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Many runners and other active individuals develop Gluteal Tendinopathy. It can be mistaken for a sensitized lumbar spine or other hip dysfunction. Here's another great infographic from Brad Beer - Running.Physio for 5 Things to Do with Gluteal Tendinopathy
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[5️⃣ GLUTEAL TENDINOPATHY TIPS] πŸ’‘ _ ☝🏻Here are some tips for managing your gluteal tendinopathy πŸ‘: _ 1️⃣ Seek help: the first key in moving forwards with rehabilitation is to seek early help rather than ‘putting up with pain’ for months (sometimes years on end). The longer the duration of symptoms typically the longer the rehabilitation time ⏱ . 2️⃣ Deload: it is important to get pain and symptoms reduced (reducing irritability of the tendon) as soon as possible. Reducing loading may be achieved by reducing running volume (or intensity or both), and other activities such as cross legged sitting, prolonged ‘lazy standing’ etc ⬇️⚖️πŸ‘ . 3️⃣ Isometric glute medius exercises: can have a pain reducing effect on the tendon. Literature suggests 5x30-45s holds, which when trying to reduce symptoms can be done multiple times per day (for example side leg lifts without resistance progressing to resisted leg lifts) ⤵️ . 4️⃣ Commence isotonic loading: Build gluteal tendon strength/capacity: I like to see runners being able to progress to loads through rehabilitation such as being able to do standing cable abductions: target 10-20kgs with for example 4x6reps with good control πŸ‹️‍♂️ . 5️⃣ Monitoring the tendon’s response to loading and knowing when to do more or do less is key throughout rehabilitation. While guidelines such as staying within what is ‘acceptable pain levels’ can work for some people I find that the bulk of people do better with a numeric guide such as 5/10 pain may suggest the tendon has ‘done too much work’. This is best assessed 24hr after exercise or loading⏰ _ πŸ“ŒTAKE HOME: These 5 tips are just a few of the numerous considerations that need to be given in order to rehabilitate gluteal tendinopathy. Remain patient and consistent and keep going ✅πŸ‘Ÿ _ ‼️If you know a runner this can help please tag them in ✋🏻 _ ❓Q’s and comments are welcome . . . #physio #physicaltherapy #run #running #runner #rehabilitation #run #runner #running #sportsscience #marathon #marathontraining #strength #triathlon #ultrarunning #trailrunning #trackandfield #tendontuesday

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Want an approach that enhances your existing evaluation and treatment? No commercial model gives you THE answer. You need an approach that blends the modern with the old school. Live cases, webinars, lectures, Q&A, hundreds of techniques and more! Check out Modern Manual Therapy!

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A 2019 randomized control trial entitled, “Combined use of cervical headache snag and cervical snag half rotation techniques in the treatment of cervicogenic headache” by Mohamed et al has caught my attention.   I enjoyed reading this study due to not just having 2 randomly assigned groups, but it had a 3rd group ===> one of which combined techniques from the first 2 groups to see if patients get better results vs just determining if a single procedure provides pain relief and functional improvements.


In this episode, Erson recalls two TMD and Headache patients that just happened to have very chronic and unresolved cases of Bell's Palsy. Facial asymmetry is a big deal for well being as well as the perception of attractiveness. What was the solution?

The EDGE Mobility Tool used in the podcast story is part of the all new IASTM Toolkit!
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Untold Physio Stories is sponsored by the EDGE Mobility System, featuring the EDGE Mobility Tool for IASTM, EDGE Mobility Bands, webinars, ebooks, Pain Science Education products and more! Check it out at edgemobilitysystem.com .  Be sure to also connect with Dr. Erson Religioso at Modern Manual Therapy and Andrew Rothschild at Modern Patient Education.

Keeping it Eclectic...


Many runners always think they should "stretch" their hamstrings. Rarely are they really tight, as tightness is often a perception. Most of the time, they should be trained for strength and endurance. Here is a helpful infographic on 5 Roles of the Hamstrings While Running by Brad Beer - follow him on instagram!

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[5️⃣ HAMSTRINGS ROLES] _ πŸ‘‰πŸ»Despite the growing awareness of the benefits of strength training for runners, one of the common oversights I observe in gym programs for runners is the absence or reduced focus on developing strength of the hamstrings πŸ‘€ _ πŸ‘‰πŸ»Our hamstrings play a role in generating force and stabilising/controlling our body when we run πŸƒ‍♀️ _ πŸ‘‰πŸ»Many people mistakenly believe that hamstrings are not involved with endurance running but more so with sprinting. In actuality a runner’s hamstrings have several key functions during running irrespective of speed ⬆️➡️⬇️ _ πŸ‘‰πŸ»The ‘general roles’ of the hamstrings when running are to both extend the hip (such as when pushing off) and flex (bend) our knee. An interesting note is that despite popular opinion the hamstrings do not play any role in bending (flexing) the knee and bringing the heel close to the bottom during the swing phase of running 🚫 _ ☝🏻Specifically though the roles of the hamstrings when running are shown in the above infographic 🧐 _ πŸ‘‰πŸ»To learn more about the best ways to strengthen & quantify your hamstring strength stay tuned for my upcoming @pogophysio blog this week πŸ’» _ πŸ“ŒTAKE HOME: Be sure to not neglect to strengthen your hamstrings as part of your strength and conditioning program. Our hamstrings have a vital role to play in us enjoying injury free & faster running ✅ . . . #strength #runstrong #physiotherapy #physicaltherapist #instarunners
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Want an approach that enhances your existing evaluation and treatment? No commercial model gives you THE answer. You need an approach that blends the modern with the old school. Live cases, webinars, lectures, Q&A, hundreds of techniques and more! Check out Modern Manual Therapy!

