I felt inspired to write this blog after re-watching a 2011 TED Talk by Lorimer Moseley on the topic of pain. I have seen this episode multiple times and it always makes me laugh. He knows how to tell a good story that merges science with comedy. He actually makes learning (about pain) fun!

There is strong evidence to support suspension based physical therapy for shoulder rehabilitation and performance. So it’s perplexing why it has taken so long to become the gold standard of care. This type of treatment intervention is common in Norway, where it originated. But here in the United States it barely exists. I guess one reason for this is that the profession of physical therapy began in this Nordic region of the world in the early 1800s. Therefore they have about a hundred more years of clinical experience than we do.

When I talk to my patients about the importance of cross training, the strength training component is typically what they are most nervous about. Understandably so, especially if it is a new type of exercise or if they are in pain. When pain is present, the last thing on our minds is picking up weights. However, strength training can actually help resolve pain, when performed under the guidance of a qualified physical therapist.

I come from a baseball family and more specifically a family of baseball pitchers. My grandfather pitched for the Braves and the Yankees in the 1930’s and 40’s. He stood a lengthy 6 foot 7 inches tall soaking wet. My dad was a 6 foot 5 inch lefty pitcher from Portland, Maine who played one season with the Kansas City A’s. I was a pitcher in high school but an injury to my elbow ended my career before it even began.

Have you ever seen someone with a patchwork of purple circles on their back and wondered what in the world happened to them? Or maybe you’ve received cupping as part of your physical therapy and have had someone gasp when they’ve seen the cup marks, which resemble bruises.

This is one of the most frequent questions I get asked as a physical therapist. The short answer is: a little bit of everything. But let’s talk more about this concept. As we all know, a healthy and active lifestyle is important for both our physical and mental well being. Intentional movement of any type is a great way to maintain that lifestyle. 

Dry needling is different from acupuncture, although they both involve the insertion of needles into the skin. Acupuncture is based on the principles of traditional Chinese medicine and involves the insertion of needles into specific meridians throughout the body to balance the flow of energy. Whereas dry needling is based on modern western medical principles and is used to treat specific muscular trigger points.

Instant gratification is all around us every single day. We get our news immediately from our phones. Our meals come prepared and ready to heat up and eat in several minutes. And we get anything we want from Amazon with literally the click of a button. Our world is moving so fast compared to years ago. So why would recovering from a lower back injury be any different?

As a physical therapist and certified TPI practitioner, I have treated countless golfers with low back pain. When I look at their ability to perform a golf swing, there are many mobility and stability demands on the body necessary to reduce swing faults or compensatory strategies. Given the unilateral (one sided) repetitive nature of a golf swing, it's not surprising that these compensations can eventually result in low back pain.

To be honest, when I talk about the myofascial chains located on the front of the body, I seem to mostly refer to the Deep Front Line and the Front Functional Line. That's because I often find "weak links" along these chains upon testing them, especially in the hip adductors or inner thigh muscles.‍The Superficial Front Line is more of an afterthought, if everything else tests normal.