Phil Aberhart Massage Therapy

Phil Aberhart Massage Therapy Effective and therapeutic remedial massage therapy

30/05/2026

Tendons respond to load. Most people already know this intuitively. What many do not realize is that tendons respond very poorly to prolonged rest, especially the kind of rest that leads to deconditioning from avoiding movement entirely.

This is one of the most consistent findings in tendon biology research, and yet it remains one of the most misunderstood concepts in everyday practice.

Complete rest weakens tendons.

Appropriate loading does the opposite. It stimulates collagen synthesis, improves tendon organization, and gradually rebuilds the tissue capacity needed to tolerate daily life and exercise again. Tendons heal through progressive loading, not through being completely protected from movement forever.

And yet, many people immediately strap, brace, or immobilize the area because they are afraid something serious is happening or worried they will make it worse. Sometimes temporary support is necessary if symptoms are severe, but prolonged avoidance often creates a different problem: the tendon becomes less capable of handling stress once normal activity returns.

In many cases, the tendon heals better when it continues moving and receives the right amount of progressive load.

I go much deeper into tendon rehab, loading principles, pain science, and evidence-based recovery strategies on my subscriber page. If you want the full discussion and practical guidance, the link is in the comments.

20/05/2026

Hi everyone, I have a space now available for 4pm this afternoon (Thursday) - contact me on 0274 599 719 to book the spot! Kind regards, Phil

Send a message to learn more

06/05/2026

🚨 STOP DOING DEEP, ASYMMETRICAL LUNGES IF YOU HAVE A PIERCING, STABBING PAIN DIRECTLY OVER YOUR LOWER BACK DIMPLE! 🚨 You are actively ripping apart the most massive structural locking mechanism in your entire skeleton and permanently destroying the critical hydraulic anchor that connects your upper body to your legs.

The Engineering Breakdown
The human Sacroiliac (SI) Joint is the ultimate biomechanical shock absorber. It is the massive, L-shaped intersection where the base of your spine (the sacrum) rigidly wedges itself between your two pelvic hip bones (the ilia). This joint is not designed for massive movement; it is engineered to be an incredibly tight, rough-surfaced biological locking mechanism held together by the thickest, strongest ligaments in the human body. In a structurally optimized athlete, this joint flawlessly transfers the astronomical kinetic forces of running straight up from the legs into the spine. However, when you suffer from chronic gluteus medius weakness, a functional leg-length discrepancy, or frequently sit with your legs heavily crossed, you initiate a devastating chronic leverage failure. Your pelvis completely loses its horizontal stability. When you take a step, one side of your heavy pelvis violently hikes upward, while the opposite side completely drops downward. This catastrophic asymmetrical collapse completely overrides the biological lock of the SI Joint. The massive, immovable sacrum is violently subjected to extreme, unyielding vertical sheer forces, brutally tearing the dense ligaments and physically prying the joint apart.

The Mechanical Failure

The Constant Stretch: The aggressive vertical shearing of the pelvic ring forces the massive posterior sacroiliac ligaments into a state of brutal, unending hyper-tension. They are permanently stretched beyond their absolute physiological yield point, completely starving the dense tissue of crucial micro-vascular blood flow and locking the massive lower back muscles in a state of rigid, highly inflamed emergency spasm.

The Bone Shear: Because one side of the heavy pelvis is aggressively driven upward while the other drops, a devastating vertical bone shear force is generated exactly through the sacroiliac joint line, actively grinding the rough, sandpaper-like cartilaginous joint surfaces violently against each other.

The Friction Zone: The SI Joint line becomes the ultimate, catastrophic biological "Friction Zone." The hyper-tensioned, micro-tearing ligaments physically cannot handle the asymmetrical leverage load. Every single time you walk up a flight of stairs, get out of a car, or roll over in bed, the massive bones brutally ratchet and shear. This triggers an explosive, paralyzing locking sensation and sharp, stabbing pain localized exactly over the PSIS (the dimple of your lower back) that sends burning shockwaves down into your glute.

Why Deep Lunges Are Destroying You
When uninformed physical therapists, outdated internet fitness gurus, or well-meaning gym trainers misdiagnose this sharp snapping pain as "tight hip flexors" and tell you to aggressively perform deep, weighted lunges or twisting yoga poses to "open up the hips," they are prescribing a catastrophic biomechanical error. The SI joint is actively tearing and inflamed because it is locked in a state of extreme, desperate mechanical sheer from asymmetrical loading. By forcing your body to split your legs apart and violently drop your entire body weight onto one leg (a lunge), you are actively maximizing the exact asymmetrical sheer forces that tore the joint in the first place. You are literally using the leverage of your heavy femur bones to violently pry the unstable joint even further apart. This deep ignorance of pelvic leverage costs the healthcare system millions of dollars annually in unnecessary lumbar MRI imaging (looking for non-existent herniated discs), useless Orthopedic Surgery interventions (like destructive SI joint fusions where they bolt your pelvis together), and highly toxic cortisone shots. These injections chemically dissolve the remaining healthy ligament matrix, actively increasing the risk of massive joint destabilization and heavily draining patients' Premium Health Insurance limits for zero actual structural repair.

