The rates of surgery for femoroacetabular impingement (aka: FAI, hip impingement) have skyrocketed in recent years. Recent studies have shown that both Physical Therapy and surgery are effective at reducing pain and improving function in people with hip impingement. In our Boulder County Physical Therapy practice we have frequent conversations with patients about this evolving...
Self soft tissue mobilization using a foam roller or other device (stick, ball, etc) is a popular adjunct to training that we see our strength and endurance athletes utilize in our Boulder physical therapy practice. We often receive questions about how and when foam rolling should be utilized in training and whether it helps with...
In our active Boulder County community, we have observed an increase in the number of women participating in high intensity exercise such as CrossFit. The topic of pelvic health and CrossFit has been under discussion in recent years, prompted by reports of competitive female athletes experiencing urine loss due to stress urinary incontinence during CrossFit...
Patellofemoral pain, pain around the kneecap, is extremely common and impacts activities such as running, hiking and stairclimbing. In our previous posts on this condition we have discussed the efficacy of exercise in treating this condition. A recent study (Nunes et al, Phys Ther Sport 2019) assessed performance measures correlated with hip muscle strength in...
The third trimester of pregnancy is when the demands of the fetus are greater due to rapid growth and development. Fetal growth is dependent upon blood supply of oxygen and nutrients from the mother via the placenta. Vigorous intensity exercise (defined as at least 70% of maximum heart rate or an exertion level at which...
A recent article in the Journal of Orthopaedic and Sports Physical Therapy (Deering et al, June 2020) discusses the research currently available to guide a return to exercise (including competitive sport) after pregnancy and childbirth. The short answer is, there’s not much. The article proposes a 3 phase approach to postpartum recovery in athletes. Phases...
Diastasis recti abdominis (DRA) is a normal thinning of the connective tissue known as the linea alba as a response to increased intra abdominal pressure (IAP). Studies estimate that around 60% of first time mothers at 6 weeks postpartum will have a DRA. A study by Sperstad et al. in 2016, notes that the presence...
“Do your kegels.” How often do pregnant women hear that little phrase? These days, most prenatal apps, books, or health care professionals will tell a pregnant patient to do their kegels at some point during pregnancy. How many should you do, how often, should you really be doing them, and how do you even know...
The 6-week postpartum doctor’s visit is when women are often “cleared” for activity and are often advised to start slowly and gradually build exercise volume. Running is a popular activity in the postpartum population given the flexibility of scheduling exercise, weight loss and fitness benefits and ability to participate in exercise with your baby (once...
