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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 platelet rich plasma (PRP) and stem cell injections continue to rise and outpace the medical research supporting their use.  Often these expensive injections are not covered by medical insurance due in part to their unproven effectiveness in human trials against placebo or control/natural history groups.   A recent review article in the...

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...

Squats remain one of the most effective exercises for strengthening the lower quarter and improving sports performance.  It also is a very efficient exercise in the gym because it targets most of the important leg muscles and works them through a large range of motion.  The downside of a squat is its’ difficulty.  Many people...

Overuse injuries to the upper and lower extremity tendons remains a common source of pain and lost activity for patients at our Boulder Physical Therapy practice.   Tendon injuries can be challenging to treat, but these injuries have been shown to respond to exercise interventions designed to appropriately load and promote healing (remodeling) of the...

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...