The size of mountain bike wheels has undergone significant changes in the history of the sport. Currently the traditional diameter of 26 inches is being challenged by the more recent 29 inch diameter (29ers). 29ers are 10% larger than 26 inch wheels and have been promoted as being easier to ride for taller riders and...
In previous posts on ACL injuries we have discussed the rising incidence of knee injuries across multiple sports and events. As we enter ski and snow board season Mend will help manage an increased number of these injuries. The lower extremity is the most commonly affected body region for ski injuries with 1 in 3 injuries...
The iliotibial band is a long track of fascia and connective tissue running from the lateral hip muscles including the tensor fascia lata down to the lateral aspect of the knee. Contrary to popular belief and utilization, foam rolling is ineffective at changing the length or flexibility of this structure secondary to its’ density and...
Treatment of the thoracic spine utilizing joint mobilization or manipulation is a excellent treatment approach to accelerate the recovery of patients dealing with neck, elbow, and shoulder pain. Utilizing a regional interdependence approach where areas adjacent or distant to the site of pain are treated by the physical therapist, in addition to the painful area, lead...
Knee arthritis (knee OA) is the most common form of osteoarthritis and affects many individuals in middle to older age. This condition can be found on x ray or MRI testing in both asymptomatic and symptomatic individuals. The high rates of false positive imaging findings require a thorough subjective and objective examination in order to make a...
Rock climbing is one of the most popular outdoor sports in Boulder, Colorado. Often these athletes present to our Physical Therapy clinic with both traumatic and overuse injuries. Most commonly, these overuse injuries involve the upper extremity and cause decreased performance and loss of climbing days each season. Each discipline of climbing including sport, bouldering,...
Runners older than 50 years old have shown the greatest increase in participation rates among long distance runners. In a previous post we described the impact of aging on running speed. In each decade after age 40 a runner will lose approximately 10% of their VO2 max due to changes in their musculoskeletal and cardiovascular...
The majority of people with lower quarter pain or symptoms will demonstrate altered coordination and communication between the nervous system and muscles. This leads to altered movement patterns which may perpetuate symptoms and lead to more chronic pain and muscle imbalances. Primary movers for our movement patterns (example: gluts) may be substituted for weaker, less...
My approach to treating ankle sprains has changed dramatically since I began working with athletes in the late 1990s. The PRICE (protection, rest, ice, compression, and elevation) approach has been replaced with a clinically superior movement approach designed to reduce pain and facilitate a return to an exercise program. The PRICE approach was effective to...
Our prior posts on dynamic warm ups have highlighted the benefits of these exercises on injury prevention and sports performance. Conversely, static stretching has been associated with decreased performance due to a reduction in the ability of the stretched muscle to contract and perform dynamically during sport movements. Clearly, the best option for both pro...