From the Notebook

Ideas on pain, movement & performance.

Longer-form thinking from Dr. Adam Bruene on rehabilitation, movement, clinical reasoning, and some of the assumptions in health and fitness worth questioning.

Featured Article

The Diagnosis You Probably Have and Were Never Given

I spent months crooked and bent forward, unable to stand up straight except in water. I was already a chiropractor. What I was missing wasn't another treatment. It was a mechanical diagnosis I'd never been taught to look for.

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Pain What symptoms can tell us and what they sometimes can't.
Movement Mobility, stabilization, coordination, and how the pieces interact.
Performance Moving from rehabilitation toward strength, capacity, and sport.
Questioning Re-examining ideas in rehab and fitness that deserve another look.

From the Archive

The Scapula Is the Butt of the Neck

Originally published 2017 · Updated 2026

Why pain around the shoulder blade may actually be coming from the cervical spine, and how centralization, peripheralization, and changes in symptom location can help make sense of what your neck is doing.

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