Rotator cuff injuries are one of the most common reasons patients seek care for their shoulder pain. Injuries range from less severe cases of impingement and rotator cuff tendinopathy to more severe injuries such as rotator cuff tears. These tears can be either traumatic or atraumatic in nature depending on the patient’s history. Previous research...
Symptomatic rotator cuff tears commonly occur in adults > 50 years old and can be either atraumatic or traumatic in nature. These tears become more common with age, but are often are found in shoulders without pain and often have similar MRI scan findings between symptomatic and asymptomatic sides of the body. Thus, the a...
Subacromial impingement syndrome is the most common diagnosis for shoulder pain in adults and remains one of the most common reasons patients seek care from physicians and Physical Therapists. Shoulder impingement may occur secondary to functional and structural changes within the shoulder joint. Individuals with these symptoms often present with weakness in their rotator cuff...
Frozen Shoulder (Adhesive Capsulitis) is a less common source of shoulder pain affecting around 3% of all adults. Its’ prevalence is significantly increased up to 40% in patients with diabetes or thyroid disorders. This condition most commonly occurs between the ages of 40 and 65 years old and affects females more than males. Adhesive Capsulitis...
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...
Femoroacetabular Impingement (FAI) or hip impingement is a common condition among athletes. The condition results in abnormal bony contact between the pelvis and thigh bones at the hip joint. Patients demonstrates increased bone growth on the pelvis socket and/or ball of the thigh. Authors continue to question if these changes are pathological and need to...
Post operatively, I am normally concerned with two presentations in patients. Patient’s with significant post operative range of motion and those with minimal to no pain have the highest risk of tearing their repaired tissues due to the lack of protection from either stiffness or post operative pain. Patients may incorrectly assume the absence of...
Our healthcare industry is a tremendous force in our country coming in at $3.5 trillion dollars per year and 18% of our gross domestic product. Despite spending approximately $10,000 per American we fall behind other countries in the world on many important health quality measures. The Dartmouth Atlas of Health Care is a very interesting...
Hip impingement or femoroacetabular impingement (FAI) is common hip condition causing pain in the front of the hip and groin. This condition has received considerable attention in the medical research and our clinical practice because of the sky rocketing rates of advanced imaging including MRI and surgical procedures to “correct” the condition. Of greatest concern...
Overuse tendon injuries can present as an acute inflammatory response (Tendinitis) or a chronic degeneration condition (tendinopathy). These injuries result when an individual’s volume of activity (type, duration, frequency, and intensity) exceeds the strength and integrity of the tendon. At MEND, we commonly see these injuries in the tendons of the rotator cuff, knee, ankle...