What is pelvic organ prolapse and how do I know if I have it? Pelvic organ prolapse (POP) is the descent or tissue laxity of the front (bladder), back (rectum), or top (cervical) aspect of the vaginal wall. With less support from connective tissue and muscles of the pelvis, the bladder, uterus, or rectum can...
Rotator cuff tears are commonly found in both painful and pain free individuals and often are found in equal prevalence between the involved and uninvolved sides of the same patient. Tears found on MRI can be secondary to trauma, including falls, or secondary to the aging process. Importantly, researchers have not found a significant correlation...
Patients often receive exercise handouts from physicians when initially presenting with musculoskeletal pain. The idea behind the handout makes sense on the surface, a low cost treatment option which may help a patient’s symptoms. Unfortunately, these handouts (often photocopied to death) lack specificity including providing the right handout to the right patient, as well as,...
Low back pain is a common condition best treated by Physical Therapists due to their unique ability to effectively provide all evidence based treatments (including spinal manipulation, directional exercise, and strength training) for this patient population. Large systematic reviews of the existing medical literature have repeatedly shown the benefits of strength training to reduce the...
As a pelvic health physical therapist who works with individuals during pregnancy I am often asked, “What is the best position to deliver a baby in?” My answer is typically: “Just like posture, there is no “perfect position”, the best position or posture is one that continues to change and where you feel most comfortable.”...
In previous blogs we have discussed the limitations of imaging, including MRI, for musculoskeletal conditions including low back pain. The presence of pathology including disc herniations, nerve compression, arthritis, and degenerative disc disease increases with age in both pain free and painful individuals. The high degree of positive findings among asymptomatic individuals questions the ability...
The negative effects of aging on the body’s muscular system are well established and contributes to increased disease risk, sedentary activities, and most importantly, a loss of independence. The effect of sarcopenia begins after age 30 in most adults and results in a 5-10% loss of fat free muscle mass for each decade of life...
As I have gotten older I have had more success hitting my health and fitness goals by shifting my workouts to the morning. I have grown to appreciate the mornings and their lack of distractions and daily tasks which often interfere with later sessions. Exercising as the first task of the day reduces one of...
A radical prostatectomy is a common treatment option for prostate cancer in which the prostate is surgically removed. It is well known that following catheter removal after surgery, many men will experience moderate to significant amounts of involuntary urinary loss following surgery that can last from weeks to years. Hunter et al. in 2004 wrote...
Running remains one of the most popular outdoor activities in Boulder where participants can take advantage of the acres of open space. It is difficult to beat the simplicity, low cost of entry, and workout intensity found in running. Its’ physical benefits are well established by the research including decreased body mass, improved heart and...