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Part 2 of this Clinical Pearl series on will focus on runners knee return to running implications. It is during these phases that there will be a larger emphasis on advanced strengthening, single limb loading that simulates running activity, reintegration of running, and power-based exercises! By this point, the runner should have lower symptom irritability, and a solid foundation of motor control, stability, and strength before progressing towards this part of rehab.

Rehabbing runners is no easy task. We know that runners love to do one thing: RUN! When that is taken away from them, they become frustrated. Innately, we expect this, right? If you are passionate about something, and can no longer do that specific hobby, you are likely to feel some type of way! What is even more challenging about rehabbing runners is ensuring they do not return to running too quickly, which can quickly turn into a cyclic pattern of nagging pain and chronic injuries. With that being said, this runners knee rehab rationale is going to take you through 3 phases, consisting of a systematic approach to getting your runners back to what they love to do safely, and optimally.

If you're looking to pursue a career to become a sports physical therapist, welcome. If you're a veteran of the game who has been in team sports for years, forgive me should my limited 5 years of experience come up short in trying to capture such an interesting culture. And finally, if you're not in sports medicine and just interested in learning a bit more "behind the scenes," you may find some interest here too. Regardless, I hope you enjoy.

We’ve all been there before, rehab is going really well for your patient and every session builds off the previous, you’re happy and your patient is happy! You find yourself progressing every single movement and increasing the challenge because your rationale is the patient is getting better so why not push the limits? Next thing you know reality checks in and your patient has experienced a setback with increased pain, decreased load tolerance, and reports of stiffness with greater ranges of motion.“I think we overdid it doc…I guess my ankle isn’t ready still” What went wrong?! How are you even supposed to know that could happen? Was it the exercise, was it too much too soon, what did my patient do that they’re not telling me!? Let's take you through a systematic approach for lateral ankle sprain rehab.

Rotator cuff related shoulder pain (RCRSP) is the third most common condition seen clinically and likely to be the number one mispronounced diagnosis! RCRSP is a complex condition surrounding a complex joint. We have over 70 orthopedic clinical tests for the shoulder joint and spend countless hours learning them trying to identify exactly what is causing this pain. Are these tests able to give us that information? In short, no and we will explain why later. The term RCRSP was born as an umbrella term encompassing subacromial pain (impingement) syndrome, rotator cuff tendinopathy, and symptomatic partial and full thickness rotator cuff tears. As complex as the joint and condition is, we hope to help you find simple solutions! In this post we will take you through tips/assessments/progressions that you will find in the [P]Rehab exercise library. The goal is to ensure the patients you are working with have fully prepared their shoulder complex to take on the demands of their environment! 

The natural design of the hip allows it to serve as the key to foundational movement! It is a ball and socket joint, similar to the shoulder which allows it to be extremely mobile. However, in addition to its exceptional mobility, the hips are responsible for giving us a base of weight bearing capabilities to perform complex movements such as walking, swinging a golf club, squatting to pick up objects, dancing, etc., as it also serves as a key stabilizer. If the hips become stiff our movement options become limited! The purpose of this [P]Rehab Clinical Pearl is to enhance your understanding of how to facilitate long-term improvements in hip mobility either for yourself, or for your patients. There will be a series of exercises from our exercise library that you can visualize as we discuss hip mobility throughout this post. You won't want to miss this hip mobility clinical pearl.

The bridge is probably the single most prescribed exercise by physios...it seems that the bridge exercise is ubiquitous with physical therapy and rehab. As you may be suspecting, we think this is a pretty bad thing! Yes - the bridge is in fact a decent exercise that can help groove a hip hinge movement pattern and can be the starting place for a host of pathologies ranging from the lumbar spine all the way to the foot and ankle. But that doesn't mean that our clients need to perform 3 sets of 10 bridges for months on end during the course of their rehab! Our exercise library has tons of exercises to help groove the horizontal hip hinge movement pattern, starting from the basic supine bridge all the way to a loaded barbell hip thrust. Follow along in this clinical pearl as we discuss bridge exercise progressions for rehabilitation!

Are you considering more medicine ball exercises, AKA med ball exercises, in your routine but aren't sure what to do or how to proceed? Perhaps you've seen some cool medicine ball exercises going down in your gym and on social media. Maybe you've come across some great deals online for med balls, which might be a nice addition to your home gym but you want to make sure you know how to use them! With that being said, understanding the purpose behind the different applications of medicine ball exercises will help you decide exactly how to begin when you pick up that med ball! Continue reading to learn how to determine the best medicine ball exercises for you!

Have you ever had tingling in your hands or feet, or a burning, shooting sensation down your arm? If so, you may be dealing with nerve related pain, which can be quite discomforting. When we think of enhancing our mobility, we often think of "tight muscles" or "stiff joints", right? Ah, I gotta loosen up my low back, or I need to release my hip flexors. Yes these are all great examples of how we attack mobility deficits; however, we need to ensure that with any mobility program we do not miss an often forgotten integral piece: The Nervous System! Both our central nervous system (CNS), which consists of our brain and spinal cord, as well as our peripheral nervous system (PNS), the nerves that lie outside the CNS, each are intimately associated with our body movements and function. In this article, we are going to explain the basics behind nerve pain, and how to relieve it with neurodynamics!

Americans consume a large majority of the world’s opioids. Approximately 80% of the global opioid supply is consumed in the United States, a country that represents a mere 5% of the global population. There were approximately 300 million pain prescriptions written in the US in 2015 equating to a $24 billion market. While we seem to know a fair amount about pain from the financial side, the actual science behind pain is still somewhat of an enigma. Let's take a closer look at pain science.