Patients presenting to our Boulder Physical Therapy clinic often present with arm or leg symptoms including pain, numbness, and pins and needles. Our well trained and educated Physical Therapists utilize a patient’s history and their objective examination to determine the source of the symptoms and what is contributing to their onset. Importantly, the source of...
Currently in the United States the majority of citizens can access their Physical Therapist without a prescription from their physician. As shown in the map above, arbitrary restrictions on this access has been put in place through state legislatures with strong influences from special interest groups. In Colorado, patients can access their Physical Therapist without...
William Osler, M.D., considered by many to be the father of modern medicine once said “listen to the patient he is telling you the diagnosis”. Others in the medical field have similar quotes including “listen to the patient long enough and they will tell you the diagnosis, listen longer and they will tell you the...
Introduction Low back pain (LBP) is a common, disabling condition with both musculoskeletal and non musculoskeletal contributions. It has been reported that greater than 80% of individuals will experience LBP within their lifetime and 20-30% of individuals are affected with these symptoms at any point in time[1]. Katz et al. reported the cumulative cost to...
We have previously written about the functional movement screen (FMS) and its’ ability to predict injury although more recent research has called its’ predictive ability into question. The highest quality research on the FMS has occurred in NFL athletes or those training for the NFL combine. The research demonstrates the predictive value of these tests may...
In prior posts we described risk factors for an initial episode of achilles tendinopathy including muscle imbalances, calf weakness (concentric and eccentric), and loss of mobility within the foot and ankle. Once the tendinopathy is established, patients demonstrate significant deficits in range of motion, strength, balance, endurance, and jumping ability (Silbernagel et al. 2006). These...
Our prior posts on tendon injuries have described the structural changes that take place with chronic symptomatic tendinopathies. The disorganization of tendon fibers and the body’s attempts to heal the injured tendon are best viewed on ultrasound or MRI imaging. MRI is a very sensitive tool, but lacks specificity meaning a positive finding may or...
October is American Physical Therapy Association’s Physical Therapy Month. During the month of October Mend Physical Therapy will be offering complimentary sessions to Boulder County residents to discuss your injury or performance concerns. To schedule your complimentary consultation with one of our expert Physical Therapists click here
Elbow pain on the outside of the elbow is most common in individuals’ aged 30-50 y.o. and effects 1-3% of the general population (Shiri et al. 2006). Risk factors for this condition include blue collar workers utilizing repetitive gripping and manipulation in the work place, smokers, and tennis athletes. This condition has previously been described...
Our previous blog post detailed the differences in biomechanics between foot strike patterns in runners. There are clear bio mechanical differences between utilizing a forefoot and rear foot strike pattern and these are important for gait retraining and injury risk. Obviously, the foot is the first part of the body to strike the ground in...