Motion Specific Release

A player may tolerate everyday activity yet struggle with an overhead stroke, repeated backhands, or maintaining a comfortable grip through a match. Whether playing tennis, badminton, or pickleball, these limitations can interrupt competition, exercise, and valued time with others. Practitioners need to connect the player’s difficulty with the demands of the action.

A painful grip can interfere with a working day, a golf swing, or the simple act of lifting a kettle. For the practitioner, the challenge extends beyond locating tenderness at an epicondyle: what is driving the presentation, which findings should influence treatment, and how do we help the person regain dependable use of the arm?

Radial nerve entrapment is not one uniform presentation. A pain-dominant radial tunnel presentation differs from posterior interosseous neuropathy with motor weakness or superficial radial neuropathy with sensory symptoms. Recognizing the pattern helps practitioners select appropriate care and identify findings that warrant further investigation.

An ankle sprain may improve while pain along the outer foot continues to limit walking, running, or a dancer’s push-off. For the practitioner, that persistence raises a useful question: are we still assessing the ankle, or have we overlooked a relevant problem in the lateral midfoot? Cuboid syndrome is one consideration. The term describes a clinical presentation involving pain around the cuboid and calcaneocuboid region, often associated with an inversion injury or repetitiv

An ankle sprain may settle while pain along the outer foot continues to limit walking, running, or pushing off. For the practitioner, the challenge is deciding whether this represents cuboid syndrome, an associated injury, or another condition requiring a different approach. That distinction shapes both treatment and the patient’s return to activity.

Plantar fasciitis has been a sustained focus of my clinical work and teaching, leading to the publication of Resolving Plantar Fasciitis in 2015. That interest centres on a practical question: which findings should change how we treat the individual in front of us?

“Too much, too soon” describes a common training pattern associated with shin splints: increasing distance, intensity, or frequency faster than your body can adapt. Enthusiasm may drive the change, but returning to familiar distances after a break can create a similar challenge.

Buttock pain that travels into the leg can turn a routine drive, a walk, or a run into a persistent challenge. The piriformis muscle may contribute to these symptoms, but their location alone does not identify the source. For practitioners, the first task is to determine which clinical pattern best explains the problem.

Motion Specific Release (MSR) grew from a commitment to help people move beyond pain and rebuild their capacity to participate in life. Developed through more than three decades of practice, study, and teaching, MSR integrates clinical assessment, manual therapy, exercise, and patient education within a treatment system that adapts to the individual.

Human beings are remarkable endurance runners. Although we are not the fastest animals over short distances, our anatomy and physiology allow us to travel efficiently over long distances by coordinating the movements of the feet, ankles, knees, hips, pelvis, trunk, and upper body.

Tension-type headache (TTH) is one of the most common forms of headache. It is typically experienced as a pressing or tightening sensation on both sides of the head, often described as a band of pressure around the forehead or skull. The pain is usually mild to moderate and, unlike migraine, is not typically made worse by routine physical activity.

The Achilles tendon is the largest and strongest tendon in the human body, yet it is also subjected to extraordinary forces. During running, jumping, and other high-demand activities, the tendon can experience loads several times greater than body weight as it transfers force from the calf muscles to the foot.

The menisci are two crescent-shaped structures within the knee that play an important role in load distribution, joint stability, shock absorption, and movement. Their name comes from the Greek word for “crescent,” reflecting their characteristic shape.

Diagnosing a meniscal injury requires more than identifying pain along the knee joint line or finding a tear on an MRI. The clinical significance of a meniscal lesion depends on the mechanism of injury, symptoms, physical examination, associated injuries, functional limitations, and, when appropriate, imaging findings.

Exercise-based rehabilitation forms the foundation of nonoperative management for most degenerative meniscal lesions and can also be appropriate for selected traumatic tears. Manual therapy may be incorporated as an adjunct when it helps address pain, mobility restrictions, or other factors limiting rehabilitation, but it should support rather than replace progressive exercise and functional loading.

Patellofemoral pain (PFP), commonly referred to as patellofemoral pain syndrome (PFPS) or runner’s knee, is a frequent cause of anterior knee pain in both athletic and general populations. Symptoms are typically experienced around or behind the patella and are aggravated by activities that load the patellofemoral joint, including running, squatting, stair climbing, jumping, and prolonged sitting. Patellofemoral pain is best understood as a multifactorial condition rather than

Iliotibial Band Syndrome (ITBS) is a common load-related condition that produces pain around the outside of the knee, particularly in runners, cyclists, and other individuals exposed to repetitive lower-extremity loading.

Knee ligament injuries can range from a mild sprain to a complete tear and may affect athletes as well as people injured during work, recreation, falls, or everyday activities. Depending on the ligament involved and the severity of the injury, symptoms can include pain, swelling, reduced movement, instability, or difficulty trusting the knee during activity. A careful diagnosis is an important first step. This usually begins with the history of the injury and a thorough clini

Jumper's Knee, more accurately known as patellar tendinopathy, is a common source of anterior knee pain in athletes and active individuals, particularly those involved in sports requiring repeated jumping, landing, acceleration, and rapid changes of direction. Basketball and volleyball are classic examples, but patellar tendinopathy can affect anyone whose activities repeatedly place high demands on the knee extensor mechanism. Patellar tendinopathy is best understood as a lo

Osgood-Schlatter disease (OSD) is a common cause of anterior knee pain in growing children and adolescents, particularly during periods of rapid growth. It affects the tibial tuberosity, the bony prominence just below the kneecap where the patellar tendon attaches.