Wrist mobility and stability are crucial to helping prevent injury for rock climbers. The joint between the radius and the carpal bones (the wrist) is a common site for stiffness, especially considering the demands that climbers place on their wrists and fingers. Stiffness to the wrist joint can lead to pain at the elbow, wrist,...
How many times have you seen someone whose posture looks like this while belaying? Neck pain is a common in rock climbers. Although climbing itself can lead to neck pain, the most common cause is spending prolonged periods belaying. We refer to this as “belayer’s neck”. Belayer’s neck is a colloquial term to describe a...
The vast majority of patients to our Boulder Physical Therapy practice require strength training to either rehabilitate an injured tissue (muscle, bone, tendon) or improve their capacity to participate in the activities they enjoy. The longer I practice the more I respect the gains in mobility, strength, function, and patient independence found through lifting something...
It is estimated that between 1-10% of vaginal births result in 3rd or 4th degree perineal tears. To learn more about the different grades of perineal tears click here. Understanding the risk factors and possible techniques for prevention of 3rd and 4th degree perineal tears, also known as obstetric anal sphincter injuries (OASIS), is incredibly...
Spinal manipulation, dating at least to Hippocrates’ writings, is one of the oldest known medical treatments. Currently, these treatments are commonly performed by Physical Therapists, chiropractors, and physicians to treat a variety of musculoskeletal pains. Evidence supporting spinal manipulation is primarily found in three areas: headache, neck pain, and low back pain. This data supports...
A perineal tear is a tear in the skin or muscle between the vaginal opening and anus that commonly occurs during a vaginal delivery. It is estimated that 85% of women who give birth vaginally will experience a perineal tear to some degree (Smith et al. 2013). Just like other muscle tears in the body,...
After talking to many midwives and doulas around Boulder Country and listening to patients’ birth stories, it is clear to me that every labor and delivery is different. No two births are completely alike. While there are some aspects of labor and delivery that you cannot control, here is a list of things you can...
The evidence continues to build on the benefits of early Physical Therapy for patients with low back pain. Previous researchers have found successful outcomes and decreased health care costs (up to $1500 per episode of care) when patients are treated with early vs. delayed Physical Therapy or compared to usual care including primary care, education,...
The CDC reports one in four adults over the age of 65 have sustained a fall in the previous year. The rate of falls is expected to increase as our older American population continues to age. Consequences of falling include fracture, head injury, and a higher risk of mortality after the fall. Authors report a...
The rotator cuff is a group of four muscles that coordinate movement and provide dynamic stability of the shoulder joint. These muscles are crucial for rock climbers who put extreme stresses through their shoulders, often in awkward positions that can cause bone structures to rub or impinge on the rotator cuff muscles. Because of this,...