Articles

Migraine is the second most disabling chronic disorder in the world. Approximately 55% of migraine patients experience vestibular symptoms at one time or another. Vestibular migraine is one of the most common neurological causes of vertigo among adults. It typically affects women in their 40s, especially those with a previous history of migraine headache. 

Peripheral Neuropathy is a condition that affects the nerves in your body. It can be classified by the number of nerves affected, the type of nerve cells affected and the process affecting the nerves.

Pickleball was invented in 1965 as a backyard game for children on Bainbridge Island, Washington. Players use paddles to hit a plastic ball with holes over a net.

Gout is a painful form of arthritis. When your body has extra uric acid, sharp crystals can form in your joints (commonly your big toe). Flare-ups of symptoms like pain and swelling come and go in periods called gout attacks. Treatment is usually a combination of symptom management and changing your diet.

Physical Therapists are well trained to recognize red flags throughout their evaluation. Red flags are signs and symptoms that raise suspicion of serious spinal pathology. These may come up in discussion of history or during examination.

Evidence suggests that Thoracolumbar Junction  (TLJ) syndrome is an overlooked source of pain.  Patients with TLJ syndrome typically present with primary unilateral hip and groin pain commonly with pain along the iliac crest and upper gluteal region. Our vertebrae change anatomically in our cervical, thoracic and lumbar spine.

Patellofemoral syndrome (also called Runner’s knee), is a general term that refers to pain in the front of your knee or around your kneecap. It’s a common overuse injury in sports that involve running or jumping. Weakness in your hips or the muscles around your knee can put you at a higher risk of developing patellofemoral syndrome.

Normal range of motion for your great toe extension (ie lifting your toe up) is between 60-70 degrees. This motion becomes important specifically to the push off stage of running.

Ever wonder why as we age it gets increasingly more difficult to do daily tasks that at one point seemed easy to perform, such as standing up out of a chair, walking up stairs, getting up from the floor, or even recovering your balance after tripping over something?

Clinical Practice Guidelines have been updated in 2023 to provide best evidence based practice for treatment of Plantar Fasciitis. Evidence supports the following:

Clinicians, coaches, parents and athletes should support implementation of exercise-based knee injury prevention programs. Training should occur multiple times per week, with sessions lasting longer than 20 minutes.

Rheumatoid arthritis is an autoimmune disorder that occurs when your immune system mistakenly attacks your own body’s tissues. It is a chronic inflammatory disorder that can affect more than just your joints.

As research develops it guides our treatment for best practice and effective interventions to provide patients. These recommendations are compiled into Clinical Practice Guidelines which are meant to provide evidence-based guidelines for treating different diagnoses.

Treatment of Lyme disease and any co-infecting tick borne diseases will require a multi-disciplinary approach.

Is exercise safe during pregnancy? The answer for most women is YES!! In fact, The American College of Obstetricians and Gynecologists states, “If you are healthy and your pregnancy is normal, it is safe to continue or start regular physical activity.”

Interoception is not a word that many people are familiar with, but it can be a key part in helping both adult and pediatric pelvic floor clients learn to address their pelvic floor symptoms and independently manage their pelvic floor needs during and after discharge from therapy.

Urinary leakage and incontinence can occur for many different reasons. Some people leak urine in response to an increase in pressure in the abdomen either from a laugh, sneeze, or cough or from lifting, jumping, or running. Other people leak in response to a sudden, uncontrollable urge to urinate or a “bossy bladder.” As pelvic floor therapists, we treat and approach these kinds of incontinence differently. 

The relationship between the pelvic floor and the diaphragm is often important when considering conditions like urinary incontinence, constipation, pelvic organ prolapse, and diastasis recti. When thinking about the abdomen like a canister, the pelvic floor is at the bottom of the canister and supports the abdominal contents and pelvic organs (rectum, uterus, and bladder) from the bottom.

Hiking is a great full body exercise, no matter the trail where you find yourself. Physical benefits to hiking include building strength in muscles and bone, improving balance, and improving cardiovascular and respiratory health. In addition to improvement in physical health, hiking can improve mental health by boosting mood, reducing stress, calming anxiety, and lowering risk of depression. Hiking can be done with friends, family, or neighbors to make being on the trail more enjoyable and further strengthen your relationships.

Falls are the second leading cause of injury-related death in older adults and are expected to double by 2030. The specific causes of a fall depends on the individual, but many can be related to Presbystasis, which refers to the multifactorial and progressive impairment of balance in older adults. The purpose of this case report is to determine the effectiveness of vestibular and power training in a patient with peripheral neuropathy on decreasing risk for future falls.