spine / shoulders & hold your breath, now lift your arms up (restricted feel).
4. Now repeat, but stood or sit up straight, shoulder blades slightly down & back and lift your arms up (easier feel).

You might be able to feel the smoother movement, lesser tension and better motor control - not just pure power.
Non of these muscles work alone - so we cannot rehabilitate them in isolation.
We are aiming for finer movements, control, timing - like an orchestra - perfectly symbiotic in their timings.
All whilst also incorporating the neck, the thoracic spine, breathing, posture, stress and fatigue into the assessment & rehabilitation.

I am mostly glad I don’t have to draw the rotator cuff on bodies anymore, although….I do always have sharpies in my bag, so next time I am your physio - I can 🤣

Rinske van der Weij
Advanced MSK Specialist / Physiotherapist
HCPC Reg PH51845 / CSP Reg 059125

Tuesdays / Fridays - private, self-refer / self-pay at Orchard Barn Health, Stallingborough, DN41 8AJ.
Directly bookable via this link https://rinske-msk-specialist.splose.com/booking
Or message me on 07790901075….also message me when abroad, rather than booking via the link.

Mondays / Wednesdays / Thursdays - NHS for The North Thoresby Surgery patients only, based at the Holton site, bookable via the NTP reception team.

25/04/2026

Wishing all London Marathon runners (and their supporters!) an awesome race / journey / experience on Sunday 😎
Just remember, not all hurt is harm!
You have trained hard, in order to tolerate the pain 💪🏽
Enjoy the experience, the sight-run-seeing, Just Do It 🏆
And nerves feel the same as excitement…..so……embrace the excitement 🥇

19/04/2026

LA SHAY CHAIR DANCE (Chair Burlesque)…..NECK, SHOULDERS, BACK, HIPS, KNEES & TOES, KNEES & TOES…..A PHYSIO’S TASK-ANALYSIS AND EXPERIENCE (I really hope I do justice to all the amazing dancers and instructor La Shay).

Anyone who knows me knows, as a physiotherapist, I love understanding and finding my patient’s individual ‘WHY’ to their symptoms / issue.
So, on Saturday 18th April, the amazing La Shay put on a Chair-Burlesque-Dance-Masterclass, at the awesome gym at Caistor….3 friends and I got the opportunity to join in with Bella’s wonderful dancers.

Now…..there is a very fine line between ‘Burlesque Goddess’ (the others) and ‘Raygun’ (the OZ Olympic breakdancer) attempting a seductive body roll on a chair ’ (me) 🙄
Chair-burlesquers are basically sexy athletes…..and I had a great session task-analysing movements!
Overall conclusion - I am a better physio than chair-dancer 😉

After a fun & inspiring, 2-hour chair-dance masterclass, learning an ‘easy’ routine, here are my key physio observations (Burlesque-specific injury studies are limited) but, the injury patterns are fairly predictable, so here are the main burlesque ‘risk areas’.

LOWER BACK (lumbar spine)
One of the most common injuries in dancers (or generally in my clinic).
Repeated arching, sway-back positions, twisting, sway-back positions and poor control through the pelvis can irritate the facet joints, discs, SI joints and paraspinal muscles.
Chair-burlesque lower back can feel like;
- Muscle ache or spasms either side of the lumbar spine after back bends or floor work.
- One-sided “locked” feeling after twisting.
- Pain on getting up from sitting.
- Worse after long rehearsals.
- Referred ache into the glutes, the buttock(s).
- Inflammation flare ups central or one sided lower back.

NECK (cervical spine)
Being ‘whiplashed’ in a seductive, sexy, hair-flicking way (although, not with my crazy, short mop-head hair!).
Dramatic head turns and sustained ‘chin up, chest up’ postures can overload the upper trapezius, sternocleidomastoid and scalene muscles….which may result in stiffness, headaches, pain turning the head and sometimes a mild whiplash-type feeling the next day (or during a routine learning).