The 3-Step Mechanical Fix
Step 1: SI Joint Decompression via Rigid Pelvic Bracing: You must physically lock the violently sheared pelvic bones in place before any active rehabilitation is possible. Discontinue all lunges, single-leg exercises, and leg-crossing immediately. Utilize a highly specialized, non-elastic Sacroiliac (SI) Joint Belt worn tightly around the true pelvis (below the hip bones). By mechanically clamping the two halves of the pelvis together from the outside, you instantly artificially recreate the biological lock, dropping the brutal sheer friction load on the damaged ligaments to zero and allowing the micro-tears a brief window to fuse.
Step 2: Deep Core Isometric Sealing: The superior biological suspension system must be neurologically awakened to hydraulically lock the pelvic ring from above. Perform strict, heavily braced anti-extension dead-bug isometrics. By actively forcing the deep transverse abdominis to fire, you neurologically force the abdominal wall to hydraulically pressurize the entire core cylinder, structurally preventing the sacrum from sliding vertically out of alignment.
Step 3: Symmetric Loading Centration: Once the acute friction and snapping are resolved, you must permanently rebuild the structural tolerance of the glutes without any sheer forces. Transition to heavy, perfectly symmetric bilateral exercises like the kettlebell Romanian Deadlift (RDL). By forcing the massive gluteus maximus muscles to absorb and generate power entirely symmetrically across both legs at the same time, you provide a flawless, frictionless mechanical base that permanently protects the healing SI joint ligaments.

06/05/2026

🚨 STOP AGGRESSIVELY STRETCHING YOUR HAMSTRINGS IF YOU HAVE A DEEP, BURNING ACHE DIRECTLY UNDER YOUR GLUTE WHEN DRIVING OR SITTING AT YOUR DESK! 🚨 You are actively accelerating the destruction of a massive biological suspension cable and permanently pulverizing the primary structural anchor of your entire leg.

The Engineering Breakdown
The human hamstring is an absolute monster of biomechanical engineering. To power your ability to walk and run, three massive biological tension cables (your hamstring tendons) must perfectly merge together and anchor directly into a single, highly exposed bony peak at the bottom of your pelvis known as the Ischial Tuberosity (your "sit-bone"). In a structurally optimized body, heavy gluteal muscles provide a thick, hydraulic cushion over this bone. However, when you suffer from profound "gluteal amnesia" and spend thousands of hours forcefully compressed into a hard office chair or car seat, you initiate a devastating chronic leverage failure. Your gluteus maximus muscles completely atrophy and shrink. This removes the protective biological airbag. The entire massive weight of your upper torso is instantly transferred directly onto that microscopic bony peak. The thick hamstring tendon is suddenly trapped in a catastrophic, high-pressure mechanical vice directly between the sharp sit-bone and the unyielding surface of your chair.

The Mechanical Failure

The Constant Crush: The aggressive downward plunge of your body weight forces the proximal hamstring tendon into a state of brutal, unending compressive trauma (Ischemia). The dense collagen fibers are completely starved of vital oxygen and micro-vascular blood flow, locking the tissue in a state of necrotic decay and cellular death (Tendinopathy).

The Bone Shear: Because the heavy sit-bone is actively crushing the tendon while you simultaneously try to straighten your knee to push the gas pedal or stretch, a devastating longitudinal shear force is generated exactly at the anchor point. The body senses the tendon fraying away from the bone and aggressively responds with massive, burning inflammation.

The Friction Zone: The Ischial Tuberosity becomes the ultimate, catastrophic biological "Friction Zone." The highly sensitive, degenerating tendon physically cannot handle the massive leverage load. Every time you sit down, the brittle, contracted tissue is brutally hammered flat against the bone. This acts like a heavy anvil crushing a rope, triggering paralyzing, deep-aching electrical firestorms that make sitting for more than 10 minutes pure agony.

Why Hamstring Stretches Are Destroying You
When uninformed physical therapists, outdated internet fitness gurus, or well-meaning gym trainers misdiagnose this deep gluteal pain as "tight hamstrings" and tell you to aggressively touch your toes or force your leg straight up on a wall to "stretch it out," they are prescribing a catastrophic biomechanical error. The proximal tendon is actively micro-tearing and dying because it is locked in a state of extreme, desperate compression. Fascia under compressive trauma cannot be stretched; it only rips. By forcefully driving your leg into terminal extension, you are actively wrapping the massive biological cable even tighter around the sharp sit-bone, violently prying the already damaged anchor further off the pelvis. This profound misdiagnosis costs the US healthcare system millions of dollars annually in unnecessary pelvic MRI imaging, completely useless Orthopedic Surgery interventions, and highly toxic cortisone shots. These injections chemically dissolve the remaining healthy collagen matrix, actively increasing the risk of a total tendon rupture and heavily draining your Premium Health Insurance deductibles for zero actual structural repair.

