Are Appropriately Designed and Dosed Eccentrics part of your Early Treatment Plan? Not even 25 minutes into the opening game of the 2018 World Cup, Russian midfielder Alan Dzagoev pulled his hamstring.

The majority of persistent non-traumatic musculoskeletal pain disorders do not have a pathoanatomical diagnosis that adequately explains the individual’s pain experience and disability. We contend this has resulted in two concerning developments in the management of people with such disorders.

MET strives to deliver optimal improvements for our patients and clients. Optimal improvement is defined as:

Achieving improvements in 4 outcome domains which,
Are meaningful (such as an improvement equal or greater than the MDC and/or MID), and
Result in reduced risk for recurrence; improved community independence; and overall healthier individuals.

In July of 2017 the JOSPT published the updated clinical practice guidelines for neck pain 1. Interestingly, none of the interventions provided by rehab professionals for neck pain receive a level A – strong confidence in recommendation. Although the intervention of “therapeutic exercise” continues to receive B levels of recommendations, even this intervention is questioned by authors of systematic reviews for its efficacy.