LENTag: physical therapy
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Should You Squat Through Patellofemoral Pain?
My doctor told me to stop squatting. I hear it all the time from patients with patellofemoral pain. Here’s why I modify squats instead of stopping them, and how my coworkers progress them back.
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ACL Anatomy: 5 Things Rehab Clinicians Should Know
Most of us learned ACL anatomy in school and never thought about it again. But the ACL is a flat, twisting ribbon, not a round rope. It’s smaller in women, it keeps changing shape into the mid teens, and it’s full of sensors the graft won’t replace. Here’s what that means for rehab.
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How to Progressively Load the Rotator Cuff
“The rotator cuff is a small muscle, so it can only handle light weight.” I still hear this all the time, from patients, from coaches and even from other clinicians. We tackled rotator cuff strengthening on a recent episode of the Ask Mike Reinold Podcast. Scott from Connecticut asked a great question. Since the infraspinatus…
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ACL Reconstruction With an LET: What Changes in Rehab?
I’ve been seeing a lot of patients with LET’s lately. It feels like every other ACL reconstruction coming through our door has one now, and it’s not just the hamstring grafts anymore. I’m seeing them with patellar tendon and quad tendon grafts too. Young athletes or older recreational athletes, it doesn’t matter. So I wanted…
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4 Interval Throwing Programs: Matching the Program to the Injury
I get asked about interval throwing programs all the time. Usually it’s some version of “which program should I use?” And for years the honest answer was that we all kind of used the same one, no matter what the injury was. If you remember, we used this program for numerous years, and it is…
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What Actually Changes After ACL Surgery
We recently had a staff meeting and were discussing our ACL Vald metric data and how we interpret it for our patients. As you know, there’s a ton of research on ACL rehab, but not a lot that actually tells you what’s happening week to week and across the full first year in the same…
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Why Your Quad Tendon ACL Patient’s Quad Is Lagging
By Lenny Macrina, MSPT, CSCS I’ve been publicly skeptical of the quad tendon (QT) graft for ACL reconstruction for a while now. If you follow me on social media, you’ve probably seen me lean toward the patellar tendon as my preferred graft, partly because of the outcomes data, partly because of what I see clinically…
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Meniscus Repair Rehab: What Does the Evidence Actually Say?
By Lenny Macrina, MSPT, CSCS | Champion PT & Performance I get asked about meniscus repair rehab all the time. And honestly? It’s one of the most variable, most debated areas in sports PT right now (besides ACL graft choices haha). Depending on which surgeon you’re working with, you might see wildly different protocols —…
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Is Early Physical Therapy Safe After a Rotator Cuff Repair?
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Physical therapy is vital after a rotator cuff repair and continues to be common in an outpatient setting. Unfortunately, there’s no true consensus on when to actually begin PT. Is early physical therapy safe after a rotator cuff repair or should we delay PT to protect the healing tendons? Let’s dive into this and see what the research…
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Treating Patients with Low Back Pain
My thoughts on treating low back pain As many of you may know, I have been practicing physical therapy since 2003. Throughout that time, the clear majority of my patients have had injuries to their extremities. Yet, I somehow was able to ‘avoid’ treating patients with low back pain (LBP). As has been with most…
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Why you need “Feel” as a Physical Therapist
Just thinking…some recent observations of first hand experiences from the field of physical therapy.
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The Week in Research Review, etc 12-24-18
The Week in Research Review, etc 12-24-18 only had two posts to social media this week but hopefully two very helpful posts for your practice. The back pain post was a repost from a previous time but I thought it was very important to share it again. I also put a new post from my…