QUADS
These require some good baseline strength to be able to deep squat, squat and hold, knee rotations, step up and down from your chair, drop into a crouch position and back up……then repeat, repeat, repeat and ‘let’s take it from the top again’ 😆

CALVES
What more can I say……they just want to cramp up from the ‘tiptoe’ positions. Cramping usually comes from over-loading, poor stamina, dehydration, fatigue and that can lead to sprains, strains and even ruptures (same for quads and hamstrings….I do know an ace physio who LOVES a good muscle rupture though - sad sad sad I know, but gotta love an enthusiastic physio 🫣).

HAMSTRINGS
The obvious one!
Either too tight or infinity-long, they are begging for length & strength.
Front splits, high kicks, straddles and floor-based leg drags put a lot of strain through the proximal hamstring.
Tight hamstrings can pull the pelvis into a position that increases lumbar strain.

HIPS
They will either ‘look at me go’ or ‘absolutely not’ when externally rotation is needed.
Burlesque asks for a lot of turnout and external rotation. If the hips do not have enough true range, the body ‘steals’ movement from the knees, feet and lower back instead….resulting in medial knee ache, Sacroiliac joint pain, groin tightness, piriformis irritation, lower back pinching.

CORE
Working hard to not accidentally launch yourself off the chair…..is one good reason to get these strong. The abdominals don’t usually injure as stand alone muscles, but having a weakness here will affect the back / hips / thoracic / neck / shoulders / calves……actually……the whole body is affected and at risk of fatigue and therefore injury.

UPPER BODY (Thoracic & shoulder girdle)
Doing more rotations, pulling, gripping and holding than you realise.
Again, repeated end range holds combined with repeated end range rotations can cause friction -> inflammation -> muscle spasms.

The slower, smoother and more graceful a movement looks, the harder some muscles need to work.
Chair-Burlesque-Dancing is a symbiosis of balance, strength, mobility, coordination, confidence, chaos, proprioception, laughter, maths, maintaining eye contact, body-awareness, continuing to smile and….pretending I meant to do that move anyway.
Overuse, inflammatory injuries, due to practice volume and repetitions during learning new routines & choreography fits this kind of movement / exercise.

But wait…..lots of ‘pre-hab’ and areas to work on….
Train like a dancer!
Warm up like an athlete!
Then recover like you are 87…..

- Squats and sit-to-stands for quads, both done fast & slow.
- Calf ‘bouncing’, toe-walking & toe-standing for endurance.
- Hamstring stretches & single leg deadlifts.
- Hip mobility, especially external rotation mobilisations.
- Glute strength, dynamic and asymmetrical.
- Rotational & anti-rotational core work for lumbar stability without losing the mobility.
- Upper body pulling strength, dynamic upper cross work (this will support the neck, thoracic and shoulder girdle).
- Neck mobility and deep stabilisers (so those hair flicks and swoops look glamorous).

There …. Chair-Burlesque is not just sexy.
It is glutes, calves, hamstrings, mobility, lower back / thoracic / neck control…..and surviving 47 dramatic hair flicks and swoops without needing pain medication!

On another, non-physio-but-important note…..
Chair-burlesque is not just exercise.
It is confidence training disguised as dancing.
You leave feeling taller, stronger and somehow more put together.
There is something really powerful about moving your body in a way that is playful, rather than punishing.
You do not have to be the best dancer……I certainly was not!
You do not have to get every move right…..Nope I certainly did not!
You do not have to look like the person next to you…..Another certain NO from me!

Just Do It, Just Move, and when you do….
You walk differently.
You stand differently.
You make more eye contact.
You take up a bit more space.
You stop apologising for existing…..YES!
There is something very underrated about finishing a class feeling strong, sexy, ridiculous and laughing all at once…..THANK YOU

Just some non-physio jargon….although I might start dropping some into my consultations!
Some of the move-names in chair burlesque are brilliant - they sound either magical, or like they should be in a weather forecast.
Let me list some….Shimmy, Hip roll, Body roll, Figure of eight hips, Hair flick, Hair whip, Fan kick, Slow straddle, Snake arms, Chest pop, Shoulder roll, Rainbow leg, Reverse rainbow, Leg wave, Hip circle, Hip bump, Bump and grind, Slinky walk, Cat crawl, Back arch, B***y pop, Floor drag/crawl/melt, Sultry sit, Pin-up pose, Peek-a-boo, Leg drape, Toe trace, Slow peel, Chair sweep, Spin around the chair, Chair lean/dip/slide/straddle, Cross-leg reveal, Knee slide, Body ripple, Rib cage circle, Pelvic tuck/tilt, Hinge and arch, Recline and sweep, Backbend over chair, Shoulder shimmy, Mermaid roll, Tease wall, Pony step, Grapevine,Jazz square……they all sound far more glamorous than ‘awkwardly trying to get up from the floor / getting on or off the chair without making old-lady noises’!

