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 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 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...
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...
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...
Shoulder pain is a common musculoskeletal problem and one of the top reasons patients seek care from their primary care physician. There are many sources of shoulder pain including impingement and rotator cuff tendonitis or tears, but they all have one impairment in common altered muscle recruitment. When pain is introduced into the body the...
“We are what we think. All that we are arises with our thoughts. With our thoughts, we make the world.” – Buddha. Mental health has a significant impact on recovery from many musculoskeletal diagnoses including low back pain, neck pain, and shoulder pain. Our thoughts and perceptions about our bodies and their ability to recover...
Treatment of the thoracic spine utilizing joint mobilization or manipulation is a excellent treatment approach to accelerate the recovery of patients dealing with neck, elbow, and shoulder pain. Utilizing a regional interdependence approach where areas adjacent or distant to the site of pain are treated by the physical therapist, in addition to the painful area, lead...
Despite having no symptoms, many of us will develop age-related changes in the musculoskeletal structures of our bodies, similar to the aging effects on our skin. These findings are most prevalent on highly sensitive imaging techniques such as MRI and often lead to unnecessary and costly medical procedures. Our shoulders are also prone to development of age...