Scientific research, including a Cochrane Review by Dumoulin et al. from 2018 that reviewed the information in 31 research trials, concludes there is grade A or high-quality evidence to support the use of pelvic floor muscle training to treat stress urinary incontinence or the urinary leaking that occurs with cough or a sneeze. There is...
Shoulder pain is a common occurrence affecting 2/3 of adults and is one of the top three reasons patients will seek care from a primary care physician or Physical Therapist. The most probable reason for shoulder pain remains rotator cuff pain including impingement, rotator cuff tendon pain, and rotator cuff tears. Research studies on MRI...
Femoroacetabular Impingement (FAI) or hip impingement is a common condition among athletes. The condition results in abnormal bony contact between the pelvis and thigh bones at the hip joint. Patients demonstrates increased bone growth on the pelvis socket and/or ball of the thigh. Authors continue to question if these changes are pathological and need to...
What’s considered “normal” when it comes to bladder health and urination? The following is some basic information I use to screen people for possible bladder dysfunction and help them better identify the habits that may be contributing to their urinary symptoms. It’s important to remember there is no exact set of normal bladder habits, but...
Overactive Bladder (OAB) is a group of symptoms, not a disease, that is associated with sudden and frequent urge to urinate. Urinary urge incontinence is the involuntary loss of urine associated with a sudden, overwhelming urge to urinate. The prevalence of urge incontinence in women is thought to be between 20-30%. Although it is less...
Up to 70% of Americans will experience Neck pain in their life times. Despite its’ high incidence this region of the spine is consistently under exercised by clinicians. There are countless passive temporary remedies for neck pain including massage, spinal manipulation, and dry needling, but only high level exercise has been shown to improve the...
The 3 inevitable events in our society include death, taxes, and low back pain. Many of us will experience a significant episode of low back pain in our lives but the vast majority of these symptoms are not associated with serious pathology such as fracture or cancer. In our previous posts on low back pain...
Stress urinary incontinence (SUI) is defined as the involuntary loss of urine with activities that increase intra-abdominal pressure (IAP) such as coughing or sneezing. High-impact activities such as running, rotational movements, or jumping can also increase intra-abdominal pressure. Many people associate involuntary urinary loss with increased age or history of pregnancy and delivery. A number...
Over 200,000 Americans undergo a total hip replacement often as a treatment for severe hip osteoarthritis. Patients who enter the surgery in a weakened, less functional state have worse outcomes up to 2 years post operatively compared to their higher functioning peers (Fortin et al. 1999, 2002). This is concerning because the most rapid recovery...
Rates of hip arthroscopic procedure rates for labral tears and femoroacetabular impingement (FAI) have sky rocketed over in the last couple of decades secondary to more surgeons being trained in this area, as well as, a higher utilization of MRI testing in patients with hip pain. As we have discussed in prior blogs on imaging...