If you have a nerve injury, whether at the spine or further out in a limb, at some point, someone may send you for a nerve conduction study. You will lie on a couch while a neurophysiologist delivers small electrical pulses to your skin and, a little later, puts a fine needle into one or two muscles. A few weeks after that, a report lands with your consultant. It is dense, full of numbers and abbreviations, and it is written for one clinician to read to another. Almost nobody explains it to the person whose nerve it describes. Just this morning, I read a note from a client who said, "I had a nerve conduction test, which indicated severe injury to the nerves." You might wonder, like me, what severe means, and what do I do about it?

Creatine monohydrate is the most studied supplement in sport, with a safety record few products can match. From time to time, someone living with a spinal cord injury, or a therapist working with neurological clients, asks me about it: if it builds muscle and improves performance in athletes, would it help someone rebuilding strength after a neurological injury? It is an interesting question.

This article works through what the research shows, its limitations, and what that means in practice. The short version is that the evidence in healthy and older adults is strong, the evidence in neurological rehabilitation is thin and mixed.

One point before we begin. Creatine is a food supplement, not a medicine, and nothing here is individual medical advice. If you have kidney problems, take other medication, or have a complex medical picture, speak to your doctor or a dietitian before starting anything. With that said, let us look at the evidence.

The pillow remains perhaps the most commonly used heel elevation method in hospitals worldwide. I guess this is because they are readily available, cost nothing beyond what's already supplied for patient comfort, and require no special equipment or training. They are also inadequate for heel protection and can compromise continuity of care.

The evidence is now clear: an Australian multi-centre ICU trial found that purpose-designed heel offloading devices achieved a 0.4% pressure injury incidence, compared to 8.4% with standard care, which typically means pillows and repositioning [1]. That's a twenty-fold difference. Translated into practical terms: for every 1,000 patients, 79 fewer will develop heel pressure injuries when proper offloading devices are used instead of pillows.

This isn't a criticism of clinical staff who use pillows—they're working with what's available and following long-established practice. It's an observation about biomechanics: what a pillow can and cannot achieve when the goal is heel offloading.

Understanding why pillows often fail points toward what effective heel protection actually requires.

Standing can offer more than simply being upright - especially after spinal cord injury (SCI). This article explores the wider benefits of regular standing, including support for circulation, joint and muscle health, digestion, bone density, and overall wellbeing. It also explains why upright time can be a valuable part of rehabilitation and long-term health management. A useful overview for anyone considering standing programmes or looking to understand how consistent upright time may support comfort, function, and quality of life after SCI.

Wondering how long it takes to notice benefits from FES cycling? This article breaks down what to expect in the first few sessions and over the following weeks, from early improvements in muscle activation and comfort to longer-term gains in strength, endurance, and performance. It explains why consistency matters, how individual factors can affect progress, and what milestones may indicate you’re on the right track. A helpful overview for anyone starting FES cycling and wanting a realistic timeline for results.

A single bout of exercise may be enough to create measurable changes in immune activity. This article looks at recent findings on how physical activity can influence immune cells, potentially improving how the body regulates inflammation and defends itself. It breaks down the key takeaways and what they might mean for health, resilience, recovery and everyday wellbeing.