Blog

The standing row is an excellent exercise to develop strength and stability in the upper back, shoulder, and arms.  In addition to the standard standing position, individuals may choose other positions including using TRX straps or a bar to increase the demands on the upper body and core musculature.  A recent article examined the recruitment...

Our prior posts on swimming have focused on the benefits of strength training and race pacing during a swim event.  Conversely, fatigue is one of the factors shown to reduce swim performance and stroke mechanics.  This change in mechanics places a swimmer at a greater risk of shoulder overuse injuries including impingement and tendonitis.  A...

Shoulder pain is the 2nd most common orthopedic reason patients seek out medical care behind low back pain.  Shoulder pain has many causes including lack of mobility, shoulder blade and rotator cuff weakness, but posture is often criticized as a risk factor for shoulder pain.  Clinicians and patients believe a poor posture places structures such...

Shoulder pain remains one of the most common reasons patients seek out the care of both their primary care physician and Physical Therapist.  The most common cause of shoulder pain remains subacromial impingement or the compression of soft tissues including the rotator cuff tendons within the shoulder joint.  Physical Therapy including joint manipulation and mobilization,...

Shoulder pain remains one of the most frequent reasons patients seek care from a Physical Therapist.  Although many diagnoses create symptoms in the shoulder region, rotator cuff tendon pain is one of the most common.  Descriptions of tendon pain such as tendinitis are being disproven by the research due to a lack of inflammatory process...

In previous blogs we have written on the recent research documenting the lack of differences between sham surgery and surgery for spinal and knee conditions.  For example, in the case of arthroscopic surgery for degenerative knee meniscal tears the evidence does not support its’ use due to its’ inability to perform better than sham knee...

The shoulder blade and upper arm bone move together to produce a variety of arm and hand movements essential for life and sport.  Proper movement of the shoulder blade is required to produce normal mechanics at the joint surfaces and maintain the length and function of the shoulder blade and shoulder muscles.  Abnormal mechanics between...

Shoulder pain remains one of the most common reasons patients seek out care from both primary care physicians and Physical Therapists.  Shoulder impingement or the compression of shoulder tissues, including the rotator cuff tendons and bursa, is the most common diagnoses behind these patients’ symptoms.  Physical Therapy remains a gold standard treatment for this condition...

Poor movements patterns at the shoulder blade (scapular dyskinesis) is quickly becoming the over pronation of the upper extremity.  Although associated with a number of shoulder diagnoses including rotator cuff tears, tendinopathy, and impingement many questions remain.  We observe these patterns of movement in both strong and weak individuals, as well as, those with and...

Evidence demonstrates equal long term outcomes between Physical Therapy and surgery for non traumatic rotator cuff tears.  Patient’s most appropriate for surgical repair include patients with larger tears, greater disability and limitations with arm use, and those with a low expectation for recovery with conservative care.  Among those patients opting for surgical interventions up to...