At Mend, we provide every patient with an individualized exercise program specific to their condition. These programs are focused to deliver optimal results in the least amount of time possible. Exercise is one of our most powerful interventions to eliminate pain and restore function without the use of more risky medications or surgery. The...
Background Sacroiliac (SI) joint pain is an less common source of low back pain but has a higher incidence pregnant and post partum patients, as well as, after trauma. The incidence of SI pain in patients with low back pain is 13% (9-26%) (1). The majority of patients will report buttock pain (94%), lower lumbar...
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...
Our imaging technologies have made tremendous improvements in their ability to detect abnormalities in our body. These positive findings may or may not be related to our current symptoms including stiffness, giving way, or pain. We have seen improvements in the sensitivity of these tests where we are able to detect individuals with the condition...
We have previously written on low back pain and the dramatic rise in surgeries with this patient population, despite evidence of superior outcomes over conservative treatment and Physical Therapy. Prior research has documented the dramatic rise in the number of lumbar MRI imaging for the low back and a corresponding increase in the number of...
Introduction Low back pain (LBP) is a common, disabling condition with both musculoskeletal and non musculoskeletal contributions. It has been reported that greater than 80% of individuals will experience LBP within their lifetime and 20-30% of individuals are affected with these symptoms at any point in time[1]. Katz et al. reported the cumulative cost to...
Lumbar Spinal Stenosis is a spinal diagnosis found in older adults and involves a narrowing of the canals in which the nerves exit the spine. It can be found in either the central canal of the spine or in the foramen where nerves exit on each side of the spine. Often these patients reports symptoms...
Currently, consumers have many choices of where to obtain Physical Therapy services for their pain and sports injuries. One option includes a clinic owned by the physician, often an orthopedist or physiatrist, who refers the patient to the clinic in which he/she has financial ownership. This arrangement, described as a physician owned physical therapy service...
The use of lumbar corticosteroid injections is often utilized for patients with back and leg pain (radicular pain) and/or leg numbness, pins and needles, or nerve root weakness (radiculopathy). In an older adult these symptoms may be due to a narrowing of the canals in which the lumbar nerve roots exit (lumbar stenosis). These injections...
Is a picture really worth 1000 words? As our technology continues to improve MRI and CT scanners have become more proficient at finding changes in our spines. This higher imaging quality comes with a cost in that many of these positive findings like “bulging discs”, arthritis, “pinched nerves” and the frightening-sounding “degenerative disc disease” can...