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Thoracic manipulation by Physical Therapists has previously been shown to improve pain and function in patients with elbow, shoulder, and neck pain. Authors continue to research the mechanisms behind its’ effectiveness including a beneficial cascade of events in the peripheral and central nervous system, as well as, a possible biomechanical change in the spinal joints....

Physical Therapy is an excellent choice for low back pain with numerous research articles supporting its’ ability to rapidly reduce pain and disability.  Many interventions utilized in our Boulder Physical Therapy practice, including manipulation and exercise, are designed to prevent low back pain symptoms from being chronic or recurrent.  An interesting article was published identifying factors...

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)....

Cervical Radiculopathy Injuries and Symptoms  Cervical radiculopathy occurs when a nerve from the neck becomes irritated or compressed by space occu- pying lesion including fluid, soft or bony tissues as it exits the spine. Patients often complain of sharp, burning pain down the arm, numbness, tingling, or weakness. This condition is most common in the...

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...

Treating Tension Headaches And Myofascial Pain With Dry Needling

Half of all individuals experience at least one headache a year and 15% of the population reports a headache on any given day.  Headache causes are multifactorial but can be divided into groups such as cervicogenic (driven from the neck), migraine, and tension.  Tension headaches remain the most commonly diagnosed headache sub group associated primarily...