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Our current understanding of posture has changed dramatically over the past 20 years due to the influx of scientific literature on posture and muscle and joint pain. Previously, posture was thought to be strongly associated with muscles imbalances including tightness or weakness. For example, forward shoulders were thought to be associated with shortened pectoral muscles....

Subacromial impingement syndrome is the most common cause of shoulder pain. These symptoms are easily treated with Physical Therapy interventions including manual therapy and exercise. Specifically, strengthening exercises for the shoulder blade and shoulder muscles improve both the quantity and quality of shoulder movements treating both the source of impingement pain and the underlying cause....

Yoga is a popular form of individual and group exercise designed to improve flexibility, movement quality, and strength.  Participants benefit from sustained position holds designed to target different body regions.  As expected, the work of the stabilizing muscles increase with greater balance and weight bearing demands.  A recent study examined which exercises were best for...

Adhesive capsulitis or frozen shoulder is a painful shoulder condition hallmarked by acute pain and a progressive loss of shoulder range of motion.  This diagnosis can have a lengthy recovery requiring up to 24 months in some patients.  The medical evidence highlights the importance of early diagnosis (acute pain, loss of motion especially external rotation),...

MRI testing of the shoulder is no different than testing in other body regions.  Pathologies such as bursa changes, tendinopathies, labral and rotator cuff tears are very common in asymptomatic populations and tend to increase with an individual’s age.  Many of these MRI findings do not contribute to a patient’s current symptoms and may be...

Shoulder impingement is the most common cause of shoulder pain and is commonly treated with Physical Therapy interventions including upper body strengthening and manual therapy.  Dry needling is gaining traction in both clinical practice and the medical research as an effective treatment option for musculoskeletal pain.  When combined with other forms of manual therapy, including joint...

In our previous blog post we described how few (16%) partial rotator cuff tears progress over time.  Understanding the non progressive nature of the injury allows patients an opportunity to explore non surgical options including Physical Therapy.  In this study they followed partial rotator cuff tears over time, but a more recent study followed patients...

Posture has a controversial and complex role in musculoskeletal pain.  Some research studies have found zero to weak correlations between posture and pain while other studies have shown it can both impact pain and function.  One area of the body where posture may have a larger role is with shoulder function.  Individuals with limited mid...