Knee arthritis is a common condition affecting many middle to older aged adults. Its’ prevalence makes it one of the leading causes of disability in our country preventing these individuals from participating in their life, work, and recreational activities. Physical therapy including patient education, manual therapy, and exercise remains a first line treatment for this...
Knee pain remains one of the most common reasons patients seek care from a primary care physician and Physical Therapist. The knee is uniquely placed between two long levers in the thigh and leg bones. The levers significantly increase the effect of impairments in the ankle and hip joints on the knee. Commonly, patients present...
During the rehabilitation of rock climbers, many respond favorably to manual therapy techniques such as dry needling and joint mobilizations. 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...
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,...
By: Erica Tran, PT, DPT, OCS If you’ve ever tried stretching or foam rolling only to still feel stiff, limited, or “stuck,” there’s a reason. While those tools can be helpful, they often miss a key piece of the puzzle: the joint capsule. That’s where banded joint mobilizations come in. Using a thick resistance band...
Spinal manipulation has real but limited support for cervicogenic headache, the type that starts in the joints and muscles of the upper neck. Manipulation aimed at the neck gives a small short-term edge over other hands-on treatment, manipulation of the mid-back alone doesn’t ease the headache itself, and neither holds up without exercise behind it....
Spinal manipulation is one of the most researched treatments in physical therapy for low back pain, and the evidence base has grown enough to say something specific: it works differently, and slightly better, depending on whether your pain is new or long-standing. What Spinal Manipulation Actually Does Spinal manipulation is a quick, targeted thrust applied...
Spinal manipulation dates back to Hippocrates and ancient Egyptian medicine, but the explanation for why it helps has changed more recently than the treatment itself. Patients often describe it the same way: “my spine was out of place, and the manipulation put it back.” Research has disproven that theory. Imaging taken before and after a...
Spinal manipulation has a solid evidence base for musculoskeletal pain: our articles on manipulation for low back pain and the best treatments for low back pain cover that research directly. The evidence looks very different once you move outside pain and mobility conditions and into the theory that manipulating the spine can influence internal organs...
Sciatica is an umbrella term for leg symptoms, pain, numbness, or tingling, caused by irritation or compression of a nerve root as it exits the spine. Most cases resolve with conservative care, and in our Boulder and Lafayette clinics, that usually means a combination of focused exercise, dry needling, and manual therapy. Spinal manipulation is...
