Too many of us sit at a desk all day. The effects of focusing on a monitor and reaching for a keyboard over time can be devastating. Fortunately, there is a simple stretching exercise that can help to counteract our imposed postural duress. There are two major benefits of lying on a foam roller. The […]
More Signs of Hypermobility
Take a look at the above picture. Some people, usually women, have knees that tend to “bend backwards” in stance. This is an overt sign of hyper-mobility, or excessive extensibility, of the joints. The problem that often arises from this phenomenon is what we call “resting on your ligaments”. The woman in this picture can […]
Sitting All Day & Experiencing Lower Back Pain?
Sitting at work every day and experiencing lower back pain? The following list outlines exactly what happens to your lower back with sitting, and what you can do about it. 1. During sitting, most people will eventually fall into a posterior pelvic tilt (as shown below). What to do? Take a look at how your […]
Shoulder Pain With Yoga? Adjust your “Downward Dog”!
The bones and tendons of the arms are not anatomically equipped to bear the brunt of our weight. If they were, we would still be walking around on all fours. The yoga “downward facing dog” position places us “on all fours,” placing abnormal stress on the tendons of the rotator cuff as the shoulder joints […]
What is an Occult Fracture?
The word occult according to Webster’s dictionary means “secret or mysterious.” In orthopedics, the word occult aptly describes rare types of fractures that do not show up on x-rays. Occult fractures pose a particular danger to patients who are prescribed exercise or physical therapy as a remedy for pain. An excellent example of the occult […]
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 […]
Beauty is Pain: Effects of Wearing High Heels
If you’ve ever been to physical therapy, then you might have noticed that posture is often a topic of conversation… and usually it’s more about your bad posture. Posture affects things from range of motion, strength potential, and even pain. Let me demonstrate how posture can be affected by something as simple as footwear, and […]
The Importance of Strengthening Rotators & Stabilizers, Part 1
Strong stabilizers are key in joint health and stability. According to the Access to America’s Orthopedic Services (AAOA) Act of 2011, annual direct and indirect costs for musculoskeletal diseases and conditions total over $849 billion. The lack of endurance in the spine and lumbo pelvic stabilizers, can lead to common chronic musculoskeletal conditions such as […]
Thoracic Outlet Syndrome
The “thoracic outlet” is the anatomical space through which vital nerves and arteries exit the neck and enter the arm. (See illustration below) You can see from the illustration that there are many structures that have the potential to get in the way of, clamp down on, or otherwise disrupt the nerves as they pass […]
Keyboard Wrist Supports? No Thanks.
I don’t like keyboard wrist supports, those long slips of fancy-padded rubber that sit directly in front of keyboard trays. Here is why. The ideal position for your wrists and fingers to work in while typing should be “neutral,” neither flexed nor extended. This is best done with the wrists hovering ever so slightly above […]
Do Your Ribs Move?
The ribs and the ribcage have many purposes. They protect many of the internal organs; they serve as attachment sites for many muscles that control the arms, pelvis, and neck; and they assist in the breathing process. Your ribs must be able to move fluidly in order to assist in all of these tasks. In […]
Two Long-Term Effects of Ankle Sprains
Most athletes, high-heel shoe addicts, and the chronically clumsy have encountered ankle sprains. The swelling and pain that result from turning one’s ankle can last for months and be very limiting in the short term. What most people do not address, however, are the long-term effects of ankle sprains. I have seen patients with lower […]
Can a “Sashay” Cause Lower Back Pain?
The short answer is yes. The word “sashay” by definition is “to walk in an ostentatious yet casual manner, typically with exaggerated movements of the hips and shoulders.” The sashay brings to mind images of models walking down runways, divas “strutting their stuff,” and the general positive connotation of female confidence. As empowering and popular […]
Meniscus Surgery: What Can I Expect?
Meniscal surgery is the “bread and butter” procedure performed by most orthopedic surgeons in the country. In my physical therapy practice, it is one of the most common post-surgical diagnoses that we see. A short anatomy lesson: there are two (2) menisci that are found in each of your knee joints. They are horse-shoe shaped […]
I Can’t Open My Hand All the Way: A Look at Dupuytren’s Disease
Why can’t I open my hand? There is an interesting phenomenon in the world of hand illness called Dupuytren’s disease. It is a progressive illness that causes a contracture on the palm of the hand, making it difficult to fully open. This causes many problems including the following: difficulty being able to grasp difficulty with […]