Next Masterclass…..honestly, give it a go….YOU WILL NOT REGRET IT!

Rinske van der Weij
Advanced MSK Specialist / Physiotherapist
HCPC Reg PH51845 / CSP Reg 059125

Tuesdays / Fridays - private, self-refer / self-pay at Orchard Barn Health, Stallingborough, DN41 8AJ.
Directly bookable via this link https://rinske-msk-specialist.splose.com/booking
Or message me on 07790901075….also message me when abroad, rather than booking via the link.

Mondays / Wednesdays / Thursdays - NHS for The North Thoresby Surgery patients only, based at the Holton site, bookable via the NTP reception team.

16/04/2026

It’s been a while!
Posture and The Tower Pisa!
Keeping upright, posture work = boring!
Well…..so is brushing your teeth!
Keeping the tower of Pisa as it is now is costing more energy, more money and more engineering.
The same is for our body’s upright posture!
Keeping upright allows the muscles to do their designed job, using the least amount of energy = reduced fatigue levels.
But don’t forget….POSTURE IS NOT STATIC!!! It is a dynamic symbiosis of muscles, nerves, bones, the lot…..
THE BEST POSTURE IS THE NEXT 🤗

Have a fabulous day!

Rinske van der Weij
Advanced MSK Specialist / Physiotherapist
HCPC Reg PH51845 / CSP Reg 059125

Tuesdays / Fridays - private, self-refer / self-pay at Orchard Barn Health, Stallingborough, DN41 8AJ.
Directly bookable via this link https://rinske-msk-specialist.splose.com/booking
Or message me on 07790901075….also message me when abroad, rather than booking via the link.

Mondays / Wednesdays / Thursdays - NHS for The North Thoresby Surgery patients only, based at the Holton site, bookable via the NTP reception team.

06/04/2026

POST-BANK-HOLIDAY-SEASONAL-SUFFERING (DELIGHTS) FROM A PHYSIO’S PERSPECTIVE!
‘From Rest to Wrecked in One Bank Holiday’……or ready for the uber-cheese…..
‘Hop into Spring…..Limp out by Monday’ 💥

What will I expect, and see, over the next few weeks in clinic……I really do love my job!
And….we have all been here, there, everywhere.

THE EASTER OVER-LUNGE.
= Sudden burst of enthusiasm due to lighter, sunnier and a longer time off….after a sedentary, hibernating winter!
= Lunging, squatting, kneeling in the garden, long walks / runs / bike rides.
= Glute strains, quads ache, knee & hips pain flare-ups.

SPRING-SHOULDER-SURPRISE.
= From long-winter scrolling, typing, lounging, watching, swiping to sudden-spring garden tools, motorbikes, shed & garage stock take, garden-centre buy-outs.
= Carrying bags, tools, kids, garden waste, compost bags - going from zero-to-hero in 4 days 🏆
= Rotator cuff overload, biceps tendon or bursa irritation, SIJ annoyance.

THE GOOD FRIDAY, GARDEN-GLOW-UP BACK.
= First proper garden session (if weather good) of the year, especially after this year (2026) has had such a lengthy wet, windy, dark start!
= Bending, twisting, lifting, rotating……on repeat, and repeat, and repeat…..and then some more!
= Acute low back pain, facet or SIJ irritation, neural leg irritation.

