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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Do You Have Pain On The Outside of Your Knee? You May Have Iliotibial Band Syndrome.

What is Iliotibial band Syndrome?
The iIliotibial (IT) band is a thick connective tissue that runs from the outside of your hip to the outside of your Knee. The outside of your thigh bone at the knee has a slight bump (Gerdy’s Tuberce). Iliotibial band syndrome is caused by excessive friction of the iliotibial band over as it slides over this bump during repetitive bending and straightening of the knee resulting in friction and irritation.  This problem is often associated with running, cycling or walking long distances.Iliotibial Band Syndrome Pain Relief

What Mechanical Factors Contribute to IT band syndrome?

  • Excessive flattening of the feet when walking or running.
  • Weak hip muscles causing excessive rotation of the hip.
  • “Bow legged” knees.
  • Tight calf muscles.
  • Tight iliotibial band.
  • Riding a bicycle with a seat that is too high.

What is The Preferred Treatment of Iliotibial Band Syndrome?

  • Ice
  • Rest
  • Anti-inflmmatories (check with your physician first)
  • Orthotics to correct flattening of the feet
  • Exercises to correct muscle imbalances of the hip and stretch the tight IT band
  • Cyclists proper bike fit

If you have more questions about iliotibial band syndrome please do not hesitate to contact us. If you live in the Denver or Lakewood, CO area and would like effective treatment of this problem call us at (303) 274-2404 or email us here >>