The 3-Step Mechanical Fix
Step 1: Ischial Decompression via Orthopedic Offloading: You must physically open the crushed biological vault before any active rehabilitation is possible. Discontinue all deep hamstring stretching and sitting on hard surfaces immediately. Utilize a highly specialized, firm orthopedic "donut" cushion specifically designed to float the ischial tuberosities in the air. By physically removing the downward compressive force, you instantly drop the brutal friction load on the damaged tendon to zero, introducing crucial blood flow back into the dying tissue.
Step 2: Gluteal Isometric Sealing: The posterior biological airbag must be neurologically awakened without pulling on the damaged tendon anchor. Perform strict, prone glute squeezes. Lie flat on your stomach and simply squeeze your glutes together as hard as possible for 10 seconds without lifting your legs. By chemically forcing the massive gluteus maximus to fire in a static position, you neurologically force the body to rebuild the muscular cushion over the sit-bone without creating sheer force.
Step 3: High-Load Isometric Centration: Once the acute burning is resolved, you must permanently rebuild the structural tolerance of the tendon. Transition to heavy, sustained isometric hamstring bridges (holding the top position). By forcing the damaged tendon to statically absorb heavy kinetic forces without changing length, you chemically force the tissue cells to lay down brand new, parallel collagen fibers, providing a flawless, indestructible mechanical base for sitting.

05/05/2026

Everyone's experienced it, but surely knee pain isn’t an inevitable phenomenon that can’t be avoided

05/05/2026

The most straightforward thing I can report is that progressive overload works. It works at 63 the same way it worked at 43. You load the tissue, the tissue adapts, you load it more. The timeline is longer than it was, and the recovery between sessions requires more attention, but the adaptation is real, and it keeps coming.

My bench press is close to what I was putting up in my thirties. My leg extension numbers rival those of athletes at my training facility who are decades younger. I didn’t expect that. I expected meaningful strength decline by now, and what I’ve found instead is that if you give the tissue a consistent, progressive mechanical signal, it responds. Sarcopenia is not inevitable. Provide the signal, and the muscle strength holds up reasonably well.

I progressed more slowly than I wanted to early in the year, and that turned out to be right. When I tried to accelerate loading, I felt it in my connective tissue before in the muscle. At 63, the tendons are the rate-limiting factor, not the muscle. The muscle adapts faster than the connective tissue can keep up with. Patient progressive loading more patient than felt necessary was the approach that actually worked

Read full article here:
https://howardluksmd.substack.com/p/training-at-63-what-the-past-year

20/04/2026

Hi everyone, I have two afternoon spaces now available this week, on Tuesday (today!) and Thursday 23rd. Contact me on 0274 599 719 to book a spot. Kind regards, Phil :)

Send a message to learn more

03/04/2026

Lifting weights offers far more than just physical strength.
It helps stabilize your joints and makes everyday movements like climbing stairs or carrying groceries easier and safer. As you build muscle, your metabolism improves, supporting better blood sugar control and making it easier to manage your weight especially as you age. Resistance training also strengthens your bones, reducing the risk of fractures and protecting against osteoporosis. Beyond that, it improves balance and coordination, lowering your chances of falling and helping you move with more confidence.

30/03/2026

Meniscal tears aren't the crisis the MRI report makes them sound like.
Most people over fifty have meniscal changes on imaging. Most of them have no symptoms at all. The tear was probably there before your knee pain started, and in many cases it will still be there after the pain resolves.

What changes isn't the meniscus. What changes is the capacity of the system around it.
When the muscles that support the knee are strong and the joint is being loaded regularly, the meniscus does its job without complaint. When that support erodes over years of inactivity, the same tissue that was quietly tolerating load for decades starts to speak up. The MRI gets ordered. The tear gets named. Surgery gets proposed.

What does the randomized controlled trial evidence actually show? For the majority of middle-aged adults with degenerative (complex) meniscal tears, a structured physical therapy and loading program produces outcomes equivalent to surgery at one year, and in some studies better at five. The meniscus doesn't need to be treated. The capacity around it does.

This isn't a reason to avoid surgery categorically. There are presentations where it's the right call. But a tear on an MRI in a 52-year-old who stopped exercising a decade ago is not one of them, at least not before a serious attempt at rebuilding what was lost.

Load the system. Most of the time, the knee catches up.

30/03/2026

Many people make the mistake of avoiding movement when a tendon hurts. Pain often triggers fear: “If I move, I’ll make it worse.” But in most cases, gentle, controlled movement is exactly what your tendon needs to heal and stay strong. Complete rest can actually make the tendon stiffer, weaker, and more prone to future injury.

Slow, targeted exercises like light resistance work, stretches, or controlled bodyweight movements stimulate blood flow, nourish the tendon, and help it adapt to stress safely. Over time, this helps reduce pain, improve function, and restore confidence in movement.

The key is to move thoughtfully, not recklessly. Pain doesn’t always mean harm tendons heal better when they are gently challenged.

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