Tadworth Pilates

25/03/2026

Welcome to the world of Pilates

19/02/2026

I can see I have few followers if you want to pm to discuss business please do 😊

17/02/2026

BIOMECHANICS OF CUBOID DYSFUNCTION (CUBOID SYNDROME)

The cuboid plays a pivotal biomechanical role as the keystone of the lateral column of the foot, articulating with the calcaneus proximally and the fourth and fifth metatarsals distally. During normal gait, it functions as a rigid lever in late stance, enabling efficient transfer of ground reaction forces from the hindfoot to the forefoot.

In cuboid dysfunction, abnormal inversion–plantarflexion forces, often following a lateral ankle sprain, lead to a subtle plantar and medial displacement of the cuboid at the calcaneocuboid joint. This alters joint congruency and disrupts the normal locking mechanism of the lateral column, reducing its ability to act as a stable lever during push-off.

The peroneus longus tendon, which passes through the cuboid groove on the plantar surface, has a critical influence on cuboid mechanics. Excessive or unbalanced traction from this tendon can perpetuate cuboid malalignment, increasing compressive stress within the calcaneocuboid joint and elevating strain on adjacent ligaments and capsules.

Biomechanically, cuboid malposition compromises lateral column stability, resulting in inefficient load distribution across the midfoot. This often shifts excessive stress toward the medial column, contributing to compensatory pronation, altered subtalar joint mechanics, and early fatigue during walking or running.

During stance phase, particularly terminal stance and pre-swing, the inability of the cuboid to properly stabilize leads to pain and reduced propulsion efficiency. This may provoke secondary adaptations such as shortened stride length, reduced push-off power, and protective muscle guarding around the ankle.

Overall, cuboid dysfunction represents a small positional fault with large biomechanical consequences, influencing foot rigidity, gait efficiency, and kinetic chain alignment. Restoring normal cuboid alignment is essential to re-establish lateral column stability and optimal foot biomechanics.

17/02/2026

10/01/2026

🛑Deep gluteal syndrome (DGS) is an increasingly recognized clinical entity defined by non-discogenic entrapment of the sciatic nerve within the deep gluteal space. It causes pain, numbness, and tingling in the buttock, hip, or posterior thigh, often mimicking disc-related sciatica.

🟪Symptoms
Symptoms typically occur on one side and include:

Deep Buttock Pain: Often a deep, dull ache localized to the buttock.

Sciatica-like Radiation: Pain or "pins and needles" traveling down the back of the leg.

Sitting Intolerance: Symptoms often worsen after 20–30 minutes of sitting.

Positional Aggravation: Pain increased by certain hip movements, climbing stairs, or running.

✅Diagnosis

Diagnosis involves a "step-up" approach, primarily ruling out lumbar spine issues first.

Physical Exams: Specialized tests like the FADIR (flexion, adduction, internal rotation) or the seated piriformis stretch test are used to reproduce pain

Imaging: MRI and Magnetic Resonance Neurography (MRN) are preferred to visualize nerve entrapment or muscle abnormalities.

Ultrasound is useful for real-time dynamic assessment.

Diagnostic Injections: Image-guided injections of local anesthetics around the nerve can help confirm the specific site of entrapment.

29/07/2025

https://www.google.com/gasearch?q=hip%20snapping%20syndrome&source=sh/x/gs/m2/5

24/06/2025

Types of Bursitis and how it affects your joint movement.

https://goto.gentlestretching.net/14djrqsp_06_23_25

16/04/2025

Thoracic Outlet Syndrome (TOS)

occurs when the nerves or blood vessels between the clavicle bone and the first rib are compressed, leading to:

pain

- numbness

Weakness in the neck, shoulder, and arm.

Signs and symptoms:

• Neurogenic TOS (Nerve compression):

• Pain in neck, shoulder, and arm.

• Numbness and tingling in hand (especially ring and pinky fingers).

• Weak grip strength.

Venous TOS (Vein compression):

• Arm swelling.

• Bluish discoloration.

• Heaviness in the arm.

Arterial TOS (Artery compression):

• Cold hands or fingers.

• Pale or discolored hand.

• Weak pulse in the arm.

Special tests used for diagnosis:

* Adson's test: Assesses changes in the radial pulse with neck movements.

* Roos test: Checks for numbness, tingling, or pain with arm elevation.

(physical therapy management)

1. Pain management: Manual therapy, ice/heat.

2. Postural correction: Strengthen scapular and neck muscles.

3. Nerve gliding exercises: Improve nerve mobility.

4. Stretching: Scalene and pectoral muscle stretches.

5. Strengthening: Rotator cuff and shoulder girdle muscles.

6. Breathing exercises: Diaphragmatic breathing.

7. Functional training: Gradual return to daily or sport activities
Doctor of physical therapy