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Patients often receive exercise handouts from physicians when initially presenting with musculoskeletal pain. The idea behind the handout makes sense on the surface, a low cost treatment option which may help a patient’s symptoms. Unfortunately, these handouts (often photocopied to death) lack specificity including providing the right handout to the right patient, as well as,...

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...

How to improve balance during a handstand

Wrist strategy for maintaining balance in a handstand The handstand is a unique position that requires placing one’s entire weight through the hands. Different strategies can be adopted to maintain balance in the handstand on the floor. Studies looking at successful strategies for maintaining balance in high-level handbalancers concluded that more experienced handbalancers relied on...

photo credit: radiopaedia.org Magnetic resonance imaging of musculoskeletal pain has long been known to find various pathologies, including herniated disks, tendon tears, and spinal stenosis, which may or may not contribute to an individual’s symptoms.  These spinal and extremity findings are common in pain free individuals especially over the age of 30 years old.  As...

Shoulder pain is a common occurrence affecting 2/3 of adults and is one of the top three reasons patients will seek care from a primary care physician or Physical Therapist. The most probable reason for shoulder pain remains rotator cuff pain including impingement, rotator cuff tendon pain, and rotator cuff tears. Research studies on MRI...

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...