Category Archives: Spinal Physiotherapy

Why do your knees crack?

Here in Milltown Physiotherapy we often get asked by patients, “Why does my knee crack?” “Should I be worried?

Crepitus is the name given to a clinical sign in medicine that is characterized by a peculiar crackling, crinkly, or grating feeling or sound under the skin, around the lungs, or in the joints.

Have a look at the attached video and learn more.



Robert John Doyle

Welcome Robert to the practice!

We are delighted to welcome chartered physiotherapist Robert John Doyle to the practice. Robert Doyle qualified as a physiotherapist in 2009 from Trinity College Dublin with an honours degree in physiotherapy. He then completed a Masters in Sports and Exercise Medicine in 2014 from Trinity College Dublin and then completed a Diploma in Football Medicine through FIFA in 2017. Robert’s specialty is dealing with musculoskeletal disorders and sports injuries, which he uses a combination of manual therapy treatment and exercise therapy.

If you would like to arrange an appointment with Robert please call us today!

Robert John Doyle


What is the best exercise for back pain?

A really brilliant blog for physiotherapists and patients alike on what the evidence tells us is the best exercise for back pain by Ben Cormack at Cor Kinetic.

A few conclusions include that no one exercise is better than the other and it is better to find an exercise that people enjoy and is easy for them to do that will probably get done and hence have a positive effect.

Therapist correcting woman in fitness class

Two out of three herniated discs shown to heal on their own

Results of a recent systematic review last year which analysed the available research over the last 25 years found that 66% of herniated discs in the lumbar spine heal spontaneously. The looked at studies from United Kingdom, Japan, France, Korea and Italy.
The study concluded that due to the high percentage of discs resorbing that conservative treatment may become the first choice of treatment for lumbar herniated discs.

To have a read of the study, please see here
Incidence of Spontaneous Resorption of Lumbar Disc Herniation


Smart rehabilitation matches up to surgical treatment of common shoulder conditions

Recently a large Milltown Physio contingent attended IFOMPT – the prestigious conference showcasing the latest and most cutting edge evidence in physiotherapy. I’m delighted to say that our clinical specialist chartered physiotherapist Gráinne Wall has agreed to share her review below.

Jeremy Lewis – The Conundrum That Is The Shoulder: Expanding Our Ability To Manage Shoulder Pain.

Jeremy Lewis presented a comprehensive keynote lecture on managing shoulder pain. He outlined the complexity in treating shoulder pain and the emerging evidence in the conservative versus surgical debate.
Much like other joints of the body, shoulder imaging provides limited information to the clinician as imaging studies do not correlate with the presence or intensity of pain and up to 96% of asymptomatic individuals have structural changes on imaging. He then followed his presentation discussing how “orthopaedic special tests aren’t special” and they are not specific in identifying structural pathology. He asked the delegates to consider this; how many patients have a false positive clinical test followed by a false positive scan result which is often followed by an unnecessary surgical intervention?

He outlines his Shoulder Symptom Modification Procedure (SSMP) and like many others he encourages a holistic approach to the management of shoulder pain, ensuring adequate assessment of the whole body kinematics. SSMP systematically investigates the influence of scapular and thoracic postures and humeral head position on shoulder symptoms. The assessment findings from the SSMP that are found to reduce symptoms are then incorporated into rehabilitations methods. Rehabilitation should be gradual, tailored and specific to the individual’s needs. Scapular rehabilitation was touched upon yet our research into both posture and scapular positioning shows poor correlation in relation to shoulder pain.

Smart rehabilitation matches up to surgical treatment of common shoulder conditions such as subacromial pain, rotator cuff tendinopathy and rotator cuff tears and this conservative regime would seem like a favorable and cost effective treatment plan.