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...
Elbow pain on the outside of the elbow is most common in individuals’ aged 30-50 y.o. and effects 1-3% of the general population (Shiri et al. 2006). Risk factors for this condition include blue collar workers utilizing repetitive gripping and manipulation in the work place, smokers, and tennis athletes. This condition has previously been described...
Knee Pain Background Anterior knee pain is a term used to encompass many conditions affecting structures of the knee. The majority of these cases can be attributed to patellofemoral pain syndrome (PFPS) or an abnormal tracking of the patella on the femoral groove secondary to changes in lower extremity alignment, muscle imbalance, or training errors...
One of things I enjoy about the profession of Physical Therapy is its’ constantly changing nature of the medical evidence behind what we do. Often I come across a new article or research report, which challenges my previous line of thought about an injury or treatment and requires me to change. Achilles Tendinopathy is commonly and...
When we began playing sports, our pre game routines consisted of a cardiovascular warm up, some agility work, followed by static stretching (sustained holds >15 seconds of the muscles). This type of stretching has fallen out of favor in the last decade because of the negative impact of static stretching on muscle performance. Research has...
Neck Pain Background Information Neck pain affects 10-15% of the population at any one time, with a lifetime incidence of 22-70% (1). Only 6% of patients with neck pain report resolution of symptoms at one year (2). A recent systematic review demonstrated the prognosis from idiopathic neck pain is poor (3) and 50-75% of patients with neck...
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...
Lateral Elbow Pain and Lateral Epicondylalgia Lateral epicondylalgia, also known as tennis elbow, is an overuse injury involving the common origin tendon of the wrist and finger extensors. Patients with this condition often report pain in the lateral elbow exacerbated by gripping, lifting, or manipu- lating objects with their hands. Previously thought to be a...
Knee Arthritis Background Information Osteoarthritis (OA) costs have risen to 13.2 billion dollars per year and are the leading cause of disability in adults(1). Knee OA is the most common area and leads to mild to moderate disability in >10% of adults over age 552. Up to 70% of older adults have OA changes on...
An ounce of prevention is worth a pound of cure-Benjamin Franklin As warmer weather returns, many of us will increase our physical activity each week in an effort to improve our health, well-being, and physical performance. A common question asked in our clinic by our patients and clients recovering from an injury is “could...