Lumbar spinal stenosis is a relatively common condition in older adults with an estimated incidence of 1 in every 1000 adults over 65 years old. Age related changes in the spine lead to increased weight bearing across the posterior elements of the spine, arthritic changes in spinal joints, and decreased cross sectional area in the...
Authors estimate close to 64 million adults in the United States have bunions on their first toe and 200,000 will elect for surgery to treat this painful area of the foot. The surgery is not without risk and around 15% of patients undergoing surgery will require a 2nd revision. Bunions are defined as an increase...
Distance runners are a frequently injured group of athletes with up to 90% reporting a running related injury requiring time off from training or competition. Authors report low back pain is one of the most common sites of pain likely secondary to underlying core and hip weakness. Runners repeatedly land with 2-6 x times their...
Despite improvements in coaching, training schedules, and running shoes the vast majority of runners can expect a running related injury in their career. The majority of these injuries are overuse in nature secondary to an overload of the injured tissue (muscle, bone, joint, tendon). In short, too much too soon without adequate time for tissue...
The muscles of the neck are responsible for movements of the head and shoulder blade, as well as, stabilization of the head on the neck during daily activities. These muscles must be capable of both low repetition, high force contractions as well as high repetition, low force contractions to accomplish these tasks. Patient’s with neck...
One of the main benefits of resistance training, in both the fitness and Physical Therapy settings, is the increase in strength and muscle size in trained individuals. These benefits have been shown to improve an individual’s function and reduce their risk of future injury. One of the keys to success with this training is the...
In a strength training exercises two main phases of the lift are experienced by the participant. The first is the concentric contraction involving a shortening of the muscle under load as the weight is moved to the end of the movement. The second or eccentric contraction involves the lengthening of the muscle under load as...
Pain on the front of the knee (patellofemoral pain syndrome) is the most common diagnosis behind knee pain and one of the most common conditions found in sports medicine and Physical Therapy clinics. Although multifactorial in nature, symptoms arise due to abnormal contact between the knee cap and the thigh bone at the knee joint....
Neck pain will affect up to 70% of the population at some point in their lifetimes. Thankfully the vast majority of these cases are not serious in nature and will improve with conservative treatments including Physical Therapy. Within Physical Therapy, a manual therapy (mobilization and manipulation) and strengthening exercise approach has been shown to be...
Plantar heel pain, including pain along the plantar fascia, is one the most common diagnoses in the foot. Individuals often experience pain with the first step in the morning or after prolonged sitting. Symptoms limit their ability to perform many standing, walking, and recreational activities. Researchers have found minimal inflammatory cells within the plantar fascia...