Browsing Posts in Blog

Manual Therapy and Prolotherapy for Spondylolisthesis: A Patient’s Story.

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I recently received an email from a patient expressing gratitude for the role I played in his recovery story. I asked him to share his story for other patients facing the same questions he had regarding the use of of prolotherapy for a dynamic spondylolisthesis, whether he could return to high level activity without a fusion, and what kind of recovery timeline he could expect. Here's is some background. The patient had initially contacted me from out of state after reading a post I made on SI joint dysfunction and the up and down stream effects that segmental instability in the lumbar spine can have on regional mechanics. We spoke and he ended up consulting with me ...

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Why You Should Be Squatting

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As a physical therapist who treats several patients with hip pain, I have noticed that I have been prescribing the squat for these individuals more and more.  As I have done so, it has become clear to me that many people are not comfortable squatting, have been told not to, or, for whatever reason, just don’t do it as part of their regular routine.  I would like to spend a moment reflecting on this and discussing why it is my clinical opinion that you should be squatting, whether you are or aren't a patient with hip pain. If done properly, the below-parallel (hips just below the knees) squat position is a perfectly natural position for the ...

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Union PT to host “Integrating the Neurologic and Orthopedic Management of Dizziness and Vertigo” April 25th – 26th

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Union Physical Therapy in a partnership with Cascade Dizziness and Balance Rehabilitation will be hosting "Integrating the Neurologic and Orthopedic Management of Dizziness and Vertigo"  on April 25th - 26th at Union PT in Seattle, Wa.. The course will start at 3:00 PM on the 25th and will cover a comprehensive review of assessment and treatment techniques used in the management of patients with dizziness and vertigo. Mitch Owens MsPT, CMPT and Lisa Eaton DPT, OCS are both graduates the Emory University Vestibular Rehabilitation Competency program as well as being top orthopedic clinicians. This course will be attended by members of the local physical medicine and rehabilitation communities as well as PTs. We hope to ...

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Is CrossFit Safe?

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If you ask any CrossFitter about CrossFit, they will tell you how much they love it, how much it has changed their life, how they’ve improved and benefited over time, and how they just cannot get enough.  However, as a physical therapist, one of the most common conversations I have with people – patients, other practitioners, friends, those who do CrossFit, those who don’t – is: “Is CrossFit Safe?”  In fact, when I am talking to people who are not fully educated about CrossFit, it is less of a question and more of an assumption: “Isn’t CrossFit really dangerous?” When we see injuries in the clinic that are related to CrossFit, we need to consider the ...

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Top down and bottom up

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When I went on some of my first interviews as a new grad, one of the most common things to talk about in an interview was weather I took a “bottom up” or a  “top down” approach to treating lower extremity injuries. Bottom up refers to the theory that how the foot hits the ground determines the kinematics of the lower extremity and is the focal point to treating these injuries. The top town approach is very much the opposite and refers to the theory that stability and motor control of the lumbar spine and hip determine how the foot hits the ground making it the starting point for all lower extremity injuries. In my graduate ...

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Local Art in the Clinic!

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We are extremely lucky to have the opportunity to showcase art from two of Seattle's best artists, Amber Anderson and Cait Willis in our clinic.  Collaborating with local artists has been a fun and unique experience. The artwork has added a great aesthetic to the space and we are getting a lot of questions about the pieces and the artist behind them. All of the work is for sale. If you have not seen it you should stop in and check out the art, you have to see these in person! This is the artist's statement from Amber Using fire as a tool and symbol of transformation, I sculpt and manipulate encaustic bee’s wax on recycled wood ...

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The Future of Home Exercises at Union Physical Therapy

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The delivery of a home exercise program can be a bit tricky. It is often hard for my patients to organize slips of paper and to perform the exercise as it was intended because a picture only shows the start and/or end of the movement. A video shows not just the start and end of the exercise and the actual movement itself. This is a natural and long overdue evolution from stick figure and clip-art style handouts. You can watch these on your computer or smart phone and do the exercise along with the video. This is still a work in progress as we do not have every exercise that we prescribe as a video ...

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Redcord!

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PRO it up with Redcord!  Our friends at Herriott Sports Performance (HSP) have started a new stability class that would be a great compliment to traditional physical therapy core training. It is also a great way to gain stability for injury prevention and maintain stability in the spine, hips and shoulders. Redcord is an exercise concept for building core stability and enhancing balance, flexibility and practical strength. It is suspension based exercise that uses your body weight as resistance and a mix of ropes, slings and straps to create an unstable base of support which increases demands on stability and muscular control. Redcord training is also a powerful stimulus for activating the body's deep stabilizing musculature. The simplicity ...

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Tips for bearfoot/minimalist running

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      I love running and am happy to see that this new/old trend has moved people who previously never liked or wanted to run to go out and move.  Barefoot or minimalist running can be a great tool and a useful way to improve your running form if used properly. As a physical therapist I have also seen that improper use can cause can lead to stress injuries. Here are a few tips to keep you running happy/efficiently and not injure yourself in the process. Tips for using barefoot (minimalist) running: Work on your body position! This is in my opinion the most important part of running period. Putting on a new shoe or sandal or taking it ...

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Dear Ms. Greenberg, Thank you…

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One of the most common questions that I get (on almost a daily basis) is why/how did I get into the profession of physical therapy? The answer is simple and fairly unusual. Ms. Greenberg. I was fortunate enough to go to a public high school in NY that had a program for kids who interested in medical science. My junior year I took an elective class in sports medicine. I was so excited for this class and I can still remember the first assignment that I was given (which was a current events in sports medicine assignment). Before I took this class I thought that for sure I was going to become a teacher. I grew up ...

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