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Resistance Training Just Got Simpler — Here’s What the 2026 Guidelines Actually Mean for You
Resistance Training Prescription for Muscle Function, Hypertrophy, and Physical Performance in Healthy Adults: An Overview of Reviews is scheduled for the April 2026 issue of Medicine & Science in Sports & Exercise . It synthesises 137 systematic reviews involving over 30,000 participants. Updated ACSM resistance training guidelines , what do they say? You don’t need fancy spreadsheets, complicated periodisation, or a coach yelling about nervous system priming. You need a se

Jennifer Howard
5 days ago2 min read


How to Start Moving Again When Every Step Feels Risky
Everyone of us whose had a setback. The first injury hurt. The recovery took longer than expected. Now, every twinge, every bend, every step forward comes with the same quiet question: “What if I make it worse again?” That fear is real. It’s not weakness. It’s your nervous system trying to protect you — the same system that once kept you safe is now on high alert, scanning for danger even when the threat is small or gone. But here’s the thing most people don’t get told: Pain-

Jennifer Howard
Mar 173 min read


There Is No Quick Fix — And Why That's Actually Good News
“Is there a quick fix for this?” “Can we just get rid of the pain right now?” “Why isn’t this sorted yet?” All of these questions are completely understandable. Pain is exhausting. It disrupts sleep, work, family life, even simple things like turning your head to reverse the car or getting out of bed. When it lingers, the hope for a fast solution becomes almost desperate. Quick Fixes Are Rare — Be Wary of Promises But in all things health — and especially when dealing with pa

Jennifer Howard
Mar 103 min read


Tendinopathy: Why That "Swollen" Tendon Might Not Be What You Think (And Why It's Often Manageable Without the Drama)
If you're in your 50s and suddenly dealing with nagging pain near your sit bones, in your Achilles or around your hips when you walk squat or even sit for too long, you're not alone. Many women tell me it feels like their body has "turned on them" out of nowhere—especially around perimenopause or after menopause. The tendon feels thick tender maybe a bit puffy and the old label "tendinitis" makes it sound like endless inflammation that needs ice and anti-inflammatories foreve

Jennifer Howard
Mar 65 min read


Side Hip Pain: Why Your MRI Might Sound Nasty But Isn’t the Full Story (And How Most People Get 70–90% Better Without Surgery or Injections)
Pain on the side of your hip when you walk, climb stairs, get out of the car, or even just lie on that side at night can be incredibly draining. It turns simple daily things into a struggle and it often keeps people awake or avoiding thinks like walking. People come in frustrated, exhausted, and often carrying an MRI report that’s left them feeling defeated. That reaction is completely valid. When the report mentions “torn tendon,”“moderate or severe degeneration,” “bursitis,

Jennifer Howard
Mar 34 min read


Disc Herniations: Why Size on Your MRI Doesn't Always Tell the Full Story (And Why That's Actually Good News)
You've just had an MRI for neck, arm, shoulder, or radiating pain. The report comes back with words like “large herniation,” “severe,” “significant compression,” or “extruded disc.” Your heart sinks: “This must be bad—will I need surgery? Is my spine ruined?” That reaction is completely valid and understandable. This is something we see every week and scans can trigger real anxiety, especially with the sometimes brutal chosen words by the radiologist. But here's the reassurin

Jennifer Howard
Mar 23 min read


The Only Thing We Have to Fear Is Fear Itself—Especially When It Stops You Moving and Doing the Things You Love
Some quotes simply resonate. I adapted one of my favourite Franklin D. Roosevelt’s famous lines to this: “The only thing we have to fear is fear itself, especially the fear that stops you moving and doing the things you love.” I see this play out every day in the clinic - pain doesn’t just hurt the body, it can hijack the mind. A twinge in your back after lifting groceries or making the bed, a stiff neck from an awkward night’s sleep, recurring headaches that make turning you

Jennifer Howard
Mar 25 min read


How can manual therapy help headaches?
In the most recent Global Burden of Disease study (2022), the estimated global prevalence of headaches is 52%. In Australia, we are not far off. Over 46% suffer from headaches or migraines, that's over 11.9 million people! And women seem to suffer significantly more than men.Manual treatment and exercise prescription could be a good treatment option for you, rather than a trip to the pharmacy. Research suggests that manual therapists can help, definitely not all types of head

Jennifer Howard
Feb 192 min read


What to do in a low back pain flare up
If you have a flare up of a disc bulge it can be painful, challenging and all consuming, but there are effective strategies to help you find relief to support recovery. There is good evidence that the bulging disc is self-limiting and most clear up within 12 weeks. which may offer some reassurance but can also seem like a long road ahead! Here are some helpful tips: Immediate Steps for Managing Low Back Pain Avoid Bed Rest: Prolonged bed rest can hinder recovery. Maint

Jennifer Howard
Feb 192 min read


What is a Chiropractic Adjustment or Manipulation
Bones aren't cracking and joints aren't being put back into place or moved out of place. We would be in serious trouble if that were happening! A surprisingly good explanation o n Operation Ouch , found by my then, 6 year old boy... it's a great show, not going to lie! Our joints contain synovial fluid within a capsule, when a joint is moved to the point of an adjustment or manipulation, there is a sudden change in joint pressure, leading to the formation and collapse o

Jennifer Howard
Feb 183 min read


Chiropractic Vs. Physiotherapy
What is the difference? Historically Chiropractic has focused on skeletal function where Physiotherapy focused on muscular groups. Today, the differences between the two professions have become less distinct. Today's evidence-based medicine and the fact that we all tend to read the same research, means a lot of overlap exists between Physiotherapists and Chiropractors and how they practice. There are more similarities in content of both academic programs than ther

Jennifer Howard
Feb 182 min read


What is Chiropractic?
The answer will depend on who you ask! Etymology- channeling Stephen Fry - love him The word Chiropractic was coined by David Palmer in 1898 and comes from the Greek words chiro meaning "hand" and praktikos meaning "practical". Chiropractic literally means "done by hand". Manual therapy and it's application will vary between practitioner depending on their approach to care, their interests and experience, their individual skill set, their use of other modalities etc. F

Jennifer Howard
Feb 183 min read
Welcome to the Twenty 11 Blog. Practical, evidence-based insights to help you understand your pain, reduce fear and get moving again. These articles are written to empower you with knowledge and realistic hope. New posts added regularly.
Disclaimer: Information provided is for general educational purposes only and is not intended as medical advice. Always consult a qualified healthcare professional for personal health concerns or treatment.
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