The human body is an amazing system of interconnected tissues and organ systems designed to handle and thrive against the forces of life, work, and sport. Our body tissues such as bone, muscle, and tendons are extremely resilient to repetitive forces, but can be modified through progressive, consistent loading. Examples include improvements in bone density,...
Heart disease remains the number one killer of both women and men in our country. Although the causes of heart disease are multifactorial in nature a significant percentage of known risk factors are modifiable. Abstaining from smoking, weight loss, nutrition, and exercise remain some of the most powerful ways to reduce your individual risk for...
Knee arthritis is a common condition among older adults and remains one of the greatest causes of disability in our country. Consistent with many musculoskeletal conditions there remains a disconnect between imaging findings and a patient’s clinical presentation. Studies have shown many patients without knee pain can have signs of arthritis on their x rays....
In the achilles tendinopathy (artist formally known as tendonitis) research two main themes have emerged. First, there is little to no evidence to support the use of injections of any kind into an injured tendon. Authors have advocated against steroid injections due to the risk of tendon rupture outweighing any potential benefits. Studies have also...
Mobility exercises designed to improve range of motion within an affected joint or tissue are a valuable part of any rehabilitation program. Previously clinicians prescribed various bouts (3 x 30 seconds) of static stretching in an attempt to lengthen short muscles. Current research has shown these prescriptions are ineffective at changing muscle length and instead...
With the hypervigilance in abstaining from opioid prescriptions due to the opioid crisis, there has been an effort in determining alternate ways of providing analgesic effects for those in chronic pain. One of the most consistent modalities to help benefit with treatment is exercise. There has been many studies exploring the analgesic effect of exercise...
Photo Credit: wikipedia.org Ankle fractures are a relatively common traumatic orthopedic injury involving the two lower leg bones and ankle joint. Among these fractures, the most common type involves a break of the outer lower leg bone (weber B). These fibular fractures are commonly allowed to weight bear early than tibia fractures because they are...
When we opened MEND we wanted a Physical Therapy practice focused on excellent patient outcomes, in fewer visits, delivered by experts in their field. Our practice will not employ anyone other than board certified Physical Therapy orthopedic specialists and the care would be one on one in nature. To maintain our clinical principles we decided...
Researchers and clinicians continue to explore interventions to reduce the significant numbers of running related injuries. These injuries, mainly overuse in nature, often cause a loss in training time and are found among both novice and experienced runners. In addition to strength training, gait retraining has shown promise in reducing the forces placed across the...
Rotator cuff tears are a common finding among middle aged adults with shoulder pain, but are also found among their peers without shoulder pain. Many of us will develop these tears as we age and as we have discussed in previous blog posts there is no difference in outcomes at 1 or 2 years if...