Cycling is one of the most popular outdoor activities in Boulder. Cyclists we encounter in our Boulder Physical Therapy practice most commonly complain of pain on the front of their knee or anterior knee pain. Research shows 1 in 2 competitive cyclists have experienced this knee pain resulting in lost training and competitions in over...
As healthcare costs continue to rise, all stakeholders (patients, providers, and payers) are looking for ways to reduce costs associated with common conditions. In our field, we commonly see patients given generic, one size fits all exercise programs for common conditions including low back pain. Our previous post highlights the limitations of this approach including...
Low back pain continues to affect many Americans leading to pain, loss of function, missed work days, and higher health care expenditures. Much of this cost is attributed to the often unnecessary utilization of advanced imaging and procedures such as injections and surgery. Previous research has shown early access to Physical Therapy without a prior...
In our previous blog posts we have written on the limitations of MRI for many injuries and conditions. In general, these expensive tests have high rates of false positives where patients without pain often have positive results including ligament/labrum tears or tendon changes. The incidence of false of positives increases in athletes with the majority...
Ankle sprains are one of the most common orthopedic injuries we see in our Boulder Physical Therapy practice. These injuries create local pain, swelling, loss of motion, weakness, and balance difficulties. In past years these injuries were treated with R.I.C.E. (rest, ice, compression, and elevation), but more recent research has demonstrated improved outcomes and faster...
Knee osteoarthritis is a common condition in aging adults leading to pain and reduced performance of daily and recreational activities. Manual therapy and exercise remain a hallmark of conservative care for this condition and have been shown to delay or prevent the need for a total knee replacement. In addition to exercise, corticosteroid injections are often...
The internet is excellent at providing information on a multitude of subjects, but the application of this information is limited because of the existence of individual situations and people. An example of this would be the failure of a one size fits all approach to Physical Therapy. In this example, every patient with a certain...
Tears in the meniscus, cartilage within our knees, can occur due to injury or degeneration attributed to the aging process. The latter is a much more frequent scenario and often these tears are found on MRIs of patients without knee pain. These false positive results cast doubt on the direct correlation between a picture of...
There are few treatments more effective for the prevention and treatment of injuries and musculoskeletal conditions than resistance training. Unfortunately, many Americans are not performing enough strengthening to prevent the loss of muscle mass (sarcopenia) which begins to occur in the 3rd decade of life. After age 30 we begin to demonstrate a progressive loss...
Dry Needling performed by licensed Physical Therapists is gaining momentum in clinics and research trials across the country. This intervention can be an excellent treatment for patients suffering from pain and trigger points within their muscles. Trigger points are hyper irritable bands of tissue contributing to pain, loss of flexibility, and impaired strength in patients. The...