MRI technology continues to improve benefiting clinicians searching for serious pathology, but at a cost of identifying non serious pathology which may not be related to a patient’s clinic presentation. Initial imaging studies in the 1990s were conducted in the lumbar spine which identified a high percentage of structural changes including disc herniations and spinal...
Boulder is one of our country’s hubs for endurance athletes including those training for one of the race distances in triathlon. In our Physical Therapy practice we frequently evaluate and treat triathletes’ injuries allowing them to return to the high volume of training required in their sport. The vast majority of these injured athletes are...
The CDC reports over 2/3 of Americans are either overweight or obese with less than 1/3 reaching the recommended 150 minutes of exercise each week (21 minutes per day). Weight loss is a complicated, multifactorial process but many researchers recommend the combination of diet and exercise to reduce body mass. Diet has the greatest impact...
It is hard to walk through any health food aisle in the grocery store without coming across another food, drink, or supplement claiming to provide anti oxidants. These products’ effects claim to target free radicals or the naturally occurring unstable molecules, due to changes in electrons, which are created through our body’s cellular metabolism. If...
The CDC estimates 10% of Americans have diabetes with close to 95% being diagnosed with Type II diabetes. Type II diabetes is differentiated from Type I, in part, by the body’s reduced sensitivity to the insulin it produces leading to higher levels of blood sugar (glucose). Diabetes can have serious health consequences including vision loss,...
As long as I have been in the profession, clinicians have continued to search for the next best thing to reduce pain and inflammation, as well as, improve any number of clinical factors. Unfortunately, the medical literature is filled with trials showing non significant effects as many of these devices have failed to outperform proven...
Symptomatic rotator cuff tears commonly occur in adults > 50 years old and can be either atraumatic or traumatic in nature. These tears become more common with age, but are often are found in shoulders without pain and often have similar MRI scan findings between symptomatic and asymptomatic sides of the body. Thus, the a...
Caffeine is a well established stimulant enjoyed by many adults, in many forms, around the world each day. Users have known about its’ performance effects since the beginning with researchers confirming its’ performance benefits over the last century. It is one of the few well established performance enhancing drugs and was previously restricted and is...
As healthcare costs and out of pocket deductibles continue to rise in our country patients have become more vigilant on treatment costs. In particular, patients are realizing the expenses associated with different entry points for their care. For muscle, joint, ligament, and tendon pain, seeing a Physical Therapist first (direct access) continues to be the...
Subacromial impingement syndrome is the most common diagnosis for shoulder pain in adults and remains one of the most common reasons patients seek care from physicians and Physical Therapists. Shoulder impingement may occur secondary to functional and structural changes within the shoulder joint. Individuals with these symptoms often present with weakness in their rotator cuff...