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Scapular dyskinesis (aka SICK scapula syndrome) is an alteration or deviation in the normal resting or active position of the scapula during shoulder movement. This observation of "abnormal" or "erratic" movement is often associated with pain. But does scapular dyskinesis actually cause a painful shoulder? Does SICK scapula equal pain?

Personalized blood flow restriction (BFR) training is a training strategy (or an exercise modality) that involves exercising at low intensities (i.e. 20-35% 1-RM) while occluding venous blood flow out of a limb and restricting arterial blood flow into a limb by using a system that is calibrated based off of personalized limb occlusion pressure. This type of training is accomplished by wrapping off the proximal portion of a limb. In the upper extremity, this is done at the level of the deltoid tuberosity, while in the lower extremity this is performed at the level of the greater trochanter of the femur. As healthcare providers, we recommend using an FDA listed system to perform personalized blood flow restriction training as opposed to other methods such as knee wraps and/or voodoo bands. In this article, we will provide an in-depth review of BFR!

There are more than 200,000 ACL injuries each year in the United States alone, and approximately 65% of these injuries are treated with reconstructive surgery. ACL graft options for surgery is one of the main topics of discussion between orthopedic surgeons and their patients. Numerous factors including patient age, occupation, and activity level, graft availability, surgical history, existing tendinopathy, and the experience and preference of the surgeon, should be considered prior to determining which type of graft will be used for reconstruction. We've teamed up with Dr. Nima Mehran and Dr. Mick Huges, an orthopedic surgeon and physical therapist respectively, each of whom specializes in sports medicine as well as ACL rehab, to cover everything you need to know about what you can do prior to surgery for maximal results, graft selection, and what to expect immediately after surgery. With this guide, you will no longer have to fear the unknown. Learn everything there is to know about ACL graft options for surgery!

Training equipment is being utilized more than ever by athletes looking to get an edge on improving their performance. Weight lifting shoes, Chuck Taylors, elastic bands, and chains have found their way into the free weight section with the squat & deadlift, but why? Do these items really help according to claims such as improved ankle mobility, squat depth, lifting heavier, and breaking PRs? This article will look at some of the evidence regarding the best training equipment for the squat & deadlift and will shed some light on squat variations using movement analysis technology.

Rock climbing is a sport that has been gaining popularity over the last few years. The diverse range of movement, mobility, and strength the sport requires makes it appealing to everyone from the weekend warrior to the most serious and dedicated athlete. This fast-growing allure has helped catapult climbing into the 2020 Olympic Games in Tokyo. The three disciplines that will be included in the upcoming Olympics are sport, bouldering, and speed. Each discipline has its own unique demands varying in power, agility, strength, and endurance naturally inducing risk for both traumatic and overuse injury. In this article, I will highlight the most common injuries seen in rock climbing and demonstrate rock climbing injury prevention exercises based on research and biomechanics to prevent these injuries.

Anterior Cruciate Ligament Reconstruction (ACLr) is one of the most common surgeries performed due to a sports injury. ACLr rehab and ACL prevention training is one of the hottest topics in the sports medicine world. The reality is while 80% of ACL reconstruction (ACLr) patients return to some form of sport, only 65% return to the same sporting level and 55% return to sport at a competitive level within 1-2 years post ACLR (1). In this article, we will cover ACL return to sport testing as well as some of the alarming statistics regarding this topic.

Did you know there are 27 muscles that cross the ball and socket hip joint?! Some muscles act as primary movers while others act as dynamic stabilizers for the hip. When the hip capsule is hypomobile (or tight), your body is likely to compensate either up or down the kinetic chain to still achieve movement. This can lead to various pathologies in the lumbar spine as well as the lower extremity (1-5). The good news is there are many ways that someone can improve their hip mobility. In this article, you will learn why hip mobility is important for overall movement capacity and longevity, and we will show you 4 exercises to improve your hip mobility!

Cervical radiculopathy is defined as cervical nerve root compression. Many times, what causes this so-called compression is things like herniated disc material or arthritic bone spurs. It's essentially the "sciatica" of the upper extremity. Common symptoms include neck and radiating arm pain which can travel all the way down into the fingers. Often, this pain is accompanied by sensory disturbances (i.e. pins-and-needles or burning sensations) and even loss of muscle function in more severe cases (muscle weakness and abnormal reflexes). Headaches, neck pain, and scapular pain can also accompany cervical radiculopathy. While not as common as sciatic nerve irritation (only a 0.4% prevalence rate), it can be just as debilitating and a significant cause of neck pain and disability. In this article, we will show you assessment and cervical radiculopathy treatment approaches that you and your physical therapist can employ to get you out of pain!

Mike had the unique opportunity to spend 4 months treating in China. Sadly, the people there have an extremely low level of education and understanding of their health. Every day in the clinic, we battled not just construed cultural enigmas, "my back hurts because of the cold wind", but also improper education & advice, "my doctor told me if I do anything more vigorous than walking my nerve will impinge and I will be paralyzed". One of the biggest reasons why we embarked on the [P]Rehab mission in the first place was to inject some truth and science into the fitness and health industries. Proper education on your movement system, why you experience pain, and self-management strategies can go a really long way in making this world a much better and happier place. Education is power. Let us educate you on MRIs for low back pain and why you should always take medical imaging with a grain of salt!