Healthcare demonstrates significant swings of the pendulum in examination and treatment trends. Thankfully the medical evidence helps balance these swings allowing us to come to a more appropriate balance in clinical practice. Unfortunately, unchecked bias in a clinician, such as confirmation bias, can lead to missed diagnoses and inappropriate treatments. In Physical Therapy, this can...
Imaging technologies, including MRI, continue to improve providing valuable insight into the human body. These advancements have made MRI scans extremely sensitive to identifying tissue pathology and the presence of disease within the body. In the musculoskeletal system, the MRI’s sensitivity reduces its’ ability to specifically detect symptomatic vs. asymptomatic pathology. For example, after age...
Neck pain will affect up to 70% of the population at some point in their lifetimes. Thankfully the vast majority of these cases are not serious in nature and will improve with conservative treatments including Physical Therapy. Within Physical Therapy, a manual therapy (mobilization and manipulation) and strengthening exercise approach has been shown to be...
Plantar heel pain, including pain along the plantar fascia, is one the most common diagnoses in the foot. Individuals often experience pain with the first step in the morning or after prolonged sitting. Symptoms limit their ability to perform many standing, walking, and recreational activities. Researchers have found minimal inflammatory cells within the plantar fascia...
Knee pain remains one of the most common reasons patients seek care from a primary care physician and Physical Therapist. The knee is uniquely placed between two long levers in the thigh and leg bones. The levers significantly increase the effect of impairments in the ankle and hip joints on the knee. Commonly, patients present...
Early access to Physical Therapy services (direct access) has been previously shown to reduce a patient’s cost of care by up to $1500. In addition to its’ cost savings, direct access to Physical Therapy treatment has been shown to be a safe and effective short and long term treatment plan for patients with musculoskeletal pain....
Static stretching, involving holding a muscle at end of its’ length for a sustained period of time, is a common component of most individual’s exercise programs but its’ useful compared to other forms of exercise including aerobic and strength training is questionable. Research is unclear on the benefits of static stretching for most individuals, as...
Achilles tendinopathy is the most common tendon injuries seen in our Boulder Physical Therapy practice. Patients often present with pain along the mid portion of the achilles tendon during walking, hiking, running, or jumping activities. The greatest risk factors for this condition include a loss of ankle flexibility (dorsiflexion) and calf weakness. Both of these...
An important shift has taken place in medicine away from the old paternalistic model of care toward the development of the therapeutic alliance. Patients are now encouraged to engage and interact with their medical providers in order to find an optimal path forward. The alliance aims to incorporate patient values and expectations, the best available...
Headaches are a common source of pain and disability with total costs estimated over 30 billion dollars per year. Patients’ signs and symptoms help classify headaches into categories including migraine, tension type, cluster, and cervicogenic but some are found to be multifactorial in nature. Some of the most effective interventions for headache are provided by...