Disclaimer: Acute and active UTI’s should be evaluated and treated by a physician. Physical therapy as treatment of UTI’s should be done in non-acute periods as a way of preventing future infections. In 2018 the European Association of Urology Guidelines came out with a recommendation for recurrent UTI’s to be addressed first with behavior change,...
Hemorrhoids are swollen veins in the anus and lower rectum and will affect about a third of Americans. While hemorrhoids typically resolve within a few weeks, they can be distressing and discomforting. Risk factors include chronic constipation and straining with bowel movements. Other research proposes it is not simply constipation, but rather high resting...
Does cycling contribute to men’s pelvic floor dysfunction? There is conflicting evidence on the effect of cycling and pelvic floor dysfunction in men. As the sport becomes more popular, especially here in Boulder, it is imperative to review the current literature to understand the effect, if any, this sport has on your pelvic floor and...
Obesity is one of the greatest health problems facing our country. The causes of obesity are multifactorial in nature, but one contributor is a lack of daily activity or exercise by both children and adults. The CDC estimates less than 1/5th of Americans reach the weekly recommended amounts of exercise including either 300 minutes or...
A concussion is a specific type of mild traumatic brain injury caused by a force to the head or body resulting in symptoms originating from brain and does not have to involve a loss of consciousness. Concussions occur via one of two mechanisms, the first is a direct contact to the head, such as a...
I woke up with dizziness It feels like the room is spinning when I turn my head I think I am too dizzy to get out of bed These are all common complaints from patients suffering from vertigo. The most common form of peripheral vertigo is Benign Paroxysmal Positional Vertigo (BPPV). The most common description...
Endometriosis is a chronic inflammatory condition that affects 1 in 10 women of reproductive age worldwide. Classically, symptoms of endometriosis are painful menstrual cycles and chronic pelvic and abdominal pain, though a myriad of symptoms exist including rectal pain, abdominal bloating, back pain, bladder and bowel dysfunction, and pain with sex. Current treatment regimens for...
Muscle strength is correlated with many important clinical outcomes including fall risk, injury risk, sports performance, functional capacity, and quality of life. These adaptations occur when a muscle is asked to repeatedly perform higher volumes of work or exercise creating positive adaptations within the nervous system and muscle. Over simplistic repetition ranges are available to...
Rotator cuff injuries are one of the most common reasons patients seek care for their shoulder pain. Injuries range from less severe cases of impingement and rotator cuff tendinopathy to more severe injuries such as rotator cuff tears. These tears can be either traumatic or atraumatic in nature depending on the patient’s history. Previous research...
Tennis elbow or lateral epicondylalgia is a common overuse injury in the upper extremity. Initially believed to be an inflammatory process or tendinitis newer research has instead found a degenerative process consistent with cellular turnover (remodeling) in tendon where the muscles of the wrist and fingers attach into the arm. Current Physical Therapy best practice...