The squat may be one of the best exercises for the development of strength and mobility through the lower quarter of the body. It is often used as the foundation of strength training by both recreational athletes and pro athletes alike. I often use the squat in our Physical Therapy practice with patients recovering from...
Knee arthritis is a painful condition affecting middle age to older adults. Symptoms of stiffness and joint pain lead to decreased mobility, strength, and function within this population of patients. Physical Therapy treatments consisting of manual therapy and exercise remain a first line treatment for this condition. When combined with exercise, weight loss, medication, and...
Patellofemoral pain (PFP) is characterized by diffuse pain behind or around the patella or knee cap. It occurs when the knee is loaded and bent with activities such as: running, jumping, squatting or ascending/descending stairs. The prevalence of PFP is 22.7% in both adults and adolescents, and with the inherit link between PFP and Knee...
Exercise prescription including type of exercise, reps, sets, frequency, and intensity varies between each patient with knee pain. Many factors influence this prescription including knee diagnosis (arthritis vs. patellofemoral pain), patient function and symptoms, as well as, the available medical evidence supporting the use of exercise to both reduce pain and improve function. A recent...
Patellar tendonitis (tendinopathy) is common among jumping athletes requiring repetitive jumping, landing, and squatting movements. This overuse injury was thought to have a inflammatory component (ex. tendonitis) but more current research supports the term tendinopathy. This term indicates a disruption in tendon fiber characteristics and alignment leading to a loss of its’ tensile strength. Resting...
Patellofemoral Pain Syndrome (pain on the front the knee and around knee cap) is the most common source of knee pain among active individuals. Patients often complain of pain with running, stair climbing, squatting, and during prolonged sitting. The natural history of this diagnosis is not as short as once thought with 90% of patients...
Knee replacements are a common and effective solution for end state knee osteoarthritis. Post operative Physical Therapy helps accelerate the recovery from this surgery by reducing pain, improving range of motion and leg strength after this surgical procedure. Research questions remain regarding the optimal frequency and intensity of post operative Physical Therapy visits. A recent...
The internet is excellent at providing information on a multitude of subjects, but the application of this information is limited because of the existence of individual situations and people. An example of this would be the failure of a one size fits all approach to Physical Therapy. In this example, every patient with a certain...
The step down test is an important Physical Therapy test to determine the ability of our athletes to stabilize their lower extremity in single leg stance. Proper performance of this test requires adequate strength, balance, control, and mobility in the lower extremity. Often athletes with lower extremity or spinal pain have a significant asymmetry in...
MRI technology continues to improve benefiting clinicians searching for serious pathology, but at a cost of identifying non serious pathology which may not be related to a patient’s clinic presentation. Initial imaging studies in the 1990s were conducted in the lumbar spine which identified a high percentage of structural changes including disc herniations and spinal...
