Manual therapy, including joint mobilization and manipulation, is a Physical Therapy intervention designed to reduce pain and improve mobility. These interventions have been shown to accelerate a patient’s recovery compared to usual care or exercise alone. Although mechanisms behind its’ effectiveness are still being researched, manual therapy unique ability to reduce pain allows an individual...
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...
Rotator cuff injuries span the spectrum from acute strains to chronic tendon pain (tendinopathy) and rotator cuff tears. Physical Therapy remains the gold standard, first line treatment for all rotator cuff injuries due to its’ cost and clinical effectiveness treating these disorders. A Physical Therapy first strategy has been reinforced by recent research demonstrating equivalent...
Shoulder pain remains one of the top 3 reasons patients seek care from their primary care physician and Physical Therapist. The most common diagnosis causing pain among these patients is subacromial impingement syndrome. Impingement can be found along with rotator cuff tendon pain (tendinopathy) or partial rotator cuff tears on clinical exam and imaging. Impingement...
Rotator cuff tears are a common injury in middle to older aged adults. Tears can be gradual or degenerative in nature associated prior injury (tendinopathy) or acute and traumatic from a fall or sudden trauma to the shoulder. The severity of the injury including tear depth and size, as well as, the number of tears...
Lateral elbow pain, previously known as tennis elbow, is the most common reason for elbow pain and 2nd most common overuse injury in the arm after the shoulder. Lateral elbow pain was previously described as an inflammatory condition involving the wrist and finger extensor muscles insertion into the elbow. We now know this condition affects...
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...
As long as I have been in the profession, clinicians have continued to search for the next best thing to reduce pain and inflammation, as well as, improve any number of clinical factors. Unfortunately, the medical literature is filled with trials showing non significant effects as many of these devices have failed to outperform proven...
Pain to the elbow is very common among climbers and is one of the leading causes of time away from the sport. The most likely areas of pain are to the lateral elbow or medial elbow. Keep reading to learn more about the symptoms, causes, and treatment options for elbow pain. Lateral epicondylalgia (also...
Pain to the elbow is very common among climbers and is one of the leading causes of time away from the sport. The most likely areas of pain are to the lateral elbow or medial elbow. Keep reading to learn more about the symptoms, causes, and treatment options for elbow pain. Medial epicondylalgia (also...
