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Shoulder Pain and Impingement Background Shoulder pain is a common source of peripheral joint pain occurring at a prevalence rate of up to 47% across all age groups and is second most common cause of musculoskeletal pain(7,9). Symptoms of shoulder pain account for 33.2% of physician visits in the U.S. and are most frequently associated...

An ounce of prevention is worth a pound of cure-Benjamin Franklin   As warmer weather returns, many of us will increase our physical activity each week in an effort to improve our health, well-being, and physical performance. A common question asked in our clinic by our patients and clients recovering from an injury is “could...

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...

A common question we receive from parents is “when can my child start weight training”.  This is a difficult question to give a standard answer on because so many variables are at play including the maturity of the athlete (skeletal, neuromuscular, emotional, and mental), the demands of their sport, and their training experience.  Our main...

In our practice, we commonly see adolescent baseball athletes suffering from shoulder and elbow injuries.  On average 1 in 2 youth throwers will develop arm injuries and on average major league throwers lose 22 days per season due to arm injury (Conte et al. 2001).  These injuries are mainly overuse in nature secondary to muscle...

Eccentric exericise, where our muscles contract and lengthen, is an essential part of any exercise program.  Its benefits of strength, flexibility, and injury prevention are well known in the literature and have been discussed on our prior blog posts.  Eccentric exercise as pictured above has a unique stimulus on the structure of the muscle and...

Knee arthritis (knee OA) is the most common form of osteoarthritis and affects many individuals in middle to older age.  This condition can be found on x ray or MRI testing in both asymptomatic and symptomatic individuals.  The high rates of false positive imaging findings require a thorough subjective and objective examination in order to make a...

The majority of people with lower quarter pain or symptoms will demonstrate altered coordination and communication between the nervous system and muscles.  This leads to altered movement patterns which may perpetuate symptoms and lead to more chronic pain and muscle imbalances.  Primary movers for our movement patterns (example: gluts) may be substituted for weaker, less...

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...

This week we posted on the benefits of strength training on cycling performance.  Specifically, how strength training improves our body’s use of resources including oxygen and fuel to power us through our endurance workouts.  The more economical or efficient endurance athlete will be able to sustain a higher speed for a longer period of time...