Keeping it Eclectic...


Some patients are very sensitized, in severe pain, unable to move and/or have extremely high anxiety. These are not people who generally respond to repeated motions, mobilization/manipulation or other go to treatments.



I'm going to keep this post short and sweet and let you reflect on this quote and do some deep thinking about it.

I recently came across this quote from legendary strength & conditioning coach Johnny Parker and while he was saying it with regards to training people, it couldn't be more true and applicable to physical therapists too....especially PT students and recent grads.

"They won't care how much you know until they know how much you care."


Read it again a few times and let it sink in.

I wish I had read this quote when I was in PT school and understood the meaning/significance of it back then because it definitely would have helped me get to the point I'm at now a lot quicker.

All that technical, medical mumbo-jumbo some PTs spit at their patients to show them how smart/good they are (I'm looking at you, confident recent grad), won't mean diddly-squat if patients feel their therapist doesn't have empathy and truly understand their current problem and it's effect on their lives.

If a patient feels like just another number, I don't care how "good" your PT skills are, your outcomes aren't going to be that good (or at the very least consistent).

If you truly understand the concept of this quote and put it into practice, I guarantee you will see a difference in your therapeutic alliances, patients' buy-in, cancellation/no-show rates, outcomes, etc.

To learn the soft skills and what patients want/need out of an encounter, check out Modern Patient Education our fully online seminar on recovery/sleep, mindfulness/breathing, nutrition, movement exercise and practical pain science education.


Keeping it Eclectic...


Another great and simple infographic by Brad Beer - Running.Physio on instagram. Follow him! It's a good progression to follow that includes rest, desensitization, and eventual loading strategies.
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[PROXIMAL HAMSTRING TENDINOPATHY TIPS] πŸ’‘ _ ☝🏻Here are some tips for managing your proximal hamstring tendinopathy: _ 1️⃣ Deload: the first key in moving forwards with rehabilitation is to get pain and symptoms reduced (reducing irritability of the tendon). Step 1 is to reduce loading ⬇️⚖️ . 2️⃣ Reduce irritability: with a focus on reducing loading through sports and training it can be easy to overlook simple day to day activities that can add loads in other ways. One of these can be sitting which can add compressive loads to the tendon and result in discomfort ⬇️πŸ‘ . 3️⃣ Isometric hamstring exercises can have a pain reducing effect on the tendon. Literature guides us to prescribe 5x30-45s holds, which when trying to reduce symptoms can be done multiple times per day (for example prone band curls, or supine single leg bridges) ⤵️ . 4️⃣ Build hamstring muscle tendon unit strength/capacity: I like to see runners being able to progress to heavy loads through rehabilitation (target 0.2-0.3x body weight with for example 3x 8reps prone single leg hamstring curls with good control) πŸ‹️‍♂️ . 5️⃣ Monitoring the tendon’s response to loading and knowing when to do more or do less is key throughout rehabilitation. While guidelines such as staying within what is ‘acceptable pain levels’ can work for some people I find that the bulk of people do better with a numeric guide such as 5/10 pain may suggest the tendon has ‘done too much work’. This is best assessed 24hr after exercise or loading. ⏰ _ πŸ“ŒTAKE HOME: proximal hamstring tendinopathy is a real pain in the butt. These 5 tips are just a few of the multivariate considerations that need to be given in order to reduce symptoms and return to sport or running. Remain patient and consistent and keep going ✅πŸ‘Ÿ _ ‼️If you know a runner this can help please tag them in ✋🏻 _ ❓Q’s and comments are welcome . . . #physio #physicaltherapy #run #running #runner #rehabilitation #run #runner #running #sportsscience #marathon #marathontraining #strength #triathlon #ultrarunning #trailrunning #trackandfield #tendontuesday

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Want to learn in person? Attend a #manualtherapyparty! Check out our course calendar below!

Learn more online!


Want an approach that enhances your existing evaluation and treatment? No commercial model gives you THE answer. You need an approach that blends the modern with the old school. Live cases, webinars, lectures, Q&A, hundreds of techniques and more! Check out Modern Manual Therapy!

Keeping it Eclectic...


Current research for tendinopathies and the trend for loading over passive care like modalities and manual therapy is great. Those of us originally trained in manual therapy often don't get to loading fast enough, or at all in some cases if the patient is pain free. What would you do in this recent case of elbow tendinopathy Erson recounts?




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Untold Physio Stories is sponsored by the EDGE Mobility System, featuring the EDGE Mobility Tool for IASTM, EDGE Mobility Bands, webinars, ebooks, Pain Science Education products and more! Check it out at edgemobilitysystem.com .  Be sure to also connect with Dr. Erson Religioso at Modern Manual Therapy and Andrew Rothschild at Modern Patient Education.

Keeping it Eclectic...