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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...

Low back pain continues to be a common source of pain, loss of function, and in some cases disability.  A portion of this weight on our society and medical system is the over emphasis on imaging findings including disc injury or degenerative disc disease as the source of a patient’s symptoms.  Unfortunately, there is an...

Shoulder pain remains one of the most frequent reasons patients seek care from a Physical Therapist.  Although many diagnoses create symptoms in the shoulder region, rotator cuff tendon pain is one of the most common.  Descriptions of tendon pain such as tendinitis are being disproven by the research due to a lack of inflammatory process...

The shoulder blade and upper arm bone move together to produce a variety of arm and hand movements essential for life and sport.  Proper movement of the shoulder blade is required to produce normal mechanics at the joint surfaces and maintain the length and function of the shoulder blade and shoulder muscles.  Abnormal mechanics between...

The squat remains one the best overall exercises for strength development in both healthy and injured patients.  Squatting strength has been correlated with both functional and athletic performance.  Our previous blog posts documented the safety concerns of squatting through a partial or full range of motion.  In short, in a healthy knee there is no...

Reducing Hamstring Strains in Sprinters

Hamstring strains or pulls are a common injury among acceleration sports including rugby, soccer, and sprinting.  Our previous blogs have written about the causes and treatments of these muscle injuries.  One of the common causes of injury involves a lengthening contraction (eccentric) of the muscle during these explosive sports movements.  If the muscle is unable...

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...

Strength training in endurance athletes is an essential part of any injury prevention and conditioning program.  Our previous blogs have highlighted the importance of these exercises for improving an athlete’s efficiency during training and competition.  Endurance athletes who strength train are more economical and therefore faster than their weaker peers.  Strength training exercises should involve...

In my opinion, Physical Therapy patients are often under exercised and do not return to prior levels of activity due to a lack of rehabilitation intensity.  What are some of your recommendations for implementing higher level exercises and strength and conditioning principles for practicing Physical Therapists? We have a problem in the physical therapy profession...