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Bradley Blair Osteopath Osteopathy

Racism in healthcare isn’t opinion. It’s measurable, and it shows up in the research.Start with pain. A 2016 study found...
01/08/2026

Racism in healthcare isn’t opinion. It’s measurable, and it shows up in the research.

Start with pain. A 2016 study found about half of white medical trainees held at least one false belief about biological differences between Black and white patients. Those who did rated Black patients’ pain as lower and treated it less accurately. Those beliefs trace straight back to justifications used by doctors in the 1800s.

But it isn’t only about individual clinicians. A widely used hospital algorithm quietly underestimated the risk of Black patients who were just as sick, because it used past spending as a stand-in for need. No conscious bias required for real harm to happen.

The gap shows up in treatment too. Black patients with early-onset colorectal cancer waited longer for care than white patients with the same diagnosis.

For those of us in manual therapy and pain rehab, this matters. If a patient’s pain is being disbelieved before they reach us, it shapes everything that follows.

None of this is about blame. It’s about naming the problem honestly, and looking at where it lives in our own assessments and notes. That’s the first real step.

"Fix your posture or you'll be in pain forever." It's one of the most repeated lines in health, and it doesn't hold up.I...
01/08/2026

"Fix your posture or you'll be in pain forever." It's one of the most repeated lines in health, and it doesn't hold up.

If posture alone caused pain, then people with symmetrical, textbook-aligned bodies would never hurt. They do. And people with uneven shoulders, tilted hips, and rounded backs often feel completely fine.

The truth is that asymmetry is normal. Your organs aren't symmetrical, your limbs aren't identical, and your spine has natural curves for a reason. Shape was never the thing keeping you pain-free.

What actually matters is capacity: how much load your tissues can handle versus how much you're asking of them. Add in sleep, stress, and how much you move, and you've got the real picture.

The posture obsession often makes things worse by convincing people their body is fragile. Build strength and variety instead. A robust body beats a perfectly aligned one every time.

01/08/2026

Ankle manipulation

01/08/2026

Articulation into extension supine

Pull upwards on the TPs on both sides. The patient has interlaced the hands behind her head to enhance the extension articulation.

This content is intended for licensed manual therapists and healthcare professionals with appropriate training in anatomy, patient assessment and clinical technique. It is shown for demonstration and educational purposes only. If you have not been trained in these techniques, please do not attempt them. Untrained application of manual therapy can be harmful, and responsibility for any consequences of attempting these techniques without proper training rests entirely with the individual.

There’s a tell in any argument: the people who get loudest are often the ones who feel the most exposed.Say a broad, evi...
30/07/2026

There’s a tell in any argument: the people who get loudest are often the ones who feel the most exposed.

Say a broad, evidence-based thing and watch who rushes in to defend themselves personally. Nobody said your name. Your reaction did.

This isn’t about one profession. It’s about the instinct to protect a belief instead of testing it. A busy office proves demand, not accuracy.

The move worth practicing: pause before you defend. Ask whether you’re protecting the truth or your identity.

Follow if you like ideas that make you check your own reactions before you post them.

Pelvic floor work has quietly become a marketing buzzword, and that is a problem.Assessing a pelvic floor is a regulated...
30/07/2026

Pelvic floor work has quietly become a marketing buzzword, and that is a problem.

Assessing a pelvic floor is a regulated clinical skill. It usually requires internal palpation or real-time ultrasound, plus postgraduate training, supervised practice and formal consent procedures. That is why the legitimate route runs through a physiotherapist with specific pelvic health training, or a gynaecologist or urogynaecologist for more medical cases.

A standard personal trainer certification covers none of that. Not the internal examination, not the neurology, not the medical differentials, not the red flags that tell you someone needs a referral instead of a set of exercises.

None of this is a knock on good trainers doing great work inside their scope. It is about protecting people in one of the most intimate, consent-sensitive areas of healthcare.

So before you trust anyone with this, ask one question: which postgraduate qualification do you hold, and which body regulates it? A real specialist will answer instantly. Vagueness is your cue to walk away.

When an older person moves slowly and carefully, it is not stubbornness. It is not them dawdling on purpose or ignoring ...
30/07/2026

When an older person moves slowly and carefully, it is not stubbornness. It is not them dawdling on purpose or ignoring you when you ask them to hurry up.

What you are actually watching is physiology.

From around midlife, the body progressively loses muscle mass and strength, a process clinically called sarcopenia. It directly affects how much force someone can generate and how quickly they can move. People with lower muscle mass show slower walking speed, shorter stride, and reduced step frequency.

Balance changes too. Reductions in single leg standing time and postural control mean the margin for error when walking or turning genuinely shrinks.

That is why standing up, climbing into a car, or stepping around an obstacle becomes effortful. What looks simple to someone younger is a task with a real physical cost.

And the caution is rational. When your muscles cannot correct a stumble quickly, a fall carries real consequences. Slowing down is a sensible adaptation, not an overreaction.

Reduced muscle mass. Reduced balance reserve. A very real fear of falling. None of that is a choice. Understanding it is the least we can offer people who are simply doing the best their body currently allows.

We treat scans like they are just data. To a patient lying in a recovery bed, they are a verdict.The truth most people o...
29/07/2026

We treat scans like they are just data. To a patient lying in a recovery bed, they are a verdict.

The truth most people overlook: how and when you deliver information shapes how a body heals. Fear is not neutral. It raises stress hormones, wrecks sleep, kills appetite, and quietly stalls the exact repair process we are trying to support.

This is not about hiding results or keeping patients in the dark. It is about timing, framing, and context. A scan explained with calm and hope lands very differently than one blurted out as a scary headline.

Protect the wound. But protect the peace too. Both are part of the recovery.

Going on sale for mediocre chiropractors in my comments. Limited availability. Comment mediocre will send a link 😂😂😂
29/07/2026

Going on sale for mediocre chiropractors in my comments. Limited availability. Comment mediocre will send a link 😂😂😂

29/07/2026

A Type I SLAP tear is degeneration and fraying of the superior labrum, the cartilage rim at the top of the shoulder socket where the biceps tendon anchors. The key feature is that the biceps anchor itself remains intact and stable, this is wear and roughening of the tissue rather than a tear that detaches anything or destabilises the joint. It sits at the milder end of the SLAP classification, well short of the anchor disruption you see in Types II to IV.

Treatment for an isolated Type I is conservative in the vast majority of cases. Because the anchor is stable, there’s no structural reason to repair it surgically, and plenty of Type I findings are picked up incidentally on scans in people with no shoulder pain at all. Management centres on rehabilitation, graded strengthening of the rotator cuff and scapular stabilisers, restoring full pain free range of movement, and gradually loading the shoulder back towards whatever the person needs it for, whether that’s overhead sport, lifting, or daily function. The imaging label often isn’t what’s driving someone’s pain, so treatment should follow the person’s presentation and functional deficits rather than the MRI report.

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Duplex Allied Health

2012

Opening Hours

Monday 09:00 - 20:00
Tuesday 09:00 - 20:00
Wednesday 09:00 - 20:00
Thursday 09:00 - 20:00
Friday 09:00 - 20:00
Saturday 10:00 - 13:00

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