Lumbar spinal stenosis is a relatively common condition affecting older adults. Narrowing of the bony canals surrounding the spinal nerves due to arthritis and/or loss vertebral disc height increases the probability of nerve compression. Patient’s often describe leg pain greater than back pain, as well as, associated numbness, pins and needles, or weakness in their...
Atrial fibrillation is the most common heart rhythm abnormality diagnosed by physicians. A multi modal treatment plan, including medications, procedures, and exercise, is often indicated to help control the progression of the arrhythmia and improve an individual’s quality of life. Patients cleared by their physician to begin or continue an exercise program often report significant...
The rotator cuff is a group of four muscles that coordinate movement and provide dynamic stability of the shoulder joint. These muscles are crucial for rock climbers who put extreme stresses through their shoulders, often in awkward positions that can cause bone structures to rub or impinge on the rotator cuff muscles. Because of this,...
Physical Therapy strengthening exercises remain the first line treatment for patients with shoulder diagnoses including impingement and rotator cuff pain. While immediate gains in range of motion and pain can be found using spinal and extremity manual therapy interventions, long term outcomes are achieved through a focused strength training program. Exercises are prescribed to target...
After waiting the seemingly longest 2 minutes of your life, the stick reads “pregnant.” It’s overwhelming joyful, shocking, and admittedly a little scary. Millions of questions begin piling up in your mind, one of them about exercise – can I continue my normal routine or do I need to see my provider first? Waiting for...
Mobility exercises designed to improve range of motion within an affected joint or tissue are a valuable part of any rehabilitation program. Previously clinicians prescribed various bouts (3 x 30 seconds) of static stretching in an attempt to lengthen short muscles. Current research has shown these prescriptions are ineffective at changing muscle length and instead...
Lumbar spinal stenosis (LSS) is a common diagnosis given to those experiencing low back pain. The gold standard of diagnosing stenosis is using an MRI to determine closure of natural occurring spaces of the lumbar spine. At times the closures can contribute to impingement of nerves or spinal canal which can lead low back pain...
As ACL injuries continue to rise among professional and recreational athletes Physical Therapists will continue to rehabilitate these athletes in order to allow them to safely return to sports. In our practice in Boulder, we commonly see athletes over the course of 6-9 months post operatively as they develop the strength, balance, and sport specific...
In a prior blog posts we discussed the effects of stretching on fitness, performance and flexibility. We are often prescribing mobility exercises to restore movement to a joint or body region (thoracic spine and rib cage) in order to improve movement patterns for performance, pain relief, or as part of a weekly fitness program. While...
The majority of patients undergoing treatment by a Physical Therapist will receive a home exercise program (HEP) based on their specific symptoms. This individualized program is essential for the reduction of symptoms and restoration of function. In my opinion, not providing an exercise program to patients with musculoskeletal conditions leads to patient dependence on the...
