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Our prior posts on tendon injuries have described the structural changes that take place with chronic symptomatic tendinopathies.  The disorganization of tendon fibers and the body’s attempts to heal the injured tendon are best viewed on ultrasound or MRI imaging.  MRI is a very sensitive tool, but lacks specificity meaning a positive finding may or...

In prior posts, we have discussed the importance of hip strengthening among runners.  There is a strong correlation between hip weakness, especially the hip abductors, and knee pain.  Studies have questioned if these strength impairments are present before pain develops or occur due to the onset of pain.  In addition, some research has demonstrated runners...

The achilles tendon is a strong, durable structure capable of absorbing and producing large loads as we walk, hike, and run.  When the tendon is overloaded without adequate recovery periods this structure is prone to painful and limiting conditions such as achilles tendonitis and tendinopathy.  One of the important risk factors for achilles injury among...

Achilles Tendinopathy is a common injury to the lower leg found in runners, jumping athletes, and sedentary individuals.  In our previous blog posts on Achilles Tendinopathy we have described the impact of this diagnosis on the active population.  Physical Therapy remains the gold standard for conservative care focusing on restoring joint mobility and strength to...

Photo Credit: ssorkc.com 1.  You have published a few articles on the utilization of strength and conditioning principles with Physical Therapy patients.  In my opinion, these valuable principles are under utilized in our profession.  In your experience, how can practicing clinicians improve their patient outcomes using these principles?   Well I think one of the...

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...

Exercise prescription including type of exercise, reps, sets, frequency, and intensity varies between each patient with knee pain.  Many factors influence this prescription including knee diagnosis (arthritis vs. patellofemoral pain), patient function and symptoms, as well as, the available medical evidence supporting the use of exercise to both reduce pain and improve function.  A recent...

MRI testing of the shoulder is no different than testing in other body regions.  Pathologies such as bursa changes, tendinopathies, labral and rotator cuff tears are very common in asymptomatic populations and tend to increase with an individual’s age.  Many of these MRI findings do not contribute to a patient’s current symptoms and may be...