Spinal manipulation is one of the oldest forms of medical treatment dating to at least Hippocrates. Currently, three professions, including physicians, chiropractors, and Physical Therapists, practice this form of intervention. Medical evidence for this treatment is focused mainly on the treatment of musculoskeletal diagnoses including neck pain, headache, and low back pain. In general the...
Physical Therapy spinal and extremity joint mobilizations are slow passive movements applied to a patient’s joint surfaces. These interventions have been shown to decrease pain, improve range of motion, and increase the immediate force production of a targeted joint’s musculature. In our Boulder Physical Therapy practice, these joint mobilizations are performed with other manual therapy...
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...
Headaches are a common condition reaching greater than 30 billion dollars each year in health care costs. The majority of headaches are multifactorial in nature but can commonly be broken down into tension/myofascial headache, migraine, cluster, and cervicogenic headaches. This finally category of headache includes pain referred to the head by the upper neck joints...
Ankle stiffness or lack of mobility is common impairment in many patients with lower quarter symptoms including ankle, knee, and hip pain. Limitations at this important joint create compensations up the body, most commonly at the knee, and create dynamic alignment impairments within the lower body. These biomechanical changes may present during walking, stair climbing,...
Manipulation, along with strength training, remains one of the most effective treatments for patients with sacroiliac (SI) pain. Spinal manipulation by a Physical Therapist provides a unique stimulus to the nervous system creating a complex therapeutic response in the patient. Researchers continue to investigate the mechanisms behind its’ effectiveness including central and peripheral nervous system...
Photo Credit: IJSPT Dry needling is a commonly utilized Physical Therapy intervention which can effectively reduce pain, improve pain, and improved muscle performance. Physical Therapists aim to treat trigger points or knots in the muscles thought to either cause pain or limit mobility. In the majority of cases, dry needling leads to an immediate improvement...
Knee osteoarthritis is a common condition in aging adults leading to pain and reduced performance of daily and recreational activities. Manual therapy and exercise remain a hallmark of conservative care for this condition and have been shown to delay or prevent the need for a total knee replacement. In addition to exercise, corticosteroid injections are often...
In our fast paced, instant gratification world we want solutions to our problems the same day as their arrival. This is no different in low back pain, a common, costly condition affecting over 90% of adults. Patient’s hurting from low back pain symptoms often turn to the internet, friends, or their primary care physician for...
Temporomandibular Disorders (TMJ/TMD) Problem TMJ/TMD are a major cause of non dental jaw and facial pain. Approximately 18 million word days are lost annually per 100 million full time working adults due to symptoms of TMD (2). Women have a 3:1 greater ratio of incidence compared to men between age 30 and 50 (1)....