We have seen countless cases in our Boulder and Lafayette physical therapy offices of clients presenting with reports of a “knot” next to their shoulder blade that in many cases has often been massaged, needled, scraped or mashed to death with no lasting relief of symptoms. Scapular or shoulder blade pain is a classic sign...
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...
Patients presenting to our Boulder Physical Therapy clinic often present with arm or leg symptoms including pain, numbness, and pins and needles. Our well trained and educated Physical Therapists utilize a patient’s history and their objective examination to determine the source of the symptoms and what is contributing to their onset. Importantly, the source of...
Neck pain is a common condition coming in just behind Low Back Pain in prevalence presenting to primary care physician and Physical Therapy practices. Neck pain is most effectively treated with a combination of manual therapy, including joint mobilization and spinal manipulation, as well as, mobility and strengthening exercises. Consistent with our musculoskeletal diagnoses manual...
How many times have you seen someone whose posture looks like this while belaying? Neck pain is a common in rock climbers. Although climbing itself can lead to neck pain, the most common cause is spending prolonged periods belaying. We refer to this as “belayer’s neck”. Belayer’s neck is a colloquial term to describe a...
A significant portion of musculoskeletal pain can be attributed to our muscles themselves. Many authors have described persistent muscular pain (myalgia), but Janet Travell and David Simon’s work on trigger points is most frequently referenced. These irritable, sensitive bands (knots) within a muscle are frequent targets of lacrosse balls, soft tissue workers, and Physical Therapy...
Up to 70% of Americans will experience Neck pain in their life times. Despite its’ high incidence this region of the spine is consistently under exercised by clinicians. There are countless passive temporary remedies for neck pain including massage, spinal manipulation, and dry needling, but only high level exercise has been shown to improve the...
Neck pain remains one of the constants in life along with death, taxes, and low back pain. Thankfully, similar to low back pain, the vast majority of neck pain (although painful) is not serious in nature. Prior research has shown a Physical Therapy treatment program consisting of manual therapy and exercise helps accelerate a patient’s...
Degenerative Disc Disease (DDD) is a commonly utilized “diagnostic” term given to patients frequently after neck and low back MRIs. It is hard to think of a more uninformed and harmful diagnosis in musculoskeletal medicine than DDD. Initially utilized to describe age related changes in the spinal structures secondary to aging, DDD continues to induce...
The muscles of the neck are responsible for movements of the head and shoulder blade, as well as, stabilization of the head on the neck during daily activities. These muscles must be capable of both low repetition, high force contractions as well as high repetition, low force contractions to accomplish these tasks. Patient’s with neck...
