In prior posts we described risk factors for an initial episode of achilles tendinopathy including muscle imbalances, calf weakness (concentric and eccentric), and loss of mobility within the foot and ankle. Once the tendinopathy is established, patients demonstrate significant deficits in range of motion, strength, balance, endurance, and jumping ability (Silbernagel et al. 2006). These...
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...
In our experience, a sub group of patients who have successfully returned to sports after an ACL injury continue to be at risk for future injury. Physical Therapy interventions can significantly reduce the risk of future injury to either an athlete’s involved or uninvolved leg. Athletes who complete their prescribed Physical Therapy visits have both...
As the snows melts many of us will return to the amazing Boulder trail system for our training runs. This popular form of exercise comes with tremendous health benefits, but can also place some runners at risk for running injuries such as knee pain. Patellofemoral Pain (pain on the front of the knee) is the...
Athletes often return to sports around 6-9 months after ACL reconstruction and Physical Therapy. In a previous ACL post we described how important these Physical Therapy sessions are to an athlete’s recovery. Each session after surgery is designed to move the athlete closer to the all important return to play. New research is showing how...
The squat may be one of the best exercises for the development of strength and mobility through the lower quarter of the body. It is often used as the foundation of strength training by both recreational athletes and pro athletes alike. I often use the squat in our Physical Therapy practice with patients recovering from...
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)....
In our previous posts we have detailed the risk factors for ACL injury and the effectiveness of Physical Therapy to reduce this risk especially among adolescents. A percentage of athletes who return to sport will re injure their ACL leading to further surgeries and Physical Therapy. A delayed return to sport allows the athlete more...
Running remains one of the most popular forms of exercise due to its’ affordability, accessibility, and health benefits. The popularity of the sport has grown tremendously over the last few decades, but despite advancements in shoe wear, training methods, and rehabilitation interventions the injury rates remain frustratingly high. Up to 90% of runners will report...
Knee osteoarthritis is a common condition in aging adults leading to pain and reduced performance of daily and recreational activities. Manual therapy and exercise remain a hallmark of conservative care for this condition and have been shown to delay or prevent the need for a total knee replacement. In addition to exercise, corticosteroid injections are often...
