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 […]
Is Sleeping On My Side Bad For My Shoulder?
Especially for those of us who already have to deal with shoulder pain, the answer is a resounding “yes.” As a quick experiment, lie on your side. Think about the positioning of your shoulder as you lie on top of it. Most people will unconsciously position the body so that the bottom shoulder is forced […]
Experiencing Stiff Hands?
Muscles all over the body have the potential to become stiff and restricted from daily activities. When I evaluate a patient for the first time, I often ask them which of their muscles feel chronically tight. The most common replies are the hamstrings and the muscles of the neck. Even though we use our hands […]
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 […]
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 […]
Should I Use Ice or Should I Use Heat?
Here is a basic list that tries to answer the epic question: Ice or Heat? 1. Ice is generally advised for acute injuries, particularly during the first two weeks following tissue damage. Ankle sprains, sports injuries, back spasm, or most sudden orthopedic injuries that cause swelling and inflammation are a few examples. 2. Heat is […]
Femoracetabular Impingement – What Is It?
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 […]
The Physics Of Falling On Your Ass
Now that I have your attention from the catchy title of this week’s blog ….. Walking to work this week, I witnessed several spectacular falls on icy sidewalks. There are two main reasons why these falls occur. Given that we are in the midst of a particularly nasty winter, it is worth our time to […]
Why Are My Ring Finger & Pinky Finger Numb?
Have you ever awoken to a numb hand? This is the result of one or more of the nerves in the arm being either clamped or stretched due to sleeping position. One of the most common nerves involved in this type of numbness is the ulnar nerve, as it passes around the elbow joint in […]
What Is Normal Range of Motion for The Thumb?
Have you ever noticed that some people can flex and extend their thumb into crazy positions, while others have very limited thumb motion? What in fact is a “normal” amount of thumb motion? This is a tough question to answer given that the metacarpal-phalangeal joint (MCP joint) of the thumb has a somewhat unique property […]
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 […]
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 […]
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 […]
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 […]
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 […]