EASTER EGG HUNT (COMPETITION) FLAWS.
= Adults suddenly sprinting, jumping, crawling, skipping or twisting competitively (Nothing quite exposes your true fitness, like competing with a 6-year-old 🤣).
= Marathon, Triathlon, Channel-Swimming seasons time for the long runs, rides, strides and strokes…..better weather, cleaner roads, lighter days - ‘lets go faster, longer, and more ‘incliney’ than I have been doing for months’.
= Calf strains, hamstring pulls, Achilles overload.

HOT-CROSS UPPER-CROSS.
= Baking, gripping, kneading, whisking like the family-dynamics depend on it (I mean…..it has been 3+ months since, and 8+ months until we get to prep for this years Christmas again 🤗).
= Over-gripping, awkward positions, repeated movements.
= Wrist extensor overload, De Quervain’s thumb, neck with arm pain, shoulder impingement.

DIY RESURRECTION DRAMA.
= Rainy Easter triggers a decorating marathon, as we have light and time.
= Looking up, arms overhead painting walls & ceilings (or fences outside, if dry).
= Neck pain + arm symptoms (cervical radiculopathy / neural tension), shoulder impingement / bursitis / tendinitis).

DECKING DENIAL KNEES.
= Light + time + good weather + not done this activity for months.
= Prolonged kneeling, weeding, scrubbing patios or floors.
= Knee pre-patellar bursitis, fat pad irritation.

SPRING CLEAN SCIATICA SURPRISE.
= As above, light + time + sunshine-shows-the-dust-and-window-muck.
= Lifting boxes, twisting, overloading-just-one-more-thing,
= Delayed-onset radicular (nervy arm / leg pain) symptoms.

‘I WILL JUST DO IT ALL TODAY’ OVEREXPOSE (Most accurate 🙄)
= What can I say more…..
= Boom-Bust behaviour, All-Or-Nothing, 4-days-active-without-conditioning, the yearly return of the ‘I can do everything in 4 days’.
= Global overload & flare-ups everywhere!

Sudden load spikes = problem.
Novel activity + repetition + poor pacing = overload.
Symptoms often delayed (24–72h, but can be weeks).
Not all pain = damage…..yep one of my favourites…..NOT ALL HURT = HARM!
It’s not that your body is weak… it’s just surprised (mardy, grumpy muscles as per previous post).
Activity is not bad……just the jump in load is massive.
Pacing, reverse-the-curve, offload flatter rather than settee slouching, cold pack on joints, heat on a muscle 😎

Rinske van der Weij
Advanced MSK Specialist / Physiotherapist
HCPC Reg PH51845 / CSP Reg 059125

Tuesdays / Fridays - private, self-refer / self-pay at Orchard Barn Health, Stallingborough, DN41 8AJ.
Directly bookable via this link https://rinske-msk-specialist.splose.com/booking
Or message me on 07790901075….also message me when abroad, rather than booking via the link.

Mondays / Wednesdays / Thursdays - NHS for The North Thoresby Surgery patients only, based at the Holton site, bookable via the NTP reception team.

29/03/2026

The Grumpy Muscles Club… and their passive-aggressive warning system …… EARLY INTERVENTION is a million times better, quicker and nicer to treat!

I think I have done it…..a SHORT, Rinskism post on ‘nothing’ 🤣

As a physio, I don’t often get patients in, who say….’I have a clear, well-defined injury with an obvious cause’…..(this is where my slightly weird & rude way of assessing starts, something I really love - puzzling with my patient, finding their ‘why’).
What I most often get is:
‘It’s just a bit tight’
‘It only hurts when I move’
‘It’s not pain-pain… it is just there’
‘It started for no reason’
‘It’s nothing really’
‘Just a small ni**le’
‘I thought it would go away’
‘I’ve ignored this for 3 months but going on holiday, tomorrow’
‘It came out of nowhere, after I did 6 hours of gardening / a heroic run / absolutely nothing sensible’

In my physio head, I am analysing….for example;
Piriformis
– offended by sitting, standing, and your general existence. It is plotting a longterm-revenge for every chair you’ve ever sat on.
Upper traps
– holding your stress, your shoulders, and your life together. And probably other people’s tension & problems too.
Hip flexors
– tight, moody, and quietly judging your posture. They shorter than our patience and twice as grumpy.
Calves
– absolutely fine… until suddenly they are NOT. Fine yesterday, furious today.
Pesky nerves
- walk in with a pain, being treated somewhere completely different and miles away from the pain point. Today’s sudden, disabling pain caused by something so normal done 3-6 weeks earlier.

