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...
A stiff neck can turn ordinary movements into a problem: checking a blind spot, reaching for the overhead bin, even rolling over in bed. The right treatment depends on what’s driving it. A neck that seized up after an awkward night’s sleep often clears on its own in a day or two. Neck pain that...
For most people with low back pain, the treatments with the strongest support are hands-on joint mobilization or manipulation to calm pain early, followed by progressive exercise to build capacity and keep it from coming back. That is the core finding of the current clinical practice guideline for physical therapists, published by George and colleagues...
Neck pain is a common source of musculoskeletal pain with up to 70% of Americans experiencing neck pain at some point in their lives. In the early or acute phases of pain, hands on treatment including spinal manipulation and joint mobilization have been shown to reduce pain and disability due to neck symptoms. If left...
In our Boulder Physical Therapy and Lafayette Physical Therapy clinics we commonly see patients with back pain that have not improved with other Physical Therapy clinics. Our Physical Therapists focus on the utilization of high level exercise, manual therapy, including spinal manipulation, and dry needling for the treatment of both acute and chronic low back...
