Dear reader, A male client in his mid 50s came to the JANMI clinic with stiffness in both Achilles tendons that had been present for around nine months. In the last few weeks, he had also started feeling pain around both heel fat pads when waking up, taking the first steps of the day, or walking on stairs. One side was more noticeable than the other. His history added important context. He used to run marathons intensively. He is generally hypermobile, had previous issues with one hip feeling...

A 24 year old international student recently came to the JANMI clinic with discomfort around the outer side of one knee. The irritation had persisted for several weeks and sometimes ached at night. During loading, the kneecap appeared less stable and the knee showed a mild tendency to move inward. At first glance, this looked like a local knee problem. The wider assessment suggested a more complex pattern. She presented with posterior pelvic tilt, very tight medial hamstrings, spinal...

A 48 year old journalist recently came to the JANMI clinic with pain around the outside of his right elbow. The local presentation was consistent with tennis elbow, commonly associated with irritation and reduced load tolerance around the wrist extensor tendons. However, the wider assessment revealed more than a local forearm problem. He also presented with rounded shoulders, forward head posture, mild anterior pelvic tilt and sensitive guarding through the quadratus lumborum. From a JANMI...