Patients often receive exercise handouts from physicians when initially presenting with musculoskeletal pain. The idea behind the handout makes sense on the surface, a low cost treatment option which may help a patient’s symptoms. Unfortunately, these handouts (often photocopied to death) lack specificity including providing the right handout to the right patient, as well as,...
Low back pain is a common condition best treated by Physical Therapists due to their unique ability to effectively provide all evidence based treatments (including spinal manipulation, directional exercise, and strength training) for this patient population. Large systematic reviews of the existing medical literature have repeatedly shown the benefits of strength training to reduce the...
Normal movement at the shoulder is distributed between motion at the shoulder (glenohumeral) joint and movement of the scapula. Although there is variability with how shoulders move, normal arm movement is made up of a ratio of glenohumeral joint movement to scapular movement that is between 2:1 and 2.4:1. A normal shoulder will move 180o...
Many of us suffer from some degree of motion sickness. This can be triggered by large motions such as sitting in the back seat of a car while zipping around a windy Colorado mountain road, or can be triggered by more subtle things like moving through a grocery store or checking your phone while walking....
As a pelvic health physical therapist who works with individuals during pregnancy I am often asked, “What is the best position to deliver a baby in?” My answer is typically: “Just like posture, there is no “perfect position”, the best position or posture is one that continues to change and where you feel most comfortable.”...
Are you or someone you know experiencing vertigo? Vertigo is the sensation of the room spinning around you, or the sensation of your body spinning within the room. It is often a debilitating feeling and can cause nausea and falls. Dizziness and vertigo can be caused by a variety of factors and it’s...
Most climbers are aware of the importance of finger flexor strength. But how strong are your finger EXTENSORS? Finger extensors are the antagonist muscle group to the finger flexors and are critical to providing support and stability. Strengthening this muscle group is key component to a finger rehabilitation program, particularly in rock climbers who put...
In previous blogs we have discussed the limitations of imaging, including MRI, for musculoskeletal conditions including low back pain. The presence of pathology including disc herniations, nerve compression, arthritis, and degenerative disc disease increases with age in both pain free and painful individuals. The high degree of positive findings among asymptomatic individuals questions the ability...
The negative effects of aging on the body’s muscular system are well established and contributes to increased disease risk, sedentary activities, and most importantly, a loss of independence. The effect of sarcopenia begins after age 30 in most adults and results in a 5-10% loss of fat free muscle mass for each decade of life...
As I have gotten older I have had more success hitting my health and fitness goals by shifting my workouts to the morning. I have grown to appreciate the mornings and their lack of distractions and daily tasks which often interfere with later sessions. Exercising as the first task of the day reduces one of...