But normally, it is not just one muscle, not one area, not one cause…..most often it is a grey, vague, domino-effect going into a ‘perfect-storm’ that leads to injury, pain, disability and loss of function.

Truth-From-My-Experience is …. our bodies don’t usually just go from zero-to-injury.
It ‘whispers’ first….a ni**le, a stiffness, a ‘that’s a bit odd / weird’.
And because it’s not dramatic, or not constant, or not affecting life …. we tend to ignore it.
Until it affects what you want to do, or need to do - like sleep.

Sometimes the hardest part of my job, is explaining that these symptoms don’t fit neatly into boxes.
It’s not always torn, trapped, broken, damaged, slipped.
Sometimes (OFTEN) it is ‘just’ overloaded, irritated, annoyed, a bit fed up with your life choices.
Your body isn’t broken…..it is just being ‘grumpy and passive aggressive’.
Often, you just did a bit too much, too far, too slow, too fast, too long, too high, too low or a beautiful combination of all the above.
And your body just suddenly goes …. ’Erm, absolutely not!’

So if something feels “a bit off”… that is your warning sign, not your cue to wait.
Come and get assessed sooner rather than later ……
You know ….. it is actually really hard to get pain & dysfunction better in 30 mins, especially after it has been ‘grumpy’ for weeks, months or years!
I will, together with you, still have a try though.
As I have said before…..I think the human body is THE most amazingly engineered piece of kit!
Photo of Gunther Von Hagens - The Body Worlds Exhibition - an absolutely beautiful display of (mostly) human anatomy.

Rinske van der Weij
Advanced MSK Specialist / Physiotherapist
HCPC Reg PH51845 / CSP Reg 059125

Tuesdays / Fridays - private, self-refer / self-pay at Orchard Barn Health, Stallingborough, DN41 8AJ.
Directly bookable via this link https://rinske-msk-specialist.splose.com/booking
Or message me on 07790901075….also message me when abroad, rather than booking via the link.

Mondays / Wednesdays / Thursdays - NHS for The North Thoresby Surgery patients only, based at the Holton site, bookable via the NTP reception team.

23/03/2026

An unedited Rinskism analogy on why over-the-counter pain medication can be an OK thing!
How it can actually help to support a return to function & movement…..how it can be a friend-rather-than-an-enemy.

Please always come and check in, ask your GP or HCP if unsure.
I am talking about short-term use of OTC pain medication when restoring musculoskeletal function.

Have your best today 😎

Rinske van der Weij
Advanced MSK Specialist / Physiotherapist
HCPC Reg PH51845 / CSP Reg 059125

Tuesdays / Fridays - private, self-refer / self-pay at Orchard Barn Health, Stallingborough, DN41 8AJ.
Directly bookable via this link;
https://rinske-msk-specialist.splose.com/online-booking/f2f16030-9f07-40aa-8c7f-8078389443fc

Mondays / Wednesdays / Thursdays - NHS funded for The North Thoresby Surgery patients only, based at the Holton site, directly bookable via the NTP reception team.

17/03/2026

Rinskism Analogy (I think I said anecdote but hey ho, no editing here 😂) on …..

Exercise or Movement?

WHICHEVER!!!!

Just turn up consistently….
Task/Hobby/Work/Sport/Ability Specific….
Graded loading…..
Consistent…..

Like you brush your teeth every day,
You don’t overthink it,
You don’t ask the dentist when you can stop,
You don’t wait for your teeth to get bad,
You don’t say ‘well, it’s just not working’,
You don’t look down on maintenance,
And yes…..it is boring but it works!

Just think of your exercises or movements the same….

Just turn up consistently 🏆

Have your best today!

Rinske MSK Specialist

10/05/2026

04/05/2026

25/04/2026

19/04/2026

16/04/2026

06/04/2026

29/03/2026

23/03/2026

17/03/2026

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