Internal Tibial Rotation Exercises for Hypermobility: Improve Knee & Ankle Stability
If your knees feel like they’re always one step behind the rest of your body, or your ankles like to give way even when you’re
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We help people living with chronic pain and hypermobility better understand their bodies, exercise and movement, using clear explanations, current research and a bit of humour.
A lot of advice around pain and hypermobility is confusing, contradictory or overly simplistic.
Our focus is on breaking down complex topics so people can better understand what is going on and make more informed choices about how they move and train.
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Over the last two decades, research into chronic pain and hypermobility has changed significantly.
Pain is no longer understood as a simple sign of tissue damage, and hypermobility is no longer viewed as just loose joints that need rest or protection. Modern research increasingly describes both as complex, whole body experiences involving the nervous system, movement control, proprioception, psychology and context Read More
Across pain science, rehabilitation and rheumatology, there has been a clear shift towards active, exercise based and education led approaches. Strength training, movement practice and proprioceptive work are now widely discussed in research, clinical guidelines and major charities, even though the evidence is still evolving and far from perfect.
The problem is that much of this information never reaches the people living with it.
Instead, many people are still given outdated, overly simple or contradictory messages. Rest more. Avoid movement. Be careful. Do not load. Or on the other extreme, push through and ignore everything you feel.
We believe people deserve better than that.
Adam and Jonny started The Fibro Guy to bring current thinking into the open. To talk honestly about what research suggests, where it is strong, where it is limited, and how exercise and movement fit into the bigger picture for people with complex bodies.
Our aim is not to tell people what to do, but to help them understand what is known, what is still being explored, and how to think more clearly about their own bodies in the middle of all that noise.
Because complicated topics should never be a barrier to informed choice.
We work entirely online.
All 1:1 sessions are delivered remotely, allowing people to connect with us from anywhere. This makes it possible to have ongoing conversations, guidance and support without the need to travel or attend a physical location.
Working online gives us the flexibility to focus on education, discussion and movement based exploration in a way that fits around real life. Sessions are interactive, personal and shaped around the questions and topics that matter most to the person we are working with.

 On our YouTube channel, we share straightforward, no-nonsense tips:
– Exploring ideas around stability and confidence in movement
– How motor learning, sensory input and attention influence movement
– Small, actionable changes that can make a big difference
No fluff, no gimmicks: just real advice that’s delivered with a little dash of humour.

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