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Hydration, electrolytes, salt and pickle water are all common internet solutions for muscle cramping.  These remedies are based off the assumption that muscle cramping is secondary to imbalances in electrolyes (potassium, sodium) or hydration levels.  In particular, when athletes are dehydrated there is a decrease in the water content, concentrating many elements in the bloodstream...

Up to 250,000 athletes will sustain an ACL injury each year and the majority of these patients will require Physical Therapy before and/or after their ACL reconstruction surgery.  These athletes may be at risk of future lower extremity injuries either on their involved or uninvolved lower extremity because of inadequate physical therapy, poor movement patterns,...

We have previously written about the functional movement screen (FMS) and its’ ability to predict injury although more recent research has called its’ predictive ability into question.  The highest quality research on the FMS has occurred in NFL athletes or those training for the NFL combine.  The research demonstrates the predictive value of these tests may...

In prior posts we described risk factors for an initial episode of achilles tendinopathy including muscle imbalances, calf weakness (concentric and eccentric), and loss of mobility within the foot and ankle.  Once the tendinopathy is established, patients demonstrate significant deficits in range of motion, strength, balance, endurance, and jumping ability (Silbernagel et al. 2006).  These...

Our prior posts on tendon injuries have described the structural changes that take place with chronic symptomatic tendinopathies.  The disorganization of tendon fibers and the body’s attempts to heal the injured tendon are best viewed on ultrasound or MRI imaging.  MRI is a very sensitive tool, but lacks specificity meaning a positive finding may or...

Mend Physical Therapy has previously written on the prevention and treatment of running injuries  in multiple prior blog posts.    Running is very common form of exercise in the United States and here Boulder County. The vast majority of runners will sustain an injury in the upcoming year which will prevent them from training or competing...

In a previous post we highlighted the importance of a dynamic warm up to gradually increase cardiovascular work, improve mobility, decrease injury risk, and improve performance.  Conversely, traditional static stretching has been shown to reduce run, sprint, and jump performance in athletes.  Clearly, these static holds should be held until an athlete’s cool down period after...

The majority of patients undergoing treatment by a Physical Therapist will receive a home exercise program (HEP) based on their specific symptoms.  This individualized program is essential for the reduction of symptoms and restoration of function.  In my opinion, not providing an exercise program to patients with musculoskeletal conditions leads to patient dependence on the...