Our current understanding of posture has changed dramatically over the past 20 years due to the influx of scientific literature on posture and muscle and joint pain. Previously, posture was thought to be strongly associated with muscles imbalances including tightness or weakness. For example, forward shoulders were thought to be associated with shortened pectoral muscles....
Subacromial impingement syndrome is the most common cause of shoulder pain. These symptoms are easily treated with Physical Therapy interventions including manual therapy and exercise. Specifically, strengthening exercises for the shoulder blade and shoulder muscles improve both the quantity and quality of shoulder movements treating both the source of impingement pain and the underlying cause....
Yoga is a popular form of individual and group exercise designed to improve flexibility, movement quality, and strength. Participants benefit from sustained position holds designed to target different body regions. As expected, the work of the stabilizing muscles increase with greater balance and weight bearing demands. A recent study examined which exercises were best for...
Previous research has documented no difference in long term outcomes between Physical Therapy and surgery for patients with rotator cuff tears. Many patients with rotator cuff tears, including massive tears, do well with conservative treatment of their shoulder injuries demonstrating improvements in pain, strength, and function. Strength training makes up the foundation of conservative care...
Manual therapy, including joint mobilization and manipulation, is a Physical Therapy intervention designed to reduce pain and improve mobility. These interventions have been shown to accelerate a patient’s recovery compared to usual care or exercise alone. Although mechanisms behind its’ effectiveness are still being researched, manual therapy unique ability to reduce pain allows an individual...
Lateral elbow pain, tennis elbow, is a limiting condition causing pain with repetitive movements including gripping. This condition was previously though to occur secondary to inflammation within the wrist and fingers tendons insertion into the arm, but current researchers have not found inflammatory cells in patients with this condition. Instead, cells of the injured tendons...
Adhesive capsulitis or frozen shoulder is a painful shoulder condition hallmarked by acute pain and a progressive loss of shoulder range of motion. This diagnosis can have a lengthy recovery requiring up to 24 months in some patients. The medical evidence highlights the importance of early diagnosis (acute pain, loss of motion especially external rotation),...
MRI testing of the shoulder is no different than testing in other body regions. Pathologies such as bursa changes, tendinopathies, labral and rotator cuff tears are very common in asymptomatic populations and tend to increase with an individual’s age. Many of these MRI findings do not contribute to a patient’s current symptoms and may be...
Tennis elbow or lateral epicondylalgia is a painful condition affecting the wrist and finger extensor tendons as they attach into the arm. Breakdown of the tendon at its’ insertion and weakness in the forearm muscles lead to pain and reduced tolerance for gripping and hand movements. Physical Therapy treatments including manual therapy to the spine...
In our previous blog post we described how few (16%) partial rotator cuff tears progress over time. Understanding the non progressive nature of the injury allows patients an opportunity to explore non surgical options including Physical Therapy. In this study they followed partial rotator cuff tears over time, but a more recent study followed patients...