My dear reader, If there is one muscle that has suffered more from modern civilisation than any other, it is the piriformis . A small, deep, quiet muscle… …turned into a modern-day martyr. I see it every week in my Marylebone clinic: runners, lifters, cyclists, office workers, “very active but very stiff” people — all pointing to that deep, annoying pain in the glute, sometimes radiating down the leg like a moody nerve with trust issues. Most of them blame: sitting running deadlifts “tight...

My dear reader, Two conditions walk into my Marylebone clinic almost every week: Tennis Elbow  (lateral epicondylitis) and Golfer’s Elbow  (medial epicondylitis). The funny part? Half the people who suffer from them don’t play tennis. The other half don’t play golf. Some do neither and still arrive clutching their elbow like a Victorian poet in emotional distress. The common question is always: “Paulius, why does my elbow hurt when I’m not really doing anything extreme?” My answer — delivered...

My dear reader, Today I want to talk about something very small and very underrated: The intrinsic muscles of your feet. The tiny ones. The ones nobody ever trains on Instagram. If the glutes are the engine of the lower body, the foot intrinsics are the keyboard and mouse of your movement system  – quietly sending information, stabilising, correcting, adapting. And in our modern world of flat pavements and cushioned shoes, they are slowly going to sleep. When they do, we don’t just get sore...