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3 Weeks after a DIP Dislocation in a gymnastics injury, swelling, pain, and weakness remained in the PIP more than DIP of that digit. She was unable to grip or hang/swing on bars without pain. In order to restore threat […]
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Eccentric heel drops are a great and evidenced way to treat Achilles tendinopathy. However, many times, there is a mobility issue in ankle dorsiflexion, lateral tibial glide and/or tibial internal rotation. This often causes the heel to move medially thus […]
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So your best needling/IASTM/soft tissue/manip improved cervical/scapular/shoulder ROM. What next? After manual therapy or a repeated loading strategy, pain and ROM is often rapidly improved. Repeated passive end range loading often keeps this improvement between visits. However, many times restoration of […]
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The case in the video was a severe ankle inversion sprain on the left and moderate on the right. The patient is a high-level gymnast who injured herself tumbling during a floor routine. The video below was taken almost […]
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A question I often get asked is “Why do isometrics work well to isolate pain?” I started adding isometrics to improve pain during motion and pain and end range with active and passive testing. They work great! Forget “muscle […]
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The cervical retraction exercise is a classic and works very well for cervical pain, cervicogenic headaches, and general upper quarter complaints. Yes, posture does not directly predict or relate to pain any more than knee flexion causes knee pain. However, common […]
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