The rising cost of healthcare has made it increasingly difficult for employers to provide benefit packages for their employees that don’t include high out-of-pocket co-pays and/or deductibles. Self employed individuals may find that it is nearly impossible to afford a low out-of-pocket plan. This rise in costs to the patient is forcing many people who [...]

Anterior knee pain or patella femoral pain syndrome (PFPS) is one of the more common injuries that occur in the physically active population. A commonly accepted hypothesis is poor patella tracking secondary to ITB tightness and medial quadriceps weakness. More recently, researchers have recognized the influence of weakness of the hip abductors and lateral rotators on the control of knee motion.

Strength training for endurance athletes continues to this day to be a hot topic of a debate. This question may pose vast differences of opinion depending on whom you ask. I personally feel that it is a critical part of any endurance athlete’s training program. The intention of this blog is to present a research-based perspective to allow you, the runner, to make an informed decision as to whether or not it is right for you.

Low back pain is one of the most common conditions I see in our office on a daily basis.  This is not shocking considering it plagues over 80% of the population at some point in their lives.  A significant contributing factor is the large number of people who work in a prolonged flexed position while [...]

As kids return to school this fall it is a great time evaluate what is on their backs.  Improper use of backpacks can be a major contributor to back pain in school-aged children, but following a few guidelines can significantly reduce the risks. The weight of the pack and its contents should not exceed 10% [...]

Tendonitis is one of the more common conditions that I treat and some of the most difficult to resolve. I am lumping the following conditions under this heading, Lateral Epicondylitis (Tennis Elbow), Achilles Tendonitis, Medial Epicondylitis (Golfer’s Elbow) Plantar Fasciitis (Heel Pain), Patella Tendonitis (Jumper’s Knee), Illiotibial Tendonitis (Runner’s Knee). The plain and simple truth as to why these conditions take so long to heal is the fact they aren’t tendonitis.

Why do physical therapy and chiropractic treatment programs often fail? The answer to this question is simple “scar tissue”. Traditional physical therapy programs often jump right into stretches and strengthening exercises without first addressing the tissue dysfunction. This is putting the cart before the horse. You can not stretch and strengthen dysfunctional tissue and expect [...]

The fact that NSAIDS actually delay and hamper the healing of all soft tissues including muscle, ligaments, tendons, and cartilage is overwhelming supported in numerous studies

Over the last few months I have seen an increasing number of hamstring injuries which has inspired to me write this blog. Hamstring pulls or strains are one of the most common sports-related injuries. The hamstring, a group of 4 muscles in the back of the thigh, can be felt stretched as you bend forward [...]

The purpose of this blog is to provide a basic backround of information as related to hydration needs and fluid balance.