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Achilles Tendon Problems Achilles tendinopathy commonly occurs in runners and jumpers, with up to 50% experiencing the condition in their lifetime(1). Not all those affected are active with 33% of individuals reporting a sedentary lifestyle(2). Individuals with this condition report pain, stiffness, and loss of function with daily and recreational activities. This condition was originally...

The Centers for Disease Control, American College of Sports Medicine (ACSM) and American Heart Association recommend >5 days of week of moderate or >3 days per week vigorous cardiorespiratory (aerobic) exercise per week to improve fitness and reduce risk of illness and disease(1). Specifically, this dosage of exercise has been shown to reduce all cause...

Ankle Sprain Injuries Ankle sprains are one of the most common orthopedic injuries with an annual incidence of 7 sprains per 1000 individuals(1). Lateral ankle sprains involving the outside of the ankle account for 85% of these sprains (see picture) and involve flexed and inverted foot(2). Authors reports up to 72% of individuals who sustain...

Cervical Radiculopathy Injuries and Symptoms  Cervical radiculopathy occurs when a nerve from the neck becomes irritated or compressed by space occu- pying lesion including fluid, soft or bony tissues as it exits the spine. Patients often complain of sharp, burning pain down the arm, numbness, tingling, or weakness. This condition is most common in the...

Headache Background Headaches cause nearly $31 billion in indirect costs annually in the US (10). Within patients with headaches, a cervicogenic source can be found in 4% of the general population, 17.5% of those with severe headaches, and up to 53% of those with headache post whiplash injury(11). The upper cervical (C2/C3) facet joints have...

Hip Pain associated with Impingement and Labral Tears Femoral Acetabular Impingement (FAI) is defined as the mechanical abutment of the femoral head against the acetabulum1. This contact is either structural (cam or pincer lesion), functional or a combination of both and results in pain, loss of motion, and disability. Researchers have questioned if the findings...

The rate of running related injuries ranges from 19-85% with the majority of these runners do not return to prior levels of running (van Gent et al. 2007). Poor running mechanics and abnormal loading patterns have been documented as risk factors for future injury and can perpetuate current injuries. A recent review article highlighted the...

Is a picture really worth 1000 words? As our technology continues to improve MRI and CT scanners have become more proficient at finding changes in our spines. This higher imaging quality comes with a cost in that many of these positive findings like “bulging discs”, arthritis, “pinched nerves” and the frightening-sounding “degenerative disc disease” can...