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...
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...
Physical Therapists’ education, training, and skill set allows our profession to uniquely evaluate and treat the needs of both acute and chronic musculoskeletal conditions. In this role we have consistently demonstrated great patient outcomes at a lower cost than others members of the healthcare team. Education is one of the most important interventions we can...
Have a student athlete that is injured, or always seems to run into issues as the season ramps up? At Mend, we are dedicated to keeping our young athletes healthy. One of the tragic consequences of sustaining an injury or experiencing pain as a young athlete is becoming the adult that doesn’t run, ski, hike,...
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...
Shoulder and elbow injuries are on the rise among youth and professional baseball players. Our previous post on baseball injuries detailed the risk of future injury if an athlete has lost range of motion in his shoulder prior to the season. In particular, emphasis has been placed on the amount of internal rotation (hand behind lower...
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...
Currently, consumers have many choices of where to obtain Physical Therapy services for their pain and sports injuries. One option includes a clinic owned by the physician, often an orthopedist or physiatrist, who refers the patient to the clinic in which he/she has financial ownership. This arrangement, described as a physician owned physical therapy service...
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...