Conservative Management of Femoroacetabular Impingement

The following is an article written for the online, video-based physical therapy continuing education company MedBridge… FAI Prevalence As mentioned in my previous post on differential diagnosis of femoroacetabular impingement (FAI), hip pain is an all too common occurrence among older adults and adolescents.1 Older adults. According to a survey and subsequent study of 2,221 German respondents…

Evidence-Based Strength Training: Gluteus Medius, An Update

To build upon my previous post regarding Evidence-based Strength Training of the Gluteus Medius, I wrote the following article for MedBridge Education... Pain and Gluteal Strength The gluteal musculature has been implicated in many different pathologies due to its potential impact on lower extremity biomechanics. During weight bearing, the femur moves about a fixed patella and…

Differential Diagnosis: Athletic Pubalgia

In the next installment of the Differential Diagnosis Series for MedBridge Education, we are going to take a look at the difficult and complex diagnosis of Athletic Pubalgia... Pathophysiology and Anatomy Athletic pubalgia is a catch-all term for soft-tissue pathology in the groin, lower abdominal, pubic, and medial thigh regions. This pathology can be secondary to tendinopathies,…

What to Read: April-May 2015

Each month multiple bloggers, researchers, and clinicians produce evidence-based content that moves our profession forward. Below are several research and blog articles I recommend from this past month... Blog Posts: 1. "Stabbed in the back: Moving the knife out of back pain", by Jørgen Jevne 2. "Don't Freak Out: Treating Pain with Simple Fundamentals", by Greg…

Should we stop blaming the glutes for everything?

Below is an article written for MikeReinold.com...  Anterior cruciate ligament (ACL) rupture1,2 and patellofemoral pain syndrome (PFPS)3,4,5 are two of the most common lower extremity complaints that physicians or physical therapists will encounter. In addition to the high incidence of these pathologies, with regards to ACL injury, very high ipsilateral re-injury and contralateral injury have…

What to Read: February 2015

Each month multiple bloggers, researchers, and clinicians produce evidence-based content that moves our profession forward. Below are several research and blog articles I recommend from this past month... Blog Posts: 1. "Stabbed in the back: Moving the knife out of back pain", by Jørgen Jevne 2. "Don't Freak Out: Treating Pain with Simple Fundamentals", by Greg…

Evidence-Based Strength Training: Scapulothoracic Musculature, Part 1

In the next installment of the Evidence-Based Strength Training Series for MedBridge Education, we are going to take a look at the often-neglected scapulothoracic musculature... Typically when considering the management of painful upper quarter conditions, local exercise and manual therapy interventions are employed judiciously. However, when utilizing a proper movement assessment or regional interdependence philosophy, impairments…

Clinical Prediction Rule Update

I have taken the time to update the Clinical Predition Rule (CPR) Resource... Newly added CPRs include: 1. Anterior Shoulder Instability 2. Closed Cervical Fracture 3. Hip Osteoarthritis 4. Lumbar Spinal Stenosis 5. MCL Pathology 6. Vertebral Compression Fracture Additionally, the Litaker et al. study was added to the diagnostic CPR for Rotator Cuff Pathology and the…

CEU Review: Modern Pain Sciences by NXT Gen Institute of Physical Therapy

Course Title: Modern Pain Sciences: Manual Therapy’s Keys to Motivation, Input and Plan Date: December 7th, 2014 Location: Pittsburgh, PA Faculty: Joseph Brence, PT, DPT, COMT, FAAOMPT, DAC & Francois Prizinski, PT, DPT, OCS, COMT, FAAOMPT, DAC Throughout my didactic and clinical education as a student at the University of Pittsburgh, I was exposed to very little in terms…