Plantar heel pain, including plantar fasciitis and plantar fasciosis, is associated with pain along the heel and arch of the foot worsened with prolonged standing, walking, or running. This diagnosis is also associated with intense pain first thing in the morning or upon standing after prolonged sitting. Researchers report athletes, active, as well as, sedentary...
One of the greatest misconceptions in the treatment of musculoskeletal injuries is using interventions to create symmetry in the body between right and left sides. Asymmetry is often the norm vs. the exception but we function very well in life and sport with these asymmetries. Small asymmetries should be accepted while larger asymmetries should be...
We have previous discussed the limitations of orthotics to control lower extremity alignment. Another common reason for orthotic use is to control the degree of pronation or flattening of the foot during foot strike in walking and running. The theory believes orthotics are able to impact force absorption by controlling this motion at the foot...
Plantar heel pain or plantar fasciitis is the most common diagnosis explaining pain originating from the bottom of the foot. Previously, orthotics have been thought to improve alignment of the foot and ankle but more recent research has shown the limitations of these interventions. In our previous blog posts, we have described the inability of...
Running is one of the most popular forms of exercise due to its’ accessibility, low equipment cost, and health benefits. As running popularity continues to grow, unfortunately so do the number of runners who miss a training session or competition due to injury. These runners are not alone; as research has reported up to 90%...
In our previous posts, we have described the limitations of orthotics to correct lower leg alignment and treat foot and leg conditions compared to Physical Therapy exercises. In addition, long term orthotic users often show atrophy of the foot’s core muscles which leads to further weakness and dysfunction. Instead of orthotics, an active approach...
The use of foot orthotics are commonly prescribed for many lower quarter conditions including running injuries, foot and ankle pain, and even low back pain. As we have described in previous posts off the shelf orthotics perform as well as more expensive custom orthotics, but overall their impact on many conditions is limited. When compared to...
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...
In our previous posts we have documented the weakness and atrophy of the foot’s “core” muscles among patients with heel pain. Heel pain is one of the most common foot and ankle diagnoses we see in our Boulder Physical Therapy Practice. This condition is commonly treated with manual therapy and exercises targeting the lower...
The human foot is a remarkable structure of 26 bones and 30+ joints integral to both walking and running. The foot must be able to both flatten (pronate) and absorb the forces of the body, as well as, become rigid (supinate) in preparation for propelling us forward. This balance of mobility and stability is accomplished...