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Ankle Sprain Injuries Ankle sprains are one of the most common orthopedic injuries with an annual incidence of 7 sprains per 1000 individuals(1). Lateral ankle sprains involving the outside of the ankle account for 85% of these sprains (see picture) and involve flexed and inverted foot(2). Authors reports up to 72% of individuals who sustain...

Achilles Tendon Problems Achilles tendinopathy commonly occurs in runners and jumpers, with up to 50% experiencing the condition in their lifetime(1). Not all those affected are active with 33% of individuals reporting a sedentary lifestyle(2). Individuals with this condition report pain, stiffness, and loss of function with daily and recreational activities. This condition was originally...

Ankle sprains are one of the most common injuries in the lower quarter affecting with an estimated 2 million cases occurring each year in the U.S. Manual therapy and exercise remain the gold standard of care for these injuries due to their ability to accelerate a patient’s recovery from the injury compared to usual care...

In our fast paced, instant gratification world we want solutions to our problems the same day as their arrival.  This is no different in low back pain, a common, costly condition affecting over 90% of adults.  Patient’s hurting from low back pain symptoms often turn to the internet, friends, or their primary care physician for...

Temporomandibular Disorders (TMJ/TMD) Problem TMJ/TMD are a major cause of non dental jaw and facial pain.  Approximately 18 million word days are lost annually per 100 million full time working adults due to symptoms of TMD (2).   Women have a 3:1 greater ratio of incidence compared to men between age 30 and 50 (1)....

Elbow pain on the outside of the elbow is most common in individuals’ aged 30-50 y.o. and effects 1-3% of the general population (Shiri et al. 2006).  Risk factors for this condition include blue collar workers utilizing repetitive gripping and manipulation in the work place, smokers, and tennis athletes.  This condition has previously been described...

Knee Pain Background Anterior knee pain is a term used to encompass many conditions affecting structures of the knee. The majority of these cases can be attributed to patellofemoral pain syndrome (PFPS) or an abnormal tracking of the patella on the femoral groove secondary to changes in lower extremity alignment, muscle imbalance, or training errors...

Neck Pain Background Information Neck pain affects 10-15% of the population at any one time, with a lifetime incidence of 22-70% (1). Only 6% of patients with neck pain report resolution of symptoms at one year (2). A recent systematic review demonstrated the prognosis from idiopathic neck pain is poor (3) and 50-75% of patients with neck...

Lateral Elbow Pain and Lateral Epicondylalgia Lateral epicondylalgia, also known as tennis elbow, is an overuse injury involving the common origin tendon of the wrist and finger extensors. Patients with this condition often report pain in the lateral elbow exacerbated by gripping, lifting, or manipu- lating objects with their hands. Previously thought to be a...