Low back pain continues to affect many Americans leading to pain, loss of function, missed work days, and higher health care expenditures. Much of this cost is attributed to the often unnecessary utilization of advanced imaging and procedures such as injections and surgery. Previous research has shown early access to Physical Therapy without a prior MD...
Patients in chronic or persistent pain often do not meet national guidelines for exercise each week. In particular, patients with chronic low back pain have been shown to reduce daily, occupational, and recreational activities due to their symptoms and fear of re injury. Aerobic and strength training exercise remains one of the most important interventions...
Dry needling treatments performed by Physical Therapists have gained in popularity among both clinicians and patients with low back pain. The treatment is designed to reduce pain and restore muscle function. Inserting small, monofilament needs into trigger points within painful muscle groups can lead to immediate changes in pain and movement. While the mechanism of...
Seeing GHD sit-ups on the whiteboard at the start of your CrossFit workout can be a make-or-break moment. It’s a movement that either leaves you excited or apprehensive. This exercise hammers the anterior muscle chain, demanding precise timing and execution. Unfortunately, without the right preparation, performing uncontrolled, extreme extensions of the lumbar spine during GHD...
The majority of people with low back pain will demonstrate altered coordination and communication between the nervous system and muscles. This leads to altered movement patterns which may perpetuate symptoms and lead to more chronic low back pain and muscle imbalances. Primary movers for our movement patterns (example: glutes) may be substituted for weaker, less tolerant...
Source: Karel et al. 2015. European Journal of Internal Medicine
The use of low back injections is often utilized for patients with low back pain and nerve pain (radicular pain) and/or leg numbness, pins and needles, or nerve root weakness (radiculopathy). In an older adult these symptoms may be due to a narrowing of the canals in which the low back nerve roots exit (lumbar...
The vast majority of musculoskeletal conditions and diagnoses are not life threatening or time sensitive and allow for conservative treatments, including Physical Therapy, to be utilized prior to surgery. In our Boulder Physical Therapy practice we commonly see outcomes consistent with the current research on the utilization of Physical Therapy instead of surgery for common...
Low back pain is a common problem and one of the most common areas we treat in our Boulder Physical Therapy practice. In Colorado, patients do not need a referral to seek Physical Therapy services and this pathway (direct access) has continuously been shown in the research to be safe, effective, and save patients health...
Is a picture worth 1000 words? When having low back pain, you may undergo an MRI or CT scan. As our technology continues to improve MRI and CT scanners have become more proficient at finding changes in our low back. This higher imaging quality comes with a cost in that many of these positive findings...