Shoulder pain is a very common issue for rock climbers, largely because climbing places high and repetitive demands on the shoulder’s muscles, tendons, and joint structures. The most frequent causes include rotator cuff problems (such as tendinopathy, strain, or tears), subacromial impingement, and biceps tendinopathy — injuries that arise from both acute sudden movements and chronic...
MRI technology continues to improve with each new version in the market place. These improvements have allowed the imaging technology to better define the structures in the body. In the musculoskeletal system these technologies have allowed clinicians to identify injured tissues which may contribute to a patient’s painful presentation. MRIs have also been shown to...
Dr. Ian Nay, PT, DPT, OCS Shoulder pain is one of the most common musculoskeletal disorders that we see at MEND, and in fact, will affect about 25% of all individuals at some point in their lives (1). Pain-relieving injections such as cortisone or corticosteroids have traditionally been used as a first-line treatment for shoulder...
Shoulder pain is one of the most common reasons patients seek care from their primary care physician and Physical Therapist. In our Boulder Physical Therapy and Lafayette Physical Therapy offices we successfully treat many shoulder conditions including rotator cuff tears, shoulder impingement, and tendinitis/tendinopathy. Half of all shoulder conditions involve the tendons of the rotator...
In our Lafayette Physical Therapy and Boulder Physical Therapy clinics we often have my patients ask whether a steroid injection is appropriate for managing their symptoms of tendon pain. This question does not have a simple answer. While corticosteroids can be effective for pain relief and inflammation control there are underlying physiological changes that happen...
Rotator cuff tears are a common injury in middle to older aged adults seen in our Boulder Physical Therapy and Lafayette Physical Therapy clinics and can be atraumatic or traumatic in nature. Traumatic rotator cuff tears often occur following a fall, acute sports injury, or can be an acute on chronic tear in nature. This...
Physical Therapy has been shown to be equally effective to surgery for some types of rotator cuff tears up to 5 years after diagnosis. In our Boulder Physical Therapy practice, many of our patients with rotator cuff tears do very well without surgery and are able to return to full function after treatment. Patients with...
Rotator cuff repair is a common surgical procedures for middle to older age adults who reports shoulder pain and significant limitations in daily and recreational activities despite a course of early Physical Therapy. Early treatment by a Boulder Physical Therapist can prevent the need for surgery after a rotator cuff diagnosis, but in some individuals...
The shoulder sacrifices stability for mobility allowing incredible function of the arm and hand. The downside of this mobility is an increased risk of joint injury after trauma including shoulder dislocations. These injuries most commonly occur when the ball of the arm bone is pushed forward and downward beyond its’ anatomical limits. The high forces...
Patients often receive exercise handouts from physicians when initially presenting with musculoskeletal pain. The idea behind the handout makes sense on the surface, a low cost treatment option which may help a patient’s symptoms. Unfortunately, these handouts (often photocopied to death) lack specificity including providing the right handout to the right patient, as well as,...