Shoulder pain remains one of the most common reasons patients seek out care from both primary care physicians and Physical Therapists. Shoulder impingement or the compression of shoulder tissues, including the rotator cuff tendons and bursa, is the most common diagnoses behind these patients’ symptoms. Physical Therapy remains a gold standard treatment for this condition...
photo credit: ptonice.com 1. You have taken numerous continuing education courses in your career, how did the completion of the fellowship advance your clinical and teaching goals? The more I practice our craft the more I believe the big variable is selecting the right intervention, far more so than the nuances of that intervention delivery. ...
Photo Credit: phoenixmanualtherapy.com 1. What influenced your decision to start a private practice? The primary drive behind the decision to start a private practice for me was that I had invested completely in becoming skillful at what I did, I saw no plausible rationale for pursuing a profession at an average level. I found myself...
After any knee surgery, the quadricep muscle group becomes difficult to contract and recruit. These inhibition or impairment is usually secondary to both knee pain and knee swelling. Weakness in the quadriceps can lead to pain, impaired leg function, and prevent a full return to life or sport after knee surgery. Physical Therapists often...
Spinal manipulation is one of the oldest treatments in recorded history and is presented utilized by multiple professions including Physical Therapy. Physical Therapists perform spinal manipulation for patients suffering from head aches, shoulder, neck, pelvic, or low back pain. The mechanisms behind the pain relief found with this treatment are currently being investigated, but we...
In our prior posts on heel pain and plantar fasciitis we described the growing evidence supporting the utilization of treatments by Physical Therapists including manual therapy and exercise. This treatment approach is supported by established clinical practice guidelines and is more effective than modalities including ultrasound and other passive interventions. Interestingly, despite the evidence only...
Low back pain is the most common reason patients seek out the care of their primary care physician and Physical Therapist. Physical Therapy has been shown to be an effective first line treatment for both managing the symptoms of low back pain, as well as, preventing their recurrence. Manual therapy techniques performed by Physical Therapists...
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 osteoarthritis (OA) is a common condition in middle to older age and is a leading cause of pain and disability among this population. Our prior posts detailed improvements in cartilage thickness occurring in individuals with mild knee OA after a lower body exercise program. In advanced stages of knee OA or with a progressive...
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...