Tennis elbow or lateral epicondylalgia is a common overuse injury in the upper extremity. Initially believed to be an inflammatory process or tendinitis newer research has instead found a degenerative process consistent with cellular turnover (remodeling) in tendon where the muscles of the wrist and fingers attach into the arm. Current Physical Therapy best practice...
As long as I have been in the profession, clinicians have continued to search for the next best thing to reduce pain and inflammation, as well as, improve any number of clinical factors. Unfortunately, the medical literature is filled with trials showing non significant effects as many of these devices have failed to outperform proven...
Ultrasound is a therapeutic modality designed to attempt to warm injured tissues, increase circulation, and reduce pain through transmission of sound waves into the body. Initially utilized in middle of the 20th century and likely reaching its’ peak use in the 90s before President Clinton signed the balanced budget act (which included enforcement of Medicare...
Since entering the sports medicine field in the early 2000s there has always been a presence of the newest gadget, technology, or device aimed at either reducing pain or accelerating tissue healing. As the years move forward the popularities of these devices wax and wane and eventually fall out of favor due to the next...
Few things remind me of how far we have come as a profession than ultrasound. Early in my career we utilized ultrasound and other modalities to help reduce a patients pain. Initially touted as a medium to deep tissue heating and healing, ultrasound has now fallen out of favor due to the lack of research...