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the blog

Some knowledge, some opinions, some rants.

Written by the therapists who treat here — on training, rehab and the things people get told that are not true.

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The answers we give in the clinic, written down.

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Most people arrive having already been told three different things by three different sources. These posts are our therapists answering the questions we actually get asked — what an injury is, why it keeps coming back, what the research says, and what to do on Monday.

Brian King Brian King

Confidence in Your Rehab Team

If you lack confidence in your doctor, physical therapist, performance coach etc. find a new one. A 2013 study by Paulo Ferreira et al. showed that patients who had a supportive and trusting relationships with their physical therapist showed improved treatment outcomes. The study found that the relationship between a patient and a medical professional, also known as the therapeutic alliance, was a consistent predictor of treatment outcome across all measures.

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Dr. Brian King Dr. Brian King

Shoulder Impingement Overview

Shoulder impingement syndrome is often used as a “catch-all” term to describe pain in the shoulder that’s commonly associated with a “pinching” sensation. A shoulder impingement is normally classified as either an “Internal impingement”, where pain is experienced in the back of the shoulder or a “subacromial impingement”, where the pain is experienced in the front of the shoulder.

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Dr. Tiara Dunson Dr. Tiara Dunson

What Is Chronic Pain? Understanding a Complex Condition

Chronic pain is a complex medical issue and is defined as pain that persists past normal healing times. Acute pain is directly related to tissue trauma and subsequent inflammation. Traditional healing guidelines suggest that the bulk of the inflammatory and initial healing process occurs within approximately 3 months during normal healing. While this is not true for all tissues, and there are numerous variables that affect these timelines, this is a standard “ballpark” estimate.

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Dr. Brian King Dr. Brian King

Why the Human Body Is NOT a Machine: Understanding Adaptation and Davis’ Law

Analogies and metaphors are commonly used to simplify complex ideas. The human body is often compared to a machine, while the brain and nervous system are compared to a computer. While these comparisons can offer a rudimentary understanding of how certain body processes work, it’s important to understand that their value is limited and potentially harmful.

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Dr. Allyson Fong Dr. Allyson Fong

Should I Ice It? What the Science Actually Says About Icing Injuries

Sprained ankle? Ice it. Sore knee after running? Ice it. Wake up with an aching low back? Ice it? We choose to reach for the frozen pea bag with the intent of reducing pain, swelling, and inflammation. Icing has been engrained into our post-exercise and post-injury recovery routine, but is it necessary? Is it helpful, even? This begs some questions about our physiology and what we can do to make the most of it.

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Kauno Team Kauno Team

Understanding Ankle Sprains: Types, Severity, and Treatment

Ankle sprains are a common injury in both athletes and non-athletes. The most common type of ankle sprain is called an inversion sprain or a lateral ankle sprain. These sprains commonly occur when a person steps down and lacks stability in their weight bearing leg. The instability can result in the leg “rolling” outward while the foot turns inward. This result in trauma to the ligaments that support the lateral part of the ankle. Severity of the trauma varies significantly and can result in a strain, or tear of the lateral ligaments of the ankle.

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Dr. Tiara Dunson Dr. Tiara Dunson

Psychological Response to Injury: How to Overcome Fear of Reinjury

Sport related injuries are a common occurrence among both competitive and non-competitive athletes. Studies have shown that approximately three to seven million sport-related injuries occur annually in the United States. Injuries often affect the athlete’s psychological, and emotional health in addition to their physical health.

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Dr. Brian King Dr. Brian King

Why Simplifying Complex Health Topics Can Lead to Misunderstanding

How long is the California coastline? It depends on who you ask. If you were to ask the California Research Service, they would say 840 miles. If you were to ask the National Oceanic and Atmospheric Administration, they would say 3,427 miles. The disparity is not the product of error, but instead the result of each organizations method of measuring.

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Dr. Tiara Dunson Dr. Tiara Dunson

Operative vs. Non-Operative Treatment of Rotator Cuff Tears

Rotator cuff tears can lead to progressive degenerative changes of bone, tendon, and cartilaginous structures of the shoulder joint causing pain and disability. People with rotator cuff tears are met with a decision to treat surgically or conservatively.

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