In recent years there has been a lot of talk about the hip in the world of orthopedics, physical therapy, sports, and fitness. Why, you may ask? Well, a very significant reason this area of orthopedics has exploded is due to improved technology, allowing better imaging techniques and a clearer view of the hip. What […]
Musicians & Complex Motor Programming of The Hands
I have always marveled at the complexity of the sensorimotor programming of the hands. From an evolutionary standpoint, we developed the ability to oppose, circumduct, flex, extend, and abduct the thumb. This allowed us to effectively grasp objects and tools. Our remaining fingers have a complex network of both intrinsic and extrinsic muscles that provide […]
Momentum, Collisions, Car Accidents, and the Advantage of Playing Sports Drunk?
That is indeed a very long title. And, no, we as physical therapists would never advocate playing sports under the influence of alcohol. Where to start… A few weeks back a patient and I were discussing the concept of momentum and collisions. My patient was involved in a motor vehicle accident and was hit by […]
Strengthen Your Scapular Muscles!
The scapula, otherwise known as the shoulder blade, plays a vital role in shoulder mechanics. If the shoulder blade is not controlled well via the muscles that attach to it, problems ranging from neck pain to rotator cuff tendonitis are often the result. Scapular strengthening is often overlooked both in patients that are trying to […]
Ankle Sprains and Hip Strength
Inversion ankle sprains, or sprains that involve the ankle turning inwards, are a very common injury both with athletes and with sedentary people. This type of injury often needs physical therapy, and there is much published research and data in relation to why these injuries occur, how to rehabilitate sprains, and how to prevent repeat […]
Ankle Stability and Trail Running
I don’t get trail running. It is needlessly dangerous. I was walking my dog on a trail in Rock Creek Park the other day and played witness to a poor chap falling on his ass and sustaining one heck of an inversion ankle sprain. I had to help him get back to the street. Thank […]
Right Side Dominant: Do We Have A Problem?
Yes, you actually might have a problem if you are “too right-sided.” Let me start by saying that our brains are naturally wired to be right side dominant. If everything goes well in utero, during childbirth, and during our early developmental stages, one can expect to be right-handed. It so happens that this is the […]
Managing Expectations When Recovering from a Labral Repair
I have seen many clients with post-operative shoulder labral repairs. It is a frustrating injury that takes time to recover from. Being the recipient of two labral repair surgeries myself, it is my opinion that the key to recovery with a labral injury is managing expectations. The shoulder labrum is a fibrous, or rigid type […]
Why Won’t My Shoulder Rotate?
Deficits in the shoulder’s ability to rotate both internally and externally occur in patients with shoulder pain all of the time. Today we will be talking about internal rotation deficits. This is clinically referred to as “GIRD” (Glenohumeral Internal Rotational Deficit). The following photos illustrate how GIRD presents. Note that with the patient’s attempt to […]
Why Are My Legs Different Lengths?
“My tailor told me that one of my legs is longer than the other when he measured me for my pants.” I have heard that quote countless times in my clinic from patients. Once people have this idea of “uneven leg lengths” ingrained in their minds, they think that it is an unfortunate permanent fixture […]
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