Low back pain is a common condition best treated by Physical Therapists due to their unique ability to effectively provide all evidence based treatments (including spinal manipulation, directional exercise, and strength training) for this patient population. Large systematic reviews of the existing medical literature have repeatedly shown the benefits of strength training to reduce the...
In any profession, utilized interventions and methods change with incoming ideas and evidence. New concepts and treatments often advance ahead of clinical research trials aiming to support or refute their utilization. Within Physical Therapy, pain neuroscience education has become a popular topic of late. Education topics regarding the development and chronicity of persistent pain are...
In previous blog posts, we have described the clinical and financial benefits of seeing a Physical Therapist first for treatment of neck or low back pain. Patients who choose Physical Therapy first experience accelerated recoveries with decreased pain and recurrence rates compared to other providers. In addition to the clinical benefits, this patient group is...
Traction has a long history of utilization for patients with neck and back pain dating to ancient times. A more contemporary use of this modality involves using traction to relieve pressure from symptomatic spinal joints, nerves, and soft tissues. In our experience, this treatment is best utilized in patients with symptoms including radiating arm or...
Low back pain is the second most common reason patients seek care from their primary care physician. In addition, it is one of the most common reasons people seek care at our Boulder Physical Therapy practice. Due to its’ high incidence in the population, low back pain has become a significant financial burden on our...
Sacroiliac (SI) joint pain is less common than general low back pain, but it shows up more often in specific groups: pregnant and postpartum patients, and anyone recovering from a fall or direct trauma to the pelvis. It’s also one of the harder diagnoses to pin down, which is part of why treatment approaches vary...
Sacroiliac (SI) joint pain is a frequently overlooked source of low back and hip pain in athletes. It’s easy to miss because it doesn’t always announce itself the way a muscle strain does — instead, it tends to show up as a dull ache in the lower back, buttock, or posterior hip that can mimic...
If you’ve been told your sacroiliac (SI) joint is “out of alignment” based on a clinician feeling for bony landmarks on your pelvis, that finding is on shakier ground than most patients realize. Static palpation and motion-based SI testing have been studied since the 1980s, and the reliability numbers are bad enough that flipping a...
By: Dr. Rani Helvey-Byers, PT, DPT, OCS Upward Facing Dog (Urdhva Mukha Svanasana) is a powerful backbend that strengthens the spine and opens the chest. However, for many practitioners, this pose can cause discomfort or even pain in the lower back. If you’ve ever felt strain in your lumbar spine while practicing this asana, you’re...
In our Boulder Physical Therapy practice we often see athletes who are dealing with a swimming related injury. Some of these injuries can occur from training errors and poor stroke mechanics, but many are secondary to correctable changes in mobility and strength. Many injured swimmers complain of shoulder pain including rotator cuff muscle or tendon...
