Spinal Manipulations

Usually, the term ''spinal manipulation" has people immediately thinking of chiropractors.  From there the camps are divided evenly.  Those who understand the benefits of spinal manipulations, and those who dread the thought of it.  What most people don't realize is that physical therapists (PTs) are also manipulators of the spine.  They perform the same, or similar, spinal adjustments that create the ''cracking'' sound and free up movement for patients.  The biggest difference between chiropractors and PTs is that PTs have a multitude of interventions in their tool box, where as chiropractors have only manipulation.  Additionally, PTs offer home exercise programs to help maintain the newly found movement from a manipulation.  Either way, the realm of spinal manipulation is not nearly as dangerous as some think.  No one has ever become paralyzed, had a stroke or died due to a manipulation of the neck. 

Synthetic lubricant injections for arthritis

As a physical therapist who treats osteoarthritis of the knee on a daily basis, I've for quite some time questioned the efficacy of synthetic lubricant injections in the knee. Normally the body's joints are lined with articular cartilage to prevent bone on bone movement. Also, a fluid called synovial fluid is produced to act as the lubricating "oil" within the joints. As we age, both out cartilage and synovial fluids are reduced. This is particularly common in the weight bearing joints such as knees and hips. Physician have for years used a synthetic lubricant to help decrease pain and improve movement in joints. A common brand name is Synvisc. A new study found in the Annals of Internal Medicine suggest there is no functional improvement of the knee, and statistically little decrease in pain when compared to a control group. Moreover, those subjects who did receive synthetic lubricant injections were found to have more likelihood of other orthopedic issues.

Ergonomic Evaluation of desk workstation

Ergonomics are an essential aspect of any desk jockeys' well being.  Sitting for 6+ hours a day at desk with bad posture and poor positioning can lead to low back pain, hip, knee pain and upper back and neck pain.  Having an ergonomic evaluation by a physical therapist is a great way to figure out whats wrong, and develop a plan to correct it.  These evaluations can be done in person, or by simply supplying a picture of yourself sitting at your work station.