Physical Therapy clinic Lakewood, CO 80226
Expert Physical Therapy and Medical Massage Therapy Care in Lakewood / Denver
325 South Teller Street
Lakewood, CO 80226
Call 303-274-2404
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Belmar Physical Therapy

Struggling With Tendonitis? Try EdUReP

For years, the first line of treatment for painful tendons has been anti-inflammatory treatments such as medication and ice.  However, recent studies have concluded that inflammation is not a factor in persistent tendon pain explaining the lack of results with this treatment approach.  These studies have concluded that excessive loading causes weakening of the tendons structure leading to pain. These recent advances in the understanding of tendon problems have lead to the development of the EdUReP (Education, Unloading, Reloading, Prevention) model for treatment.

Following is a summary of the EdUReP approach.

  • Education: The patient is educated in the basic physiology of tendinopathy as well as how their posture and activities may be contributing to overuse of the tendon. The patient and the physical therapist work together to find ways for the patient to perform activities while minimizing stress to the tendon.  Kinesio tape can help "unload" the painful tendon.Kinesio Tape For Tendonitis - Physical Therapy Belmar
  • Unloading: During this phase of treatment the therapist uses patient specific strategies to minimize load to the tendon.  These strategies may include external supports (braces, orthotics or taping), strengthening of other structures that may be underused or stretching of tight structures that are placing more strain on the tendon.
  • Reloading: Once adequate pain control has been achieved through unloading the tendon needs to be strengthened in order for the patient to return to regular activity.  One such strategy is the use of eccentric strengthening exercises discussed in our Get Eccentric” post.  During this stage exercises of progressive difficulty are administered until the patient is able to tolerate the loads required for their particular activity.
  • Prevention: This phase occurs once the patient is able to return to their activities pain free.  Prevention may include re-emphasis of prior education as well as adaptation to technique and form.  The ultimate goal is the patients independence in self-management.

Once the pain is decreased the patient is given progressive exercises to "Reload" the tendon.

Once adequate pain control has been achieved the patient is given progressive exercises to "reload" and strengthen the tendon.

The EdUReP model is a highly effective evidence based way of treating tendon problems.  If you live in the Lakewood area and are interested in achieving the results we have seen with these techniques give us a call at (303) 274-2404 or email us by clicking here >>

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Belmar Physical Therapy

Physical Therapists Are An Essential Resource For Aging Athletes.

I was recently reminded of what I do as a physical therapist during an encounter with a friend last week.  My friend is an avid runner and as he has gotten older he has found that he has various aches and pains when running.  Last week he came to me complaining of calf pain and asking if I had any stretches for him.  Luckily I had a little time and I  performed an evaluation.Tibialis Posterio Muscle Pain Relief

I asked Tom several questions about his pain, analyzed his gait, looked at his feet while standing, performed range of motion tests of his ankle and knee, performed strength tests of his lower leg muscles.  After this evaluation I found that Tom actually had a strain of his Tibialis Posterior muscle.  I explained to Tom that this muscle is underneath the calf muscle and runs to the bottom of the foot to support the arch.  Tom’s arch was collapsing when he put weight on his foot and the Tibialis Posterior muscle was having a hard time controlling this resulting of a strain of the muscle.

I recommended that Tom start using an over the counter orthotic with a firm arch support as well as icing the affected muscle.  Tom called me this morning to tell me that he was no longer having the pain.  Tom then asked me how I knew what the problem was.  

I said to Tom:
“That’s what I do.  I am a Physical therapist.”

Let us help you!  It's what we do.
Contact us for more information or to have your questions answered >>

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Belmar Physical Therapy

What Are The Best Exercises For Low Back Pain?

This is a question I get asked a lot at various social gatherings.  A recent study supports our philosophy regarding exercises for low back pain.  This study concluded that “Motor Control Exercises” reduce persistent low back pain.
What Are “Motor Control Exercises” for Low Back Pain?Transversus Abdominus And Multifidus

First a little anatomy:
The lumbar spine has 2 major muscle groups. The deepest of these 2 groups is the “Inner Unit”. 
This group of muscles consists of the Transversus Abdominus and the Multifidus.  These muscles attach to each vertebrae in the low back and are responsible for controlling movement of these vertebra.  The second group of muscles called the “outer unit”  consists of the bigger more powerful muscles that go from the rib cage to the pelvis.  These muscles are responsible for moving the entire spine.

Studies have shown that during normal movement the “inner unit” contracts first to stabilize each vertebrae then the “outer unit” contracts to move the entire spine.  These same studies have shown us that when a person with low back pain moves the “inner unit” does not contract until after the movement starts to occur.  This late contraction results in uncontrolled movement and low back pain.

OK… Enough anatomy!  What Are Motor Control Exercises?
“Motor Control Exercises” restore the normal contraction pattern by first learning how to isolate the “inner unit”.  Next, the patient is taught to contract these muscles in different postures, then later in more challenging activities.  This type of program requires a skilled physical therapist with the ability to identify the problem muscles then work closely with the patient to teach them how to get the muscles working properly again.

Our Team at Belmar Physical Therapy are trained in this specific skill. If you live in the Lakewood, CO area and would like help alleviating persistent low back pain give us a call at (303) 274-2404 or email us here >>

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