Orthobiologics: helpful…or too good to be true?!

Within the last couple of decades, there has been a rapid influx of therapies called “orthobiologics” that try to leverage our bodies’ inherent capacity for healing (and biological processes) by utilizing either substances from our own bodies or substances that are derived from biologic origins (e.g., blood, bone marrow, stem cells etc.). These treatments are…

Remember That Healing HAPPENS!

One of my specialty interests in physical therapy is teaching about pain science principles and also integrating these principles in my physical therapy practice when working with patients with persistent pain (and really all pain!). As I seek to practice in the most effective manner, but also communicate some of these principles, I am often…

Recalcitrant Tendon Pain: Can Shockwave Therapy Help?

As I have written about before, tendinopathies in the lower extremities (really all areas of the body) can be tough to treat and may take a while to respond to conservative, exercise based treatments. I still very much believe that progressive loading is the best long term solution to treating painful tendons that show signs…

Dry Needling for Hip Pain?!

Check out this recent guest blog post I wrote for Precision Performance and PT on Dry Needling and if it may be able to help out for hip pain (in addition to other PT) and as compared with a corticosteroid injection! Dry Needling (and PT) for Hip Pain: A “Too Good To Be True” Solution?…

Making The Case for Stronger Feet and Hands

One of the factors that I love about working in an outpatient orthopedics setting as a physical therapist is the wide variety of patients that walk through the clinic doors. The diversity in age, socioeconomic status, fitness level and goals, and injury type means I am constantly learning and being challenged to identify effective treatments…

Bone Health: RED-S & Tissue Loading

With bone stress injuries including stress fractures, it is important to consider not only bone health from a “loading” or exercise prescription perspective, but also from a whole health perspective including optimizing nutrition. This is where a discussion of the possibility of nutrition deficits such as occurs with Relative Energy Deficiency in Sport (RED-S). Check…

Foundations of “Non-Traumatic” Shoulder Rehab

As many of the best clinicians (PTs, MDs, etc.) and current research suggest, shoulder pain that happens without acute trauma (i.e., more likely due to “overuse”) very often responds well to conservative, non-surgical treatments like physical therapy.  There have been different names given to this type of shoulder pain and some are based on theories…

Pain in the BUTT!: Part 2- Treatment Strategies for Posterior Thigh & Buttock Pain

In this post I want to discuss 3 Keys to treatment for posterior thigh and buttock pain. If you are interested in differential diagnosis and screening for posterior thigh and buttock pain, please check out: Part 1- Differential Diagnosis of Posterior Thigh and Buttock Pain Three Treatment Keys:  Correct Differential Diagnosis Activity Modifications & Reducing Symptom…

“Cheat Sheet”: Strength Goals for Lower Body Tendinopathies

Check out the handout below for strength goals and treatment tips for lower body tendinopathy injuries: (HANDOUT PDF) For more information on lower body tendinopathies, please see these prior blog posts: Tendinopathy Treatment Tips for the Lower Body Tips for Treating Lower Extremity Tendinopathies: Part 1: ASSESSMENT Tips for Treating Lower Extremity Tendinopathies: Part 2:…